2022-05-05T15:16:32-05:00 2021-06-30 363990892 Capin Crouse LLP 55 Shuman Blvd Suite 300 Naperville IL 60563 990 2020-07-01 363799834 Christian Community Health Center CHRI 7732334100 9718 South Halsted Chicago IL 60628 Kenneth Burnett CEO 7732334100 2022-05-05 1 Kenneth Burnett 999009999 Sara Tibbott P01486965 5055022746 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Kenneth Burnett 9718 South Halsted Chicago IL 60628 21223346 0 X www.cchc-online.org X 1991 IL To provide high quality primary health care which demonstrates the love of Jesus Christ. 14 14 208 14 0 0 8501454 10678000 12910552 10198237 8041 7650 106543 339459 21526590 21223346 0 0 0 0 7722946 8314866 0 0 209911 11169601 10722232 18892547 19037098 2634043 2186248 22627350 24875996 6020627 6083025 16606723 18792971 To provide high quality primary health care and related services to the community regardless of the ability to pay, in a manner which demonstrates in work and deed the love of Jesus Christ. 0 0 12309376 7199115 Medical Services:The Center provides quality, affordable health care to the local community. The Center provides primary health care and health screening for adults and children. Referral arrangements have been established for sub-specialty care. 5192591 3036877 Housing and Case Management:The Center has developed a supportive housing program, which provides low cost housing rates far below market rates as well as supportive services to individuals with identified health or chronic homeless needs. The Center provides case management services and other supportive services to residents of its own housing programs as well as to residents of the Chicago Housing Authority. 515867 301704 Behavioral Health Services:The Center operates the "Healthy Choices Wellness Center," which provides psychiatric rehabilitation services to persons living with a serious and persistent mental illness and those experiencing a significant impairment in their role functioning. This is achieved via individual/group therapy and recreational activities using a multi- disciplinary team approach. The program is community based. The services are designed to provide a supportive and therapeutic social environment where consumers can achieve individual rehabilitative resiliency and recovery goals. 18017834 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 81 0 1 208 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Kenneth Burnett 7732334100 9718 South Halsted Chicago IL 60628 Will Cobb Jr PhD Member - Chair 1.00 X X 0 0 0 Bishop Yolanda Hunt Member - Secretary 1.00 X X 0 0 0 Carmoncelia Houston QIC Committee Chair 1.00 X X 0 0 0 Joshua Paseka Member - Dir. Interim Finance Chair 1.00 X X 0 0 0 Hilmon S Sorey Jr Member 1.00 X X 0 0 0 Lashaun Dumas Member 1.00 X 0 0 0 Jataun Rollins Member 1.00 X 0 0 0 Bishop Larry Roberts Sr Member 1.00 X 0 0 0 Marjorie Johnson Member 1.00 X 0 0 0 Khalid Scott Member 1.00 X 0 0 0 Amir Abed Member 1.00 X 0 0 0 Valerie Carter Member 1.00 X 0 0 0 Kaushisk Shah Member 1.00 X 0 0 0 Claudetter Henderson Member 1.00 X 0 0 0 Shaunita Montout Member (part year) 1.00 X 0 0 0 Kenneth Burnett Chief Executive Officer 40.00 X 222758 0 11278 Victor Thomas Chief Medical Officer 40.00 X 169137 0 4413 Kaytriona Lewis Chief Operating Officer 40.00 X 92402 0 6219 Dr Obianuju Okoye Chief Commercial Officer (part year) 40.00 X 71208 0 3985 Angela Walker Physician 40.00 X 211863 0 0 Angel D Leake Physician 40.00 X 179308 0 9235 Amy Ramirez Physician 40.00 X 135944 0 11278 Solomon O Okai Physician 40.00 X 135830 0 8454 Loudine Jean-Michel Dental Director 40.00 X 116079 0 3251 1334529 0 58113 9 0 1 0 Clinify Health 1 North Dearborn Street Suite 700 Chicago IL 60602 Web Services 220020 Athenahealth Inc 311 Arsenal St Watertown MA 02472 Web Services 212072 Windstream 4001 Rodney Parham Rd Little Rock AR 72212 Internet & Phone Services 112412 3 10442130 235870 10678000 Patient Fees 