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MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Company Details

Name: MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 14 Mar 1972 (53 years ago)
Organization Date: 14 Mar 1972 (53 years ago)
Last Annual Report: 22 Jan 2025 (3 months ago)
Organization Number: 0036886
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 41858
City: Whitesburg, Crown, Democrat, Dongola, Kona, Oscaloos...
Primary County: Letcher County
Principal Office: 10 E. MAIN ST, P.O. BOX 40, WHITESBURG, KY 41858
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NKXAYGT53N34 2024-10-30 10 E MAIN ST, WHITESBURG, KY, 41858, 7346, USA PO BOX 40, WHITESBURG, KY, 41858, 0040, USA

Business Information

URL www.mchcky.com
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2023-11-17
Initial Registration Date 2004-03-25
Entity Start Date 1972-03-14
Fiscal Year End Close Date Mar 31

Service Classifications

NAICS Codes 456130, 456199, 621112, 621210, 621310, 621320, 621498
Product and Service Codes M1DB, Q201, Q301, Q401, Q402, Q403, Q503, Q506, Q507, Q509, Q512, Q516, Q517, Q519, Q520, Q521, Q522, Q526, Q601, Q602, Q603, Q801, Q802, Q901

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TERESA DOTSON, MBA
Role DIRECTOR OF FINANCIAL AFFAIRS
Address PO BOX 40, WHITESBURG, KY, 41858, USA
Title ALTERNATE POC
Name PHILLIP HAMPTON
Role COO
Address PO BOX 40, WHITESBURG, KY, 41858, 0040, USA
Government Business
Title PRIMARY POC
Name CHRIS BATES
Role CCO
Address PO BOX 40, WHITESBURG, KY, 41858, USA
Title ALTERNATE POC
Name JENNIFER HURT
Role GRANTS MANAGEMENT/ACCOUNTANT
Address 10 E MAIN ST, PO BOX 40, WHITESBURG, KY, 41858, USA
Past Performance
Title PRIMARY POC
Name MARY BACK
Address PO BOX 40, WHITESBURG, KY, 41858, 0040, USA
Title ALTERNATE POC
Name PHILLIP HAMPTON
Role COO
Address PO BOX 40, WHITESBURG, KY, 41858, 0040, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRITICAL ILLNESS PLAN 2016 610712406 2018-10-04 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 141
File View Page
Three-digit plan number (PN) 515
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
PREPAID DENTAL CARE PLAN 2016 610712406 2018-10-04 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 420
File View Page
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 2016 610712406 2018-10-04 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 165
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425
Plan sponsor’s address 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 2016 610712406 2018-03-30 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 165
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425
Plan sponsor’s address 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425

Number of participants as of the end of the plan year

Active participants 188

Signature of

Role Plan administrator
Date 2018-03-30
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
CRITICAL ILLNESS PLAN 2016 610712406 2017-06-27 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 141
Three-digit plan number (PN) 515
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425

Number of participants as of the end of the plan year

Active participants 206

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
PREPAID DENTAL CARE PLAN 2016 610712406 2017-12-11 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 420
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 463

Signature of

Role Plan administrator
Date 2017-12-11
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
CRITICAL ILLNESS PLAN 2015 610712406 2016-12-02 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 0
File View Page
Three-digit plan number (PN) 515
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LN, WHITESBURG, KY, 418587425

Number of participants as of the end of the plan year

Active participants 141

Signature of

Role Plan administrator
Date 2016-12-02
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 2015 610712406 2017-03-03 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 130
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 165

Signature of

Role Plan administrator
Date 2017-03-03
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 2014 610712406 2016-02-16 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 123
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 130

Signature of

Role Plan administrator
Date 2016-02-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
MCHC HEALTH INSURANCE PLAN 2014 610712406 2016-02-12 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION 140
File View Page
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 164

Signature of

Role Plan administrator
Date 2016-02-12
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/12/03/20151203094908P030101022071001.pdf
Three-digit plan number (PN) 515
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHIESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHIESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 142

Signature of

Role Plan administrator
Date 2015-12-03
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/11/09/20151109080704P030076412775001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 357

Signature of

Role Plan administrator
Date 2015-11-09
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/22/20150622131610P030018489661001.pdf
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 140

Signature of

Role Plan administrator
Date 2015-06-15
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/10/20141010092821P040016766653001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 123

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/10/20141010083520P030042148951001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 199

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/10/20141010083452P040016698045001.pdf
Three-digit plan number (PN) 515
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 119

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/31/20131231063611P040148421603001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 196

