HEARTLAND COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEARTLAND COMMUNITY HEALTH NETWORK INC (EIN 27-2471697)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-25
IRS object ID
201732069349300013
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-07-25T10:09:34-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN272471697EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND COMMUNITY HEALTH NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEARBusinessNameControlTxt
Phone4027344110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14920 SOUTH 30TH STREET NO 103AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNY MCMORRISPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4027344110PhoneNum
Signature2017-07-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARBARA J FAJENPreparerPersonNm
PTINP00400874PTIN
Phone4023302660PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.34.201.180IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-20IPDt
IP Tm14:32:43IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA4DB24C5AB8EB2ABEC143517BC341AFF020B8A0EAtSubmissionCreationDeviceId
At Submission Filing Device IdC299A94BE5AD8C02AF4BA4D8B7C4DB3D2DC5F135AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNY MCMORRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14920 SOUTH 30TH STREET NO 103AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68107ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,037,763GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionHEARTLAND 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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,952PYContributionsGrantsAmt
CY Contributions Grants$40,805CYContributionsGrantsAmt
PY Program Service Revenue$907,028PYProgramServiceRevenueAmt
CY Program Service Revenue$996,883CYProgramServiceRevenueAmt
PY Investment Income$69PYInvestmentIncomeAmt
CY Investment Income$75CYInvestmentIncomeAmt
PY Other Revenue$411PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$911,460PYTotalRevenueAmt
CY Total Revenue$1,037,763CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$822,783PYOtherExpensesAmt
CY Other Expenses$965,534CYOtherExpensesAmt
PY Total Expenses$822,783PYTotalExpensesAmt
CY Total Expenses$965,534CYTotalExpensesAmt
PY Revenues Less Expenses$88,677PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$72,229CYRevenuesLessExpensesAmt
Total Assets BOY$916,515TotalAssetsBOYAmt
Total Assets EOY$940,001TotalAssetsEOYAmt
Total Liabilities BOY$106,816TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,073TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$809,699NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$881,928NetAssetsOrFundBalancesEOYAmt
MissionHEARTLAND 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$900,286ExpenseAmt
Revenue$996,883RevenueAmt
DescHEARTLAND 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. BEGINNING SEPTEMBER 2014, HEARTLAND NETWORK ENTERED INTO A SUBCONTRACT WITH REGION V SYSTEMS TO PROVIDE BEHAVIORAL HEALTH PRACTICES LOCATED IN NEBRASKA'S BEHAVIORAL HEALTH REGION V THE FOLLOWING SERVICES: HOSTING, HELP DESK, SYSTEM ADMINISTRATION AND PROJECT MANAGEMENT.Desc
Total Program Service Expenses$900,286TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTOM MCLAUGHLINPersonNm
Phone4025028858PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14920 SOUTH 30TH STREET SUITE 103AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68107ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KENNY MCMORRIS
PRESIDENT/CEO2.000.00Yes (X)Yes (X)$0$0$0
KATHY NORDBY
VICE PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
RON KEMP
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
ANTHONY MONTEGUT MD
MEDICAL DIRECTORS REP1.000.00Yes (X)$0$0$0
BILL WYPYSKI
DIRECTOR1.000.00Yes (X)$0$0$0
CAM KLEIBRINK
DIRECTOR1.000.00Yes (X)$0$0$0
JENNIFER GENUA-MCDANIEL
DIRECTOR1.000.00Yes (X)$0$0$0
SHERRY HILL
DIRECTOR1.000.00Yes (X)$0$0$0
RACHEL GONZALES-HANSON
DIRECTOR1.000.00Yes (X)$0$0$0
ANDREA SKOLKIN
DIRECTOR1.000.00Yes (X)$0$0$0
TOM MCLAUGHLIN
CFO8.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ONEWORLD COMMUNITY HEALTH CENTERS INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line14920 S 30TH STREET 103AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68107ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACTED EMPLOYEESServicesDesc
Compensation$732,184CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$40,805AllOtherContributionsAmt
Total Contributions$40,805TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNETWORK FEESDesc
Business541610BusinessCd
Total Revenue Column$996,883TotalRevenueColumnAmt
Related Or Exempt Func Income$996,883RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$996,883TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75TotalRevenueColumnAmt
Exclusion$75ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,037,763TotalRevenueColumnAmt
Related Or Exempt Func Income$996,883RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$75ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$660,611TotalAmt
Program Services$660,611ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,746TotalAmt
Program Services$8,746ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,016TotalAmt
Program Services$14,016ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$563TotalAmt
Management And General$563ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,149TotalAmt
Program Services$156,634ProgramServicesAmt
Management And General$9,515ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,644TotalAmt
Program Services$1,940ProgramServicesAmt
Management And General$4,704ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,245TotalAmt
Program Services$388ProgramServicesAmt
Management And General$22,857ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,865TotalAmt
Program Services$1,210ProgramServicesAmt
Management And General$6,655ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,497TotalAmt
Program Services$47,497ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,018TotalAmt
Program Services$5,488ProgramServicesAmt
Management And General$8,530ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LICENSES$13,512$3,756$9,756
DUES & SUBSCRIPTIONS$2,619$2,619

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$49TotalAmt
Management And General$49ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$965,534TotalAmt
Program Services$900,286ProgramServicesAmt
