Maple City Health Care Center Inc


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GuideStar Charity Check

Maple City Health Care Center Inc

EIN: 35-1749398


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.

Notes from the nonprofit

Our medical sites are family practices that offer integrated medical care including obstetrics, midwifery, pediatrics, geriatrics, mental health counseling, social work, chronic disease case management, addictions recovery, nutritional services, healthy living groups, group care programs, and tattoo removal. The dental site offers primary dentistry for all patients, ages 3 and up.

Ruling year info


Executive Director

Paul Shetler Fast

Main address

213 Middlebury St

Goshen, IN 46528 USA

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Subject area info


Health care quality

Health care access

Community health care

Health care clinics

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Population served info

Children and youth


Ethnic and racial groups

Immigrants and migrants

Low-income people

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NTEE code info

Health Treatment Facilities (Primarily Outpatient) (E30)

Programs and results

What we aim to solve

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Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Welcoming, Affordable, Integrated, High-Quality Primary Care

For 34 years, Maple City Health Care Center has fostered a healthy community through affordable,
welcoming, accessible, integrated, and high-quality health care. The health center cares for more than
6,500 Goshen area residents each year, with a focus on the 46526, 46528, 46516, and 46517 zip
codes. About a third of the health centers patients live on incomes below poverty. Around a third are
unable to afford or obtain health insurance, the highest of any FQHC in Indiana. Nearly half of the
health centers patients speak Spanish and three quarters identify as Hispanic.

By providing affordable and bilingual health care, we are keeping people healthier and we are improving their productive participation in the life of families and in the life of the community. Quality health care contributes to the well-being of the entire neighborhood, not just of the individuals we serve.

Population(s) Served
Extremely poor people
Low-income people
Working poor
Immigrants and migrants
Ethnic and racial groups

Where we work


Hypertension Control Champion 2020

Million Hearts

Gold Badge for Health Center Quality Leader 2023


How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • How is your organization using feedback from the people you serve?

    To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals, We collect feedback that relates to our mission of affordable, accessible, quality care.

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive

  • What challenges does the organization face when collecting feedback?

    We don't have any major challenges to collecting feedback


Maple City Health Care Center Inc
Fiscal year: Jan 01 - Dec 31

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2022 info

SOURCE: IRS Form 990


Average of 2.04 over 10 years

Months of cash in 2022 info

SOURCE: IRS Form 990


Average of 0.7 over 10 years

Fringe rate in 2022 info

SOURCE: IRS Form 990


Average of 37% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990

Maple City Health Care Center Inc

Revenue & expenses

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data

Maple City Health Care Center Inc

Balance sheet

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data

Maple City Health Care Center Inc

Financial trends analysis Glossary & formula definitions

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

This snapshot of Maple City Health Care Center Inc’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

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Business model indicators

Profitability info 2018 2019 2020 2021 2022
Unrestricted surplus (deficit) before depreciation -$483,002 -$51,162 $1,236,989 $1,922,670 -$467,761
As % of expenses -6.2% -0.6% 14.0% 18.6% -4.4%
Unrestricted surplus (deficit) after depreciation -$555,969 -$133,000 $1,130,582 $1,770,089 -$635,565
As % of expenses -7.0% -1.6% 12.7% 16.9% -5.9%
Revenue composition info
Total revenue (unrestricted & restricted) $7,397,182 $8,442,939 $8,756,934 $12,111,911 $10,047,304
Total revenue, % change over prior year -2.7% 14.1% 3.7% 38.3% -17.0%
Program services revenue 50.5% 48.9% 37.2% 37.2% 53.9%
Membership dues 0.0% 0.0% 0.0% 0.0% 0.0%
Investment income 0.1% 0.1% 0.1% 0.0% 0.1%
Government grants 40.1% 39.6% 53.0% 55.7% 38.5%
All other grants and contributions 9.2% 11.4% 9.2% 7.1% 7.4%
Other revenue 0.0% 0.0% 0.6% 0.1% 0.1%
Expense composition info
Total expenses before depreciation $7,843,216 $8,157,815 $8,815,148 $10,329,969 $10,515,065
Total expenses, % change over prior year 17.2% 4.0% 8.1% 17.2% 1.8%
Personnel 76.6% 76.5% 77.0% 74.8% 75.1%
Professional fees 0.3% 0.3% 0.4% 0.9% 2.0%
Occupancy 1.9% 1.8% 2.0% 2.1% 1.6%
Interest 0.0% 0.1% 0.1% 0.1% 0.1%
Pass-through 0.1% 0.1% 0.1% 0.0% 0.0%
All other expenses 21.1% 21.2% 20.4% 22.0% 21.2%
Full cost components (estimated) info 2018 2019 2020 2021 2022
Total expenses (after depreciation) $7,916,183 $8,239,653 $8,921,555 $10,482,550 $10,682,869
One month of savings $653,601 $679,818 $734,596 $860,831 $876,255
Debt principal payment $81,528 $0 $0 $265,928 $16,568
Fixed asset additions $0 $411,893 $1,703,043 $0 $0
Total full costs (estimated) $8,651,312 $9,331,364 $11,359,194 $11,609,309 $11,575,692

