2018-12-04T09:49:58-07:00 2018-03-31 990 2017-04-01 610712406 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION MOUN 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 Teresa Fleming Director of Financial Affairs 6066334823 2018-12-04 76.72.193.147 2017 2019-02-21 02:37:17Z LM Mike Caudill 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 43722034 0 X www.mchcky.com X 1972 KY Provide primary and specialty medical/dental/optometry/behavioral care to the medically underserved/uninsured population of Southeastern Kentucky 15 15 406 0 0 0 5737819 6915166 28841745 36477337 45447 80396 246692 249135 34871703 43722034 0 0 0 0 23089424 26240206 0 0 51921 9187421 11517791 32276845 37757997 2594858 5964037 23757828 30428065 4413778 5119978 19344050 25308087 Provide primary and specialty medical/dental/optometry/behavioral care services to the medically underserved/uninsured population of Southeastern Kentucky 0 0 31834722 6915166 35831971 Patient Care/General Other: Mountain Comprehensive Health Corporation's mission states: MCHC will use its resources to meet the healthcare need of its service area population. In calendar year 2017, MCHC provided medical, dental, and vision care to 38,697 individual patients. 0 0 0 31834722 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 X 51 0 1 406 1 1 0 0 0 0 0 0 X 15 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Mountain Comprehensive Health Corporation 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 David Adams Board Member - Vice Chairman 1 0 X 0 0 0 Stephen Adams Board Member 1 0 X 0 0 0 Tommye Banks Board Member 1 0 X 0 0 0 Gayle Burns Board Member 1 0 X 0 0 0 Micheal Reed Caudill Board Member 1 0 X 0 0 0 Cathie Day Board Member - Secretary 1 0 X 0 0 0 Robert Tyrone Fields Board Member - Treasurer 1 0 X 0 0 0 Edgar Grubb Board Member 1 0 X 0 0 0 Kathy Hall Board Member - Chairman 1 0 X 0 0 0 Amanda Maggard Board Member 1 0 X 0 0 0 Gertrude Maggard Board Member 1 0 X 0 0 0 Deana McIntosh Board Member 1 0 X 0 0 0 Carlana Mullins Board Member 1 0 X 0 0 0 William Parks Board Member 1 0 X 0 0 0 Paul Pratt Board Member 1 0 X 0 0 0 Phillip Hampton Chief Operating Officer 40 0 X 131128 0 14782 Teresa Fleming Director of Financial Affairs 40 0 X 103393 0 10940 L M Mike Caudill Chief Executive Officer 40 0 X 218220 0 16426 Mary Back Chief Financial Officer 40 0 X 63677 0 10787 Van Breeding MD Physician 40 0 X 1331409 0 31471 Mahmood Alam MD Physician 40 0 X 617200 0 24144 Byron Thomas DO Physician 40 0 X 429053 0 13649 Nathan Wade Baker MD Physician 40 0 X 651311 0 24144 April Hall Slone DO Physician 40 0 X 535515 0 13345 4080906 0 159688 41 0 1 0 Blair Construction LLC 191 Golf Course Lane Whitesburg KY 41858 General Contractor 569648 1 0 0 0 0 6915166 0 0 6915166 Medicaid 621400 15122613 15122613 0 0 Medicare 621400 7150398 7150398 0 0 CI/UMWA 621400 4372412 4372412 0 0 Patient Fees 621400 1961291 1961291 0 0 7870623 7870623 0 0 36477337 80396 80396 0 0 0 0 0 0 0 0 0 0 249135 0 0 0 249135 0 249135 249135 0 0 0 0 0 0 43722034 36806868 0 0 538262 511349 26913 21543516 18835822 2691604 16090 375312 260872 114440 2416277 1970356 437003 8918 1366839 1124568 242271 50245 50245 100464 100464 224884 46935 177949 3986213 3625291 360922 229970 229970 171464 85587 85877 96610 64421 32189 1017402 813495 203907 136628 96095 40533 Consulting and Contractual Services 3606984 3451764 155220 0 Repairs and Maintenance 364770 213336 151434 0 Utilities 427998 315793 112205 0 License/dues/membership/recruitment 615810 502693 113117 0 488349 197724 290625 