2020-11-09T07:02:30-06:00 2019-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2019-01-01 351579827 HEALTHNET INC HEAL 3179572000 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 KURT ELLIS CFO 3179572000 2020-11-04 1 ANGELA N CRAWFORD CPA P00573197 3176334705 2020-11-04 38.109.186.2 2020-11-04 17:07:42 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF923E04E140C4DE71FD41AF2127CF5344A3E036 2019 2021-01-29 14:40:06Z KURT ELLIS 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 72572914 0 X WWW.INDYHEALTHNET.ORG X 1983 IN THE MISSION OF HEALTHNET, INC. IS TO IMPROVE LIVES WITH COMPASSIONATE HEALTH CARE AND SUPPORT SERVICES, REGARDLESS OF ABILITY TO PAY. 12 12 728 12 0 0 18565112 18195722 40454724 53670532 7635 -14570 755625 665802 59783096 72517486 0 0 0 0 47317706 46364228 0 0 471274 17085212 16289540 64402918 62653768 -4619822 9863718 25119043 31677021 8521520 5223673 16597523 26453348 X THE MISSION OF HEALTHNET, INC. IS TO IMPROVE LIVES WITH COMPASSIONATE HEALTH CARE AND SUPPORT SERVICES, REGARDLESS OF ABILITY TO PAY. 0 0 44482865 47565146 HEALTHNET, INC. PROVIDES PRIMARY MEDICAL CARE AT VARIOUS SITES IN THE CITY OF INDIANAPOLIS INCLUDING: BARRINGTON HEALTH CENTER, SOUTHEAST HEALTH CENTER, SOUTHWEST HEALTH CENTER, PEOPLE'S HEALTH CENTER, MARTINDALE-BRIGHTWOOD HEALTH CENTER, THE OB/GYN CARE CENTER AT THE TOWERS, THE PEDIATRIC & ADOLESCENT CARE CENTER, WEST HEALTH CENTER, NORTHEAST HEALTH CENTER, AND NORTHWEST HEALTH CENTER. IN 2019, HEALTHNET, INC. PROVIDED 173,448 PATIENT CARE MEDICAL VISITS TO 55,499 MEDICAL PATIENTS, 21,529 DENTAL VISITS TO 9,009 DENTAL PATIENTS, AND 22,144 BEHAVIORAL HEALTH VISITS TO 5,243 PATIENTS. IN 2019, HEALTHNET OB/GYNS AND CERTIFIED NURSE MIDWIVES DELIVERED 1,394 BABIES AND DELIVERED PRENATAL CARE TO 1,748 WOMEN. 2669837 2706625 HEALTHNET, INC. PROVIDED 11,291 HOME VISITS THROUGH ITS HEALTHY FAMILIES PROGRAMS. THIS PROGRAM IS A VOLUNTARY HOME VISITATION PROGRAM DESIGNED TO PROMOTE HEALTHY FAMILIES AND HEALTHY CHILDREN THROUGH A VARIETY OF SERVICES INCLUDING CHILD DEVELOPMENT, ACCESS TO HEALTH CARE AND PARENT EDUCATION. THE HEALTHY FAMILIES PROGRAM HELPS STRENGTHEN FAMILIES AND PROVIDES HEALTHY GROWTH AND DEVELOPMENT FOR CHILDREN. 2864776 2882345 HEALTHNET, INC. PROVIDED SERVICES TO HOMELESS CLIENTS WITH CARE PROVIDED AT 13 SITES AROUND THE CITY OF INDIANAPOLIS. THE HOMELESS INITIATIVE PROGRAM PROVIDES PRIMARY MEDICAL CARE, PERMANENT HOUSING SEARCH AND PLACEMENT, STREET OUTREACH SERVICES, CASE MANAGEMENT SERVICES, AND EMPLOYMENT TRAINING SERVICES. IN 2019, THE HOMELESS INITIATIVE PROGRAM PROVIDED SERVICES TO 4,121 HOMELESS CLIENTS. 