STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ERIE FAMILY HEALTH CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ERIE FAMILY HEALTH CENTER INC (EIN 36-3088628)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-10
IRS object ID
202341309349304169
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-05-10T21:30:18+00:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363088628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Erie Family Health Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlERIEBusinessNameControlTxt
Phone3126663494PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 W Superior StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60622ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLee FrancisPersonNm
Person TitlePresident and CEOPersonTitleTxt
Signature2023-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLeePersonFirstNm
Person LastFrancisPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER BURKEPreparerPersonNm
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lee FrancisBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 W Superior StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60622ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$117,419,759GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.eriefamilyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionOPERATE A HEALTHCARE CENTER TO SERVE A LARGELY MEDICALLY UNDER-SERVED POPULATION IN CHICAGO METROPOLITAN AREA.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee982TotalEmployeeCnt
Total Volunteers38TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$34,149,545PYContributionsGrantsAmt
CY Contributions Grants$36,418,253CYContributionsGrantsAmt
PY Program Service Revenue$65,318,021PYProgramServiceRevenueAmt
CY Program Service Revenue$73,878,100CYProgramServiceRevenueAmt
PY Investment Income$665,502PYInvestmentIncomeAmt
CY Investment Income$3,162,328CYInvestmentIncomeAmt
PY Other Revenue-$9,179PYOtherRevenueAmt
CY Other Revenue-$40,146CYOtherRevenueAmt
PY Total Revenue$100,123,889PYTotalRevenueAmt
CY Total Revenue$113,418,535CYTotalRevenueAmt
PY Grants And Similar Paid$5,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,103CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,872,342PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$65,519,670CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,185,212CYTotalFundraisingExpenseAmt
PY Other Expenses$28,367,782PYOtherExpensesAmt
CY Other Expenses$32,880,171CYOtherExpensesAmt
PY Total Expenses$87,245,124PYTotalExpensesAmt
CY Total Expenses$98,409,944CYTotalExpensesAmt
PY Revenues Less Expenses$12,878,765PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,008,591CYRevenuesLessExpensesAmt
Total Assets BOY$89,001,559TotalAssetsBOYAmt
Total Assets EOY$100,905,418TotalAssetsEOYAmt
Total Liabilities BOY$22,344,184TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,536,513TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,657,375NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$78,368,905NetAssetsOrFundBalancesEOYAmt
MissionMOTIVATED BY THE BELIEF THAT HEALTHCARE IS A HUMAN RIGHT, ERIE FAMILY HEALTH CENTERS, INC. (ERIE) PROVIDES HIGH QUALITY, AFFORDABLE CARE TO SUPPORT HEALTHIER PEOPLE, FAMILIES AND COMMUNITIES. ERIE'S MISSION IS AN OUTGROWTH OF THE CIVIL RIGHTS MOVEMENT, AND FOR MORE THAN 60 YEARS OUR COMMITMENT TO EQUITY AND JUSTICE HAS REMAINED STEADFAST. OUR VISION OF "ALL PEOPLE LIVING THEIR HEALTHIEST LIVES" DEMANDS THAT WE EXAMINE AND WORK TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND STRUCTURAL BARRIERS THAT ARE THE ROOT CAUSES OF INEQUITY IN OUR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$85,703,652ExpenseAmt
Grant$10,103GrantAmt
Revenue$73,885,446RevenueAmt
DescERIE FAMILY HEALTH CENTER (ERIE), A FEDERALLY QUALIFIED HEALTH CENTER, IS A REGIONAL HEALTHCARE RESOURCE FOR MORE THAN 85,000 PATIENTS, MOSTLY LOW-INCOME, WHO ARE SERVED IN THE CHICAGO AREA AT THIRTEEN LOCATIONS: SEVEN LARGE PRIMARY CARE CENTERS, FIVE SCHOOL-BASED HEALTH CENTERS AND OUR TEEN CENTER-THE REGION'S OLDEST AND LARGEST HEALTH CENTER DEDICATED TO ADOLESCENTS. SINCE THE ONSET OF THE COVID-19 HEALTH CRISIS, ERIE HAS ALSO OFFERED TELEHEALTH SERVICES TO ASSURE CONTINUOUS, SAFE ACCESS TO ESSENTIAL HEALTHCARE. TO EMPOWER OUR MISSION AND VISION AND TO FULFILL ERIE'S VALUES OF SOCIAL JUSTICE, IMPACT, EXCELLENCE, RELATIONSHIPS, AND LEARNING, ERIE PROVIDES A COMPREHENSIVE ARRAY OF HEALTH SERVICES TO PROMOTE LIFELONG WELLNESS AMONG