FRIEND FAMILY HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- FRIEND FAMILY HEALTH CENTER INC (EIN 36-4161801)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-06
- IRS object ID
- 202041889349301624
- Schema version
- 2018v3.2
- 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 | 2020-07-06T14:45:17-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363310351 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ODELL HICKS & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 N STETSON AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606016712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364161801 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIEND FAMILY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRIE | BusinessNameControlTxt |
| Phone | 7737022193 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST 55TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606154906 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VERNEDA BACHUS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7737020660 | PhoneNum |
| Signature | 2020-06-30 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ODELL HICKS JR | PreparerPersonNm |
| PTIN | P00958099 | PTIN |
| Phone | 3128610113 | PhoneNum |
| Preparation | 2020-06-30 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 99.122.253.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-30 | IPDt |
| IP Tm | 06:43:32 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 64582CD8951401FD239B35E33269F0CA93299C73 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 64582CD8951401FD239B35E33269F0CA93299C73 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VERNEDA BACHUS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST 55TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,999,805 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FRIENDFHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | MISSION: TO PROVIDE A HIGH QUALITY, PATIENT-CENTERED, INTEGRATED SYSTEM OF CARE FOR ALL.VISION: ACHIEVE THE BEST HEALTH OUTCOMES FOR THE INDIVIDUALS, FAMILIES, AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 259 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,724,117 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,727,312 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,108,288 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,168,892 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $63,218 | CYInvestmentIncomeAmt |
| PY Other Revenue | $355,858 | PYOtherRevenueAmt |
| CY Other Revenue | $1,040,383 | CYOtherRevenueAmt |
| PY Total Revenue | $41,221,205 | PYTotalRevenueAmt |
| CY Total Revenue | $25,999,805 | 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 | $16,153,569 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,311,458 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,781,962 | PYOtherExpensesAmt |
| CY Other Expenses | $6,928,384 | CYOtherExpensesAmt |
| PY Total Expenses | $22,935,531 | PYTotalExpensesAmt |
| CY Total Expenses | $24,239,842 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,285,674 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,759,963 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,540,967 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,318,520 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,009,660 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,027,129 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,531,307 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,291,391 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MISSION: TO PROVIDE A HIGH QUALITY, PATIENT-CENTERED, INTEGRATED SYSTEM OF CARE FOR ALL.VISION: ACHIEVE THE BEST HEALTH OUTCOMES FOR THE INDIVIDUALS, FAMILIES, AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,878,715 | ExpenseAmt |
| Revenue | $21,272,493 | RevenueAmt |
| Desc | FRIEND HEALTH PROVIDES QUALITY COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES THAT ARE APPROPRIATE TO MEET THE HEALTH NEEDS OF THE MEDICALLY UNDERSERVED POPULATIONS IN CHICAGO. | Desc |
| Total Program Service Expenses | $19,878,715 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 259 | 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 |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | Yes (1) | 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 | SABRINA MOORE CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7737025821 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST 55TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606154906 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SEAN HARDEN | ||||||||
