2022-05-19T23:54:54-05:00 2021-06-30 362938874 OSTROW REISIN BERK & ABRAMS LTD 455 N CITYFRONT PLAZA DR SUITE 1500 CHICAGO IL 60611 990 2020-07-01 362893854 CHICAGO FAMILY HEALTH CENTER INC CHIC 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 7737685000 2022-05-12 1 BARRETT HATCHES 999009999 JASON FLAHIVE P02079670 3126707444 2022-05-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BARRETT HATCHES 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 32298554 0 X CHICAGOFAMILYHEALTH.ORG X 1976 IL TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS 11 11 300 11 0 0 10422567 13760200 15613878 18256905 216960 148871 133318 119469 26386723 32285445 0 0 0 0 17487984 19022962 0 0 408990 8526882 9914690 26014866 28937652 371857 3347793 32361926 33227265 13036919 10019814 19325007 23207451 CHICAGO FAMILY HEALTH CENTER WILL PROMOTE HEALTH, WORK TO PREVENT DISEASE AND PROVIDE TREATMENT THROUGH THE DELIVERY OF QUALITY, ACCESSIBLE PRIMARY HEALTCARE THAT IS CULTURALLY SENSITIVE, AFFORDABLE, AND RESPONSIVE TO COMMUNITY AND INDIVIDUAL NEEDS. 0 0 22674032 18256905 PUBLIC HEALTH SERVICES SECTION 330: THIS PROGRAM PROVIDES COMPREHENSIVE PRIMARY , BEHAVIORAL HEALTH, SUBSTANCE ABOUSE, AND DENTAL SERVICES ON THE SOUTH SIDE OF CHICAGO. THE PROGRAM INCLUDES PREVENTIVE SCREENING AND TREATMENT, PRENATAL HEALTCARE, COUNSELING AND CASE MANAGEMENT. THE CENTER HAS 6 SITES SERVICING MORE THAN 30,000 PATIENTS THROUGH MORE THAN 100,000 VISITS. 452018 THE ILLINOIS BREAST AND CERVICAL CANCER SCREENING PROGRAM (IBCCP) IS A FEDERALLY AND STATE FUNDED PROGRAM THAT OFFERS FREE MAMMOGRAMS, BREAST EXAMS, PELVIC EXAMS, AND PAP TESTS TO ELIGIBLE, UNINSURED WOMEN. SERVICES CAN ALSO BE AUTHORIZED FOR WOMEN OR MEN WITH ABNORMAL FINDINGS WHO ARE OUTSIDE THE NORMAL IBCCP AGE RANGE BUT MEET OTHER IBCCP CRITERIA. PARTICIPANTS WHO ARE ENROLLED IN THE IBCCP PROGRAM AND DIAGNOSED WITH CANCER THROUGH THE PROGRAM'S SCREENING AND TESTS ARE ELIGIBLE TO RECEIVE TREATMENT BENEFITS. MAMMOGRAMS AND CANCER TREATMENT ARE PROVIDED AT PARTNER HOSPITALS. CFHC REIMBURSES EACH PARTNER HOSPITAL FOR IBCCP SERVICES. 303551 THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IS A FOOD ASSISTANCE PROGRAM FOR WOMEN, INFANTS AND CHILDREN. IT HELPS PREGNANT WOMEN, NEW MOTHERS AND YOUNG CHILDREN EAT WELL AND STAY HEALTHY. WOMEN AND THEIR CHILDREN WHO ARE PREGNANT, BREASTFEEDING OR JUST HAD A BABY, INFANTS AND CHILDREN UNDER 5 YEARS OLD, FAMILIES WITH A LOW TO MEDIUM INCOME CAN RECEIVE SPECIAL CHECKS TO BUY HEALTHY FOODS - LIKE MILK, JUICE, EGGS, CHEESE, CEREAL, DRY BEANS OR PEAS, AND PEANUT BUTTER - INFORMATION ABOUT NUTRITION AND HEALTH INFORMATION AND HELP ABOUT BREASTFEEDING, AND HELP IN FINDING HEALTHCARE AND OTHER SERVICES. 