THE COMMUNITY'S MOST VULNERABLE MEMBERS. SINCE GROWING FROM A ONE-ROOM LOCATION IN 1957, ERIE HAS SUSTAINED OUR COMMITMENT TO HELPING MEET THE NEEDS OF RESIDENTS IN DISINVESTED COMMUNITIES. UNIQUELY POSITIONED TO MEET THE NEEDS OF COMMUNITY MEMBERS. ERIE HEALTH CENTERS OFFER A WIDE RANGE OF HIGH QUALITY, AFFORDABLE SERVICES, INCLUDING INTEGRATED MEDICAL, ORAL, AND BEHAVIORAL HEALTHCARE; CHRONIC DISEASE MANAGEMENT; VACCINES AND FLU SHOTS; HIV TESTING; STI TESTING/TREATMENT; PRENATAL CARE; AND REPRODUCTIVE HEALTH SERVICES, WITH PROGRAMS INTENTIONALLY DESIGNED TO MEET THE NEEDS OF ERIE'S INDIVIDUAL PATIENTS. ERIE PROVIDES CULTURALLY-SENSITIVE, TRAUMA-INFORMED CARE FOR PATIENTS, WITH PROVIDERS AND FRONT-LINE STAFF WHO ARE BILINGUAL IN SPANISH AND ENGLISH, WHILE OFFERING TRANSLATION SERVICES FOR THOSE WHO PREFER OTHER LANGUAGES. ERIE WILL CONTINUE TO INVEST IN EFFORTS TO ENSURE STAFF ARE REFLECTIVE OF THOSE IT SERVES, WHICH WILL, IN TURN, PROVIDE ECONOMIC STIMULUS TO THE COMMUNITIES ERIE SERVES. RECOGNIZING THAT FACTORS IN OUR PATIENTS' LIVES HAVE A DEEP IMPACT ON THEIR HEALTH AND WELL-BEING, ERIE OFFERS A ROBUST ARRAY OF EDUCATION AND SUPPORT SERVICES BEYOND OUR EXAM ROOMS AND HEALTH CENTER WALLS. THESE INCLUDE, AMONG OTHERS, ONE ON- ONE AND PERSONALIZED HEALTH EDUCATION AND SUPPORT SERVICES, HEALTHCARE NAVIGATION FOR INSURANCE BENEFITS AND ENROLMMENT, AND A MEDICAL-LEGAL PARTNERSHIP TO ADDRESS PATIENTS' LEGAL BARRIERS TO HEALTH. ERIE ALSO SCREENS PATIENTS FOR THE SOCIAL DETERMINANTS OF HEALTH-CONDITIONS IN THE ENVIRONMENTS IN WHICH THEY WORK AND LIVE THAT AFFECT HEALTH-AND LINKS THEM TO COMMUNITY RESOURCES SUCH AS HOUSING ASSISTANCE, FOOD AND BABY SUPPLIES. ERIE CONTINUES TO STRIVE TOWARD ACHIEVING THE HIGH-QUALITY OUTCOMES THAT HAVE PLACED IT IN THE TOP TIER OF HEALTH CENTERS. IN 2022, ERIE RECEIVED THE GOLD AWARD AS A HEALTH CENTER QUALITY LEADER FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), PLACING ERIE IN THE TOP 10% OF COMMUNITY HEALTH CENTERS NATIONALLY. FURTHER, ERIE DELIVERS MORE BABIES THAN ANY OTHER COMMUNITY HEALTH CENTER IN ILLINOIS AND RANKS IN THE TOP 1% NATIONALLY FOR NUMBER OF DELIVERIES. IN 2022, ERIE WAS ONE OF ONLY 1% OF HEALTH CENTERS NATIONALLY TO RECEIVE THE DISTINCTION OF NATIONAL QUALITY LEADER IN MATERNAL AND CHILD HEALTH FROM HRSA, AND THE ONLY ONE IN ILLINOIS. AT ERIE, 95% OF BABIES WERE BORN WITH NORMAL BIRTH WEIGHTS, COMPARED TO 91% IN ILLINOIS AND NATIONALLY. ADDITIONALLY, 92% OF WOMEN AT ERIE RECEIVE PRENATAL CARE IN THE FIRST TRIMESTER, COMPARED TO 80% IN ILLINOIS AND 74% NATIONALLY. A LEADER IN TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS, IN 2022 ERIE PARTNERED WITH TOP ACADEMIC MEDICAL CENTERS TO OFFER ONSITE MEDICAL TRAINING THROUGH NINE RESIDENCY AND FELLOWSHIP PROGRAMS. THESE INCLUDE RESIDENCIES IN FAMILY MEDICINE, INTERNAL MEDICINE, AND PEDIATRICS; A FELLOWSHIP IN PULMONOLOGY; AND A FELLOWSHIP PROGRAM FOR NURSE PRACTITIONERS AND NURSE MIDWIVES. IN ADDITION, ERIE PROVIDES TRAINING FOR MEDICAL AND DENTAL STUDENTS. IN TOTAL, ERIE TRAINS MORE THAN 250 PROVIDERS AT ITS HEALTH CENTER SITES ANNUALLY. ERIE ALSO OFFERS A MEDICAL ASSISTANT TRAINING PROGRAM THAT EDUCATES STUDENTS FOR CERTIFICATION AS MEDICAL ASSISTANTS AND PREPARES THEM TO WORK AS PART OF A CARE TEAM IN A COMMUNITY HEALTH SETTING.Desc
Total Program Service Expenses$85,703,652TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee982EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Celia MartinezBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3124322686PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 West Superior StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60622ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN P MARSELLA
BOARD CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
CELESTE CASTILLO
Secretary2.00Yes (X)Yes (X)$0$0$0
ROSALIE ALICEA
Vice-Chair2.01.0Yes (X)Yes (X)$0$0$0
WILLIAM G KISTNER
TREASURER2.00Yes (X)Yes (X)$0$0$0
ALICE SETRINI
DIRECTOR1.00Yes (X)$0$0$0
BETZY BERGANZA
DIRECTOR1.00Yes (X)$0$0$0
CAROLYN DICKENS
DIRECTOR1.00Yes (X)$0$0$0
DARRYL TOM
DIRECTOR (THRU DEC 2021)1.01.0Yes (X)$0$0$0
ERIC MAYEDA
DIRECTOR1.00Yes (X)$0$0$0
ERNEST CHANG
DIRECTOR1.00Yes (X)$0$0$0
IMAN EMAMIFARD
DIRECTOR1.00Yes (X)$0$0$0
JILL SIMON SVOBODA
DIRECTOR1.00Yes (X)$0$0$0
JUDY MENDEZ
DIRECTOR1.00Yes (X)$0$0$0
KATHERINE WILSON
DIRECTOR1.00Yes (X)$0$0$0
LINDA CUSHMAN
DIRECTOR1.01.0Yes (X)$0$0$0
LISA DYKSTRA
DIRECTOR1.00Yes (X)$0$0$0
MATT AARONSON
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL BOYD
