Form 990 for tax year 2022
Filed by MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED.
Totals
- Total revenue
- $17,494,265
- Total expenses
- $17,061,934
- Contributions and grants received
- $5,916,896
- Grants paid
- $0
- Program service revenue
- $11,484,244
- Investment income
- $93,125
- Other revenue
- $0
- Total assets, end of year
- $11,568,547
- Total liabilities, end of year
- $1,732,943
- Net assets or fund balances, end of year
- $9,835,604
- Program services expenses (Part IX)
- $12,419,669
- Management and general expenses
- $4,642,265
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $12,419,669
Program services were 72.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$5,238,777
-
1f · All other contributions, gifts and grants
$678,119
-
2a · Program service revenue: PATIENT FEES
total $11,484,244 · unrelated business $0 · excluded $0
-
3 · Investment income
total $106,885 · unrelated business $0 · excluded $106,885
-
7b · Less cost or other basis and sales expenses
other assets $13,760
-
7c · Gain or loss
other assets -$13,760
-
7d · Net gain or loss
total -$13,760 · related or exempt $0 · unrelated business $0 · excluded -$13,760
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $799,794 · program services $527,864 · management and general $271,930 · fundraising $0
-
7 · Other salaries and wages
total $8,329,361 · program services $5,512,196 · management and general $2,817,165 · fundraising $0
-
8 · Pension plan contributions
total $320,366 · program services $211,962 · management and general $108,404 · fundraising $0
-
9 · Other employee benefits
total $748,979 · program services $495,541 · management and general $253,438 · fundraising $0
-
10 · Payroll taxes
total $656,644 · program services $434,451 · management and general $222,193 · fundraising $0
-
11b · Fees: legal
total $4,433 · program services $0 · management and general $4,433 · fundraising $0
-
11c · Fees: accounting
total $101,247 · program services $0 · management and general $101,247 · fundraising $0
-
11g · Fees: other
total $707,630 · program services $443,794 · management and general $263,836 · fundraising $0
-
12 · Advertising and promotion
total $62,489 · program services $30,651 · management and general $31,838 · fundraising $0
-
13 · Office expenses
total $722,213 · program services $404,146 · management and general $318,067 · fundraising $0
-
16 · Occupancy
total $183,165 · program services $120,889 · management and general $62,276 · fundraising $0
-
17 · Travel
total $111,313 · program services $73,467 · management and general $37,846 · fundraising $0
-
22 · Depreciation, depletion and amortization
total $332,015 · program services $219,130 · management and general $112,885 · fundraising $0
-
23 · Insurance
total $107,962 · program services $71,255 · management and general $36,707 · fundraising $0
-
24a · Other expenses: CONTRACT 340 ADMIN AND DISPENSING FEES
total $1,514,931 · program services $1,514,931 · management and general $0 · fundraising $0
-
24b · Other expenses: DRUGS AND MEDICAL SUPPLIES
total $1,865,102 · program services $1,865,102 · management and general $0 · fundraising $0
-
24c · Other expenses: EMR EXPENSES
total $494,290 · program services $494,290 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $253,698 · end of year $238,717
-
2 · Savings and temporary cash investments
beginning of year $2,938,181 · end of year $2,320,523
-
3 · Pledges and grants receivable
beginning of year $30,933 · end of year $186,648
-
4 · Accounts receivable
beginning of year $706,118 · end of year $979,381
-
9 · Prepaid expenses and deferred charges
beginning of year $53,375 · end of year $75,929
-
10a · Land, buildings and equipment: cost or other basis
$5,377,516
-
10b · Land, buildings and equipment: accumulated depreciation
$1,644,255
-
10c · Land, buildings and equipment, net
beginning of year $3,430,083 · end of year $3,733,261
-
12 · Investments: other securities
beginning of year $1,987,566 · end of year $2,946,932
-
13 · Investments: program-related
beginning of year $9,750 · end of year $140,987
-
15 · Other assets
end of year $946,169
-
17 · Accounts payable and accrued expenses
beginning of year $978,427 · end of year $988,456
-
25 · Other liabilities
end of year $744,487
-
27 · Net assets without donor restrictions
beginning of year $7,939,874 · end of year $9,212,851
-
28 · Net assets with donor restrictions
beginning of year $491,403 · end of year $622,753
Mission and programs · 2022
Mission
THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.
-
THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 40,900 VISITS WERE PROVIDED DURING THE YEAR.
Expenses $12,419,669 · Revenue $11,484,244
As filed on the 2022 return.
Listed in Part VII
-
Eron ThieleERON THIELE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kathy WeisfeldKATHY WEISFELD
BOARD MEMEBER
- Total calculated
- $0
- Hours/week
- 1
-
Chelsea ThayerCHELSEA THAYER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Sidney LawsSIDNEY LAWS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Blair Belt-ClarkBLAIR BELT-CLARK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia NashCYNTHIA NASH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia WilsonCYNTHIA WILSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Amber BriggsAMBER BRIGGS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Rhonda PhillipsRHONDA PHILLIPS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Steve GunterSTEVE GUNTER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Susan Fish-CedergrenSUSAN FISH-CEDERGREN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Chuck SheltonCHUCK SHELTON
CHIEF EXECUTIVE OFFICER
- Total calculated
- $218,644
- From this org
- $202,184
- From related orgs
- $0
- Other
- $16,460
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $202,184
- Bonus
- $0
- Other
- $0
- Deferred
- $8,330
- Nontaxable benefits
- $8,130
- Filer's total
- $218,644
-
April BriggsAPRIL BRIGGS
CHIEF FINANCIAL OFFICER
- Total calculated
- $144,471
- From this org
- $130,910
- From related orgs
- $0
- Other
- $13,561
- Hours/week
- 40
-
Patricia HallPATRICIA HALL
MEDICAL DIRECTOR
- Total calculated
- $316,397
- From this org
- $295,002
- From related orgs
- $0
- Other
- $21,395
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $295,002
- Bonus
- $0
- Other
- $0
- Deferred
- $11,810
- Nontaxable benefits
- $9,585
- Filer's total
- $316,397
-
Lacosta TiptonLACOSTA TIPTON
DIRECTOR OF OPERATIONS
- Total calculated
- $159,492
- From this org
- $145,623
- From related orgs
- $0
- Other
- $13,869
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $145,623
- Bonus
- $0
- Other
- $0
- Deferred
- $5,839
- Nontaxable benefits
- $8,030
- Filer's total
- $159,492
-
Myranda EdwardsMYRANDA EDWARDS
NURSE PRACTITIONER
- Total calculated
- $182,591
- From this org
- $168,032
- From related orgs
- $0
- Other
- $14,559
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $168,032
- Bonus
- $0
- Other
- $0
- Deferred
- $6,709
- Nontaxable benefits
- $7,850
- Filer's total
- $182,591
-
Nicole AllenNICOLE ALLEN
PHYSICIAN
- Total calculated
- $305,390
- From this org
- $285,143
- From related orgs
- $0
- Other
- $20,247
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $285,143
- Bonus
- $0
- Other
- $0
- Deferred
- $11,575
- Nontaxable benefits
- $8,672
- Filer's total
- $305,390
-
James CarrollJAMES CARROLL
PHYSICIAN
- Total calculated
- $214,032
- From this org
- $197,435
- From related orgs
- $0
- Other
- $16,597
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $197,435
- Bonus
- $0
- Other
- $0
- Deferred
- $7,888
- Nontaxable benefits
- $8,709
- Filer's total
- $214,032
-
Jessica WhiteJESSICA WHITE
PHYSICIAN
- Total calculated
- $260,754
- From this org
- $242,902
- From related orgs
- $0
- Other
- $17,852
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $242,902
- Bonus
- $0
- Other
- $0
- Deferred
- $9,727
- Nontaxable benefits
- $8,125
- Filer's total
- $260,754
-
Elizabeth PeverallELIZABETH PEVERALL
PHYSICIAN
- Total calculated
- $211,440
- From this org
- $195,285
- From related orgs
- $0
- Other
- $16,155
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $195,285
- Bonus
- $0
- Other
- $0
- Deferred
- $8,021
- Nontaxable benefits
- $8,134
- Filer's total
- $211,440
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 5 February 2024
- IRS schema version
- 2022v5.0
- Source object
- 202440369349301404
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.