23429601 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 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 42 0 300 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X CHRISTINE SPRING 7733642207 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 40.00 2.00 X 280259 0 12556 JACQUELINE GERVAIS PHYSICIAN 40.00 X 274162 0 15603 SUSAN OYETUNDE INTERIM CHIEF MEDICAL OFFICER 40.00 X 260694 0 17536 MARY DEAN-ONAYEMI PHYSICIAN 40.00 X 240646 0 10190 RAMON CABE PHYSICIAN 40.00 X 196902 0 16329 ANGELA J GRIFFIN PHYSICIAN 35.60 X 191340 0 15853 RONALD HICKOMBOTTOM PHYSICIAN 40.00 X 192063 0 8026 JOSEPH MOLDOVAN CHIEF FINANCIAL OFFICER 40.00 X 152951 0 18953 RHONDA EASTLUND CHIEF OPERATING OFFICER 40.00 X 120759 0 7211 MELISSA DUPLANTIS CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 93770 0 11591 NICK VALADEZ BOARD CHAIR 2.00 1.50 X X 0 0 0 NORA REYES BOARD VICE-CHAIR 2.00 1.50 X X 0 0 0 FULTON NOLEN JR SECRETARY 2.00 X X 0 0 0 JULIUS ALEXANDER TREASURER 2.00 1.50 X X 0 0 0 CHERYL BRISCOE DIRECTOR 2.00 X 0 0 0 MARK BRUMMEL DIRECTOR 2.00 X 0 0 0 JULIA MUNOZ DIRECTOR 2.00 X 0 0 0 LYLETH RODRIGUEZ DIRECTOR 2.00 X 0 0 0 JAMES SIMMONS DIRECTOR 2.00 X 0 0 0 LUPE VALADEZ DIRECTOR 2.00 X 0 0 0 TONY ZIACK DIRECTOR 2.00 X 0 0 0 2003546 0 133848 9 0 1 0 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 EHR SERVICES 657325 COMPHEALTH PO BOX 972651 DALLAS TX 75397 CONTRACTED PROVIDER SERVICES 251520 SINAI MEDICAL GROUP 2653 OGDEN AVE CHICAGO IL 60608 CONTRACTED PROVIDER SERVICES 135214 POWER BRIGHT CLEANING SERVICES 420 W HURON ST CHICAGO IL 60654 CLEANING & JANITORIAL SERVICES 131399 TRISTONE SECURITY CONSULTANTS 260 S SCHMIDT BOLINGBROOK IL 60440 SECURITY SERVICES 123491 5 12999726 760474 13760200 NET PATIENT SERVICE REVENUE 621300 13833479 13833479 340B PHARMACY REVENUE 621300 2370594 2370594 CARE COORDINATION FEES 621300 2052832 2052832 18256905 146770 146770 15210 13109 2101 2101 2101 MISCELLANEOUS REVENUE 900099 119469 119469 119469 32285445 18256905 0 268340 1066259 874333 170602 21324 14800692 12192468 2382778 225446 177647 146425 28621 2601 1952621 1608181 314265 30175 1025743 844739 165071 15933 63928 25684 38204 40 82400 33106 49243 51 8150 8150 1723003 1433869 281310 7824 3177 1748 1297 132 1045109 731839 292017 21253 1770810 1368680 379727 22403 1754409 1142114 587780 24515 9789 672 9117 9888 679 9209 20401 1562 18801 38 1319452 1129043 162713 27696 131434 40394 91040 SUPPLIES 1791238 1714766 70632 5840 STAFF DEVELOPMENT 66309 53115 12022 1172 COMMUNITY OUTREACH 48067 46015 1895 157 CREDENTIALING EXPENSE 23323 12832 9523 968 43803 27337 15044 1422 28937652 23429601 5099061 408990 5335818 3287940 1704574 2745469 957245 2709066 9918188 10036376 135500 214111 19956957 9935467 10731863 10021490 745474 837680 2135713 2600355 697551 774778 32361926 33227265 2335921 2612746 5626300 2681000 4547384 4269904 527314 456164 13036919 10019814 X 19002591 22611650 322416 595801 19325007 23207451 32361926 33227265 3347793 534651 0 X 0 1 X 1 1 1 X 7745372 7865145 8795348 10422567 13760200 48588632 7745372 7865145 8795348 10422567 13760200 48588632 48588632 142942 217875 256586 227291 146770 991464 