2015-02-24T13:14:45-06:00 2014-06-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2013-07-01 363843377 Heartland International Health Center HEAR 7732967683 3048 N Wilton Ave No 2nd Chicago IL 60657 Peter Glaser Chief Financial Officer 7732967683 2015-02-24 1 Marek Rozowicz P01616027 3126343400 2013 2016-03-07 17:11:31Z Heartland Health Centers Gwenn Rausch 3048 N Wilton Ave No 2nd Chicago IL 60657 11463620 0 X www.heartlandhealthcenters.org X 1986 IL Heartland International Health Center's mission is to improve the well-being of the communities it serves by providing accessible, high-quality health care in Lincoln Square, Rogers Park, Uptown, Lakeview and four school-based health centers. 12 12 133 16 0 0 6432384 4970328 5040021 6452080 150 150 28000 41062 11500555 11463620 240764 304443 0 0 5485207 7052941 0 0 0 3114764 3879476 8840735 11236860 2659820 226760 7001841 7384247 1550813 1706459 5451028 5677788 X The mission of Heartland Health Centers (HHC) is to improve the well-being of the communities we serve by providing accessible, high-quality health care. HHC largely serves the uninsured, underinsured, immigrants and refugees on Chicago's north side. Sites include four neighborhood health centers, four school based health centers, and three sites where primary care and behavioral health are integrated. 0 0 6688010 304443 5424784 Community Health Care - Heartland Health Centers community health care program includes four neighborhood health centers and three sites where primary care and behavioral health are integrated. Across these sites HHC connects patients to comprehensive services including primary care, prenatal care, pediatric care, immunizations, women's health care, chronic disease management, medication discounts, oral health, mental health, and psychiatric services. In FY 2014, HHC's community health care program provided 51,672 patient encounters. 1337602 838895 School-based Health Centers - HHC operates four school based health centers offering primary care, dental care and behavioral health services to students free of charge. School based health centers fill a critical health care gap by reaching underserved children in a familiar environment with minimal disruption to their school day. In FY 2014, HHC's school program provided 8,995 patient encounters. 334400 188401 Oral Health - HHC's oral health program operates across our health centers to serve our patients in the most cost effective and efficient manner. Our dental team offers preventive services, including cleanings, cancer screenings, x-rays, fluoride varnishes, sealants, and stainless steel crowns. We also provide treatments targeting cavities, gum disease, and tooth loss. Dental services are provided regardless of the patient's ability to pay. In FY 2014, HHC's oral health program provided 3,237 patient encounters. 8360012 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 133 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X X Peter Glaser 7732967683 3048 N Wilton Ave 2nd Floor Chicago IL 60657 Steve Rosemurgy Chairman 1.00 X X 0 0 0 Scott Baum Vice Chair 1.00 X X 0 0 0 Doris Gray Secretary 1.00 X X 0 0 0 Mary Bookman Treasurer 1.00 X X 0 0 0 Ahmed Khan Director 1.00 X 0 0 0 Doug Klegon Director 1.00 X 0 0 0 Elizabeth Tarlov Director 1.00 X 0 0 0 Heidi Spielmaker Director 1.00 X 0 0 0 Jocelyn Johnson Director 1.00 X 0 0 0 Linda Lozano Director 1.00 X 0 0 0 Maureen Sanderson Director 1.00 X 0 0 0 Phillip Dothard Director 1.00 X 0 0 0 Stephen S Stabile Director 1.00 X 0 0 0 Darlene Pereda Director 1.00 X 0 0 0 Benjamin Correia Director 1.00 X 0 0 0 Kathy Hey Director 1.00 X 0 0 0 Gwenn Rausch Executive Director 40.00 X 193775 0 17627 Peter Glaser Chief Financial Officer 40.00 X 96481 0 18332 David Freedman Medical Director 40.00 X 166423 0 17308 Christina Moyer Physician 40.00 X 142779 0 8823 Laurie Carrier Physician 40.00 X 140857 0 5503 Harry M Curtis Family Physician 40.00 X 136688 0 645 877003 0 68238 5 0 1 0 Heartland Alliance for Human Needs & Rig 208 S LaSalle Ste 1300 Chicago IL 60604 Management & Admin. Services 553880 Quest Diagnostics 12889 Collections Center Dr Chicago IL 60693 Medical Services/Supplies 173320 Alternatives Inc 4730 N Sheridan Rd Chicago IL 60640 Patient Counseling 157390 Trilogy Inc 1400 W Greenleaf Chicago IL 60626 Patient Counseling 150107 Advocate Illinois Masonic Medical Center 2311 W 22nd St Oak Brook IL 60523 Medical Services 141577 6 4160905 809423 4970328 Medicare/Medicaid 621110 4977778 4977778 Patient Services 624100 1474302 1474302 6452080 150 150 41062 41062 41062 11463620 6452080 0 41212 304443 304443 326215 245564 80651 5678319 4274447 1403872 116253 88157 28096 494000 374612 119388 438154 332261 105893 589524 589524 37233 16580 20653 30618 13635 16983 1056364 732940 323424 12000 5344 6656 343830 269917 73913 265376 226124 39252 44858 43415 1443 373073 373073 34469 34469 Medical Supplies 914494 914494 Staff Expenses 105016 76852 28164 Bad Debt Expense 67473 67473 5148 681 4467 11236860 8360012 2876848 0 877736 1312512 1500000 530000 1267073 1371346 43356 19790 5859214 1733615 3271903 4125599 15000 25000 26773 0 7001841 7384247 633424 816773 885011 817435 32378 72251 1550813 1706459 X 3806411 4872755 1644617 805033 5451028 5677788 7001841 7384247 226760 0 X 0 1 X 1 1 1 X 3092907 3503207 3258521 6432384 4970328 21257347 3092907 3503207 3258521 6432384 4970328 21257347 21257347 33589 35818 1267 150 150 70974 21328321 21374384 0.99670 0.99440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 603901 603901 1010305 222596 787709 1512553 858461 654092 846848 612401 234447 1885607 40157 1845450 4125599 Due to Affiliates 72251 72251 X 11584800 121180 121180 11463620 0 11463620 11358040 121180 121180 11236860 0 11236860 Part X, Line 2: Heartland International Health Center is a tax-exempt organization under Internal Revenue Code Section 501(c)(3) and as required files a Form 990 (Return of Organization Exempt from Income Tax) annually. Accordingly, income taxes are not provided for in the accompanying financial statements. Heartland International Health Center files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Forms 990 filed by Heartland International Health Center are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by the Heartland International Health Centerare no longer subject to examination for fiscal year 2010 and prior. 1 Howard Brown Health Center 4035 N Sheridan Rd Chicago IL 60613 362894128 501(c)(3) 304443 To provide primary health services to a specialized population 1 0 Part I, Line 2: Heartland International Health Center (HIHC) monitors compliance through three mechanisms. First, compliance is monitored via sub-agency monthly invoicing for appropriate cost reimbursement and annually through the sub-agency annual financial and single audit (the later as required under OMB A-133). Second, compliance is monitored through grantee programmatic reporting that is sent to and reviewed by HIHC clinical and management staff. Third, compliance is monitored through field audits conducted by HIHC's internal audit team. This team is independent from HIHC's finance and program staff. Grantees are also required to submit annual reports necessary to complete the Uniform Data System (UDS) reports. X X X 0 0 0 0 0 0 0 0 0 Gwenn Rausch Executive Director 192723 0 0 0 1052 0 17627 0 0 0 211402 0 0 0 David Freedman Medical Director 165846 0 0 0 577 0 17308 0 0 0 183731 0 0 0 Christina Moyer Physician 142514 0 0 0 265 0 0 0 8823 0 151602 0 0 0 Form 990, Part VI, Section B, line 11 The organization's finance committee serves as the finance and audit committee for the organization's Board of Directors. The finance chair has been identified as the reviewer of the Form 990 and will report back to the full board. Members of the board are provided with copies of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c All members of the Heartland International Health Center Board of Directors annually sign a conflict of interest policy, copies of which are retained in the Executive Director's office. In addition, all of the Heartland International Health Center senior management (included in Heartland Alliance cabinet) annually sign the conflict of interest policy. A copy of the Board of Directors policy is posted on a password protected portion of the organization's website, designated for board members. A copy of the policy for management is posted on the organization's intranet. Policy requires disclosure of any situation in which there may be even an appearance of potential conflict of interest. In addition, a conflict of interest provision is included in the organizational by-laws approved by the Board of Directors. When appropriate, members of the Board of Directors, or senior management excuse themselves from decision-making if there is any conflict of interest. Relative to board of committee actions, this is reflected in the meeting minutes. Form 990, Part VI, Section B, line 15a The compensation committee (a sub-committee of the Board of Directors, which is appointed by the Board Chair) conducts the annual performance evaluation of, and determines the compensation for the organization's Executive Director as compared to the appropriate independent salary survey information for similar positions and roles. This body may also consult with legal counsel or additional outside resources (i.e. the Illinois Primary Healthcare Association, National Association of Community Health Centers) in determining fair and competitive compensation for the Executive Director of Heartland International Health Center. The compensation process is documented. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d).