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL COLE
DIRECTOR1.00Yes (X)$0$0$0
NANCY BOCK
DIRECTOR1.02.0Yes (X)$0$0$0
REV EDWARD SARDEN
DIRECTOR1.00Yes (X)$0$0$0
RICHARD ROMANOWSKI
DIRECTOR1.00Yes (X)$0$0$0
AMY VALUKAS
Chief Population Health Officer40.01.0Yes (X)$251,129$0$49,688
CAROLINE M HOKE
CHIEF CLINICAL OFFICER40.00Yes (X)$364,246$0$37,100
DAVID C BRUCE
CHIEF FINANCIAL OFFICER40.02.0Yes (X)$292,977$0$45,749
LEE FRANCIS
PRESIDENT & CEO40.02.0Yes (X)$411,437$0$34,952
VICTORIA WHILDIN
Chief Operating Officer40.00Yes (X)$190,685$0$15,068
ALISSA CARLSON
Clinical Director40.00$259,410$0$6,648Yes (X)
ANDREW EWBANK
Medical Director40.00$279,252$0$20,691Yes (X)
MICHELLE WYSZOMIRSKI
OB/GYN Physician40.00$267,888$0$16,201Yes (X)
SARA NAURECKAS
MEDICAL DIRECTOR40.00$270,497$0$8,164Yes (X)
TRACY IRWIN
MEDICAL DIRECTOR40.00$260,560$0$12,428Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,848,081TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$246,688TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K137IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
OCHIN INC
PO BOX 5426PORTLANDOR972285426EHR SYSTEM SERVICES$2,547,637
VISUALUTIONS INC
7440 MINTWOOD LANESPRINGTX773791100BILLING SERVICES$2,395,443
ALLIANCE CHICAGO
225 W ILLINOIS STREETCHICAGOIL60654EHR AND BILLING SYSTEM SERVICES$1,830,1075TH FLOOR
SHC SERVICES INC
PO BOX 677896DALLASTX752677896TEMPORARY LABOR$1,642,601
LASALLE NETWORK
200 N LASALLE STREETCHICAGOIL60601TEMPORARY LABOR$705,306SUITE 2500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Federated Campaigns$63,770FederatedCampaignsAmt
Fundraising$388,590FundraisingAmt
Related Organizations$1,596,237RelatedOrganizationsAmt
Government Grants$23,375,890GovernmentGrantsAmt
All Other Contributions$10,993,766AllOtherContributionsAmt
Noncash Contributions$1,543,491NoncashContributionsAmt
Total Contributions$36,418,253TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID/COMMERCIAL/COVID19 UNINSURED PAYMENTS624100$46,029,576$46,029,576
SELF PAY624100$947,488$947,488
MEANINGFUL USE AND 340B624100$23,239,060$23,239,060
MANAGED CARE RELATED624100$3,172,207$3,172,207
ACCOUNTABLE CARE ORGANIZATION REVENUE624100$12,023$12,023

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,746TotalRevenueColumnAmt
Related Or Exempt Func Income$477,746RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$73,878,100TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$551,155TotalRevenueColumnAmt
Exclusion$551,155ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,489RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,489RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,489TotalRevenueColumnAmt
Related Or Exempt Func Income$6,489RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,787,572SecuritiesAmt
Other$2,752,800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,929,199SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$141,627SecuritiesAmt
Other$2,752,800OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,611,173TotalRevenueColumnAmt
Exclusion$2,611,173ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,020FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$388,590ContriRptFundraisingEventAmt
Fundraising Direct Expenses$72,025FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$61,005TotalRevenueColumnAmt
Exclusion-$61,005ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,370TotalRevenueColumnAmt
Related Or Exempt Func Income$857RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,513ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,370OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$113,418,535TotalRevenueColumnAmt
Related Or Exempt Func Income$73,885,446RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,114,836ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,103TotalAmt
Program Services$10,103ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,553,738TotalAmt
Program Services$193,367ProgramServicesAmt
Management And General$1,360,371ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,662,598TotalAmt
Program Services$49,858,578ProgramServicesAmt
Management And General$3,994,916ManagementAndGeneralAmt
Fundraising$809,104FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$920,017TotalAmt
Program Services$692,920ProgramServicesAmt
Management And General$218,582ManagementAndGeneralAmt
Fundraising$8,515FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,458,077TotalAmt
Program Services$3,663,428ProgramServicesAmt
Management And General$728,487ManagementAndGeneralAmt
Fundraising$66,162FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,925,240TotalAmt
Program Services$3,469,638ProgramServicesAmt
Management And General$400,817ManagementAndGeneralAmt
Fundraising$54,785FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$246,348TotalAmt
Management And General$246,348ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$133,814TotalAmt
Management And General$133,814ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$92,178TotalAmt
Management And General$92,178ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,531,708TotalAmt
Program Services$6,265,731ProgramServicesAmt
Management And General$3,058,864ManagementAndGeneralAmt
Fundraising$207,113FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$340,813TotalAmt
Program Services$40,330ProgramServicesAmt
Management And General$300,432ManagementAndGeneralAmt
Fundraising$51FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$824,685TotalAmt
Program Services$469,319ProgramServicesAmt
Management And General$337,707ManagementAndGeneralAmt
Fundraising$17,659FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,787,430TotalAmt
Program Services$3,682,516ProgramServicesAmt
Management And General$96,838ManagementAndGeneralAmt
Fundraising$8,076FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,085,043TotalAmt
Program Services$2,920,122ProgramServicesAmt
Management And General$164,921ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$47,707TotalAmt
Program Services$29,615ProgramServicesAmt
Management And General$18,092ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,137TotalAmt
Program Services$27,611ProgramServicesAmt
Management And General$103,983ManagementAndGeneralAmt
Fundraising$2,543FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$129,895TotalAmt
Program Services$129,895ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,977,069TotalAmt
Program Services$2,951,102ProgramServicesAmt
Management And General$25,967ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$377,890TotalAmt
Program Services$119,648ProgramServicesAmt
Management And General$258,242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACEUTICALS$8,313,825$8,313,825
VACCINES, MEDICAL AND LAB SUPPLIES$1,857,120$1,857,120
EQUIPMENT RENTAL & MAINTENANCE$240,410$240,410
Security Services$293,709$293,709

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$466,390TotalAmt
Program Services$474,665ProgramServicesAmt
Management And General-$19,479ManagementAndGeneralAmt
Fundraising$11,204FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$98,409,944TotalAmt
Program Services$85,703,652ProgramServicesAmt
Management And General$11,521,080ManagementAndGeneralAmt
Fundraising$1,185,212FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,474,430BOYAmt
EOY$23,747,324EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$100,353BOYAmt
EOY$67,875EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,510,322BOYAmt
EOY$6,692,517EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,119,807BOYAmt
EOY$7,733,440EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,717,700BOYAmt
EOY$3,401,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$637,658BOYAmt
EOY$530,522EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$797,578BOYAmt
EOY$769,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,873,911LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,332,039LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,313,835BOYAmt
EOY$21,541,872EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,923,845BOYAmt
EOY$21,444,398EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,976,112BOYAmt
EOY$1,945,894EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,429,919BOYAmt
EOY$13,030,988EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,001,559BOYAmt
EOY$100,905,418EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,952,813BOYAmt
EOY$13,324,403EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$200,000BOYAmt
EOY$731,696EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,801,570BOYAmt
EOY$4,800,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,389,801BOYAmt
EOY$3,680,414EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,344,184BOYAmt
EOY$22,536,513EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,595,439BOYAmt
EOY$71,909,564EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,061,936BOYAmt
EOY$6,459,341EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,657,375BOYAmt
