2023-11-10T15:22:15-06:00 2022-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-01-01 351270418 CENTERSTONE HEALTH SERVICES INC CENT 8123257492 645 SOUTH ROGERS STREET BLOOMINGTON IN 47403 JENNY HARRISON CEO 7656536171 2023-11-10 1 JENNY HARRISON 999009999 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2023-11-10 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENNY HARRISON 645 SOUTH ROGERS STREET BLOOMINGTON IN 47403 9028197 0 X CENTERSTONEHEALTHSERVICES.ORG X 1972 IN CENTERSTONE HEALTH SERVICES EMBRACES THE HEALTH AND WELL-BEING FOR ALL PEOPLE BY PROVIDING COMPREHENSIVE, ACCESSIBLE, QUALITY HEALTH CARE REGARDLESS OF INCOME TO PROMOTE WELLNESS AND RESTORE HEALTH. 12 12 5 12 0 0 646043 95004 1749583 8933193 0 0 315 0 2395941 9028197 0 0 0 0 285508 299986 0 0 0 2990787 7458187 3276295 7758173 -880354 1270024 751879 2744083 2498748 3220928 -1746869 -476845 CENTERSTONE HEALTH SERVICES EMBRACES THE HEALTH AND WELL-BEING FOR ALL PEOPLE BY PROVIDING COMPREHENSIVE, ACCESSIBLE, QUALITY HEALTH CARE REGARDLESS OF INCOME TO PROMOTE WELLNESS AND RESTORE HEALTH. 0 0 3802003 3358710 CENTERSTONE HEALTH SERVICES EMBRACES THE HEALTH AND WELL-BEING FOR ALL PEOPLE BY PROVIDING COMPREHENSIVE, ACCESSIBLE, QUALITY HEALTH CARE REGARDLESS OF INCOME TO PROMOTE WELLNESS AND RESTORE HEALTH. 3153968 5574483 THE CENTER PROVIDES FOR THE PHARMACEUTICAL NEEDS OF THE UNDER AND UNINSURED COMMUNITY. 6955971 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 5 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 0 1 1 1 0 IN X SUSAN CALLAHAN 8123257492 645 S ROGERS ST BLOOMINGTON IN 47403 CASEY BREWSTER BOARD MEMBER 1.00 0.00 X 0 0 0 APRIL GINNINGS BOARD MEMBER 1.00 0.00 X 0 0 0 STACY CARY SECRETARY 1.00 0.00 X X 0 0 0 JEREMIAH CHURCH BOARD MEMBER 1.00 0.00 X 0 0 0 MARY ELLEN DEIKHOFF BOARD MEMBER - TERM ENDED 2/22 1.00 0.00 X 0 0 0 MICHAEL GASTINEAU TREASURER 1.00 0.00 X X 0 0 0 VERONICA WONG-TOVAR BOARD MEMBER 1.00 0.00 X 0 0 0 JONATHAN HARP BOARD MEMBER - TERM ENDED 7/22 1.00 0.00 X 0 0 0 GAIL HARCUM VICE PRESIDENT 1.00 0.00 X X 0 0 0 GREGORY MARVEL BOARD MEMBER 1.00 0.00 X 0 0 0 LINDSAY POTTS PRESIDENT 1.00 0.00 X X 0 0 0 STEPHEN PRITCHARD BOARD MEMBER 1.00 0.00 X 0 0 0 MATT EVANS BOARD MEMBER - TERM BEGAN 9/22 1.00 0.00 X 0 0 0 DWAN LEACHMAN BOARD MEMBER - TERM BEGAN 10/22 1.00 0.00 X 0 0 0 BOB SIEGMANN EXECUTIVE DIR. 40.00 0.00 X 177144 0 0 177144 0 0 1 0 1 0 CENTERSTONE OF INDIANA 645 S ROGERS ST BLOOMINGTON IN 47402 CONTRACTED LABOR SERVICES 3241538 ROMAR PROFESSIONAL SERVICES 229 W PEARL ST A UNION CITY IN 47390 BILLING AND CREDENTIALING 122515 HEALTH CONSULTING STRATEGIES INC PO BOX 420 GRAND LEDGE MI 48837 FINANCE CONSULTING & REPORTING 112492 3 95004 95004 340B PROGRAM 621110 5574483 5574483 NET PATIENT SERVICE RE 621110 3358710 3358710 8933193 9028197 8933193 0 0 X 177144 177144 101020 83449 17571 21822 6547 15275 3711341 3244451 466890 22669 13914 8755 33511 20568 12943 77956 47847 30109 124978 112480 12498 25095 15403 9692 2169 1331 838 125255 93941 31314 4145 1741 2404 35004 35004 340B PHARMACY 3153968 3153968 MEDICAL SUPPLIES 98680 98680 OTHER EXP 32211 19770 12441 DUES & SUB. 11205 6877 4328 7758173 6955971 802202 0 208206 872771 24178 0 79783 1056113 3600 13092 28288 8070 24364 20218 411748 781889 751879 2744083 1130748 592240 1368000 2628688 2498748 3220928 X -1746869 -476845 -1746869 -476845 751879 2744083 1270024 0 X X 0 1 X 1 0 X 0 207974 426366 646043 95004 1375387 207974 426366 646043 95004 1375387 1375387 10350 315 10665 1386052 14712418 0.99230 0.99180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12900 1075 11825 15388 6995 8393 20218 OTHER ASSETS 781889 781889 BUILDING LEASES 781889 NOTES PAYABLE 1846799 2628688 X 5874229 -3153968 -3153968 9028197 0 9028197 4604205 -3153968 -3153968 7758173 0 7758173 PART X, LINE 2: THE CENTER IS ORGANIZED AS A NON-FOR-PROFIT CORPORTATION UNDER SECTION 501(C) (3) OF THE UNITED STATES INTERNAL REVENUE CODE. THE EXEMPTION IS ON ALL INCOME EXCEPT UNRELATED BUSINESS INCOME AS NOTED UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. INTERNAL REVENUE CODE SECTION 513(A) DEFINES AN UNRELATED TRADE OR BUSINESS OF AN EXEMPT ORGANIZATION AS ANY TRADE OR BUSINESS, WHICH IS NOT SUBSTATIALLY RELATED TO THE EXERCISE OR PERFORMANCE OF ITS EXEMPT PURPOSE. THE CENTER IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE CENTER IS REQUIRED TO FILE FEDERAL FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IT THE CENTER 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 THE CENTER AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS HAVE BEEN FILED FOR PERIODS THROUGH DECEMBER 31, 2021. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE ( INCLUDING APPROVED EXTENSIONS). PART XI, LINE 2D - OTHER ADJUSTMENTS: 340B PHARMACY EXPENSE -3,153,968. PART XII, LINE 2D - OTHER ADJUSTMENTS: 340B PHARMACY EXPENSE -3,153,968. 0 0 0 0 0 0 0 0 0 BOB SIEGMANN EXECUTIVE DIR. 177144 0 0 0 0 0 0 0 0 0 177144 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE RETURN WAS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING. THE RETURN WILL THEN BE DISCUSSED AT THE NEXT MONTHLY SCHEDULED BOARD MEETING ON NOVEMBER 15, 2023. FORM 990, PART VI, SECTION B, LINE 12C THE MANAGER OF QUALITY COMPLIANCE ATTENDS ALL BOARD MEETINGS AND REVIEWS ALL POLICIES TO BE CERTAIN THAT THERE IS NO BREACH OF THE CONFLICT OF INTEREST POLICY. THE MANAGER OF QUALITY COMPLIANCE OVERSEES THESE POLICIES ALONG WITH THE BOARD EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE NATIONAL TRADE ORGANIZATION (NACHC) PUBLISHES A SALARY COMPARISON FOR ALL FEDERALLY QUALIFIED HEALTH CENTERS. THIS INFORMATION, ALONG WITH INFORMATION FROM THE STATE TRADE ORGANIZATION IS UTILIZED IN DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,244,451. MANAGEMENT AND GENERAL EXPENSES 466,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,711,341. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.