2023-06-22T14:20:32-04:00 2022-12-31 351350297 DAVID CULP & CO LLP 120 S 2ND STREET GOSHEN IN 46526 990 2022-01-01 264463924 COMMUNITY HEALTH CLINIC INC COMM 2605930108 315 LEHMAN AVE SUITE C TOPEKA IN 46571 ERVIN MILLER PRESIDENT 2605930108 2023-05-24 true ERVIN MILLER 999009999 true WILLIAM E MILLER CPA P01220933 5745334540 2023-06-22 2022 2023-04-26 12:10:37Z ERVIN MILLER 2030 N 450 W LAGRANGE IN 46761 5270480 false X WWW.INDIANACHC.ORG X 2009 IN FOUNDED ON THE PRINCIPLE OF SERVICE, IN COOPERATION WITH THE LOCAL AMISH COMMUNITY, THE MISSION OF THE COMMUNITY HEALTH CLINIC (CHC) IS TO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL AND DENTAL CARE CONSISTENT WITH THE NEEDS OF THE AMISH, MENNONITE AND OTHER RURAL NORTHEAST INDIANA COMMUNITIES, WITH A FOCUS ON INDIVIDUALS AND FAMILIES WITH SPECIAL HEALTHCARE NEEDS. CHC EMBRACES, INCORPORATES AND PROMOTES PARTICIPATION IN RESEARCH TO ADVANCE MEDICAL KNOWLEDGE AND IMPROVE CARE. 12 0 31 0 2032266 3628847 41095564 848111 4124 8304 88324 592600 43220278 5077862 0 0 2145273 1863063 0 41764 40752921 1279168 42898194 3142231 322084 1935631 10091529 6082358 6808380 581425 3283149 5500933 X FOUNDED ON THE PRINCIPLE OF SERVICE, IN COOPERATION WITH THE LOCAL AMISH COMMUNITY, THE MISSION OF THE COMMUNITY HEALTH CLINIC (CHC) IS TO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL AND DENTAL CARE CONSISTENT WITH THE NEEDS OF THE AMISH, MENNONITE AND OTHER RURAL NORTHEAST INDIANA COMMUNITIES, WITH A FOCUS ON INDIVIDUALS AND FAMILIES WITH SPECIAL HEALTHCARE NEEDS. CHC EMBRACES, INCORPORATES AND PROMOTES PARTICIPATION IN RESEARCH TO ADVANCE MEDICAL KNOWLEDGE AND IMPROVE CARE. false false 1393044 THE ORGANIZATION PROVIDES QUALITY, AFFORDABLE MEDICAL CARE FOR CHILDREN AND ADULTS WITH SPECIAL HEALTH CARE NEEDS, AND SERVES AS A RESOURCE FOR COMMUNITY EDUCATION,RESEARCH AND SUPPORT REGARDING DISEASE IDENTIFICATION AND PREVENTION. 1050893 THE ORGANIZATION PROMOTES THE NEED FOR EARLY, FREQUENT, AND PROPER ORAL CARE AS PART OF A COMPLETE HEALTH REGIMAN. IT PROVIDES A FULL COMPLIMENT OF DENTAL SERVICES TO CHILDREN AND ADULTS, WHO PRIMARILY LIVE IN NORTHEASTERN INDIANA COMMUNITIES. THE CLINIC IS CENTRALLY LOCATED TO REDUCE TRANSPORTATION BARRIERS FOR THE AMISH COMMUNITY WHILE SERVING ALL RESIDENTS WITHIN THE REGION. 2443937 true true false false false false false false false false true true false false false true true true false false false false false false true false false false false false false false false false false false false false false false false false true false false false false true 7 0 31 true false false false false false true true false false false false false false X 12 0 false false false false false false false true true false false true true true true true true false false false IN X X JARED BEASLEY 2605930108 315 LEHMAN AVENUE SUITE C TOPEKA IN 46571 X ERVIN MILLER PRESIDENT 2.00 X X 0 0 0 DENNIS LEHMAN VICE PRESIDE 2.00 X X 0 0 0 ERIC GRAY TREASURER 2.00 X X 0 0 0 CHRIS ROBERSON SECRETARY 1.00 X X 0 0 0 ERNIE MILLER BOARD MEMBER 1.00 X 0 0 0 JAMIN YODER MD BOARD MEMBER 1.00 X 0 0 0 GLEN HERSHBERGER BOARD MEMBER 1.00 X 0 0 0 RAYMOND LAMBRIGHT BOARD MEMBER 1.00 X 0 0 0 ELMER LENGACHER BOARD MEMBER 1.00 X 0 0 0 MERLIN WEAVER BOARD MEMBER 1.00 X 0 0 0 ROB MYERS BOARD MEMBER 1.00 X 0 0 0 JARED BEASLEY EXECUTIVE DI 40.00 X 0 0 0 RHONDA ANDERSON NP & DIR PAT X 111305 0 0 111305 1 false false false 445786 3183061 3628847 NET PATIENT SERVICE REVENUE 830094 830094 LEASE INCOME 18017 18017 848111 8304 8304 784280 192618 591662 MISCELLANEOUS 938 938 938 5077862 857353 1513573 1180587 302715 30271 231844 180838 46369 4637 117646 91764 23529 2353 93534 93534 21913 21913 70621 55085 14124 1412 63855 51084 12771 11163 8707 2233 223 88 60 28 13638 1364 12274 77682 60592 15536 1554 34944 27256 6989 699 CONTRACT LABOR 404692 323754 80938 MEDICAL SUPPLIES 165419 165419 LANORATORY COSTS 81589 81589 COMPUTER EXPENSE 77206 61765 15441 162824 154073 8136 615 3142231 2443937 656530 41764 811736 1304015 294789 303001 205244 126962 7466344 147108 21805 17206 3706402 1186447 1291611 2519955 1664111 10091529 6082358 2446243 333312 2285289 248113 977868 1098980 6808380 581425 X 3283149 5500933 3283149 5500933 10091529 6082358 X 1935631 282153 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 327954 327954 2238119 262364 1975755 133312 73274 60038 1007017 850809 156208 2519955 INVESTMENT IN AFFILIATE 1664111 C 1664111 X 5077862 5077862 5077862 3142231 3142231 3142231 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE, AND STATE INCOME TAXES UNDER CORRESPONDING PROVISIONS OF INDIANA TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. CURRENT ACCOUNTING STANDARDS REQUIRE THE ORGANIZATION TO ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED, OR EXPECTED TO BE CLAIMED, ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCAIL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. THE TAX BENEFITS THAT COULD BE RECOGNIZED IN THE FINANCIAL STATEMENTSFROM SUCH POSITIONS WOULD BE MEASURED BASED ON THE LARGEST BENEFITTHAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. AT DECEMBER 31, 2022 AND 2021, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE ORGANIZATION FILES FORM 990 AND THE RELATED STATE OF INDIANA RETURN. AUCTION 645592 645592 170579 DUTCH DINNER 125676 125676 20029 1 13012 13012 2010 784280 784280 192618 192618 591662 FORM 990 - ORGANIZATION'S MISSION FOUNDED ON THE PRINCIPLE OF SERVICE, IN COOPERATION WITH THE LOCAL AMISH COMMUNITY, THE MISSION OF THE COMMUNITY HEALTH CLINIC (CHC) IS TO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL AND DENTAL CARE CONSISTENT WITH THE NEEDS OF THE AMISH, MENNONITE AND OTHER RURAL NORTHEAST INDIANA COMMUNITIES, WITH A FOCUS ON INDIVIDUALS AND FAMILIES WITH SPECIAL HEALTHCARE NEEDS. CHC EMBRACES, INCORPORATES AND PROMOTES PARTICIPATION IN RESEARCH TO ADVANCE MEDICAL KNOWLEDGE AND IMPROVE CARE. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT WITH THE RETURN PREPARER AND CHANGES ARE INCORPORATED PRIOR TO FILING. THE FORM 990, ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEWS THE FORM AND IF THEY APPROVE, THE FORM IS SIGNED AND FILED. FORM 990, PAGE 6, PART VI, LINE 12C A DIRECTOR, OFFICER, OR EMPLOYEE OF THE CORPORATION MAY NOT PARTICIPATE IN THE SELECTION, AWARD OR ANY DISCUSSION RELATED TO A CONTRACT WITH A VENDOR, IF THE DIRECTOR, OFFICER, EMPLOYEE OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY, HAS A FINANCIAL OR OWNERSHIP INTEREST IN THE VENDOR. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST TO THE PRESIDENT (OR IN THE EVENT THE INTERESTED PERSON IS A MEMBER OF THE BOARD OF DIRECTORS). PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST BY A DIRECTOR INCLUDE: THE INTERESTED PERSON LEAVING THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN AN ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, AND IF AN ARRANGEMENT IS NOT REASONABLY OBTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF DISINTERESTED DIRETORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR IT'S OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION. EACH DIRECTOR AND OFFICER SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND IN SUCH ANNUAL STATEMENTS, EACH DIRECTOR AND OFFICER SHALL ALSO DISCLOSE ANY FINANCIAL INTEREST THAT MAY BE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. THE PRESIDENT OR VICE-PRESIDENT SHALL BE EMPOWERED TO DETERMINE MATTERS RELATING TO THE EXISTENCE OF CONFLICTS OF INTEREST FOR EMPLOYEES OF THE CORPORATION WHO ARE NOT OFFICERS OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 18 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT OTHERWISE PROVIDED BY LAW. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT OTHERWISE PROVIDED BY LAW. FORM 990, PART XI, LINE 9 PLAIN CHURCH GROUP MINISTRY, INC. EIN 92-0422914 0 IS FILING THEIR OWN FORM 990 TAX RETURN 282,153 TOTAL 282,153 PLAIN CHURCH GROUP MINISTRY LLC 315 LEHMAN AVENUE SUITE C TOPEKA IN 46571 364789747 HEALTHCARE IN COMMUNITY HEALTH CLINIC INC