EOY$78,368,905EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,001,559BOYAmt
EOY$100,905,418EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,008,591ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,460,869NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$163,808DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,240,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,155,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,331,362CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,149,545CurrentTaxYearMinus1YearAmt
Current Tax Year$36,418,253CurrentTaxYearAmt
Total$138,295,130TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,244CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$78,480CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$781,038CurrentTaxYearMinus1YearAmt
Current Tax Year$458,163CurrentTaxYearAmt
Total$1,563,391TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,371,557CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,270,123CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,409,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,930,583CurrentTaxYearMinus1YearAmt
Current Tax Year$36,876,416CurrentTaxYearAmt
Total$139,858,521TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$139,858,521PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$236,473CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$555,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$433,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$391,915CurrentTaxYearMinus1YearAmt
Current Tax Year$551,155CurrentTaxYearAmt
Total$2,168,313TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,068CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,691CurrentTaxYearMinus1YearAmt
Current Tax Year$14,370CurrentTaxYearAmt
Total$101,446TotalAmt
FieldValueIRS element (for citing)
Total Support$142,128,280TotalSupportAmt
Gross Receipts Rltd Activities$285,426,665GrossReceiptsRltdActivitiesAmt
Public Support CY1700.9840PublicSupportCY170Pct
Public Support PY1700.9832PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part II, Line 10 OTHER INCOMETHE ORGANIZATION HAS RESTATED SCHEDULE A, PART II, LINES 10 AND 12 FOR THE 2015-2018 TAX YEARS TO MORE APPROPRIATELY CLASSIFY INCOME THAT IS CONSIDERED GROSS RECEIPTS FROM RELATED ACTIVITIES FOR PURPOSES OF SCHEDULE A, PART II, LINE 12. THESE CHANGES DID NOT HAVE ANY MEANINGFUL IMPACT ON THE ORGANIZATIONS PUBLIC SUPPORT PERCENTAGE AS COMPUTED PURSUANT §501(A)(1).
Schedule A, Part II, Line 10 Other IncomeDESCRIPTION - OTHER INCOME, COLUMN A - 28386.0, COLUMN B - 22931.0, COLUMN C - 32068.0, COLUMN D - 3691.0, COLUMN E - 14370.0, COLUMN F - 101446.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$98,317,766FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$98,317,766FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,970,365BeginningYearBalanceAmt
Contributions$1,500,000ContributionsAmt
Investment Earnings Or Losses-$622,605InvestmentEarningsOrLossesAmt
Other Expenditures$80,000OtherExpendituresAmt
End Year Balance$3,767,760EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,301,061BeginningYearBalanceAmt
Investment Earnings Or Losses$749,304InvestmentEarningsOrLossesAmt
Other Expenditures$80,000OtherExpendituresAmt
End Year Balance$2,970,365EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,038,165BeginningYearBalanceAmt
Investment Earnings Or Losses$342,896InvestmentEarningsOrLossesAmt
Other Expenditures$80,000OtherExpendituresAmt
End Year Balance$2,301,061EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
Investment Earnings Or Losses$118,165InvestmentEarningsOrLossesAmt
Other Expenditures$80,000OtherExpendituresAmt
End Year Balance$2,038,165EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
Investment Earnings Or Losses$33,723InvestmentEarningsOrLossesAmt
Other Expenditures$33,723OtherExpendituresAmt
End Year Balance$2,000,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,800OtherCostOrOtherBasisAmt
Book Value$77,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,543,357OtherCostOrOtherBasisAmt
Depreciation$9,250,167DepreciationAmt
Book Value$7,293,190BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,625,257OtherCostOrOtherBasisAmt
Depreciation$5,568,568DepreciationAmt
Book Value$6,056,689BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,441,629OtherCostOrOtherBasisAmt
Depreciation$7,695,485DepreciationAmt
Book Value$7,746,144BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,185,868OtherCostOrOtherBasisAmt
Depreciation$2,817,819DepreciationAmt
