Totals
- Total revenue
- $58,536,554
- Total expenses
- $57,167,645
- Contributions and grants received
- $3,472,231
- Grants paid
- $0
- Program service revenue
- $54,565,904
- Investment income
- -$51,702
- Other revenue
- $550,121
- Total assets, end of year
- $16,760,731
- Total liabilities, end of year
- $9,890,889
- Net assets or fund balances, end of year
- $6,869,842
- Program services expenses (Part IX)
- $55,943,990
- Management and general expenses
- $1,164,279
- Fundraising expenses
- $59,376
- Program service expenses (Part III)
- $55,943,990
Program services were 97.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$1,763,996
-
1f · All other contributions, gifts and grants
$1,708,235
-
1g · Noncash contributions included above
$301,885
-
2a · Program service revenue: PROCESSED CLAIMS
total $52,534,011 · related or exempt $52,534,011
-
2b · Program service revenue: ADMINISTRATIVE FEES
total $1,176,725 · related or exempt $1,176,725
-
2c · Program service revenue: NET PATIENT SERVICE REVENUE
total $609,947 · related or exempt $609,947
-
2d · Program service revenue: RESEARCH INCOME
total $235,580 · related or exempt $235,580
-
2e · Program service revenue: LEASE INCOME
total $9,641 · related or exempt $9,641
-
3 · Investment income
total $4,931 · related or exempt $4,931
-
7b · Less cost or other basis and sales expenses
other assets $56,633
-
7c · Gain or loss
other assets -$56,633
-
7d · Net gain or loss
total -$56,633 · related or exempt -$56,633
-
8a · Fundraising events: gross income
$687,842
-
8b · Fundraising events: direct expenses
$137,721
-
8c · Net income from fundraising events
total $550,121
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $2,219,544 · program services $1,731,244 · management and general $443,909 · fundraising $44,391
-
9 · Other employee benefits
total $271,754 · program services $211,968 · management and general $54,351 · fundraising $5,435
-
10 · Payroll taxes
total $103,235 · program services $80,524 · management and general $20,647 · fundraising $2,064
-
11c · Fees: accounting
total $157,966 · management and general $157,966
-
12 · Advertising and promotion
total $29,955 · management and general $29,955
-
13 · Office expenses
total $140,166 · program services $109,329 · management and general $28,033 · fundraising $2,804
-
16 · Occupancy
total $59,184 · program services $47,347 · management and general $11,837
-
17 · Travel
total $18,220 · program services $14,212 · management and general $3,644 · fundraising $364
-
19 · Conferences, conventions and meetings
total $1,573 · program services $1,069 · management and general $504
-
20 · Interest
total $231,000 · program services $23,100 · management and general $207,900
-
22 · Depreciation, depletion and amortization
total $138,718 · program services $108,200 · management and general $27,744 · fundraising $2,774
-
23 · Insurance
total $42,725 · program services $33,326 · management and general $8,545 · fundraising $854
-
24a · Other expenses: HEALTH CARE CLAIMS
total $52,534,011 · program services $52,534,011
-
24b · Other expenses: CONTRACT LABOR
total $733,046 · program services $586,437 · management and general $146,609
-
24c · Other expenses: MEDICAL SUPPLIES
total $151,462 · program services $151,462
-
24d · Other expenses: LABORATORY COSTS
total $80,324 · program services $80,324
-
24e · All other expenses
total $254,762 · program services $231,437 · management and general $22,635 · fundraising $690
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,304,015 · end of year $511,630
-
2 · Savings and temporary cash investments
beginning of year $303,001 · end of year $1,219
-
3 · Pledges and grants receivable
beginning of year $126,962 · end of year $398,539
-
4 · Accounts receivable
beginning of year $8,002,109 · end of year $10,948,157
-
9 · Prepaid expenses and deferred charges
beginning of year $17,206 · end of year $22,620
-
10a · Land, buildings and equipment: cost or other basis
$5,930,541
-
10b · Land, buildings and equipment: accumulated depreciation
$1,254,217
-
10c · Land, buildings and equipment, net
beginning of year $2,653,804 · end of year $4,676,324
-
15 · Other assets
beginning of year $217,114 · end of year $202,242
-
17 · Accounts payable and accrued expenses
beginning of year $2,517,595 · end of year $5,444,107
-
23 · Secured mortgages and notes payable
beginning of year $2,251,496 · end of year $2,216,758
-
24 · Unsecured notes and loans payable
beginning of year $1,076,290 · end of year $1,030,057
-
25 · Other liabilities
beginning of year $1,277,897 · end of year $1,199,967
-
27 · Net assets without donor restrictions
beginning of year $5,500,933 · end of year $6,869,842
Mission and programs · 2023
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.
-
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.
Expenses $1,943,688
-
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.
Expenses $1,466,291
-
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.
Expenses $52,534,011
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Ervin MillerERVIN MILLER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Dennis LehmanDENNIS LEHMAN
VICE PRES (J
- Total calculated
- $0
- Hours/week
- 2
-
Merlin WeaverMERLIN WEAVER
VICE PRES (J
- Total calculated
- $0
- Hours/week
- 2
-
Eric GrayERIC GRAY
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Chris RobersonCHRIS ROBERSON
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Jamin Yoder MDJAMIN YODER MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Ernie MillerERNIE MILLER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Glen HershbergerGLEN HERSHBERGER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Raymond LambrightRAYMOND LAMBRIGHT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Elmer LengacherELMER LENGACHER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
David MishlerDAVID MISHLER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Merlin WeaverMERLIN WEAVER
BD MEMBER (J
- Total calculated
- $0
- Hours/week
- 1
-
Rob MyersROB MYERS
BD MEMBER (J
- Total calculated
- $0
- Hours/week
- 1
-
Shelly DiehmSHELLY DIEHM
BD MEMBER (J
- Total calculated
- $0
- Hours/week
- 1
-
Jared BeasleyJARED BEASLEY
EXECUTIVE DI
- Total calculated
- $284,035
- From this org
- $219,786
- From related orgs
- $0
- Other
- $64,249
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,567
- Bonus
- $35,825
- Other
- $1,394
- Deferred
- $26,034
- Nontaxable benefits
- $38,215
- Filer's total
- $284,035
-
Zineb Ammous MDZINEB AMMOUS MD
MEDICAL DIRE
- Total calculated
- $413,211
- From this org
- $341,930
- From related orgs
- $0
- Other
- $71,281
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $325,164
- Bonus
- $15,000
- Other
- $1,766
- Deferred
- $40,598
- Nontaxable benefits
- $30,683
- Filer's total
- $413,211
-
Brian Blough DDSBRIAN BLOUGH DDS
DENTIST
- Total calculated
- $210,000
- From this org
- $210,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $210,000
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $210,000
-
Rhonda AndersonRHONDA ANDERSON
NP & DIR PAT
- Total calculated
- $126,108
- From this org
- $126,108
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
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, and on a Form 990-PF Part VIII's — 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
None.
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.
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
PLAIN CHURCH GROUP MINISTRY LLC
HEALTHCARE · IN
Directly controlled by COMMUNITY HEALTH CLINIC INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 June 2024
- IRS schema version
- 2023v5.0
- Source object
- 202441839349301049
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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