Capital structure indicators

Liquidity info 2018 2019 2020 2021 2022
Months of cash 0.5 0.1 0.1 1.6 0.8
Months of cash and investments 0.5 0.1 0.1 1.6 0.8
Months of estimated liquid unrestricted net assets 1.4 1.0 0.6 2.3 1.6
Balance sheet composition info 2018 2019 2020 2021 2022
Cash $303,897 $45,710 $67,653 $1,415,321 $734,358
Investments $0 $0 $0 $0 $0
Receivables $2,467,024 $2,282,987 $941,940 $1,124,758 $1,440,167
Gross land, buildings, equipment (LBE) $1,864,889 $2,276,314 $3,972,938 $4,082,795 $4,159,519
Accumulated depreciation (as a % of LBE) 30.4% 28.5% 18.8% 22.1% 25.7%
Liabilities (as a % of assets) 16.6% 18.1% 28.1% 16.6% 19.6%
Unrestricted net assets $2,184,227 $2,051,227 $3,181,809 $4,951,898 $4,316,333
Temporarily restricted net assets $1,228,881 N/A N/A N/A N/A
Permanently restricted net assets $0 N/A N/A N/A N/A
Total restricted net assets $1,228,881 $1,405,324 $140,728 $0 $0
Total net assets $3,413,108 $3,456,551 $3,322,537 $4,951,898 $4,316,333

Key data checks

Key data checks info 2018 2019 2020 2021 2022
Material data errors No No No No No


The people, governance practices, and partners that make the organization tick.

Letter of Determination is not available for this organization
Form 1023/1024 is not available for this organization

Executive Director

Paul Shetler Fast

Paul Shetler Fast has held various leadership positions in hospital administration within the Veterans Health Administration system. He served for 5 years in Haiti with Mennonite Central Committee (MCC), as country director, overseeing health services. Most recently he has been serving as Director of Global Health programs for MCC. In this capacity, Paul has worked to support and oversee community-based health services organizations in 47 countries around the world. Paul currently teaches public health for undergraduate and graduate students at Goshen College and serves on several local boards including the Elkhart County Board of Health and Mosaic, a healthcare organization in Goshen. Paul, his wife Rebecca, and their two children live in Goshen.

Number of employees

Source: IRS Form 990

Maple City Health Care Center Inc

Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

Maple City Health Care Center Inc

Highest paid employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of highest paid employee data for this organization

Maple City Health Care Center Inc

Board of directors
as of 01/22/2024
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Sarah Metzler

Danny Armounfelder

Andrew Hartzler

Jenny Martinez

Denice Mettert

Max Mertz

Miguel Millan

Irma Perez

Yeimi Perez Garcia

Adam Scharf

Rebecca Stoltzfus

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 1/22/2024

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation

No data


No data

Equity strategies

Last updated: 03/03/2021

GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more

  • We review compensation data across the organization (and by staff levels) to identify disparities by race.
  • We ask team members to identify racial disparities in their programs and / or portfolios.
  • We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
  • We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
  • We disaggregate data by demographics, including race, in every policy and program measured.
Policies and processes
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
  • We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.


Fiscal year ending
There are no fundraisers recorded for this organization.