2023-02-02T12:37:42-06:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2021-07-01 363828320 PCC COMMUNITY WELLNESS CENTER PCCC 7083830113 14 LAKE STREET OAK PARK IL 60302 TONI BUSH PRESIDENT & CEO 7083830113 2023-01-30 1 TONI BUSH 999009999 CHRIS MANDERFIELD P01238973 6305738600 2023-01-30 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z TONI BUSH 14 LAKE STREET OAK PARK IL 60302 51601003 0 X WWW.PCCWELLNESS.ORG X 1992 IL PROMOTE HEALTHCARE SERVICE PROGRAMS FOR MEDICALLY UNDERSERVED LIVING IN CHICAGO COMMUNITIES 12 12 531 12 0 0 15365261 16143092 33126019 35176844 55258 50684 365829 230383 48912367 51601003 0 0 0 0 31533196 32161239 0 0 0 14428999 17105427 45962195 49266666 2950172 2334337 34639453 50168199 10910636 24105045 23728817 26063154 X THE MISSION OF PCC COMMUNITY WELLNESS CENTER IS TO IMPROVE HEALTH OUTCOMES FOR THE MEDICALLY UNDERSERVED COMMUNITY THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, AND ACCESSIBLE PRIMARY HEALTH CARE AND SUPPORT SERVICES. ANCHORED WITH FAMILY MEDICINE, WE ARE COMMITTED TO SERVING THE NEEDS OF ALL PEOPLE IN ALL STAGES OF LIFE. 0 0 41813287 35407227 PCC PROVIDES HEALTH CARE SERVICES TO THE COMMUNITY. PCC HEALTH CARE SERVICES INCLUDE: PEDIATRIC AND ADOLESCENT HEALTH CARE THAT INCLUDES WELL-CHILD EXAMS, IMMUNIZATIONS, SICK INFANT/CHILD EXAMS, SCHOOL AND SPORTS PHYSICALS, AND LEAD SCREENINGS; WOMEN'S HEALTH CARE (OB/GYN) THAT INCLUDES MATERNITY CARE AND DELIVERY, PAP SMEARS, AND BREAST CANCER SCREENINGS; ADULT HEALTH CARE; SENIOR HEALTH CARE; DIAGNOSIS AND TREATMENT OF ILLNESS; DISEASE SCREENING AND PREVENTION; FAMILY PLANNING (BIRTH CONTROL); MANAGEMENT OF CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, AND HIGH BLOOD PRESSURE; HIV TESTING, COUNSELING, AND PRIMARY CARE; AND DENTAL CARE AND REFERRAL. 41813287 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 62 0 531 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X PATRICK GARRICK 7083830113 14 LAKE STREET OAK PARK IL 60302 RON AUSTIN DIRECTOR 2.00 2.00 X 0 0 0 KENNETH BLAIR MD TREASURER 2.00 2.00 X X 0 0 0 VELDA BRUNNER DIRECTOR 2.00 X 0 0 0 BARBARA DIGGINS DIRECTOR 2.00 X 0 0 0 CAROLYN FITZPATRICK MD CHAIRPERSON 2.00 X X 0 0 0 PATRICIA FORD DIRECTOR 2.00 X 0 0 0 JOHN MCDONNELL DIRECTOR 2.00 2.00 X 0 0 0 MARIANA OSORIA SECRETARY 2.00 X X 0 0 0 TERESA REYES VICE CHAIRPERSON 2.00 X X 0 0 0 JULIETTE STANCIL DIRECTOR 2.00 X 0 0 0 WRENETHA JULION DIRECTOR 2.00 X 0 0 0 MELINDA MALECKI DIRECTOR 2.00 X 0 0 0 ROBERT J URSO CEO THROUGH JUNE 2021 40.00 X 262334 0 4239 PATRICK R GARRICK CHIEF FINANCIAL OFFICER 40.00 2.00 X 117915 0 4119 PAUL S LUNING MD CHIEF MEDICAL OFFICER 40.00 X 260385 0 21565 TONI BUSH CHIEF EXECUTIVE OFFICER 40.00 2.00 X 225374 0 11554 SARA HOGUE CHIEF PERFORMANCE IMPROVEMENT 40.00 X 125733 0 0 WALKER JERRAD CHIEF POPULATION HEALTH OF 40.00 X 131318 0 12729 BERTHA LOPEZ OB/GYN PHYSICIAN 40.00 X 254154 0 23597 KAROLE A LAKOTA-TREESE MD MEDICAL DIRECTOR OF PI 40.00 X 