2013-11-13T14:24:38-06:00 2012-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2012-01-01 272471697 HEARTLAND COMMUNITY HEALTH NETWORK INC HEAR 4025028222 1536 CUMING STREET OMAHA NE 68102 ANDREA SKOLKIN 4025028222 2013-11-07 1 BARBARA J FAJEN P00400874 4023302660 2012 2016-02-25 16:41:14Z ANDREA SKOLKIN 1536 CUMING STREET OMAHA NE 68102 1601513 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. 6 6 0 0 0 0 757556 649022 627472 952425 121 66 0 0 1385149 1601513 0 0 0 0 814739 876375 0 0 0 362165 325643 1176904 1202018 208245 399495 573580 989694 93055 109674 480525 880020 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 826444 952425 HEARTLAND NETWORK HOSTED ELECTRONIC HEALTH RECORDS, ADVANCED PRACTICE MANAGEMENT AND HIE FOR OVER 20 NON-PROFIT PRACTICES ACROSS NEBRASKA AND IOWA. HEARTLAND NETWORK DEVELOPED REPORTS THAT FACILITATED BETTER HEALTH OUTCOMES FOR ITS MEMBERS. HEARTLAND NETWORK ALSO PROVIDED AROUND THE CLOCK TECHNICAL SUPPORT TO ITS MEMBERS. HEARTLAND NETWORK CONTINUES TO SUBCONTRACT WITH EBHIN FOR HOSTING, HELP DESK, AND PROJECT MANAGEMENT SERVICES. 826444 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 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 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 2.00 0.00 X X 0 0 0 RICHARD BROWN 1.00 0.00 X X 0 0 0 CECELIA CREIGHTON 1.00 0.00 X X 0 0 0 DEB SHOEMAKER 1.00 0.00 X X 0 0 0 KATHY NORDBY 1.00 0.00 X 0 0 0 KRIS MCVEA MD 1.00 0.00 X 0 0 0 CAROLINA APICELLA 8.00 0.00 X 0 0 0 0 0 0 0 0 0 0 ONEWORLD COMMUNITY HEALTH CENTER 4920 S 30TH STREET 103 OMAHA NE 68107 CONTRACTED EMPLOYEES 812186 1 649022 649022 NETWORK FEES 900099 952425 952425 952425 66 66 1601513 952425 0 66 740667 545114 195553 24310 17058 7252 51839 36159 15680 59559 42214 17345 7556 7556 50814 21687 29127 47813 45117 2696 90 90 100672 65913 34759 64963 7937 57026 15280 15036 244 6151 5970 181 14148 14148 13893 13313 580 DUES & SUBSCRIPTIONS 2389 1967 422 LICENSES 1855 1313 542 BANK CHARGES 19 19 1202018 826444 375574 0 396662 844378 140118 70717 12253 23252 75063 23716 24547 51347 573580 989694 93055 109674 93055 109674 X 480525 880020 480525 880020 573580 989694 399495 0 X X 0 1 X 1 1 1 X 388109 757556 649022 1794687 320069 627472 952425 1899966 708178 1385028 1601447 3694653 0 0 0 3694653 87 121 66 274 87 121 66 274 708265 1385149 1601513 3694927 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 10714 4286 60063 13002 47061 51347 X 1756609 155096 155096 1601513 0 1601513 1357114 155096 155096 1202018 0 1202018 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 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, 2012 AND 2011, 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 AAUTHORITIES FOR YEARS BEFORE 2009. ONEWORLD COMMUNITY HEALTH CENTERS INC ONEWORLD COMMUNITY HEALTH CENTERS, INC. IS THE MANAGEMENT COMPANY. 22233 ONEWORLD COMMUNITY HEALTH CENTERS, INC., A UNRELATED MANAGEMENT COMPANY, EMPLOYS CAROLINA APICELLA, CFO, WHO IS AN OFFICER OF ONEWORLD COMMUNITY HEALTH CENTERS, INC. AND A CURRENT OFFICER OF HEARTLAND COMMUNITY HEALTH NETWORK, INC. OF THE TOTAL $812,186, HEARTLAND COMMUNITY HEALTH NETWORK, INC. PAYS TO ONEWORLD COMMUNITY HEALTH CENTERS, INC., ONEWORLD COMMUNITY HEALTH CENTERS, INC. PAYS $22,233 TO MS. APICELLA. 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.