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Nonprofiteer
← MAPLE CITY HEALTH CARE CENTER INC

Form 990 for tax year 2022

Filed by MAPLE CITY HEALTH CARE CENTER INC.

Totals

Total revenue
$10,047,304
Total expenses
$10,682,869
Contributions and grants received
$4,612,199
Grants paid
$5,000
Program service revenue
$5,420,321
Investment income
$6,203
Other revenue
$8,581
Total assets, end of year
$5,367,814
Total liabilities, end of year
$1,051,481
Net assets or fund balances, end of year
$4,316,333
Program services expenses (Part IX)
$8,592,091
Management and general expenses
$2,090,778
Fundraising expenses
$0
Program service expenses (Part III)
$8,592,091

Program services were 80.4% 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)

    $3,867,107

  • 1f · All other contributions, gifts and grants

    $745,092

  • 1g · Noncash contributions included above

    $550,941

  • 2a · Program service revenue: NET PATIENT SERVICE FEES

    total $5,173,269 · related or exempt $5,173,269

  • 2b · Program service revenue: PHARMACY

    total $169,143 · related or exempt $169,143

  • 2c · Program service revenue: MHS CONTRACTS

    total $67,080 · related or exempt $67,080

  • 2d · Program service revenue: CAPITATION

    total $10,829 · related or exempt $10,829

  • 3 · Investment income

    total $6,203 · excluded $6,203

  • 11a · Other revenue: MISC. REVENUE-RELATED-990

    total $8,581 · related or exempt $8,581

  • 11e · Other revenue, total

    $8,581

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,000 · program services $5,000

  • 5 · Compensation of officers, directors and key employees

    total $233,787 · program services $233,787

  • 7 · Other salaries and wages

    total $5,548,958 · program services $4,370,343 · management and general $1,178,615

  • 8 · Pension plan contributions

    total $433,957 · program services $341,646 · management and general $92,311

  • 9 · Other employee benefits

    total $1,255,829 · program services $992,388 · management and general $263,441

  • 10 · Payroll taxes

    total $421,290 · program services $334,838 · management and general $86,452

  • 11b · Fees: legal

    total $37,766 · management and general $37,766

  • 11c · Fees: accounting

    total $27,641 · management and general $27,641

  • 11g · Fees: other

    total $149,774 · management and general $149,774

  • 13 · Office expenses

    total $124,227 · program services $83,171 · management and general $41,056

  • 14 · Information technology

    total $743,964 · program services $591,297 · management and general $152,667

  • 16 · Occupancy

    total $166,508 · program services $150,166 · management and general $16,342

  • 19 · Conferences, conventions and meetings

    total $69,734 · program services $61,631 · management and general $8,103

  • 20 · Interest

    total $8,428 · management and general $8,428

  • 22 · Depreciation, depletion and amortization

    total $167,804 · program services $150,689 · management and general $17,115

  • 23 · Insurance

    total $17,640 · program services $17,640

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $635,751 · program services $635,751

  • 24b · Other expenses: VACCINES

    total $550,941 · program services $550,941

  • 24c · Other expenses: PROFESSIONAL DUES

    total $53,933 · program services $42,866 · management and general $11,067

  • 24d · Other expenses: MISCELLANEOUS PATIENT S

    total $29,937 · program services $29,937

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $112,741 · end of year $229,553

  • 2 · Savings and temporary cash investments

    beginning of year $1,302,580 · end of year $504,805

  • 3 · Pledges and grants receivable

    beginning of year $120,855 · end of year $32,288

  • 4 · Accounts receivable

    beginning of year $867,447 · end of year $1,297,400

  • 7 · Other notes and loans receivable

    beginning of year $136,456 · end of year $110,479

  • 9 · Prepaid expenses and deferred charges

    beginning of year $211,736 · end of year $102,138

  • 10a · Land, buildings and equipment: cost or other basis

    $4,159,519

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,068,368

  • 10c · Land, buildings and equipment, net

    beginning of year $3,182,231 · end of year $3,091,151

  • 17 · Accounts payable and accrued expenses

    beginning of year $759,813 · end of year $845,714

  • 23 · Secured mortgages and notes payable

    beginning of year $222,335 · end of year $205,767

  • 27 · Net assets without donor restrictions

    beginning of year $4,951,898 · end of year $4,316,333

Mission and programs · 2022

Mission

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.

