2026-01-21T07:25:49-06:00 2025-03-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-04-01 311068777 INDIANA PRIMARY HEALTH CARE ASSOC INC INDI 3176300845 150 WEST MARKET STREET STE 520 INDIANAPOLIS IN 46204 SEAN HERBOLD CFO 3176300845 2026-01-21 1 1 TYLER K GREENE CPA P00057872 3176334705 2026-01-21 2024 2025-03-06 01:10:19Z SEAN HERBOLD 150 WEST MARKET STREET STE 520 INDIANAPOLIS IN 46204 5261247 0 X HTTP://WWW.INDIANAPCA.ORG X 1982 IN TO ADVOCATE FOR ACCESS TO QUALITY PRIMARY HEALTHCARE FOR ALL THOSE UNINSURED AND UNDER INSURED RESIDING IN INDIANA AND TO SUPPORT THE GROWTH AND DEVELOPMENT OF COMMUNITY-ORIENTED PRIMARY CARE AND POPULATION HEALTH INITIATIVES. 16 16 30 16 0 0 2779980 3176966 689746 2012006 54719 72133 100 142 3524545 5261247 0 0 0 0 2005378 2238816 0 0 0 1336109 2512989 3341487 4751805 183058 509442 2548721 3406238 819699 1167774 1729022 2238464 X TO ADVOCATE FOR ACCESS TO QUALITY PRIMARY HEALTH CARE FOR ALL THOSE UNINSURED AND UNDER INSURED RESIDING IN INDIANA AND TO SUPPORT THE GROWTH AND DEVELOPMENT OF COMMUNITY-ORIENTED PRIMARY CARE AND POPULATION HEALTH INITIATIVES. 0 0 985530 520184 PROVIDE TRAINING AND TECHNICAL ASSISTANCE (T/TA) TO EXISTING AND POTENTIAL HEALTH CENTER PROGRAM AWARD RECIPIENTS AND LOOK-ALIKES. THE T/TA SUPPORTS HEALTH CENTERS IN PROVIDING HIGH QUALITY PRIMARY HEALTH CARE AND IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES THROUGHOUT INDIANA. 1041599 22826 THE HEALTH CENTER CONTROLLED NETWORK (HCCN) PROGRAM SUPPORTS MEANINGFUL USE OF THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH IT (ONC) CERTIFIED ELECTRONIC HEALTH RECORDS, ADOPTION OF TECHNOLOGY-ENABLED QUALITY IMPROVEMENT STRATEGIES, AND ENGAGEMENT IN HEALTH INFORMATION EXCHANGE, TO STRENGTHEN THE QUALITY OF CARE AND IMPROVE PATIENT HEALTH OUTCOMES ACHIEVED BY HEALTH CENTER PROGRAM AWARD RECIPIENTS AND LOOK-ALIKES. 494403 67050 IN PARTNERSHIP WITH THE INDIANA STATE DEPARTMENT OF HEALTH, STRENGTHEN THE COMMUNITY HEALTH CENTER (CHC) INFRASTRUCTURE TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR ALL INDIANA RESIDENTS. GOALS INCLUDE PROVIDING TRAINING AND TECHNICAL ASSISTANCE, SUPPORTING CHC WORKFORCE RECRUITMENT AND RETENTION EFFORTS, AND SUPPORTING THE NATIONAL HEALTH SERVICE CORPS (NHSC) AND J-1 VISA WAIVER PROGRAMS. 1904674 1401946 IDOH HEALTH EQUITY / PROJECT UTILIZE: SUPPORTING IMPROVEMENTS IN HEALTH IT AT HEALTH CENTERS IN INDIANA TO IMPROVE PATIENT OUTCOMES BY ENSURING THAT HEALTH CENTERS HAVE TIMELY ACCESS TO THEIR PATIENTS' EHR INFORMATION FROM OUTSIDE SOURCES WITH ALLOWS PROVIDERS GO BETTER MANAGETHEIR PATIENTS' CARE. 1904674 1401946 4426206 1 1 0 1 0 0 0 0 0 0 0 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 1 0 0 0 0 1 16 0 1 30 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X SEAN HERBOLD 3176300845 150 WEST MARKET STREET STE 520 INDIANAPOLIS IN 46204 ANGIE ZAEGEL CHAIR 4.00 0.00 X X 0 0 0 ANN LUNDY VICE CHAIR 3.00 0.00 X X 0 0 0 DANITA JOHNSON-WOODS SECRETARY 3.00 0.00 X X 0 0 0 MARC HACKETT