621110 5733771 5733771 Prescription Revenue 624110 3870136 3870136 Capitation 621110 419655 419655 Program Fees 621300 156760 156760 Rental Income 531110 17915 17915 10198237 7650 7650 339459 339459 339459 21223346 10537696 0 7650 645300 610991 21443 12866 52242 52242 6342234 5990514 219827 131893 754219 734378 12401 7440 520871 495041 17207 8623 41865 33152 7842 871 61979 61979 773571 661644 94536 17391 10311 10000 311 486829 441644 38114 7071 105942 87008 7005 11929 2493503 2461828 29108 2567 32929 32318 382 229 24085 24085 192172 122840 69332 1003070 822830 180240 202857 185096 17761 Patient Labs & Pharmacy 2819265 2819265 Bad Debt Expense 1443236 1443236 Patient Supplies & Fees 923848 923848 Equipment Maintenance 80209 65874 5304 9031 26561 26561 19037098 18017834 809353 209911 7531035 10640390 4329448 4436314 1446946 1699307 1398921 992936 192678 182837 16683777 9759565 7728322 6924212 22627350 24875996 990863 1296653 3604764 3361372 1425000 1425000 6020627 6083025 X 16606723 18792971 16606723 18792971 22627350 24875996 2186248 0 X 0 1 X 1 1 1 X 7408677 7789209 8404486 8501454 10678000 42781826 7408677 7789209 8404486 8501454 10678000 42781826 42781826 109 645 1549 8041 7650 17994 258021 15099 20280 106543 339459 739402 43539222 49545251 0.98260 0.98900 X Schedule A, Part II, Line 10, Explanation of Other Income: Miscellaneous Income - 2016 Amount: $ 258,021. 2017 Amount: $ 15,099. 2018 Amount: $ 20,280. 2019 Amount: $ 106,543. 2020 Amount: $ 339,459. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1171313 1171313 12164377 6854962 5309415 2918340 2519052 399288 429747 385551 44196 6924212 21223346 0 21223346 0 21223346 19037098 0 19037098 0 19037098 X X X 0 0 0 0 0 0 0 0 0 Kenneth Burnett Chief Executive Officer 222758 0 0 0 0 0 0 0 11278 0 234036 0 0 0 Angela Walker Physician 211863 0 0 0 0 0 0 0 0 0 211863 0 0 0 Angel D Leake Physician 179308 0 0 0 0 0 0 0 9235 0 188543 0 0 0 Victor Thomas Chief Medical Officer 169137 0 0 0 0 0 0 0 4413 0 173550 0 0 0 Lashauna Burnett Family relationship with Kenneth Burnett, CEO 52242 Wages & benefits 0 Form 990, Part VI, Section A, line 1 Executive Committe consisting of the Chairman, Secretary, Finance Chair, Quality Chair. The officers of the Corporation shall consist of a Chairman, Secretary and Finance Chair, Compliance Chair and two other members of the Board may be appointed by the Board of Directors from time to time. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the routine operation of the Corporation within the scope of established policy and general plans. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent CPA firm and reviewed in detail by the organization's top management. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The organization requires all officers and board members to annually complete and sign a conflict of interest questionnaire. The Director of Compliance is responsible for reviewing the signed statements and ensuring that interested persons are in compliance with the conflict of interest policy. Should any potential conflicts of interest be disclosed, the board member or officer would be asked to refrain from participation in any deliberation or decision with regard to matters affected by the relationship. Form 990, Part VI, Section B, line 15 Line 15a - The Executive Committee determines the Chief Executive Officer's salary. Comparability data and a compensation consultant are used, and the approval process is documented in the minutes. Line 15b - The compensation for other officers is approved by the Chief Executive Officer. Comparability data is used, and the approval process is documented. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request. CCHC - Brainerd NFP 9718 S Halsted Street Chicago IL 60628 821896780 Develop, rehabilitate, and own residential housing IL Christian Community Health Center C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0