2026-09-09T07:32:11-05:00 2025-12-31 423603499 EIDE BAILLY ADVISORY LLC 14010 FNB PKWY STE 600 OMAHA NE 681545206 990 2025-01-01 271700281 HEARTLAND HEALTH CENTER HEAR 3083824297 2116 W FAIDLEY AVE 2100 GRAND ISLAND NE 68803 TAMI SMITH CEO 3083824297 2026-09-08 1 MEGAN L KOZIOL P01544037 4023302660 2026-09-08 2025 TAMI SMITH 2116 W FAIDLEY AVE 2100 GRAND ISLAND NE 68803 11446108 0 X WWW.HEARTLANDHEALTHCENTER.ORG X 2010 NE TO SERVE LOW-INCOME AND/OR UNINSURED INDIVIDUALS WITH ACCESS TO AFFORDABLE PRIMARY CARE. 9 9 118 10 0 0 2673812 2714677 7519861 8615797 104066 115634 0 0 10297739 11446108 0 0 0 0 7020308 7562221 0 0 0 4492081 4714517 11512389 12276738 -1214650 -830630 6336218 4884195 2997667 2376274 3338551 2507921 X TO BE A TRUSTED SOURCE OF INTEGRATED HEALTHCARE IN OUR COMMUNITY. 1 0 9519978 8615797 TO COLLABORATE WITH FEDERAL, STATE AND COMMUNITY PARTNERS TO PROVIDE AFFORDABLE QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE SERVICES TO LOW-INCOME AND/OR UNINSURED INDIVIDUALS.DURING 2025, HEARTLAND HEALTH CENTER SERVED RESIDENTS OF ADAMS, CLAY, NUCKOLLS AND WEBSTER COUNTIES. THE TOTAL NUMBER OF UNDUPLICATED PATIENTS SERVED FOR THE YEAR WAS 10,583 AN INCREASE OF 7% FROM THE PRIOR YEAR, AND THE TOTAL NUMBER OF ENCOUTERS DURING THE YEAR WAS 32,809, AN INCREASE OF 10% FROM THE PRIOR YEAR. 9519978 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 14 0 1 118 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JIM WARD 3086754218 2116 W FAIDLEY AVE STE 2100 GRAND ISLAND NE 68803 BRAD BELL CHAIRMAN 2.00 X X 0 0 0 BRITNY JACOBO VICE CHAIRMAN 2.00 X X 0 0 0 BOB ALMQUIST TREASURER 2.00 X X 0 0 0 SUSAN AGUILAR SECRETARY 2.00 X X 0 0 0 ROCKY NEWMAN DIRECTOR 2.00 X 0 0 0 DEB ROSS DIRECTOR 2.00 X 0 0 0 RACHEL BROWN DIRECTOR 2.00 X 0 0 0 ADAM PRIMM DIRECTOR 2.00 X 0 0 0 AMANDA STEINKE DIRECTOR 2.00 X 0 0 0 ANGELICA FLORES DIRECTOR THRU 12/25 2.00 X 0 0 0 TAMI SMITH CEO 40.00 X 198949 0 8575 TRACEY LUKASIEWICZ CFO THRU 3/2025 40.00 X 27766 0 3936 JIM WARD CFO 40.00 X 78871 0 2751 RAFAILA RAMIREZ DENTIST 36.00 X 214191 0 13352 REBECCA BECKLER DENTIST 40.00 X 162540 0 18861 MONICA SCHMUCKER NP 36.00 X 134919 0 23291 BRANDON JAHNKE PHYSICIAN 27.00 X 156380 0 0 ALEX BECKER DENTIST 40.00 X 165647 0 11569 1139263 0 82335 13 0 1 0 0 2705682 8995 2714677 MEDICARE/MEDICAID 621400 5946787 5946787 PATIENT SERVICE REVENUE 621400 1359985 1359985 PHARMACY REVENUE 621400 1247333 1247333 61692 61692 8615797 115634 115634 11446108 8615797 0 115634 X 326583 326583 61337 61337 5784627 4486433 1298194 113063 92396 20667 836771 625277 211494 439840 325166 114674 50618 50618 53371 53371 1411324 1216775 194549 31167 5117 26050 111321 52362 58959 205919 152018 53901 745269 609617 135652 57418 57418 113757 113757 52249 39187 13062 SUPPLIES 1024197 1021387 2810 PHARMACY EXPENSE 562039 562039 MISCELLANEOUS EXPENSES 150453 26895 123558 RECRUITING 103174 92198 10976 42241 38017 4224 12276738 9519978 