2015-07-28T08:59:45-05:00 2014-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2014-01-01 272471697 HEARTLAND COMMUNITY HEALTH NETWORK INC HEAR 4027344110 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 ANDREA SKOLKIN PRESIDENT 4027344110 2015-07-23 1 BARBARA J FAJEN P00400874 4023302660 2014 2016-02-25 16:41:14Z ANDREA SKOLKIN 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 872267 0 X N/A X 2010 NE HEARTLAND NETWORK PROVIDES SERVICES AND SOLUTIONS TO FIVE COMMUNITY HEALTH CENTERS IN THE STATE OF NEBRASKA AND IOWA 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. 7 7 0 0 0 0 0 68317 894918 801888 2077 2062 0 0 896995 872267 0 0 0 0 0 0 0 0 0 1091359 834654 1091359 834654 -194364 37613 740743 774197 55087 50928 685656 723269 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 713801 801888 HEARTLAND NETWORK PROVIDES SERVICES (HOSTING, HELP DESK, SYSTEM ADMINISTRATION AND PROJECT MANAGEMENT) FOR BEHAVIORAL HEALTH PRACTICES LOCATED IN NEBRASKA'S BEHAVIORAL HEALTH REGION V. HEARTLAND PROVIDED THESE SERVICES THROUGH A CONTRACT WITH THE ELECTRONIC BEHAVIORAL HEALTH INFORMATION NETWORK (EBHIN) THROUGH AUGUST OF 2014. FROM SEPTEMBER 2014 FORWARD THESE SAME SERVICES ARE BEING PROVIDED THROUGH A CONTRACT WITH REGION V SYSTEMS. 713801 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 1 1 0 0 0 0 0 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 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 ANDREA SKOLKIN PRESIDENT/CEO 2.00 0.00 X X 0 0 0 RICHARD BROWN VICE PRESIDENT (THRU 4/2014) 1.00 0.00 X X 0 0 0 KENNY MCMORRIS VICE PRESIDENT (5/2014-PRESENT) 1.00 0.00 X X 0 0 0 CECELIA CREIGHTON TREASURER 1.00 0.00 X X 0 0 0 KRIS MCVEA MD MEDICAL DIRECTORS REP 1.00 0.00 X 0 0 0 ROM KEMP DIRECTOR 1.00 0.00 X 0 0 0 KATHY NORDBY DIRECTOR 1.00 0.00 X 0 0 0 TERRI WOLFGRAM 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 CENTER INC 4920 S 30TH STREET 103 OMAHA NE 68107 CONTRACTED EMPLOYEES 596033 1 68317 46317 68317 NETWORK FEES 541610 801888 801888 801888 62 62 2000 0 2000 2000 2000 872267 801888 0 2062 556164 556164 6972 6972 12532 12532 59264 59264 100 50 50 91345 42197 49148 25388 12064 13324 9968 3908 6060 6537 4086 2451 32663 6993 25670 13990 6972 7018 LICENSES 15913 799 15114 DUES & SUBSCRIPTIONS 3791 1773 2018 27 27 834654 713801 120853 0 678750 618474 12824 37824 9175 29554 147871 59526 39994 88345 740743 774197 55087 50928 55087 50928 X 685656 723269 685656 723269 740743 774197 37613 0 X X 0 1 X 1 0 X 388109 757556 649022 68317 1863004 320069 627472 952425 894918 801888 3596772 708178 1385028 1601447 894918 870205 5459776 97980 15803 15803 129586 227605 155011 386078 431512 263178 1463384 227605 252991 401881 431512 278981 1592970 3866806 87 121 66 77 62 413 87 121 66 77 62 413 708265 1385149 1601513 894995 870267 5460189 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 147871 59526 88345 88345 X 925514 53247 53247 872267 0 872267 887901 53247 53247 834654 0 834654 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, 2014 AND 2013, THE NETWORK HAD NO UNCERTAIN TAX POSITIONS ACCRUED. WITH FEW EXCEPTIONS, THE NETWORK IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL AUTHORITIES FOR YEARS BEFORE 2011. 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 $24,095 FOR HIS SERVICES TO HEARTLAND COMMUNITY HEALTH NETWORK, INC. DURING 2014. ONEWORLD COMMUNITY HEALTH CENTERS INC ONEWORLD COMMUNITY HEALTH CENTERS, INC. IS THE MANAGEMENT COMPANY. 24095 ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED MANAGEMENT COMPANY, EMPLOYS TOM MCLAUGHLIN, CFO, WHO IS AN OFFICER OF ONEWORLD COMMUNITY HEALTH CENTERS, INC. AND A CURRENT OFFICER OF HEARTLAND COMMUNITY HEALTH NETWORK, INC. HEARTLAND COMMUNITY HEALTH NETWORK, INC. PAID $596,033 TO ONEWORLD COMMUNITY HEALTH CENTERS, INC. FOR MANAGEMENT SERVICES, OF WHICH ONEWORLD COMMUNITY HEALTH CENTERS, INC. PAYS $24,095 TO MR. MCLAUGHLIN. 0 X PROPERTY & EQUIPMENT 70 46317 FAIR MARKET VALUE 0 0 0 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 B, LINE 11 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.