| CHAIRMAN | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ETHAL HALL-LANGWORTHY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHANDRA L HOLTS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DR ANDRE RAWLS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DR JUDY JUAREZ | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLOS MEYERS | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARIA J MCMANUS | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GLENN LANDMESSER | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANNE GLENN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ARSHELE STEVENS | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOMMIE ARNOLD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFFORD CLAIRBOME PHD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| REGINA MOFFETT | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SABRINA PATCH | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEWELL THOMPSON | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BERNIE WILEY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SABRINA MOORE | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $225,029 | $0 | $10,244 | |||
| VERNEDA BACHUS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $430,889 | $0 | $15,802 | |||
| JOHN ESTRADA | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $265,181 | $0 | $11,038 | Yes (X) | |||
| GEETHA GOVINDARAJAN | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $194,083 | $0 | $9,250 | Yes (X) | |||
| ANITHA VINOD | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $154,595 | $0 | $7,959 | Yes (X) | |||
| THERSA ANN FLERICK | ||||||||
| FAMILY MEDICINE NURSE PRAC | 40.00 | $143,480 | $0 | $5,200 | Yes (X) | |||
| KHATEREH ASSADI | ||||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $130,161 | $0 | $0 | Yes (X) | |||
| CARYN REID | ||||||||
| OB/GYN NURSE PRACTITIONER | 40.00 | $129,844 | $0 | $650 | Yes (X) | |||
| KIMBERLY KNOX O'SHIELDS | ||||||||
| OB/GYN NURSE PRACTITIONER | 40.00 | $126,550 | $0 | $1,114 | Yes (X) | |||
| GREGORY BRINEY | ||||||||
| DIRECTOR OF INFORMATION TE | 40.00 | $120,385 | $0 | $5,692 | Yes (X) | |||
| ERICA COLLINS | ||||||||
| DIRECTOR OF HUMAN RESOURCE | 40.00 | $109,928 | $0 | $5,295 | Yes (X) | |||
| ANNE T GEARHART | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $147,761 | $0 | $6,692 | Yes (X) | |||
| SARAH KIDDER | ||||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $167,637 | $0 | $7,385 | Yes (X) | |||
| ANDREA R LOBERG | ||||||||
| OB/GYN PHYSICIAN | 40.00 | $201,493 | $0 | $9,231 | Yes (X) | |||
| NADIA MOMIN | ||||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $154,135 | $0 | $0 | Yes (X) | |||
| TAMARA L NORSWORTHY | ||||||||
| FAMILY MEDICINE NURSE PRAC | 40.00 | $107,579 | $0 | $4,420 | Yes (X) | |||
| WENDY THOMPSON | ||||||||
| CHIEF OFFICER, STRATEGY & | 40.00 | $169,471 | $0 | $7,020 | Yes (X) | |||
| DAVID S GOODYEAR | ||||||||
| OB/GYN PHYSICIAN | 40.00 | $208,554 | $0 | $1,600 | Yes (X) | |||
| JOEL K JOHNSON | ||||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | $208,576 | $0 | $0 | Yes (X) | |||
| KAMALJEET S GIRN | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $206,346 | $0 | $0 | Yes (X) | |||
| BENJAMIN GHESS | ||||||||
| GENERAL COUNSEL/CHIEF COMPLIANCE OFFICER | 40.00 | $172,275 | $0 | $8,470 | Yes (X) | |||
| MEGHAN A CONNETT | ||||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $169,601 | $0 | $0 | Yes (X) | |||
| PAMELA E NICKSON | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $159,839 | $0 | $0 | Yes (X) | |||
| KERRI D BROWN | ||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | $147,422 | $0 | $7,500 | Yes (X) | |||
| LINDA MEZA | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $140,190 | $0 | $4,740 | Yes (X) | |||
| NEIL P PARIKH | ||||||||
| DENTAL DIRECTOR | 40.00 | $124,312 | $0 | $0 | Yes (X) | |||
| MARY L BROWN-WALKER | ||||||||
| FAMILY MEDICINE NURSE PRAC | 40.00 | $109,264 | $0 | $0 | Yes (X) | |||
| TRACEY A ROBISON | ||||||||
| DIRECTOR OF CLINICAL OPERATIONS | 40.00 | $116,429 | $0 | $5,135 | Yes (X) | |||
| RODNEY A KAUP | ||||||||
| DIRECTOR OF QUALITY IMPROVEMENT | 40.00 | $113,026 | $0 | $5,643 | Yes (X) | |||
| ANGEL MCREYNOLDS | ||||||||
| DIRECTOR OF PROVIDER SEERVOCES | 40.00 | $100,270 | $0 | $5,250 | Yes (X) | |||
| APRIL HAMLET | ||||||||
| FAMILY MEDICINE NURSE PRAC | 40.00 | $101,000 | $0 | $3,654 | Yes (X) | |||
| JULIE ANN R COLLINS | ||||||||
| FAMILY MEDICINE NURSE PRAC | 40.00 | $101,506 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,156,811 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $148,984 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | 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 |
|---|---|---|---|---|---|
| ALLIANCE OF CHICAGO | |||||
| 215 W OHIO4TH FLOOR | CHICAGO | IL | 60654 | SOFTWARE MAINTENANCE AGREEMENT | $554,193 |
| COMPHEALTH | |||||
| 1515 S HARLEM | FOREST PARK | IL | 60130 | CONTRACTED MEDICAL SERVICES | $395,655 |
| JANPRO OF NORTH AMERICA | |||||
