2024-08-01T09:50:57-05:00 2023-12-31 351307701 KRUGGEL LAWTON & COMPANY LLC 210 S MICHIGAN ST SUITE 200 SOUTH BEND IN 46601 990 2023-01-01 351749398 MAPLE CITY HEALTH CARE CENTER INC MAPL 5745343300 213 MIDDLEBURY ST GOSHEN IN 465282956 JAIME ALVAREZ DIRECTOR OF FINANCE 5745343300 2024-07-30 1 0 MARGENE ZINK P01222961 5742894011 2024-07-30 2023 2024-08-08 14:25:15Z VISTA COMMUNITY HC NORTHSIDE COMMUNITY HC AND MAPLE CITY DENTAL JAIME ALVAREZ 213 MIDDLEBURY ST GOSHEN IN 465282956 12276843 0 X WWW.MCHCC.ORG X 1988 IN THE MISSION OF MAPLE CITY HEALTH CARE CENTER IS TO FOSTER HEALTHY COMMUNITY IN OUR NEIGHBORHOODS BY PROVIDING AND PROMOTING AFFORDABLE, ACCESSIBLE, AND INTEGRATED QUALITY CARE, AND TO ARTICULATE AND PROMOTE OUR EXPERIENCE AS A SUSTAINABLE MODEL. 10 10 163 3 0 0 4612199 6072777 5420321 6113476 6203 9676 8581 12014 10047304 12207943 5000 6500 0 0 7893821 9226272 0 0 0 2784048 3014873 10682869 12247645 -635565 -39702 5367814 7115186 1051481 2491007 4316333 4624179 THE MISSION OF MAPLE CITY HEALTH CARE CENTER IS TO FOSTER HEALTHY COMMUNITY IN OUR NEIGHBORHOODS BY PROVIDING AND PROMOTING AFFORDABLE, ACCESSIBLE, AND INTEGRATED QUALITY CARE, AND TO ARTICULATE AND PROMOTE OUR EXPERIENCE AS A SUSTAINABLE MODEL. 0 0 9921162 6500 6126590 FOSTERING HEALTHY COMMUNITY IN OUR NEIGHBORHOODS BY PROVIDING AND PROMOTING AFFORDABLE, ACCESSIBLE, AND INTEGRATED QUALITY CARE. WE PROVIDE MEDICAL, BEHAVIOR HEALTH, DENTAL, VISION, AND SOCIAL SERVICES. 9921162 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 1 0 0 0 0 1 1 0 0 0 1 9 0 163 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KAREN MILLER RUSH 5745343300 213 MIDDLEBURY ST GOSHEN IN 46528 STEPHEN HARMON DOCTOR 45.00 X 150556 0 27847 MARGARET LOEWEN MEDICAL DIRECTOR 45.00 X 163391 0 5263 THOMAS KREIDER PSYCHIATRIST 40.00 X 143980 0 22402 PAUL SHETLER FAST EXECUTIVE DIRECTOR 45.00 X 132102 0 20960 ANNA GRADY DOCTOR 45.00 X 121930 0 23907 KAREN MILLER RUSH DIRECTOR OF FINANCE 40.00 X 72610 0 18678 JAIME ALVAREZ DIRECTOR OF FINANCE 45.00 X 52879 0 6109 YEIMI PEREZ GARCIA BOARD MEMBER 1.00 X 0 0 5364 MIGUEL MILLAN BOARD MEMBER 1.00 X 0 0 1658 IRMA PEREZ BOARD MEMBER 1.00 X 0 0 1530 ADAM SCHARF TREASURER 2.00 X X 0 0 994 KEVIN FARMWALD BOARD MEMBER 1.00 X 0 0 726 DENICE METTERT BOARD MEMBER 1.00 X 0 0 351 SARAH METZLER PRESIDENT 2.00 X X 0 0 208 DANIEL ARMOUNFELDER BOARD MEMBER 1.00 X 0 0 0 JENNY MARTINEZ SECRETARY 2.00 X X 0 0 0 MAX MERTZ VICE PRESIDENT 2.00 X X 0 0 0 837448 0 135997 5 0 1 0 MG TRUST COMPANY PO BOX 3144 MOBILE AL 36652 RETIREMENT BENEFITS 750794 MCKESSON MEDICAL SURGICAL PO BOX 634404 CINCINNATI OH 452634404 MEDICINE, VACCINES & MISC MEDICAL SUPPLI 457956 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 ELECTRONIC MEDICAL RECORD SYSTEM 383158 ELECTRONIC STRATEGIES INC 8050 CASTLEWAY DRIVE INDIANAPOLIS IN 46250 COMPUTER EQUIPMENT 108808 4 4468327 1604450 502058 6072777 NET PATIENT SERVICE FEES 621400 5725375 5725375 PHARMACY 621400 250752 250752 MHS CONTRACTS 621400 130791 130791 CAPITATION 621400 6558 6558 6113476 8576 8576 70000 68900 1100 1100 1100 MISCELLANEOUS INCOME 621110 12014 12014 12014 12207943 6126590 0 8576 6500 6500 303338 303338 6546379 5081799 1464580 375467 292135 83332 1492023 1160375 331648 509065 399487 109578 3344 3344 34310 34310 27732 27732 156719 108910 47809 616836 484060 132776 375665 334097 41568 107076 94289 12787 7249 7249 181717 163183 18534 8762 8762 MEDICAL SUPPLIES 893331 893331 VACCINES 491558 491558 MISCELLANEOUS PATIENT S 58374 58374 PROFESSIONAL DUES 52200 40964 11236 12247645 9921162 2326483 0 229553 347736 504805 14316 32288 1255327 1297400 811250 110479 89112 102138 102028 4368163 1244320 3091151 3123843 0 1371574 5367814 7115186 845714 943353 205767 151466 0 1396188 1051481 2491007 X 4316333 4140767 483412 4316333 4624179 5367814 7115186 -39702 347548 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 432627 432627 2146332 273546 1872786 766352 399183 367169 590502 