2023-11-09T14:01:13-06:00 2022-12-31 FORVIS LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2022-01-01 310884250 HEALTHSOURCE OF OHIO INC % THOMAS DUCRO JR HEAL 5135767700 424 WARDS CORNER RD Suite 200 LOVELAND OH 45140 THOMAS DUCRO JR CFO 5135767700 2023-11-15 true THOMAS DUCRO JR 999009999 AARON HERSHBERGER P00961884 5136218300 2 2022 2023-04-26 12:10:37Z KIMBERLY PATTON 424 WARDS CORNER RD SUITE 200 LOVELAND OH 45140 67959084 false X WWW.HEALTHSOURCEOFOHIO.ORG X 1976 OH HEALTHSOURCE OF OHIO IS A NONPROFIT COMMUNITY HEALTH CENTER THAT PROVIDES QUALITY, PATIENT-CENTERED HEALTH CARE TO UNDERSERVED PATIENTS IN SOUTHWEST OHIO. 10 10 469 10 1245208 0 14102359 14904051 41512852 48831954 1257890 1609020 2682099 2614059 59555200 67959084 0 120000 0 0 30155672 31871960 0 0 0 22522657 24381004 52678329 56372964 6876871 11586120 92512898 98137145 9031905 9755309 83480993 88381836 X HEALTHSOURCE OF OHIO IS A NONPROFIT PRIMARY CARE ORGANIZATION CONSISTING OF MEDICAL, DENTAL, VISION AND MENTAL HEALTH SERVICES. WE SEEK TO BRING TO THE PEOPLE OF SOUTHWEST OHIO A COMPREHENSIVE, EXCEPTIONAL QUALITY OF HEALTHCARE THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. false false 47048159 120000 48619418 FEDERAL COMMUNITY HEALTH CENTERS PROVIDING MEDICAL, DENTAL, VISION, PHARMACY, AND MENTAL HEALTH VISITS. 47048159 true true false true false false false false false false true true false false false true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 63 0 true 469 true true true false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X THOMAS DUCRO JR 5135767700 424 WARDS CORNER RD STE 200 LOVELAND OH 45140 Sherry Johnson Physician 40.0 0.0 X 449453 0 37509 Maria Gerber Physician 40.0 0.0 X 433500 0 30117 Regina Lovette Physician 40.0 0.0 X 419238 0 27134 Kimberly Patton PRESIDENT / CEO 40.0 0.0 X 351207 0 38816 Holly Binnig MD MEDICAL DIRECTOR 40.0 0.0 X 314325 0 27123 Roger Chang Physician 40.0 0.0 X 289465 0 48590 Thomas A Ducro CHIEF FINANCIAL OFFICER 40.0 0.0 X 282465 0 41459 Michael Dietz Physician 40.0 0.0 X 257754 0 47637 Lisa Jackson VP-MARKETING 40.0 0.0 X 250345 0 24947 Mary Bridget Fossett VP-OPERATIONS 40.0 0.0 X 225551 0 23230 Heather McNichols VP-HUMAN RESOURCES 40.0 0.0 X 221843 0 26933 Samuel Rotunna DIR Pharmacy Operations 40.0 0.0 X 201544 0 46668 Steven Strathmann VP-Philanthropy 40.0 0.0 X 109361 0 29961 JINA BOHL TRUSTEE 3.0 0.0 X 0 0 0 KONSTANTINOS ELEFTER TRUSTEE 3.0 0.0 X 0 0 0 STEPHEN HOOD TRUSTEE 3.0 0.0 X 0 0 0 KEVIN LEFLER TRUSTEE 3.0 0.0 X 0 0 0 ROBERT MANNING TRUSTEE - TERM ENDED 3.0 0.0 X 0 0 0 TIFFANY MATTINGLY TRUSTEE 3.0 0.0 X 0 0 0 MARK MCANDREW VICE-CHAIRPERSON 3.0 0.0 X X 0 0 0 DOUGLAS MCDONALD SECRETARY / TREASURER 3.0 0.0 X X 0 0 0 MICHAEL OBERDOERSTER MD TRUSTEE 3.0 0.0 X X 0 0 0 RAY TAKIGIKU TRUSTEE - TERM ENDED 3.0 0.0 X 0 0 0 DIANA WILLIAMS TRUSTEE 3.0 0.0 X 0 0 0 CYNDY WRIGHT CHAIRPERSON 3.0 0.0 X X 0 0 0 3806051 0 450124 70 false true false WCBC LIMITED PARTNERSHIP 6281 