TY 2019 Form 990 Schedule O

efile Public Visual Render ObjectId: 202140439349302174 - Submission: 2020-12-28 TIN: 61-0712406

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 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Employer identification number

61-0712406

Return Reference	Explanation
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.

Return Reference

Explanation

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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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