Book Value$368,049BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,541,872TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
457b Corporate Owned Assets$835,969
EFHC-ETHC Intercompany payable$9,460,199
EFHC-EFF Cash Receipts-$5,148,687
Contributions to EFHC from Foundation$7,438,807
457f Corporate Owned Asset$444,700
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,030,988TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCapitalized Lease PayableDesc
Amt$3,680,414Amt
FieldValueIRS element (for citing)
Total Liability$3,680,414TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$107,628,924TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,460,869NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$458,163DonatedServicesAndUseFcltsAmt
Other Revenue-$34,105OtherRevenueAmt
Revenue Not Reported-$3,036,811RevenueNotReportedAmt
Revenue Subtotal$110,665,735RevenueSubtotalAmt
Other Revenues Not Included$2,752,800OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,752,800RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$113,418,535TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$98,578,016TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$294,355DonatedServicesUseFcltsAmt
Other Expenses Included-$34,105OtherExpensesIncludedAmt
Expenses Not Reported$260,250ExpensesNotReportedAmt
Expenses Subtotal$98,317,766ExpensesSubtotalAmt
Investment Expenses Not Incld2$92,178InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$92,178ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$98,409,944TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE PURPOSE OF THE HOSPIRA FOUNDATION ENDOWMENT IS TO ENDOW IN PERPETUITY THE POSITION OF HOSPIRA ENDOWED MEDICAL DIRECTOR OF WOMEN'S HEALTH, THE TOP CLINICAL LEADER AT ERIE RESPONSIBLE FOR REPRODUCTIVE HEALTH SERVICES. THE PURPOSE OF THE GRAINGER ENDOWMENT FOR WORKFORCE EQUITY AND DEVELOPMENT IS TO SUPPORT INITIATIVES IN PERPETUITY AT GRANTEE TO ATTRACT, RETAIN AND DEVELOP TOP TALENT THAT REPRESENTS THE DIVERSITY OF ERIE'S COMMUNITIES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteEFHC and Foundation are exempt from income taxes on income from related activities under Section 501(c) (3) of the U.S. Internal Revenue Code and corresponding state tax law. ETHC is a single member limited liability company, and all income is included in the income of the individual member (EFHC). Accordingly, no provision has been made for federal and state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Forms 990 for EFHC and Foundation have not been subject to examination by the Internal Revenue Service or the state of Illinois for the last three years. Erie does not expect the total of unrecognized tax benefits to significantly change in the next 12 months. Erie did not have any amounts accrued or recognized for interest and penalties at June 30, 2022 and 2021.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Grants Revenue Bad Debt - -106130 Fundraising Expense - 72025
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsGain on NMTC Transaction - 2752800
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Grants Revenue Bad Debt - -106130 Fundraising Expense - 72025

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1EriedescenceEvent1Nm
Gross Receipts Event1$156,011GrossReceiptsEvent1Amt
Charitable Contri Event1$144,991CharitableContriEvent1Amt
Gross Revenue Event1$11,020GrossRevenueEvent1Amt
Rent Facility Costs Event1$15,904RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,477FoodAndBeverageEvent1Amt
Entertainment Event1$1,397EntertainmentEvent1Amt
Other Direct Expenses Event1$14,119OtherDirectExpensesEvent1Amt
Event2Virtual GalaEvent2Nm
Gross Receipts Event2$200,056GrossReceiptsEvent2Amt
Charitable Contri Event2$200,056CharitableContriEvent2Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Other Direct Expenses Event2$24,478OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$43,543GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$43,543CharitableContriOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$8,650OthDirectExpnssOtherEventsAmt
Gross Receipts Total$399,610GrossReceiptsTotalAmt
Charitable Contributions Tot$388,590CharitableContributionsTotAmt
Gross Revenue Total Events$11,020GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$15,904RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$7,477FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,397EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$47,247OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$72,025DirectExpenseSummaryEventsAmt
