ESPERANZA HEALTH CENTERS: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ESPERANZA HEALTH CENTERS (EIN 32-0115907)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-02-16
- IRS object ID
- 202230479349300743
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-16T16:18:58-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 WEST 22ND STREET SUITE 1100 | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320115907 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ESPE | BusinessNameControlTxt |
| Phone | 7735846200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1940 S WESTERN NO 205 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RYAN GADIA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7735846200 | PhoneNum |
| Signature | 2022-02-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RYAN | PersonFirstNm |
| Person Last | GADIA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MANDERFIELD | PreparerPersonNm |
| PTIN | P01238973 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Preparation | 2022-02-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | RYAN GADIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1940 S WESTERN NO 205 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,597,373 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ESPERANZACHICAGO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PRIMARY HEALTH CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 278 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,506,347 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,629,201 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,982,303 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,020,576 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$73,130 | PYInvestmentIncomeAmt |
| CY Investment Income | $366,840 | CYInvestmentIncomeAmt |
| PY Other Revenue | $516,964 | PYOtherRevenueAmt |
| CY Other Revenue | $558,837 | CYOtherRevenueAmt |
| PY Total Revenue | $24,932,484 | PYTotalRevenueAmt |
| CY Total Revenue | $38,575,454 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,392,718 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,358,068 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $653,445 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,192,243 | PYOtherExpensesAmt |
| CY Other Expenses | $12,635,623 | CYOtherExpensesAmt |
| PY Total Expenses | $24,584,961 | PYTotalExpensesAmt |
| CY Total Expenses | $35,993,691 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $347,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,581,763 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,799,898 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,840,414 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,921,376 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,380,129 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,878,522 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,460,285 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,221,056 | ExpenseAmt |
| Revenue | $29,562,661 | RevenueAmt |
| Desc | ESPERANZA HEALTH CENTERS SERVES AN AREA THAT IS IN GREAT NEED OF QUALITY HEALTHCARE. SERVICES INCLUDE; FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, BEHAVIORAL HEALTH AND WOMEN'S HEALTH/OBSTETRICS. FAMILIES IN ESPERANZA'S SERVICE AREA EXPERIENCE SIGNIFICANT ECONOMIC, EDUCATIONAL, AND HEALTH DISPARITIES. MORE THAN 95 PERCENT OF RESIDENTS LIVE BELOW TWICE THE POVERTY LEVEL. LARGE PORTIONS OF ESPERANZA'S SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. ESPERANZA HEALTH CENTERS PROVIDE HIGH-QUALITY MEDICAL CARE TO ALL RESIDENTS OF OUR SOUTHWEST SIDE SERVICE AREA, REGARDLESS OF THEIR IMMIGRATION STATUS, RACE OR ETHNICITY, INCOME LEVEL OR INSURANCE STATUS. | Desc |
| Total Program Service Expenses | $28,221,056 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 278 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7736405792 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1940 S WESTERN NO 205 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL CHICO | |||||||||
| BOARD CHAIR | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LUIS GUTIERREZ | |||||||||
| VICE CHAIR | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NYLA DIAB | |||||||||
| SECRETARY | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRIAN FREDERICKS | |||||||||
