2011-05-16T14:33:27-05:00 2010-06-30 Clifton Gunderson LLP 1301 W 22nd St Ste 1100 Oak Brook IL 60523 990 2009-07-01 363775696 HEARTLAND HEALTH OUTREACH INC HEAR 3126601300 208 SOUTH LASALLE STREET No 1818 CHICAGO IL 60604 BRIAN REGISTE 3126601300 2011-05-09 1 Gregory S Adams 6305738600 2009 2016-02-24 21:20:13Z BRIAN REGISTE 208 S LASALLE SUITE 1818 CHICAGO IL 60604 19969086 0 X N/A X 1991 IL HEARTLAND HEALTH OUTREACH IS A COMMUNITY HEALTH ORGANIZATION SERVING 15,OOO PERSONS ANNUALLY, 9,000 OF THEM HOMELESS. HHO PROVIDES MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT AND TORTURE TREATMENT SERVICES TO PERSONS WHO ARE HOMELESS, IMMIGRANTS, REFUGEES AND VERY LOW INCOME PERSONS WITH HIV DISEASE. HHO ALSO OPERATES A TRAINING PROGRAM AND AN INTERPRETING AND TRANSLATION SERVICE. 18 16 310 0 0 0 17581956 18430960 1183994 1490534 93221 -191188 622443 238780 19481614 19969086 1559889 1395835 0 9479467 9678660 0 0 6529369 7370192 17568725 18444687 1912889 1524399 6760720 8117792 4686007 4518680 2074713 3599112 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. ITS STATE LICENSED AND FUNDED MENTAL HEALTH AND ADDICTIONS TREATMENT PROGRAMS AND THE KOVLER CENTER'S TORTURE TREATMENT SERVICES ARE CENTERED IN THE UPTOWN, EDGEWATER, AND RODGERS PARK COMMUNITIES ON CHICAGO'S NORTH SIDE. 0 0 16845324 1729314 HEARTLAND HEALTH OUTREACH, INC. (HHO), A SUBSIDIARY OF THE HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS,IS A FEDERALLY-QUALIFIED HEALTH CLINIC AND ORGANIZATION SERVING ALMOST 15,OOO PEOPLE ANNUALLY THROUGH MORE THAN 70,000 MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE ABUSE AND CASE MANAGEMENT VISITS, ALONG WITH SUPPORTIVE HOUSING. HHO PROVIDES ITS SERVICES TO INDIVIDUALS EXPERIENCING HOMELESSNESS, THOSE LIVING WITH HIV/AIDS, REFUGEE TRAUMA AND OTHER LOW-INCOME INDIVIDUALS THROUGHOUT THE CHICAGO AREA. IN ADDITION TO THESE HEALTH SERVICES, HHO ALSO OPERATES TRAINING AND TECHNICAL ASSISTANCE PROGRAMS AS WELL AS A FOREIGN LANGUAGE INTERPRETATION/TRANSLATION SERVICE CAPABLE OF SERVICING NEEDS IN MORE THAN 60 LANGUAGES. 16845324 1 1 0 1 0 0 0 0 0 1 0 1 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 1 0 0 0 1 158 0 1 310 1 0 0 0 0 0 0 0 0 0 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X DENISE IDE 3126601491 208 S LaSalle ST STE 1818 Chicago IL 60604 KIm CYSEWSKI 1.00 X 0 0 0 ELIZBETH HIGASHI 1.00 X 0 0 0 JENNIFER BREUER 1.00 X 0 0 0 SAMUEL DUDLEY JR MD 1.00 X 0 0 0 Funmi Adeboje 1.00 X 0 0 0 CELESTE JONSON 1.00 X 0 0 0 LEWIS LAMPINS DDS 1.00 X 0 0 0 KAREN O'HEATH 1.00 X 0 0 0 MARK SULLIVAN 1.00 X 0 0 0 Thomas R Klein 1.00 X 0 0 0 MARY WILSON 1.00 X 0 0 0 DAVID REBEY 1.00 X 0 0 0 STEPHEN STABILE 1.00 X 0 0 0 CATHY PETERSON 1.00 X 0 0 0 JULIANNE SAWYIER MIGELY 1.00 X 0 0 0 RUTH E ROSS 1.00 X 0 0 0 Heidi Nelson 40.00 X 136117 0 10501 RICHARD GROSSI 10.00 X 0 142425 15475 SID L MOHN 10.00 X 0 244778 15211 MICHAEL DEMPSEY 40.00 X 138033 0 11519 STEPHANIE LUTHER 40.00 X 111282 0 6919 KAREN BATIA 40.00 X 115163 0 4809 MADHURI THOTA 30.00 X 103655 0 14043 604250 387203 78477 5 0 1 0 PACIFIC INTERPRETERS INC 707 SW WASHINGTON SUITE 200 PORTLAND OR 97205 CLIENT INTERPRETATION SERVICES 