2024-05-15T00:02:34-05:00 2023-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2022-07-01 363775696 HEARTLAND ALLIANCE HEALTH HEAR 3126601300 55 E MONROE 2620 CHICAGO IL 60603 MARY KAY GILBERT INTERIM EXECUTIVE DIRECTOR 3126601300 2024-05-14 1 MARY KAY GILBERT 999009999 0 MARY TORRETTA P00847851 7038477500 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MARY KAY GILBERT 55 E MONROE 2620 CHICAGO IL 60603 34810284 0 X WWW.HEARTLANDALLIANCE.ORG X 1991 IL OUR MISSION IS TO TRANSFORM HEALTHCARE FOR THE MOST VULNERABLE, IMPROVING (SEE SCHEDULE O)HEALTH FOR ALL AND THE WELL-BEING OF OUR COMMUNITY. 21 20 260 27 0 0 20630033 22046742 11377211 12589004 28478 112866 441676 61672 32477398 34810284 6525367 2765217 0 0 14929099 16740948 0 0 110282 9967849 16220775 31422315 35726940 1055083 -916656 18898090 17935461 10251711 10205738 8646379 7729723 X HEARTLAND ALLIANCE HEALTH'S MISSION IS TO TRANSFORM HEALTHCARE FOR THE MOST VULNERABLE - PARTICULARLY PEOPLE EXPERIENCING HOMELESSNESS, MENTAL ILLNESS OR ADDICTIONS, OR STRUGGLING WITH MULTIPLE CHRONIC ILLNESSES (CONTINUED ON SCHEDULE O) - IMPROVING HEALTH FOR ALL AND THE WELL-BEING OF OUR COMMUNITY.TO DO THIS WE:- ENSURE ACCESS TO COMPREHENSIVE AND INTEGRATED HEALTHCARE.- DELIVER HIGH QUALITY AND EFFECTIVE HEALTHCARE.- PROVIDE TRAINING, SUPPORT RESEARCH AND DRIVE SYSTEMS CHANGE THAT ENRICHES OUR COMMUNITIES' CAPACITY TO IMPROVE HEALTH AND IMPACT THE SOCIAL DETERMINANTS OF HEALTH.- ENGAGE STAFF, VOLUNTEERS, PARTNERS AND DONORS IN BUILDING A JUST SOCIETY WHERE RESOURCES ARE USED WISELY AND COMPASSIONATE, EFFECTIVE SERVICES YIELD POSITIVE OUTCOMES.- CREATE AND ADVOCATE FOR INNOVATIVE HEALTHCARE SOLUTIONS THAT SUPPORT THE ELIMINATION OF POVERTY, HOMELESSNESS AND HEALTH DISPARITIES. 0 0 28422253 2765217 12589004 HEARTLAND ALLIANCE HEALTH (HAH), A SUBSIDIARY OF THE HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS, IS A FEDERALLY QUALIFIED HEALTH CENTER DEDICATED TO TRANSFORMING THE HEALTH CARE EXPERIENCE FOR CHICAGO'S MANY DISENFRANCHISED POPULATIONS, INCLUDING PEOPLE WHO ARE HOMELESS, POOR, HIV POSITIVE, MENTALLY ILL, ADDICTED, AND IMMIGRANTS OR REGEES. FOUNDED IN 1985, HAH IS CHICAGO'S ONLY HEALTH CARE FOR THE HOMELESS PROGRAM AND, AS SUCH, THE ONLY PROVIDER OF COMPREHENSIVE HEALTH-RELATED SERVICES FOR CHICAGO'S HOMELESS POPULATION. ITS INTEGRATED HEALTH CARE, HOUSING, AND SUPPORTIVE SERVICES ARE AT THE FOREFRONT OF ADDRESSING MANY OF THE SOCIAL DETERMINANTS OF HEALTH, HELPING TO IMPROVE HEALTH OUTCOMES AND PROMOTE COMMUNITY STABILITY. (SEE SCHEDULE O)ANNUALLY, HAH SERVES NEARLY 10,000 HOMELESS INDIVIDUALS, PROVIDING MORE THAN 40,000 MEDICAL, DENTAL, AND BEHAVIORAL HEALTH ENCOUNTERS. SERVICES INCLUDE:- PRIMARY CARE, DENTAL CARE, AND INTEGRATED MENTAL HEALTH AND SUBSTANCE USE TREATMENT;- STREET, SHELTER, AND MEDICAL MOBILE OUTREACH;- OUTPATIENT AND RESIDENTIAL, MENTAL HEALTH, AND SUBSTANCE USE PROGRAMS FOR PEOPLE WITH A SERIOUS MENTAL ILLNESS; - COMMUNITY-BASED CASE MANAGEMENT, CARE COORDINATION, AND REFERRALS;- ENROLLMENT INTO BENEFITS AND ENTITLEMENTS;- NUTRITIONAL ASSESSMENT, COUNSELING, AND GROCERY CENTERS;- MEDICAL INTERPRETATION AND TRANSLATION SERVICES;- TRAINING AND TECHNICAL ASSISTANCE FOR SYSTEMS INTEGRATION AND BEST PRACTICES IN SERVING DUALLY DIAGNOSED POPULATIONS. 28422253 1 1 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 177 0 1 260 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 20 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 1 1 IL X X MARY KAY GILBERT 7703617293 4730 N WINTHROP CHICAGO IL 60640 EVELYN DIAZ PRESIDENT/CEO 7.50 33.00 X X 0 390876 65731 MELINDA EARLE CHAIR 1.00 1.00 X X 0 0 0 RHYAN ZWEIFLER VICE CHAIR 1.00 1.00 X X 0 0 0 LIZVETH MENDEZ TREASURER 1.00 0.00 X X 0 0 0 ELISSA BASSLER DIRECTOR 1.00 1.00 X 0 0 0 ALEXANDER BLAIR DIRECTOR 1.00 0.00 X 0 0 0 IMRI BROWN DIRECTOR (AS OF 09/2022) 1.00 0.00 X 0 0 0 ROSA CARRILLO DIRECTOR 1.00 0.00 X 0 0 0 DEON FALCON DIRECTOR 1.00 1.00 X 0 0 0 NICOLE FISHER DIRECTOR 1.00 0.00 X 0 0 0 KHOA X HO DIRECTOR 1.00 0.00 X 0 0 0 ERIK MCINTOSH DIRECTOR 1.00 0.00 X 0 0 0 JULIANNE MIGLEY DIRECTOR 1.00 0.00 X 0 0 0 ANGELA MOSS DIRECTOR 1.00 0.00 X 0 0 0 JOSHUA RAFSKY DIRECTOR 1.00 0.00 X 0 0 0 MONIQUE RUCKER DIRECTOR 1.00 0.00 X 0 0 0 MUNZOOR SHAIKH DIRECTOR 1.00 0.00 X 0 0 0 KATHERINE SWIFT DIRECTOR (AS OF 04/2023) 1.00 0.00 X 0 0 0 JOCK TOLES DIRECTOR 1.00 0.00 X 0 0 0 DIANE WOLF DIRECTOR 1.00 0.00 X 0 0 0 MARIA ZACAPA-REAVES DIRECTOR 1.00 0.00 X 0 0 0 ELIAS ROSARIO THRU 022023 CHIEF FIN/ADMIN OFCR/TREASURER 10.00 43.00 X 0 274568 39553 MARY K GILBERT CHIEF BUSINESS OFFICER 40.00 0.00 X 235858 0 31133 BRUCE DOBLIN SENIOR DIRECTOR HEALTH SERVICE 40.00 0.00 X 245884 0 8154 EDWARD B STELLON THRU 052023 CHIEF EXTERNAL AFFAIRS OFFICER 40.00 0.00 X 220388 0 15478 MICHAEL DEMPSEY PSYCHIATRIC PROVIDER 40.00 0.00 X 182554 0 21229 SHERRON JOHNSON-BOYD SENIOR DIR, QM PRACTICE IMPROV 40.00 0.00 X 149985 0 36620 LEE BRAAM ORAL HEALTH DIRECTOR 40.00 0.00 X 140201 0 36867 JOAN LIAUTAUD CHIEF CLINICAL OFFICER 40.00 0.00 X 147797 0 23053 CAROLINE THURLOW PHYSICAN-OBG 40.00 0.00 X 138164 0 21703 1460831 665444 299521 24 0 1 0 TACT 1 LLC PO BOX 111 ORLAND PARK IL 60462 SECURITY SERVICES 327595 CONNECT SEARCH LLC 311 S WACKER DR STE 1000 CHICAGO IL 60606 TEMP LABOR SERVICES 272006 ALLIANCE OF CHICAGO COMMUNITY HEALTH SVC 225 W ILLINOI ST 5TH FL CHICAGO IL 60654 SOFTWARE SERVICES 270603 ONSITE HEALTH 316 S EDDY STREET SOUTH BEND IN 46617 NURSING SERVICES 101811 