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← INDIANA PRIMARY HEALTH CARE ASSOC INC

Form 990 for tax year 2022

Filed by INDIANA PRIMARY HEALTH CARE ASSOC INC.

Totals

Total revenue
$3,714,640
Total expenses
$3,701,415
Contributions and grants received
$3,127,847
Grants paid
$0
Program services expenses (Part IX)
$3,531,666
Management and general expenses
$169,749
Fundraising expenses
$0
Program service expenses (Part III)
$3,531,666

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAWN HAUT MD

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    4

  • ANGIE ZAEGEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • DAVID HALL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • BRYAN AYARS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICARDO DIAZ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • ESLEEN FULTZ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARC HACKETT

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • BETH KEENEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • BARBARA SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SCOTT ROLLETT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SANDRA STRADER-MCMILLEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JANET SEABROOK MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BETH WROBEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CLARENCE BOYKIN

    DIRECTOR - BEG JUN 2022

    Total calculated
    $0
    Hours/week
    1

  • ALLEN BROWN

    DIRECTOR - BEG JUN 2022

    Total calculated
    $0
    Hours/week
    1

  • SHERRY GARY

    DIRECTOR - BEG JUN 2022

    Total calculated
    $0
    Hours/week
    1

  • PATTY JOHNSON

    DIRECTOR - BEG JUN 2022

    Total calculated
    $0
    Hours/week
    1

  • ELVIN PLANK

    SECRETARY - END APRIL 2022

    Total calculated
    $0
    Hours/week
    1

  • LORI HARRIS

    DIRECTOR - END MAY 2022

    Total calculated
    $0
    Hours/week
    1

  • BAMBI MCQUADE-JONES

    DIRECTOR - END MAY 2022

    Total calculated
    $0
    Hours/week
    1

  • ANGELA BOYER

    CHIEF STRATEGY OFFICER

    Total calculated
    $138,759
    From this org
    $110,590
    From related orgs
    $0
    Other
    $28,169
    Hours/week
    40

  • BENJAMIN HARVEY

    CEO

    Total calculated
    $184,423
    From this org
    $162,875
    From related orgs
    $0
    Other
    $21,548
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,875
    Bonus
    $0
    Other
    $0
    Deferred
    $4,148
    Nontaxable benefits
    $17,400
    Filer's total
    $184,423

  • SEAN HERBOLD

    CFO

    Total calculated
    $145,496
    From this org
    $132,848
    From related orgs
    $0
    Other
    $12,648
    Hours/week
    40

  • NICOLE STILLIANOS

    CLINICAL OFFICER

    Total calculated
    $156,226
    From this org
    $148,883
    From related orgs
    $0
    Other
    $7,343
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $148,883
    Bonus
    $0
    Other
    $0
    Deferred
    $7,343
    Nontaxable benefits
    $0
    Filer's total
    $156,226

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
29 January 2024
IRS schema version
2022v5.0
Source object
202400299349301205

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