2018-04-02T09:30:49-05:00 2017-10-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-11-01 371270794 HEARTLAND COMMUNITY HEALTH CLINIC % CHARLES BANDOIAN HEAR 3096807600 2214 N UNIVERSITY STREET PEORIA IL 61604 CHARLES BANDOIAN CEO 2018-03-07 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920180925000035 2018-04-02 P 942234542CD988598FD3000625E41F9421148FC1 942234542CD988598FD3000625E41F9421148FC1 2016 2021-01-29 14:40:06Z HEARTLAND HEALTH SERVICES CHARLES BANDOIAN 2214 N UNIVERSITY STREET PEORIA IL 61604 17638372 false X HHSIL.COM X 1990 IL PROVIDE HIGH QUALITY HEALTHCARE SERVICES ACCESSIBLE TO ALL THROUGH PRIMARY CARE, SPECIALIZED CARE AND OUTREACH AND ENROLLMENT SERVICES. 14 14 206 22 0 0 6606540 6668036 9881924 10841940 11331 23652 -12219 0 16487576 17533628 0 0 0 0 8768363 10530286 89848 0 0 6175768 6418593 15033979 16948879 1453597 584749 9406680 10446151 1013797 1395716 8392883 9050435 X TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES ACCESSIBLE TO ALL REGARDLESS OF A PATIENT'S ABILITY TO PAY. false false 11850245 9867250 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. 1170571 974690 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. 13020816 true true false true false false false false false true true false false false false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 27 0 true 206 true false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true false false IL X CHARLES BANDOIAN 3096807600 2214 N UNIVERSITY STREET PEORIA IL 61604 ANTONIO BANEGAS DIRECTOR BEGINNING 4/2017 1.0 0.0 X 0 0 0 SALLY CLOYD EXEC COMM MBR 1.0 0.0 X 0 0 0 JANET GOLDSWORTHY SECRETARY 1.0 0.0 X X 0 0 0 ROB GROVE TREASURER 1.0 0.0 X X 0 0 0 MARIA HERRERA DIRECTOR 1.0 0.0 X 0 0 0 BRADLEY MCMILLAN DIRECTOR ENDING 9/2017 1.0 0.0 X 0 0 0 ALNEIDA FORD SECOND VP 1.0 0.0 X X 0 0 0 SALLY SNYDER PRESIDENT 1.0 0.0 X X 0 0 0 PASTOR LEROY DAVIS DIRECTOR 1.0 0.0 X 0 0 0 STEPHEN BASH MD DIRECTOR 1.0 0.0 X 0 0 0 DAN BAKER DIRECTOR ENDING 4/2017 1.0 0.0 X 0 0 0 LAURIE COVINGTON DIRECTOR 1.0 0.0 X 0 0 0 GALE THETFORD FIRST VP 1.0 0.0 X X 0 0 0 ANDREW RAND DIRECTOR 1.0 0.0 X 0 0 0 LINDA FOX DIRECTOR 1.0 0.0 X 0 0 0 CRAIG WILLIAMS DIRECTOR BEGINNING 4/2017 1.0 0.0 X 0 0 0 CHARLES BANDOIAN CEO 40.0 0.0 X 165668 0 10929 KAREN STEPHAN CFO 40.0 0.0 X 99360 0 4393 GREGG STONER MD CHIEF MEDICAL DIRECTOR 40.0 0.0 X 244046 0 24235 JAMES KERNS MD PHYSICIAN 40.0 0.0 X 202467 0 28138 SARAH KOSCICA MD PHYSICIAN 40.0 0.0 X 183253 0 17399 ROXIE OLIVER-PAYNE MD PHYSICIAN 40.0 0.0 X 154662 0 11784 DAVID HOLDEN MD PHYSICIAN 40.0 0.0 X 111600 0 0 1161056 0 96878 6 false true false OSF SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVE PEORIA IL 61637 LEASED PRECEPTORS 758720 POINTCORE NETWORK SERVICES 9600 N FRANCISCAN DR PEORIA IL 61603 EHR SYSTEM HOST 648294 HUMAN SERVICE CENTER 600 FAYETTE ST PEORIA IL 616541346 PSYCHIATRIC SERVICES 346983 ST FRANCIS MEDICAL CENTER PO BOX 772969 CHICAGO IL 606770269 OSF EMP/GARDEN LEASE 183275 HSC HUMAN SERVICE CENTER PO BOX 1346 PEORIA IL 61654 LEASED CASE MANAGERS 171565 5 176720 3441465 3049851 748165 6668036 Net Patient Service Revenue 624100 8979736 8979736 Pharmacy Revenue 446110 1517147 1517147 EHR Revenue 624100 140250 140250 Other Revenue 624100 204807 204807 10841940 41396 41396 0 0 0 0 0 87000 72954 31790 14046 -31790 -17744 -17744 0 0 0 0 0 0 0 0 0 0 17533628 10841940 23652 X 0 0 0 0 548631 268281 280350 0 8105103 5719865 2385238 132755 98176 34579 1120030 820545 299485 623767 448415 175352 0 18518 18518 90788 90788 0 0 0 2166560 1939659 226901 43532 43532 332475 242848 89627 699391 680990 18401 0 468060 365244 102816 3835 3812 23 0 51522 34940 16582 0 0 300395 228264 72131 93426 22367 71059 MEDICAL SUPPLIES & DRUGS 1497384 1497384 BAD DEBT 524658 524658 LICENSES, DUES, SUBSCRIPTIONS 76588 74932 1656 RECRUITING & RETENTION 32906 32906 18555 6904 11651 16948879 13020816 3928063 0 309724 428597 4381843 4797265 685719 954039 969988 1251533 0 0 0 0 0 0 281057 273609 86369 87295 4302346 2900987 1435190 1401359 1230851 1239174 0 0 0 0 0 0 25939 13280 9406680 10446151 989294 1371096 0 0 24503 24620 0 0 0 0 0 0 0 0 0 0 0 0 1013797 1395716 X 8147624 8941454 245259 108981 0 0 8392883 9050435 9406680 10446151 584749 72803 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true false 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. 11913 276 1216 125 13280 10860 276 888 111 11913 11182 287 -497 112 10860 10484 878 180 11182 9163 1321 10484 1.00000 true false 59442 59442 2489648 1644399 845249 1753256 1256588 496668 1401359 17579483 72803 329642 -299628 102817 17476666 56962 56962 17533628 16785653 329642 31790 361432 16424221 524658 524658 16948879 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 X true true X X false false false false false false false false false CHARLES BANDOIAN CEO 164934 0 734 0 0 0 3906 0 7023 0 176597 0 0 0 JAMES KERNS MD PHYSICIAN 202467 0 0 0 0 0 8477 0 19661 0 230605 0 0 0 SARAH KOSCICA MD PHYSICIAN 182893 0 0 0 360 0 5267 0 12132 0 200652 0 0 0 ROXIE OLIVER-PAYNE MD PHYSICIAN 154302 0 0 0 360 0 0 0 11784 0 166446 0 0 0 GREGG STONER MD CHIEF MEDICAL DIRECTOR 244046 0 0 0 0 0 9991 0 14244 0 268281 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH CLUB DUES: HEARTLAND COMMUNITY HEALTH CLINIC PAYS HEALTH CLUB DUES FOR CHARLES BANDOIAN. THE ENTIRE AMOUNT WAS TREATED AS TAXABLE COMPENSATION. X 13220 736627 COST X EQUIPMENT - SONO MACHINE 1 5500 FMV X VARIOUS DONATED EQUIPMENT 176 6038 FMV false true false SCHEDULE M, PART I, COLUMN B 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. 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