4 409065 20019235 1618442 22046742 PATIENT SERVICE REVENUE 624100 12589004 12589004 12589004 112866 112866 61672 0 61672 61672 61672 34810284 12589004 0 174538 103154 103154 2662063 2662063 735561 632582 102979 12438235 10696883 1741352 356029 306185 49844 2322997 1997777 325220 888126 763788 124338 17787 17787 35791 35791 8035755 7424190 501283 110282 12795 12795 1014988 1014988 1853074 1697416 155658 68028 58504 9524 11491 11491 84188 58932 25256 208598 208598 40373 40373 SHARED SERVICES 3997423 3997423 EQUIPMENT 355753 330139 25614 SUPPLIES 342940 318248 24692 STAFF EXPENSES 131868 85715 46153 9923 9923 35726940 28422253 7194405 110282 3796961 892797 605024 5193150 4204502 1818056 2530605 2530605 354165 356508 8970339 4865647 4284600 4104692 1860461 1845974 1261772 1193679 18898090 17935461 2414753 1332421 462056 539696 18624 94098 786252 4564754 1500000 1500000 5070026 2174769 10251711 10205738 X 6457791 5541135 2188588 2188588 8646379 7729723 18898090 17935461 -916656 0 X X 0 0 0 X 17002033 17635621 19741557 20630033 22046742 97055986 17002033 17635621 19741557 20630033 22046742 97055986 97055986 90963 92344 89836 90150 174538 537831 761 761 97594578 59610908 0.99450 0.99200 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 761. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 395204 395204 4961905 1379645 3582260 2448734 2448734 0 1145884 1020038 125846 18612 17230 1382 4104692 ALLIANCE CHI COMMUNITY HEALTH 1597653 C PROVIDECO LLC 236654 C BEHAVIORAL HEALTH CONSORTIUM 11667 C 1845974 ROU ASSETS 1097319 OTHER ASSETS 96360 1193679 INTERAGENCY BALANCES 1070026 LEASE LIABILITY 1104743 2174769 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS AS A REPRESENTITIVE PAYEE UNDER THE SOCIAL SECURITY ADMINISTRATION REPRESENTATIVE PAYEE PROGRAM FOR PARTICIPANTS. 1 CLIENT SUPPORT & ASSISTANCE 700 2662063 FMV SEE PART IV PART I, LINE 2: FOR GRANT RECIPIENTS OF THE ORGANIZATION, HEARTLAND ALLIANCE HEALTH MONITORS COMPLIANCE VIA TWO MECHANISMS: THE FIRST IS FINANCIAL IN NATURE AND IS MONITORED VIA THE SUB-AGENCY MONTHLY INVOICING FOR APPROPRIATE COST REIMBURSEMENT, AND ANNUALLY THROUGH THE SUB-AGENCY ANNUAL FINANCIAL AND SINGLE AUDIT (THE LATTER AS REQUIRED UNDER OMB A-133). THE SECOND MECHANISM IS THROUGH GRANTEE PROGRAMMATIC REPORTING THAT IS SENT TO AND MONITORED BY HEARTLAND ALLIANCE HEALTH CLINICAL/MANAGEMENT STAFF. THESE GRANTEES ALSO SUBMIT ANNUAL REPORTS NEEDED TO COMPLETE THE UNIFORM DATA SYSTEMS (UDS) REPORTS. ALL PARTICIPANTS PRESENTING FOR SERVICES WILL BE EVALUATED FOR ELIGIBILITY BASED ON PROGRAM CRITERIA FOR HEALTH CARE FOR THE HOMELESS. THE CRITERIA ARE AS FOLLOWS: EMERGENCY SHELTER, TRANSITIONAL SHELTER, SINGLE ROOM OCCUPANCY BUILDING (SRO), SUBSTANCE ABUSE