2019-09-09T14:02:23-05:00 2018-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-01-01 351579827 HEALTHNET INC HEAL 3179572000 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 KURT ELLIS CFO 3179572000 2019-09-09 1 ANGELA N CRAWFORD CPA P00573197 3176334705 2019-09-09 38.109.186.2 2019-09-09 14:02:20 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF923E04E140C4DE71FD41AF2127CF5344A3E036 2018 2019-02-21 02:37:17Z KURT ELLIS 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 59783096 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. 11 11 737 12 0 0 45791742 18565112 41101057 40454724 673 7635 340177 755625 87233649 59783096 0 0 0 0 48634703 47317706 0 0 482490 14620817 17085212 63255520 64402918 23978129 -4619822 33762698 25119043 12517540 8521520 21245158 16597523 X THE MISSION OF HEALTHNET, INC. IS TO IMPROVE LIVES WITH COMPASSIONATE HEALTH CARE AND SUPPORT SERVICES, REGARDLESS OF ABILITY TO PAY. 0 0 44347245 34850885 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 2018, HEALTHNET, INC. PROVIDED 185,816 PATIENT CARE MEDICAL VISITS TO 56,837 MEDICAL PATIENTS, 21,807 DENTAL VISITS TO 9,055 DENTAL PATIENTS, AND 22,726 BEHAVIORAL HEALTH VISITS TO 5,124 PATIENTS. IN 2018, HEALTHNET OB/GYNS AND CERTIFIED NURSE MIDWIVES DELIVERED 1,653 BABIES AND DELIVERED PRENATAL CARE TO 2,840 WOMEN. 2701863 2796619 HEALTHNET, INC. PROVIDED 12,270 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. 2490544 2586533 HEALTHNET, INC. PROVIDED SERVICES TO HOMELESS CLIENTS WITH CARE PROVIDED AT 10 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 2018, THE HOMELESS INITIATIVE PROGRAM PROVIDED SERVICES TO 3,764 HOMELESS CLIENTS. 753930 595433 HEALTHNET, INC. ALSO PROVIDED MEDICAL SERVICES IN 6 SCHOOLS IN INDIANAPOLIS. THE SCHOOL-BASED CLINIC PROGRAM PROVIDED 2,853 PRIMARY CARE VISITS, AS WELL AS NUMEROUS NURSE VISITS, MEDICATION MANAGEMENT SERVICES, SOCIAL SERVICES, AND OUTREACH PROGRAMS TO SCHOOL-AGED CHILDREN. 753930 595433 50293582 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 X 159 0 1 737 1 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 KURT ELLIS 3179572013 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 TOBY SALYERS CHAIRPERSON 2.00 X X 0 0 0 TERRI GARCIA VICE CHAIRPERSON 2.00 X X 0 0 0 SUSAN MAY SECRETARY 2.00 X X 0 0 0 MIRIAM ACEVEDO-DAVIS TREASURER 2.00 X X 0 0 0 JONATHAN CLINTON BOARD MEMBER 2.00 X 0 0 0 TAMERA COOLMAN BOARD MEMBER-TERM BEGAN NOV'18 2.00 X 0 0 0 WESLEY FERRELL BOARD MEMBER 2.00 X 0 0 0 TERRI GRACE BOARD MEMBER-TERM BEGAN APR'18 2.00 X 0 0 0 LINDY PRUETT BOARD MEMBER 2.00 X 0 0 0 LAL PUII BOARD MEMBER 2.00 X 0 0 0 SUZANNE WAYMAN BOARD MEMBER-TERM BEGAN MAY'18 2.00 X 0 0 0 STEVE THOMPSON BOARD MEMBER-TERM ENDED OCT'18 2.00 X 0 0 0 RICARDO DIAZ COO/CEO & NON-VOTING PRES. 40.00 X 255305 0 14617 LARRY FLICK CFO JAN-MAR'18 40.00 X 108982 0 6881 KURT ELLIS CFO APR-DEC'18 40.00 X 101793 0 4332 DONALD TRAINOR CHIEF MEDICAL OFFICER 40.00 X 320695 0 20696 SHEILA ALLEN CHIEF COMPLIANCE & QUALITY 40.00 X 124610 0 21725 KAY JOHNSON CHIEF DEVELOPMENT & COMMUN 40.00 X 116335 0 10321 SONJA BACHUS CHIEF OPERATING OFFICER 40.00 X 159528 0 19180 RICHARD REIFENBERG CHIEF MEDICAL INFORMATION OFFICER 40.00 X 254822 0 24949 VARON CANTRELL ASSOCIATE MEDICAL DIRECTOR 40.00 X 234407 0 21092 CARRIE BONSACK DEPUTY CHIEF OPERATING OFFICER 40.00 X 150502 0 6557 JEFF REINHARDT MD OB/GYN MEDICAL DIRECTOR 40.00 X 370046 0 25626 KENDRA KARNER MD OB/GYN 40.00 X 351556 0 25843 EMILY BOWSHER MD OB/GYN 40.00 X 301533 0 25703 TAMARA MENDEZ TORRES MD OB/GYN 40.00 X 293864 0 11389 JESSICA PITTMAN MD OB/GYN 40.00 X 276633 0 21952 3420611 0 260863 83 0 1 0 KRIEG DEVAULT ONE INDIANA SQUARE 2800 INDIANAPOLIS IN 46204 ATTORNEY AND LEGAL SERVICES 1001504 CERTIFIED LANGUAGES INTERNAT'L 4800 SW MACADAM AVE PORTLAND OR 97239 TRANSLATION SERVICES 383254 INTERIM HEALTHCARE 8803 N MERIDIAN ST INDIANAPOLIS IN 46260 STAFFING