2025-07-29T12:19:52-05:00 2024-12-31 351307701 KRUGGEL LAWTON & COMPANY LLC 210 S MICHIGAN ST SUITE 200 SOUTH BEND IN 46601 990 2024-01-01 351749398 MAPLE CITY HEALTH CARE CENTER INC MAPL 5745343300 213 MIDDLEBURY ST GOSHEN IN 465282956 JAIME ALVAREZ DIRECTOR OF FINANCE 5745343300 2025-07-29 1 0 MARGENE ZINK P01222961 5742894011 2025-07-29 2024 2025-03-06 01:10:19Z VISTA COMMUNITY HC NORTHSIDE COMMUNITY HC AND MAPLE CITY DENTAL JAIME ALVAREZ 213 MIDDLEBURY ST GOSHEN IN 465282956 14696704 0 X WWW.MCHCC.ORG X 1988 IN WE IMPROVE OUR COMMUNITY'S HEALTH BY MAKING QUALITY COMPREHENSIVE HEALTH CARE ACCESSIBLE TO ALL. 12 12 180 2 0 0 6072777 5963378 6113476 8721956 9676 2399 12014 8971 12207943 14696704 6500 0 0 0 9226272 12106958 0 0 0 3014873 4145437 12247645 16252395 -39702 -1555691 7115186 8358339 2491007 5327517 4624179 3030822 WE IMPROVE OUR COMMUNITY'S HEALTH BY MAKING QUALITY COMPREHENSIVE HEALTH CARE ACCESSIBLE TO ALL. 0 0 12875758 8730927 WE PROVIDE MEDICAL, DENTAL AND BEHAVIOR HEALTH CARE AS WELL AS SOCIAL SERVICES. WE TREAT ILLNESS AND INJURY, PREVENT ILLNESS THROUGH SCREENINGS, PROVIDE CHRONIC CARE MANAGEMENT AND SCREEN FOR DRUG OR ALCOHOL PROBLEMS, DEPRESSION & TRAUMA. 12875758 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 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 10 0 180 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 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 HANNAH PECHIN DENTIST 28.00 X 176165 0 12872 STEPHEN HARMON MEDICAL DIRECTOR 45.00 X 168282 0 27515 THOMAS KREIDER PSYCHIATRIST 40.00 X 156791 0 13487 PAUL SHETLER FAST EXECUTIVE DIRECTOR 45.00 X 143599 0 15322 CIPRIANA ORTEGA NURSE PRACTITIONER 40.00 X 112459 0 17336 ANA RODRIGUEZ SANDOVAL NURSE PRACTITIONER 40.00 X 105988 0 15599 ALITA YODER DIRECTOR OF OPERATIONS 36.00 X 92783 0 21023 JAIME ALVAREZ DIRECTOR OF FINANCE 32.00 X 85258 0 10145 YEIMI PEREZ GARCIA BOARD MEMBER 2.00 X 0 0 979 SANDRA RODRIGUEZ-MCMASTERS BOARD MEMBER 2.00 X 0 0 599 IRMA PEREZ BOARD MEMBER 2.00 X 0 0 454 JENNY MARTINEZ SECRETARY 2.00 X X 0 0 311 MIGUEL MILLAN BOARD MEMBER 2.00 X 0 0 254 DENISE METTERT BOARD MEMBER 2.00 X 0 0 30 REBECCA STOLZFUS BOARD MEMBER 2.00 X 0 0 0 DANIEL ARMOUNFELDER BOARD MEMBER 2.00 X 0 0 0 DARIAL STERLING BOARD MEMBER 2.00 X 0 0 0 FRED GINGERICH BOARD MEMBER 2.00 X 0 0 0 ANDREW HARTZLER TREASURER 2.00 X X 0 0 0 MAX MERTZ VICE CHAIR 2.00 X X 0 0 0 SARAH METZLER BOARD CHAIR 2.00 X X 0 0 0 1041325 0 135926 6 0 1 0 MCKESSON MEDICAL SURGICAL PO BOX 634404 CINCINNATI OH 452634404 MEDICINE, VACCINES & MISC MEDICAL SUPPLI 674911 ASCENSUS 200 DRYDEN ROAD DRESHER PA 19025 RETIREMENT BENEFITS 624329 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 ELECTRONIC MEDICAL RECORD SYSTEM 551846 MG TRUST COMPANY PO BOX 3144 MOBILE AL 36652 RETIREMENT BENEFITS 277179 THE HARRISON GROUP INC 3 RAYMOND DR 201 HAVERTOWN PA 19083 HRA SERVICER 218471 5 4446179 1517199 655949 5963378 NET PATIENT SERVICE FEES 621400 8310346 8310346 PHARMACY 621400 227718 227718 MHS CONTRACTS 621400 176391 176391 CAPITATION 621400 7501 7501 8721956 2399 2399 MISCELLANEOUS INCOME 621110 8971 8971 8971 14696704 8730927 0 2399 368130 368130 8269890 6843907 1425983 432036 356163 75873 2388915 1597159 791756 647987 516178 131809 1443 1443 37437 37437 112237 110487 1750 150034 87923 62111 821375 654297 167078 554874 427851 127023 122722 109247 13475 130632 130632 208928 182874 26054 12063 12063 MEDICAL SUPPLIES 1190808 1190808 VACCINES 655949 655949 PROFESSIONAL DUES 79064 62981 16083 MISCELLANEOUS PATIENT S 67871 67871 16252395 12875758 3376637 0 347736 222777 14316 10 1255327 1259173 811250 2131873 89112 67016 102028 28353 4633308 1383375 3123843 3249933 1371574 1399204 7115186 8358339 943353 1000390 100 75000 151466 2405376 408237 1396188 1438414 2491007 5327517 X 4140767 2632076 483412 398746 4624179 3030822 7115186 8358339 X -1555691 -34666 -3000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 432627 432627 2279885 344804 1935081 766352 423044 343308 540703 372605 168098 613741 242922 370819 3249933 ROU WCHC OPERATING LEASE 1399204 1399204 ROU WCHC OPERATING LEASE LIABILITY 1438414 1438414 X 14707295 10591 10591 14696704 0 14696704 16300652 45257 3000 48257 16252395 0 16252395 PART IV, LINE 2B: IN UNCLAIMED PROPERTY 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 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 2021 THROUGH 2023 FEDERAL AND STATE EXEMPT ORGANIZATION RETURNS REMAIN SUBJECT TO EXAMINATION BY THE IRS AND STATE TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE X 0 0 0 0 0 0 0 0 0 HANNAH PECHIN DENTIST 176165 0 0 0 0 0 5285 0 7587 0 189037 0 0 0 STEPHEN HARMON MEDICAL DIRECTOR 168282 0 0 0 0 0 13989 0 13526 0 195797 0 0 0 THOMAS KREIDER PSYCHIATRIST 156791 0 0 0 0 0 12821 0 666 0 170278 0 0 0 PAUL SHETLER FAST EXECUTIVE DIRECTOR 143599 0 0 0 0 0 5172 0 10150 0 158921 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. JAIME ALVAREZ DIRECTOR OF FINANCE FOR OPERATIONAL NEEDS X 75000 75000 0 0 1 75000 X 12 655949 FAIR MARKET VALUE 0 0 0 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. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -3,000. 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