AGENCY, STREET, AFFIDAVIT (AN AFFIDAVIT IS ONLY USED AS A LAST RESORT FOR A PARTICIPANT THAT CAN'T PROVE THEIR HOMELESS STATUS, SUCH AS PARTICIPANTS STAYING ON THE STREET), AND DOUBLED UP (DEFINED AS LIVING WITH A PERSON FOR LESS THAN 12 MONTHS). THESE PARTICIPANTS MUST PRESENT VERIFICATION OF INCOME (IF ANY) AND A NOTARIZED LETTER OF SUPPORT FROM THE PERSON THE PARTICIPANT IS LIVING WITH. THE ORGANIZATION ALSO SERVES PARTICIPANTS UNDER THE RYAN WHITE CARE ACT. PARTICIPANTS SERVED BY THE RYAN WHITE CARE ACT INCLUDE PARTICIPANTS WITH HIV/AIDS AND PARTICIPANTS AT HIGH RISK FOR HIV/AIDS. IN ADDITION, GRANT FUNDS ARE TRACKED IN DETAIL BY COST CENTER AND MATCHED AND REVIEWED AGAINST THE AGENCY APPROVED BUDGET. FINALLY, HEARTLAND HEALTH OUTREACH ALSO MONITORS ITS GRANT RECIPIENTS BY CONDUCTING SPOT AUDITS THROUGH ITS INTERNAL/COMPLIANCE OFFICE. THESE AUDITS ARE INDEPENDENT OF HEARTLAND'S FINANCIAL & ACCOUNTABILITY SERVICES OFFICE AND PROGRAM OFFICES. 0 0 0 0 0 0 0 0 0 EVELYN DIAZ PRESIDENT/CEO 0 383376 0 0 0 7500 0 31583 0 34148 0 456607 0 0 ELIAS ROSARIO THRU 022023 CHIEF FIN/ADMIN OFCR/TREASURER 0 267068 0 0 0 7500 0 28812 0 10741 0 314121 0 0 MARY K GILBERT CHIEF BUSINESS OFFICER 203858 0 32000 0 0 0 6289 0 24844 0 266991 0 0 0 BRUCE DOBLIN SENIOR DIRECTOR HEALTH SERVICE 221384 0 24500 0 0 0 6542 0 1612 0 254038 0 0 0 EDWARD B STELLON THRU 052023 CHIEF EXTERNAL AFFAIRS OFFICER 207888 0 5000 0 7500 0 13776 0 1702 0 235866 0 0 0 MICHAEL DEMPSEY PSYCHIATRIC PROVIDER 182554 0 0 0 0 0 5462 0 15767 0 203783 0 0 0 SHERRON JOHNSON-BOYD SENIOR DIR, QM PRACTICE IMPROV 127485 0 22500 0 0 0 4144 0 32476 0 186605 0 0 0 LEE BRAAM ORAL HEALTH DIRECTOR 140201 0 0 0 0 0 4538 0 32329 0 177068 0 0 0 JOAN LIAUTAUD CHIEF CLINICAL OFFICER 147797 0 0 0 0 0 4554 0 18499 0 170850 0 0 0 CAROLINE THURLOW PHYSICAN-OBG 138164 0 0 0 0 0 4455 0 17248 0 159867 0 0 0 PART I, LINE 3 PRESIDENT/CEO COMPENSATION WAS DETERMINED BY THE RELATED ORGANIZATION, HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS. THE FOLLOWING METHODS WERE USED: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS (HEARTLAND ALLIANCE) IS THE SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A HEARTLAND ALLIANCE SHALL APPOINT ALL OF THE DIRECTORS. THE OFFICERS SHALL BE ELECTED ANNUALLY BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS, OR AS SOON THEREAFTER AS CONVENIENT BASED ON A SLATE APPROVED BY HEARTLAND ALLIANCE. VACANCIES MAY BE FILLED OR NEW OFFICES FILLED AT ANY MEETING OF THE BOARD OF DIRECTORS WITH THE APPROVAL OF THE BOARD OF HEARTLAND ALLIANCE. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS SHALL REQUIRE THE WRITTEN CONSENT OF THE MEMBER: (I) THE ADOPTION OR APPROVAL OF A PLAN OF MERGER OR CONSOLIDATION OR REORGANIZATION OR RESTRUCTURING INVOLVING THE ORGANIZATION (II) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE NONCASH ASSETS OF THE ORGANIZATION (III) DISSOLUTION OF THE ORGANIZATION (IV) AMENDMENT OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B BASED ON THE TIMING AND AVAILABILITY OF INFORMATION, A COMPLETE COPY OF THE 990 WAS UNABLE TO BE PROVIDED TO ALL GOVERNING BODY MEMBERS BEFORE FILING. THE ORGANIZATION IS PROVIDING A COPY AS SOON AS POSSIBLE THEREAFTER. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE HEARTLAND ALLIANCE BOARD OF DIRECTORS, AS WELL AS MEMBERS OF THE ORGANIZATION'S SUBSIDIARY BOARD OF DIRECTORS, ANNUALLY SIGN A CONFLICT OF INTEREST POLICY, COPIES OF WHICH ARE RETAINED IN THE PRESIDENT'S OFFICE. IN ADDITION, ALL HEARTLAND ALLIANCE SENIOR MANAGEMENT, WHICH INCLUDES ITS MEMBERS OF ITS BUSINESS OFFICE LEADERSHIP TEAM (BOLT), BUSINESS INITIATIVE & RESOURCE DEVELOPMENT (BIRD), AND EXECUTIVE TEAM ARE REQUIRED TO ANNUALLY SIGN THE CONFLICT OF INTEREST POLICY. A COPY OF THE BOARD OF DIRECTORS POLICY IS POSTED ON A PASSWORD PROTECTED PORTION OF THE ORGANIZATION'S WEBSITE, DESIGNATED FOR BOARD MEMBERS. A COPY OF THE POLICY FOR MANAGEMENT IS POSTED ON THE ORGANIZATION'S INTRANET. POLICY REQUIRES DISCLOSURE OF ANY SITUATION IN WHICH THERE MAY BE EVEN AN APPEARANCE OF POTENTIAL CONFLICT OF INTEREST. WHEN APPROPRIATE, MEMBERS OF THE BOARD OF DIRECTORS, OR SENIOR MANAGEMENT, RECUSE THEMSELVES FROM DECISION-MAKING IF THERE IS ANY CONFLICT OF INTEREST. RELATIVE TO BOARD OF COMMITTEE ACTIONS, THIS IS REFLECTED IN THE MEETING MINUTES. THE POLICY IS REVIEWED REGULARLY BY THE CHIEF RISK OFFICER OF THE ORGANIZATION. ADDITIONAL MONITORING IS PERFORMED BY THE ORGANIZATION'S EXECUTIVE TEAM AND THE RISK POLICY COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE OF THE HEARTLAND ALLIANCE BOARD OF DIRECTORS IS AN INDEPENDENT ENTITY, CONSISTING OF THE CHAIR AND IMMEDIATE PAST CHAIR OF THE BOARD OF DIRECTORS. THIS BODY CONDUCTS THE ANNUAL PERFORMANCE EVALUATION OF, AND DETERMINES THE COMPENSATION FOR, THE ORGANIZATION'S PRESIDENT. THIS BODY MAY CONSULT WITH LEGAL COUNSEL OR ADDITIONAL RESOURCES IN DETERMINING REASONABLE COMPENSATION FOR THE PRESIDENT OF HEARTLAND ALLIANCE. THE EXECUTIVE COMPENSATION COMMITTEE ALSO CONDUCTS PERIODIC MARKET SURVEYS TO ASSIST IN ESTABLISHING THE COMPENSATION FOR THE PRESIDENT. IN ADDITION, THE PRESIDENT ANNUALLY REVIEWS WITH THE COMPENSATION COMMITTEE THE PERFORMANCE AND RECOMMENDED COMPENSATION FOR THE ORGANIZATION'S SENIOR EXECUTIVES, INCLUDING EXECUTIVE DIRECTORS OF THE SUBSIDIARY ENTITIES AND OTHER KEY MEMBERS OF THE EXECUTIVE TEAM. ALL DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). 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