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Nonprofiteer
← HEALTHSOURCE OF OHIO INC

Form 990 for tax year 2022

Filed by HEALTHSOURCE OF OHIO INC.

Totals

Total revenue
$67,959,084
Total expenses
$56,372,964
Contributions and grants received
$14,904,051
Grants paid
$120,000
Program service revenue
$48,831,954
Investment income
$1,609,020
Other revenue
$2,614,059
Total assets, end of year
$98,137,145
Total liabilities, end of year
$9,755,309
Net assets or fund balances, end of year
$88,381,836
Program services expenses (Part IX)
$47,048,159
Management and general expenses
$9,324,805
Fundraising expenses
$0
Program service expenses (Part III)
$47,048,159

Program services were 83.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $200,000

  • 1e · Government grants (contributions)

    $14,704,051

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: NET PATIENT FEES

    total $26,587,929 · related or exempt $26,587,929

  • 2b · Program service revenue: PHARMACY REVENUE

    total $21,516,128 · related or exempt $21,072,999 · unrelated business $443,129

  • 2c · Program service revenue: OTHER REVENUE

    total $727,897 · related or exempt $727,897

  • 3 · Investment income

    total $1,609,020 · excluded $1,609,020

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $266,960

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $266,960 · personal property $0

  • 6d · Net rental income or loss

    total $266,960 · excluded $266,960

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: Centerprise Billing/Consulting

    total $2,347,099 · related or exempt $1,545,020 · unrelated business $802,079

  • 11e · Other revenue, total

    $2,347,099

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $120,000 · program services $120,000

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $2,215,778 · program services $1,851,061 · management and general $364,717

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $24,153,663 · program services $20,177,970 · management and general $3,975,693

  • 8 · Pension plan contributions

    total $1,101,098 · program services $919,857 · management and general $181,241

  • 9 · Other employee benefits

    total $2,531,961 · program services $2,115,200 · management and general $416,761

  • 10 · Payroll taxes

    total $1,869,460 · program services $1,561,747 · management and general $307,713

  • 11a · Fees: management

    total $1,970,545 · program services $1,646,193 · management and general $324,352

  • 11b · Fees: legal

    total $675 · program services $564 · management and general $111

  • 11c · Fees: accounting

    total $62,088 · program services $51,868 · management and general $10,220

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $3,428,175 · program services $2,863,897 · management and general $564,278 · fundraising $0

  • 12 · Advertising and promotion

    total $363,253 · program services $303,462 · management and general $59,791

  • 13 · Office expenses

    total $348,338 · program services $291,002 · management and general $57,336

  • 14 · Information technology

    total $2,250,267 · program services $1,879,873 · management and general $370,394

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $2,464,214 · program services $2,058,604 · management and general $405,610

  • 17 · Travel

    total $202,425 · program services $169,106 · management and general $33,319

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $142,002 · program services $118,628 · management and general $23,374

  • 20 · Interest

    total $78,485 · management and general $78,485

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $2,270,484 · program services $1,896,762 · management and general $373,722

  • 23 · Insurance

    total $157,198 · program services $131,323 · management and general $25,875

  • 24a · Other expenses: SUPPLIES

    total $9,863,099 · program services $8,239,633 · management and general $1,623,466

  • 24b · Other expenses: DUES AND SEMINARS

    total $160,368 · program services $133,971 · management and general $26,397

  • 24c · Other expenses: MISCELLANEOUS

    total $619,388 · program services $517,437 · management and general $101,951

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $9,994,752 · end of year $10,045,111

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $4,469,213 · end of year $4,884,544

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $531,698 · end of year $681,160

  • 9 · Prepaid expenses and deferred charges

    beginning of year $257,565 · end of year $331,710

  • 10a · Land, buildings and equipment: cost or other basis

    $51,777,075

  • 10b · Land, buildings and equipment: accumulated depreciation

    $21,253,575

  • 10c · Land, buildings and equipment, net

    beginning of year $27,511,862 · end of year $30,523,500

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $49,747,808 · end of year $51,671,120

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,616,630 · end of year $5,926,513

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,667,580 · end of year $85,775

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $1,747,695 · end of year $3,743,021

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $83,480,993 · end of year $88,381,836

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

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.

Activities or mission (Part I)

HEALTHSOURCE OF OHIO IS A NONPROFIT COMMUNITY HEALTH CENTER THAT PROVIDES QUALITY, PATIENT-CENTERED HEALTH CARE TO UNDERSERVED PATIENTS IN SOUTHWEST OHIO.

  • FEDERAL COMMUNITY HEALTH CENTERS PROVIDING MEDICAL, DENTAL, VISION, PHARMACY, AND MENTAL HEALTH VISITS.

