2019-12-12T08:03:29-07:00 2019-03-31 990 2018-04-01 610712406 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION MOUN 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 Teresa Fleming Director of Financial Affairs 6066334823 2019-12-12 12.220.139.26 2018 2020-04-17 16:48:07Z LM Mike Caudill 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 44341609 0 X www.mchcky.com X 1972 KY Provide primary and specialty medical/dental/optometry/podiatry/behavioral care to the medically underserved/uninsured population of Southeastern Kentucky 15 15 453 0 0 0 6915166 7349389 36477337 36595374 80396 136536 249135 260310 43722034 44341609 0 0 0 0 26240206 31732450 0 0 47272 11517791 11890923 37757997 43623373 5964037 718236 30428065 31029135 5119978 5002812 25308087 26026323 X Provide primary and specialty medical/dental/optometry/podiatry/behavioral care services to the medically underserved/uninsured population of Southeastern Kentucky 1 0 37295819 7349389 35760094 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 2018, MCHC provided medical, dental, vision, podiatry and behavioral care to 41,167 individual patients. 0 0 0 37295819 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 56 0 1 453 1 1 0 0 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 Jackie Colwell Board Member 1 0 X 0 0 0 Gertrude Maggard Board Member 1 0 X 0 0 0 Gwendolyn Christon Board Member 1 0 X 0 0 0 Deana McIntosh 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 133167 0 16542 Teresa Dotson Director of Financial Affairs 40 0 X 112893 0 14029 L M Mike Caudill Chief Executive Officer 40 0 X 220131 0 37175 Mary Back Chief Financial Officer 40 0 X 69093 0 12045 Van Breeding MD Physician 40 0 X 1508895 0 37919 Mahmood Alam MD Physician 40 0 X 584528 0 37291 Matthew Breeding DO Physician 40 0 X 462390 0 28439 Nathan Wade Baker MD Physician 40 0 X 619238 0 36531 April Hall Slone DO Physician 40 0 X 580516 0 27545 4290851 0 247516 52 0 1 0 Blair Construction LLC 191 Golf Course Lane Whitesburg KY 41858 General Contractor 315328 1 0 0 0 0 7349389 0 0 7349389 Medicaid 621400 14823198 14823198 0 0 Medicare 621400 8263712 8263712 0 0 CI/UMWA 621400 4601116 4601116 0 0 Patient Fees 621400 2081936 2081936 0 0 6825412 6825412 0 0 36595374 136536 136536 0 0 0 0 0 0 0 0 0 0 260310 0 0 0 260310 0 260310 260310 0 0 0 0 0 0 44341609 36992220 0 0 542943 515796 27147 26457703 23411048 3037042 9613 429962 301302 128660 0 2658523 2132943 515068 10512 1643319 1377791 265528 0 19469 19469 0 173423 173423 0 206972 56005 150967 0 3843115 3560155 282960 0 239723 239723 0 0 174946 80306 94640 0 91123 57814 33309 1195429 962384 233045 0 149169 75397 73772 0 Consulting and Contractual Services 3771904 3545101 226803 0 Repairs and Maintenance 358770 249436 109334 0 Utilities 420811 369227 51584 License/Dues.Membership/Recruitment 707754 628215 79539 538315 248972 289343 0 43623373 37295819 6280282 47272 925100 637429 8289952 7535910 1538745 603493 6750030 6599649 0 0 809116 1072753 464985 592167 27437906 13713032 11469137 13724874 181000 262860 30428065 31029135 3401194 4196675 1538745 599963 0 180039 206174 5119978 5002812 X 17955292 17948705 7352795 8077618 0 0 25308087 26026323 30428065 31029135 718236 0 0 0 0 0 X 0 1 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 428750 428750 0 9426030 4785764 4640266 0 5456138 2770179 2685959 0 11607785 5893480 5714305 0 519203 263609 255594 13724874 Interest Payable 32892 Unemployment Tax Payable 22434 Payroll Tax Payable 147348 Unearned Rent 3500 206174 44341609 0 0 0 0 0 44341609 0 0 0 44341609 43623373 0 0 0 0 0 43623373 0 0 0 43623373 X 0 0 0 1 0 0 0 0 0 Mahmood Alam MD Physician 325000 0 267050 0 5881 0 0 0 -13403 0 584528 0 0 0 Nathan Wade Baker MD Physician 300000 0 299551 0 25606 0 0 0 -5919 0 619238 0 0 0 Matthew Breeding DO Physician 215385 0 245195 0 13100 0 0 0 -11290 0 462390 0 0 0 Van Breeding MD Physician 400000 0 968503 0 150576 0 0 0 -10184 0 1508895 0 0 0 April Hall Slone DO Physician 256154 0 308521 0 16587 0 0 0 -746 0 580516 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 16085 Administrative Office Space Lease 0 Form 990, Part III, Line 2 Mountain Comprehensive Health Corporation added Podiatry services in July 2018. Form 990, Part V, Line 3b Mountain Comprehensive Health Corporation was approved an extension of time to file. The extension date is February 15, 2020. 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 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 Mountain Comprehensive Health Corporation Board of Directors has a membership committee who nominates any new members to be elected by the full Board of Directors. Form 990, Part VI, Section A, Line 7b Mountain Comprehensive Health Corporation 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 for submission. 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 contract 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 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. Mountain Comprehensive Health Corporation was approved for an extension of time to file. The extension sate is February 15, 2020. The organization will file before the deadline.