2020-02-06T13:33:53-06:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2018-07-01 363828320 PCC COMMUNITY WELLNESS CENTER PCCC 7083830113 14 WEST LAKE STREET OAK PARK IL 60302 ROBERT J URSO PRESIDENT & CEO 7083830113 2020-01-30 1 CHRIS MANDERFIELD P01238973 6305738600 2020-01-22 67.137.57.251 2020-01-30 12:31:55 CS P 2B5AE204D57F1ED4849D776CD36261842D4E5D96 DE414017944CDB0982844D0CA812E48315B97641 2018 2020-09-22 18:59:49Z ROBERT J URSO 14 WEST LAKE STREET OAK PARK IL 60302 41654940 0 X WWW.PCCWELLNESS.ORG X 1992 IL PROMOTE HEALTHCARE SERVICE PROGRAMS FOR MEDICALLY UNDERSERVED LIVING IN CHICAGO COMMUNITIES 12 12 469 12 0 0 8407447 9192025 30386578 32111240 22577 160854 166946 190821 38983548 41654940 0 0 0 0 23991860 25336272 0 0 0 11622670 12513980 35614530 37850252 3369018 3804688 33296079 31361317 10412869 9473419 22883210 21887898 X THE MISSION OF PCC COMMUNITY WELLNESS CENTER IS TO IMPROVE HEALTH OUTCOMES FOR THE MEDICALLY UNDERSERVED COMMUNITY THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, AND ACCESSIBLE PRIMARY HEALTH CARE AND SUPPORT SERVICES. ANCHORED WITH FAMILY MEDICINE, WE ARE COMMITTED TO SERVING THE NEEDS OF ALL PEOPLE IN ALL STAGES OF LIFE. 0 0 32404194 32302061 PCC PROVIDES HEALTH CARE SERVICES TO THE COMMUNITY. PCC HEALTH CARE SERVICES INCLUDE: PEDIATRIC AND ADOLESCENT HEALTH CARE THAT INCLUDES WELL-CHILD EXAMS, IMMUNIZATIONS, SICK INFANT/CHILD EXAMS, SCHOOL AND SPORTS PHYSICALS, AND LEAD SCREENINGS; WOMEN'S HEALTH CARE (OB/GYN) THAT INCLUDES MATERNITY CARE AND DELIVERY, PAP SMEARS, AND BREAST CANCER SCREENINGS; ADULT HEALTH CARE; SENIOR HEALTH CARE; DIAGNOSIS AND TREATMENT OF ILLNESS; DISEASE SCREENING AND PREVENTION; FAMILY PLANNING (BIRTH CONTROL); MANAGEMENT OF CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, AND HIGH BLOOD PRESSURE; HIV TESTING, COUNSELING, AND PRIMARY CARE; AND DENTAL CARE AND REFERRAL. 32404194 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 84 0 1 469 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X PATRICK GARRICK 7083830113 14 WEST LAKE STREET OAK PARK IL 60302 CAROLYN FITZPATRICK MD CHAIRPERSON 2.00 X X 0 0 0 TERESA REYES VICE CHAIRPERSON 2.00 X 0 0 0 MELINDA MALECKI SECRETARY 2.00 X X 0 0 0 KENNETH BLAIR MD TREASURER 2.00 2.00 X X 0 0 0 RON AUSTIN DIRECTOR 2.00 2.00 X 0 0 0 VELDA BRUNNER DIRECTOR 2.00 X 0 0 0 BARBARA DIGGINS DIRECTOR 2.00 X 0 0 0 PATRICIA FORD DIRECTOR 2.00 X 0 0 0 JOHN MCDONNELL DIRECTOR 2.00 2.00 X 0 0 0 MARIANA OSORIA DIRECTOR 2.00 X 0 0 0 SHAWNDA D STEER DIRECTOR 2.00 X 0 0 0 BARBARA VANEK DIRECTOR 2.00 X 0 0 0 ROBERT J URSO PRESIDENT & CEO 40.00 2.00 X 328554 0 8233 PAUL S LUNING MD CHIEF MEDICAL OFFICER 40.00 X 243153 0 21476 PATRICK R GARRICK CHIEF FINANCIAL OFFICER 40.00 2.00 X 143263 0 6409 LYNN HOPKINS CHIEF OPERATING OFFICER 40.00 X 140244 0 0 TONI BUSH REGIONAL DIRECTOR OF CLINICAL OPERATIONS 40.00 X 85484 0 11657 AMANDA BROOKS CHIEF POPULATION HEALTH OFFICER 40.00 X 121025 0 0 BERTHA LOPEZ OB/GYN PHYSICIAN 40.00 X 250495 0 23234 KAROLE A LAKOTA-TREESE MD MEDICAL DIRECTOR OF PI 40.00 X 280858 0 18092 CHRISTINE SWARTZ MEDICAL DIRECTOR 40.00 X 291257 0 6409 SHERIF MILIK FAMILY PRACTICE PHYSICIAN 40.00 X 321300 0 18092 YAM-SHUN TONG OB/GYN PHYSICIAN 40.00 X 367933 0 12844 2573566 0 126446 10 0 1 0 ATHENAHEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 MEDICAL BILLING SERVICES 892225 US SECURITY ASSOCIATES INC 200 MANSELL COURT 5TH FLOOR ROSWELL GA 30076 SECURITY GUARD SERVICES 286661 STAFF CARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICE 250593 B AND B MAINTENANCE INC 537 CAPITAL DRIVE LAKE ZURICH IL 60047 PROFESSIONAL BUILDING SERVICES 165425 DABROWSKI MAINTENANCE SERVICE 7015 W 72ND STREET STICKNEY IL 60638 MAINTENANCE SERVICES 145134 5 185000 7903187 1103838 9192025 NET PATIENT SERVICE FEES 621400 24084547 24084547 340B 621400 6998218 6998218 BONUSES & INCENTIVES 621400 1028475 1028475 32111240 160854 160854 MISC INCOME 900099 190821 190821 190821 41654940 32302061 0 160854 1111004 170988 940016 20884686 18984954 1899732 1748087 1522401 225686 1592495 1386896 205599 66310 48908 17402 93475 68944 