2020-12-28T11:43:56-07:00 2020-03-31 990 2019-04-01 610712406 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION MOUN 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 Teresa Dotson Director of Financial Affairs 6066334823 2020-12-28 2019 2022-09-23 18:48:47Z LM Mike Caudill 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 48990301 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 15 471 0 0 0 7349389 7230085 36595374 41317448 136536 195998 260310 246770 44341609 48990301 0 0 0 0 31732450 35696437 0 0 51803 11890923 12436886 43623373 48133323 718236 856978 31029135 32402700 5002812 5519399 26026323 26883301 Provide primary and specialty medical/dental/optometry/podiatry/behavioral care services to the medically underserved/uninsured population of Southeastern Kentucky 0 0 41486988 7230085 40628375 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 2019, MCHC provided medical, dental, vision, podiatry and behavioral care to 45,964 individual patients. 0 0 0 41486988 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 62 0 1 471 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 Van Breeding MD Physician 40 0 X 1670604 0 32014 April Hall Slone DO Physician 40 0 X 683848 0 13715 Nathan Wade Baker MD Physician 40 0 X 632792 0 18661 Mahmood Alam MD Physician 40 0 X 559851 0 25432 Matthew Breeding DO Physician 40 0 X 530700 0 20917 L M Mike Caudill Chief Executive Officer 40 0 X 230656 0 17688 Phillip Hampton Chief Operating Officer 40 0 X 136855 0 13954 Teresa Dotson Director of Financial Affairs 40 0 X 114545 0 12412 Mary Back Chief Financial Officer 40 0 X 69063 0 12274 David Adams Board Member - Vice Chairman 1 0 X 0 0 0 Stephen Adams Board Member 1 0 X 0 0 0 Gwendolyn Christon Board Member 1 0 X 0 0 0 Carlana Mullins 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 Mary Ann Sparks 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 4628914 0 167067 60 0 1 0 Blair Construction LLC 191 Golf Course Lane Whitesburg KY 41858 General Contractor 171090 Storm Security PO Box 927 London KY 40743 Security Services 130735 Alliance Corporation 2014 KY RT 321 Prestonsburg KY 41653 General Contractor 125750 Tri-State Heating and Cooling PO Box 1745 Prestonsburg KY 41653 General Contractor 103864 4 0 0 0 0 7230085 0 0 7230085 Medicaid 621400 17054007 17054007 0 0 Medicare 621400 9827225 9827225 0 0 CI/UMWA 621400 5957278 5957278 0 0 Patient Fees 621400 2075504 2075504 0 0 6403434 6403434 0 0 41317448 195998 195998 0 0 0 0 0 0 0 0 0 0 246770 0 0 0 246770 0 246770 246770 0 0 0 0 0 0 48990301 41760216 0 0 583759 0 554571 29188 29846349 26698368 3136211 11770 445545 319039 126506 2999188 2456929 531414 10845 1821596 1542091 279505 44552 0 44552 0 169384 0 169384 0 213309 74374 138935 4592771 4367703 225068 258195 258195 0 0 149397 82110 67287 0 100468 68063 32405 1362942 1101958 260984 0 190794 113930 76864 0 Consulting and Contractual Services 3181735 2957353 224382 0 Repair and Maintanence 383633 255868 127765 0 Utilities 420656 369571 51085 0 Licenses/Dues/Membership/Recuritment 771985 647036 124949 0 597065 174400 422665 0 48133323 41486988 6594532 51803 637429 2003925 7535910 8241111 603493 549218 6599649 6200930 0 0 1072753 898046 592167 594449 28544404 14992243 13724874 13552161 262860 362860 31029135 32402700 4196675 4750242 599963 549218 206174 219939 5002812 5519399 X 26026323 26883301 0 0 26026323 26883301 31029135 32402700 856978 0 0 0 0 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 428750 428750 0 9426030 5026286 4399744 0 5772865 3078292 2694573 0 12401106 6612700 5788406 0 515653 274965 240688 13552161 Interest Payable 32970 Unemployment Tax Payable 44172 Payroll Tax Payable 139297 Unearned Rent 3500 219939 48990301 0 0 0 0 0 48990301 0 0 0 48990301 48133323 0 0 0 0 0 48133323 0 0 0 48133323 X 0 0 0 1 0 0 0 0 0 Mahmood Alam MD Physician 325000 0 241569 0 9082 0 0 0 -15800 0 559851 0 0 0 Nathan Wade Baker MD Physician 300000 0 298392 0 40033 0 0 0 -5633 0 632792 0 0 0 Matthew Breeding DO Physician 250000 0 271125 0 23077 0 0 0 -13502 0 530700 0 0 0 Van Breeding MD Physician 400000 0 1084262 0 202268 0 0 0 -15926 0 1670604 0 0 0 April Hall Slone DO Physician 300000 0 358262 0 26394 0 0 0 -808 0 683848 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 Brother to CEO 5600 Rental Apartment 0 Rainy Day Corporation Wife to CEO 29744 Administrative Office Space Lease 0 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 contracts and also established 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 an extension of time to file. The extension date is February 15, 2020. The organization will file before the deadline.