| TREASURER | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ELBA ARANDA-SUH | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| JAIME ARTEAGA | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID BERKEY | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| MARISELA LAWSON | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| GIA MAC | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| RAFAEL ROBLES | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| JODI PORTNOY | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| JOEL RODARTE | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| MELANIE TAN | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES WINTERSTEEN | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $17,160 | $0 | $0 | ||||
| DANIEL FULWILER | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $290,725 | $0 | $9,730 | 1.00 | |||
| ANDREW J VAN WIEREN | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $281,100 | $0 | $4,852 | ||||
| CARMEN VERGARA | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $161,426 | $0 | $8,269 | ||||
| RYAN D GADIA | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $155,322 | $0 | $20,951 | 1.00 | |||
| FREDERICO HERRERA | |||||||||
| MEDICAL DIRECTOR - LITTLE | 40.00 | $234,882 | $0 | $22,223 | Yes (X) | ||||
| KRISTINA N PONTARELLI | |||||||||
| PHYSICIAN | 40.00 | $245,515 | $0 | $9,347 | Yes (X) | ||||
| SYLVIA SHOKUNBI | |||||||||
| PHYSICIAN | 40.00 | $243,365 | $0 | $21,498 | Yes (X) | ||||
| CATHERINE LIU | |||||||||
| PHYSICIAN | 40.00 | $252,528 | $0 | $14,757 | Yes (X) | ||||
| ESTHER KIROV | |||||||||
| PHYSICIAN | 40.00 | $226,112 | $0 | $22,240 | Yes (X) | ||||
| OSCAR DIAZ | |||||||||
| PHYSICIAN | 40.00 | $221,281 | $0 | $17,384 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,329,416 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $151,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ATHENAHEALTH INC | |||||
| 311 ARSENAL ST | WATERTOWN | MA | 02472 | EMR AND BILLING SERVICES | $1,203,974 |
| KMETZ-HAUSOUL INCORPORATE | |||||
| 917 RIDGE RD UNIT 3197 | MUNSTER | IN | 46321 | DESIGN AND CONSTRUCTION | $318,386 |
| PCY GENERAL SERVICE INC | |||||
| 5911 W 88TH ST | OAK LAWN | IL | 60453 | JANITORIAL SERVICES | $309,646 |
| BARTON ASSOCIATES INC | |||||
| 300 JUBILEE DR | PEABODY | MA | 01960 | LOCUMS, TEMPS | $280,331 |
| SEQUOIA GENERAL CONTRACTING CORP | |||||
| 1585 BEVERLY COURT UNIT 108 | AURORA | IL | 60502 | DESIGN AND CONSTRUCTION | $212,919 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $60,140 | FundraisingAmt |
| Government Grants | $4,968,114 | GovernmentGrantsAmt |
| All Other Contributions | $3,600,947 | AllOtherContributionsAmt |
| Total Contributions | $8,629,201 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 621990 | $21,685,497 | $21,685,497 |
| PHARMACY REVENUE | 621990 | $7,335,079 | $7,335,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,020,576 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $366,840 | TotalRevenueColumnAmt |
| Exclusion | $366,840 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $38,671 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $60,140 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $21,919 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,752 | TotalRevenueColumnAmt |
| Exclusion | $16,752 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $542,085 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $542,085 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $542,085 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,575,454 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,562,661 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $383,592 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,575 | TotalAmt |
| Program Services | $706,104 | ProgramServicesAmt |
| Management And General | $161,956 | ManagementAndGeneralAmt |
| Fundraising | $20,515 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,361,279 | TotalAmt |
| Program Services | $15,385,401 | ProgramServicesAmt |
| Management And General | $3,528,871 | ManagementAndGeneralAmt |
| Fundraising | $447,007 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,657 | TotalAmt |
| Program Services | $282,622 | ProgramServicesAmt |
| Management And General | $64,824 | ManagementAndGeneralAmt |
| Fundraising | $8,211 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,554,030 | TotalAmt |
| Program Services | $1,234,907 | ProgramServicesAmt |
| Management And General | $283,244 | ManagementAndGeneralAmt |
| Fundraising | $35,879 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,527 | TotalAmt |
| Program Services | $952,407 | ProgramServicesAmt |
| Management And General | $218,449 | ManagementAndGeneralAmt |
| Fundraising | $27,671 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,592 | TotalAmt |
| Program Services | $48,923 | ProgramServicesAmt |
| Management And General | $31,669 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,129 | TotalAmt |
| Program Services | $85,672 | ProgramServicesAmt |
