2020-07-14T18:16:47-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2018-07-01 362893854 CHICAGO FAMILY HEALTH CENTER INC CHIC 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 7737685000 2020-07-14 1 KIMBERLY A HAUMANN P00546491 3122071040 2020-07-14 38.124.75.191 2020-07-14 07:39:32 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1482B6645712D6CE117815FC7BF73FCDF250C4F3 2018 2021-01-29 14:40:06Z BARRETT HATCHES 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 25748789 0 X CHICAGOFAMILYHEALTH.ORG X 1976 IL TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS. 11 11 330 11 0 0 7865145 8795348 15663575 16711380 188715 213096 29160 28965 23746595 25748789 0 0 0 0 17224856 17662550 0 0 330310 7783913 8710218 25008769 26372768 -1262174 -623979 26088400 27023204 6494943 7978941 19593457 19044263 CHICAGO FAMILY HEALTH CENTER WILL PROMOTE HEALTH, WORK TO PREVENT DISEASE AND PROVIDE TREATMENT THROUGH THE DELIVERY OF QUALITY, ACCESSIBLE PRIMARY HEALTHCARE THAT IS CULTURALLY SENSITIVE, AFFORDABLE, AND RESPONSIVE TO COMMUNITY AND INDIVIDUAL NEEDS. 0 0 20064708 16020994 PUBLIC HEALTH SERVICES SECTION 330: THIS PROGRAM PROVIDES COMPREHENSIVE HEALTHCARE AND DENTAL SERVICES ON THE SOUTH SIDE OF CHICAGO. THE PROGRAM INCLUDES PREVENTIVE SCREENING AND TREATMENT, PRENATAL HEALTH CARE, COUNSELING, AND CASE MANAGEMENT. THE CENTER HAD 6 SITES SERVICING MORE THAN 33,500 PATIENTS THROUGH MORE THAN 110,000 VISITS. 357213 432689 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. 250809 257697 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 RECEIVED 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 HEALTH CARE AND OTHER SERVICES. 20672730 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 48 0 1 330 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 JOSEPH MOLDOVAN 7733642206 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 NICK VALADEZ CHAIR OF THE BOARD 2.00 1.00 X X 0 0 0 NORA REYES VICE-CHAIR OF THE BOARD 2.00 1.00 X X 0 0 0 JULIUS ALEXANDER TREASUER 2.00 1.00 X X 0 0 0 FULTON NOLEN SECRETARY 2.00 1.00 X X 0 0 0 CHERYL BRISCOE DIRECTOR 2.00 0.00 X 0 0 0 MARK BRUMMEL DIRECTOR 2.00 0.00 X 0 0 0 MARY JULIA MUNOZ DIRECTOR 2.00 0.00 X 0 0 0 LYLETH RODRIGUEZ DIRECTOR 2.00 0.00 X 0 0 0 JAMES SIMMONS DIRECTOR 2.00 0.00 X 0 0 0 LUPE VALADEZ DIRECTOR 2.00 0.00 X 0 0 0 TONY ZIAK DIRECTOR 2.00 0.00 X 0 0 0 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 39.00 1.00 X 299112 0 43605 MELISSA E DUPLANTIS CHIEF BEHAVIORAL HEALTH OFFICER 40.00 0.00 X 93956 0 17988 JOSEPH MOLDOVAN CHIEF FINANCIAL OFFICER 40.00 0.00 X 46364 0 1690 LAUREN A SULLIVAN CHIEF INFORMATION OFFICER 40.00 0.00 X 146700 0 22842 STEPHANIE WILLDING CHIEF OFFICER FOR STRATEGY,PLANNING,DEVELOPMENT 40.00 0.00 X 102327 0 13512 JAMES P VALEK CHIEF MEDICAL OFFICER 40.00 0.00 X 236294 0 49936 ZAKEYA ATIA INTERIM CHIEF FINANCIAL OFFICER 40.00 0.00 X 69660 0 0 DEE N LAGIOIA CHIEF OPERATING OFFICER (END 2/18) 40.00 0.00 X 22573 0 1389 FRANK BRADTKE CHIEF OPERATING OFFICER (END 11/18) 40.00 0.00 X 116770 0 22841 JOSEPH ERIC BOKLAGE CHIEF ADMIN OFFICER (END 10/18) 40.00 0.00 X 159706 0 32833 MONICA MOORE MEDICAL DIRECTOR, WOMEN'S HEALTH 36.00 0.00 X 216528 0 45812 RAMON C CABE PHYSICIAN 40.00 0.00 X 208963 0 32173 LISA D DANIEL PHYSICIAN 40.00 0.00 X 193286 0 1141 JACQUELINE GERVAIS PHYSICIAN 40.00 0.00 X 285323 0 41153 PRAMODE K KESHAVA PHYSICIAN 40.00 0.00 X 212742 0 51271 JOSEPH THOMAS PHYSICIAN (END 4/19) 30.00 0.00 X 230563 0 19583 2640867 0 397769 24 0 1 0 CARDINAL HEALTH 3740 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PATIENT BILLING SERVICES 363658 HENRY SCHEIN INC DEPARTMENT CH 10241 PALATINE IL 60055 HOSTING FOR NEXTGEN 294715 MCKESSON MEDICAL SURGICAL PO BOX 936279 