HEARTLAND COMMUNITY HEALTH CLINIC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEARTLAND COMMUNITY HEALTH CLINIC (EIN 37-1270794)
- Tax period
- 2016-11-01 to 2017-10-31
- Filed
- 2018-04-02
- IRS object ID
- 201840929349300304
- Schema version
- 2016v3.1
- 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 | 2018-04-02T09:30:49-05:00 | ReturnTs |
| Tax Period End | 2017-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371270794 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTLAND COMMUNITY HEALTH CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHARLES BANDOIAN | InCareOfNm |
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 3096807600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2214 N UNIVERSITY STREET | AddressLine1Txt |
| City | PEORIA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES BANDOIAN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2018-03-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920180925000035 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-04-02 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 942234542CD988598FD3000625E41F9421148FC1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 942234542CD988598FD3000625E41F9421148FC1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTLAND HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHARLES BANDOIAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2214 N UNIVERSITY STREET | AddressLine1Txt |
| City | PEORIA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,638,372 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HHSIL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HIGH QUALITY HEALTHCARE SERVICES ACCESSIBLE TO ALL THROUGH PRIMARY CARE, SPECIALIZED CARE AND OUTREACH AND ENROLLMENT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 206 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,606,540 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,668,036 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,881,924 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,841,940 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,331 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,652 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$12,219 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $16,487,576 | PYTotalRevenueAmt |
| CY Total Revenue | $17,533,628 | 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 | $8,768,363 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,530,286 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $89,848 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,175,768 | PYOtherExpensesAmt |
| CY Other Expenses | $6,418,593 | CYOtherExpensesAmt |
| PY Total Expenses | $15,033,979 | PYTotalExpensesAmt |
| CY Total Expenses | $16,948,879 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,453,597 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $584,749 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,406,680 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,446,151 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,013,797 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,395,716 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,392,883 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,050,435 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES ACCESSIBLE TO ALL REGARDLESS OF A PATIENT'S ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,850,245 | ExpenseAmt |
| Revenue | $9,867,250 | RevenueAmt |
| Desc | 58,001 MEDICAL VISITS WERE PROVIDED DURING 2017. PRIMARY HEALTH CARE MEDICAL SERVICES INCLUDE: PRIMARY CARE PROVIDED BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND NURSES; IMMUNIZATIONS AND WELL-CHILD EXAMS, PEDIATRICS, PERINATAL AND FAMILY PLANNING, WOMEN'S HEALTH SERVICES, OBSTETRICS AND GYNECOLOGY, MIDWIFERY, OPHTHALMOLOGY, PODIATRY, PEDIATRIC EYE AND EAR SCREENINGS, WALK IN SERVICES FOR ESTABLISHED PATIENTS AND LABORATORY ON-SITE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,170,571 | ExpenseAmt |
| Revenue | $974,690 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH CARE SERVICES INCLUDE: BRIEF THERAPY COUNSELING, AND MEDICATION MANAGEMENT VISITS WITH A PSYCHIATRIST, NURSE PRACTITIONER, OR LICENSED CLINICAL SOCIAL WORKER. DURING THE FISCAL YEAR, 5,728 VISITS WERE PROVIDED TO INDIVIDUALS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,020,816 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 206 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES BANDOIAN | PersonNm |
| Phone | 3096807600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2214 N UNIVERSITY STREET | AddressLine1Txt |