    Expenses $47,048,159 · Grants $120,000 · Revenue $48,619,418

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Sherry Johnson

    Physician

    Total calculated
    $486,962
    From this org
    $449,453
    From related orgs
    $0
    Other
    $37,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $432,493
    Bonus
    $14,675
    Other
    $2,285
    Deferred
    $15,250
    Nontaxable benefits
    $22,259
    Filer's total
    $486,962

  • Maria Gerber

    Physician

    Total calculated
    $463,617
    From this org
    $433,500
    From related orgs
    $0
    Other
    $30,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $399,890
    Bonus
    $32,825
    Other
    $785
    Deferred
    $15,250
    Nontaxable benefits
    $14,867
    Filer's total
    $463,617

  • Regina Lovette

    Physician

    Total calculated
    $446,372
    From this org
    $419,238
    From related orgs
    $0
    Other
    $27,134
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $404,099
    Bonus
    $14,675
    Other
    $464
    Deferred
    $15,250
    Nontaxable benefits
    $11,884
    Filer's total
    $446,372

  • Kimberly Patton

    PRESIDENT / CEO

    Total calculated
    $390,023
    From this org
    $351,207
    From related orgs
    $0
    Other
    $38,816
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $299,783
    Bonus
    $47,860
    Other
    $3,564
    Deferred
    $15,250
    Nontaxable benefits
    $23,566
    Filer's total
    $390,023

  • Holly Binnig MD

    MEDICAL DIRECTOR

    Total calculated
    $341,448
    From this org
    $314,325
    From related orgs
    $0
    Other
    $27,123
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,669
    Bonus
    $71,422
    Other
    $2,234
    Deferred
    $15,362
    Nontaxable benefits
    $11,761
    Filer's total
    $341,448

  • Roger Chang

    Physician

    Total calculated
    $338,055
    From this org
    $289,465
    From related orgs
    $0
    Other
    $48,590
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,286
    Bonus
    $73,220
    Other
    $959
    Deferred
    $15,011
    Nontaxable benefits
    $33,579
    Filer's total
    $338,055

  • Thomas A Ducro

    CHIEF FINANCIAL OFFICER

    Total calculated
    $323,924
    From this org
    $282,465
    From related orgs
    $0
    Other
    $41,459
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,094
    Bonus
    $39,011
    Other
    $3,360
    Deferred
    $14,714
    Nontaxable benefits
    $26,745
    Filer's total
    $323,924

  • Michael Dietz

    Physician

    Total calculated
    $305,391
    From this org
    $257,754
    From related orgs
    $0
    Other
    $47,637
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,488
    Bonus
    $32,258
    Other
    $1,008
    Deferred
    $13,480
    Nontaxable benefits
    $34,157
    Filer's total
    $305,391

  • Lisa Jackson

    VP-MARKETING

    Total calculated
    $275,292
    From this org
    $250,345
    From related orgs
    $0
    Other
    $24,947
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,577
    Bonus
    $34,743
    Other
    $1,025
    Deferred
    $12,741
    Nontaxable benefits
    $12,206
    Filer's total
    $275,292

  • Mary Bridget Fossett

    VP-OPERATIONS

    Total calculated
    $248,781
    From this org
    $225,551
    From related orgs
    $0
    Other
    $23,230
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,643
    Bonus
    $32,208
    Other
    $2,700
    Deferred
    $11,525
    Nontaxable benefits
    $11,705
    Filer's total
    $248,781

  • Heather McNichols

    VP-HUMAN RESOURCES

    Total calculated
    $248,776
    From this org
    $221,843
    From related orgs
    $0
    Other
    $26,933
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,073
    Bonus
    $31,376
    Other
    $394
    Deferred
    $11,459
    Nontaxable benefits
    $15,474
    Filer's total
    $248,776

  • Samuel Rotunna

    DIR Pharmacy Operations

    Total calculated
    $248,212
    From this org
    $201,544
    From related orgs
    $0
    Other
    $46,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,081
    Bonus
    $30,587
    Other
    $876
    Deferred
    $10,757
    Nontaxable benefits
    $35,911
    Filer's total
    $248,212

  • Steven Strathmann

    VP-Philanthropy

    Total calculated
    $139,322
    From this org
    $109,361
    From related orgs
    $0
    Other
    $29,961
    Hours/week
    40

  • Jina Bohl

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Konstantinos Elefter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Stephen Hood

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Kevin Lefler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Robert Manning

    TRUSTEE - TERM ENDED

    Total calculated
    $0
    Hours/week
    3

  • Tiffany Mattingly

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Mark McAndrew

    VICE-CHAIRPERSON

    Total calculated
    $0
    Hours/week
    3

  • Douglas McDonald

    SECRETARY / TREASURER

    Total calculated
    $0
    Hours/week
    3

  • Michael Oberdoerster MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Ray Takigiku

    TRUSTEE - TERM ENDED

    Total calculated
    $0
    Hours/week
    3

  • Diana Williams

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Cyndy Wright

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    3

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • CENTERPRISE INC

    CONSULTING · OH · income $2,532,351 · assets $2,193,718

    Directly controlled by HSO

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202323139349304142

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