2012-10-11T14:48:43-05:00 2011-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2011-01-01 272471697 HEARTLAND COMMUNITY HEALTH NETWORK INC HEAR 4025028222 1536 CUMING STREET OMAHA NE 68102 ANDREA SKOLKIN 4025028222 2012-10-08 1 BARBARA J FAJEN P00400874 4023302660 2011 2016-02-24 21:20:13Z ANDREA SKOLKIN 1536 CUMING STREET OMAHA NE 68102 1385149 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 388109 757556 320069 627472 87 121 0 0 708265 1385149 0 0 0 0 0 814739 0 0 0 435985 362165 435985 1176904 272280 208245 344246 573580 71966 93055 272280 480525 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 770001 627472 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. 770001 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 0 1 0 0 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 0 1 0 0 0 X CAROLINA APICELLA 4025028858 4920 SOUTH 30TH STREET SUITE 103 OMAHA NE 68107 X ANDREA SKOLKIN 2.00 X X 0 0 0 RICHARD BROWN 2.00 X X 0 0 0 CECELIA CREIGHTON 2.00 X X 0 0 0 DEB SHOEMAKER 2.00 X X 0 0 0 NANCY NORDBY 2.00 X 0 0 0 KRIS MCVEA MD 2.00 X 0 0 0 JOEL DOUGHERTY 20.00 X 0 0 0 CAROLINA APICELLA 8.00 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 687724 1 757556 757556 NETWORK FEES 900099 627472 627472 627472 121 121 1385149 627472 0 121 687724 484322 203402 22854 15732 7122 55012 39053 15959 49149 34334 14815 9141 9141 52518 6687 45831 64951 64951 754 754 113033 54361 58672 54094 2533 51561 28084 27668 416 15848 15848 8813 8813 13391 13391 LICENSES 857 857 DUES & SUBSCRIPTIONS 681 369 312 1176904 770001 406903 0 215315 396662 101681 140118 11422 12253 34115 9568 12828 24547 3000 0 344246 573580 71966 93055 71966 93055 X 272280 480525 272280 480525 344246 573580 208245 0 X X 0 1 1 X 1 1 X 388109 757556 1145665 320069 627472 947541 708178 1385028 2093206 0 0 0 2093206 87 121 208 87 121 208 708265 1385149 2093414 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 5282 9718 19115 4286 14829 24547 1385149 1176904 208245 208245 1540245 155096 155096 1385149 0 1385149 1332000 155096 155096 1176904 0 1176904 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 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 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 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.