| City | PEORIA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANTONIO BANEGAS | |||||||||
| DIRECTOR BEGINNING 4/2017 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SALLY CLOYD | |||||||||
| EXEC COMM MBR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JANET GOLDSWORTHY | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROB GROVE | |||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARIA HERRERA | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY MCMILLAN | |||||||||
| DIRECTOR ENDING 9/2017 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ALNEIDA FORD | |||||||||
| SECOND VP | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SALLY SNYDER | |||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PASTOR LEROY DAVIS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN BASH MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAN BAKER | |||||||||
| DIRECTOR ENDING 4/2017 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LAURIE COVINGTON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GALE THETFORD | |||||||||
| FIRST VP | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ANDREW RAND | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LINDA FOX | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG WILLIAMS | |||||||||
| DIRECTOR BEGINNING 4/2017 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES BANDOIAN | |||||||||
| CEO | 40.0 | 0.0 | $165,668 | $0 | $10,929 | Yes (X) | |||
| KAREN STEPHAN | |||||||||
| CFO | 40.0 | 0.0 | $99,360 | $0 | $4,393 | Yes (X) | |||
| GREGG STONER MD | |||||||||
| CHIEF MEDICAL DIRECTOR | 40.0 | 0.0 | $244,046 | $0 | $24,235 | Yes (X) | |||
| JAMES KERNS MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $202,467 | $0 | $28,138 | Yes (X) | |||
| SARAH KOSCICA MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $183,253 | $0 | $17,399 | Yes (X) | |||
| ROXIE OLIVER-PAYNE MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $154,662 | $0 | $11,784 | Yes (X) | |||
| DAVID HOLDEN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $111,600 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,161,056 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $96,878 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OSF SAINT FRANCIS MEDICAL CENTER | |||||
| 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | LEASED PRECEPTORS | $758,720 |
| POINTCORE NETWORK SERVICES | |||||
| 9600 N FRANCISCAN DR | PEORIA | IL | 61603 | EHR SYSTEM HOST | $648,294 |
| HUMAN SERVICE CENTER | |||||
| 600 FAYETTE ST | PEORIA | IL | 616541346 | PSYCHIATRIC SERVICES | $346,983 |
| ST FRANCIS MEDICAL CENTER | |||||
| PO BOX 772969 | CHICAGO | IL | 606770269 | OSF EMP/GARDEN LEASE | $183,275 |
| HSC HUMAN SERVICE CENTER | |||||
| PO BOX 1346 | PEORIA | IL | 61654 | LEASED CASE MANAGERS | $171,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $176,720 | FederatedCampaignsAmt |
| Government Grants | $3,441,465 | GovernmentGrantsAmt |
| All Other Contributions | $3,049,851 | AllOtherContributionsAmt |
| Noncash Contributions | $748,165 | NoncashContributionsAmt |
| Total Contributions | $6,668,036 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 624100 | $8,979,736 | $8,979,736 |
| Pharmacy Revenue | 446110 | $1,517,147 | $1,517,147 |
| EHR Revenue | 624100 | $140,250 | $140,250 |
| Other Revenue | 624100 | $204,807 | $204,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,841,940 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,396 | TotalRevenueColumnAmt |
| Exclusion | $41,396 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $72,954 | SecuritiesAmt |
| Other | $31,790 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,046 | SecuritiesAmt |
| Other | -$31,790 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,744 | TotalRevenueColumnAmt |
| Exclusion | -$17,744 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,533,628 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,841,940 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $23,652 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,631 | TotalAmt |
| Program Services | $268,281 | ProgramServicesAmt |
| Management And General | $280,350 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,105,103 | TotalAmt |
| Program Services | $5,719,865 | ProgramServicesAmt |
| Management And General | $2,385,238 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,755 | TotalAmt |
| Program Services | $98,176 | ProgramServicesAmt |
| Management And General | $34,579 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,120,030 | TotalAmt |
| Program Services | $820,545 | ProgramServicesAmt |
| Management And General | $299,485 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,767 | TotalAmt |
| Program Services | $448,415 | ProgramServicesAmt |
| Management And General | $175,352 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,518 | TotalAmt |
| Management And General | $18,518 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,788 | TotalAmt |
| Management And General | $90,788 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,166,560 | TotalAmt |
| Program Services | $1,939,659 | ProgramServicesAmt |
| Management And General | $226,901 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,532 | TotalAmt |
| Program Services | $43,532 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,475 | TotalAmt |
| Program Services | $242,848 | ProgramServicesAmt |
| Management And General | $89,627 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,391 | TotalAmt |
| Program Services | $680,990 | ProgramServicesAmt |
| Management And General | $18,401 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,060 | TotalAmt |
| Program Services | $365,244 | ProgramServicesAmt |
| Management And General | $102,816 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,835 | TotalAmt |
| Program Services | $3,812 | ProgramServicesAmt |
| Management And General | $23 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,522 | TotalAmt |
| Program Services | $34,940 | ProgramServicesAmt |
| Management And General | $16,582 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,395 | TotalAmt |
| Program Services | $228,264 | ProgramServicesAmt |
| Management And General | $72,131 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,426 | TotalAmt |
| Program Services | $22,367 | ProgramServicesAmt |
| Management And General | $71,059 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,497,384 | $1,497,384 | |
| BAD DEBT | $524,658 | $524,658 | |
| LICENSES, DUES, SUBSCRIPTIONS | $76,588 | $74,932 | $1,656 |
| RECRUITING & RETENTION | $32,906 | $32,906 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,555 | TotalAmt |
| Program Services | $6,904 | ProgramServicesAmt |
| Management And General | $11,651 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,948,879 | TotalAmt |
| Program Services | $13,020,816 | ProgramServicesAmt |
| Management And General | $3,928,063 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,724 | BOYAmt |
| EOY | $428,597 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,381,843 | BOYAmt |
| EOY | $4,797,265 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $685,719 | BOYAmt |
| EOY | $954,039 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $969,988 | BOYAmt |
| EOY | $1,251,533 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,057 | BOYAmt |
| EOY | $273,609 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,369 | BOYAmt |
| EOY | $87,295 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,302,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,900,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,435,190 | BOYAmt |
| EOY | $1,401,359 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,230,851 | BOYAmt |
| EOY | $1,239,174 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,939 | BOYAmt |
| EOY | $13,280 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,406,680 | BOYAmt |
| EOY | $10,446,151 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,294 | BOYAmt |
| EOY | $1,371,096 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,503 | BOYAmt |
| EOY | $24,620 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,013,797 | BOYAmt |
| EOY | $1,395,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,147,624 | BOYAmt |
| EOY | $8,941,454 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,259 | BOYAmt |
| EOY | $108,981 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,392,883 | BOYAmt |
| EOY | $9,050,435 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,406,680 | BOYAmt |
| EOY | $10,446,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $584,749 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $72,803 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE C, PART II-B, LINE 1(I) | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS ANNUAL DUES TO THE ILLINOIS PRIMARY HEALTH CARE ASSOCIATION. A PORTION OF THESE DUES PAID MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. |
| SCHEDULE C, PART II-B, LINE 1(G) | DIRECT CONTACT WITH LEGISLATORS: MEETINGS WERE HELD WITH LOCAL LEGISLATORS, STATE AND FEDERAL, AND THEIR KEY STAFFERS TO DISCUSS THE FEDERAL FUNDING CLIFF AND THE POTENTIAL IMPACT ON LOSS OF FUNDING TO THE COMMUNITY. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,913 | BeginningYearBalanceAmt |