2756760 0 196639 17473 2177098 1035230 339148 686669 422149 457616 256138 249075 173699 155433 1032050 700199 384903 331851 16626 1127 2369818 1949721 6336218 4884195 489388 390476 19981 9981 2488298 1975817 2997667 2376274 X 3338551 2507921 3338551 2507921 6336218 4884195 -830630 0 X X 0 1 X 1 1 1 X 2923597 4359570 3364109 2673812 2714677 16035765 2923597 4359570 3364109 2673812 2714677 16035765 16035765 6319 14785 111739 104066 115634 352543 173992 173992 16562300 32761790 0.96820 0.97450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127995 70397 57598 904055 629802 274253 331851 RIGHT TO USE ASSET-OPERATING LEASE 1949721 1949721 LEASE LIABILITY-OPERATING, NET 1975817 1975817 X 11446108 0 11446108 0 11446108 12276738 0 12276738 0 12276738 PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2025 AND 2024, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS. X 0 0 0 0 0 0 0 1 0 RAFAILA RAMIREZ DENTIST 214191 0 0 0 0 0 8669 0 6529 0 229389 0 0 0 TAMI SMITH CEO 188949 0 10000 0 0 0 8018 0 3739 0 210706 0 0 0 REBECCA BECKLER DENTIST 162540 0 0 0 0 0 6739 0 13850 0 183129 0 0 0 ALEX BECKER DENTIST 162647 0 3000 0 0 0 6885 0 6429 0 178961 0 0 0 MONICA SCHMUCKER NP 134919 0 0 0 0 0 5808 0 20724 0 161451 0 0 0 BRANDON JAHNKE PHYSICIAN 156380 0 0 0 0 0 0 0 0 0 156380 0 0 0 PART I, LINE 7 A DISCRETIONARY BONUS WAS PAID TO TAMI SMITH DURING THE YEAR. THIS BONUS IS BASED ON PERFORMANCE AND IS APPROVED BY THE BOARD OF DIRECTORS. MAXIMUM PAYOUTS FOLLOW A TIERED SYSTEM BASED ON YEARS OF SERVICE. LEASHA SMITH STEP-DAUGHTER OF TAMI SMITH, CEO 61337 EMPLOYEE'S W-2 WAGES 0 FORM 990, PART III, LINE 2 HEARTLAND HEALTH CENTER OPENED AN IN-HOUSE PHARMACY AT THEIR MAIN CLINIC DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY EXCEPT WITH SPECIFIC DUTIES OUTLINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS UPON ELECTION AND ANNUALLY THEREAFTER MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE PROVIDED TO THEM BY THE BOARD PRESIDENT. SUCH FORMS ARE TO BE SUBMITTED TO THE BOARD PRESIDENT AND MAINTAINED IN THE EXECUTIVE OFFICE OF THE CORPORATION. EACH BOARD MEMBER SHALL ABSTAIN FROM VOTING ON MATTERS BEFORE THE BOARD IN WHICH HE OR SHE HAS A CONFLICT OF INTEREST. WHILE ABSTAINING BOARD MEMBERS MAY BE COUNTED FOR A QUORUM, AND PARTICIPATE IN DISCUSSION, THEY MAY NOT MAKE A MOTION OR VOTE ON A MOTION IN WHICH THEY HAVE DECLARED A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS EXECUTIVE PROGRESS/GOALS FOR THE YEAR AND A REVIEW IS FILLED OUT AND FILED IN THE EMPLOYEE FILE. THE BOARD OF DIRECTORS APPROVES THE ANNUAL BUDGET, WHICH INCLUDES EXECUTIVE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 84,894. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,894. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,216,775. MANAGEMENT AND GENERAL EXPENSES 109,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,326,430. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.