2014-03-24T09:10:16-05:00 2013-06-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2012-07-01 363775696 Heartland Health Outreach Inc HEAR 3126601300 208 South LaSalle Street No 1300 Chicago IL 60604 Brian Registe 3126601300 2014-03-24 1 Wayne Harder P00294296 3126343400 2012 2015-11-30 17:44:51Z X Brian Registe 208 South LaSalle Street No 1300 Chicago IL 60604 21361960 0 X www.heartlandalliance.org X 1991 IL Heartland Health Outreach's mission is to transform healthcare for the most vulnerable particularly people experiencing homelessness, mental illness or addictions, or struggling with multiple chronic illnesses improving health for all and the well-being of our community.To do this, we:-Ensure access to comprehensive and integrated healthcare.-Deliver high quality and effective healthcare.-Provide training, support research and drive systems change that enriches our communities' capacity to improve health and impact the social determinants of health.-Engage staff, volunteers, partners and donors in building a just society where resources are used wisely and compassionate, effective services yield positive outcomes.-Create and advocate for innovative healthcare solutions that support the elimination of poverty, homelessness and health disparities. 20 19 276 165 0 0 19163577 19722680 2693938 1066912 79626 84213 160363 359846 22097504 21233651 3687043 3005963 0 0 11606442 11814875 0 0 0 6523239 6140141 21816724 20960979 280780 272672 8620513 8476680 3117654 2701643 5502859 5775037 X Heartland Health Outreach's mission is to transform healthcare for the most vulnerable particularly people experiencing homelessness, mental illness or addictions, or struggling with multiple chronic illnesses improving health for all and the well-being of our community.To do this, we:-Ensure access to comprehensive and integrated healthcare.-Deliver high quality and effective healthcare.-Provide training, support research and drive systems change that enriches our communities' capacity to improve health and impact the social determinants of health.-Engage staff, volunteers, partners and donors in building a just society where resources are used wisely and compassionate, effective services yield positive outcomes.-Create and advocate for innovative healthcare solutions that support the elimination of poverty, homelessness and health disparities. 0 0 17509438 3005963 1066912 Heartland Health Outreach, Inc. (HHO), a subsidiary of the Heartland Alliance for Human Needs and Human Rights, is a Federally Qualified Health Center organization serving more than 7,000 people annually through 66,250 medical, dental, mental health, substance abuse and case management visits, along with supportive housing. HHO also provides food and nutrition counseling at 4 grocery centers to more than 2,400 individuals impacted by HIV/AIDS. HHO provides its services to individuals experiencing homelessness, those living with HIV/AIDS, refugee trauma and other low-income individuals throughout the Chicago area. 17509438 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 171 0 1 276 1 0 0 0 0 0 1 1 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 IL X X Rosa Carrillo 3126601300 208 South LaSalle Street Suite 1300 Chicago IL 60604 Kim M Cysewski 1.00 X X 0 0 0 Thomas R Klein MD 1.00 X X 0 0 0 Elizabeth M Higashi CFA 1.00 X X 0 0 0 Julianne Sawyier Migely 1.00 X X 0 0 0 Richard H Grossi 1.00 X X 0 0 0 Jennifer R Breuer 1.00 X 0 0 0 Amy Brierly 1.00 X 0 0 0 Raymond Burks 1.00 X 0 0 0 Darlene Carleff 1.00 X 0 0 0 Charles Edwin Chinn 1.00 X 0 0 0 Douglas R Elliott 1.00 X 0 0 0 Araceli Esquivel 1.00 X 0 0 0 John Flaherty 1.00 X 0 0 0 Khoa X Ho 1.00 X 0 0 0 Bill Lasche 1.00 X 0 0 0 Carlos E Paret 1.00 X 0 0 0 Cathy A Peterson 1.00 X 0 0 0 Joshua Rafsky 1.00 X 0 0 0 David J Rebey 1.00 X 0 0 0 Ruth E Ross PhD 1.00 X 0 0 0 Munzoor Shaikh 1.00 X 0 0 0 Mary G Wilson 1.00 X 0 0 0 Diane Wolf 1.00 X 0 0 0 Sid L Mohn 10.00 30.00 X 0 297998 56143 Lizabeth G Sode 10.00 30.00 X 0 159539 19802 Brian Registe 10.00 30.00 X 0 167689 25043 Karen Batia 40.00 X 161981 0 28466 Stephanie L Luther 40.00 X 159886 0 18801 Jennifer Mee Young Soh 40.00 X 127827 0 10683 Deborah R Hinde 40.00 X 112198 0 10231 Veronica L DiMario 40.00 X 105012 0 13067 Edward Stellon 40.00 X 102526 0 10238 769430 625226 192474 6 0 1 0 Pacific Interpreters Inc 707 SW Washington Suite 200 Portland OR 97205 Telephonic Interpreting Services 189912 Util-IT Inc 500 N Dearborn Suite 1125 Chicago IL 60654 Information Technology 133685 2 147233 42360 98876 17534576 1899635 286354 19722680 Patient Services 624100 1066912 1066912 1066912 84213 84213 299650 42360 128309 171341 171341 Intercompany Revenue 900099 119027 119027 69478 69478 188505 21233651 1066912 0 444059 428835 428835 2577128 2577128 190447 177527 12920 9291348 8661032 630316 226940 210096 16844 1280839 1185774 95065 825301 764047 61254 28681 28681 23817 23817 860989 860989 745283 602407 142876 1064138 916607 147531 73841 29919 43922 422806 422806 Allocation of M&G expen 1965735 1965735 Real Estate Development 363248 363063 185 Staff Expenses 289741 264777 24964 301862 44431 257431 20960979 17509438 3451541 0 1168082 1804817 311277 2832631 3653488 1485924 322441 75000 211622 116576 4825848 3068238 2157112 1757610 453865 746748 8620513 8476680 1400120 1240733 47429 257110 1406777 976188 263328 227612 3117654 2701643 X 4660120 4696737 842739 1078300 5502859 5775037 8620513 8476680 272672 -494 0 X 0 1 X 1 1 1 X 17581956 18430960 17117223 18987947 19722680 91840766 17581956 18430960 17117223 18987947 19722680 91840766 91840766 93221 177182 79626 84213 434242 622443 238780 224575 160363 188505 1434666 93709674 8375350 0.98010 0.97620 X Schedule A, Part II, Line 10, Explanation of Other Income: Miscellaneous Revenue - 2008 Amount: $ 622,443. 2009 Amount: $ 238,780. 2010 Amount: $ 224,575. 2011 Amount: $ 160,363. 2012 Amount: $ 188,505. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270698 270698 1010578 388188 622390 2294588 1614965 679623 1101826 920633 181193 148158 144452 3706 1757610 Investment in Alliance of Chicago Community Health 571748 C Investment in Together4Health, LLC 175000 C 746748 Interagency Balances 227612 227612 X 21892671 -494 531205 128309 659020 21233651 0 21233651 21620493 531205 128309 659514 20960979 0 20960979 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Agency may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Agency, and various positions related to the potential sources of unrelated business taxable income. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. Management has determined that there are no uncertain tax positions during the reporting periods covered by these financial statements. The Agency is generally no longer subject to examination by the Internal Revenue Service for tax years before 2010. Part XI, Line 2d - Other Adjustments: Special Event Expenses 128,309. Part XII, Line 2d - Other Adjustments: Special Event Expenses 128,309. Holiday Brunch 192365 16200 176165 5000 41871 800 6146 Chefs in the City 149645 26160 123485 70534 2600 1358 342010 42360 299650 5000 112405 3400 7504 128309 171341 0 Circle Family Healthcare 5002 W Madison St Chicago IL 60644 362902782 501(c)(3) 267332 Healthcare for the Homeless & HIV/AIDS Ryan White funding Access Community Health Center 221 N Canal St Chicago IL 60606 363317058 501(c)(3) 135887 Healthcare for the Homeless & HIV/AIDS Ryan White funding Lake County Health Department & Community Health Center 3010 Grant Ave Waukegan IL 60085 366006600 501(c)(3) 25616 Healthcare for the Homeless 3 0 Client Support & Assistance 2686 2577128 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: For grant recipients of the organization, Heartland Heath Outreach monitors compliance via two mechanisms: the first is financial in nature and is monitored via the sub-agency monthly invoicing for appropriate cost reimbursement and annually through the sub-agency annual financial and single audit (the latter as required under OMB A-133). The second mechanism is through grantee programmatic reporting that is sent to and monitored by Heartland Heath Outreach clinical/management staff. These grantees also submit annual reports needed to complete the Uniform Data System (UDS) reports. All participants presenting for services will be evaluated for eligibility based on program criteria for health care for the homeless. The criteria are as follows: emergency shelter, transitional shelter, single room occupancy building (SRO), substance abuse agency, street, affidavit (an affidavit is only used as a last report for a participant that can't prove his homeless status, such as participants staying on the street), doubled up (doubled up is defined as living with a person for less than 12 months. These participants must present verification of income (if any) and a notarized letter of support from the person the participant is living with). The organization also serves participants under the Ryan White Care Act I, II, III. Participants served by the Ryan White Care Act include participants with HIV/AIDS and participants at high risk for HIV/AIDS. In addition, grant funds are tracked in detail by cost center and matched and reviewed against the agency approved budget. Finally, Heartland Alliance also monitors its grant recipients by conducting spot audits through its internal/compliance office. These audits are independent of Heartland's Financial & Accountability Services office and program offices. X X X 0 0 0 0 0 0 0 0 0 Sid L Mohn 0 285810 0 11000 0 1188 0 48214 0 7929 0 354141 0 0 Lizabeth G Sode 0 154763 0 4000 0 776 0 11946 0 7856 0 179341 0 0 Brian Registe 0 157567 0 10000 0 122 0 14561 0 10482 0 192732 0 0 Karen Batia 156784 0 5000 0 197 0 9777 0 18689 0 190447 0 0 0 Stephanie L Luther 159737 0 0 0 149 0 5227 0 13574 0 178687 0 0 0 X 4555 FMV X 2 18946 FMV X 38 78099 FMV X 5 174366 FMV X Personal Care Items 5 2867 FMV X Tickets 2 608 FMV X Gift Cards 9 6913 FMV 0 0 0 0 Method for Determining Number of Contributions: Part I, Column (b): The amounts in column (b) represent number of contributors. Form 990, Part VI, Section A, line 6 Heartland Alliance for Human Needs & Human Rights (Heartland Alliance) is the sole voting member. Form 990, Part VI, Section A, line 7a Heartland Alliance shall appoint all of the directors. The officers shall be elected annually by the Board of Directors at the annual meeting of the Board of Directors, or as soon thereafter as convenient based on a slate approved by Heartland Alliance. Vacancies may be filled or new offices filled at any meeting of the Board of Directors with the approval of the board of Heartland Alliance. Form 990, Part VI, Section A, line 7b Any officer or agent elected or appointed by the Board of Directors may be removed upon recommendation of the Board Relations committee of Heartland Alliance by a two-thirds vote at a meeting of the Board of Directors whenever in its judgement the best interests of the organization would be served thereby. Form 990, Part VI, Section B, line 11 The organization's Management Coordination Committee (MCC) serves as the Finance and Audit Committee of the Heartland Alliance Board of Directors. The Finance Committee of Heartland Heath Outreach reviews and approves the Form 990. Every Heartland Heath Outreach board member receives the Form 990 for review and has the opportunity to ask the Finance Committee any questions prior to filing. The Heartland Health Outreach designated member from the Finance Committee reports back to the full MCC on the review process. Form 990, Part VI, Section B, line 12c All members of the Heartland Health Outreach Board of Directors annually sign a conflict of interest policy, copies of which are retained in the President's office. In addition, all Heartland Health Outreach senior management (included in the Heartland Alliance cabinet, approximately 60+ of the top directors of the organization) 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. When appropriate, members of the Board of Directors, or senior management, excuse themselves from decision-making if there is any conflict of interest related to board or committee actions, and this is reflected in the meeting minutes. The policy is reviewed regularly by the Chief Corporate Compliance Officer of the organization and was last updated in October 2009. Additional monitoring is performed by the organization's executive team and the Risk Policy Committee of the Board of Directors. Form 990, Part VI, Section B, line 15a The Compensation Committee of the Heartland Alliance Board of Directors is an independent entity, consisting of the chair and immediate past chair of the Board of Directors. This body conducts the annual performance evaluation of, and determines the compensation for the President of Heartland Alliance. The Executive Compensation Committee also conducts periodic market surveys to assist in establishing the compensation for the President. In addition, the President annually reviews with the Compensation Committee the performance and recommended compensation for the organization's senior executives, including Executive Directors of Heartland Health Outreach. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Heartland Alliance for Human Needs & Human Rights 208 S LaSalle Street Suite 1300 Chicago IL 60604 361877640 Social Service Programs IL 501(c)(3) Line 7 N/A 0 Heartland Human Care Services Inc 208 S LaSalle Street Suite 1300 Chicago IL 60604 364053244 Social Service Programs IL 501(c)(3) Line 7 Heartland Alliance for Human Needs & Human Rights 0 Heartland Housing Inc 208 S LaSalle Street Suite 1300 Chicago IL 60604 363642952 Low-income Housing IL 501(c)(3) Line 9 Heartland Alliance for Human Needs & Human Rights 0 Argyle Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 363827013 Low-income Housing IL 501(c)(3) Line 11a, I Heartland Housing Inc 0 Ellis Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 363993195 Low-income Housing IL 501(c)(3) Line 11a, I Heartland Housing Inc 0 Diversey Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 363945503 Low-income Housing IL 501(c)(3) Line 11a, I Heartland Housing Inc 0 Mayfield Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 364111300 Low-income Housing IL Mayfield Neighborhood Development Corporation N/A 0 0 North Avenue Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 364407589 Low-income Housing IL North Avenue Neighborhood Development Corporation N/A 0 0 Leland Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 364440042 Low-income Housing IL Leland Neighborhood Development Corporation N/A 0 0 Drexel Jazz Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 320062800 Low-income Housing IL Drexel Neighborhood Development Corporation N/A 0 0 1218 W Highland Avenue LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 261456751 Low-income Housing IL Highland MM LLC N/A 0 0 Fond Du Lac Apartments LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 271343085 Low-income Housing IL Fond Du Lac MM LLC N/A 0 0 Hollywood House Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 262124251 Low-income Housing IL Hollywood Sheridan Neighborhood Development Corporation N/A 0 0 Roosevelt Square I Limited Partnership 350 W Hubbard Ste 301 Chicago IL 60654 710953532 Low-income Housing IL Heartland ABLA Rental I NFP N/A 0 0 Roosevelt Square II Limited Partnership 350 W Hubbard Ste 301 Chicago IL 60654 861133215 Low-income Housing IL Heartland ABLA Rental II NFP N/A 0 0 Highland MM LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 261707959 Low-income Housing IL Heartland Housing Highland LLC N/A 0 0 Viceroy Hotel Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 264589189 Low-income Housing IL Viceroy GP LLC N/A 0 0 Lathrop Community Partners LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 244602442 Low-income Housing IL Heartland Lathrop LLC N/A 0 0 Halsted Limited Partnership 208 S LaSalle Street Suite 1300 Chicago IL 60604 461389198 Low-income Housing IL Halsted GP LLC N/A 0 0 Center Buffum LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 900851752 Low-income Housing IL Center Buffum MM LLC N/A 0 0 Leland Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 364363803 Low-income Housing IL Heartland Housing Inc C 0 Mayfield Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 364111299 Low-income Housing IL Heartland Housing Inc C 0 Drexel Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 364111299 Low-income Housing IL Heartland Housing Inc C 0 North Avenue Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 364407591 Low-income Housing IL Heartland Housing Inc C 0 Heartland ABLA Rental 208 S LaSalle Street Suite 1300 Chicago IL 60604 300209111 Low-income Housing IL Heartland Housing Inc C 0 Heartland ABLA Rental II 208 S LaSalle Street Suite 1300 Chicago IL 60604 320154610 Low-income Housing IL Heartland Housing Inc C 0 Hollywood Sheridan Neighborhood Development Corporation 208 S LaSalle Street Suite 1300 Chicago IL 60604 262124171 Low-income Housing IL Heartland Housing Inc C 0 Viceroy GP LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 264588742 Low-income Housing IL Heartland Housing Inc C 0 Halsted GP LLC 208 S LaSalle Street Suite 1300 Chicago IL 60604 320391528 Low-income Housing IL heartland Housing Inc C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0