TREASURER 3.00 0.00 X X 0 0 0 DAWN HAUT PAST CHAIR 1.00 0.00 X 0 0 0 BETH KEENEY DIRECTOR 1.00 0.00 X 0 0 0 BRYAN AYARS DIRECTOR 1.00 0.00 X 0 0 0 CLARANCE BOYKIN DIRECTOR 1.00 0.00 X 0 0 0 JANET SEABROOK DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER EMMONS DIRECTOR 1.00 0.00 X 0 0 0 LORI HARRIS DIRECTOR 1.00 0.00 X 0 0 0 MELISSA MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 SANDEE STRADER-MCMILLEN DIRECTOR 1.00 0.00 X 0 0 0 SCOTT ROLLETT DIRECTOR 1.00 0.00 X 0 0 0 SHERRY GRAY DIRECTOR 1.00 0.00 X 0 0 0 TJ WARREN DIRECTOR 1.00 0.00 X 0 0 0 BENJAMIN HARVEY CEO 40.00 0.00 X 183560 0 31973 SEAN HERBOLD CFO 40.00 0.00 X 147197 0 18380 NICHOLE STILLIANOS CHIEF CLINICAL OFFICER 32.00 0.00 X 161278 0 24870 ANGELA BOYER CHIEF STRATEGY OFFICER 40.00 0.00 X 153530 0 30500 DALE JOHNSON CHIEF HEALTH CENTER FINANCE AND POLICY DIRECTOR 40.00 0.00 X 102450 0 25283 748015 0 131006 5 0 1 0 AZARA HEALTHCARE 70 BLANCHARD ROAD STE 401 BURLINGTON MA 01803 PATIENT RECORD RETENTION 985968 THE CORYDON GROUP 125 WEST MARKET STREET STE 300 INDIANAPOLIS IN 46204 ADVOCACY SERVICES 116161 2 2926966 250000 3176966 DADA SERVICE SUBSCRIPT 611430 1251459 1251459 MEMBERSHIP DUES 611430 491178 491178 CONFERENCE & MEETINGS 611430 246543 246543 BUSINESS DEVELOPMENT 611430 22826 22826 2012006 72133 72133 MISCELLANEOUS 900099 142 142 142 5261247 2012006 0 72275 X 392374 369432 22942 1468721 1382846 85875 377721 339050 38671 17504 14160 3344 65362 52877 12485 1579736 1524065 55671 97710 79046 18664 23480 22822 658 68190 66279 1911 72801 70741 2060 63663 46175 17488 324606 312861 11745 39165 38057 1108 DUES & PUBLICATIONS 26620 17848 8772 134152 89947 44205 4751805 4426206 325599 0 66533 36818 1745223 2591750 245697 118827 70965 248161 74918 129113 345385 281569 2548721 3406238 233203 332778 226476 539258 360020 295738 819699 1167774 X 1723528 2073403 5494 165061 1729022 2238464 2548721 3406238 509442 0 X X 0 1 X 1 1 1 X 2825854 3493301 3127503 2779980 3176966 15403604 2825854 3493301 3127503 2779980 3176966 15403604 15403604 6577 1623 12703 54719 72133 147755 4301 2500 13534 100 142 20577 15571936 2387771 0.98920 0.99070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3916252 3916252 345813 86453 0 0 319249 351959 340261 345813 1357282 2035923 79812 87990 85065 86453 339320 508980 0 REFUNDABLE DEPOSITS 6671 ROU ASSET 274898 281569 LEASE LIABILITY 295738 295738 X 5261247 0 5261247 0 5261247 4751805 0 4751805 0 4751805 PART X, LINE 2: IPHCA IS A NOT-FOR-PROFIT ORGANIZATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). AS SUCH, IPHCA IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, IPHCA IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. THE EXEMPTION IS ON ALL INCOME EXCEPT UNRELATED BUSINESS INCOME AS NOTED UNDER SECTION 511 OF THE IRC, WHICH 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. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY IPHCA AND RECOGNIZE A TAX LIABILITY IF IPHCA 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 IPHCA AND HAS CONCLUDED THAT AS OF MARCH 31, 2025 AND 2024, 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. IPHCA IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. IPHCA HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH MARCH 31, 2024. 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 X X 0 0 0 0 0 0 0 0 0 BENJAMIN HARVEY CEO 183560 0 0 0 0 0 3726 0 28247 0 215533 0 0 0 NICHOLE STILLIANOS CHIEF CLINICAL OFFICER 161278 0 0 0 0 0 24870 0 0 0 186148 0 0 0 ANGELA BOYER CHIEF STRATEGY OFFICER 153530 0 0 0 0 0 30500 0 0 0 184030 0 0 0 SEAN HERBOLD CFO 147197 0 0 0 0 0 8825 0 9555 0 165577 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B INDIANA PRIMARY HEALTH CARE ASSOCIATION, INC.'S FORM 990 AND ALL RELATED SCHEDULES, STATEMENTS AND ATTACHMENTS ARE REVIEWED BY THE CHAIRMAN OF THE FINANCE COMMITTEE AND THEN PRESENTED AND APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS PRIOR TO FILING THESE TAX RETURNS WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C INDIANA PRIMARY HEALTH CARE ASSOCIATION, INC.'S CONFLICT OF INTEREST STATEMENT IS REVIEWED ANNUALLY AND EACH BOARD MEMBER MUST COMPLETE A FORM DECLARING ANY CONFLICTS. ON EVERY VOTE THE CHAIRPERSON OF THE BOARD OF DIRECTORS GIVES MEMBERS AN OPPORTUNITY TO REGISTER THEIR VOTE AS AN ABSTENTION DUE TO CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE COMPENSATION OF THE CEO IS REVIEWED AND DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. COMPARATIVE WAGE DATA FROM LOCAL SOURCES AND FROM OTHER PRIMARY CARE ASSOCIATIONS FROM AROUND THE NATION IS USED IN DETERMINING THE WAGE STRUCTURE. THE DETERMINATION OF THE SALARY FOR THE CEO IS DOCUMENTED IN THE APPROVED MINUTES OF THE EXECUTIVE COMMITTEE. THIS PROCESS IS DONE ANNUALLY. LINE 15B: THE COMPENSATION OF THE OTHER OFFICERS AND EMPLOYEES OF THE ORGANIZATION IS REVIEWED AND DETERMINED BY THE BOARD OF DIRECTOR'S PERSONNEL COMMITTEE. THE DETERMINATION OF THE SALARIES ARE BASED ON COMPARABILITY DATA FROM LOCAL SOURCES AND FROM OTHER PRIMARY CARE ASSOCIATIONS FROM AROUND THE NATION AND IS DOCUMENTED IN THE APPROVED MINUTES OF THE COMMITTEE. THIS PROCESS IS DONE ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 INDIANA PRIMARY HEALTH CARE ASSOCIATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, AS APPLICABLE, AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST MADE TO THE ATTENTION OF OUR CHIEF EXECUTIVE OFFICER AND RECEIVED AT OUR CORPORATE OFFICE ADDRESS. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 298,376. MANAGEMENT AND GENERAL EXPENSES 55,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,047. DATA SERVICE SUBSCRIPTION EXPENSE: PROGRAM SERVICE EXPENSES 1,225,689. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,225,689. FORM 990, PART XII, LINE 2C: NO PROCESSES HAVE CHANGED FROM THE PREVIOUS YEAR. CLINICALLY INTEGRATED NETWORK OF INDIANA LLC 150 W MARKET STREET INDIANAPOLIS IN 46204 331495724 HEALTHCARE SERVICES IN 75240 75240 INDIANA PRIMARY HEALTH CARE ASSOCIATION INC