122734 119469 242203 49822299 80957294 0.97520 0.97580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 730212 730212 14181565 5965301 8216264 4256867 3258933 997934 788313 711233 77080 10021490 MHN ACO, LLC 2600355 F 2600355 DUE TO CFHC TITLE HOLDING CORP 410031 CAPITAL LEASE OBLIGATIONS 46133 456164 X PART X, LINE 2: CFHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE ORGANIZATION HAS DETERMINED THAT THE ORGANIZATION WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2021. X X X 0 0 0 0 0 0 0 1 0 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 280259 0 0 0 0 0 8332 0 4224 0 292815 0 0 0 JACQUELINE GERVAIS PHYSICIAN 274162 0 0 0 0 0 7016 0 8587 0 289765 0 0 0 SUSAN OYETUNDE INTERIM CHIEF MEDICAL OFFICER 248194 0 12500 0 0 0 10595 0 6941 0 278230 0 0 0 MARY DEAN-ONAYEMI PHYSICIAN 240646 0 0 0 0 0 4883 0 5307 0 250836 0 0 0 RAMON CABE PHYSICIAN 196902 0 0 0 0 0 7886 0 8443 0 213231 0 0 0 ANGELA J GRIFFIN PHYSICIAN 191340 0 0 0 0 0 7778 0 8075 0 207193 0 0 0 RONALD HICKOMBOTTOM PHYSICIAN 192063 0 0 0 0 0 0 0 8026 0 200089 0 0 0 JOSEPH MOLDOVAN CHIEF FINANCIAL OFFICER 145451 0 7500 0 0 0 6365 0 12588 0 171904 0 0 0 PART I, LINE 7: BONUSES FOR MANAGEMENT AND CEO ARE DETERMINED BASED ON GOALS AND DISCRETION. PROVIDER BONUSES ARE BASED ON PRODUCTIVITY TARGETS. FORM 990, PART VI, SECTION A, LINE 2 NICK VALADEZ (BOARD CHAIR) AND LUPE VALADEZ (DIRECTOR) - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZAITON'S FORM 990 TAX RETURN. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL MEMBERS OF THE BOARD. THE BOARD IS PROVIDED AN OPPORTUNITY TO ASK ANY QUESTIONS DIRECTLY TO ORGANIZATION MANAGEMENT OR THE CONTACT AT THE INDEPENDENT CPA FIRM. FORM 990, PART VI, SECTION B, LINE 12C THE CENTER REVIEWS ANNUAL CONFLICT OF INTEREST STATEMENTS FROM THE BOARD AND SENIOR STAFF AT THE NOVEMBER BOARD MEETING. IN THE STATEMENTS, ALL BOARD MEMBERS AND SENIOR STAFF DISCLOSE THEIR CONFLICTS, POTENTIAL CONFLICTS, AND SITUATIONS THAT COULD BE PERCEIVED TO BE CONFLICTS. THE CENTER THAN EVALUATES THESE STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE. THE BOARD NEGOTIATES BASED ON THE 990'S FROM SIMILAR ORGANIZATIONS IN THE GREATER CHICAGO AREA. COMPENSATION FOR EXECUTIVES AND STAFF ARE SET BASED ON DISCUSSIONS BETWEEN THE CEO AND CFO, USING THE IPHCA ANNUAL SALARY SURVEY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. CHICAGO FAMILY HEALTH CENTER INVESTMENT FUND LLC 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 300728188 INVESTMENT IN NMTC PROGRAM DE 118188 9965186 CFHC CHICAGO FAMILY HEALTH CENTER FOUNDATION 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 453732286 SUPPORTING ORGANIZATION FOR CFHC IL 501(C)(3) LINE 12A, I CFHC 1 CFHC TITLE HOLDING CORPORATION NFP 9119 SOURTH EXCHANGE AVE CHICAGO IL 60617 454956964 HOLDING CORPORATION FOR CFHC IL 501(C)(2) CFHC 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 CFHC TITLE HOLDING CORPORATION NFP K 115000 COST