Net Income Summary-$61,005NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Swedish Covenant Hospital FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15145 N California AveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60625ZIPCd
FieldValueIRS element (for citing)
Recipient EIN205055155RecipientEIN
Cash Grant$10,000CashGrantAmt
Purpose Of GrantGOLD SPONSORSHIP ROARIN' 20S GALAPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationA LINE ITEM BUDGET IS SUBMITTED TO THE FUNDER THAT INCLUDES ALLOWABLE COSTS THAT ALIGN WITH THE PROGRAM'S NEEDS. ERIE'S FINANCE DEPARTMENT REVIEWS AND APPROVES ALL GRANT BUDGETS PRIOR TO SUBMISSION. QUARTERLY INVOICES ARE SUBMITTED TO ERIE, ALONG WITH SUPPORTING DOCUMENTATION FOR ALL EXPENSES THAT WERE INCLUDED. THE INVOICES ARE COMPARED TO THE BUDGETED LINE ITEMS TO ENSURE THAT ONLY BUDGETED EXPENSES ARE PAID FROM THE GRANT. THE INVOICES ARE AUDITED BY AN ACCOUNTANT ON ERIE'S GRANTS FINANCE TEAM. ANY DISCREPANCIES ARE QUESTIONED AND FOLLOWED UP ON. ONCE ALL EXPENSES ARE VERIFIED, THE INVOICE IS SIGNED OFF ON AND PROCESSED FOR PAYMENT VIA A CHECK REQUEST OR OTHER METHOD. A TRACKER IS KEPT TO COMPARE BUDGETED TO INVOICED EXPENSES TO ENSURE THAT NO LINES ARE OVERSPENT. THE MONTHLY TRACKERS ARE SENT TO THE PROGRAM MANAGER FOR REVIEW.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LEE FRANCIS
PRESIDENT & CEO$305,607$0$76,553$0$29,277$0$32,250$0$2,702$0$446,389$0$0$0
CAROLINE M HOKE
CHIEF CLINICAL OFFICER$295,700$0$53,081$0$15,465$0$10,000$0$27,100$0$401,346$0$0$0
DAVID C BRUCE
CHIEF FINANCIAL OFFICER$235,189$0$48,467$0$9,321$0$26,145$0$19,604$0$338,726$0$0$0
AMY VALUKAS
Chief Population Health Officer$183,432$0$42,122$0$25,575$0$25,391$0$24,297$0$300,817$0$0$0
VICTORIA WHILDIN
Chief Operating Officer$154,831$0$30,071$0$5,783$0$13,848$0$1,220$0$205,753$0$0$0
ANDREW EWBANK
Medical Director$259,691$0$13,155$0$6,406$0$6,214$0$14,476$0$299,943$0$0$0
MICHELLE WYSZOMIRSKI
OB/GYN Physician$236,358$0$12,021$0$19,508$0$6,266$0$9,935$0$284,089$0$0$0
SARA NAURECKAS
MEDICAL DIRECTOR$244,043$0$13,471$0$12,983$0$6,072$0$2,092$0$278,661$0$0$0
TRACY IRWIN
MEDICAL DIRECTOR$236,958$0$14,821$0$8,781$0$6,044$0$6,384$0$272,987$0$0$0
ALISSA CARLSON
Clinical Director$242,833$0$12,691$0$3,886$0$6,033$0$615$0$266,058$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 4b Supplemental nonqualified retirement planFormAndLineReferenceDesc
ExplanationERIE FAMILY HEALTH CENTER HAS ESTABLISHED A SUPPLEMENTAL NONQUALIFIED §457(F) RETIREMENT PLAN THAT ALLOWS FOR CERTAIN INDIVIDUALS TO PARTICIPATE IN THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED DEFERRALS TO THE PLAN DURING CALENDAR YEAR 2021: 1. AMY VALUKAS - $20,000 2. CAROLINE M HOKE - $10,000 3. DAVID BRUCE - $20,000 4. LEE FRANCIS - $75,000 5. VICTORIA WHILDIN - $10,000ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$1,543,491NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS THAT IT RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE THE CHAIR, THE VICE CHAIR, THE TREASURER, THE SECRETARY, THE QUALITY IMPROVEMENT COMMITTEE CHAIR, THE STRATEGY COMMITTEE CHAIR, THE BOARD DEVELOPMENT COMMITTEE CHAIR, THE PATIENT SERVICES COMMITTEE CHAIR, THE IMMEDIATE PAST CHAIR AND OTHER MEMBERS AS NOMINATED BY THE CHAIR AND APPROVED BY THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A USER DIRECTOR. THE CEO SHALL SERVE, EX OFFICIO, AS A NONVOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MAY, TO THE EXTENT THE BOARD OF DIRECTORS IS UNABLE TO ACT, ACT FOR THE BOARD OF DIRECTORS IN EMERGENCY SITUATIONS FOR THE DURATION OF THE BOARD OF DIRECTORS' INABILITY TO ACT. HOWEVER, ALL EXECUTIVE COMMITTEE ACTIONS ARE SUBJECT TO APPROVAL AND/OR REPEAL BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE SHALL NOT TAKE ANY ACTION THAT WOULD PREVENT THE BOARD OF DIRECTORS FROM REPEALING THE ACTION WITHOUT LIABILITY TO THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyERIE FAMILY HEALTH CENTER (EFHC) USES CROWE, LLP, (AN INDEPENDENT THIRD PARTY CPA FIRM) TO PREPARE ITS FORM 990. UPON THE FORM'S COMPLETION, A COPY IS PROVIDED TO EFHC'S MANAGEMENT FOR REVIEW AND THEN SUBSEQUENTLY REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE COMMUNICATED TO THE CPA FIRM AND INCORPORATED AS APPROPRIATE. ONCE THE FORM 990 DRAFT IS FINALIZED A COPY IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. THE THIRD PARTY WILL THEN FILE THE FORM 990 ON EFHC'S BEHALF.
