SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
 
Employer identification number

61-0712406
Return Reference Explanation
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.
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 an are members of the community.
Form 990, Part VI, Section A, Line 7a The Board of Directors has a membership committee who nominates any new members ro 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 Director of Financial Affairs and the Chief Financial Officer. It is then presented to the Chief Executive Officer and Chief Operating Officer for review. After approval by 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 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 contact 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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