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Nonprofiteer
← COMMUNITY HEALTH CLINIC INC

Form 990 for tax year 2022

Filed by COMMUNITY HEALTH CLINIC INC.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2022 , filed 13 June 2024. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$5,077,862 changed to $50,863,496
Total expenses
$3,142,231 changed to $48,645,712
Program service revenue
$848,111 changed to $46,630,341
Investment income
$8,304 changed to $8,308
Other revenue
$592,600 changed to $596,000
Total assets, end of year
$6,082,358 changed to $12,624,211
Total liabilities, end of year
$581,425 changed to $7,123,278
Program services expenses
$2,443,937 changed to $47,675,268
Management and general expenses
$656,530 changed to $925,155
Fundraising expenses
$41,764 changed to $45,289
Program service expenses (Part III)
$2,443,937 changed to $47,675,268

Listed only on the later return

  • Zineb Ammous MD

Totals

Total revenue
$5,077,862
Total expenses
$3,142,231
Contributions and grants received
$3,628,847
Grants paid
$0
Program service revenue
$848,111
Investment income
$8,304
Other revenue
$592,600
Total assets, end of year
$6,082,358
Total liabilities, end of year
$581,425
Net assets or fund balances, end of year
$5,500,933
Program services expenses (Part IX)
$2,443,937
Management and general expenses
$656,530
Fundraising expenses
$41,764
Program service expenses (Part III)
$2,443,937

Program services were 77.8% 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)

    $445,786

  • 1f · All other contributions, gifts and grants

    $3,183,061

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

    total $830,094 · related or exempt $830,094

  • 2b · Program service revenue: LEASE INCOME

    total $18,017 · related or exempt $18,017

  • 3 · Investment income

    total $8,304 · related or exempt $8,304

  • 8a · Fundraising events: gross income

    $784,280

  • 8b · Fundraising events: direct expenses

    $192,618

  • 8c · Net income from fundraising events

    total $591,662

  • 11a · Other revenue: MISCELLANEOUS

    total $938 · related or exempt $938

  • 11e · Other revenue, total

    $938

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,513,573 · program services $1,180,587 · management and general $302,715 · fundraising $30,271

  • 9 · Other employee benefits

    total $231,844 · program services $180,838 · management and general $46,369 · fundraising $4,637

  • 10 · Payroll taxes

    total $117,646 · program services $91,764 · management and general $23,529 · fundraising $2,353

  • 11c · Fees: accounting

    total $93,534 · management and general $93,534

  • 12 · Advertising and promotion

    total $21,913 · management and general $21,913

  • 13 · Office expenses

    total $70,621 · program services $55,085 · management and general $14,124 · fundraising $1,412

  • 16 · Occupancy

    total $63,855 · program services $51,084 · management and general $12,771

  • 17 · Travel

    total $11,163 · program services $8,707 · management and general $2,233 · fundraising $223

  • 19 · Conferences, conventions and meetings

    total $88 · program services $60 · management and general $28

  • 20 · Interest

    total $13,638 · program services $1,364 · management and general $12,274

  • 22 · Depreciation, depletion and amortization

    total $77,682 · program services $60,592 · management and general $15,536 · fundraising $1,554

  • 23 · Insurance

    total $34,944 · program services $27,256 · management and general $6,989 · fundraising $699

  • 24a · Other expenses: CONTRACT LABOR

    total $404,692 · program services $323,754 · management and general $80,938

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $165,419 · program services $165,419

  • 24c · Other expenses: LANORATORY COSTS

    total $81,589 · program services $81,589

  • 24d · Other expenses: COMPUTER EXPENSE

    total $77,206 · program services $61,765 · management and general $15,441

  • 24e · All other expenses

    total $162,824 · program services $154,073 · management and general $8,136 · fundraising $615

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $811,736 · end of year $1,304,015

  • 2 · Savings and temporary cash investments

    beginning of year $294,789 · end of year $303,001

  • 3 · Pledges and grants receivable

    beginning of year $205,244 · end of year $126,962

  • 4 · Accounts receivable

    beginning of year $7,466,344 · end of year $147,108

  • 9 · Prepaid expenses and deferred charges

    beginning of year $21,805 · end of year $17,206

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

    $3,706,402

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

    $1,186,447

  • 10c · Land, buildings and equipment, net

    beginning of year $1,291,611 · end of year $2,519,955

  • 12 · Investments: other securities

    end of year $1,664,111

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,446,243 · end of year $333,312

  • 23 · Secured mortgages and notes payable

    beginning of year $2,285,289 · end of year $248,113

  • 24 · Unsecured notes and loans payable

    beginning of year $977,868

  • 25 · Other liabilities

    beginning of year $1,098,980

  • 27 · Net assets without donor restrictions

    beginning of year $3,283,149 · end of year $5,500,933

Mission and programs · 2022

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 $1,393,044

  • 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 $1,050,893

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Ervin Miller

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Dennis Lehman

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    2

  • Eric Gray

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Chris Roberson

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Ernie Miller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jamin Yoder MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Glen Hershberger

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Raymond Lambright

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Elmer Lengacher

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Merlin Weaver

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Rob Myers

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jared Beasley

    EXECUTIVE DI

    Total calculated
    $0
    Hours/week
    40

  • Rhonda Anderson

    NP & DIR PAT

    Total calculated
    $111,305
    From this org
    $111,305
    From related orgs
    $0
    Other
    $0

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.

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
2022
Filed
24 May 2023
IRS schema version
2022v5.0
Source object
202341739349301169

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