Form 990, Part VI, Line 12c Conflict of interest policyOFFICERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF THE BOARD ARE ANNUALLY REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION. ANY CONFLICT OF INTEREST SHALL BE REFERRED TO THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT FOR AN INITIAL REVIEW AND EVALUATION. IF THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT DEEMS THE MATTER TO BE A CONFLICT OF INTEREST, HE OR SHE SHALL REFER TO THE BOARD FOR FINAL DETERMINATION.THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT IS RESPONSIBLE FOR MAINTAINING APPROPRIATE RECORDS TO ENSURE THAT ANY REPORTED CONFLICTS ARE TRACKED AND ADDRESSES IN ACCORDANCE WITH THE POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialERIE UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO EVALUATE AND RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION COMMITTEE AND TO THE FULL BOARD, MARKET-BASED BASE AND TOTAL COMPENSATION RANGES FOR THE PRESIDENT AND CEO. COMPENSATION RANGES ARE UPDATED EVERY 2-3 YEARS AND AS NEEDED. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES PUBLISHED COMPENSATION SURVEYS (E.G. CHICAGO METRO/MCHC/TOWERS WATSON/MERCER) AS WELL AS A BOARD-APPROVED COMPARATOR GROUP OF SIMILAR ORGANIZATIONS TO GET A CLEAR PICTURE OF COMPENSATION RANGES AND THE RECRUITMENT AND RETENTION CLIMATE. THE CONSULTANT'S RECOMMENDED COMPENSATION RANGES FOR THE PRESIDENT AND CEO ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND THE FULL BOARD OF DIRECTORS. ANNUAL COMPENSATION ADJUSTMENTS FOR THE PRESIDENT AND CEO ARE ALSO BASED ON THE INDEPENDENT COMPENSATION CONSULTANT'S ANALYSIS AND ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND BOARD OF DIRECTORS ANNUALLY.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesERIE UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO EVALUATE AND RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION COMMITTEE AND TO THE FULL BOARD, MARKET BASED BASE AND TOTAL COMPENSATION RANGES FOR KEY LEADERS AND KEY EMPLOYEES INCLUDING THE PROFESSIONAL MEDICAL STAFF. COMPENSATION RANGES ARE UPDATED EVERY 2-3 YEARS AND AS NEEDED. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES PUBLISHED COMPENSATION SURVEYS (E.G. CHICAGO METRO/MCHC/TOWERS WATSON/MERCER) AS WELL AS A BOARD-APPROVED COMPARATOR GROUP OF SIMILAR ORGANIZATIONS TO GET A CLEAR PICTURE OF COMPENSATION RANGES AND THE RECRUITMENT AND RETENTION CLIMATE. THE CONSULTANT'S RECOMMENDED COMPENSATION RANGES FOR KEY LEADERS AND KEY EMPLOYEES INCLUDING THE PROFESSIONAL MEDICAL STAFF ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND THE FULL BOARD OF DIRECTORS.
Form 990, Part VI, Line 19 Required documents available to the publicEFHC GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. REQUESTS ARE REQUIRED TO BE IN WRITING.
Form 990, Part VIII, Line 2f Other Program Service RevenueMedical Records Income - Total Revenue: 2025, Related or Exempt Function Revenue: 2025, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Patient Service Revenue Adjustments - Total Revenue: -152839, Related or Exempt Function Revenue: -152839, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Hospitalist Revenue - Total Revenue: 628560, Related or Exempt Function Revenue: 628560, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueNATL ASSN COMMUNITY HEALTH - Total Revenue: 4500, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4500; DEPOSITION FEE - Total Revenue: 3000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3000; HEALTHTRUST REBATE - Total Revenue: 2251, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2251; DSM USA DENTAL INS CLAIM - Total Revenue: 1758, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1758; JURY DUTY - Total Revenue: 1303, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1303; TRAVELERS INSURANCE WORKS COM - Total Revenue: 381, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 381; PARKING - Total Revenue: 320, Related or Exempt Function Revenue: 320, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OPTUMRX - Total Revenue: 277, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 277; PERSPECTIVES - Total Revenue: 250, Related or Exempt Function Revenue: 250, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; IL PRIMARY HEALTHCARE ASSOC - Total Revenue: 250, Related or Exempt Function Revenue: 250, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SUBPOENA FEE - Total Revenue: 43, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 43; CARD CONNECT - Total Revenue: 37, Related or Exempt Function Revenue: 37, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
ERIE TITLE HOLDING COMPANY
1701 W SUPERIOR STREETCHICAGOIL606225646465259444TITLE HOLDING ENTITY FOR ERIE FAMILY HEALTH CENTERIL501(c)(2)ERIE FAMILY HEALTH CENTERYes (true)
ERIE FAMILY HEALTH FOUNDATION INC
1701 W Superior StreetChicagoIL606225646814172423Support Erie Family Health CenterIL501(c)(3)Erie Family Health CenterYes (true)Type I
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ERIE FAMILY HEALTH FOUNDATION
D$3,401,000COST
ERIE TITLE HOLDING COMPANY
D$9,460,199COST
ERIE FAMILY HEALTH FOUNDATION
C$1,596,237FMV