2025-07-30T09:42:31-05:00 2024-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-10-01 237440652 SOUTHERN INDIANA COMMUNITY HEALTH CARE SOUT 8127237993 420 WEST LONGEST ST PO BOX 270 PAOLI IN 47454 SUE BROCK CHIEF FINANCIAL OFFICER 8127233944 2025-07-29 1 0 TYLER K GREENE CPA P00057872 3176334705 2025-07-29 2023 2025-03-06 01:10:19Z SUE BROCK 420 WEST LONGEST ST PO BOX 270 PAOLI IN 47454 11762562 0 X SICHC.ORG X 1975 IN TO PROVIDE HIGH-QUALITY, COMPREHENSIVE, COMMUNITY-SENSITIVE HEALTH CARE UTILIZING CHRIST-ORIENTED PRINCIPLES. 11 11 221 11 0 0 2018269 2046945 7039156 9446856 221 -179 251760 268593 9309406 11762215 0 0 0 0 7385946 8771138 0 0 0 2177446 2475410 9563392 11246548 -253986 515667 5901091 7114652 1293637 1991531 4607454 5123121 X TO PROVIDE HIGH-QUALITY, COMPREHENSIVE, COMMUNITY-SENSITIVE HEALTH CARE UTILIZING CHRIST-ORIENTED PRINCIPLES. ROOTED IN OUR FAITH-DRIVEN VALUES, SICHC SERVES AS A PILLAR FOR ACCESSIBLE, COMPREHENSIVE CARE OF THE WHOLE PERSON AND A CATALYST FOR SUSTAINABLE IMPROVEMENT IN HEALTH OUTCOMES FOR SOUTHERN INDIANA THROUGH COLLABORATION WITH ALL COMMUNITY PARTNERS. 0 0 8035230 9675449 MEDICAL GROUP PRACTICE - DELIVERED HEALTH CARE SERVICES AND EDUCATION TO ELIGIBLE RECIPIENTS OF CRAWFORD, LAWRENCE, MARTIN, ORANGE, AND WASHINGTON COUNTIES. 8035230 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 221 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 IN X SUE A BROCK 8127237993 420 WEST LONGEST ST PAOLI IN 47454 CARLA MCSPADDEN CHAIR 2.00 0.00 X X 0 0 0 NICK SILER VICE CHAIR 2.00 0.00 X X 0 0 0 GENE MCCRACKEN SECRETARY 2.00 0.00 X X 0 0 0 CARRIE RAHMAN TREASURER 2.00 0.00 X X 0 0 0 FLOYD CHUPP BOARD MEMBER 2.00 0.00 X 0 0 0 TRACY BAILEY BOARD MEMBER 2.00 0.00 X 0 0 0 JASON LINDSEY BOARD MEMBER 2.00 0.00 X 0 0 0 LARRY HARDMAN BOARD MEMBER 2.00 0.00 X 0 0 0 RYAN ENGLEKING BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN NOBLITT BOARD MEMBER 2.00 0.00 X 0 0 0 CLARA HENDERSON BOARD MEMBER 2.00 0.00 X 0 0 0 NANCY RADCLIFFE CEO 40.00 0.00 X 90820 0 25 YOLANDA YODER CMO / PHYSICIAN 40.00 0.00 X 212748 0 17672 SUE BROCK CFO 40.00 0.00 X 125729 0 5375 CURTIS THILL PHYSICIAN 40.00 0.00 X 223677 0 16757 SEAN SALES PHYSICIAN 40.00 0.00 X 219392 0 9255 CARRIE BROWN PHYSICIAN 36.00 0.00 X 199014 0 17259 KARREN FARRIS PHYSICIAN 30.00 0.00 X 136169 0 148 SHANNON DOOLEY NURSE PRACTICIONER 32.00 0.00 X 111968 0 21246 1319517 0 87737 7 0 1 0 KINETIK NETWORKS LLC PO BOX 343 PAOLI IN 47454 NETWORK TECHNOLOGY SERVICES 124461 REATHAFORD CUSTOM KITCHENS & MORE LLC 220 E JEFFERSON ORLEANS IN 47452 GENERAL CONTRACTOR 110180 2 2018556 28389 2046945 NET PATIENT REVENUE 621400 8656828 8656828 340B PROGRAM NET REVEN 621400 790028 790028 9446856 168 168 347 -347 -347 -347 MISC. REVENUE 621110 258499 218499 40000 MEDICAL RECORDS 621110 10094 10094 268593 11762215 9675449 0 39821 471731 333701 138030 6837978 4837163 2000815 125961 91322 34639 791985 574190 217795 543483 394026 149457 21476 16751 4725 53037 41369 11668 249479 194594 54885 803 803 478438 236816 241622 302639 236058 66581 304252 212976 91276 45322 31725 13597 49361 49361 302381 196548 105833 17219 12914 4305 IMMUNIZATIONS & VACCINE 314882 314882 PATIENT SUPPLIES 203547 203547 COMMUNITY EDUCATION 51061 36253 14808 MEDICAL EQUIPMENT 44453 44453 37060 25942 11118 11246548 8035230 3211318 0 660860 538058 1130076 559860 713259 330544 1068670 2203261 118716 190933 4299123 2038826 1949155 2260297 260355 1031699 5901091 7114652 674116 673931 113391 157972 421717 380305 84413 779323 1293637 1991531 X 4451006 4943049 156448 180072 4607454 5123121 5901091 7114652 515667 0 X X 0 1 X 1 1 1 X 688340 2528126 2269825 2018269 2046945 9551505 5157359 4854084 5185637 7248291 9675449 32120820 5845699 7382210 7455462 9266560 11722394 41672325 0 0 0 41672325 125 116 263 221 168 893 125 116 263 221 168 893 35801 55089 42625 40000 173515 5845824 7418127 7510814 9309406 11762562 41846733 0.99580 0.99620 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 35,801. 