306262 0 17931 CHRISTINE SWARTZ MEDICAL DIRECTOR 40.00 X 337820 0 0 SHERIF MILIK FAMILY PRACTICE PHYSICIAN 40.00 X 377117 0 17931 KATHLEEN MCDONOUGH MEDICAL DIRECTOR 40.00 X 253694 0 17931 2652106 0 131596 61 0 1 0 ATHENAHEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 MEDICAL BILLING SERVICES 1033044 MONTERRY SECURITY 2232 S BLUE ISLAND AVENUE CHICAGO IL 60608 SECURITY GUARD SERVICES 697803 ALL MEDICAL PERSONNEL INC PO BOX 931904 ATLANTA GA 31193 MEDICAL STAFFING SERVICE 340061 B AND B MAINTENANCE 537 CAPITAL DR LAKE ZURICH IL 60047 MAINTENANCE 334300 CANARY HR CONSULTING 20650 S CICERO AVE UNIT 909 MATTESON IL 60443 CONSULTING 220750 13 35000 13770609 2337483 16143092 PATIENT SERVICE FEES 621400 26788952 26788952 340B 621400 6587801 6587801 BONUSES & INCENTIVES 621400 1757591 1757591 MEANINGFUL USE 621400 42500 42500 35176844 50684 50684 MISC INCOME 900099 230383 230383 230383 51601003 35407227 0 50684 X 1123059 344265 778794 27021937 24428074 2593863 2018540 1776655 241885 1997703 1758315 239388 118853 85403 33450 64159 46102 18057 6828036 4906373 1921663 530720 394532 136188 609801 438180 171621 863520 801266 62254 184462 156603 27859 268462 149723 118739 1124200 776410 347790 434741 2625 432116 MEDICAL SUPPLIES 3807169 3797499 9670 DUES AND LICENSES 1708612 1633632 74980 STAFF EXPENSES 118618 118618 REPAIRS AND MAINTENANCE 116307 116149 158 327767 201481 126286 49266666 41813287 7453379 0 12175346 16323204 2138345 15465931 308590 707430 893609 635959 778959 737750 29009901 13595976 15182429 15413925 7500 7500 3154675 876500 34639453 50168199 4047071 4107665 315661 129704 6547904 19867676 10910636 24105045 X 23728817 26063154 23728817 26063154 34639453 50168199 2334337 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 754034 754034 14968733 4590683 10378050 4661285 2503838 2157447 5983495 4786230 1197265 2642354 1715225 927129 15413925 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND RELATED STATE OF ILLINOIS STATUTES; THEREFORE THE ORGANIZATION HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION ADOPTED THE REQUIREMENTS IN FINANCIAL ACCOUNTING STANDARDS BOARD(FASB) ACCOUNTING STANDARDS UPDATE (ASU) 2009-06 REGARDING UNCERTAIN TAX POSITIONS. ASU 2009-06 DEFINES HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED, AND DISCLOSED IN THE FINANCIAL STATEMENTS. THE AUTHORITATIVE GUIDANCE REQUIRES ENTITIES TO RECOGNIZE A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION IS SUSTAINABLE BASED SOLELY ON ITS TECHNICAL MERITS AND CONSIDERATION OF THE RELEVANT TAXING AUTHORITY'S WIDELY UNDERSTOOD ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE ORGANIZATION EVALUATED ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED BY THE APPLICABLE TAXING AUTHORITY, AND HAS DETERMINED THAT IT CURRENTLY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. 