2013-03-01T09:45:25-06:00 2012-06-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2011-07-01 363775696 Heartland Health Outreach Inc HEAR 3126601300 208 South LaSalle Street No 1818 Chicago IL 60604 Brian Registe 3126601300 2013-03-01 1 Wayne Harder P00294296 3126343400 2011 2016-02-25 16:41:14Z Brian Registe 208 South LaSalle Street No 1818 Chicago IL 60604 22224313 0 X www.heartlandalliance.org X 1991 IL Heartland Health Outreach's Federally Qualified Health Center is located in the Uptown Neighborhood of Chicago and has connections to more than 120 homeless service sites, shelters, drop-in centers, and food programs throughout the metropolitan area. It's state licensed and funded mental health and addiction treatment services, are centered in the north side of Chicago. 22 21 277 33 0 0 17117223 19163577 1337883 2693938 177182 79626 224575 160363 18856863 22097504 1238067 3687043 0 0 9708044 11606442 0 0 0 7146555 6523239 18092666 21816724 764197 280780 7577689 8620513 3902753 3117654 3674936 5502859 X Heartland Health Outreach's Federally Qualified Health Center is located in the Uptown Neighborhood of Chicago and has connections to more than 120 homeless service sites, shelters, drop-in centers, and food programs throughout the metropolitan area. It's state licensed and funded mental health and addiction treatment services, are centered in the north side of Chicago. 0 0 19871538 3687043 2693938 Heartland Health Outreach, Inc. (HHO), a subsidiary of the Heartland Alliance for Human Needs and Human Rights, is a Federally Qualified Health Center and 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. 19871538 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 0 1 198 0 1 277 1 0 0 0 0 0 1 1 0 0 0 0 X 22 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X X Denise Ide 3126601491 208 South LaSalle Street Suite 1818 Chicago IL 60604 Kim M Cysewski 1.00 X X 0 0 0 Elizabeth M Higashi CFA 1.00 X X 0 0 0 Thomas R Klein MD 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 52188 20846 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 Samuel C Dudley Jr MD PhD 1.00 X 0 0 0 Douglas R Elliott 1.00 X 0 0 0 John Flaherty 1.00 X 0 0 0 Khoa X Ho 1.00 X 0 0 0 Michael A Humphrey 1.00 X 0 0 0 Lewis N Lampiris DDS MPH 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 Mary G Wilson 1.00 X 0 0 0 Diane Wolf 1.00 X 0 0 0 Lizabeth G Sode 1.00 X 0 162470 14510 Sid L Mohn 10.00 X 0 295911 16315 Brian Registe 10.00 X 0 135554 5193 Karen Batia 40.00 X 150030 0 13050 Stephanie L Luther 40.00 X 162545 0 19260 Michael Dempsey 40.00 X 158866 0 13830 Jennifer Mee Young Soh 40.00 X 113517 0 10005 Jean Y Rim 40.00 X 114346 0 5070 699304 646123 118079 5 0 1 0 Pacific Interpreters Inc 707 SW Washington Suite 200 Portland OR 97205 Telephonic Interpreting Services 159537 1 335324 115363 17378358 1334532 226128 19163577 Program Service Rev. 624100 1637437 1637437 Patient Services 624100 1056501 1056501 2693938 79626 79626 126809 335324 126809 0 160363 160363 160363 22097504 2693938 0 239989 848535 848535 2838508 2838508 158563 158563 9145401 9145401 188875 188875 1225981 1225981 887622 887622 352992 352992 7166 7166 62998 62998 1406325 1406325 510950 510950 997378 997378 48314 48314 430939 430939 Allocation of Overhead 1945186 1945186 Staff Expenses 442045 442045 Repairs and Maintenance 302768 302768 16178 16178 21816724 19871538 1945186 0 883687 1168082 16000 311277 2287226 2832631 1898881 1485924 62816 211622 4802545 2645433 1840992 2157112 462216 453865 125871 7577689 8620513 1508141 1400120 15023 47429 2379589 1406777 0 263328 3902753 3117654 X 2949043 4660120 725893 842739 3674936 5502859 7577689 8620513 X 280780 1547143 X 0 1 1 X 1 1 X 16605369 17581956 18430960 17117223 18987947 88723455 16605369 17581956 18430960 17117223 18987947 88723455 88723455 354655 93221 177182 79626 704684 215058 622443 238780 224575 160363 1461219 90889358 8014225 0.97620 0.97910 X Schedule A, Part II, Line 10, Explanation of Other Income: Miscellaneous Revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270698 270698 987263 330966 656297 2294589 1388972 905617 1101837 788603 313234 148158 136892 11266 2157112 Investment in Alliance of Chicago Community Health 453865 C 453865 Interagency Balances 263328 263328 Description of Uncertain Tax Positions Under FIN 48: Part X: The Agency and its affiliated organizations are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code. The Agency and its affiliated organizations qualify for the charitable contribution deduction under Section 170(b)(1)(A) and have been classified as organizations that are not private foundations. 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 2008. Holiday Brunch 292257 221005 71252 7200 50364 13688 Chefs in the City 169876 114319 55557 52290 450 2817 462133 335324 126809 7200 102654 450 16505 126809 0 0 Circle Family Healthcare 5002 W Madison St Chicago IL 60644 362906782 501(c)(3) 506540 Healthcare for the Homeless & HIV/AIDS Ryan White funding Access Community Health Center 221 N Canal St Chicago IL 60606 363317058 501(c)(3) 213887 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) 42914 Healthcare for the Homeless 3 0 Client Support & Assistance 70851 2838508 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 Lizabeth G Sode 0 150198 0 4000 0 8272 0 4316 0 10194 0 176980 0 0 Sid L Mohn 0 276177 0 11000 0 8734 0 7201 0 9114 0 312226 0 0 Karen Batia 146847 0 3000 0 183 0 4517 0 8533 0 163080 0 0 0 Stephanie L Luther 159285 0 3119 0 141 0 5029 0 14231 0 181805 0 0 0 Michael Dempsey 158556 0 0 0 310 0 4789 0 9041 0 172696 0 0 0 X 4390 FMV X 39150 45016 FMV X 2827 176722 FMV 0 0 0 0 Method for Determining Number of Contributors: Part I, Column (b): is the number of items contributed. 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 approval. The Heartland Heath 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 Alliance Board of Directors, as well as members of the organization's subsidiary Boards of Directors, annually sign a conflict of interest policy, copies of which are retained in the President's office. In addition, all Heartland Alliance 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. Relative to board of committee actions, this is reflected in the meeting minutes. The policy is reviewed regularly by the Chief Corporate Compliance Officer of the organization. Additional monitoring is performed by the organization's executive team and the Risk Policy Committee of the Board of Directors. 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 Heath 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 25. Transfer of assets from Vital Bridges NFP, Inc. 1,547,118. Total to Form 990, Part XI, Line 5: 1,547,143. Form 990, Part VII - average hours at related organizations: Sid L. Mohn: Heartland Alliance for Human Needs and Rights - 10.00 hours Heartland Housing, Inc. - 10.00 hours Heartland Human Care Services, Inc. - 10.00 hours Brian Registe: Heartland Alliance for Human Needs and Rights - 10.00 hours Heartland Housing, Inc. - 10.00 hours Heartland Human Care Services, Inc.- 10.00 hours Lizabeth G. Sode: Heartland Alliance for Human Needs and Rights - 10.00 hours Heartland Housing, Inc. - 10.00 hours Heartland Human Care Services, Inc.- 1.00 hour Heartland Alliance for Human Needs & Human Rights 208 S LaSalle Street Suite 1818 Chicago IL 60604 361877640 Social Service Programs IL 501(c)(3) 7 N/A 0 Heartland Human Care Services Inc 208 S LaSalle Street Suite 1818 Chicago IL 60604 364053244 Social Service Programs IL 501(c)(3) 7 N/A 0 Heartland Housing Inc 208 S LaSalle Street Suite 1818 Chicago IL 60604 363642952 Low-income Housing IL 501(c)(3) 11 - Type I N/A 0 Mayfield Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 364111300 Low-income Housing IL N/A N/A 0 0 North Avenue Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 364407589 Low-income Housing IL N/A N/A 0 0 Leland Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 364440042 Low-income Housing IL N/A N/A 0 0 Drexel Jazz Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 320062800 Low-income Housing IL N/A N/A 0 0 1218 W Highland Avenue LLC 208 S LaSalle Street Suite 1818 Chicago IL 60604 261456751 Low-income Housing IL N/A N/A 0 0 Fond Du Lac Apartments LLC 208 S LaSalle Street Suite 1818 Chicago IL 60604 271343085 Low-income Housing IL N/A N/A 0 0 Hollywood House Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 262124251 Low-income Housing IL N/A N/A 0 0 Highland MM LLC 208 S LaSalle Street Suite 1818 Chicago IL 60604 261707959 Low-income Housing IL N/A N/A 0 0 Viceroy Hotel Limited Partnership 208 S LaSalle Street Suite 1818 Chicago IL 60604 264589189 Low-income Housing IL N/A N/A 0 0 Leland Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 364363803 Low-income Housing IL N/A C Mayfield Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 364111299 Low-income Housing IL N/A C South Shore Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 363723682 Low-income Housing IL N/A C Drexel Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 364111299 Low-income Housing IL N/A C North Avenue Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 364407591 Low-income Housing IL N/A C Heartland ABLA Rental 208 S LaSalle Street Suite 1818 Chicago IL 60604 300209111 Low-income Housing IL N/A C Heartland ABLA Rental II 208 S LaSalle Street Suite 1818 Chicago IL 60604 320154610 Low-income Housing IL N/A C Hollywood Sheridan Neighborhood Development Corporation 208 S LaSalle Street Suite 1818 Chicago IL 60604 262124171 Low-income Housing IL N/A C Viceroy GP LLC 208 S LaSalle Street Suite 1818 Chicago IL 60604 264588742 Low-income Housing IL N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0