37757997 31834722 5871354 51921 2018951 925100 5355668 8289952 1784511 1538745 3046092 6750030 0 0 654272 809116 310723 464985 24004285 12535148 10406611 11469137 181000 181000 23757828 30428065 2460611 3401194 1784511 1538745 25569 0 143087 180039 4413778 5119978 X 14064518 17955292 5279532 7352795 0 0 19344050 25308087 23757828 30428065 5964037 X 0 1 1 1 1 X 0 333000 333000 0 9197823 4870715 4327108 0 3781989 2002755 1779234 0 10239006 5422074 4816932 0 452467 239604 212863 11469137 Interest Payable 32817 Unemployment Tax Payable 21711 Payroll Tax Payable 122011 Unearned Rent 3500 180039 43722034 0 0 0 0 0 43722034 0 0 0 43722034 37757997 0 0 0 0 0 37757997 0 0 0 37757997 X 0 0 0 1 0 0 0 0 0 Mahmood Alam MD Physician 325000 0 296739 0 9132 0 0 0 -13671 0 617200 0 0 0 Nathan Wade Baker MD Physician 300000 0 314890 0 45530 0 0 0 -9109 0 651311 0 0 0 Van Breeding MD Physician 400000 0 876691 0 64650 0 0 0 -9932 0 1331409 0 0 0 L M Mike Caudill Chief Executive Officer 200000 0 2951 0 21673 0 0 0 -6404 0 218220 0 0 0 April Hall Slone DO Physician 225000 0 297415 0 13846 0 0 0 -746 0 535515 0 0 0 Byron Thomas DO Physician 225000 0 204421 0 887 0 0 0 -1255 0 429053 0 0 0 Schedule J, Part I, Line 5 Some of our providers have compensation packages which include incentives based on clinic, hospital, and nursing home collections. Baker Properties LLC Brother to CEO 9600 Rental Apartments 0 Rainy Day Corporation Wife to CEO 6550 Administrative Office Space Lease 0 Form 990, Part V, Line 3b Mountain Comprehensive Health Corporation was approved for an extension of time to file. The extension date is February 15, 2019. The organization will file before the deadline. Form 990, Part VI, Section A, Line 2 The CEO and the owner of Baker Properties LLC, Dr. Nathan Wade Baker, MD OB/GYN are brothers. The CEO and the owner of Rainy Day Corporation, Joy Caudill are married. Form 990, Part VI, Section A, Line 6 Mountain Comprehensive Health Corporation is a non profit corporation. We are a 330e grantee with 501(c)(3) status. Our governing board is comprised of board members who are consumers of our clinic and members of the community. Form 990, Part VI, Section A, Line 7a The Board of Directors has a membership committee who nominates any new member to be elected by the full Board of Directors. Form 990, Part VI, Section A, Line 7b The Board of Directors approves all grants, budgets, and policies for the Corporation. The Board is also responsible for hiring the Chief Executive Officer. Form 990, Part VI, Section B, Line 11b The 990 is prepared by the Chief Financial Officer. It is then presented to the Chief Executive Officer, Director of Financial Affairs, and Chief Operating Officer for review. After approval by the officers, the 990 is available for the Board of Directors to review. Once reviewed, the Board members will approve the 990 to be submitted. Form 990, Part VI, Section B, Line 12c We are monitored throughout the year by our funding sources and additionally we have internal monitoring performed by our Corporate Compliance Officer. Form 990, Part VI, Section B, Line 15 The Chief Executive Officer handles all the provider contracts and also establishes wages based on experience and local comparable wages. The CEO's contract is reviewed and approved by the Board of Directors. All providers are on different contract terms and are reviewed annually. Form 990, Part VI, Section C, Line 19 The 990, supporting financial statements, governing documents, and conflict of interest policies are available upon request.