| Management And General | $55,457 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,149,559 | TotalAmt |
| Program Services | $1,911,923 | ProgramServicesAmt |
| Management And General | $1,237,636 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,691 | TotalAmt |
| Fundraising | $1,691 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,751 | TotalAmt |
| Program Services | $195,420 | ProgramServicesAmt |
| Management And General | $239,535 | ManagementAndGeneralAmt |
| Fundraising | $9,796 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,599 | TotalAmt |
| Program Services | $648,679 | ProgramServicesAmt |
| Management And General | $113,098 | ManagementAndGeneralAmt |
| Fundraising | $12,822 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $979,701 | TotalAmt |
| Program Services | $641,979 | ProgramServicesAmt |
| Management And General | $337,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,024 | TotalAmt |
| Program Services | $508,168 | ProgramServicesAmt |
| Management And General | $26,856 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,922 | TotalAmt |
| Program Services | $178,595 | ProgramServicesAmt |
| Management And General | $15,327 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,410 | TotalAmt |
| Program Services | $155,638 | ProgramServicesAmt |
| Management And General | $20,772 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY AND MEDICAL SU | $4,872,112 | $4,795,977 | $76,135 | |
| MISCELLANEOUS | $527,535 | $89,050 | $358,576 | $79,909 |
| REPAIRS AND MAINTENANCE | $365,033 | $265,042 | $99,991 | |
| STAFF TRAINING | $271,549 | $83,670 | $185,024 | $2,855 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,016 | TotalAmt |
| Program Services | $50,879 | ProgramServicesAmt |
| Management And General | $64,048 | ManagementAndGeneralAmt |
| Fundraising | $7,089 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,993,691 | TotalAmt |
| Program Services | $28,221,056 | ProgramServicesAmt |
| Management And General | $7,119,190 | ManagementAndGeneralAmt |
| Fundraising | $653,445 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,062,704 | BOYAmt |
| EOY | $6,603,075 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $994,507 | BOYAmt |
| EOY | $1,203,533 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,323,604 | BOYAmt |
| EOY | $3,082,067 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,982,000 | BOYAmt |
| EOY | $11,982,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,214 | BOYAmt |
| EOY | $611,004 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,797,360 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $371,206 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800,405 | BOYAmt |
| EOY | $2,426,154 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,181,453 | BOYAmt |
| EOY | $2,548,292 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $199,134 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,011 | BOYAmt |
| EOY | $185,155 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,799,898 | BOYAmt |
| EOY | $28,840,414 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,369 | BOYAmt |
| EOY | $3,181,329 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,256,327 | BOYAmt |
| EOY | $10,872,398 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,304,680 | BOYAmt |
| EOY | $326,402 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,921,376 | BOYAmt |
| EOY | $14,380,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,753,522 | BOYAmt |
| EOY | $14,260,285 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $200,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,878,522 | BOYAmt |
| EOY | $14,460,285 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,799,898 | BOYAmt |
| EOY | $28,840,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,581,763 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,895,344 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,932 | DepreciationAmt |
| Book Value | $1,800,412 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $902,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $276,274 | DepreciationAmt |
| Book Value | $625,742 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,426,154 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MHN ACO, LLC | Desc |
| Book Value | $2,548,292 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $2,548,292 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED LIABILITIES | Desc |
| Amt | $326,402 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $326,402 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(III) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL GALA | Event1Nm |