682917 856361 HEALTHNET, INC. ALSO PROVIDED MEDICAL SERVICES IN 8 SCHOOLS IN INDIANAPOLIS. THE SCHOOL-BASED CLINIC PROGRAM PROVIDED 3,316 PRIMARY CARE VISITS, AS WELL AS NUMEROUS NURSE VISITS, MEDICATION MANAGEMENT SERVICES, SOCIAL SERVICES, AND OUREACH PROGRAMS TO SCHOOL-AGED CHILDREN. 682917 856361 50700395 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 195 0 1 728 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KURT ELLIS 3179572013 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 TERRI GARCIA CHAIRPERSON 2.00 X X 0 0 0 LINDY PRUETT VICE CHAIRPERSON 2.00 X X 0 0 0 MIRIAM ACEVEDO-DAVIS TREASURER 2.00 X X 0 0 0 SUSAN MAY SECRETARY 2.00 X X 0 0 0 TAMERA COOLMAN BOARD MEMBER 2.00 X 0 0 0 WESLEY FERRELL BOARD MEMBER 2.00 X 0 0 0 SUZANNE WAYMAN BOARD MEMBER 2.00 X 0 0 0 TOBY SALYERS BOARD MEMBER - END JAN 19 2.00 X 0 0 0 TERRI GRACE BOARD MEMBER 2.00 X 0 0 0 PATRICK THAR BOARD MEMBER - START MAR 19 2.00 X 0 0 0 LAL PUII BOARD MEMBER 2.00 X 0 0 0 JONATHAN CLINTON BOARD MEMBER 2.00 X 0 0 0 RICARDO DIAZ COO/CEO & NON-VOTING PRES. 40.00 X 313220 0 24344 KURT ELLIS CFO 40.00 X 203268 0 8065 RICHARD REIFENBERG CHIEF MEDICAL INFORMATION 40.00 X 274993 0 36100 SHEILA ALLEN CHIEF COMPLIANCE & QUALITY 40.00 X 142534 0 30916 KAY JOHNSON CHIEF DEVELOPMENT & COMMUN 40.00 X 128900 0 11517 RENE KOUGAL CHIEF OPERATING OFFICER - START AUG 19 40.00 X 70426 0 9972 DAN WEGG CHIEF COMPLIANCE OFFICER 40.00 X 112031 0 10860 SONJA BACHUS CHIEF OPERATING OFFICER - END APR 19 40.00 X 57791 0 3218 CARRIE BONSACK DEPUTY CHIEF OPERATING OFF 40.00 X 168420 0 6727 VARON CANTRELL ASSOCIATE MEDICAL DIRECTOR 40.00 X 252194 0 27191 KENDRA KARNER MD OB/GYN 40.00 X 355485 0 30594 TAMARA MENDEZ TORRES MD OB/GYN 40.00 X 321225 0 10908 JANA SEITZ MD OB/GYN 40.00 X 320952 0 22960 SELENA BARTELSON-ANDREWS MD OB/GYN 40.00 X 279426 0 16693 EMILY BOWSHER MD OB/GYN 40.00 X 310002 0 30594 3310867 0 280659 79 0 1 0 KRIEG DEVAULT ONE INDIANA SQUARE 2800 INDIANAPOLIS IN 46204 ATTORNEY AND LEGAL SERVICES 520229 CERTIFIED LANGUAGES INTERNAT'L 4800 SW MACADAM AVE PORTLAND OR 97239 TRANSLATION SERVICES 312443 ECLINICALWORKS LLC TWO TECHNOLOGY DRIVE WESTBOROUGH MA 01581 TECHNOLOGY SERVICES 295319 SOUTHEAST COMMUNITY SERVICES INC 904 SHELBY STREET INDIANAPOLIS IN 46203 REAL ESTATE MANAGEMENT 279579 EXECUTIVE IMAGE BUILDING SERVICES 500 POLK STREET STE 14 GREENWOOD IN 46143 JANITORIAL SERVICES 249066 22 8035 13497900 4689787 2495532 18195722 NET PATIENT REVENUE 621300 47706986 47706986 340B PHARMACY REVENUE 621300 5963546 5963546 53670532 40858 40858 25445 0 25445 25445 25445 55428 -55428 -55428 -55428 MEANINGFUL USE FUNDS 621300 314500 314500 325857 325857 640357 72517486 54010477 0 311287 1892684 1532559 341198 18927 35632077 29707581 