2022-11-16T09:45:40-07:00 2022-03-31 990 2021-04-01 610712406 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION MOUN 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 Teresa Dotson Director of Financial Affairs 6066334823 2022-11-10 1 11 0 AAL2 2021 2022-09-23 18:48:47Z LM Mike Caudill 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 79179065 0 X www.mchcky.com X 1972 KY Provide primary and specialty medical/dental/optometry/podiatry/chiropractic/behavioral care to the medically underserved/uninsured population of Southeastern Kentucky 15 15 557 0 0 0 11775735 13025820 44508413 65764995 163951 112383 255492 275867 56703591 79179065 0 0 0 0 36024221 42381860 0 0 54137 14635051 23131533 50659272 65513393 6044319 13665672 42039893 61399796 9112273 14806504 32927620 46593292 Provide primary and specialty medical/dental/optometry/podiatry/behavioral care services to the medically underserved/uninsured population of Southeastern Kentucky 0 0 56721798 8525820 62287984 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 2021, MCHC provided medical, dental, vision, podiatry, chiropractic and behavioral care to 51,265 individual patients. 0 0 0 56721798 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 1 0 0 0 0 0 0 0 0 1 64 0 1 557 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 KY X Mountain Comprehensive Health Corporation 6066334823 226 Medical Plaza Lane PO Box 40 Whitesburg KY 41858 Van Breeding MD Physician 40.00 0.00 X 1628579 0 30900 April Hall Slone DO Physician 40.00 0 X 698869 0 14095 Nathan Wade Baker MD Physician 40.00 0 X 659156 0 24447 Jonathan Hatton Physician 40.00 0 X 650051 0 19837 Mahmood Alam MD Physician 40.00 0 X 591074 0 24516 L M Mike Caudill Chief Executive Officer 40.00 0 X 251375 0 17834 Phillip Hampton Chief Operating Officer 40.00 0 X 137947 0 14395 Teresa Dotson Director of Financial Affairs 40.0 0 X 116129 0 16178 Mary Back Chief Financial Officer 40 0 X 79970 0 11293 David Adams Board Member - Chairman 1.0 0 X 0 0 0 Stephen Adams Board Member 1 0 X 0 0 0 Phyllis Ingram Board Member - Treasurer 1 0 X 0 0 0 Carlana Mullins Board Member 1.0 0 X 0 0 0 Micheal Reed Caudill Board Member - Secretary 1.0 0 X 0 0 0 Cathie Day Board Member - Vice Chairman 1 0 X 0 0 0 Timothy Ison Board Member 1 0 X 0 0 0 Jerry Hall Board Member 1 0 X 0 0 0 Kathy Hall Board Member 1.0 0 X 0 0 0 Jackie Colwell Board Member 1.0 0 X 0 0 0 Gertrude Maggard Board Member 1.0 0 X 0 0 0 Mary Ann Sparks Board Member 1.0 0 X 0 0 0 Deana McIntosh Board Member 1 0 X 0 0 0 William Parks Board Member 1.0 0 X 0 0 0 Steve Peake Board Member 1 0 X 0 0 0 4813150 0 173495 59 0 1 0 Blair Construction LLC 191 Golf Course Lane Whitesburg KY 41858 General Contractor 870766 Storm Security PO Box 927 London KY 40743 Security Services 131735 Rose Office Systems PO Box 608 Saginaw AL 35137 General Contractor 400000 3 0 0 0 0 8525820 4500000 0 13025820 Medicaid 621400 25894858 25894858 0 0 Medicare 621400 10870017 10870017 0 0 CI/UMWA 621400 7171306 7171306 0 0 Patient Pay Fees 621400 1913576 1913576 0 0 19915238 19915238 0 0 65764995 112383 112383 0 0 0 0 0 0 0 0 0 0 275867 0 0 0 275867 0 275867 275867 0 0 0 0 0 0 79179065 66153245 0 0 605254 0 574991 30263 35846521 32135756 3698143 12622 500593 369156 131437 0 3154267 2591622 551393 11252 2275225 1948395 326830 0 111013 0 111013 0 189971 0 189971 0 255012 30556 224456 0 10004960 9675014 329946 0 296449 243745 52704 0 114531 65918 48613 0 75352 71679 3673 0 7979 0 7979 0 1681626 1302259 379367 0 186376 84627 101749 0 Consulting and Contractual Services 7003574 6523955 479619 0 Repairs and Maintenance 518221 284888 233333 0 Utilities 455816 393169 62647 0 License/Dues/Membership/Recuritment 1174171 968290 205881 0 1056482 32769 1023713 0 65513393 56721798 8737458 54137 6991776 7019868 9903193 10005731 1918543 8006566 8520918 10486601 0 0 373360 493108 508270 791092 41986184 17895214 13460973 24090970 362860 505860 42039893 61399796 4212069 4386018 1918543 9130837 2729500 1269500 252161 20149 9112273 14806504 X 32927620 46593292 0 0 32927620 46593292 42039893 61399796 13665672 0 0 0 0 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 2908750 2908750 0 16202075 7029304 9172771 0 7012042 3330755 3681287 0 15126089 7184968 7941121 0 737228 350187 387041 24090970 Interest Payable 35741 Unemployment Tax Payable -11265 Payroll Tax Payable -16077 Unearned Rent 11750 20149 79179065 0 0 0 0 0 79179065 0 0 0 79179065 65513393 0 0 0 0 0 65513393 0 0 0 65513393 X 0 0 0 1 0 0 0 0 0 Van Breeding MD Physician 400000 0 1093688 0 145578 0 0 0 -11221 0 1628045 0 0 0 Nathan Wade Baker MD Physician 300000 0 308723 0 55625 0 0 0 -5418 0 658930 0 0 0 April Hall Slone DO Physician 300000 0 390639 0 9086 0 0 0 -880 0 698845 0 0 0 Mahmood Alam MD Physician 325000 0 279930 0 0 0 0 0 -13938 0 590992 0 0 0 Jonathan Hatton Physician 261538 0 387335 0 16190 0 0 0 -15012 0 650051 0 0 0 L M Mike Caudill Chief Executive Officer 250000 0 3914 0 7812 0 0 0 -11410 0 250316 0 0 0 Phillip Hampton Chief Operating Officer 129427 0 7694 0 1277 0 0 0 -2221 0 136177 0 0 0 Schedule J, Part I, Line 5 Some of MCHC providers have compensation packages which include incentives based on clinic, hospital, and nursing home collections. Baker Properties Brother to CEO 5800 Rental Apartment 0 Rainy Day Corporation Wife to CEO 52704 Administrative Office Space Lease 0 X 1 4500000 FMV 0 0 0 1 Schedule M, Part I, Line 32b Mountain Comprehensive Health Corporation was donated a residential home and track of land to sell in order to have money for the new autism center that MCHC wants to open. Form 990, Part VI, Section A, Line 2 The CEO and the owner of Baker Properties LLC, Dr. Nathan 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 and firing 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 presented to the Board of Director's Finance Committee for review. The Finance Committee will then make a recommendation in the board meeting for the approval of the 990 to be submitted. Board Members will vote on approval of the 990 for submission. Form 990, Part VI, Section B, Line 12c Mountain Comprehensive Health Corporation is 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. All providers are on different contract terms and are reviewed annually. The CEO's contract is reviewed and approved by the Board of Directors. 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, 2023. The organization will file before the deadline.