2015-06-23T14:00:32-05:00 2014-12-31 351794199 WEIDNER AND COMPANY PC 1650 SOUTH BEND AVE SOUTH BEND IN 46617 990 2014-01-01 351749398 MAPLE CITY HEALTH CARE CENTER INC MAPL 5745343300 213 MIDDLEBURY STREET GOSHEN IN 465282956 KAREN MILLER RUSH OFFICER 5745343300 2015-06-23 1 JOHN A FREDLAKE CPA P00071521 5742348822 2015-05-14 2014 2016-03-07 17:11:31Z KAREN MILLER RUSH 213 MIDDLEBURY STREET GOSHEN IN 465282956 2978169 0 X WWW.MCHCC.COM X 1988 IN HEALTH CARE SERVICES; PROVIDES NEIGHBORHOOD PATIENTS WITH MEDICAL, COUNSELING, EDUCATIONAL, AND SOCIAL SERVICES THROUGH THE HEALTH CARE CENTER, IMPROVING THEIR PRACTICAL LIVES. 10 10 50 12 0 0 3513013 1591914 1296819 1379176 0 -3896 4703 175 4814535 2967369 0 0 0 0 1732931 2114412 0 0 29891 941257 971484 2674188 3085896 2140347 -118527 3533305 3462430 168541 216193 3364764 3246237 HEALTH CARE SERVICES; PROVIDES NEIGHBORHOOD PATIENTS WITH MEDICAL, COUNSELING, EDUCATIONAL, AND SOCIAL SERVICES THROUGH THE HEALTH CARE CENTER, IMPROVING THEIR PRACTICAL LIVES. 0 0 2764395 1379351 VISITS BY PATIENTS WITH MEDICAL, COUNSELING, EDUCATIONAL, AND SOCIAL SERVICES THROUGH THE HEALTH CARE CENTER, IMPROVING THEIR PRACTICAL LIVES. 2764395 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 50 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 IN X KAREN MILLER RUSH 5745343300 213 MIDDLEBURY STREET GOSHEN IN 465282956 MAX MERTZ PRESIDENT 1.00 X X 0 0 0 JOHN DRIVER BOARD MEMBER 1.00 X 0 0 0 KEVIN FARMWALD BOARD MEMBER 1.00 X 0 0 0 JENNIFER HIRE BOARD MEMBER 1.00 X 0 0 0 DENISE METTERT BOARD MEMBER 1.00 X 0 0 0 MIGUEL MILLAN BOARD MEMBER 1.00 X 0 0 0 ADRIANA ORTIZ BOARD MEMBER 1.00 X 0 0 0 JAMES NELSON GINGERICH EXECUTIVE DIRECTOR 60.00 X X 134323 0 3200 RACHEL MILLER-JACOBS BOARD MEMBER 1.00 X 0 0 0 SARAH METZLER BOARD MEMBER 1.00 X 0 0 0 ROSE GILLIN DIRECTOR OF CLINICAL CARE 40.00 X 114351 0 8100 248674 0 11300 2 0 0 0 CLUBHOUSE OF ELKHART CO 114 S FIFTH ST GOSHEN IN 46528 MENTAL HEALTH SERVICES 200000 ABG DENTAL 622 W LINCOLN GOSHEN IN 46526 DENTAL SERVICES 170998 2 1395647 196267 96794 1591914 PROGRAM SERVICES 621400 1379176 1379176 1379176 6904 6904 10800 -10800 -10800 -10800 MISCELLANEOUS 900099 175 175 175 2967369 1368551 0 6904 307164 279519 24573 3072 1231475 1120642 98518 12315 99785 90804 7983 998 356116 324066 28489 3561 119872 109083 9590 1199 32171 27345 4504 322 28225 23991 3952 282 27341 23240 3828 273 31238 26553 4373 312 37564 31929 5259 376 MEDICAL SUPPLIES 511488 434765 71608 5115 VACCINATIONS 96795 96795 COMPUTER 70115 59598 9816 701 PROFESSIONAL SERVICES 64129 54510 8978 641 72418 61555 10139 724 3085896 2764395 291610 29891 498708 351717 199401 199700 257228 223990 231432 227630 23523 29118 1001093 339746 595910 661347 1727103 1768928 3533305 3462430 168541 216193 168541 216193 X 1373260 1262609 1991504 1983628 3364764 3246237 3533305 3462430 -118527 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 183004 183004 174786 46056 128730 576282 254918 321364 67021 38772 28249 661347 CONTRIBUTED RENT RECEIVABLE 1768928 1768928 X 3006529 39160 39160 2967369 0 2967369 3125056 39160 39160 3085896 0 3085896 PART X, LINE 2: THE ORGANIZATION'S POLICY IS TO RECORD AN UNRECOGNIZED TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. INTEREST AND PENALTIES RELATED TO GROSS UNRECOGNIZED TAX BENEFITS WOULD BE INCLUDED WITHIN THE PROVISION FOR INCOME TAXES. TO THE EXTENT ACCRUED INTEREST AND PENALTIES DO NOT ULTIMATELY BECOME PAYABLE, AMOUNTS ACCRUED WOULD BE REDUCED IN THE PERIOD THAT SUCH DETERMINATION IS MADE AND REFLECTED AS A REDUCTION OF THE OVERALL INCOME TAX PROVISION. THE ORGANIZATION FILES A FEDERAL AND AN INDIANA STATE INCOME TAX RETURN. THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY THE FEDERAL AND INDIANA TAX JURISDICTIONS DATE BACK TO THE YEAR ENDED DECEMBER 31, 2011. X 96794 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ON THE BOARD OF DIRECTORS APPOINT NEW MEMBERS OF THE BOARD AFTER A CONSULTATION PROCESS. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE FORM 990 IS EMAILED TO BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS REVIEWS CONFLICTS OF INTEREST ANNUALLY AT THE TIME OF ANNUAL BOARD ELECTIONS. 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 XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.