2024-09-19T11:53:32-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 842983983 WELL CARE COMMUNITY HEALTH INC WELL 7659739294 201 E MAIN ST RICHMOND IN 47374 ERIC COULTER CEO 7659739294 2024-09-19 1 1 TYLER K GREENE CPA P00057872 3176334705 2024-09-19 2023 2024-08-08 14:25:15Z ERIC COULTER 201 E MAIN ST RICHMOND IN 47374 8574943 0 X WWW.WELLCARECOMMUNITYHEALTH.ORG X 2019 IN TO PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION, ESPECIALLY THE UNDER-SERVED. 9 8 111 8 0 0 1938880 2145923 2517674 6057319 0 0 26974 371701 4483528 8574943 600 550 0 0 3348250 5870977 0 0 0 2025029 3023102 5373879 8894629 -890351 -319686 3507888 4259766 1194717 2266281 2313171 1993485 TO PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE GENERAL POPULATION, ESPECIALLY THE UNDER-SERVED. 0 0 7374192 550 6429020 THE CENTER OPERATES AND ADMINISTERS A COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND PRIMARY HEALTH CARE SERVICES, TOGETHER WITH RELATED ENABLING AND ANCILLARY SERVICES, INCLUDING DENTAL AND BEHAVIORAL HEALTH SERVICES. 7374192 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 111 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X ERIC COULTER 7659739294 201 E MAIN ST RICHMOND IN 47374 PHIL STEVENSON BOARD MEMBER 1.00 0.00 X 0 0 0 TOBY BASSNETT BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 NANCY UPCHURCH BOARD TREASURER 1.00 0.00 X X 21180 0 0 DEBBY BELT BOARD SECRETARY 1.00 0.00 X X 0 0 0 KATHY JORDON BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICIA RAVINET BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF BUTLER BOARD CHAIR 1.00 0.00 X X 0 0 0 MARY MARGARET JOHNSON BOARD MEMBER 1.00 0.00 X 0 0 0 JAYNNE RIVAS BOARD MEMBER 1.00 0.00 X 0 0 0 ERIC COULTER CHIEF EXECUTIVE OFFICER 40.00 0.00 X 187447 0 17433 KIMBERLY FLANIGAN CHIEF OPERATIONS OFFICER 40.00 0.00 X 138979 0 11778 DAVID KELLER CHIEF MEDICAL OFFICER 40.00 0.00 X 261598 0 17268 WILLIAM COOKE PHYSICIAN 40.00 0.00 X 375700 0 27383 ZIA KHAN DENTIST 40.00 0.00 X 204209 0 12875 TERESA SHORT NURSE PRACTITIONER 40.00 0.00 X 129048 0 21958 TARA PEARCY NURSE PRACTITIONER 40.00 0.00 X 112337 0 476 SHELBY TRUE NURSE PRACTITIONER 40.00 0.00 X 111789 0 12347 1542287 0 121518 9 0 1 0 HEALTH CONSULTING STRATEGIES PO BOX 420 GRAND LEDGE MI 48837 ACCOUNTING/HRSA CONSULTING 292756 WORLD CENTRAL IT SOLUTIONS 23 E MAIN ST CAMBRIDGE CITY IN 47327 IT SERVICES 196973 2 2144936 987 2145923 NET SERVICE REVENUE 621110 5417185 5417185 340B REVENUE 621110 640134 640134 6057319 326921 0 326921 326921 326921 QUALITY PERFORMANCE IN 621110 44557 44557 MISCELLANEOUS REVENUE 900099 223 223 44780 8574943 6429020 0 0 550 550 588023 588023 4438305 4266013 172292 474330 455917 18413 370319 355943 14376 34259 22981 11278 26557 19268 7289 747015 501106 245909 146646 146646 85465 62008 23457 252164 182953 69211 456219 367960 88259 29853 21659 8194 61654 56105 5549 54878 50825 4053 MEDICAL SUPPLIES 594695 594695 OTHER SERVICES 93611 67918 25693 DUES & SUBSCRIPTIONS 46962 34072 12890 STAFF TRAINING 22504 16327 6177 370620 297892 72728 8894629 7374192 1520437 0 901186 485847 285182 113036 155791 597571 815811 151491 662458 664320 243889 1103741 1259382 1295251 3507888 4259766 375462 701432 819255 1564849 1194717 2266281 X 2313171 1993485 2313171 1993485 3507888 4259766 -319686 0 X X 0 1 X 1 1 1 X SCHEDULE A, PART I, LINE 3: WELL CARE COMMUNITY HEALTH INC. HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL IS REQUIRED TO COMPLETE THE SCHEDULE. WELL CARE COMMUNITY HEALTH INC. IS A MEDICAL, BEHAVIORAL, AND DENTAL HEALTH CENTER AND IS NOT LICENSED AS A HOSPITAL FOR THE STATE OF INDIANA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 163357 5934 157423 224691 17750 206941 277763 127807 149956 664320 ESTIMATED THIRD PARTY RECEIVABLES 94976 RIGHT OF USE ASSET 1108450 PREPAID EXPENSES 65825 WOODED GLEN RECEIVABLE 26000 1295251 LEASE LIABILITY 945128 CURRENTY MATURITIES OF OPERATING LEASES 186388 ACQUISITION LIABILITY 433333 1564849 X 8332994 -241949 -241949 8574943 0 8574943 8652680 -241949 -241949 8894629 0 8894629 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: 340B EXPENSES INCLUDED IN REVENUE -241,949. PART XII, LINE 2D - OTHER ADJUSTMENTS: 340B EXPENSES INCLUDED IN REVENUE -241,949. 0 0 0 0 0 0 0 0 0 WILLIAM COOKE PHYSICIAN 375500 0 200 0 0 0 0 0 27383 0 403083 0 0 0 DAVID KELLER CHIEF MEDICAL OFFICER 261398 0 200 0 0 0 0 0 17268 0 278866 0 0 0 ZIA KHAN DENTIST 204009 0 200 0 0 0 0 0 12875 0 217084 0 0 0 ERIC COULTER CHIEF EXECUTIVE OFFICER 187247 0 200 0 0 0 0 0 17433 0 204880 0 0 0 TERESA SHORT NURSE PRACTITIONER 128848 0 200 0 0 0 0 0 21958 0 151006 0 0 0 KIMBERLY FLANIGAN CHIEF OPERATIONS OFFICER 138779 0 200 0 0 0 0 0 11778 0 150757 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY WILL BE REVIEWED BY THE FINANCE COMMITTEE AND THEN PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, OFFICERS, BOARD MEMBERS, AND AGENTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FILLED OUT ANNUALLY AND KEPT IN A FILE. REAL OR APPARENT CONFLICTS AT THE BOARD LEVEL WILL BE DISCUSSED BY THE BOARD AND THE CONFLICTED MEMBER WILL BE ALLOWED TO VOTE ON SUCH ISSUES. OTHER POTENTIAL CONFLICTS WILL BE REVIEWED BY THE CEO AND/OR CFO. FORM 990, PART VI, SECTION B, LINE 15 WELL CARE WORKS WITH A CONSULTANT WHO DOES A WAGE ANALYSIS BY POSITION. REPORT AND RECOMMENDATIONS ARE TAKEN TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.