24531 3538890 2610153 928737 677915 532873 145042 91701 67635 24066 302533 270648 31885 167808 141137 26671 191941 13519 178422 1204464 817468 386996 133820 2763 131057 MEDICAL SUPPLIES 3953607 3940459 13148 DUES AND LICENSES 1718920 1658308 60612 REPAIRS AND MAINTENANCE 187887 146479 41408 STAFF EXPENSES 96209 5293 90916 88500 14368 74132 37850252 32404194 5446058 0 12057379 9846114 2141252 2250934 225633 548117 1552321 1268038 451072 502153 25765526 10180402 15795931 15585124 7500 7500 1064991 1353337 33296079 31361317 2344103 2784007 118198 69985 7950568 6619427 10412869 9473419 X 22883210 21887898 22883210 21887898 33296079 31361317 X 3804688 -4800000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 0 0 0 PART II-B, LINE 1: NACHC CONFERENCE(ADVOCACY COMMITTEE) - EMPLOYEE TRAVEL AND TIME: $2,744 519000 519000 519000 519000 14916207 3159767 11756440 4250190 2035574 2214616 4438841 3633943 804898 1641288 1351118 290170 15585124 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND RELATED STATE OF ILLINOIS STATUTES; THEREFORE THE ORGANIZATION HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION ADOPTED THE REQUIREMENTS IN FINANCIAL ACCOUNTING STANDARDS BOARD(FASB) ACCOUNTING STANDARDS UPDATE (ASU) 2009-06 REGARDING UNCERTAIN TAX POSITIONS. ASU 2009-06 DEFINES HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED, AND DISCLOSED IN THE FINANCIAL STATEMENTS. THE AUTHORITATIVE GUIDANCE REQUIRES ENTITIES TO RECOGNIZE A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION IS SUSTAINABLE BASED SOLELY ON ITS TECHNICAL MERITS AND CONSIDERATION OF THE RELEVANT TAXING AUTHORITY'S WIDELY UNDERSTOOD ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE ORGANIZATION EVALUATED ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED BY THE APPLICABLE TAXING AUTHORITY, AND HAS DETERMINED THAT IT CURRENTLY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. 1 X X X X 0 0 0 0 0 0 0 0 0 ROBERT J URSO PRESIDENT & CEO 308554 0 20000 0 0 0 0 0 8233 0 336787 0 0 0 PAUL S LUNING MD CHIEF MEDICAL OFFICER 225787 0 17366 0 0 0 0 0 21476 0 264629 0 0 0 BERTHA LOPEZ OB/GYN PHYSICIAN 249695 0 800 0 0 0 0 0 23234 0 273729 0 0 0 KAROLE A LAKOTA-TREESE MD MEDICAL DIRECTOR OF PI 230978 0 49880 0 0 0 0 0 18092 0 298950 0 0 0 CHRISTINE SWARTZ MEDICAL DIRECTOR 249649 0 41608 0 0 0 0 0 6409 0 297666 0 0 0 SHERIF MILIK FAMILY PRACTICE PHYSICIAN 320500 0 800 0 0 0 0 0 18092 0 339392 0 0 0 YAM-SHUN TONG OB/GYN PHYSICIAN 367133 0 800 0 0 0 0 0 12844 0 380777 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. SUBSEQUENT TO THAT REVIEW, THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WHO THEN SUBMITS THE RETURN TO THE ENTIRE BOARD FOR APPROVAL. A COPY OF THE RETURN IS KEPT ON RECORD FOR PUBLIC REVIEW SHOULD THERE BE SUCH A REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ALL TRANSACTIONS AND PROCESSES ARE REVIEWED AND MONITORED THROUGH POLICY, EXECUTIVE MANAGEMENT, AND RATIFIED BY THE VOTING MEMBERS OF THE BOARD, IF NECESSARY. ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH IS KEPT IN EACH STAFF AND BOARD MEMBERS' FILES. DISCLOSURE OF CONFLICT OF INTEREST POLICY QUESTION IS PRESENTED TO EVERY STAFF OR BOARD MEMBER DURING THE RECRUITING OR HIRING PROCESS. FURTHERMORE, AT ANY JUNCTURE WHEN MAJOR DECISIONS ARE ABOUT TO BE MADE, INDIVIDUALS RAE ASKED TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION FOR THE CEO AND OTHER KEY OFFICERS OF THE ORGANIZATION IS DONE THROUGH A REVIEW AND APPROVAL PROCESS VIA THE GOVERNING BODY, AND SUBJECT TO RATIFICATION OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO PCC FOUNDATION -4,800,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PCC FOUNDATION 14 LAKE STREET OAK PARK IL 60302 475608703 SEE PART VII IL 501(C)(3) LINE 12A, I PCC COMMUNITY WELLNESS CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PCC FOUNDATION C 185000 FAIR MARKET VALUE PCC FOUNDATION R 4800000 FAIR MARKET VALUE FORM 990, SCHEDULE R, PART II, COLUMN (B) THE PCC FOUNDATION CONDUCTS FUNDRAISING ACTIVITIES FOR PCC COMMUNITY WELLNESS CENTER ("CENTER") AND INTENDS TO AWARD GRANTS TO THE CENTER UPON REQUEST.