Civic Intelligence

Heartland Health Center

EIN 27-1700281 • 501(c)3 • Grand Island, NE

Profile

To be a trusted source of integrated healthcare in our community.

Refreshing map…

2116 W Faidley Ave Ste 2100 2100Grand Island, NE 68803

www.heartlandhealthcenter.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

74th percentile

0.47x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

57th percentile

0.29x

Higher debt load relative to revenue than 57% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

16th percentile

-12%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

62nd percentile

$223,323

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

33rd percentile

-0.1%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

33rd percentile

-0.2%

Faster revenue growth than 33% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets74th percentile

Assets

Up

$6,336,218

Up $328,011 (+5.5%) from 2022

Liabilities

Up

$2,997,667

Up $971,090 (+48%) from 2022

Net Assets

Down

$3,338,551

Down $643,079 (-16%) from 2022

Operations
Liabilities / Revenue57th percentileNet Margin16th percentile

Revenue

Up

$10,297,739

Up $609,971 (+6.3%) from 2022

Expenses

Up

$11,512,389

Up $3,251,608 (+39%) from 2022

Net Income

Down

-$1,214,650

Down $2,641,637 (-185%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth33rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$8.0M$6.0M$4.0M$2.0M$0Assets 2014: $231,622Liabilities 2014: $58,490Net Assets 2014: $173,1322014Assets 2016: $966,810Liabilities 2016: $52,393Net Assets 2016: $914,4172016Assets 2017: $1,477,548Liabilities 2017: $89,545Net Assets 2017: $1,388,0032017Assets 2018: $1,588,913Liabilities 2018: $91,652Net Assets 2018: $1,497,2612018Assets 2019: $1,308,567Liabilities 2019: $133,976Net Assets 2019: $1,174,5912019Assets 2020: $1,898,376Liabilities 2020: $450,442Net Assets 2020: $1,447,9342020Assets 2021: $3,193,553Liabilities 2021: $384,916Net Assets 2021: $2,808,6372021Assets 2022: $6,008,207Liabilities 2022: $2,026,577Net Assets 2022: $3,981,6302022Assets 2024: $6,336,218Liabilities 2024: $2,997,667Net Assets 2024: $3,338,5512024

Highlighted filing

2024

Assets$6,336,218
Liabilities$2,997,667
Net Assets$3,338,551
Open 2024 Filing

Operations Trend

Revenue Growth33rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2014: $903,414Expenses 2014: $739,818Net Income 2014: $163,5962014Revenue 2016: $2,251,799Expenses 2016: $1,706,785Net Income 2016: $545,0142016Revenue 2017: $3,070,923Expenses 2017: $2,597,337Net Income 2017: $473,5862017Revenue 2018: $3,288,538Expenses 2018: $3,179,280Net Income 2018: $109,2582018Revenue 2019: $3,399,222Expenses 2019: $3,721,892Net Income 2019: -$322,6702019Revenue 2020: $5,476,718Expenses 2020: $5,203,375Net Income 2020: $273,3432020Revenue 2021: $7,571,748Expenses 2021: $6,211,045Net Income 2021: $1,360,7032021Revenue 2022: $9,687,768Expenses 2022: $8,260,781Net Income 2022: $1,426,9872022Revenue 2024: $10,297,739Expenses 2024: $11,512,389Net Income 2024: -$1,214,6502024

Highlighted filing

2024

Revenue$10,297,739
Expenses$11,512,389
Net Income-$1,214,650
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$6,336,218
Liabilities
$2,997,667
Net assets
$3,338,551
Revenue
$10,297,739
Expenses
$11,512,389
Net income
-$1,214,650
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.34$3.00$3.34$10.3$11.5$1.21
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.01$2.03$3.98$9.69$8.26$1.43
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.19$0.38$2.81$7.57$6.21$1.36
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.90$0.45$1.45$5.48$5.20$0.27
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.31$0.13$1.17$3.40$3.72$0.32
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.59$0.09$1.50$3.29$3.18$0.11
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.48$0.09$1.39$3.07$2.60$0.47
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.97$0.05$0.91$2.25$1.71$0.55
2014Detailed filing. Detailed filing data is available for this year.$0.23$0.06$0.17$0.90$0.74$0.16
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 27, 2025
Return Version
2024v5.2
Gross Receipts
$10,297,739
Mission and Program Overview

Mission

Heartland health center's mission is to serve low-income and or uninsured individuals with access to affordable primary care, through a coordinated community wide effort.

To serve low-income and/or uninsured individuals with access to affordable primary care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,457,669$2,177,098▲ $719,429
Accounts Receivable$651,175$422,149▼ $229,026
Land, Buildings, and Equipment, Net$396,299$384,903▼ $11,396
Pledges and Grants Receivable$319,949$339,148▲ $19,199
Inventories for Sale or Use$211,809$256,138▲ $44,329
Cash and Non-Interest-Bearing Accounts$2,343,207$196,639▼ $2,146,568
Prepaid Expenses and Deferred Charges$75,422$173,699▲ $98,277
Total Assets$6,342,564$6,336,218▼ $6,346
Other Assets Total$887,034$2,386,444▲ $1,499,410
Liabilities
Other Liabilities$996,275$2,488,298▲ $1,492,023
Accounts Payable and Accrued Expenses$713,088$489,388▼ $223,700
Deferred Revenue$80,000$19,981▼ $60,019
Total Liabilities$1,789,363$2,997,667▲ $1,208,304
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,553,201$3,338,551▼ $1,214,650
Total Net Assets Fund Balance$4,553,201$3,338,551▼ $1,214,650
Total Liabilities and Net Assets / Fund Balance$6,342,564$6,336,218▼ $6,346