  • 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.

    Expenses $8,592,091 · Grants $5,000 · Revenue $5,428,902

As filed on the 2022 return.

Listed in Part VII

  • Adam Scharf

    TREASURER

    Total calculated
    $5,640
    From this org
    $0
    From related orgs
    $0
    Other
    $5,640
    Hours/week
    1

  • Miguel Millan

    BOARD MEMBER

    Total calculated
    $536
    From this org
    $0
    From related orgs
    $0
    Other
    $536
    Hours/week
    1

  • Irma Perez

    BOARD MEMBER

    Total calculated
    $1,330
    From this org
    $0
    From related orgs
    $0
    Other
    $1,330
    Hours/week
    1

  • Jenny Martinez

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Roel Cervantes

    BOARD MEMBER

    Total calculated
    $60
    From this org
    $0
    From related orgs
    $0
    Other
    $60
    Hours/week
    1

  • Denice Mettert

    BOARD MEMBER

    Total calculated
    $60
    From this org
    $0
    From related orgs
    $0
    Other
    $60
    Hours/week
    1

  • Kevin Farmwald

    BOARD MEMBER

    Total calculated
    $1,595
    From this org
    $0
    From related orgs
    $0
    Other
    $1,595
    Hours/week
    1

  • Sarah Metzler

    PRESIDENT

    Total calculated
    $25
    From this org
    $0
    From related orgs
    $0
    Other
    $25
    Hours/week
    2

  • Yeimi Perez Garcia

    BOARD MEMBER

    Total calculated
    $3,877
    From this org
    $0
    From related orgs
    $0
    Other
    $3,877
    Hours/week
    1

  • Max Mertz

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Karen Miller Rush

    DIRECTOR OF FINANCE

    Total calculated
    $91,444
    From this org
    $76,191
    From related orgs
    $0
    Other
    $15,253
    Hours/week
    42

  • Charlene Mast

    INTERIM EXECUTIVE DIRECTOR

    Total calculated
    $115,689
    From this org
    $94,887
    From related orgs
    $0
    Other
    $20,802
    Hours/week
    45

  • Paul Shetler Fast

    EXECUTIVE DIRECTOR

    Total calculated
    $26,655
    From this org
    $23,483
    From related orgs
    $0
    Other
    $3,172
    Hours/week
    45

  • Stephen Harmon

    GUARDIAN OF MEDICAL SERVICE

    Total calculated
    $185,273
    From this org
    $159,454
    From related orgs
    $0
    Other
    $25,819
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $159,454
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $25,819
    Filer's total
    $185,273

  • Anna Grady

    DOCTOR

    Total calculated
    $145,528
    From this org
    $120,291
    From related orgs
    $0
    Other
    $25,237
    Hours/week
    45

  • Thomas Kreider

    PSYCHIATRIST

    Total calculated
    $160,676
    From this org
    $140,092
    From related orgs
    $0
    Other
    $20,584
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,092
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $20,584
    Filer's total
    $160,676

  • Rebecca Johnson

    NURSE MIDWIFE

    Total calculated
    $116,772
    From this org
    $107,435
    From related orgs
    $0
    Other
    $9,337
    Hours/week
    45

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

  • 3 · Written employment contract

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

The filer's explanations (Part III)

PART I, LINE 3
THE GUARDIAN OF MEDICAL SERVICE'S COMPENSATION IS SET USING THE SAME STANDARD MCHCC / VCHC 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.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • NORTHSIDE COMMUNITY HEALTH CENTER INC

    501(C)(3) · TO PROVIDE HEALTH CARE IN THE GOSHEN, INDIANA COMMUNITY · IN

    Directly controlled by MAPLE CITY HEALTH CARE CENTER INC DBA VISTA COMMUNITY HEALTH CENTER

Provenance

Return type
form_990
Tax year
2022
Filed
10 August 2023
IRS schema version
2022v5.0
Source object
202342289349300114

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