2022-11-11T10:51:12-06:00 2021-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2021-01-01 351579827 HEALTHNET INC HEAL 3179572000 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 JOSEPH LACKEY CFO 3179572013 2022-11-11 1 JOSEPH LACKEY 999009999 ANGELA N CRAWFORD CPA P00573197 3176334705 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JOSEPH LACKEY 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 83755412 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 12 895 65 0 0 21870283 32536469 42796141 49786421 -1130073 34048 24906 278991 63561257 82635929 0 0 0 0 50741513 56913885 0 0 569139 17741492 18947190 68483005 75861075 -4921748 6774854 33908365 38369319 12350888 9728592 21557477 28640727 X THE MISSION OF HEALTHNET, INC. IS TO IMPROVE LIVES WITH COMPASSIONATE HEALTH CARE AND SUPPORT SERVICES, REGARDLESS OF ABILITY TO PAY. 0 0 52987550 42793509 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 2021, HEALTHNET, INC. PROVIDED 160,279 PATIENT CARE MEDICAL VISITS TO 55,131 MEDICAL PATIENTS, 25,335 DENTAL VISITS TO 10,287 DENTAL PATIENTS, AND 28,054 BEHAVIORAL HEALTH VISITS TO 6,415 PATIENTS. IN 2021, HEALTHNET OB/GYNS AND CERTIFIED NURSE MIDWIVES DELIVERED 999 BABIES AND DELIVERED PRENATAL CARE TO 2,317 WOMEN. 2769654 2335435 HEALTHNET, INC. PROVIDED 7,748 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. 4334761 4177773 HEALTHNET, INC. PROVIDED SERVICES TO HOMELESS CLIENTS WITH CARE PROVIDED AT 9 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 2021, THE HOMELESS INITIATIVE PROGRAM PROVIDED SERVICES TO 2,874 HOMELESS CLIENTS. 927656 608752 HEALTHNET, INC. ALSO PROVIDED MEDICAL SERVICES IN 8 SCHOOLS IN INDIANAPOLIS. THE SCHOOL-BASED CLINIC PROGRAM PROVIDED 1,224 PRIMARY CARE VISITS, AS WELL AS NUMEROUS NURSE VISITS, MEDICATION MANAGEMENT SERVICES, SOCIAL SERVICES, AND OUREACH PROGRAMS TO SCHOOL-AGED CHILDREN. 927656 608752 61019621 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 0 1 0 0 0 1 174 0 1 895 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 JOSEPH LACKEY 3179572013 3403 E RAYMOND STREET INDIANAPOLIS IN 46203 TERRI GARCIA CHAIRPERSON & PRESIDENT 2.00 X X 0 0 0 ROB SANTA VICE CHAIRPERSON 2.00 X X 0 0 0 MIRIAM ACEVEDO-DAVIS SECRETARY 2.00 X X 0 0 0 SUZANNE WAYMAN TREASURER 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 LA VETTE GLADNEY BOARD MEMBER - TERM BEG SEP'21 2.00 X 0 0 0 VICTOR MALINOVSKY BOARD MEMBER 2.00 X 0 0 0 MICHAEL PREYSS BOARD MEMBER - TERM BEG FEB'21 2.00 X 0 0 0 LINDY PRUETT BOARD MEMBER 2.00 X 0 0 0 TOBY SALYERS BOARD MEMBER 2.00 X 0 0 0 JUSTIN THANG BOARD MEMBER - TERM BEG MAR'21 2.00 X 0 0 0 RICARDO DIAZ COO/CEO 40.00 X 389857 0 24395 JOSEPH LACKEY CFO 40.00 X 169082 0 21899 RICHARD REIFENBERG CHIEF MEDICAL OFFICER 40.00 X 303095 0 32455 SHEILA ALLEN CHIEF COMPLIANCE & QUALITY 40.00 X 180889 0 23513 KAY JOHNSON CHIEF DEVELOPMENT & COMMUN 40.00 X 181603 0 13913 RENE KOUGAL CHIEF OPERATING OFFICER 40.00 X 228632 0 31418 DAN WEGG CHIEF COMPLIANCE OFFICER 40.00 X 144741 0 12843 CARRIE BONSACK DEPUTY CHIEF OPERATING OFFICER 40.00 X 229342 0 9000 VARON CANTRELL CHIEF MEDICAL INFORMATION OFFICER 40.00 X 284808 0 32479 MARY TRAINOR MD OB/GYN 40.00 X 410699 0 17725 JANA SEITZ MD OB/GYN 40.00 X 365575 0 18902 EMILY BOWSHER MD OB/GYN 40.00 X 332940 0 32798 TAMARA MENDEZ TORRES MD OB/GYN 40.00 X 320160 0 11321 SELENA BARTELSON-ANDREWS MD OB/GYN 40.00 X 280474 0 13235 3821897 0 295896 94 0 1 0 KRIEG DEVAULT LLP ONE INDIANA SQUARE 2800 INDIANAPOLIS IN 46204 LEGAL COUNSEL 432030 ECLINICALWORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 IT SERVICES 354289 DELL FINANCIAL SERVICES ONE DELL WAY ROUND ROCK TX 78682 IT SERVICES 275030 LUCIDIA IT LLC 875 ALLISONVILLE POINTE TRAIL STE INDIANAPOLIS IN 46250 IT SERVICES 108718 4 40787 8035 20503228 11984419 2272426 32536469 NET PATIENT REVENUE 621300 41102806 41102806 340B PHARMACY REVENUE 621300 8131362 