SERVICES 372096 SOUTHEAST COMMUNITY SERVICES INC 904 SHELBY STREET INDIANAPOLIS IN 46203 REAL ESTATE MANAGEMENT 363300 ECLINICALWORKS LLC TWO TECHNOLOGY DRIVE WESTBOROUGH MA 01581 TECHNOLOGY SERVICES 303199 17 8035 13778643 4778434 2370431 18565112 NET PATIENT REVENUE 621300 38193385 38193385 PHYSICIAN COVERAGE SERVICES 621300 2261339 2261339 40454724 7635 7635 26246 0 26246 26246 26246 MEANINGFUL USE FUNDS 621300 348500 348500 380879 380879 729379 59783096 40829470 0 388514 1284999 1004306 267843 12850 37165902 31684065 5110178 371659 1290767 1073394 204465 12908 4795967 3988296 759711 47960 2780071 2311890 440380 27801 957292 478646 478646 40000 40000 4138469 541981 3596488 89835 70212 19623 931170 619759 302099 9312 263298 205784 57514 3470143 2334268 1135875 28496 22271 6225 30876 30876 1358098 1004697 353401 439061 343152 95909 MEDICAL SUPPLIES 4562187 4562187 HOUSING 607344 607344 EDUCATION ASSISTANCE 24560 24560 EMPLOYMENT ASSISTANCE 24114 24114 120269 120269 64402918 50293582 13626846 482490 6900884 111754 503152 742243 1615634 1213765 4242101 3444233 424736 450791 24820342 11899740 13812723 12920602 6263468 6235655 33762698 25119043 12195802 6574508 96676 90498 225062 1856514 12517540 8521520 X 21245158 16597523 21245158 16597523 33762698 25119043 X -4619822 -27813 X X 0 1 X 1 1 1 X 14788439 15560737 18808076 44898481 18565112 112620845 39142495 41744305 43045217 41101058 40454724 205487799 53930934 57305042 61853293 85999539 59019836 318108644 0 0 0 318108644 14137 18012 34949 12925 33881 113904 14137 18012 34949 12925 33881 113904 2521051 1750297 125343 1221185 729379 6347255 56466122 59073351 62013585 87233649 59783096 324569803 0.98010 0.97630 0.00040 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2014 AMOUNT: $ 2,521,051. 2015 AMOUNT: $ 1,750,297. 2016 AMOUNT: $ 125,343. 2017 AMOUNT: $ 1,221,185. 2018 AMOUNT: $ 729,379. 300 300 13615787 4115328 9500459 2088678 697500 1391178 9115877 7086912 2028965 12920602 SECURITY DEPOSITS 3334 INVESTMENT IN JOINT VENTURE 6232321 6235655 X 59755283 -27813 -27813 59783096 0 59783096 64402918 0 64402918 0 64402918 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, 2018 AND 2017, 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 -27,813. X X X 0 0 0 0 0 0 0 0 0 RICARDO DIAZ COO/CEO & NON-VOTING PRES. 251405 0 0 0 3900 0 0 0 14617 0 269922 0 0 0 DONALD TRAINOR CHIEF MEDICAL OFFICER 320695 0 0 0 0 0 11000 0 9696 0 341391 0 0 0 SONJA BACHUS CHIEF OPERATING OFFICER 159528 0 0 0 0 0 6712 0 12468 0 178708 0 0 0 RICHARD REIFENBERG CHIEF MEDICAL INFORMATION OFFICER 246822 0 0 0 8000 0 10561 0 14388 0 279771 0 0 0 VARON CANTRELL ASSOCIATE MEDICAL DIRECTOR 231944 0 2463 0 0 0 7095 0 13997 0 255499 0 0 0 CARRIE BONSACK DEPUTY CHIEF OPERATING OFFICER 150202 0 0 0 300 0 6012 0 545 0 157059 0 0 0 JEFF REINHARDT MD OB/GYN MEDICAL DIRECTOR 369217 0 829 0 0 0 11000 0 14626 0 395672 0 0 0 KENDRA KARNER MD OB/GYN 349755 0 1801 0 0 0 11000 0 14843 0 377399 0 0 0 EMILY BOWSHER MD OB/GYN 300633 0 900 0 0 0 11000 0 14703 0 327236 0 0 0 TAMARA MENDEZ TORRES MD OB/GYN 293864 0 0 0 0 0 10588 0 801 0 305253 0 0 0 JESSICA PITTMAN MD OB/GYN 275733 0 900 0 0 0 7446 0 14506 0 298585 0 0 0 X 1 2370431 DONOR COST SCHEDULE 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART V, LINES 1 AND 2, FORMS 1096 AND W-3: HEALTHNET, INC. DOES NOT ISSUE 1099S OR W-2S UNDER ITS EIN. ALL INDEPENDENT CONTRACTORS AND EMPLOYEES OF HEALTHNET, INC. ARE REPORTED UNDER THE EIN OF INDIANA UNIVERSITY HEALTH, INC. AS SUCH, PART V, LINE 1 HAS BEEN ANSWERED WITH A ZERO. LINE 2 HAS BEEN ASNWERED WTIH THE NUMBER OF EMPLOYEES WORKING AT HEALTHNET DURING 2012 THAT ARE PAID UNDER THE EIN# OF INDIANA UNIVERSITY HEALTH, INC. 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 CHANGE IN JOINT VENTURE -27,813. 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 90980 2675865 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