2021-06-22T15:44:15-05:00 2020-12-31 352102008 CNA TAX PROFESSIONALS INC 10475 CROSSPOINT BOULEVARD SUITE 200 INDIANAPOLIS IN 46256 990 2020-01-01 870778393 KNOX WINAMAC COMMUNITY HEALTH CENTERS INC KNOX 5747726030 1002 SOUTH EDGEWOOD DR KNOX IN 46534 KATHY ROBB EXECUTIVE DIRECTOR 5747726030 2021-06-22 1 KATHY ROBB 999009999 SHAWN D DREIMAN CPA P00380913 3178413393 2021-06-17 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KATHY ROBB 1002 SOUTH EDGEWOOD DR KNOX IN 46534 3316164 0 X NA X 2006 IN THE ORGANIZATION PROVIDES PRIMARY AND PREVENTIVE HEALTH SERVICES TO THE AREA'S UNDER-SERVED AND MOST VULNERABLE POPULATIONS THROUGH HIGH QUALITY CLINICAL CARE WITH A DEMONSTRATED IMPACT ON THE HEALTH OUTCOMES OF THE COMMUNITIES WE SERVE. 11 11 31 2 0 0 0 270243 2733396 2735873 0 -4901 62299 310048 2795695 3311263 0 0 0 0 1442149 1548320 0 0 0 1164768 1167193 2606917 2715513 188778 595750 776680 1165401 634366 427337 142314 738064 THE ORGANIZATION PROVIDES PRIMARY AND PREVENTIVE HEALTH SERVICES TO THE AREA'S UNDER-SERVED AND MOST VULNERABLE POPULATIONS THROUGH HIGH QUALITY CLINICAL CARE WITH A DEMONSTRATED IMPACT ON THE HEALTH OUTCOMES OF THE COMMUNITIES WE SERVE. 0 0 1938969 2730972 THE ORGANIZATION PROVIDES AN ARRAY OF HEALTH CARE SERVICES THAT ARE AVAILABLE TO ALL PERSONS, REGARDLESS OF THE ABILITY TO PAY. WE HAVE A TEAM OF DOCTORS AND NURSE PRACTITIONERS WHO STAFF OUR OFFICE IN KNOX. OUR TEAM OF PROFESSIONALS OFFERS LOCAL ACCESS TO A COMPREHENSIVE RANGE OF AFFORDABLE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES. ADDITIONALLY, THE ORGANIZATION PROVIDES MENTAL HEALTH CARE SERVICES, WHICH ENCOMPASSES, AMONG OTHER THINGS, SUBSTANCE ABUSE. THE ORGANIZATION ALSO PROVIDES SERVICES FOR MOTHERS AND MOTHERS-TO-BE. DURING CALENDAR YEAR 2020, OUR OFFICE PROVIDED CARE FOR 2,962 PERSONS, OF WHOM 823 WERE MEDICAID ELIGIBLE, 763 WERE MEDICARE ELIGIBLE, 1,109 WERE COVERED UNDER SOME FORM OF INSURANCE, AND 267 WERE UNINSURED. 1938969 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 4 0 1 31 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X EILEEN BLANKE 5747726030 1002 SOUTH EDGEWOOD DR KNOX IN 46534 JUDY CAUDILL DIRECTOR 1.00 X 0 0 0 PAUL LISOWSKI DIRECTOR 1.00 X 0 0 0 BILL DULIN DIRECTOR 1.00 X 0 0 0 DEBRA TROIKE DIRECTOR 1.00 X 0 0 0 ROSEANNE VONBAMPUS DIRECTOR 1.00 X 0 0 0 JEFF HOUSTON DIRECTOR 1.00 X 0 0 0 RUTH ANN CONNER SECRETARY 1.00 X 0 0 0 AJ GAPPA TREASURER 1.00 X 0 0 0 GAYLE SMITH PRESIDENT 1.00 X 0 0 0 NANCY DEMBOWSKI VICE PRESIDENT 1.00 X 0 0 0 KATHLEEN ROBB EXECUTIVE DIR. 40.00 X 90736 0 9973 EILEEN BLANKE CFO 40.00 X 82519 0 9973 DR WALTER E FRITZ MEDICAL DIRECTOR 40.00 X 209908 0 19946 TRACY L HADDIX NURSE PRACTITIONER 40.00 X 109288 0 0 KIM M MCCULLOUGH NURSE PRACTITIONER 40.00 X 111398 0 0 DAVID COOK MEDICAL DOCTOR 40.00 X 109983 0 18451 713832 0 58343 4 0 1 0 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 340B DRUG COSTS 171715 OMEGA