HEARTLAND COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: HEARTLAND COMMUNITY HEALTH NETWORK INC (EIN 27-2471697)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-04
IRS object ID: 202203089349301045
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-04T12:29:22-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT ST STE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	272471697	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND COMMUNITY HEALTH NETWORK INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEAR	BusinessNameControlTxt
Phone	4027344110	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4920 SOUTH 30TH STREET 103	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68107	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TOM MCLAUGHLIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4027344110	PhoneNum
Signature	2022-11-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TOM	PersonFirstNm
Person Last	MCLAUGHLIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY CPA	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum
Preparation	2022-11-04	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KATHY NORDBY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4920 SOUTH 30TH STREET 103	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68107	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,080,238	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	HEARTLAND NETWORK PROVIDES SERVICES AND SOLUTIONS TO NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS 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.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$106,557	PYContributionsGrantsAmt
CY Contributions Grants	$108,836	CYContributionsGrantsAmt
PY Program Service Revenue	$943,027	PYProgramServiceRevenueAmt
CY Program Service Revenue	$971,319	CYProgramServiceRevenueAmt
PY Investment Income	$91	PYInvestmentIncomeAmt
CY Investment Income	$83	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,049,675	PYTotalRevenueAmt
CY Total Revenue	$1,080,238	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,207,192	PYOtherExpensesAmt
CY Other Expenses	$1,282,462	CYOtherExpensesAmt
PY Total Expenses	$1,207,192	PYTotalExpensesAmt
CY Total Expenses	$1,282,462	CYTotalExpensesAmt
PY Revenues Less Expenses	-$157,517	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$202,224	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,192,120	TotalAssetsBOYAmt
Total Assets EOY	$970,215	TotalAssetsEOYAmt
Total Liabilities BOY	$111,641	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$91,960	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,080,479	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$878,255	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,174,929	ExpenseAmt
Revenue	$971,319	RevenueAmt
Desc	HEARTLAND NETWORK HOSTED ELECTRONIC HEALTH RECORDS, ADVANCED PRACTICE MANAGEMENT AND HEALTH INFORMATION EXCHANGE FOR NINE COMMUNITY HEALTH CENTERS IN THE STATES OF NEBRASKA, IOWA AND TEXAS. HEARTLAND NETWORK DEVELOPED REPORTS THAT FACILITATED BETTER HEALTH OUTCOMES FOR ITS MEMBERS AND PROVIDED AROUND THE CLOCK TECHNICAL SUPPORT TO ITS MEMBERS.	Desc
Total Program Service Expenses	$1,174,929	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TOM MCLAUGHLIN	PersonNm
Phone	4025028858	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4920 SOUTH 30TH STREET SUITE 103	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68107	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KATHY NORDBY
PRESIDENT/CEO	2.00	Yes (X)	Yes (X)	$0	$0	$0
CAM KLEIBRINK
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
ANTONIO FLORES
SECRETARY AS OF 08/21	1.00	Yes (X)	Yes (X)	$0	$0	$0
RON KEMP
SECRETARY THRU 08/21	1.00	Yes (X)	Yes (X)	$0	$0	$0
BILL WYPYSKI
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
ANDREA SKOLKIN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KENNY MCMORRIS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
TAMI SMITH
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MAYELA CASTANON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
WILL OSTDIEK
MEDICAL DIRECTOR REPRESENTATIVE	1.00	Yes (X)		$0	$0	$0
ESTHER TAYLOR
DIRECTOR THRU 04/21	1.00	Yes (X)		$0	$0	$0
TOM MCLAUGHLIN
CFO	8.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ONEWORLD COMMUNITY HEALTH CENTERS INC
4920 S 30TH STREET 103	OMAHA	NE	68107	CONTRACTED EMPLOYEES	$895,323
CHOICE SOLUTIONS LLC
7015 COLLEGE BLVD STE 300	SHAWNEE MISSION	KS	66211	INFORMATION TECH SERVICES	$155,791

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$108,836	AllOtherContributionsAmt
Total Contributions	$108,836	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NETWORK FEES	Desc
Business	541610	BusinessCd
Total Revenue Column	$971,319	TotalRevenueColumnAmt
Related Or Exempt Func Income	$971,319	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$971,319	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83	TotalRevenueColumnAmt
Exclusion	$83	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,080,238	TotalRevenueColumnAmt
Related Or Exempt Func Income	$971,319	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$83	ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$848,637	TotalAmt
Program Services	$808,317	ProgramServicesAmt
Management And General	$40,320	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,000	TotalAmt
Program Services	$9,000	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$700	TotalAmt
Program Services	$700	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$258,074	TotalAmt
Program Services	$233,381	ProgramServicesAmt