1 X X X X 0 0 0 0 0 0 0 0 0 ROBERT J URSO CEO THROUGH JUNE 2021 212334 0 50000 0 0 0 0 0 4239 0 266573 0 0 0 PAUL S LUNING MD CHIEF MEDICAL OFFICER 233046 0 27339 0 0 0 0 0 21565 0 281950 0 0 0 TONI BUSH CHIEF EXECUTIVE OFFICER 190474 0 34900 0 0 0 0 0 11554 0 236928 0 0 0 BERTHA LOPEZ OB/GYN PHYSICIAN 253354 0 800 0 0 0 0 0 23597 0 277751 0 0 0 KAROLE A LAKOTA-TREESE MD MEDICAL DIRECTOR OF PI 256255 0 50007 0 0 0 0 0 17931 0 324193 0 0 0 CHRISTINE SWARTZ MEDICAL DIRECTOR 317490 0 20330 0 0 0 0 0 0 0 337820 0 0 0 SHERIF MILIK FAMILY PRACTICE PHYSICIAN 373247 0 3870 0 0 0 0 0 17931 0 395048 0 0 0 KATHLEEN MCDONOUGH MEDICAL DIRECTOR 251305 0 2389 0 0 0 0 0 17931 0 271625 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. SUBSEQUENT TO THAT REVIEW, THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WHO THEN SUBMITS THE RETURN TO THE ENTIRE BOARD FOR APPROVAL. A COPY OF THE RETURN IS KEPT ON RECORD FOR PUBLIC REVIEW SHOULD THERE BE SUCH A REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ALL TRANSACTIONS AND PROCESSES ARE REVIEWED AND MONITORED THROUGH POLICY, EXECUTIVE MANAGEMENT, AND RATIFIED BY THE VOTING MEMBERS OF THE BOARD, IF NECESSARY. ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH IS KEPT IN EACH STAFF AND BOARD MEMBERS' FILES. DISCLOSURE OF CONFLICT OF INTEREST POLICY QUESTION IS PRESENTED TO EVERY STAFF OR BOARD MEMBER DURING THE RECRUITING OR HIRING PROCESS. FURTHERMORE, AT ANY JUNCTURE WHEN MAJOR DECISIONS ARE ABOUT TO BE MADE, INDIVIDUALS ARE ASKED TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION FOR THE CEO AND OTHER KEY OFFICERS OF THE ORGANIZATION IS DONE THROUGH A REVIEW AND APPROVAL PROCESS VIA THE GOVERNING BODY, AND SUBJECT TO RATIFICATION OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,093,479. MANAGEMENT AND GENERAL EXPENSES 1,211,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,305,092. SECURITY: PROGRAM SERVICE EXPENSES 534,881. MANAGEMENT AND GENERAL EXPENSES 209,495. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 744,376. JANITORIAL: PROGRAM SERVICE EXPENSES 283,567. MANAGEMENT AND GENERAL EXPENSES 111,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,631. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 69,865. MANAGEMENT AND GENERAL EXPENSES 27,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,229. BILLING: PROGRAM SERVICE EXPENSES 924,581. MANAGEMENT AND GENERAL EXPENSES 362,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,286,708. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AUSTIN QALICB LLC 14 WEST LAKE STREET OAK PARK IL 60302 QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS IL 506 13363306 PCC COMMUNITY WELLNESS CENTER PCC FOUNDATION 14 LAKE STREET OAK PARK IL 60302 475608703 SEE PART VII IL 501(C)(3) LINE 12A, I PCC COMMUNITY WELLNESS CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PCC FOUNDATION C 35000 CASH FORM 990, SCHEDULE R, PART II, COLUMN (B) THE PCC FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES FOR PCC COMMUNITY WELLNESS CENTER ("CENTER") AND INTENDS TO AWARD GRANTS TO THE CENTER UPON REQUEST.