TRI-RIDGE BLVD STE 180 LOVELAND OH 45140 RENT 373625 HEALTHCARE GA HOLDINGS GENERAL PO BOX 209362 AUSTIN TX 78720 RENT 329374 ENVISION COMMERCIAL CLEANING 52 EAST CRESCENTVILLE RD WEST CHESTER OH 45246 JANITORIAL 318948 FAIRWAY CAPITAL RECOVERY LLC 4000 EXECUTIVE PART DR STE 3 CINCINNATI OH 45241 COLLECTION 125189 RAYMOND MICHAEL FANCHER 8034 FOREST RD CINCINNATI OH 45255 PRINTING 121505 6 200000 14704051 0 14904051 NET PATIENT FEES 621110 26587929 26587929 PHARMACY REVENUE 446110 21516128 21072999 443129 OTHER REVENUE 621110 727897 727897 48831954 1609020 1609020 0 0 266960 0 266960 0 266960 266960 0 0 0 0 0 0 0 0 0 0 Centerprise Billing/Consulting 561499 2347099 1545020 802079 2347099 67959084 49933845 1245208 1875980 120000 120000 0 0 0 2215778 1851061 364717 0 24153663 20177970 3975693 1101098 919857 181241 2531961 2115200 416761 1869460 1561747 307713 1970545 1646193 324352 675 564 111 62088 51868 10220 0 0 0 3428175 2863897 564278 0 363253 303462 59791 348338 291002 57336 2250267 1879873 370394 0 2464214 2058604 405610 202425 169106 33319 0 142002 118628 23374 78485 78485 0 2270484 1896762 373722 157198 131323 25875 SUPPLIES 9863099 8239633 1623466 DUES AND SEMINARS 160368 133971 26397 MISCELLANEOUS 619388 517437 101951 56372964 47048159 9324805 0 0 0 9994752 10045111 0 0 4469213 4884544 0 0 0 0 0 0 531698 681160 257565 331710 51777075 21253575 27511862 30523500 0 0 49747808 51671120 0 0 0 0 0 0 92512898 98137145 5616630 5926513 0 0 1667580 85775 0 0 0 0 0 0 1747695 3743021 0 0 0 0 9031905 9755309 X 83480993 88381836 0 0 83480993 88381836 92512898 98137145 X 11586120 -6713333 28056 X false true X true true true X 8912845 9021032 16454851 14102359 14904051 63395138 0 0 8912845 9021032 16454851 14102359 14904051 63395138 0 63395138 1186874 1292196 1437554 1688531 1875980 7481135 1123530 988957 1516836 1878737 2559635 8067695 0 78943968 209414392 0.80304 0.81762 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 39000 39000 false Schedule C, Part II-B, Line I Lobbying Activities During the tax year ending December 31, 2022, HSO paid a lobbyist for services related to potential participation in the PACE program. 2920792 2920792 28409904 7061155 21348749 2059717 4369696 -2309979 14139263 9479096 4660167 4247399 343628 3903771 30523500 VARIOUS INVESTMENTS 20452411 F RESTRICTED COLLATERAL 31204508 F INVESTMENT CENTERPRISE 14201 F 51671120 0 0 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE HEALTHSOURCE AND FOUNDATION HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, BOTH ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CENTERPRISE IS A SINGLE MEMBER LIMITED LIABILITY CORPORATION AND IS DISREGARDED FOR INCOME TAX PURPOSES. ALL THREE ENTITIES FILE RETURNS IN THE U.S. FEDERAL JURISDICTION. true Healthsource Foundation 424 WARDS CORNER ROAD Loveland OH 45140 454682089 501(c)(3) 120000 GENERAL NEEDS 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE BOARDS OF HEALTHSOURCE OF OHIO AND ITS SINGLE MEMBER LLC, CENTERPRISE, INC., MAKE A DETERMINATION AS TO THE FUNDING TO BE PROVIDED TO THE RECIPIENT AND THE USE OF THOSE FUNDS. IN ADDITION, THE RECIPIENT REPORTS TO HEALTHSOURCE OF OHIO/CENTERPRISE AS TO THE USE OF FUNDS PROVIDED. X X X false false false false false false false false false Kimberly Patton PRESIDENT / CEO 299783 0 47860 0 3564 0 15250 0 23566 0 390023 0 Thomas A Ducro CHIEF FINANCIAL OFFICER 240094 0 39011 0 3360 0 14714 0 26745 0 323924 0 Holly Binnig MD MEDICAL DIRECTOR 240669 0 71422 0 2234 0 15362 0 11761 0 341448 0 Lisa Jackson VP-MARKETING 214577 0 34743 0 1025 0 12741 0 12206 0 275292 0 Mary Bridget Fossett VP-OPERATIONS 190643 0 32208 0 2700 0 11525 0 11705 0 248781 0 Heather McNichols VP-HUMAN RESOURCES 190073 0 31376 0 394 0 11459 0 15474 0 248776 0 Samuel Rotunna DIR Pharmacy Operations 170081 0 30587 0 876 0 10757 0 35911 0 248212 0 Sherry Johnson Physician 432493 0 14675 0 2285 0 15250 0 22259 0 486962 0 Maria Gerber Physician 399890 0 32825 0 785 0 15250 0 14867 0 463617 0 Regina Lovette Physician 404099 0 14675 0 464 0 15250 0 11884 0 446372 0 Michael Dietz Physician 224488 0 32258 0 1008 0 13480 0 34157 0 305391 0 Roger Chang Physician 215286 0 73220 0 959 0 15011 0 33579 0 338055 0 FORM 990, PART VI, SECTION B, LINE 11B GOVERNING BODY AND MANAGEMENT THE 2022 HEALTHSOURCE OF OHIO FORM 990 WAS PREPARED BY FORVIS, LLP, HEALTHSOURCE OF OHIO'S AUDIT FIRM, AND THEN REVIEWED IN DETAIL BY MANAGEMENT AND THE FINANCE COMMITTEE. ONCE REVIEWED AND APPROVED, THE FINANCE COMMITTEE RECOMMENDS ACCEPTANCE TO THE FULL BOARD PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE BOARD SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL NEW MEMBERS ARE REQUIRED TO SIGN THE STATEMENT WHEN THEY ARE APPOINTED TO THE BOARD. HEALTHSOURCE OF OHIO PERSONNEL AUTHORIZED TO PURCHASE GOODS OR SERVICES ARE REQUIRED TO COMPLETE A NO CONFLICT OF INTEREST STATEMENT AS PART OF THE PURCHASING PROCESS. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW OF COMPENSATION THE BOARD OF HEALTHSOURCE OF OHIO UTILIZES COMPARABLE DATA ALONG WITH SALARY COMPENSATION SURVEY GUIDELINES TO DETERMINE THE COMPENSATION PAID TO THE PRESIDENT/CEO. COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION ARE DETERMINED BY THE PRESIDENT/CEO ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE HEALTHSOURCE OF OHIO MAKES ITS MOST RECENTLY AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 FORM 990, PART XI, LINE 9 OTHER CHANGES GAIN ON SWAP $28,056 TOTAL $28,056 CENTERPRISE INC 424 WARDS CORNER RD STE 200 LOVELAND OH 45140 461104165 CONSULTING OH 2532351 2193718 HSO THE HEALTHSOURCE FOUNDATION 424 WARDS CORNER RD STE 200 LOVELAND OH 45140 454682089 SUPPORT OH 501(C)(3) 11A HSO true false true true false false false false false false false false false false false false false true false false HEALTHSOURCE FOUNDATION B 120000 BOOK VALUE HEALTHSOURCE FOUNDATION C 200000 BOOK VALUE HEALTHSOURCE FOUNDATION Q 303440 BOOK VALUE