2021 AMOUNT: $ 55,089. 2022 AMOUNT: $ 42,625. 2023 AMOUNT: $ 40,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 67963 67963 2395109 1514917 880192 827869 7316 820553 944375 516593 427782 63807 63807 2260297 RIGHT OF USE ASSET 776745 OTHER ASSETS 254954 1031699 LEASE LIABILITIES 779323 779323 X 11762215 0 11762215 0 11762215 11246548 0 11246548 0 11246548 PART X, LINE 2: THE CENTER IS ORGANIZED AS A NOT-FOR-PROFIT UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE (IRC). THE EXEMPTION IS ON ALL INCOME EXCEPT UNRELATED BUSINESS INCOME AS NOTED UNDER SECTION 511 OF THE IRC. SECTION 513(A) DEFINES AN UNRELATED TRADE OR BUSINESS OF AN EXEMPT ORGANIZATION AS ANY TRADE OR BUSINESS, WHICH IS NOT SUBSTANTIALLY RELATED TO THE EXERCISE OR PERFORMANCE OF ITS EXEMPT PURPOSE. AS SUCH, THE CENTER IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE CENTER IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CENTER FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH SEPTEMBER 30, 2023. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). X X 0 0 0 0 0 0 0 0 0 CURTIS THILL PHYSICIAN 216572 0 7105 0 0 0 7105 0 9652 0 240434 0 0 0 YOLANDA YODER CMO / PHYSICIAN 206998 0 5750 0 0 0 7908 0 9764 0 230420 0 0 0 SEAN SALES PHYSICIAN 210271 0 9121 0 0 0 9121 0 134 0 228647 0 0 0 CARRIE BROWN PHYSICIAN 199014 0 0 0 0 0 0 0 17259 0 216273 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SICHC FOLLOWS A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT A DISCLOSURE FORM IS PROVIDED TO ALL DIRECTORS, OFFICERS, EMPLOYEES, CONTRACTORS, ANY MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND AGENTS OF THE ORGANIZATION UPON HIRE OR AFFILIATION WITH THE ORGANIZATION. IT IS REVIEWED AND RESUBMITTED ON AN ANNUAL BASIS. IF A CONFLICT NEEDS TO BE DISCLOSED IN THE TIME BETWEEN ANNUAL REVIEW, THE PERSON WITH A CONFLICT WILL NOTIFY HUMAN RESOURCE MANAGER, OR OTHER DIRECT SUPERVISOR INCLUDING OFFICE MANAGERS, BOARD CHAIRPERSONS, OR OTHER EXECUTIVE OFFICERS WHO WILL NOTIFY CEO AND FILE SIGNED DISCLOSURE FORMS IN PERSONNEL/HUMAN RESOURCE FILES. IF CONFLICTS OF INTEREST ARE IDENTIFIED, EACH ONE IS REVIEWED TO DETERMINE HOW IT SHOULD OR MAY BE ELIMINATED, AVOIDED OR MANAGED IN ORDER TO COMPLY WITH THE POLICY. THIS PROCESS IS OVERSEEN BY SICHC MANAGEMENT AND THE BOARD OF DIRECTORS. THE INDIVIDUAL WITH THE IDENTIFIED CONFLICT CANNOT PARTICIPATE IN DISCUSSIONS OR DECISIONS RELATED TO THAT AREA. SICHC HAS WRITTEN STANDARDS OF CONDUCT GOVERNING THE PERFORMANCE OF ITS DIRECTORS, OFFICERS, EMPLOYEES, CONTRACTORS, AND AGENTS ENGAGED IN THE AWARD AND ADMINISTRATION OF CONTRACTS. VIOLATIONS OF THE CODE OF CONDUCT, WHETHER BY AN OFFICER, EMPLOYEE, DIRECTOR, OR AGENT OF SICHC SHALL RESULT IN DISCIPLINARY ACTION AGAINST SAID INDIVIDUAL(S) FOLLOWING THE DEFINED PROGRESSIVE DISCIPLINE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS SET ANNUALLY BY THE BOARD OF DIRECTORS DURING THE ANNUAL PERFORMANCE REVIEW. MARKET INFORMATION IS PROVIDED TO THE BOARD OF DIRECTORS FOR CONSIDERATION. THE COMPENSATION FOR THE REMAINING FQHC MANAGEMENT IS ESTABLISHED CONSIDERING YEARS OF EXPERIENCE AND MARKET SOURCES. THE ANNUAL BUDGET IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.