HEARTLAND COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HEARTLAND COMMUNITY HEALTH NETWORK INC (EIN 27-2471697)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-08
- IRS object ID
- 202011909349301811
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-08T18:14:18-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 476097913 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272471697 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTLAND COMMUNITY HEALTH NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 4027344110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 SOUTH 30TH STREET NO 103 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHY NORDBY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4027344110 | PhoneNum |
| Signature | 2020-07-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARC D BEHRENS | PreparerPersonNm |
| PTIN | P01543366 | PTIN |
| Phone | 4023302660 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 163.116.133.116 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-07 | IPDt |
| IP Tm | 10:05:50 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EC000A4C298CDCF62DC6D64D712DA4062CF1B75C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 606148D43A08485A4B3CE148BC63DC11C84FD005 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHY NORDBY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 SOUTH 30TH STREET NO 103 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $996,130 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | HEARTLAND NETWORK PROVIDES SERVICES AND SOLUTIONS TO NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS IN THE FOLLOWING AREAS: ELECTRONIC HEALTH RECORD AND PRACTICE MANAGEMENT SYSTEM IMPLEMENTATION; DATA CENTER HOSTING; SYSTEM ADMINISTRATION; NEXTGEN SUPPORT AND TEMPLATE DESIGN SERVICES; AND BUSINESS CONTINUITY AND DISASTER RECOVERY PLANNING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $99,690 | PYContributionsGrantsAmt |
| CY Contributions Grants | $102,974 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,352,226 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $893,029 | CYProgramServiceRevenueAmt |
| PY Investment Income | $91 | PYInvestmentIncomeAmt |
| CY Investment Income | $96 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $31 | CYOtherRevenueAmt |
| PY Total Revenue | $1,452,007 | PYTotalRevenueAmt |
| CY Total Revenue | $996,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,118,489 | PYOtherExpensesAmt |
| CY Other Expenses | $1,082,758 | CYOtherExpensesAmt |
| PY Total Expenses | $1,118,489 | PYTotalExpensesAmt |
| CY Total Expenses | $1,082,758 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $333,518 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$86,628 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,489,286 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,315,244 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $164,662 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,248 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,324,624 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,237,996 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HEARTLAND COMMUNITY HEALTH NETWORK EXISTS TO SUPPORT AND STRENGTHEN ITS FEDERALLY QUALIFIED HEALTH CENTER MEMBERS THROUGH COLLABORATION, INFORMATION-SHARING AND INTEGRATION OF ADMINISTRATIVE, FISCAL AND CLINICAL OPERATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,002,795 | ExpenseAmt |
| Revenue | $893,029 | RevenueAmt |
| Desc | HEARTLAND NETWORK HOSTED ELECTRONIC HEALTH RECORDS, ADVANCED PRACTICE MANAGEMENT AND HEALTH INFORMATION EXCHANGE FOR NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS. HEARTLAND NETWORK DEVELOPED REPORTS THAT FACILITATED BETTER HEALTH OUTCOMES FOR ITS MEMBERS AND PROVIDED AROUND THE CLOCK TECHNICAL SUPPORT TO ITS MEMBERS. | Desc |
| Total Program Service Expenses | $1,002,795 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM MCLAUGHLIN | PersonNm |
| Phone | 4025028858 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 SOUTH 30TH STREET SUITE 103 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| KATHY NORDBY | ||||||
| PRESIDENT/CEO | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CAM KLEIBRINK | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RON KEMP | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BILL WYPYSKI | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANDREA SKOLKIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KENNY MCMORRIS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TAMI SMITH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RACHEL GONZALES-HANSON | ||||||
| DIRECTOR THRU 11/19 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAYELA CASTANON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHERRY HILL | ||||||
| DIRECTOR THRU 4/19 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ESTHER TAYLOR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILL OSTDIEK | ||||||
| MEDICAL DIRECTOR REPRESENTATIVE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM MCLAUGHLIN | ||||||
| CFO | 8.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEWORLD COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 S 30TH STREET 103 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONTRACTED EMPLOYEES | ServicesDesc |
| Compensation | $778,526 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $102,974 | AllOtherContributionsAmt |
| Total Contributions | $102,974 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NETWORK FEES | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $893,029 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $893,029 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $893,029 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96 | TotalRevenueColumnAmt |
| Exclusion | $96 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $31 | TotalRevenueColumnAmt |
| Exclusion | $31 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $31 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $996,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $893,029 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $127 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,385 | TotalAmt |
| Program Services | $715,385 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $992 | TotalAmt |
| Program Services | $992 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,500 | TotalAmt |
| Program Services | $8,500 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,818 | TotalAmt |
| Program Services | $12,818 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,028 | TotalAmt |
| Program Services | $139,317 | ProgramServicesAmt |
| Management And General | $20,711 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,524 | TotalAmt |
| Management And General | $7,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,310 | TotalAmt |
| Management And General | $13,310 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,354 | TotalAmt |
| Management And General | $16,354 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,783 | TotalAmt |
| Program Services | $125,783 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,301 | TotalAmt |
| Management And General | $13,301 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| LICENSES | $5,725 | $5,725 |
| DUES & SUBSCRIPTIONS | $2,557 | $2,557 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481 | TotalAmt |
| Management And General | $481 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,082,758 | TotalAmt |
| Program Services | $1,002,795 | ProgramServicesAmt |
| Management And General | $79,963 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $947,708 | BOYAmt |
| EOY | $804,925 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,416 | BOYAmt |
| EOY | $84,810 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,676 | BOYAmt |
| EOY | $87,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $733,996 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $395,535 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,486 | BOYAmt |
| EOY | $338,461 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,489,286 | BOYAmt |
| EOY | $1,315,244 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,662 | BOYAmt |
| EOY | $77,248 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,662 | BOYAmt |
| EOY | $77,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,324,624 | BOYAmt |
| EOY | $1,237,996 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,324,624 | BOYAmt |
| EOY | $1,237,996 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,489,286 | BOYAmt |
| EOY | $1,315,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$86,628 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,974 | CurrentTaxYearAmt |
| Total | $360,647 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $907,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $996,883 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $933,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,352,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $893,029 | CurrentTaxYearAmt |
| Total | $5,082,930 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $910,980 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,037,688 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,046,990 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,451,916 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $996,003 | CurrentTaxYearAmt |
| Total | $5,443,577 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $40,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,974 | CurrentTaxYearAmt |
| Total | $356,695 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $315,885 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,777 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,129 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,280 | CurrentTaxYearMinus1YearAmt |
| Total | $559,071 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $315,885 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $222,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,974 | CurrentTaxYearAmt |
| Total | $915,766 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $4,527,811 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96 | CurrentTaxYearAmt |
| Total | $410 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96 | CurrentTaxYearAmt |
| Total | $410 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $31 | CurrentTaxYearAmt |
| Total | $442 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $911,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,037,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,047,069 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,452,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $996,130 | CurrentTaxYearAmt |
| Total | $5,444,429 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.83160 | PublicSupportCY509Pct |
| Public Support PY509 | 0.79460 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $733,996 | OtherCostOrOtherBasisAmt |
| Depreciation | $395,535 | DepreciationAmt |
| Book Value | $338,461 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $338,461 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,047,130 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $51,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $51,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $996,130 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $996,130 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,133,758 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $51,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $51,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,082,758 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,082,758 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART VII, LINE 5: | FormAndLineReferenceDesc |
| Explanation | TOM MCLAUGHLIN RECEIVED COMPENSATION FROM ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED ENTITY, WHICH PROVIDES MANAGEMENT SERVICES TO ITS CLIENTS. THE AMOUNT OF COMPENSATION MR. MCLAUGHLIN RECEIVED FROM ONEWORLD COMMUNITY HEALTH CENTERS, INC. FOR SERVICES HE PROVIDES TO HEARTLAND COMMUNITY HEALTH NETWORK, INC. WOULD HAVE BEEN APPROXIMATELY $33,000 IN 2019, AS DETERMINED BY ALLOCATING MR. MCLAUGHLIN'S SALARY IN PROPORTION TO TIME SPENT PROVIDING SERVICES TO EACH ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT IS PROVIDED BY ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED ORGANIZATION. MANAGEMENT FEES ARE PAID TO ONEWORLD COMMUNITY HEALTH CENTERS, INC. BASED ON CONTRACTUAL AGREEMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 WILL BE REVIEWED BY THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL POTENTIAL CONFLICTS OF INTEREST, NO MATTER HOW SMALL OR INSIGNIFICANT, ARE TO BE DISCLOSED TO THE PRESIDENT OF THE BOARD OF DIRECTORS AND CHIEF EXECUTIVE OFFICER VIA AN ANNUAL DISCLOSURE FORM. ANY NEW CONFLICT OF INTEREST THAT ARISES AFTER THE ANNUAL DISCLOSURE ALSO MUST BE REPORTED TO THE PRESIDENT OF THE BOARD. THE PRESIDENT, IN CONSULTATION WITH THE BOARD'S EXECUTIVE COMMITTEE AND THE CHIEF EXECUTIVE OFFICER, WILL MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING ANY PARAMETERS OR BOUNDARIES THAT SHOULD BE DEFINED TO PROTECT HEARTLAND COMMUNITY HEALTH NETWORK'S INTEREST. THE RECOMMENDATION AND/OR DECISION OF THE FULL BOARD OF DIRECTORS SHOULD BE OBTAINED ON POTENTIAL CONFLICTS, AS NEEDED, AND THE FULL BOARD SHOULD BE INFORMED OF ANY DECLARED CONFLICTS WHEN ANY MATTER INVOLVING THAT CONFLICT IS CONSIDERED BY THE BOARD. THE BOARD OF DIRECTORS IS EMPOWERED TO WAIVE A POTENTIAL CONFLICT OF INTEREST AFTER FULL DISCLOSURE AND DISCUSSION, AND PROVIDED THAT THE BOARD MEMBER INVOLVED DOES NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THAT MATTER. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS CAN BE FOUND ON GUIDESTAR AS WELL. |
| FORM 990, PART VI, SECTION B, LINE 15: | THE ORGANIZATION HAS NO PAID EMPLOYEES THEREFORE IT IS NOT NECESSARY FOR THERE TO BE PROCESSES IN PLACE TO DETERMINE COMPENSATION. HOWEVER, THE BOARD OF DIRECTORS APPROVES THE BUDGET FOR MANAGEMENT AND ADMINISTRATIVE SERVICES WHICH IS BASED ON THE DIRECT EXPENSES OF THE PROFESSIONALS PROVIDING THE SERVICES. THE MANAGEMENT AND ADMINSTRATIVE SERVICES ARE PROVIDED BY ONEWORLD COMMUNITY HEALTH CENTER INC, A 501(C)(3) ORGANIZATION AND NETWORK MEMBER. ONEWORLD PROVIDES A COMPENSATION COMPARISON SCHEDULE INCLUDING SOURCES SUCH AS MGMA, NACH REGIONAL COMPENSATION SURVEY AND HRAM. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR THE OVERSIGHT OF THE REVIEW. UPON CONCLUSION OF THE REVIEW, THE ACCOUNTING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE BOARD. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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