TAPESTRY 360 HEALTH: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TAPESTRY 360 HEALTH (EIN 36-3843377)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-12-21
- IRS object ID
- 201243569349300424
- Schema version
- 2011v1.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-21T13:37:13-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363843377 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heartland International Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAR | NameControl |
| Phone | 7732967683 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3048 N Wilton Ave No 2nd | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60657 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter Glaser | Name |
| Title | Chief Financial Officer | Title |
| Phone | 7732967683 | Phone |
| Date Signed | 2012-12-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wayne Harder | Name |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heartland Health Centers | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gwenn Rausch | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3048 N Wilton Ave No 2nd | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60657 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7267299 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.heartlandhealthcenters.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 87 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3503207 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3258521 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3374812 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3979511 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 162 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1267 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35656 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28000 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6913837 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7267299 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 401249 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 283029 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3377120 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4121400 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2253343 | OtherExpensePriorYear |
| Other Expenses Current Year | 2460980 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6031712 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6865409 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 882125 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 401890 | RevenuesLessExpensesCY |
| Total Assets BOY | 4180899 | TotalAssetsBOY |
| Total Assets EOY | 4507474 | TotalAssetsEOY |
| Total Liabilities BOY | 1791581 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1716266 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2389318 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2791208 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3614603 | Expense |
| Grants | 283029 | Grants |
| Revenue | 3002742 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1252537 | Expense |
| Revenue | 797505 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 370120 | Expense |
| Revenue | 179264 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5237260 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 25 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 87 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peter Glaser | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7732967683 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3048 N Wilton Ave 2nd Floor | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60657 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Steve Rosemurgy | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Francelyn Perez | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Doris Gray | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Kathy Sprattling | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Scott Baum | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mary Bookman | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Phillip Dothard | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Elisabeth Houston | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mary Hunter | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ahmed Khan | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jocelyn Johnson | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Linda Lozano | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Maureen Sanderson | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Heidi Spielmaker | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Stephen S Stabile | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Elizabeth Tarlov | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gwenn Rausch | |||||||
| Executive Director | 40.00 | X | 171604 | 0 | 5092 | ||
| David Freedman | |||||||
| Medical Director | 40.00 | 144280 | 0 | 1238 | X | ||
| Laurie Carrier | |||||||
| Physician | 40.00 | 130458 | 0 | 11208 | X | ||
| Meera Singh | |||||||
| Medical Director | 40.00 | 127219 | 0 | 9919 | X | ||
| Harry Curtis | |||||||
| Family Physician | 40.00 | 124788 | 0 | 11660 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 698349 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 39117 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Federated Campaigns | 100000 | FederatedCampaigns |
| Government Grants | 2601714 | GovernmentGrants |
| All Other Contributions | 556807 | AllOtherContributions |
| Total Contributions | 3258521 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare/Medicaid | 621110 | 3439109 | 3439109 |
| Patient Services | 624100 | 540402 | 540402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3979511 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1267 | TotalRevenueColumn |
| Exclusion | $1,267 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Forgiveness of Debt | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 28000 | TotalRevenueColumn |
| Exclusion | $28,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28000 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7267299 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3979511 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $29,267 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283029 | Total |
| Program Services | 283029 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173104 | Total |
| Program Services | 134980 | ProgramServices |
| Management And General | 38124 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3331248 | Total |
| Program Services | 2597589 | ProgramServices |
| Management And General | 733659 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60573 | Total |
| Program Services | 47779 | ProgramServices |
| Management And General | 12794 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287696 | Total |
| Program Services | 226932 | ProgramServices |
| Management And General | 60764 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268779 | Total |
| Program Services | 212010 | ProgramServices |
| Management And General | 56769 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 526373 | Total |
| Management And General | 526373 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6186 | Total |
| Program Services | 2336 | ProgramServices |
| Management And General | 3850 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21170 | Total |
| Program Services | 7995 | ProgramServices |
| Management And General | 13175 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 420636 | Total |
| Program Services | 357635 | ProgramServices |
| Management And General | 63001 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175551 | Total |
| Program Services | 152201 | ProgramServices |
| Management And General | 23350 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259663 | Total |
| Program Services | 210686 | ProgramServices |
| Management And General | 48977 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3027 | Total |
| Management And General | 3027 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384797 | Total |
| Program Services | 384797 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 381433 | 381433 | |
| Staff Expenses | 78424 | 34418 | 44006 |
| Bad Debt Expense | 58754 | 58754 | |
| Equipment | 9168 | 8953 | 215 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135798 | Total |
| Program Services | 135733 | ProgramServices |
| Management And General | 65 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6865409 | Total |
| Program Services | 5237260 | ProgramServices |
| Management And General | 1628149 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 728649 | BOY |
| EOY | 1078143 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 520750 | BOY |
| EOY | 300000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 671456 | BOY |
| EOY | 1071725 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19219 | BOY |
| EOY | 50436 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2946360 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 939190 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2240825 | BOY |
| EOY | 2007170 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4180899 | BOY |
| EOY | 4507474 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466872 | BOY |
| EOY | 614269 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1004696 | BOY |
| EOY | 946272 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320013 | BOY |
| EOY | 155725 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1791581 | BOY |
| EOY | 1716266 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1626461 | BOY |
| EOY | 2140021 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 762857 | BOY |
| EOY | 651187 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2389318 | BOY |
| EOY | 2791208 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4180899 | BOY |
| EOY | 4507474 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 401890 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2223877 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2526386 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3092907 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3503207 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3258521 | CurrentTaxYear |
| Total | 14604898 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2223877 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2526386 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3092907 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3503207 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3258521 | CurrentTaxYear |
| Total | 14604898 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 14604898 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 271442 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 35779 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33589 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35818 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1267 | CurrentTaxYear |
| Total | 377895 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14982793 | TotalSupport |
| Gross Receipts From Admissions Etc | 11716024 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97480 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.91730 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1010305 | OtherCostOrOtherBasis |
| Depreciation | 164312 | Depreciation |
| Book Value | 845993 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1186940 | OtherCostOrOtherBasis |
| Depreciation | 447640 | Depreciation |
| Book Value | 739300 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 680730 | OtherCostOrOtherBasis |
| Depreciation | 309610 | Depreciation |
| Book Value | 371120 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68385 | OtherCostOrOtherBasis |
| Depreciation | 17628 | Depreciation |
| Book Value | 50757 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2007170 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Affiliates | Description |
| Amount | $155,725 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 155725 | TotalOfAmounts |
| Total Revenue | 7267299 | TotalRevenue |
| Total Expenses | 6865409 | TotalExpenses |
| Excess Or Deficit For Year | 401890 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 401890 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7364491 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 97192 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 97192 | RevenueNotRptdF990 |
| Revenue Subtotal | 7267299 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7267299 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6962601 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 97192 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 97192 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6865409 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6865409 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Howard Brown Health Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4035 N Sheridan Rd | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60613 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 362894128 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 283029 | AmountOfCashGrant |
| Purpose Of Grant | To provide primary health services to a specialized population | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Gwenn Rausch | NamePerson |
| Base Compensation Filing Org | 171604 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 3592 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 1500 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 176696 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. |