| 136 SHORE DRIVE | BURR RIDGE | IL | 60527 | CONTRACTED JANITORIAL SERVICES | $284,137 |
| AMERICAN SECURITY SERVICES | |||||
| 1515 S HARLEM AVE UNIT 2 | FOREST PARK | IL | 60130 | SECURITY | $276,575 |
| OMNI EMPLOYMENT MANAGEMENT SERVICES INC | |||||
| 8700 INDIAN CREEK PARKWAY | OVERLAND PARK | KS | 66210 | CONTRACTED MEDICAL SERVICES | $224,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,227,312 | GovernmentGrantsAmt |
| All Other Contributions | $500,000 | AllOtherContributionsAmt |
| Total Contributions | $4,727,312 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 624100 | $17,743,981 | $17,743,981 |
| ILLINOIS DEPART OF PUBLIC AID | 624100 | $2,424,911 | $2,424,911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,168,892 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,218 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EQUITY IN NET INCOME OF BMC | 900099 | $738,195 | $738,195 |
| OTHER INCOME | 900099 | $302,188 | $302,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,040,383 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,999,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,272,493 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,311,458 | TotalAmt |
| Program Services | $13,957,636 | ProgramServicesAmt |
| Management And General | $3,353,822 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,864 | TotalAmt |
| Program Services | $273,245 | ProgramServicesAmt |
| Management And General | $81,619 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,423 | TotalAmt |
| Program Services | $865,660 | ProgramServicesAmt |
| Management And General | $152,763 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,749 | TotalAmt |
| Program Services | $83,654 | ProgramServicesAmt |
| Management And General | $43,095 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,192 | TotalAmt |
| Program Services | $41,192 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,662 | TotalAmt |
| Program Services | $446,813 | ProgramServicesAmt |
| Management And General | $78,849 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,582 | TotalAmt |
| Program Services | $49,961 | ProgramServicesAmt |
| Management And General | $30,621 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROFESSIONAL SERVICES | $1,291,775 | $1,020,502 | $271,273 |
| SUPPLIES - MEDICAL | $934,062 | $934,062 | |
| BAD DEBTS | $515,375 | $515,375 | |
| PHARMACY | $514,661 | $514,661 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,039 | TotalAmt |
| Program Services | $1,175,954 | ProgramServicesAmt |
| Management And General | $349,085 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,239,842 | TotalAmt |
| Program Services | $19,878,715 | ProgramServicesAmt |
| Management And General | $4,361,127 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,910,836 | BOYAmt |
| EOY | $3,637,633 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,264,912 | BOYAmt |
| EOY | $7,328,130 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,471 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,896,925 | BOYAmt |
| EOY | $3,099,472 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,152 | BOYAmt |
| EOY | $633,499 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,430,558 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,789,568 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,682,158 | BOYAmt |
| EOY | $4,640,990 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,960,664 | BOYAmt |
| EOY | $18,535,295 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,062,849 | BOYAmt |
| EOY | $2,443,501 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,540,967 | BOYAmt |
| EOY | $40,318,520 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,006,126 | BOYAmt |
| EOY | $2,251,496 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,887 | BOYAmt |
| EOY | $520,124 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,647 | BOYAmt |
| EOY | $205,509 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,009,660 | BOYAmt |
| EOY | $3,027,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,531,307 | BOYAmt |
| EOY | $37,291,391 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,531,307 | BOYAmt |
| EOY | $37,291,391 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,540,967 | BOYAmt |
| EOY | $40,318,520 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,759,963 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $121 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,508,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $512,869 | DepreciationAmt |
| Book Value | $995,571 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,215,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,768,851 | DepreciationAmt |
| Book Value | $2,446,899 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,008,597 | OtherCostOrOtherBasisAmt |