Management And General$65,248ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$770,546BOYAmt
EOY$780,607EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,787BOYAmt
EOY$88,167EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,832BOYAmt
EOY$22,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$208,050LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$159,197LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$96,350BOYAmt
EOY$48,853EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$916,515BOYAmt
EOY$940,001EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$106,816BOYAmt
EOY$58,073EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,816BOYAmt
EOY$58,073EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$809,699BOYAmt
EOY$881,928EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$809,699BOYAmt
EOY$881,928EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$916,515BOYAmt
EOY$940,001EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$72,229ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$649,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$68,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,952CurrentTaxYearMinus1YearAmt
Current Tax Year$40,805CurrentTaxYearAmt
Total$762,096TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$952,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$894,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$801,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$907,028CurrentTaxYearMinus1YearAmt
Current Tax Year$996,883CurrentTaxYearAmt
Total$4,553,142TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,601,447CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$894,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$910,980CurrentTaxYearMinus1YearAmt
Current Tax Year$1,037,688CurrentTaxYearAmt
Total$5,315,238TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,803CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$15,803CurrentTaxYearMinus2YearsAmt
Current Tax Year$40,805CurrentTaxYearAmt
Total$72,411TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$386,078CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$431,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,178CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$315,885CurrentTaxYearMinus1YearAmt
Current Tax Year$181,777CurrentTaxYearAmt
Total$1,578,430TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$401,881CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$431,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$278,981CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$315,885CurrentTaxYearMinus1YearAmt
Current Tax Year$222,582CurrentTaxYearAmt
Total$1,650,841TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,664,397PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69CurrentTaxYearMinus1YearAmt
Current Tax Year$75CurrentTaxYearAmt
Total$349TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69CurrentTaxYearMinus1YearAmt
Current Tax Year$75CurrentTaxYearAmt
Total$349TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$411CurrentTaxYearMinus1YearAmt
Total$411TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,601,513CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$894,995CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,267CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$911,460CurrentTaxYearMinus1YearAmt
Current Tax Year$1,037,763CurrentTaxYearAmt
Total$5,315,998TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.68930PublicSupportCY509Pct
Public Support PY5090.70300PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,050OtherCostOrOtherBasisAmt
Depreciation$159,197DepreciationAmt
Book Value$48,853BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,853TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,088,763TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$51,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$51,000RevenueNotReportedAmt
Revenue Subtotal$1,037,763RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,037,763TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,016,534TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$51,000DonatedServicesUseFcltsAmt
Expenses Not Reported$51,000ExpensesNotReportedAmt
Expenses Subtotal$965,534ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$965,534TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE NETWORK IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE NETWORK ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE NETWORK RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2016 AND 2015, THE NETWORK HAD NO UNCERTAIN TAX POSITIONS ACCRUED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VII, LINE 5:FormAndLineReferenceDesc
ExplanationTOM MCLAUGHLIN RECEIVED COMPENSATION FROM ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED ENTITY, WHICH PROVIDES MANAGEMENT SERVICES TO ITS CLIENTS. MR. MCLAUGHLIN RECEIVED COMPENSATION TOTALING $30,565 FOR HIS SERVICES TO HEARTLAND COMMUNITY HEALTH NETWORK, INC. DURING 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT 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 A, LINE 4HEARTLAND COMMUNITY HEALTH NETWORK, INC. (THE NETWORK) AMENDED ITS BY-LAWS DURING THE 2016 YEAR TO INCREASE THE NUMBER OF DESIGNATED DIRECTORS FROM SIX TO NINE. THE DESIGNATED DIRECTORS ARE THE CHIEF EXECUTIVE OFFICERS OF THE 501(C)(3) ORGANIZATIONS WHO ARE MEMBERS OF THE NETWORK. THE MEMBERS OF THE NETWORK CONSISTS OF THE FOLLOWING 501(C)(3) ORGANIZATIONS: CHARLES DREW HEALTH CENTER, INC., ONEWORLD COMMUNITY HEALTH CENTERS, INC., ALL CARE HEALTH CENTER, INC., NORFOLK COMMUNITY HEALTH CARE CENTER A/K/A MIDTOWN HEALTH CENTER, HEARTLAND COMMUNITY HEALTH CENTER, INC., COMMUNITY HEALTH CENTERS OF SOUTHEAST IOWA, INC., CROSS TIMBERS HEALTH CLINICS, INC., COMMMUNITY HEALTH DEVELOPMENT, INC., AND FRONTERA HEALTHCARE NETWORK, INC.. THE TOTAL NUMBER OF DIRECTORS THAT THE BOARD SHALL CONSIST OF DID NOT CHANGE, THE TOTAL NUMBER OF DIRECTORS REMAINS NOT LESS THAN FIVE NOR MORE THAN THIRTEEN.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WILL BE REVIEWED BY THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 19THE 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 AUDIT. UPON CONCLUSION OF THE AUDIT, THE ACCOUNTING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE BOARD. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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