2017-07-25T10:09:34-05:00 2016-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2016-01-01 272471697 HEARTLAND COMMUNITY HEALTH NETWORK INC HEAR 4027344110 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 KENNY MCMORRIS PRESIDENT 4027344110 2017-07-20 1 BARBARA J FAJEN P00400874 4023302660 209.34.201.180 2017-07-20 14:32:43 CD P A4DB24C5AB8EB2ABEC143517BC341AFF020B8A0E C299A94BE5AD8C02AF4BA4D8B7C4DB3D2DC5F135 2016 2021-01-29 14:40:06Z KENNY MCMORRIS 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 1037763 0 X N/A X 2010 NE HEARTLAND NETWORK PROVIDES SERVICES AND SOLUTIONS TO NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS IN THE FOLLOWING AREAS: ELECTRONIC HEALTH RECORD AND PRACTICE MANAGEMENT SYSTEM IMPLEMENTATION; DATA CENTER HOSTING; SYSTEM ADMINISTRATION; NEXTGEN SUPPORT AND TEMPLATE DESIGN SERVICES; AND BUSINESS CONTINUITY AND DISASTER RECOVERY PLANNING. 10 10 0 0 0 0 3952 40805 907028 996883 69 75 411 0 911460 1037763 0 0 0 0 0 0 0 0 0 822783 965534 822783 965534 88677 72229 916515 940001 106816 58073 809699 881928 HEARTLAND COMMUNITY HEALTH NETWORK EXISTS TO SUPPORT AND STRENGTHEN ITS FEDERALLY QUALIFIED HEALTH CENTER MEMBERS THROUGH COLLABORATION, INFORMATION-SHARING AND INTEGRATION OF ADMINISTRATIVE, FISCAL AND CLINICAL OPERATIONS. 0 0 900286 996883 HEARTLAND NETWORK HOSTED ELECTRONIC HEALTH RECORDS, ADVANCED PRACTICE MANAGEMENT AND HEALTH INFORMATION EXCHANGE FOR NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS. HEARTLAND NETWORK DEVELOPED REPORTS THAT FACILITATED BETTER HEALTH OUTCOMES FOR ITS MEMBERS AND PROVIDED AROUND THE CLOCK TECHNICAL SUPPORT TO ITS MEMBERS. 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. 900286 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TOM MCLAUGHLIN 4025028858 4920 SOUTH 30TH STREET SUITE 103 OMAHA NE 68107 X KENNY MCMORRIS PRESIDENT/CEO 2.00 0.00 X X 0 0 0 KATHY NORDBY VICE PRESIDENT 1.00 0.00 X X 0 0 0 RON KEMP TREASURER 1.00 0.00 X X 0 0 0 ANTHONY MONTEGUT MD MEDICAL DIRECTORS REP 1.00 0.00 X 0 0 0 BILL WYPYSKI DIRECTOR 1.00 0.00 X 0 0 0 CAM KLEIBRINK DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER GENUA-MCDANIEL DIRECTOR 1.00 0.00 X 0 0 0 SHERRY HILL DIRECTOR 1.00 0.00 X 0 0 0 RACHEL GONZALES-HANSON DIRECTOR 1.00 0.00 X 0 0 0 ANDREA SKOLKIN DIRECTOR 1.00 0.00 X 0 0 0 TOM MCLAUGHLIN CFO 8.00 0.00 X 0 0 0 0 0 0 0 0 0 1 ONEWORLD COMMUNITY HEALTH CENTERS INC 4920 S 30TH STREET 103 OMAHA NE 68107 CONTRACTED EMPLOYEES 732184 1 40805 40805 NETWORK FEES 541610 996883 996883 996883 75 75 1037763 996883 0 75 660611 660611 8746 8746 14016 14016 563 563 166149 156634 9515 6644 1940 4704 23245 388 22857 7865 1210 6655 47497 47497 14018 5488 8530 LICENSES 13512 3756 9756 DUES & SUBSCRIPTIONS 2619 2619 49 49 965534 900286 65248 0 770546 780607 20787 88167 28832 22374 208050 159197 96350 48853 916515 940001 106816 58073 106816 58073 X 809699 881928 809699 881928 916515 940001 72229 0 X X 0 1 X 1 0 X 649022 68317 3952 40805 762096 952425 894918 801888 907028 996883 4553142 1601447 894918 870205 910980 1037688 5315238 15803 15803 40805 72411 386078 431512 263178 315885 181777 1578430 401881 431512 278981 315885 222582 1650841 3664397 66 77 62 69 75 349 66 77 62 69 75 349 411 411 1601513 894995 870267 911460 1037763 5315998 0.68930 0.70300 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208050 159197 48853 48853 X 1088763 51000 51000 1037763 0 1037763 1016534 51000 51000 965534 0 965534 PART X, LINE 2: THE 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. 0 0 0 0 0 0 0 0 0 PART VII, LINE 5: TOM 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. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT IS PROVIDED BY ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED ORGANIZATION. MANAGEMENT FEES ARE PAID TO ONEWORLD COMMUNITY HEALTH CENTERS, INC. BASED ON CONTRACTUAL AGREEMENT. FORM 990, PART VI, SECTION A, LINE 4 HEARTLAND 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 11B A COPY OF FORM 990 WILL BE REVIEWED BY THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL POTENTIAL CONFLICTS OF INTEREST, NO MATTER HOW SMALL OR INSIGNIFICANT, ARE TO BE DISCLOSED TO THE PRESIDENT OF THE BOARD OF DIRECTORS AND CHIEF EXECUTIVE OFFICER VIA AN ANNUAL DISCLOSURE FORM. ANY NEW CONFLICT OF INTEREST THAT ARISES AFTER THE ANNUAL DISCLOSURE ALSO MUST BE REPORTED TO THE PRESIDENT OF THE BOARD. THE PRESIDENT, IN CONSULTATION WITH THE BOARD'S EXECUTIVE COMMITTEE AND THE CHIEF EXECUTIVE OFFICER, WILL MAKE A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING ANY PARAMETERS OR BOUNDARIES THAT SHOULD BE DEFINED TO PROTECT HEARTLAND COMMUNITY HEALTH NETWORK'S INTEREST. THE RECOMMENDATION AND/OR DECISION OF THE FULL BOARD OF DIRECTORS SHOULD BE OBTAINED ON POTENTIAL CONFLICTS, AS NEEDED, AND THE FULL BOARD SHOULD BE INFORMED OF ANY DECLARED CONFLICTS WHEN ANY MATTER INVOLVING THAT CONFLICT IS CONSIDERED BY THE BOARD. THE BOARD OF DIRECTORS IS EMPOWERED TO WAIVE A POTENTIAL CONFLICT OF INTEREST AFTER FULL DISCLOSURE AND DISCUSSION, AND PROVIDED THAT THE BOARD MEMBER INVOLVED DOES NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THAT MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS CAN BE FOUND ON GUIDESTAR AS WELL. FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION HAS NO PAID EMPLOYEES THEREFORE IT IS NOT NECESSARY FOR THERE TO BE PROCESSES IN PLACE TO DETERMINE COMPENSATION. HOWEVER, THE BOARD OF DIRECTORS APPROVES THE BUDGET FOR MANAGEMENT AND ADMINISTRATIVE SERVICES WHICH IS BASED ON THE DIRECT EXPENSES OF THE PROFESSIONALS PROVIDING THE SERVICES. THE MANAGEMENT AND ADMINSTRATIVE SERVICES ARE PROVIDED BY ONEWORLD COMMUNITY HEALTH CENTER INC, A 501(C)(3) ORGANIZATION AND NETWORK MEMBER. ONEWORLD PROVIDES A COMPENSATION COMPARISON SCHEDULE INCLUDING SOURCES SUCH AS MGMA, NACH REGIONAL COMPENSATION SURVEY AND HRAM. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR THE OVERSIGHT OF THE 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.