2025-11-14T08:51:32-05:00 2024-12-31 351350297 DAVID CULP & CO LLP 120 S 2ND STREET GOSHEN IN 46526 990 2024-01-01 264463924 COMMUNITY HEALTH CLINIC INC COMM 2605930108 PO BOX 329 SHIPSHEWANA IN 46565 ERVIN MILLER PRESIDENT 2605930108 2025-11-14 true true WILLIAM E MILLER CPA P01220933 5745334540 2025-11-14 2024 2025-03-06 01:10:19Z X ERVIN MILLER 2030 N 450 W LAGRANGE IN 46761 65093483 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. 15 14 41 0 3472231 2540499 54565904 61848985 -51702 71 550121 576918 58536554 64966473 0 0 2594533 3300971 0 75246 54573112 61486438 57167645 64787409 1368909 179064 16760731 17629369 9890889 10580463 6869842 7048906 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 2266643 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. 1709923 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. 59361340 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. 63337906 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 15 0 41 true false false false false false true true false false false false false false X 15 14 false false false false false false false true true false false true true true true true true false false false IN X JARED BEASLEY 2605930108 730 EAST NORTH STREET SHIPSHEWANA IN 46565 ERVIN MILLER PRESIDENT 1.00 X X 0 0 0 MERLIN WEAVER VICE PRESIDE 1.00 X X 0 0 0 ERIC GRAY TREASURER 1.00 X X 0 0 0 CHRIS ROBERSON SECRETARY 1.00 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 SHELLY DIEHM BOARD MEMBER 1.00 X 0 0 0 DAVID MISHLER BOARD MEMBER 1.00 X 0 0 0 HANNAH SMITH BOARD MEMBER 1.00 X 0 0 0 MARION TROYER BOARD MEMBER 1.00 X 0 0 0 JORDI DISLER BOARD MEMBER 1.00 X 0 0 0 JARED BEASLEY EXECUTIVE DI 45.00 X 229249 0 68356 ZINEB AMMOUS MD MEDICAL DIRE 45.00 X 353826 0 81221 BRIAN BLOUGH DDS DENTIST 40.00 X 217738 0 0 RHONDA ANDERSON NP & DIR PAT 32.00 X 126521 0 0 STEPHANIE LYNNE MCNAMARA NURSE PRACTI 32.00 X 100461 0 0 1027795 149577 5 false true false 2145644 394855 338643 2540499 PROCESSED CLAIMS 59361340 59361340 ADMINISTRATIVE FEES 1425683 1425683 NET PATIENT SERVICE REVENUE 842627 842627 RESEARCH INCOME 184621 184621 LEASE INCOME 34714 34714 61848985 71 71 703928 127010 576918 64966473 61849056 2838707 2214191 567742 56774 362522 282768 72504 7250 99742 77799 19948 1995 206650 206650 21860 21860 176110 137366 35222 3522 93124 74500 18624 17353 13535 3471 347 1737 1181 556 283824 28382 255442 196227 153058 39245 3924 41185 32124 8237 824 HEALTH CARE CLAIMS 59361340 59361340 CONTRACT LABOR 512003 409602 102401 MEDICAL SUPPLIES 121595 121595 GRANTS 119379 119379 334051 311086 22355 610 64787409 63337906 1374257 75246 511630 591234 1219 1275 398539 195315 10948157 12050732 22620 33892 6005122 1435571 4676324 4569551 202242 187370 16760731 17629369 5444107 5948229 2216758 2204936 1030057 1832087 1199967 595211 9890889 10580463 X 6869842 7048906 6869842 7048906 16760731 17629369 179064 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 332824 332824 4303787 430838 3872949 118368 15682 102686 1250143 989051 261092 4569551 ASSETS HELD IN TRUST 250000 LEASE LIABILITY-R OF U ASSETS 194114 BANK OVERDRAFT 151097 595211 X 64966473 64966473 64966473 64787409 64787409 64787409 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 ORGANIZATION, 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 LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CHC FOLLOWS THE GUIDANCE ON ACCOUNTING FOR UNCERTAINITY IN TAXES AND ACCOUNTING IN INTERIM PERIODS. AT DECEMBER 31, 2024 AND 2023, THERE WER NO UNRECOGNIZED TAX BENEFITS IDENTIFIRD OR RECORDED AS LIABILITIES. THE ORGANIZATION FILES FORM 990 AND THE RELATED STATE OF INDIANA TAX RETURN. AUCTION 519044 519044 99633 DUTCH DINNER 147470 147470 22762 3 37414 37414 4615 703928 703928 127010 127010 576918 false false false false false false false false false JARED BEASLEY EXECUTIVE DIRECTOR 189799 37500 1950 27052 41304 297605 ZINEB AMMOUS MD MEDICAL DIRECTOR 337146 15000 1680 42396 38825 435047 BRIAN BLOUGH DDS DENTIST 217738 217738 X 1 338643 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 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT OTHERWISE PROVIDED BY LAW. PLAIN CHURCH GROUP MINISTRY LLC 128 ROY STREET PO BOX 10 TOPEKA IN 46571 364789747 HEALTHCARE IN COMMUNITY HEALTH CLINIC INC