2016-02-03T09:57:46-06:00 2015-06-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2014-07-01 363843377 Heartland International Health Center HEAR 7732967683 3048 N Wilton Ave No 2nd Chicago IL 60657 Gwenn Rausch Executive Director 7732967683 2016-02-03 1 Marek Rozowicz P01616027 3126343400 2014 2016-08-17 19:52:53Z Heartland Health Centers Gwenn Rausch 3048 N Wilton Ave No 2nd Chicago IL 60657 13168088 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. 15 15 156 15 0 0 4970328 5432634 6452080 7687768 150 42678 41062 5008 11463620 13168088 304443 174994 0 0 7052941 8196072 0 0 0 3879476 4329448 11236860 12700514 226760 467574 7384247 10500532 1706459 4385170 5677788 6115362 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 five neighborhood health centers, four school based health centers, and three sites where primary care and behavioral health are integrated. 0 0 8479147 174994 6639578 Community 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. 1358313 857911 School-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. 473141 190279 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 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. 10310601 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 0 0 0 1 17 0 1 156 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X X Randall Johnson 7732967683 3048 N Wilton Ave 2nd Floor Chicago IL 60657 Steve Rosemurgy Chairman 1.00 X X 0 0 0 Mary Bookman Vice Chair 1.00 X X 0 0 0 Doris Gray Secretary 1.00 X X 0 0 0 Scott Baum Treasurer 1.00 X X 0 0 0 Benjamin Correia Director 1.00 X 0 0 0 Denise Cunill MD Director 1.00 X 0 0 0 Phillip Dothard Director 1.00 X 0 0 0 Karen Faddis-Smith Director 1.00 X 0 0 0 Kathy S Hey Director 1.00 X 0 0 0 Jocelyn Johnson Director 1.00 X 0 0 0 Doug Klegon Director 1.00 X 0 0 0 Linda Lozano Director 1.00 X 0 0 0 Darlene Pereda Director 1.00 X 0 0 0 Maureen Sanderson Director 1.00 X 0 0 0 Boyede Sobitan Director 1.00 X 0 0 0 Peter Glaser Chief Financial Officer 40.00 X 103163 0 3654 Gwenn Rausch Executive Director 40.00 X 202690 0 12486 David Freedman Medical Director 40.00 X 162447 0 13690 Harry M Curtis Family Physician 40.00 X 142830 0 11222 Laurie A Carrier Assoc. Director of Mental Health 40.00 X 138289 0 12606 Timothy A Buckley Physician 40.00 X 134818 0 6787 Tania Hossain Pediatrician - Site Leader 40.00 X 126529 0 5844 1010766 0 66289 7 0 1 0 Heartland Alliance for Human Needs & Rig 208 S LaSalle Street Ste 1300 Chicago IL 60604 Management & Admin. Services 595000 Alternatives Inc 4730 N Sheridan Road Chicago IL 60640 Patient Counseling 377101 Trilogy Inc 1400 W Greenleaf Avenue Chicago IL 60626 Patient Counseling 324305 Quest Diagnostics 12889 Collections Center Drive Chicago IL 60693 Medical Services 239186 Howard Brown Health Center 4035 N Sheridan Road Chicago IL 60613 Medical Services 194663 8 120000 4244590 1068044 5432634 Patient Services 624100 5810313 5810313 Medicare/Medicaid 621110 1877455 1877455 7687768 42678 42678 5008 5008 5008 13168088 7687768 0 47686 174994 174994 321993 269488 52505 6595898 5520351 1075547 143087 122625 20462 627843 538059 89784 507251 434712 72539 595000 595000 13894 11712 2182 1004039 831756 172283 8886 7490 1396 556945 482169 74776 524969 476605 48364 168385 90138 78247 345897 304921 40976 Medical Supplies 963570 963570 Staff Expenses 142155 78923 63232 Bad Debt Expense 2420 2420 3288 668 2620 12700514 10310601 2389913 0 1312512 2173875 530000 510000 1371346 1666048 4721600 19790 34696 3441339 2079513 4125599 1361826 25000 32487 7384247 10500532 816773 870957 1300000 817435 2124767 72251 89446 1706459 4385170 X 4872755 5325353 805033 790009 5677788 6115362 7384247 10500532 467574 -30000 0 X 0 1 X 1 1 1 X 3503207 3258521 6432384 4970328 5432634 23597074 3503207 3258521 6432384 4970328 5432634 23597074 23597074 35818 1267 150 150 42678 80063 23677137 26534192 0.99660 0.99670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1010305 259312 750993 1565701 1104549 461152 823663 692718 130945 41670 22934 18736 1361826 Due to Affiliates 89446 89446 X Part X, Line 2: Heartland 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. 1 Howard Brown Health Center 4035 N Sheridan Road Chicago IL 60613 362894128 501(c)(3) 174994 To provide primary health services to a specialized population 1 0 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 Executive Director 185775 0 15775 0 1140 0 5651 0 6835 0 215176 0 0 0 David Freedman Medical Director 157351 0 4500 0 596 0 11253 0 2437 0 176137 0 0 0 Harry M Curtis Family Physician 142573 0 0 0 257 0 4297 0 6925 0 154052 0 0 0 Laurie A Carrier Assoc. Director of Mental Health 138191 0 0 0 98 0 4224 0 8382 0 150895 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 15a 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. The compensation process is documented. Form 990, Part VI, Section C, line 19 The 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). HHC Devon Real Estate NFP 3048 N Wilton Avenue 2nd Floor Chicago IL 60657 471393283 Promote accessibility of health care services IL 501(c)(3) Line 11c, III-FI Heartland International Health Center 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0