| Gross Receipts Event1 | $60,326 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $39,695 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $20,631 | GrossRevenueEvent1Amt |
| Entertainment Event1 | $1,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $645 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $30,340 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $20,445 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,895 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $220 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $3,400 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $2,687 | FoodAndBeverageEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $8,145 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $8,145 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $547 | CashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,300 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $6,620 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $98,811 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $60,140 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $38,671 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $767 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,700 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,687 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,265 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $21,919 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $16,752 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL FULWILER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $243,606 | $0 | $47,119 | $0 | $0 | $0 | $3,741 | $0 | $5,989 | $0 | $300,455 | $0 | $0 | $0 |
| ANDREW J VAN WIEREN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $246,020 | $0 | $35,080 | $0 | $0 | $0 | $3,776 | $0 | $1,076 | $0 | $285,952 | $0 | $0 | $0 |
| CATHERINE LIU | ||||||||||||||
| PHYSICIAN | $241,733 | $0 | $10,795 | $0 | $0 | $0 | $3,384 | $0 | $11,373 | $0 | $267,285 | $0 | $0 | $0 |
| SYLVIA SHOKUNBI | ||||||||||||||
| PHYSICIAN | $226,489 | $0 | $16,876 | $0 | $0 | $0 | $2,920 | $0 | $18,578 | $0 | $264,863 | $0 | $0 | $0 |
| FREDERICO HERRERA | ||||||||||||||
| MEDICAL DIRECTOR - LITTLE | $221,980 | $0 | $12,902 | $0 | $0 | $0 | $3,358 | $0 | $18,865 | $0 | $257,105 | $0 | $0 | $0 |
| KRISTINA N PONTARELLI | ||||||||||||||
| PHYSICIAN | $217,769 | $0 | $27,746 | $0 | $0 | $0 | $3,313 | $0 | $6,034 | $0 | $254,862 | $0 | $0 | $0 |
| ESTHER KIROV | ||||||||||||||
| PHYSICIAN | $215,110 | $0 | $11,002 | $0 | $0 | $0 | $3,375 | $0 | $18,865 | $0 | $248,352 | $0 | $0 | $0 |
| OSCAR DIAZ | ||||||||||||||
| PHYSICIAN | $219,732 | $0 | $1,549 | $0 | $0 | $0 | $3,023 | $0 | $14,361 | $0 | $238,665 | $0 | $0 | $0 |
| RYAN D GADIA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $135,900 | $0 | $19,422 | $0 | $0 | $0 | $2,086 | $0 | $18,865 | $0 | $176,273 | $0 | $0 | $0 |
| CARMEN VERGARA | ||||||||||||||
| CHIEF OPERATING OFFICER | $146,069 | $0 | $15,357 | $0 | $0 | $0 | $2,235 | $0 | $6,034 | $0 | $169,695 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CEO'S SALARY IS BASED ON A WRITTEN EMPLOYMENT CONTRACT. ANNUAL RAISES ARE BASED ON COMPENSATION STUDIES AND CONSULTATION SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. |
| PART I, LINE 4B | THE ORGANIZATION SPONSORS AN EXECUTIVE 457(B) PLAN AND A 457(F) PLAN. THE 457(B) PLAN IS AVAILABLE TO SENIOR MANAGEMENT AND OTHER HIGHLY COMPENSATED EMPLOYEES. THE 457(F) PLAN IS CURRENTLY ONLY AVAILABLE TO THE CEO. |
| PART I, LINE 7 | THE CEO, CMO, COO, CFO AND MEDICAL DIRECTOR RECEIVE BONUSES IF THEY MEET CERTAIN ANNUAL PERFORMANCE GOALS SUCH AS MEETING/EXCEEDING BUDGETED NET INCOME, ACHIEVING CERTAIN QUALITY SCORES, OR ACHIEVING CERTAIN PROVIDER PRODUCTIVITY LEVELS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED IN DRAFT FORM BY THE ORGANIZATION'S FINANCE COMMITTEE, THEN SENT TO THE ENTIRE BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD OF DIRECTORS COMPLETE COMPLIANCE DISCLOSURES UPON JOINING THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND IS INCLUDED IN THE BOARD MINUTES. THE DECISION WAS MADE USING COMPARISON TO ORGANIZATIONAL GOALS AND COMPARABILITY DATA OF OTHER SIMILAR SIZED ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHY BRIGHTON TITLE HOLDING CORPORATION NFP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH CALIFORNIA AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821949374 | EIN |
| Primary Activities | LEASING BUILDING SPACE | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALHTY BRIGHTON TITLE HOLDING CORPORATION NFP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $142,000 | InvolvedAmt |
| Method Of Amount Determination | RENTAL AGREEMENT | MethodOfAmountDeterminationTxt |