2025-07-08T14:29:31-05:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 842983983 WELL CARE COMMUNITY HEALTH INC WELL 7659739294 201 E MAIN ST RICHMOND IN 47374 ERIC COULTER CEO 7659739294 2025-07-08 1 1 TYLER K GREENE CPA P00057872 3176334705 2025-07-08 2024 2025-03-06 01:10:19Z ERIC COULTER 201 E MAIN ST RICHMOND IN 47374 13912189 0 X WWW.WELLCARECOMMUNITYHEALTH.ORG X 2019 IN TO PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION, ESPECIALLY THE UNDER-SERVED. 9 8 109 8 0 0 2145923 1538096 6057319 12185412 0 2761 371701 185920 8574943 13912189 550 1760 0 0 5870977 5948660 0 0 0 3023102 5546871 8894629 11497291 -319686 2414898 4259766 6399566 2266281 1991183 1993485 4408383 TO PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION, ESPECIALLY THE UNDER-SERVED. 0 0 9678000 1760 12371332 THE CENTER OPERATES AND ADMINISTERS A COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND PRIMARY HEALTH CARE SERVICES, TOGETHER WITH RELATED ENABLING AND ANCILLARY SERVICES, INCLUDING DENTAL AND BEHAVIORAL HEALTH SERVICES. 9678000 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 7 0 1 109 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X ERIC COULTER 7659739294 201 E MAIN ST RICHMOND IN 47374 PHIL STEVENSON BOARD MEMBER 1.00 0.00 X 0 0 0 TOBY BASSNETT BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 NANCY UPCHURCH BOARD TREASURER 1.00 0.00 X X 23288 0 0 DEBBY BELT BOARD SECRETARY 1.00 0.00 X X 0 0 0 KATHY JORDON BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICIA RAVINET BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF BUTLER BOARD CHAIR 1.00 0.00 X X 0 0 0 MARY MARGARET JOHNSON BOARD MEMBER 1.00 0.00 X 0 0 0 JAYNNE RIVAS BOARD MEMBER 1.00 0.00 X 0 0 0 ERIC COULTER CHIEF EXECUTIVE OFFICER 40.00 0.00 X 193632 0 19900 KIMBERLY FLANIGAN CHIEF OPERATIONS OFFICER 40.00 0.00 X 142755 0 13596 DAVID KELLER CHIEF MEDICAL OFFICER 40.00 0.00 X 51071 0 17918 WILLIAM COOKE PHYSICIAN 40.00 0.00 X 291954 0 31266 ZIA KHAN DENTIST 40.00 0.00 X 206769 0 15543 TERESA RIDER NURSE PRACTITIONER 40.00 0.00 X 127693 0 23644 1037162 0 121867 5 0 1 0 WORLD CENTRAL IT SOLUTIONS 23 E MAIN ST CAMBRIDGE CITY IN 47327 IT SERVICES 295730 HEALTH CONSULTING STRATEGIES PO BOX 420 GRAND LEDGE MI 48837 ACCOUNTING/HRSA CONSULTING 293833 MAZE DESIGN 2601 W NATIONAL ROAD RICHMOND IN 47374 DESIGN AND PROJECT MANAGEMENT SERVICES 164050 IRONGATE CREATIVE 35 W MAIN ST HAGERSTOWN IN 47346 MARKETING SERVICES 121611 4 1538096 1538096 NET SERVICE REVENUE 621110 8026350 8026350 340B REVENUE 621110 4159062 4159062 12185412 2761 2761 105898 0 105898 105898 105898 QUALITY PERFORMANCE INCENTIVES 621110 58036 58036 MISCELLANEOUS REVENUE 900099 21986 21986 80022 13912189 12371332 0 2761 1760 1760 438872 438872 4492244 4072930 419314 50005 45337 4668 599646 543674 55972 367893 333553 34340 57979 40030 17949 30770 19306 11464 693581 478859 214722 180649 180649 72684 45605 27079 436484 273867 162617 494035 393776 100259 20325 12753 7572 18869 18869 63974 56821 7153 74900 72858 2042 MEDICAL SUPPLIES 2878576 2878576 340B ADMINISTRATIVE FEE 83097 52138 30959 OTHER SERVICES 69344 43509 25835 DUES & SUBSCRIPTIONS 56223 35277 20946 315381 258502 56879 11497291 9678000 1819291 0 485847 1658079 113036 61911 597571 1197097 1594542 215465 664320 1379077 1103741 978572 1295251 1124830 4259766 6399566 701432 719760 1564849 1271423 2266281 1991183 X 1993485 4408383 1993485 4408383 4259766 6399566 2414898 0 X X 0 1 X 1 1 1 X SCHEDULE A, PART I, LINE 3: WELL CARE COMMUNITY HEALTH INC. HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL IS REQUIRED TO COMPLETE THE SCHEDULE. WELL CARE COMMUNITY HEALTH INC. IS A MEDICAL, BEHAVIORAL, AND DENTAL HEALTH CENTER AND IS NOT LICENSED AS A HOSPITAL FOR THE STATE OF INDIANA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 314500 314500 388357 11565 376792 224691 25122 199569 255348 163578 91770 411646 15200 396446 1379077 ESTIMATED THIRD PARTY RECEIVABLES 155003 RIGHT OF USE ASSET 904196 PREPAID EXPENSES 65631 1124830 LEASE LIABILITY 733605 CURRENT MATURITIES OF OPERATING LEASES 198444 NOTES PAYABLE 339374 1271423 X 11495040 -2417149 -2417149 13912189 0 13912189 9080142 -2417149 -2417149 11497291 0 11497291 PART X, LINE 2: 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 DECEMBER 31, 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: 340B EXPENSES INCLUDED IN REVENUE -2,417,149. PART XII, LINE 2D - OTHER ADJUSTMENTS: 340B EXPENSES INCLUDED IN REVENUE -2,417,149. 0 0 0 0 0 0 0 0 0 WILLIAM COOKE PHYSICIAN 291354 0 600 0 0 0 3883 0 27383 0 323220 0 0 0 ZIA KHAN DENTIST 206169 0 600 0 0 0 2668 0 12875 0 222312 0 0 0 ERIC COULTER CHIEF EXECUTIVE OFFICER 193032 0 600 0 0 0 2467 0 17433 0 213532 0 0 0 KIMBERLY FLANIGAN CHIEF OPERATIONS OFFICER 135495 0 600 0 6660 0 1818 0 11778 0 156351 0 0 0 TERESA RIDER NURSE PRACTITIONER 121493 0 600 0 5600 0 1686 0 21958 0 151337 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY WILL BE REVIEWED BY THE FINANCE COMMITTEE AND THEN PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, OFFICERS, BOARD MEMBERS, AND AGENTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FILLED OUT ANNUALLY AND KEPT IN A FILE. REAL OR APPARENT CONFLICTS AT THE BOARD LEVEL WILL BE DISCUSSED BY THE BOARD AND THE CONFLICTED MEMBER WILL BE ALLOWED TO VOTE ON SUCH ISSUES. OTHER POTENTIAL CONFLICTS WILL BE REVIEWED BY THE CEO AND/OR CFO. FORM 990, PART VI, SECTION B, LINE 15 WELL CARE WORKS WITH A CONSULTANT WHO DOES A WAGE ANALYSIS BY POSITION. REPORT AND RECOMMENDATIONS ARE TAKEN TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE 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 PRIOR YEAR.