5568175 356321 1307006 1049262 244674 13070 4759478 3820900 890983 47595 2772983 2226145 519108 27730 409653 204827 204826 51275 51275 3571545 1829346 1742199 122216 98962 23254 763169 715255 40283 7631 147280 119257 28023 3414507 2202338 1212169 27849 22550 5299 150394 150394 1172977 900333 272644 702779 569060 133719 MEDICAL SUPPLIES 4750447 4750447 HOUSING 945233 945233 EDUCATION ASSISTANCE 4606 4606 EMPLOYMENT ASSISTANCE 1734 1734 53876 53876 62653768 50700395 11482099 471274 111754 22884 742243 330025 1213765 754216 3444233 4095411 450791 1000343 24842653 13072716 12920602 11769937 7531871 6235655 6172334 25119043 31677021 6574508 5124321 90498 64967 1856514 34385 8521520 5223673 X 16597523 26453348 16597523 26453348 25119043 31677021 X 9863718 -7893 X X 0 1 X 1 1 1 X 15560737 18808076 44898481 18565112 18195722 116028128 41744305 43045217 41101058 40454724 53670632 220015936 57305042 61853293 85999539 59019836 71866354 336044064 0 0 0 336044064 18012 34949 12925 33881 66303 166070 18012 34949 12925 33881 66303 166070 1750297 125343 1221185 729379 640357 4466561 59073351 62013585 87233649 59783096 72573014 340676695 0.98640 0.98660 0.00050 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2015 AMOUNT: $ 1,750,297. 2016 AMOUNT: $ 125,343. 2017 AMOUNT: $ 1,221,185. 2018 AMOUNT: $ 729,379. 2019 AMOUNT: $ 640,357. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13615787 4477949 9137838 2088678 815246 1273432 9138188 7779521 1358667 11769937 SECURITY DEPOSITS 3334 INVESTMENT IN JOINT VENTURE 6169000 6172334 X 70060412 -2457074 -2457074 72517486 0 72517486 60204587 -2449181 -2449181 62653768 0 62653768 PART X, LINE 2: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY ASC 740-10: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HEALTHNET AND RECOGNIZE A TAX LIABILITY IF HEALTHNET 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 HEALTHNET AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. HEALTHNET 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: UNREALIZED CHANGE IN JOINT VENTURE -7,893. 340B EXPENSES NETTED WITH REVENUE -2,449,181. PART XII, LINE 2D - OTHER ADJUSTMENTS: 340B EXPENSES NETTED WITH REVENUE -2,449,181. X X X 0 0 0 0 0 0 0 0 0 RICARDO DIAZ COO/CEO & NON-VOTING PRES. 275698 0 34476 0 3046 0 4950 0 19394 0 337564 0 0 0 KURT ELLIS CFO 186262 0 17006 0 0 0 8065 0 0 0 211333 0 0 0 RICHARD REIFENBERG CHIEF MEDICAL INFORMATION 271696 0 297 0 3000 0 11200 0 24900 0 311093 0 0 0 SHEILA ALLEN CHIEF COMPLIANCE & QUALITY 138738 0 3796 0 0 0 6016 0 24900 0 173450 0 0 0 CARRIE BONSACK DEPUTY CHIEF OPERATING OFF 164680 0 290 0 3450 0 6727 0 0 0 175147 0 0 0 VARON CANTRELL ASSOCIATE MEDICAL DIRECTOR 251406 