Signature of

Role Plan administrator
Date 2013-12-30
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/28/20140128133830P040217490993001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 122

Signature of

Role Plan administrator
Date 2014-01-28
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/28/20140128133756P030188086211001.pdf
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 142

Signature of

Role Plan administrator
Date 2014-01-28
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/28/20140128133637P040189005939001.pdf
Three-digit plan number (PN) 514
Effective date of plan 2009-07-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Number of participants as of the end of the plan year

Active participants 203

Signature of

Role Plan administrator
Date 2014-01-28
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208072819P040028450149001.pdf
Three-digit plan number (PN) 514
Effective date of plan 2009-07-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Plan sponsor’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address 226 MEDICAL PLAZA LANE, PO BOX 40, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 214

Signature of

Role Plan administrator
Date 2013-02-08
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208134233P040028769957001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 120

Signature of

Role Plan administrator
Date 2013-02-08
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208134220P030110500721001.pdf
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 135

Signature of

Role Plan administrator
Date 2013-02-08
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/20/20120920070858P030006561348001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 198

Signature of

Role Plan administrator
Date 2012-09-19
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/11/20120411112352P030301877456001.pdf
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 150

Signature of

Role Plan administrator
Date 2012-04-09
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/01/19/20120119103011P040002888386001.pdf
Three-digit plan number (PN) 514
Effective date of plan 2008-07-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 221

Signature of

Role Plan administrator
Date 2011-11-01
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/26/20111026110812P040160236225001.pdf
Three-digit plan number (PN) 514
Effective date of plan 2009-07-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 215

Signature of

Role Plan administrator
Date 2011-10-26
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/26/20111026110751P040719683328001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 139

Signature of

Role Plan administrator
Date 2011-10-26
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 514
Effective date of plan 2009-07-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 215

Signature of

Role Plan administrator
Date 2011-09-15
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/16/20110916110735P030611861024001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 207

Signature of

Role Plan administrator
Date 2011-09-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/16/20110916110620P030131224641001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 223

Signature of

Role Plan administrator
Date 2011-09-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/16/20110916091457P040606297904001.pdf
Three-digit plan number (PN) 511
Effective date of plan 1997-12-10
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 158

Signature of

Role Plan administrator
Date 2011-09-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/16/20110916091432P030131171537001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1978-09-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226, MEDICAL PLAZA LANE, KY, 41858
Plan sponsor’s address PO BOX 40, 226, MEDICAL PLAZA LANE, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226, MEDICAL PLAZA LANE, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 139

Signature of

Role Plan administrator
Date 2011-09-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/16/20110916110657P040606530272001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 6066334823
Plan sponsor’s mailing address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Plan sponsor’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858

Plan administrator’s name and address

Administrator’s EIN 610712406
Plan administrator’s name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Plan administrator’s address PO BOX 40, 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Administrator’s telephone number 6066334823

Number of participants as of the end of the plan year

Active participants 214

Signature of

Role Plan administrator
Date 2011-09-16
Name of individual signing TERESA FLEMING
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
IVAL FINNEY Director
NANETTE BANKS Director
HENRY S. CAMPBELL Director
T. M. MANNS Director
SHERRY CHILDERS Director
MARSHAL JARNEGAN Director
JOHN R. HOSKINS Director
KATHY HALL Director
PAUL PRATT Director

Officer

Name Role
L.M. (MIKE) CAUDILL Officer

Registered Agent

Name Role
L. M. CAUDILL (ATT. AT LAW) Registered Agent

Incorporator

Name Role
JOHN R. HOSKINS Incorporator
MARSHALL JARNIGAN Incorporator
HENRY S. CAMPBELL Incorporator
T. M. MANNS Incorporator
IVAL FINNEY Incorporator

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 169756 Home Medical Equipment and Services Provider Active 2012-08-28 - - 2026-09-30 110 Medical Plaza Lane, Whitesburg , KY 41858

Former Company Names

Name Action
MOUNTAIN COMPREHENSIVE HEALTH, INCORPORATED Old Name

Assumed Names

Name Status Expiration Date
PINEVILLE MEDICAL CLINIC Active 2030-01-22
MCHC MIDDLESBORO CLINIC Active 2030-01-22
MCHC Active 2030-01-22
MIDDLESBORO CLINIC Active 2030-01-22
MIDDLESBORO MEDICAL CLINIC Active 2030-01-22
MCHC MIDDLESBORO MEDICAL CLINIC Active 2030-01-22
MOUNTAIN COMP Active 2030-01-22
WHITESBURG PHARMACY Active 2029-03-14
LEATHERWOOD PHARMACY Active 2029-03-14
HARLAN PHARMACY Active 2029-03-14