ATLANTA GA 31193 DENTAL/MEDICAL SUPPLIES 243746 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 02241 CONSTRUCTION MANAGEMENT 236342 ROSELAND MEDICAL CENTER LLC 77 W WASHINGTON SUITE 405 CHICAGO IL 60602 34OB SUPPLIES 231328 18 7688931 1106417 8795348 PRIVATE CARE 621300 11809393 11809393 HMO INCENTIVE REVENUE 621300 2656894 2656894 CAPITATION REVENUE 621300 2245093 2245093 16711380 213096 213096 28965 0 28965 28965 28965 25748789 16711380 0 242061 1500098 645042 840055 15001 13145258 11500934 1482635 161689 158045 45593 111634 818 2859149 2302806 518109 38234 129628 5297 124331 103715 103715 14525 14525 2539728 1848604 679301 11823 2696186 1791609 877334 27243 33721 13740 19909 72 226434 32008 193994 432 1223537 1055446 153850 14241 154094 53300 100777 17 SUPPLIES 1175814 1153795 16006 6013 PRINTING AND POSTAGE 74287 42596 24736 6955 LICENSES AND DUES 61841 11943 49553 345 276708 170017 59264 47427 26372768 20672730 5369728 330310 1903508 1422680 2162811 732368 888487 941766 1378328 1932744 7190190 7119000 107040 374335 18952584 7155679 9550684 11796905 2311209 2425743 281435 277310 314708 353 26088400 27023204 1796088 2545403 4340256 5253328 358599 180210 6494943 7978941 X 19462269 18615721 131188 428542 19593457 19044263 26088400 27023204 -623979 60260 14525 0 X 0 1 X 1 1 1 X 7594044 8730111 7745372 7865144 8795348 40730019 7594044 8730111 7745372 7865144 8795348 40730019 40730019 117074 112839 142942 217875 256586 847316 41577335 74122866 0.97960 0.99000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 730212 730212 13792173 4102923 9689250 706206 757571 -51365 3723993 2295185 1428808 11796905 MHN ACO, LLC 2425743 F 2425743 INTERCOMPANY PAYABLES 180210 180210 X X X 0 0 0 0 0 0 0 1 0 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 284112 0 15000 0 0 0 32322 0 11283 0 342717 0 0 0 LAUREN A SULLIVAN CHIEF INFORMATION OFFICER 146700 0 0 0 0 0 22842 0 0 0 169542 0 0 0 JAMES P VALEK CHIEF MEDICAL OFFICER 229274 0 7020 0 0 0 22798 0 27138 0 286230 0 0 0 JOSEPH ERIC BOKLAGE CHIEF ADMIN OFFICER (END 10/18) 159706 0 0 0 0 0 14574 0 18259 0 192539 0 0 0 MONICA MOORE MEDICAL DIRECTOR, WOMEN'S HEALTH 205021 0 11507 0 0 0 20336 0 25476 0 262340 0 0 0 RAMON C CABE PHYSICIAN 188285 0 20678 0 0 0 22306 0 9867 0 241136 0 0 0 LISA D DANIEL PHYSICIAN 193286 0 0 0 0 0 0 0 1141 0 194427 0 0 0 JACQUELINE GERVAIS PHYSICIAN 257902 0 27421 0 0 0 31139 0 10014 0 326476 0 0 0 PRAMODE K KESHAVA PHYSICIAN 202053 0 10689 0 0 0 31231 0 20040 0 264013 0 0 0 JOSEPH THOMAS PHYSICIAN (END 4/19) 230563 0 0 0 0 0 16354 0 3229 0 250146 0 0 0 PART I, LINE 7 BONUSES FOR MANAGEMENT AND CEO ARE DETERMINED BASED ON GOALS AND DISCRETION. PROVIDERS IS BASED ON PRODUCTIVITY TARGETS. FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR GUADALUPE (LUPE) VALADEZ AND CHAIRMAN NICK VALADEZ HAVE A FATHER SON RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'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 AND OTHER KEY EMPLOYEES COMPENSATION IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE. THE CENTER NEGOTIATED BASED ON THE 990S FROM SIMILAR ORGANIZATIONS IN THE GREATER CHICAGO AREA. COMPENSATION AMOUNTS WERE SET AT THE LOWER END OF COMPARABLE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 THESE DOCUMENTS ARE AVAILABLE UPON REQEUST TO THE CENTER. 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 FOUNDATION 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 453732286 SUPPORTING ORGANIZATION FOR CFHC IL 501(C)(3) 509(A)(3) CFHC 1 CFHC TITLE HOLDING CORPORATION NFP 9119 SOUTH 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 1 0 0 CFHC TITLE HOLDING CORPORATION NFP K 115000 RECORDS MAINTAINED AT COST CFHC FOUNDATION Q 19715 RECORDS MAINTAINED AT COST