HEALTHCARE INVESTORS 200 INTL CIRCLE STE 3500 HUNT VALLEY MD 21030 RENT 165410 MCKESSON MEDICAL SURGICAL 5604 FORTUNE CIR S INDIANAPOLIS IN 46241 MEDICAL SUPPLIES 126350 NORTH AMERICAN HEALTHCARE MANAGEMENT SER 9245 WATSON INDUSTRIAL PARK ST LOUIS MO 63126 BILLING CONTRACT 124507 DR ALEXANDER GATZIMOS 212 W EDISON RD MISHAWAKA IN 46545 CONTRACTED PROVIDER 111150 5 254443 15800 270243 PATIENT SERVICE FEE 900099 2735873 2735873 2735873 4901 -4901 -4901 -4901 CANCELLATION OF DEBT 900099 285400 285400 OTHER INCOME 900099 24648 24648 310048 3311263 2730972 0 310048 772175 544872 227303 776145 547673 228472 51457 51457 18675 18675 199108 199108 29842 29842 23374 23374 211420 145220 66200 620 620 8361 8361 3268 3268 46954 46954 218574 148891 69683 MEDICAL LAB FEES 159214 159214 CONTRACT LABOR 144839 115752 29087 MISCELLANEOUS 45986 32449 13537 EQUIPMENT 19218 19218 -13717 17591 -31308 2715513 1938969 776544 0 467100 767333 203869 275873 13651 13935 202252 93992 92060 108260 776680 1165401 147073 215617 342984 211720 144309 0 634366 427337 X 142314 669742 0 68322 142314 738064 776680 1165401 595750 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51165 35844 15321 151087 58148 92939 108260 X 3347263 36000 36000 3311263 0 3311263 2751513 36000 36000 2715513 0 2715513 PART X, LINE 2: FIN 48 FOOTNOTE THE ORGANIZATION ADOPTED THE ACCOUNTING POLICY TO RECOGNIZE A TAX BENEFIT ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED WILL BE THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE LIKELY-THAN-NOT TEST, NO TAX BENEFIT WILL BE RECORDED. THE ORGANIZATION HAS EXAMINED THIS ISSUE AND HAS DETERMINED THERE ARE NO MATERIAL CONTINGENT TAX LIABILITIES. THE ORGANIZATIONS FEDERAL EXEMPT ORGANIZATION INCOME TAX RETURNS (FORM 990) ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. X 0 0 0 0 0 0 0 0 0 DR WALTER E FRITZ MEDICAL DIRECTOR 209908 0 0 0 0 0 0 0 19946 0 229854 0 0 0 SEE BELOW FAMILY OF MANAGEMENT SEE BELOW 0 PART IV, LN 1 THE ORGANIZATION OBTAINS MANUAL LABOR SERVICES FROM OUTSIDE VENDORS THAT ARE FAMILY MEMBERS TO BOARD MEMBERS OR MANAGEMENT. AMOUNTS PAID TO SUCH VENDORS, IN AGGREGATE, WERE $24,844 AND $33,848 FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - COPIES OF THE FINAL FORM 990 ARE PROVIDED TO THE BOARD MEMBERS THROUGH EMAIL WITH INSTRUCTIONS THAT THEY ARE TO RESPOND IMMEDIATELY WITH QUESTIONS DUE TO TIMELINESS OF FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE CFO PROVIDES CONFLICT OF INTEREST STATEMENTS TO ALL BOARD MEMBERS FOR THEIR REVIEW AND SIGNATURES. THE CORPORATION AVOIDS ACTIVE PARTICIPATION OF ANY DIRECTOR IN A MANNER THAT POSES A CONFLICT OF INTEREST WITH RESPECT TO THAT DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS USES COMPARATIVE COMPENSATION DATA AND HISTORICAL FINANCIAL DATA FROM THE CLINIC TO DETERMINE AN APPROPRIATE SALARY FOR THE ORGANIZATION OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST.