HEARTLAND COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEARTLAND COMMUNITY HEALTH NETWORK INC (EIN 27-2471697)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-11
- IRS object ID
- 201212859349300346
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-11T14:48:43-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 476097913 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 680224722 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272471697 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTLAND COMMUNITY HEALTH NETWORK INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAR | NameControl |
| Phone | 4025028222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1536 CUMING STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68102 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANDREA SKOLKIN | Name |
| Title | PRESIDENT | Title |
| Phone | 4025028222 | Phone |
| Date Signed | 2012-10-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA J FAJEN | Name |
| PTIN | P00400874 | PTIN |
| Phone | 4023302660 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANDREA SKOLKIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1536 CUMING STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1385149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2010 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 388109 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 757556 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 320069 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 627472 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 87 | InvestmentIncomePriorYear |
| Investment Income Current Year | 121 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 708265 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1385149 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 814739 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 435985 | OtherExpensePriorYear |
| Other Expenses Current Year | 362165 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 435985 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1176904 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 272280 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 208245 | RevenuesLessExpensesCY |
| Total Assets BOY | 344246 | TotalAssetsBOY |
| Total Assets EOY | 573580 | TotalAssetsEOY |
| Total Liabilities BOY | 71966 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 93055 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 272280 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 480525 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 770001 | Expense |
| Revenue | 627472 | Revenue |
| Description | FOUR FQHC MEMBERS WENT LIVE ON ELECTRONIC HEALTH RECORDS, INCLUDING CPOE VIA LAB INTERFACES AND EPRESCRIBING. A MAJOR NEXTGEN SOFTWARE UPGRADE WAS PERFORMED TO ALLOW MEMBERS TO MEET THE FIRST PHASE OF MEANINGFUL USE REQUIREMENTS. HEARTLAND NETWORK DEVELOPED A SUITE OF REPORTS FOR MEMBERS THAT ALLOW FOR MONITORING AND SUBMISSION OF UDS (HRSA 330 GRANTEE REPORTING), MEANINGFUL USE, AND OTHER AD HOC REPORTING NEEDS. A MEMBER PRACTICE OF THE SOUTHEAST NEBRASKA BEHAVIORAL HEALTH (EBHIN) SUCCESSFULLY IMPLEMENTED NEXTGEN'S EPM APPLICATION UNDER HEARTLAND NETWORK'S PROJECT MANAGEMENT LEAD. HEARTLAND NETWORK CONTINUES TO SUBCONTRACT WITH WIDE RIVER TECHNOLOGY (NEBRASKA'S REGIONAL EXTENSION CENTER), AND EBHIN FOR HOSTING, HELP DESK AND PROJECT MANAGEMENT SERVICES. | Description |
| Total Program Service Expense | 770001 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CAROLINA APICELLA | NamePerson |
| Telephone Number | 4025028858 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 SOUTH 30TH STREET SUITE 103 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ANDREA SKOLKIN | ||||||
| PRESIDENT/CEO | 2.00 | X | X | 0 | 0 | 0 |
| RICHARD BROWN | ||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| CECELIA CREIGHTON | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| DEB SHOEMAKER | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| NANCY NORDBY | ||||||
| DESIGNATED DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| KRIS MCVEA MD | ||||||
| ELECTED DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| JOEL DOUGHERTY | ||||||
| COO | 20.00 | X | 0 | 0 | 0 | |
| CAROLINA APICELLA | ||||||
| CFO | 8.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEWORLD COMMUNITY HEALTH CENTER | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4920 S 30TH STREET 103 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | CONTRACTED EMPLOYEES | DescriptionOfServices |
| Compensation | 687724 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 757556 | GovernmentGrants |
| Total Contributions | 757556 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NETWORK FEES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 627472 | TotalRevenueColumn |
| Related Or Exempt Function Income | 627472 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 627472 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 121 | TotalRevenueColumn |
| Exclusion | $121 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1385149 | TotalRevenueColumn |
| Related Or Exempt Function Income | 627472 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $121 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 687724 | Total |
| Program Services | 484322 | ProgramServices |
| Management And General | 203402 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22854 | Total |
| Program Services | 15732 | ProgramServices |
| Management And General | 7122 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55012 | Total |
| Program Services | 39053 | ProgramServices |
| Management And General | 15959 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49149 | Total |
| Program Services | 34334 | ProgramServices |
| Management And General | 14815 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9141 | Total |
| Program Services | 9141 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52518 | Total |
| Program Services | 6687 | ProgramServices |
| Management And General | 45831 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64951 | Total |
| Program Services | 64951 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754 | Total |
| Program Services | 754 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113033 | Total |
| Program Services | 54361 | ProgramServices |
| Management And General | 58672 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54094 | Total |
| Program Services | 2533 | ProgramServices |
| Management And General | 51561 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28084 | Total |
| Program Services | 27668 | ProgramServices |
| Management And General | 416 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15848 | Total |
| Program Services | 15848 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8813 | Total |
| Management And General | 8813 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13391 | Total |
| Program Services | 13391 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LICENSES | 857 | 857 | |
| DUES & SUBSCRIPTIONS | 681 | 369 | 312 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176904 | Total |
| Program Services | 770001 | ProgramServices |
| Management And General | 406903 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215315 | BOY |
| EOY | 396662 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101681 | BOY |
| EOY | 140118 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11422 | BOY |
| EOY | 12253 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 34115 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9568 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12828 | BOY |
| EOY | 24547 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344246 | BOY |
| EOY | 573580 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71966 | BOY |
| EOY | 93055 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71966 | BOY |
| EOY | 93055 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272280 | BOY |
| EOY | 480525 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272280 | BOY |
| EOY | 480525 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344246 | BOY |
| EOY | 573580 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 208245 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 388109 | CurrentTaxYearMinus1Year |
| Current Tax Year | 757556 | CurrentTaxYear |
| Total | 1145665 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 320069 | CurrentTaxYearMinus1Year |
| Current Tax Year | 627472 | CurrentTaxYear |
| Total | 947541 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 708178 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1385028 | CurrentTaxYear |
| Total | 2093206 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2093206 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 87 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121 | CurrentTaxYear |
| Total | 208 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 87 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121 | CurrentTaxYear |
| Total | 208 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 708265 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1385149 | CurrentTaxYear |
| Total | 2093414 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15000 | OtherCostOrOtherBasis |
| Depreciation | 5282 | Depreciation |
| Book Value | 9718 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19115 | OtherCostOrOtherBasis |
| Depreciation | 4286 | Depreciation |
| Book Value | 14829 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24547 | TotalOfBookValueLandBuildings |
| Total Revenue | 1385149 | TotalRevenue |
| Total Expenses | 1176904 | TotalExpenses |
| Excess Or Deficit For Year | 208245 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 208245 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1540245 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 155096 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 155096 | RevenueNotRptdF990 |
| Revenue Subtotal | 1385149 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1385149 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1332000 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 155096 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 155096 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1176904 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1176904 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 ADOPTED FASB ASC TOPIC 740 SUBTOPIC 10 SECTION 25, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB ASC 740. SECTION 25 PROVIDES SPECIFIC GUIDANCE ON HOW TO ADDRESS UNCERTAINTY IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, PRESCRIBING RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES. THE ADOPTION OF SECTION 25 DID NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL POSITION, RESULTS OF OPERATIONS AND CHANGES IN NET ASSETS, OR CASH FLOW. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ONEWORLD COMMUNITY HEALTH CENTERS INC | |||
| ONEWORLD COMMUNITY HEALTH CENTERS, INC. IS THE MANAGEMENT COMPANY. | 70396 | ONEWORLD COMMUNITY HEALTH CENTERS, INC., A UNRELATED MANAGEMENT COMPANY, EMPLOYS JOEL DOUGHERTY, COO, AND CAROLINA APICELLA, CFO, WHO ARE BOTH OFFICERS (COO AND CFO, RESPECTIVELY) OF ONEWORLD COMMUNITY HEALTH CENTERS, INC. AND CURRENT OFFICERS OF HEARTLAND COMMUNITY HEALTH NETWORK, INC. OF THE TOTAL $687,724, HEARTLAND COMMUNITY HEALTH NETWORK, INC. PAYS TO ONEWORLD COMMUNITY HEALTH CENTERS, INC., ONEWORLD COMMUNITY HEALTH CENTERS, INC. PAYS $50,365 TO MR. DOUGHERTY AND $20,031 TO MS. APICELLA. | 0 |
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 VI, SECTION B, LINE 13: | THE ORGANIZATION DOES NOT HAVE A WRITTEN WHISTLEBLOWER POLICY BUT IS IN THE PROCESS OF CREATING AND IMPLEMENTING SUCH POLICY. |
| 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. |
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