2012-12-21T13:37:13-06:00 2012-06-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2011-07-01 363843377 Heartland International Health Center HEAR 7732967683 3048 N Wilton Ave No 2nd Chicago IL 60657 Peter Glaser 7732967683 2012-12-21 1 Wayne Harder P00294296 3126343400 2011 2016-02-24 21:20:13Z Heartland Health Centers Gwenn Rausch 3048 N Wilton Ave No 2nd Chicago IL 60657 7267299 0 X www.heartlandhealthcenters.org X 1986 IL Heartland International Health Center's mission is to improve the well-being of the communities it serves by providing accessible, high-quality health care in Lincoln Square, Rogers Park, Uptown, Lakeview and four school-based health centers. 16 16 87 6 0 0 3503207 3258521 3374812 3979511 162 1267 35656 28000 6913837 7267299 401249 283029 0 0 3377120 4121400 0 0 0 2253343 2460980 6031712 6865409 882125 401890 4180899 4507474 1791581 1716266 2389318 2791208 X The mission of Heartland Health Centers (HHC) is to improve the well-being of the communities we serve by providing accessible, high-quality health care. HHC largely serves the uninsured, underinsured, immigrants and refugees on Chicago's north side. Sites include four neighborhood health centers, four school based health centers, and two sites where primary care and behavioral health are integrated. 0 0 3614603 283029 3002742 Community Health Care - Heartland Health Centers community health care program includes four neighborhood health centers and two sites where primary care and behavioral health are integrated. Across these sites HHC connects patients to comprehensive services including primary care, prenatal care, pediatric care, immunizations, women's health care, chronic disease management, medication discounts, oral health, mental health, and psychiatric services. In FY 2012, HHC's community health care program provided 30,836 patients encounters. 1252537 797505 School-based Health Centers - HHC operates four school based health centers offering primary care, dental care and behavioral health services to students free of charge. School based health centers fill a critical health care gap by reaching underserved children in a familiar environment with minimal disruption to their school day. In FY 2012 HHC's school program provided 9,552 patient encounters. 370120 179264 Oral Health - HHC's oral health program operates across our health centers to serve our patients in the most cost effective and efficient manner. Our dental team offers preventive services, including cleanings, cancer screenings, x-rays, fluoride varnishes, sealants, and stainless steel crowns. We also provide treatments targeting cavities, gum disease, and tooth loss. Dental services are provided regardless of the patient's ability to pay. In FY 2012 HHC's oral health program provided 3006 patient encounters. 5237260 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 87 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Peter Glaser 7732967683 3048 N Wilton Ave 2nd Floor Chicago IL 60657 Steve Rosemurgy 1.00 X X 0 0 0 Francelyn Perez 1.00 X X 0 0 0 Doris Gray 1.00 X X 0 0 0 Kathy Sprattling 1.00 X X 0 0 0 Scott Baum 1.00 X 0 0 0 Mary Bookman 1.00 X 0 0 0 Phillip Dothard 1.00 X 0 0 0 Elisabeth Houston 1.00 X 0 0 0 Mary Hunter 1.00 X 0 0 0 Ahmed Khan 1.00 X 0 0 0 Jocelyn Johnson 1.00 X 0 0 0 Linda Lozano 1.00 X 0 0 0 Maureen Sanderson 1.00 X 0 0 0 Heidi Spielmaker 1.00 X 0 0 0 Stephen S Stabile 1.00 X 0 0 0 Elizabeth Tarlov 1.00 X 0 0 0 Gwenn Rausch 40.00 X 171604 0 5092 David Freedman 40.00 X 144280 0 1238 Laurie Carrier 40.00 X 130458 0 11208 Meera Singh 40.00 X 127219 0 9919 Harry Curtis 40.00 X 124788 0 11660 698349 0 39117 5 0 1 0 Heartland Alliance for Human Needs & Hum 208 S LaSalle Suite 1818 Chicago IL 60604 Management & adminstrative services 526373 Madison Construction 15657 S 70th Ct Orland Park IL 60462 Building construction 330031 Howard Brown Health Center 4035 N Sheridan Rd Chicago IL 60613 Medical services 328148 Alternatives Inc 4730 N Sheridan Rd Chicago IL 60640 Medical services/supplies 144480 Quest Diagnostics 111 North Wabash Ave Chicago IL 60602 Medical services/supplies 143867 5 100000 2601714 556807 3258521 Medicare/Medicaid 621110 3439109 3439109 Patient Services 624100 540402 540402 3979511 1267 1267 Forgiveness of Debt 900099 28000 28000 28000 7267299 3979511 0 29267 283029 283029 173104 134980 38124 3331248 2597589 733659 60573 47779 12794 287696 226932 60764 268779 212010 56769 526373 526373 6186 2336 3850 21170 7995 13175 420636 357635 63001 175551 152201 23350 259663 210686 48977 3027 3027 384797 384797 Medical Supplies 381433 381433 Staff Expenses 78424 34418 44006 Bad Debt Expense 58754 58754 Equipment 9168 8953 215 135798 135733 65 6865409 5237260 1628149 0 728649 1078143 520750 300000 671456 1071725 19219 50436 2946360 939190 2240825 2007170 4180899 4507474 466872 614269 1004696 946272 320013 155725 1791581 1716266 X 1626461 2140021 762857 651187 2389318 2791208 4180899 4507474 401890 0 X 0 1 1 X 1 1 X 2223877 2526386 3092907 3503207 3258521 14604898 2223877 2526386 3092907 3503207 3258521 14604898 14604898 271442 35779 33589 35818 1267 377895 14982793 11716024 0.97480 0.91730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1010305 164312 845993 1186940 447640 739300 680730 309610 371120 68385 17628 50757 2007170 Due to Affiliates 155725 155725 7267299 6865409 401890 401890 7364491 97192 97192 7267299 0 7267299 6962601 97192 97192 6865409 0 6865409 Description of Uncertain Tax Positions Under FIN 48: Part X: The Health Center is a tax-exempt organization under Internal Revenue Code Section 501(c)(3) and as required files a Form 990 (Return of Organization Exempt from Income Tax) annually. Accordingly, income taxes are not provided for in the accompanying financial statements. The Health Center files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Forms 990 filed by the Health Center are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by the Health Center are no longer subject to examination for the years 2008 and prior. 1 Howard Brown Health Center 4035 N Sheridan Rd Chicago IL 60613 362894128 501(c)(3) 283029 To provide primary health services to a specialized population 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Heartland International Health Center (HIHC) monitors compliance through three mechanisms. First, compliance is monitored via sub-agency monthly invoicing for appropriate cost reimbursement and annually through the sub-agency annual financial and single audit (the later as required under OMB A-133). Second, compliance is monitored through grantee programmatic reporting that is sent to and reviewed by HIHC clinical and management staff. Third, compliance is monitored through field audits conducted by HIHC's internal audit team. This team is independent from HIHC's finance and program staff. Grantees are also required to submit annual reports necessary to complete the Uniform Data System (UDS) reports. X X X 0 0 0 0 0 0 0 0 0 Gwenn Rausch 171604 0 0 0 0 0 3592 0 1500 0 176696 0 0 0 Form 990, Part VI, Section B, line 11 The organization's finance committee serves as the finance and audit committee for the organization's Board of Directors. The finance chair has been identified as the reviewer of the Form 990 and will report back to the full board. Members of the board are provided with copies of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c All members of the Heartland International Health Center Board of Directors annually sign a conflict of interest policy, copies of which are retained in the Executive Director's office. In addition, all of the Heartland International Health Center senior management (included in Heartland Alliance cabinet) 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. In addition, a conflict of interest provision is included in the organizational by-laws approved by the Board of Directors. 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. Form 990, Part VI, Section B, line 15 The compensation committee (a sub-committee of the Board of Directors, which is appointed by the Board Chair) conducts the annual performance evaluation of, and determines the compensation for the organization's Executive Director as compared to the appropriate independent salary survey information for similar positions and roles. This body may also consult with legal counsel or additional outside resources (i.e. the Illinois Primary Healthcare Association, National Association of Community Health Centers) in determining fair and competitive compensation for the Executive Director of Heartland International Health Center. 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.