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TAPESTRY 360 HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TAPESTRY 360 HEALTH (EIN 36-3843377)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-03
IRS object ID
201630349349300618
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-02-03T09:57:46-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363843377EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Heartland International Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEARBusinessNameControlTxt
Phone7732967683PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13048 N Wilton Ave No 2ndAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60657ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGwenn RauschPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone7732967683PhoneNum
Signature2016-02-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMarek RozowiczPreparerPersonNm
PTINP01616027PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Heartland Health CentersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGwenn RauschPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13048 N Wilton Ave No 2ndAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60657ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,168,088GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.heartlandhealthcenters.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionHeartland 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee156TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,970,328PYContributionsGrantsAmt
CY Contributions Grants$5,432,634CYContributionsGrantsAmt
PY Program Service Revenue$6,452,080PYProgramServiceRevenueAmt
CY Program Service Revenue$7,687,768CYProgramServiceRevenueAmt
PY Investment Income$150PYInvestmentIncomeAmt
CY Investment Income$42,678CYInvestmentIncomeAmt
PY Other Revenue$41,062PYOtherRevenueAmt
CY Other Revenue$5,008CYOtherRevenueAmt
PY Total Revenue$11,463,620PYTotalRevenueAmt
CY Total Revenue$13,168,088CYTotalRevenueAmt
PY Grants And Similar Paid$304,443PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$174,994CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,052,941PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,196,072CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,879,476PYOtherExpensesAmt
CY Other Expenses$4,329,448CYOtherExpensesAmt
PY Total Expenses$11,236,860PYTotalExpensesAmt
CY Total Expenses$12,700,514CYTotalExpensesAmt
PY Revenues Less Expenses$226,760PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$467,574CYRevenuesLessExpensesAmt
Total Assets BOY$7,384,247TotalAssetsBOYAmt
Total Assets EOY$10,500,532TotalAssetsEOYAmt
Total Liabilities BOY$1,706,459TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,385,170TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,677,788NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,115,362NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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 five neighborhood health centers, four school based health centers, and three sites where primary care and behavioral health are integrated.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,479,147ExpenseAmt
Grant$174,994GrantAmt
Revenue$6,639,578RevenueAmt
DescCommunity Health Care - Heartland Health Centers' community health care program includes five neighborhood health centers and three sites where primary care and behavioral health care 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 FY2015, HHC's community health care program provided 54,354 patient medical and behavioral encounters.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,358,313ExpenseAmt
Revenue$857,911RevenueAmt
DescSchool-based Health Centers - HHC operates four school based health centers offering primary care, dental care, and behavioral health services to students free of out-of-pocket charges. School-based health centers fill a critical health gap by reaching underserved children in a familiar environment with minimal disruption to their school day. In FY2015, HHC's school program provided 9,500 patient medical and behavioral encounters.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$473,141ExpenseAmt
Revenue$190,279RevenueAmt
DescOral 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 include 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 FY2015, HHC's oral health program provided 3,337 patient encounters.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,310,601TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee156EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Randall JohnsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7732967683PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13048 N Wilton Ave 2nd FloorAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60657ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Steve Rosemurgy
Chairman1.00Yes (X)Yes (X)$0$0$0
Mary Bookman
Vice Chair1.00Yes (X)Yes (X)$0$0$0
Doris Gray
Secretary1.00Yes (X)Yes (X)$0$0$0
Scott Baum
Treasurer1.00Yes (X)Yes (X)$0$0$0
Benjamin Correia
Director1.00Yes (X)$0$0$0
Denise Cunill MD
Director1.00Yes (X)$0$0$0
Phillip Dothard
Director1.00Yes (X)$0$0$0
Karen Faddis-Smith
Director1.00Yes (X)$0$0$0
Kathy S Hey
Director1.00Yes (X)$0$0$0
Jocelyn Johnson
Director1.00Yes (X)$0$0$0
Doug Klegon
Director1.00Yes (X)$0$0$0
Linda Lozano
Director1.00Yes (X)$0$0$0
Darlene Pereda
Director1.00Yes (X)$0$0$0
Maureen Sanderson
Director1.00Yes (X)$0$0$0
Boyede Sobitan
Director1.00Yes (X)$0$0$0
Peter Glaser
Chief Financial Officer40.00Yes (X)$103,163$0$3,654
Gwenn Rausch
Executive Director40.00Yes (X)$202,690$0$12,486
David Freedman
Medical Director40.00$162,447$0$13,690Yes (X)
Harry M Curtis
Family Physician40.00$142,830$0$11,222Yes (X)
Laurie A Carrier
Assoc. Director of Mental Health40.00$138,289$0$12,606Yes (X)
Timothy A Buckley
Physician40.00$134,818$0$6,787Yes (X)
Tania Hossain
Pediatrician - Site Leader40.00$126,529$0$5,844Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,010,766TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$66,289TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Heartland Alliance for Human Needs & Rig
208 S LaSalle Street Ste 1300ChicagoIL60604Management & Admin. Services$595,000
Alternatives Inc
4730 N Sheridan RoadChicagoIL60640Patient Counseling$377,101
Trilogy Inc
1400 W Greenleaf AvenueChicagoIL60626Patient Counseling$324,305
Quest Diagnostics
12889 Collections Center DriveChicagoIL60693Medical Services$239,186
Howard Brown Health Center
4035 N Sheridan RoadChicagoIL60613Medical Services$194,663
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Federated Campaigns$120,000FederatedCampaignsAmt
Government Grants$4,244,590GovernmentGrantsAmt
All Other Contributions$1,068,044AllOtherContributionsAmt
Total Contributions$5,432,634TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services624100$5,810,313$5,810,313
Medicare/Medicaid621110$1,877,455$1,877,455
FieldValueIRS element (for citing)
Total Program Service Revenue$7,687,768TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,678TotalRevenueColumnAmt
Exclusion$42,678ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,008TotalRevenueColumnAmt
Exclusion$5,008ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,008OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,168,088TotalRevenueColumnAmt
Related Or Exempt Func Income$7,687,768RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$47,686ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$174,994TotalAmt
Program Services$174,994ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$321,993TotalAmt
Program Services$269,488ProgramServicesAmt
Management And General$52,505ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,595,898TotalAmt
Program Services$5,520,351ProgramServicesAmt
Management And General$1,075,547ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$143,087TotalAmt
