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        <ExplanationTxt>Heartland International Health Center is a tax-exempt organization under Internal Revenue Code Section 501(c)(3) and as required files a Form 990 (Return of Organization Exempt from Income Tax) annually. Accordingly, no income taxes are reflected in the accompanying consolidated financial statements. The Health Center files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Form 990 filed by the Health Center is subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by the Health Center are no longer subject to examination for fiscal year 2017 and prior. The accounting guidance on income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded and disclosed in the financial statements. The Health Center may recognize the tax benefit from an uncertain tax position only if it is more-likely-than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. Management has determined that the Health Center has no material uncertain tax positions that would require disclosure or adjustment.</ExplanationTxt>
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        <OtherDirectExpensesEvent1Amt>7058</OtherDirectExpensesEvent1Amt>
        <Event2Nm>End of year Campaign</Event2Nm>
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        <PersonNm>Bridget Buyea</PersonNm>
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        <PersonNm>Harry Michael Curtis</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tania Hossain</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <PersonNm>Nicole Willis</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's finance committee serves as the finance and audit committee for the organization's Board of Directors. The finance chair has been identified as the reviewer of the Form 990 and will report back to the full board. Members of the board are provided with copies of the Form 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the Heartland International Health Center Board of Directors annually sign a conflict of interest policy, copies of which are retained in the Executive Director's office. In addition, all of the Heartland International Health Center senior management (included in Heartland Alliance cabinet) 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. In addition, a conflict of interest provision is included in the organizational by-laws approved by the Board of Directors. When appropriate, members of the Board of Directors, or senior management excuse themselves from decision-making if there is any conflict of interest. Relative to board of committee actions, this is reflected in the meeting minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation committee (a sub-committee of the Board of Directors, which is appointed by the Board Chair) conducts the annual performance evaluation of, and determines the compensation for the organization's Executive Director as compared to the appropriate independent salary survey information for similar positions and roles. This body may also consult with legal counsel or additional outside resources (i.e. the Illinois Primary Healthcare Association, National Association of Community Health Centers) in determining fair and competitive compensation for the Executive Director of Heartland International Health Center. The compensation process is documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional Fees: Program service expenses 2,785,522. Management and general expenses 2,265,154. Fundraising expenses 37,839. Total expenses 5,088,515.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Related organization adjustment -46,736. Loss on NMTC Termination -4,721,600.</ExplanationTxt>
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          <AddressLine1Txt>1301 W Devon</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60660</ZIPCd>
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        <EIN>471393283</EIN>
        <PrimaryActivitiesTxt>Development of the Community Health Center and raising of capital</PrimaryActivitiesTxt>
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