8131362 SCHOOL BASED SERVICES 621300 455783 455783 RESIDENT PROVIDER CARE 621300 96470 96470 49786421 65595 65595 129048 0 129048 129048 129048 1087936 1119483 -31547 -31547 -31547 149943 149943 149943 82635929 49915469 0 183991 2313966 1874312 416514 23140 42829186 35452782 6948112 428292 1521334 1129763 376358 15213 7133033 5297085 1764618 71330 3116366 2317380 767822 31164 478458 239229 239229 33643 33643 4171746 2954733 1217013 66989 53976 13013 876668 675391 201277 315203 253651 61552 3955802 2394369 1561433 59901 48204 11697 58843 58843 1186344 955893 230451 721133 581051 140082 MEDICAL SUPPLIES 5160052 5160052 HOUSING 1627862 1627862 EDUCATION ASSISTANCE 3500 3500 231046 388 230658 75861075 61019621 14272315 569139 17890 137147 1507561 6533234 1544249 2260289 5290473 4219093 560274 498713 29088096 15818761 11220628 13269335 7569079 7543876 6198211 3907632 33908365 38369319 7290490 5727671 648976 624920 1647363 813691 2764059 2562310 12350888 9728592 X 21557477 28640727 21557477 28640727 33908365 38369319 X 6774854 308396 X X 0 1 X 1 1 1 X 44898481 18565112 18195722 21870283 32536469 136066067 41101058 40454724 53670632 42796141 49786421 227808976 85999539 59019836 71866354 64666424 82322890 363875043 0 0 0 363875043 12925 33881 66303 72184 194643 379936 12925 33881 66303 72184 194643 379936 1221185 729379 640357 10468 149943 2751332 87233649 59783096 72573014 64749076 82667476 367006311 0.99150 0.99150 0.00100 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2017 AMOUNT: $ 1,221,185. 2018 AMOUNT: $ 729,379. 2019 AMOUNT: $ 640,357. 2020 AMOUNT: $ 10,468. 2021 AMOUNT: $ 149,943. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 703183 703183 14168779 5301588 8867191 3049507 1215479 1834028 11166627 9301694 1864933 13269335 SECURITY DEPOSITS 53929 INVESTMENT IN JOINT VENTURE 3853703 3907632 DUE TO IU HEALTH 2562310 2562310 X 79276799 -31547 308396 276849 78999950 3635979 3635979 82635929 72193549 0 72193549 3667526 3667526 75861075 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, 2021 AND 2020, 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 -116,794. EQUITY TRANSFER 425,190. PART XI, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES NETTED WITH REVENUE 3,667,526. GAIN FROM SALE OF ASSETS -31,547. PART XII, LINE 4B - OTHER ADJUSTMENTS: 340B EXPENSES NETTED WITH REVENUE 3,667,526. X X X 0 0 0 0 0 0 0 0 0 MARY TRAINOR MD OB/GYN 404124 0 1500 0 5075 0 11467 0 6258 0 428424 0 0 0 RICARDO DIAZ COO/CEO 322711 0 60870 0 6276 0 3138 0 21257 0 414252 0 0 0 JANA SEITZ MD OB/GYN 359373 0 2850 0 3352 0 11497 0 7405 0 384477 0 0 0 EMILY BOWSHER MD OB/GYN 329549 0 1450 0 1941 0 11541 0 21257 0 365738 0 0 0 RICHARD REIFENBERG CHIEF MEDICAL OFFICER 288425 0 4050 0 10620 0 11198 0 21257 0 335550 0 0 0 TAMARA MENDEZ TORRES MD OB/GYN 318017 0 1490 0 653 0 11321 0 0 0 331481 0 0 0 VARON CANTRELL CHIEF MEDICAL INFORMATION OFFICER 268727 0 7050 0 9031 0 11222 0 21257 0 317287 0 0 0 SELENA BARTELSON-ANDREWS MD OB/GYN 275080 0 3690 0 1704 0 6977 0 6258 0 293709 0 0 0 RENE KOUGAL CHIEF OPERATING OFFICER 204952 0 17925 0 5755 0 9257 0 22161 0 260050 0 0 0 CARRIE BONSACK DEPUTY CHIEF OPERATING OFFICER 199903 0 25386 0 4053 0 9000 0 0 0 238342 0 0 0 SHEILA ALLEN CHIEF COMPLIANCE & QUALITY 174566 0 1050 0 5273 0 7403 0 16110 0 204402 0 0 0 KAY JOHNSON CHIEF DEVELOPMENT & COMMUN 164453 0 11250 0 5900 0 7131 0 6782 0 195516 0 0 0 JOSEPH LACKEY CFO 166397 0 1050 0 1635 0 7194 0 14705 0 190981 0 0 0 DAN WEGG CHIEF COMPLIANCE OFFICER 139230 0 1050 0 4461 0 5820 0 7023 0 157584 0 0 0 X 1 2272426 INVOICE UNIT PRICE 0 1 0 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 -116,794. EQUITY TRANSFER 425,190. 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. 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 PEOPLE'S HEALTH CENTER C 8035 2020 ANNUAL CONTRIBUTION PEOPLE'S HEALTH CENTER K 18000 HEALTHNET, INC. LEASE