0 788 0 0 0 7797 0 19394 0 279385 0 0 0 KENDRA KARNER MD OB/GYN 355213 0 272 0 0 0 11200 0 19394 0 386079 0 0 0 TAMARA MENDEZ TORRES MD OB/GYN 320932 0 293 0 0 0 10908 0 0 0 332133 0 0 0 JANA SEITZ MD OB/GYN 320658 0 294 0 0 0 11200 0 11760 0 343912 0 0 0 SELENA BARTELSON-ANDREWS MD OB/GYN 278569 0 857 0 0 0 11200 0 5493 0 296119 0 0 0 EMILY BOWSHER MD OB/GYN 309729 0 273 0 0 0 11200 0 19394 0 340596 0 0 0 X 1 2495532 UNIT PRICE VIA INVOICE 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. THE GOVERNING BODY RECEIVES AN ELECTRONIC OR PAPER COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE IS ENFORCED BY THE BOARD MEMBERSHIP COMMITTEE FOR BOARD MEMBERS AND THE COMPLIANCE OFFICER FOR HEALTHNET LEADERSHIP STAFF. THE SCOPE OF THIS POLICY INCLUDES ALL LEADERSHIP STAFF AND BOARD MEMBERS. THE POLICY IS IN PLACE TO ENSURE THAT ANY TRANSACTIONS WITH RELATIVES OR OUTSIDE BUSINESS RELATIONSHIPS IN WHICH STAFF OR BOARD MEMBER ARE ALSO AFFILIATED WITH IS REPORTED. ANY GIFTS OR TRANSACTIONS OVER $75 WITH COMPANIES OR INDIVIDUALS THAT THE ORGANIZATION MAY DO OR DOES BUSINESS WITH MUST BE REPORTED. BOARD MEMBERS MUST DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST AND ABSTAIN FROM VOTING ON ISSUES RELATED TO THOSE INTERESTS. THE COVERED PERSONS ARE TO REFRAIN FROM PROFITING FROM THE ORGANIZATION THROUGH THEIR DECISIONS OR TO INFLUENCE OTHERS, AND TO REFRAIN FROM ACCEPTANCE OF GIFTS OF ANY KIND. A SELF DISCLOSURE FORM IS COMPLETED ANNUALLY BY LEADERSHIP STAFF AND BOARD MEMBERS, AND IT IS REQUIRED THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED. THE COVERED PERSONS ARE TO RECUES FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THE BOARD MEMBERSHIP COMMITTEE AND HEALTHNET COMPLIANCE OFFICER REVIEW THE COMPLETED CONFLICT OF INTEREST FORMS. FORM 990, PART VI, SECTION B, LINE 15 HEALTHNET'S BOARD IS RESPONSIBLE TO HIRE AND ANNUALLY EVALUATE THE PRESIDENT. THE BOARD MAY ALSO REVIEW COMPENSATION STUDIES FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND OTHER PUBLICATIONS OF RELEVANCE TO ADJUST THE CEO COMPENSATION IN ORDER TO BE MARKET COMPETITIVE. FORM 990, PART VI, SECTION C, LINE 19 HEALTHNET, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED INVESTMENT CHANGE IN JOI -7,893. FORM 990, PART XI, LINE 2C, OVERSIGHT OF AUDIT: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; NO PROCESSESS HAVE CHANGED FROM PRIOR YEAR. GENESIS PLAZA ASSOCIATES LLC 2855 N KEYSTONE AVENUE INDIANAPOLIS IN 46218 352125078 REAL ESTATE IN 108539 2699737 HEALTNET PEOPLES HEALTH CENTER LLC 3401 E RAYMOND STREET INDIANAPOLIS IN 46203 271921801 REAL ESTATE IN 501(C)(3) LINE 12B, II 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0