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$318,773$540,077$858,850
Leasehold Improvements$66,130$61,865$127,995
Other Assets Org$2,369,818--
Compensation and Service Providers
Top Officer Pay62nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Rafaila RamirezDentistFT$210,234$13,800$224,034
Tami SmithCEOFT$182,977$21,200$204,177
Rebecca BecklerDentistFT$179,872$15,959$195,831
Monica SchmuckerNpFT$131,066$19,169$150,235
Michelle ClarkNpFT$119,955$17,506$137,461
Brandon JahnkePhysicianPT$134,726-$134,726
Tracey LukasiewiczCFOFT$110,058$11,187$121,245

Board Members and Trustees

NameTitle
Brad BellChairman
Bob AlmquistVice Chairman
Adam PrimmDirector
Angelica FloresDirector
Britny JacoboDirector
Deb RossDirector
Rachel BrownDirector
Rocky NewmanDirector
Nancy JimenezDirector Thru 7/2024
Susan AguilarSecretary
Herson CastanedaTreasurer Thru 12/2024
Revenue and Support

Revenue Composition

Contributions and Grants
$2,673,812
Program Service Revenue
$7,519,861
Investment Income
$104,066
Other Revenue
$0
All Other Contributions
$102,955
Change in Net Assets
$-1,214,650

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,297,739
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$10,297,739
Total Revenue per Form 990
$10,297,739
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,020,308
Other Expenses$4,492,081
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,064,257$1,254,543-$5,318,800
Fees for Services Other$1,188,204$211,081-$1,399,285
Other Employee Benefits$537,914$191,217-$729,131
Occupancy$549,592$133,582-$683,174
Payroll Taxes$310,713$116,970-$427,683
Current Officers, Directors, Trustees, and Key Employees-$327,813-$327,813
Information Technology$128,048$42,683-$170,731
Depreciation Depletion$149,991--$149,991
Pension Plan Contributions$108,615$29,498-$138,113
Office Expenses$45,979$59,226-$105,205
Other Expenses$79,668$7,712-$87,380
Comp Disqual Persons$78,768--$78,768
Fees for Services Legal-$60,601-$60,601
Travel-$57,010-$57,010
Insurance$33,527$11,176-$44,703
Fees for Services Accounting-$44,261-$44,261
All Other Expenses$25,691$2,855-$28,546
Advertising$1,165$12,940-$14,105
Total Functional Expenses$8,845,097$2,667,292$0$11,512,389

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,512,389
Total Expenses per Audited Statements$11,512,389
Total Expenses per Form 990$11,512,389
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Leasha SmithStep-daughter of Tami Smith, CEOEMPLOYEE'S W-2 WAGESNo$78,768
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability-operating, Net$2,488,298
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.”

Filing and Contact Details

Filer

Filer Name
Heartland Health Center
EIN
27-1700281
Phone
3083824297
Address
2116 W FAIDLEY AVE STE 2100 2100, GRAND ISLAND, NE 68803

Signing Officer

Name
Tami Smith
Title
CEO
Phone
3083824297
Signed
2025-06-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tami Smith
Formed
2010
Legal Domicile
Ne
Voting Board Members
9
Independent Board Members
9
Employees
116
Volunteers
10

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Megan L Koziol CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contract labor: program service expenses 0. Management and general expenses 142,454. Fundraising expenses 0. Total expenses 142,454. Other professional fees: program service expenses 1,188,204. Management and general expenses 68,627. Fundraising expenses 0. Total expenses 1,256,831.”

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.”

Financial Statement Notes

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, 2024 and 2023, the health center had no uncertain tax positions.”

Raw XML AppendixShowing 400 of 610 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Desc0TO 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 2024, HEARTLAND HEALTH CENTER EXPANDED TO THE COMMUNITY OF HASTINGS, NEBRASKA AND IS NOW SERVING RESIDENTS OF ADAMS, CLAY, NUCKOLLS AND WEBSTER COUNTIES. THE TOTAL NUMBER OF UNDUPLICATED PATIENTS SERVED FOR THE YEAR WAS 9,892, AN INCREASE OF 13% FROM THE PRIOR YEAR, AND THE TOTAL NUMBER OF ENCOUNTERS DURING THE YEAR WAS 29,763, AN INCREASE OF 18% FROM THE PRIOR YEAR.
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt11194977
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt12110058
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt13210234
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt14179872
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15119955
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16131066
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17134726
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
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IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER THRU 12/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR THRU 7/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13DENTIST
IRS990/Form990PartVIISectionAGrp/TitleTxt14DENTIST
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IRS990/InsuranceGrp/TotalAmt044703
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IRS990/OfficeExpensesGrp/ProgramServicesAmt045979
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IRS990/PYSalariesCompEmpBnftPaidAmt05632663
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IRS990/QuidProQuoContributionsInd00
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IRS990/ReconcilationRevenueExpnssAmt0-1214650
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IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07519861
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01457669
IRS990/SavingsAndTempCashInvstGrp/EOYAmt02177098
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt03364109
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt04359570
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt02923597
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt02630663
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt015951751
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0104066
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0111739
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt014785
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt06319
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt06020
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0242929
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt026986028
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0173992
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IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.97450
IRS990ScheduleA/PublicSupportPY170Pct00.97860
IRS990ScheduleA/PublicSupportTotal170Amt015951751
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt02673812
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt03364109
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt04359570
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt02923597
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt02630663
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt015951751
IRS990ScheduleA/TotalSupportAmt016368672
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED

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