Management And General	$24,693	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,662	TotalAmt
Management And General	$4,662	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,346	TotalAmt
Management And General	$4,346	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$13,129	TotalAmt
Management And General	$13,129	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$123,531	TotalAmt
Program Services	$123,531	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,102	TotalAmt
Management And General	$10,102	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt
LICENSES	$7,781	$7,781
DUES & SUBSCRIPTIONS	$2,500	$2,500

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,282,462	TotalAmt
Program Services	$1,174,929	ProgramServicesAmt
Management And General	$107,533	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$804,989	BOYAmt
EOY	$615,363	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,786	BOYAmt
EOY	$76,011	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$77,775	BOYAmt
EOY	$53,830	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$872,191	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$647,180	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$241,570	BOYAmt
EOY	$225,011	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,192,120	BOYAmt
EOY	$970,215	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$111,641	BOYAmt
EOY	$91,960	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,641	BOYAmt
EOY	$91,960	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,080,479	BOYAmt
EOY	$878,255	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,080,479	BOYAmt
EOY	$878,255	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,192,120	BOYAmt
EOY	$970,215	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$202,224	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	0	FSAuditedInd
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$113,226	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$99,690	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$102,974	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$106,557	CurrentTaxYearMinus1YearAmt
Current Tax Year	$108,836	CurrentTaxYearAmt
Total	$531,283	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$933,764	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,352,226	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$893,029	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$943,027	CurrentTaxYearMinus1YearAmt
Current Tax Year	$971,319	CurrentTaxYearAmt
Total	$5,093,365	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,046,990	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,451,916	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$996,003	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,049,584	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,080,155	CurrentTaxYearAmt
Total	$5,624,648	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$47,129	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,280	CurrentTaxYearMinus3YearsAmt
Total	$61,409	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$47,129	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,280	CurrentTaxYearMinus3YearsAmt
Total	$61,409	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$5,563,239	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$79	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$91	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$91	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83	CurrentTaxYearAmt
Total	$440	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$79	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$91	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$91	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83	CurrentTaxYearAmt
Total	$440	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$31	CurrentTaxYearMinus2YearsAmt
Total	$31	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,047,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,452,007	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$996,130	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,049,675	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,080,238	CurrentTaxYearAmt
Total	$5,625,119	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.98900	PublicSupportCY509Pct
Public Support PY509	0.87340	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Investment Income PY	0.00010	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$872,191	OtherCostOrOtherBasisAmt
Depreciation	$647,180	DepreciationAmt
Book Value	$225,011	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$225,011	TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART VII, LINE 5:	FormAndLineReferenceDesc
Explanation	TOM MCLAUGHLIN RECEIVED COMPENSATION FROM ONEWORLD COMMUNITY HEALTH CENTERS, INC., AN UNRELATED ENTITY, WHICH PROVIDES MANAGEMENT SERVICES TO ITS CLIENTS. THE AMOUNT OF COMPENSATION MR. MCLAUGHLIN RECEIVED FROM ONEWORLD COMMUNITY HEALTH CENTERS, INC. FOR SERVICES HE PROVIDES TO HEARTLAND COMMUNITY HEALTH NETWORK, INC. WOULD HAVE BEEN APPROXIMATELY $37,000 IN 2021, AS DETERMINED BY ALLOCATING MR. MCLAUGHLIN'S SALARY IN PROPORTION TO TIME SPENT PROVIDING SERVICES TO EACH ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 11B	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 XII, LINE 2C:	THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR THE OVERSIGHT OF THE REVIEW. UPON CONCLUSION OF THE REVIEW, THE ACCOUNTING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE BOARD. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.