| Contributions | $276 | ContributionsAmt |
| Investment Earnings Or Losses | $1,216 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $125 | AdministrativeExpensesAmt |
| End Year Balance | $13,280 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,860 | BeginningYearBalanceAmt |
| Contributions | $276 | ContributionsAmt |
| Investment Earnings Or Losses | $888 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $111 | AdministrativeExpensesAmt |
| End Year Balance | $11,913 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,182 | BeginningYearBalanceAmt |
| Contributions | $287 | ContributionsAmt |
| Investment Earnings Or Losses | -$497 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $112 | AdministrativeExpensesAmt |
| End Year Balance | $10,860 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,484 | BeginningYearBalanceAmt |
| Contributions | $878 | ContributionsAmt |
| Administrative Expenses | $180 | AdministrativeExpensesAmt |
| End Year Balance | $11,182 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,163 | BeginningYearBalanceAmt |
| Contributions | $1,321 | ContributionsAmt |
| End Year Balance | $10,484 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,442 | OtherCostOrOtherBasisAmt |
| Book Value | $59,442 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,489,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,644,399 | DepreciationAmt |
| Book Value | $845,249 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,753,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,256,588 | DepreciationAmt |
| Book Value | $496,668 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $1,401,359 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $17,579,483 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $72,803 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $329,642 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$299,628 | OtherRevenueAmt |
| Revenue Not Reported | $102,817 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,476,666 | RevenueSubtotalAmt |
| Other Revenues Not Included | $56,962 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $56,962 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,533,628 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,785,653 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $329,642 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $31,790 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $361,432 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,424,221 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $524,658 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $524,658 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,948,879 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENT FUNDS: THE ORGANIZATION HAS TRANSFERRED ASSETS TO THE COMMUNITY FOUNDATION OF CENTRAL ILLINOIS TO ESTABLISH AN ENDOWMENT, THE PROCEEDS FROM WHICH ARE TO BE USED FOR EMERGENCY PHARMACEUTICAL ASSISTANCE. THE ORGANIZATION'S BOARD OF DIRECTORS RETAIN THE DISCRETION TO REQUEST DISBURSEMENT OF THE ENTIRE FUND EVERY THREE YEARS; THEREFORE, THE INTEREST IN THESE ASSETS ARE INCLUDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS AS TEMPORARILY RESTRICTED NET ASSETS. INCOME IS DISTRIBUTED IN ACCORDANCE WITH THE AGREEMENT WITH THE FOUNDATION AND IS INCLUDED IN TEMPORARILY RESTRICTED NET ASSETS. |
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (524,658) BAD DEBT EXPENSE 225,030 NET ASSETS RELEASED FROM RESTRICTION ----------- $ (299,628) |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FROM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 88,752 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 31,790) LOSS ON DISPOSAL OF ASSETS ----------- $ 56,962 |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 31,790 LOSS ON DISPOSAL OF ASSETS |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 524,658 BAD DEBT EXPENSE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES BANDOIAN | ||||||||||||||
| CEO | $164,934 | $0 | $734 | $0 | $0 | $0 | $3,906 | $0 | $7,023 | $0 | $176,597 | $0 | $0 | $0 |
| JAMES KERNS MD | ||||||||||||||
| PHYSICIAN | $202,467 | $0 | $0 | $0 | $0 | $0 | $8,477 | $0 | $19,661 | $0 | $230,605 | $0 | $0 | $0 |
| SARAH KOSCICA MD | ||||||||||||||
| PHYSICIAN | $182,893 | $0 | $0 | $0 | $360 | $0 | $5,267 | $0 | $12,132 | $0 | $200,652 | $0 | $0 | $0 |
| ROXIE OLIVER-PAYNE MD | ||||||||||||||