Program Services$122,625ProgramServicesAmt
Management And General$20,462ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$627,843TotalAmt
Program Services$538,059ProgramServicesAmt
Management And General$89,784ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$507,251TotalAmt
Program Services$434,712ProgramServicesAmt
Management And General$72,539ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$595,000TotalAmt
Management And General$595,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,894TotalAmt
Program Services$11,712ProgramServicesAmt
Management And General$2,182ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,004,039TotalAmt
Program Services$831,756ProgramServicesAmt
Management And General$172,283ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,886TotalAmt
Program Services$7,490ProgramServicesAmt
Management And General$1,396ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$556,945TotalAmt
Program Services$482,169ProgramServicesAmt
Management And General$74,776ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$524,969TotalAmt
Program Services$476,605ProgramServicesAmt
Management And General$48,364ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$168,385TotalAmt
Program Services$90,138ProgramServicesAmt
Management And General$78,247ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$345,897TotalAmt
Program Services$304,921ProgramServicesAmt
Management And General$40,976ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$963,570$963,570
Staff Expenses$142,155$78,923$63,232
Bad Debt Expense$2,420$2,420

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,288TotalAmt
Program Services$668ProgramServicesAmt
Management And General$2,620ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,700,514TotalAmt
Program Services$10,310,601ProgramServicesAmt
Management And General$2,389,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,312,512BOYAmt
EOY$2,173,875EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$530,000BOYAmt
EOY$510,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,371,346BOYAmt
EOY$1,666,048EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$4,721,600EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,790BOYAmt
EOY$34,696EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,441,339LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,079,513LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,125,599BOYAmt
EOY$1,361,826EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$32,487EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,384,247BOYAmt
EOY$10,500,532EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$816,773BOYAmt
EOY$870,957EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,300,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$817,435BOYAmt
EOY$2,124,767EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,251BOYAmt
EOY$89,446EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,706,459BOYAmt
EOY$4,385,170EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,872,755BOYAmt
EOY$5,325,353EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$805,033BOYAmt
EOY$790,009EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,677,788BOYAmt
EOY$6,115,362EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,384,247BOYAmt
EOY$10,500,532EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$467,574ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$30,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,503,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,258,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,432,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,970,328CurrentTaxYearMinus1YearAmt
Current Tax Year$5,432,634CurrentTaxYearAmt
Total$23,597,074TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,503,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,258,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,432,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,970,328CurrentTaxYearMinus1YearAmt
Current Tax Year$5,432,634CurrentTaxYearAmt
Total$23,597,074TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$23,597,074PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,818CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,267CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$150CurrentTaxYearMinus1YearAmt
Current Tax Year$42,678CurrentTaxYearAmt
Total$80,063TotalAmt
FieldValueIRS element (for citing)
Total Support$23,677,137TotalSupportAmt
Gross Receipts Rltd Activities$26,534,192GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99660PublicSupportCY170Pct
Public Support PY1700.99670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,010,305OtherCostOrOtherBasisAmt
Depreciation$259,312DepreciationAmt
Book Value$750,993BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,565,701OtherCostOrOtherBasisAmt
Depreciation$1,104,549DepreciationAmt
Book Value$461,152BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$823,663OtherCostOrOtherBasisAmt
Depreciation$692,718DepreciationAmt
Book Value$130,945BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,670OtherCostOrOtherBasisAmt
Depreciation$22,934DepreciationAmt
Book Value$18,736BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,361,826TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to AffiliatesDesc
Amt$89,446Amt
FieldValueIRS element (for citing)
Total Liability$89,446TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationHeartland International 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. Heartland International 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 Heartland International 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 Heartland International Health Centerare no longer subject to examination for fiscal year 2011 and prior. The accounting guidance on income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded and disclosed in the consolidated financial statements. The Health Center may recognize the tax benefit from an uncertain tax position only if it is more-likely-than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. Management has determined that the Health Center has no material uncertain tax positions that would require disclosure or adjustment.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Howard Brown Health CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14035 N Sheridan RoadAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
Recipient EIN362894128RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$174,994CashGrantAmt
Purpose Of GrantTo provide primary health services to a specialized populationPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationHeartland 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gwenn Rausch
Executive Director$185,775$0$15,775$0$1,140$0$5,651$0$6,835$0$215,176$0$0$0
David Freedman
Medical Director$157,351$0$4,500$0$596$0$11,253$0$2,437$0$176,137$0$0$0
Harry M Curtis
Family Physician$142,573$0$0$0$257$0$4,297$0$6,925$0$154,052$0$0$0
Laurie A Carrier
Assoc. Director of Mental Health$138,191$0$0$0$98$0$4,224$0$8,382$0$150,895$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 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 12cAll 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 15aThe 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. The compensation process is documented.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HHC Devon Real Estate NFPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13048 N Wilton Avenue 2nd FloorAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60657ZIPCd
FieldValueIRS element (for citing)
EIN471393283EIN
Primary ActivitiesPromote accessibility of health care servicesPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 11c, III-FIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Heartland International Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd