2024-07-01T15:25:39-04:00 2023-12-31 351350297 DAVID CULP & CO LLP 120 S 2ND STREET GOSHEN IN 46526 990 2023-01-01 264463924 COMMUNITY HEALTH CLINIC INC COMM 2605930108 315 LEHMAN AVE SUITE C TOPEKA IN 46571 ERVIN MILLER PRESIDENT 2605930108 2024-06-13 true ERVIN MILLER 999009999 true WILLIAM E MILLER CPA P01220933 5745334540 2024-07-01 2023 2023-04-26 12:10:37Z ERVIN MILLER 2030 N 450 W LAGRANGE IN 46761 58730908 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. 14 0 40 0 3628847 3472231 46630341 54565904 8308 -51702 596000 550121 50863496 58536554 0 0 1976636 2594533 0 59376 46669076 54573112 48645712 57167645 2217784 1368909 12624211 16760731 7123278 9890889 5500933 6869842 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 1943688 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. 1466291 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. 52534011 THE ORGANIZATION OPERATES A DEPARTMENT OF HEALTH AND HUMAN SERVICES OF APPROVED HEALTHCARE SHARING MINISTRY CONSISTENT WITH THE BELIEFS OF ITS MEMBERS TO SHARE IN THE ADMINISTRATION AND PAYMENT OF HEALTHCARE COSTS. 55943990 true true false false false false false false false false true false false false true true true true false false false false false false true false false false false true false false false false false false false false true false false false true false false false false true 7 0 40 true false false false false false true true false false false false false false X 14 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 ERVIN MILLER PRESIDENT 2.00 X X 0 0 0 DENNIS LEHMAN VICE PRES (J 2.00 X X 0 0 0 MERLIN WEAVER VICE PRES (J 2.00 X X 0 0 0 ERIC GRAY TREASURER 2.00 X X 0 0 0 CHRIS ROBERSON SECRETARY 2.00 X X 0 0 0 JAMIN YODER MD BOARD MEMBER 1.00 X 0 0 0 ERNIE MILLER 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 DAVID MISHLER BOARD MEMBER 1.00 X 0 0 0 MERLIN WEAVER BD MEMBER (J 1.00 X 0 0 0 ROB MYERS BD MEMBER (J 1.00 X 0 0 0 SHELLY DIEHM BD MEMBER (J 1.00 X 0 0 0 JARED BEASLEY EXECUTIVE DI 40.00 X 219786 0 64249 ZINEB AMMOUS MD MEDICAL DIRE 40.00 X 341930 0 71281 BRIAN BLOUGH DDS DENTIST 40.00 X 210000 0 0 RHONDA ANDERSON NP & DIR PAT 40.00 X 126108 0 0 897824 135530 4 false true false 1763996 1708235 301885 3472231 PROCESSED CLAIMS 52534011 52534011 ADMINISTRATIVE FEES 1176725 1176725 NET PATIENT SERVICE REVENUE 609947 609947 RESEARCH INCOME 235580 235580 LEASE INCOME 9641 9641 54565904 4931 4931 56633 -56633 -56633 -56633 687842 137721 550121 58536554 54514202 2219544 1731244 443909 44391 271754 211968 54351 5435 103235 80524 20647 2064 157966 157966 29955 29955 140166 109329 28033 2804 59184 47347 11837 18220 14212 3644 364 1573 1069 504 231000 23100 207900 138718 108200 27744 2774 42725 33326 8545 854 HEALTH CARE CLAIMS 52534011 52534011 CONTRACT LABOR 733046 586437 146609 MEDICAL SUPPLIES 151462 151462 LABORATORY COSTS 80324 80324 254762 231437 22635 690 57167645 55943990 1164279 59376 1304015 511630 303001 1219 126962 398539 8002109 10948157 17206 22620 5930541 1254217 2653804 4676324 217114 202242 12624211 16760731 2517595 5444107 2251496 2216758 1076290 1030057 1277897 1199967 7123278 9890889 X 5500933 6869842 5500933 6869842 12624211 16760731 1368909 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 327954 327954 4287699 317609 3970090 109068 14275 94793 1205820 922333 283487 4676324 BANK OVERDRAFT 692904 ASSETS HELD IN TRUST 300000 LEASE LIABILITY-R OF U ASSETS 207063 1199967 X 58536554 58536554 58536554 57167645 57167645 57167645 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX 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 THE TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL 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 ORGANIZTION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. THE TAX BENEFITS THAT COULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITIONS WOULD BE MEASURED BASED IN THE LARGETS BENEFIT THAT HAS A GREATER THAN 50 PERECNT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINITY INTAXES, AND ACCOUTNING IN INTERIM PERIODS. AT DECEMBER 31, 2023 AND 2022, THER WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILTIES. THE ORGANIZATION FILES FORM 990 AND THE RELATED STATE OF INDIANA TAX RETURN. AUCTION 562741 562741 111822 DUTCH DINNER 100925 100925 20740 2 24176 24176 5159 687842 687842 137721 137721 550121 false false false false false false false false false JARED BEASLEY EXECUTIVE DIRECTOR 182567 35825 1394 26034 38215 284035 ZINEB AMMOUS MD MEDICAL DIRECTOR 325164 15000 1766 40598 30683 413211 BRIAN BLOUGH DDS DENTIST 210000 210000 X 1 301885 false false false 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. PLAIN CHURCH GROUP MINISTRY LLC 315 LEHMAN AVENUE SUITE C TOPEKA IN 46571 364789747 HEALTHCARE IN COMMUNITY HEALTH CLINIC INC