358589 231913 432350 213002 219348 3123843 ROU WCHC OPERATING LEASE 1371574 1371574 ROU WCHC OPERATING LEASE LIABILITY - CURRENT 89374 ROU WCHC OPERATING LEASE LIABILITY 1306814 1396188 X 12598766 390823 390823 12207943 0 12207943 12290920 43275 43275 12247645 0 12247645 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT THE ORGANIZATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A). THE INCOME TAXES TOPIC, FASB ASC 740, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. ASC 740 REQUIRES AN ENTITY TO DISCLOSE THE NATURE OF UNCERTAIN TAX POSITIONS TAKEN, IF ANY, WHEN FILING ITS INCOME TAX RETURN UTILIZING A TWO-STEP PROCESS TO RECOGNIZE AND MEASURE ANY UNCERTAIN TAX POSITIONS TAKEN. THE ENTITY RECOGNIZES A TAX BENEFIT ONLY IF IT IS MORE LIKELY THAN NOT THE POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. NO TAX BENEFIT WILL BE RECORDED ON TAX POSITIONS NOT MEETING THE MORE LIKELY THAN NOT TEST. INTEREST AND PENALTIES ACCRUED OR INCURRED, IF ANY, AS A RESULT OF APPLYING ASC 740 WILL BE RECORDED TO INTEREST EXPENSE AND OTHER EXPENSE, RESPECTIVELY. BASED ON ITS EVALUATION, THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN ITS FINANCIAL STATEMENTS. THE ORGANIZATION'S EVALUATION WAS PERFORMED FOR ALL FEDERAL AND STATE TAX PERIODS STILL SUBJECT TO EXAMINATION. THE ORGANIZATION'S 2020 THROUGH 2022 FEDERAL AND STATE EXEMPT ORGANIZATION RETURNS REMAIN SUBJECT TO EXAMINATION BY THE IRS AND STATE TAXING AUTHORITIES. X 0 0 0 0 0 0 0 0 0 STEPHEN HARMON DOCTOR 150556 0 0 0 0 0 12507 0 15340 0 178403 0 0 0 MARGARET LOEWEN MEDICAL DIRECTOR 163391 0 0 0 0 0 4992 0 271 0 168654 0 0 0 THOMAS KREIDER PSYCHIATRIST 143980 0 0 0 0 0 11953 0 10449 0 166382 0 0 0 PAUL SHETLER FAST EXECUTIVE DIRECTOR 132102 0 0 0 0 0 4036 0 16924 0 153062 0 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR'S COMPENSATION IS SET USING THE SAME STANDARD MCHCC WAGE SCALE USED FOR ESTABLISHING COMPENSATION FOR ALL OF OUR STAFF. THIS WAGE SCALE FACTORS IN: EDUCATION AND TRAINING, EXPERIENCE, LANGUAGE, CALL (IF APPLICABLE) AND MOST IMPORTANTLY RESPONSIBILITY LEVEL. EACH FACTOR IS ASSIGNED A POINT VALUE WHICH THEN TRANSLATES INTO HOURLY WAGE AMOUNTS. ALL NEW STAFF LEVELS ARE EVALUATED BY TWO STAFF MEMBERS AND A WRITTEN EMPLOYMENT CONTRACT IS ISSUED. IN SUBSEQUENT YEARS, ALL STAFF RECEIVE A LETTER INDICATING THEIR ANNUAL PAY INCREASE. ANNUAL INCREASES ARE BASED ON EXPERIENCE RAISES AND ANNUAL COST OF LIVING RAISES. X 12 491558 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION UPDATED IT ARTICLES OF INCORPORATION AND BYLAWS DURING 2023. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERSHIP INCLUDES HEALTH CARE CENTER STAFF AND PATIENTS AND IS OPEN TO ANYONE ELSE INTERESTED IN FURTHERING THE PURPOSE OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ON THE BOARD OF DIRECTORS APPOINT NEW MEMBERS TO THE BOARD OF DIRECTORS AFTER A CONSULTATION PROCESS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS EMAILED TO BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS CONFLICTS OF INTEREST ANNUALLY. STAFF IS MADE AWARE OF THE POLICY AND IN RELEVANT SITUATIONS, THE POLICY IS REVIEWED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A POINT SYSTEM TO DETERMINE SALARY LEVELS FOR ALL STAFF INCLUDING ALL MANAGEMENT PERSONNEL. THE POINT SYSTEM IS BASED ON: EDUCATION, EXPERIENCE, LANGUAGE ABILITY, RESPONSIBILITY LEVEL, AND WHETHER OR NOT THEY HAVE CALL RESPONSIBILITIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PAGE 12, LINE 2C THE ORGANIZATION DOES HAVE A COMMITTEE THAT OVERSEES THE FINANCIAL STATEMENT PREPARATION PROCESS AND THE SELECTION OF EXTERNAL ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. NORTHSIDE COMMUNITY HEALTH CENTER INC 808 NORTH THIRD STREET GOSHEN IN 46528 473368774 TO PROVIDE HEALTH CARE IN THE GOSHEN, INDIANA COMMUNITY IN 501(C)(3) LINE 3 MAPLE CITY HEALTH CARE CENTER INC DBA VISTA COMMUNITY HEALTH CENTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0