115697 1 16623023 1807937 18430960 Patient services, net 624100 1490534 1490534 1490534 -191188 -191188 MISC revenue 900099 238780 238780 238780 19969086 1729314 0 -191188 1395835 1395835 686145 686145 7158683 7158683 1214698 1214698 619134 619134 39763 39763 1154730 1154730 738853 738853 715692 715692 238258 238258 CLIENT SUPPORT AND MEDI 1951730 1951730 ALLOCATION OF MANAGEMEN 1599363 1599363 REAL ESTATE DEVELOPMENT 380116 380116 UNCOLLECTIBLE ACCOUNTS 282957 282957 medical equipment 268538 268538 192 192 18444687 16845324 1599363 0 748252 488547 482953 310981 2649 703732 3815007 4506965 87902 74096 3845144 1811673 1620957 2033471 3000 0 6760720 8117792 2043911 1879082 25068 2642096 2614530 4686007 4518680 X 1854398 2201126 220315 1397986 2074713 3599112 6760720 8117792 X 0 1 1 X 1 1 X 13032967 15875522 16605369 17581956 18430960 81526774 13032967 15875522 16605369 17581956 18430960 81526774 81526774 16609 30291 354655 93221 -191188 303588 24216 63200 215058 622443 238780 1163697 82994059 5286405 0.98230 0.98170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4327 4327 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: the organization speaks with legislative bodies regarding areas of concern to those individuals which it serves. the organization receives government grants and interaction with legislative bodies is a by-product of such government support. 72698 72698 568194 254069 314125 2097541 1034248 1063293 978191 396764 581427 128520 126592 1928 2033471 Part X: Description of Uncertain Tax Positions Under FIN 48: THE AGENCY DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY FOR ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2010. THE FEDERAL AND STATE RETURNS OF THE AGENCY FOR 2006, 2007, AND 2008 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. 1 CHICAGO FAMILY HEALTH CENTER 9119 S EXCHANGE AVE CHICAGO IL 60617 362893854 501(C)(3) 412298 HEALTHCARE OF THE HOMELESS/HIV CIRCLE FAMILY HEALTHCARE NETWORK 5002 W MADISON ST CHICAGO IL 60644 362906782 501(C)(3) 629128 HEALTHCARE OF THE HOMELESS/HIV ACCESS COMMUNITY HEALTH CENTER 222 N CANAL ST CHICAGO IL 60606 363317058 501(C)(3) 271896 HEALTHCARE OF THE HOMELESS/HIV IFLOSS COALITION 1415 E JEFFERSON ST SPRINGFIELD IL 62703 134206802 501(C)(3) 18063 ORAL HEALTH PROMOTER LAKE COUNTY HEALTH DEPT & COMMUNITY HEALTH CENTER 3010 GRAND AVENUE WAUKEGAN IL 60085 366006600 44852 COMMUNITY HEALTH CENTER HEARTLAND INTERNATIONAL HEALTH CENTER 3048 N WILTON CHICAGO IL 60657 363843377 501(C)(3) 19598 HEALTH CENTER/(RYAN WHITE) 5 1 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 HEALTH 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 HEALTH 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 RESORT 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 NOTORIZED 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. X X X X X 0 0 0 0 0 0 0 0 0 RICHARD GROSSI 0 141961 0 0 0 464 0 3973 0 11502 0 157900 0 71282 SID L MOHN 0 204538 0 11000 0 29240 0 6775 0 8436 0 259989 0 0 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 HEALTH OUTREACH REVIEWS AND APPROVES THE FORM 990. EVERY HEARTLAND HEALTH OUTREACH BOARD MEMBER RECEIVES THE 990 FOR REVIEW AND HAS THE OPPORTUNITY TO ASK THE FINANCE COMMITTEE ANY QUESTIONS PRIOR TO APPROVAL. THE HEARTLAND HEALTH 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 HEALTH OUTREACH BOARD OF DIRECTORS annually sign a Conflict of Interest STATEMENT INDICATING COMPLIANCE WITH POLICY, copies of which are retained in the President's office. In addition, all Heartland HEALTH OUTREACH'S senior management (included in the HEARTLAND ALLIANCE's cabinet, approximately 60+ of the top directors of the Organization) annually signS the Conflict of Interest STATEMENT. A copy of the board of directors' policy is posted on a password-protected portion of the Organization's website, designated for board matters. 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 Boards of Directors, or Senior Management, excuse themselves from decision- making if there is any conflict of interest. Relative to Board or Committee actions, this is reflected in meeting minutes. The policy is reviewed regularly by the Chief Corporate Compliance Officer of the Organization, and was last updated in October 2009. Additional monitoring is performed by the Organization's Executive Team, and the Risk Policy Committee of the Board of Directors. Form 990, Part VI, Section B, line 15 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 COMP. 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 recommendATION for the Organization's senior executives, including THE Executive Director of HEARTLAND HEALTH OUTREACH. Form 990, Part VI, Section C, line 19 HEARTLAND ALLIANCE ROUTINELY PUBLISHES ITS FINANCIAL REPORTS, 990 REPORTS AND OTHER RELEVANT POLICIES ON ITS WEBSITE WHICH IS AVAILABLE TO THE PUBLIC AT HTTP://WWW.HEARTLANDALLIANCE.ORG/WHATWEDO/ADVOCACY/REPORTS/. FOR A COPY OF OUR GOVERNING DOCUMENTS OR CONFLICT OF INTEREST FORMS PLEASE MAKE A REQUEST FOR THEM BY EMAILING TO MOREINFO@HEARTLANDALLIANCE.ORG. FORM 990, PAGE 12, PART XI, LINE 2C THE ORGANIZATION'S MANAGEMENT & COORDINATION COMMITTEE ASSUMES REPSONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. HEARTLAND ALLIANCE 208 S LASALLE SUITE 1818 CHICAGO IL 60604 361877640 SOCIAL SERVICES PROGRAMS IL 501(c)3 7 N/A HEARTLAND HUMAN SERVICES 208 S LASALLE SUITE 1818 CHICAGO IL 60604 364053244 SOCIAL SERVICES PROGRAMS IL 501(c)3 7 N/A HEARTLAND HOUSING 208 S LASALLE SUITE 1818 CHICAGO IL 60604 363642952 LOW-INCOME HOUSING PROGRAMS IL 501(c)3 11a N/A HEARTLAND INTERNATIONAL HEALTH CENTER 208 S LASALLE SUITE 1818 cHICAGO IL 60604 363843377 HEALTH CARE PROGRAMS FOR THE DISADVANTAGED IL 501(c)3 7 N/A ALLIANCE OF CHICAGO COMMUNITY HEALTH SERVICES LLC 1440 N DAYTON STREET STE 308 CHICAGO IL 60642 364444309 HEALTH CARE SERVICES IL N/A RELATED 54486 609594 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 HEARTLAND HUMAN CARE SERVICES D 200000 HEARTLAND HUMAN CARE SERVICES O 170124 HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS O 3118926 HEARTLAND INTERNATIONAL HEALTH CENTER N 2085212 HEARTLAND INTERNATIONAL HEALTH CENTER P 98387 HEARTLAND HUMAN CARE SERVICES P 73665 HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS Q 510774 HEARTLAND ALLIANCE FOR HUMAN NEEDS AND HUMAN RIGHTS N 145059