| PHYSICIAN | $154,302 | $0 | $0 | $0 | $360 | $0 | $0 | $0 | $11,784 | $0 | $166,446 | $0 | $0 | $0 |
| GREGG STONER MD | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | $244,046 | $0 | $0 | $0 | $0 | $0 | $9,991 | $0 | $14,244 | $0 | $268,281 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | HEALTH CLUB DUES: HEARTLAND COMMUNITY HEALTH CLINIC PAYS HEALTH CLUB DUES FOR CHARLES BANDOIAN. THE ENTIRE AMOUNT WAS TREATED AS TAXABLE COMPENSATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 13220 | ContributionCnt |
| Noncash Contributions Rpt F990 | $736,627 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | EQUIPMENT - SONO MACHINE | 1 | $5,500 | FMV |
| Yes (X) | VARIOUS DONATED EQUIPMENT | 176 | $6,038 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS FOR DRUGS AND MEDICAL SUPPLIES WAS DETERMINED BY THE NUMBER OF UNITS OF MEDICAL SUPPLIES AND VACCINES RECEIVED. THE NUMBER OF CONTRIBUTIONS FOR DONATED EQUIPMENT WAS DETERMINED BY THE NUMBER OF ITEMS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | VISION STATEMENT: HEARTLAND WILL BE THE MEDICAL HOME OF CHOICE. HEARTLAND WILL BE A NATIONALLY RECOGNIZED LEADER WITH THE BEST CARE MODEL FOR ALL THAT CLOSES THE GAP IN RACIAL, ETHNIC, AND ECONOMIC HEALTH CARE DISPARITIES. HEARTLAND EMPLOYEES WILL FIND JOY AND MUTUAL RESPECT WITHIN THEIR WORKPLACE, DRAWING STRENGTH FROM DIVERSITY IN AN ENVIRONMENT OF LEARNING AND PROFESSIONAL GROWTH. |
| FORM 990, PART III LINE 4A | PROGRAM SERVICE ACTIVITY #1 DESCRIPTION (CONTINUED): OVER THE PAST THREE YEARS, THE ORGANIZATION'S PAYOR MIX HAS AVERAGED AS FOLLOWS: 68% MEDICAID, 5% SELF PAY, 19% MEDICARE, 7% PRIVATE INSURANCE, AND 1% OTHER. WELLNESS AND HEALTH PROMOTION PROGRAMS INCLUDE NUTRITION AND WELL BABY VISITS. SCREENING AND DISEASE MANAGEMENT PROGRAMS ARE OFFERED FOR THE COMMUNITY HEALTH RISKS OF DIABETES, ASTHMA AND HYPERTENSION. DURING THE FISCAL YEAR, 63,729 MEDICAL VISITS WERE PROVIDED TO 20,418 INDIVIDUALS. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT, AND A FINAL DRAFT WILL BE REVIEWED AND DISCUSSED AT A MEETING OF THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY ALL EMPLOYEES AND BOARD MEMBERS ANNUALLY. ANY CONFLICT OF INTEREST MUST BE FULLY DISCLOSED TO THE BOARD OF DIRECTORS IN WRITING AS SOON AS PRACTICABLE AFTER THE CONFLICT BECOMES KNOWN. THE BOARD OF DIRECTORS, ACTING WITHOUT THE VOTE OF ANY DIRECTOR WHO MAY HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE MATTER AT HAND, SHALL DETERMINE THE OPTIMUM COURSE FOR ELIMINATING THE CONFLICT AND MINIMIZING ANY APPEARANCE THAT A CONFLICT OF INTEREST EXISTS. ANY DIRECTOR WHO MAY HAVE A CONFLICT SHALL NOT BE COUNTED IN THE QUORUM FOR A MEETING WHEN BOARD ACTION IS TO BE TAKEN ON THE MATTER. THESE REQUIREMENTS SHALL NOT BE CONSTRUED AS PREVENTING THE DIRECTOR FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER OR FROM ANSWERING PERTINENT QUESTIONS OF OTHER DIRECTORS. ALL ACTIONS TAKE ON MATTERS WHICH INVOLVE A CONFLICT SHALL CLEARLY REFLECT, IN THE MINUTE OF SUCH ACTION, THAT THESE REQUIREMENTS HAVE BEEN MET. ANY DIRECTOR WITH A CONFLICT WILL NOT TAKE PART IN ANY BOARD ACTION ON SUCH MATTERS AND, AT THE REQUEST OF ANOTHER DIRECTOR, WILL BE PROHIBITED FROM TAKING PART IN ANY DISCUSSION ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW PROCESS: THE ORGANIZATION SETS THE SALARY FOR THE CEO YEARLY. AT THAT TIME, COMPARABLE SALARY DATA FOR A CEO OF A COMMUNITY HEALTH CENTER WAS OBTAINED FROM THE ILLINOIS PRIMARY HEALTH CARE ASSOCIATION, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, PAY SCALE, ADP AND MGMA. THE FINAL SALARY WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS WAS DOCUMENTED APPROPRIATELY IN THE ORGANIZATION'S BOARD MEETING MINUTES. THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF THE CEO'S COMPENSATION AND MAKES RECOMMENDATIONS FOR ANY SALARY ADJUSTMENTS. A SALARY SCALE FOR ALL EMPLOYEES WAS DEVELOPED USING LOCAL DATA, ILLINOIS PRIMARY CARE ASSOCIATION SALARY SURVEY DATA, AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS SALARY SURVEY DATA FOR ALL RANGES ON THE SCALE. THIS SALARY SCALE WAS UPDATED AND APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS WAS DOCUMENTED APPROPRIATELY IN THE ORGANIZATION'S BOARD MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON APPROPRIATE WRITTEN REQUEST. SUCH DOCUMENTS WILL BE MAILED OR E-MAILED TO REQUESTORS. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: $ 763,520 PRECEPTOR SALARIES 557,272 LEASED STAFF 535,377 CONSULTANTS 157,993 CONTRACTED SERVICES 152,398 PAYROLL PROCESSING ----------- $ 2,166,560 |
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