Filings

Name File Date
Annual Report 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Assumed Name renewal 2025-01-22
Certificate of Assumed Name 2024-03-14

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
RO25699 11297 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2009-09-25 2011-09-25 TELEMEDICINE LOAN
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATIO
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address 226 MEDICAL PLAZA LANE, WHITESBURG, LETCHER, KENTUCKY, 41858-7425, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 3695.00
Face Value of Direct Loan 150240.00
Link View Page
RO25699 11296 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2009-09-25 2011-09-25 TELEMEDICINE GRANT
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATIO
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address 226 MEDICAL PLAZA LANE, WHITESBURG, LETCHER, KENTUCKY, 41858-7425, UNITED STATES
Obligated Amount 16693.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
RO25699 11294 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2009-09-25 2011-09-25 TELEMEDICINE GRANT
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATIO
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address 226 MEDICAL PLAZA LANE, WHITESBURG, LETCHER, KENTUCKY, 41858-7425, UNITED STATES
Obligated Amount 146613.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
RO25699 11295 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2009-09-25 2011-09-25 TELEMEDICINE LOAN
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATIO
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address 226 MEDICAL PLAZA LANE, WHITESBURG, LETCHER, KENTUCKY, 41858-7425, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 14426.00
Face Value of Direct Loan 586454.00
Link View Page
C81CS14053 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address PO BOX 1030, WHITESBURG, LETCHER, KENTUCKY, 41858, UNITED STATES
Obligated Amount 1212815.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11861 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address PO BOX 1030, WHITESBURG, LETCHER, KENTUCKY, 41858, UNITED STATES
Obligated Amount 354290.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00367 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-04-01 2015-03-31 HEALTH CENTER CLUSTER
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address PO BOX 1030, WHITESBURG, LETCHER, KENTUCKY, 41858, UNITED STATES
Obligated Amount 48962826.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H37RH00050 Department of Health and Human Services 93.965 - COAL MINERS RESPIRATORY IMPAIRMENT TREATMENT CLINICS AND SERVICES 1983-04-01 2013-06-30 RESPIRATORY CLINICS OF EASTERN KENTUCKY
Recipient MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient Name Raw MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Recipient UEI NKXAYGT53N34
Recipient DUNS 074093915
Recipient Address PO BOX 1030, WHITESBURG, LETCHER, KENTUCKY, 41858, UNITED STATES
Obligated Amount 3357433.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0712406 Corporation Unconditional Exemption PO BOX 40, WHITESBURG, KY, 41858-0040 1972-09
In Care of Name % TERESA FLEMING
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-03
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Mar
Asset Amount 71946481
Income Amount 93404973
Form 990 Revenue Amount 93404973
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202303
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202203
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202103
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202003
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202003
Filing Type P
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 202003
Filing Type P
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201903
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201903
Filing Type P
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201803
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201803
Filing Type P
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201703
Filing Type E
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201703
Filing Type P
Return Type 990T
File View File
Organization Name MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
EIN 61-0712406
Tax Period 201603
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9327517106 2020-04-15 0457 PPP 226 MEDICAL PLAZA LANE, WHITESBURG, KY, 41858
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2729500
Loan Approval Amount (current) 2729500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27783
Servicing Lender Name Community Trust Bank, Inc.
Servicing Lender Address 346 N Mayo Trl, PIKEVILLE, KY, 41501-1847
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address WHITESBURG, LETCHER, KY, 41858-0001
Project Congressional District KY-05
Number of Employees 392
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27783
Originating Lender Name Community Trust Bank, Inc.
Originating Lender Address PIKEVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2760534.04
Forgiveness Paid Date 2021-06-11

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-01-23 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 9883.92
Executive 2024-12-30 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 11345.53
Executive 2024-11-26 2025 Cabinet of the General Government Department Of Military Affairs Fin Assist/Non-State Agencies Grants-In-Aid Federal 37833.27
Executive 2024-09-13 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 1630.66
Executive 2024-07-26 2025 Cabinet of the General Government Department Of Military Affairs Fin Assist/Non-State Agencies Grants-In-Aid Federal 156612.15
Executive 2023-08-24 2024 Cabinet of the General Government Department Of Military Affairs Fin Assist/Non-State Agencies Grants-In-Aid Federal 52530.55

Sources: Kentucky Secretary of State