| Depreciation | $888,675 | DepreciationAmt |
| Book Value | $1,119,922 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $697,771 | OtherCostOrOtherBasisAmt |
| Depreciation | $619,173 | DepreciationAmt |
| Book Value | $78,598 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,640,990 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $18,535,295 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $18,535,295 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MHN ACO, LLC | Desc |
| Book Value | $2,443,501 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,443,501 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO BMC | $162,224 |
| CONTRACT PAYABLE | $43,285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $205,509 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $25,999,805 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $25,999,805 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,999,805 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,239,842 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,239,842 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,239,842 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SABRINA MOORE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $205,029 | $0 | $20,000 | $0 | $0 | $0 | $10,244 | $0 | $0 | $0 | $235,273 | $0 | $0 | $0 |
| VERNEDA BACHUS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $351,493 | $0 | $79,396 | $0 | $0 | $0 | $15,802 | $0 | $0 | $0 | $446,691 | $0 | $0 | $0 |
| JOHN ESTRADA | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $261,181 | $0 | $4,000 | $0 | $0 | $0 | $11,038 | $0 | $0 | $0 | $276,219 | $0 | $0 | $0 |
| GEETHA GOVINDARAJAN | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $185,289 | $0 | $8,794 | $0 | $0 | $0 | $9,250 | $0 | $0 | $0 | $203,333 | $0 | $0 | $0 |
| ANITHA VINOD | ||||||||||||||
| PEDIATRIC PHYSICIAN | $154,595 | $0 | $0 | $0 | $0 | $0 | $7,959 | $0 | $0 | $0 | $162,554 | $0 | $0 | $0 |
| ANNE T GEARHART | ||||||||||||||
| PEDIATRIC PHYSICIAN | $147,761 | $0 | $0 | $0 | $0 | $0 | $6,692 | $0 | $0 | $0 | $154,453 | $0 | $0 | $0 |
| SARAH KIDDER | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $161,150 | $0 | $6,487 | $0 | $0 | $0 | $7,385 | $0 | $0 | $0 | $175,022 | $0 | $0 | $0 |
| ANDREA R LOBERG | ||||||||||||||
| OB/GYN PHYSICIAN | $197,922 | $0 | $3,571 | $0 | $0 | $0 | $9,231 | $0 | $0 | $0 | $210,724 | $0 | $0 | $0 |
| NADIA MOMIN | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $154,135 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $154,135 | $0 | $0 | $0 |
| WENDY THOMPSON | ||||||||||||||
| CHIEF OFFICER, STRATEGY & | $154,471 | $0 | $15,000 | $0 | $0 | $0 | $7,020 | $0 | $0 | $0 | $176,491 | $0 | $0 | $0 |
| DAVID S GOODYEAR | ||||||||||||||
| OB/GYN PHYSICIAN | $207,054 | $0 | $1,500 | $0 | $0 | $0 | $1,600 | $0 | $0 | $0 | $210,154 | $0 | $0 | $0 |
| JOEL K JOHNSON | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $208,576 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $208,576 | $0 | $0 | $0 |
| KAMALJEET S GIRN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $206,346 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $206,346 | $0 | $0 | $0 |
| BENJAMIN GHESS | ||||||||||||||
| GENERAL COUNSEL/CHIEF COMPLIANCE OFF | $172,275 | $0 | $0 | $0 | $0 | $0 | $8,470 | $0 | $0 | $0 | $180,745 | $0 | $0 | $0 |
| MEGHAN A CONNETT | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $165,300 | $0 | $4,301 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $169,601 | $0 | $0 | $0 |
| PAMELA E NICKSON | ||||||||||||||
| PEDIATRIC PHYSICIAN | $159,839 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $159,839 | $0 | $0 | $0 |
| KERRI D BROWN | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $147,422 | $0 | $0 | $0 | $0 | $0 | $7,500 | $0 | $0 | $0 | $154,922 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 RETURN IS PRESENTED TO THE FULL BOARD AT THE MEETING CLOSEST TO THE FILING DATE FOR APPROVAL |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED AND REVIEWED AT LEAST ANNUALLY BY THE GOVERNING BOARD. CONFLICT OF INTEREST TRAINING IS PROVIDED ON AN ANNUAL BASIS |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE CEO , TOP MANAGEMENT, AND KEY EMPLOYEE IS REVIEWED ON A ANNUAL BASIS BY THE EXECUTIVE COMMITTEE |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON WRITTEN REQUEST |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC MEDICAL PROPERTIES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 E 55TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800488285 | EIN |
| Primary Activities | LESSOR - REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIEND FAMILY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | 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 | BMC MEDICAL PROPERTIES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |