GREATER FAMILY HEALTH: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GREATER FAMILY HEALTH (EIN 36-4249586)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-07
- IRS object ID
- 201713119349302326
- Schema version
- 2016v3.0
- 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 | 2017-11-07T15:06:38-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 362985770 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELDEN FOX LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 619 ENTERPRISE DRIVE | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605238835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364249586 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER ELGIN FAMILY CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 8476081344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 SUMMIT STREET | AddressLine1Txt |
| City | ELGIN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60120 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON CAREY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 8476081344 | PhoneNum |
| Signature | 2017-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J ROZEK | PreparerPersonNm |
| PTIN | P00542258 | PTIN |
| Phone | 6309541400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.201.115.82 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-27 | IPDt |
| IP Tm | 17:14:52 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 658D5C3D24E58D8AEA4779668B10323972568102 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 39CE08D1BCE46787E03EF3054659E90C6D96C6B5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT TANNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 SUMMIT STREET | AddressLine1Txt |
| City | ELGIN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,714,896 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GEFCC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | GREATER ELGIN FAMILY CARE CENTER IS A NONPROFIT CORPORATION PROVIDING ACCESS TO QUALITY HEALTHCARE FOR THE UNINSURED AND UNDERSERVED RESIDENTS OF THE GREATER ELGIN, MCHENRY, STREAMWOOD, DEKALB, AND SYCAMORE COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 330 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,773,204 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,755,182 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,202,062 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,436,260 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,444 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,930 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,337,035 | PYOtherRevenueAmt |
| CY Other Revenue | $1,515,524 | CYOtherRevenueAmt |
| PY Total Revenue | $24,315,745 | PYTotalRevenueAmt |
| CY Total Revenue | $24,714,896 | 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 | $14,359,806 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,628,980 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,872,218 | PYOtherExpensesAmt |
| CY Other Expenses | $9,088,262 | CYOtherExpensesAmt |
| PY Total Expenses | $22,232,024 | PYTotalExpensesAmt |
| CY Total Expenses | $24,717,242 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,083,721 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,346 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,696,018 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,877,512 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,397,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,581,125 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,298,733 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,296,387 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE FOR ALL, INCLUDING THOSE WITHOUT THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,768,873 | ExpenseAmt |
| Revenue | $17,922,710 | RevenueAmt |
| Desc | GREATER ELGIN FAMILY CARE CENTER CONTINUES TO FULFILL ITS MISSION OF PROVIDING QUALITY AFFORDABLE HEALTH CARE TO THE RESIDENTS OF THE GREATER ELGIN, MCHENRY, STREAMWOOD, DEKALB, SYCAMORE, AND HANOVER PARK COMMUNITIES. DUE TO IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER ELGIN FAMILY CARE CENTER HAS EXPERIENCED RECORD VOLUMES OF PATIENTS INCLUDING THOSE PRESENTING WITHOUT ANY INSURANCE. HOWEVER, THE ORGANIZATION HAS BEEN ABLE TO MEET THE INCREASED DEMAND FOR SERVICE, WHICH HAS ALLOWED PATIENTS TO ACCESS AFFORDABLE, QUALITY PRIMARY HEALTH CARE IN THE SPECIALTIES OF BEHAVIORAL HEALTH, FAMILY PRACTICE, GYNECOLOGY, OBSTETRICS, ORAL HEALTH, AND PEDIATRICS. | Desc |
| Total Program Service Expenses | $21,768,873 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 330 | 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | JASON CAREY - CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8476081344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 SUMMIT STREET | AddressLine1Txt |
| City | ELGIN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60120 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CRAIG DODT | |||||||||
| BOARD CHAIR | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH HOEFT | |||||||||
| SECRETARY | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LINDA DRAWHORN | |||||||||
| SECRETARY | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL BEDNAR | |||||||||
| TREASURER | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETH TZE | |||||||||
| PAST CHAIR | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARA ANDERSON | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| AZRA BEHLIM | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| COREY DIXON | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| DEBBIE EVERETT | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| CHIOMA GEORGE | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN HEIMBERG | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| CHIN KEOMUONGCHANH | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| JOAN KANUTE | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| NIMRA KHAN | |||||||||
| DIRECTOR | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TANNER | |||||||||
| PRESIDENT/CEO | 40.00 | 0.30 | Yes (X) | $276,455 | $0 | $25,692 | |||
| JASON CAREY | |||||||||
| CFO | 40.00 | 1.00 | Yes (X) | $141,000 | $0 | $23,555 | |||
| VERONICA GUADALUPE FONSECA | |||||||||
| COO | 40.00 | 0.20 | Yes (X) | $158,336 | $0 | $18,746 | |||
| MARK THOMPSON | |||||||||
| MEDICAL DIRECTOR, MD | 40.00 | $230,147 | $0 | $22,864 | Yes (X) | ||||
| ARTHUR ARAGONES | |||||||||
| MD | 40.00 | $167,054 | $0 | $15,908 | Yes (X) | ||||
| DAVID BAUM | |||||||||
| MD | 40.00 | $167,430 | $0 | $8,194 | Yes (X) | ||||
| NIRMALA GOVINDA | |||||||||
| MD | 40.00 | $172,999 | $0 | $16,660 | Yes (X) | ||||
| CHEERAG PATEL | |||||||||
| MD | 40.00 | $180,714 | $0 | $27,233 | Yes (X) | ||||
| MAZHAR ZAIDI | |||||||||
| MD | 40.00 | $186,593 | $0 | $18,916 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,680,728 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $177,768 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | 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 |
|---|---|---|---|---|---|
| DR STEPHEN GLADDIN | |||||
| 4929 THIMBLEWEED TRAIL | LONG GROVE | IL | 60047 | MEDICAL SERVICES - OBSTETRICS | $475,372 |
| QUEST DIAGNOSTICS | |||||
| 12989 COLLECTIONS CENTER DR | CHICAGO | IL | 606930129 | LABORATORY SERVICES | $424,719 |
| DR MARGARET NETTLETON | |||||
| 370 COVINGTON DRIVE | BARRINGTON | IL | 60010 | MEDICAL SERVICES - OBSTETRICS | $222,291 |
| DR MICHAEL RIERMAIER | |||||
| 21144 WILDROSE CT | DEER PARK | IL | 60010 | MEDICAL SERVICES - OBSTETRICS | $164,794 |
| NEXTGEN HEALTHCARE | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | EHR MAINTENANCE AND BILLING SVC. | $163,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,136,309 | GovernmentGrantsAmt |
| All Other Contributions | $618,873 | AllOtherContributionsAmt |
| Total Contributions | $6,755,182 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $16,436,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,436,260 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,436,260 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,930 | TotalRevenueColumnAmt |
| Exclusion | $7,930 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,074 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,074 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,074 | TotalRevenueColumnAmt |
| Exclusion | $29,074 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,486,450 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,486,450 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,486,450 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,714,896 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,922,710 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,004 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,731 | TotalAmt |
| Program Services | $344,850 | ProgramServicesAmt |
| Management And General | $592,881 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,126,255 | TotalAmt |
| Program Services | $10,958,699 | ProgramServicesAmt |
| Management And General | $1,167,556 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,621 | TotalAmt |
| Program Services | $219,446 | ProgramServicesAmt |
| Management And General | $77,175 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361,996 | TotalAmt |
| Program Services | $1,109,705 | ProgramServicesAmt |
| Management And General | $252,291 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $906,377 | TotalAmt |
| Program Services | $795,318 | ProgramServicesAmt |
| Management And General | $111,059 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,267 | TotalAmt |
| Management And General | $29,267 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,323 | TotalAmt |
| Management And General | $30,323 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,013 | TotalAmt |
| Program Services | $1,596,442 | ProgramServicesAmt |
| Management And General | $105,571 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,778 | TotalAmt |
| Program Services | $95,545 | ProgramServicesAmt |
| Management And General | $233 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,409,886 | TotalAmt |
| Program Services | $1,347,348 | ProgramServicesAmt |
| Management And General | $62,538 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,033 | TotalAmt |
| Program Services | $183,012 | ProgramServicesAmt |
| Management And General | $41,021 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,342 | TotalAmt |
| Program Services | $1,235,448 | ProgramServicesAmt |
| Management And General | $221,894 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,627 | TotalAmt |
| Program Services | $18,148 | ProgramServicesAmt |
| Management And General | $18,479 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,006 | TotalAmt |
| Program Services | $5,115 | ProgramServicesAmt |
| Management And General | $19,891 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,914 | TotalAmt |
| Program Services | $554,583 | ProgramServicesAmt |
| Management And General | $103,331 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,488 | TotalAmt |
| Management And General | $43,488 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $2,549,580 | $2,549,580 | |
| LAB SERVICES | $484,794 | $484,794 | |
| REPAIRS AND MAINTENANCE | $203,161 | $194,147 | $9,014 |
| MISCELLANEOUS | $83,572 | $75,827 | $7,745 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,478 | TotalAmt |
| Program Services | $866 | ProgramServicesAmt |
| Management And General | $54,612 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,717,242 | TotalAmt |
| Program Services | $21,768,873 | ProgramServicesAmt |
| Management And General | $2,948,369 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,747 | BOYAmt |
| EOY | $9,259 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,506,531 | BOYAmt |
| EOY | $3,147,335 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,807,298 | BOYAmt |
| EOY | $6,198,138 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,151,151 | BOYAmt |
| EOY | $3,030,101 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,881 | BOYAmt |
| EOY | $405,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,848,672 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,807,783 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,549,473 | BOYAmt |
| EOY | $5,040,889 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,937 | BOYAmt |
| EOY | $45,860 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,696,018 | BOYAmt |
| EOY | $17,877,512 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,928,682 | BOYAmt |
| EOY | $1,313,562 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,487,660 | BOYAmt |
| EOY | $3,673,649 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $980,943 | BOYAmt |
| EOY | $593,914 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,397,285 | BOYAmt |
| EOY | $5,581,125 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,857,466 | BOYAmt |
| EOY | $10,954,517 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,441,267 | BOYAmt |
| EOY | $1,341,870 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,298,733 | BOYAmt |
| EOY | $12,296,387 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,696,018 | BOYAmt |
| EOY | $17,877,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,346 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,319,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,483,509 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,152,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,773,204 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,755,182 | CurrentTaxYearAmt |
| Total | $27,483,519 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,319,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,483,509 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,152,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,773,204 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,755,182 | CurrentTaxYearAmt |
| Total | $27,483,519 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $27,483,519 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,753 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,735 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,617 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,205 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,004 | CurrentTaxYearAmt |
| Total | $149,314 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $988,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $635,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,116,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,311,274 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,486,450 | CurrentTaxYearAmt |
| Total | $5,538,665 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $33,171,498 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $66,539,637 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.82850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, SECTION B, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME CONSISTS OF PROGRAM CARE MANAGEMENT FEES, DRUG PROGRAM REVENUE, CAPITATION PREMIUM REVENUE, ELECTRONIC HEALTH RECORDS INCENTIVE PAYMENT REVENUE, AND RISK GAIN SHARE REVENUE RECEIVED BY THE ORGANIZATION. | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $296,585 | OtherCostOrOtherBasisAmt |
| Book Value | $296,585 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,048,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $283,128 | DepreciationAmt |
| Book Value | $1,765,751 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,001,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,442,576 | DepreciationAmt |
| Book Value | $2,559,152 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,469,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,082,079 | DepreciationAmt |
| Book Value | $387,867 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,534 | OtherCostOrOtherBasisAmt |
| Book Value | $31,534 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,040,889 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT TANNER | ||||||||||||||
| PRESIDENT/CEO | $241,455 | $0 | $35,000 | $0 | $0 | $0 | $11,055 | $0 | $14,637 | $0 | $302,147 | $0 | $0 | $0 |
| JASON CAREY | ||||||||||||||
| CFO | $141,000 | $0 | $0 | $0 | $0 | $0 | $5,863 | $0 | $17,692 | $0 | $164,555 | $0 | $0 | $0 |
| VERONICA GUADALUPE FONSECA | ||||||||||||||
| COO | $158,336 | $0 | $0 | $0 | $0 | $0 | $6,482 | $0 | $12,264 | $0 | $177,082 | $0 | $0 | $0 |
| MARK THOMPSON | ||||||||||||||
| MEDICAL DIRECTOR, MD | $227,863 | $0 | $2,284 | $0 | $0 | $0 | $9,350 | $0 | $13,514 | $0 | $253,011 | $0 | $0 | $0 |
| ARTHUR ARAGONES | ||||||||||||||
| MD | $167,054 | $0 | $0 | $0 | $0 | $0 | $6,739 | $0 | $9,169 | $0 | $182,962 | $0 | $0 | $0 |
| DAVID BAUM | ||||||||||||||
| MD | $167,430 | $0 | $0 | $0 | $0 | $0 | $6,697 | $0 | $1,497 | $0 | $175,624 | $0 | $0 | $0 |
| NIRMALA GOVINDA | ||||||||||||||
| MD | $172,999 | $0 | $0 | $0 | $0 | $0 | $6,989 | $0 | $9,671 | $0 | $189,659 | $0 | $0 | $0 |
| CHEERAG PATEL | ||||||||||||||
| MD | $180,714 | $0 | $0 | $0 | $0 | $0 | $7,567 | $0 | $19,666 | $0 | $207,947 | $0 | $0 | $0 |
| MAZHAR ZAIDI | ||||||||||||||
| MD | $186,593 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,916 | $0 | $205,509 | $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 WAS EMAILED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. ALL COMMENTS MADE BY THE BOARD WERE TAKEN UNDER ADVISEMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST CERTIFICATION STATEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES AND WAGES ARE ANALYZED BY THE BOARD OF DIRECTORS USING A SALARY COMPARISON SURVEY SUPPLIED BY THE ILLINOIS PRIMARY HEALTH CARE ASSOCIATION (IPHCA). A SUB-COMMITTEE OF THE BOARD OF DIRECTORS WAS FORMED FOR APPROVAL OF THE CEO'S SALARY AND WAGES. INFORMATION FROM RELATED ORGANIZATION'S 990S AND IPHCA SALARY SURVEY WAS USED IN MAKING THE SALARY DETERMINATION. ALL REMAINING EMPLOYEE'S SALARIES ARE APPROVED BY THE PRESIDENT/CEO, SUBJECT TO SALARY RANGES APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | WE DO NOT RELEASE ANY DOCUMENTS TO ANYONE OUTSIDE OF THE ORGANIZATION UNLESS REQUIRED TO DO SO BY CONTRACT OR LAW (FREEDOM OF INFORMATION ACT). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 SUMMIT STREET | AddressLine1Txt |
| City | ELGIN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262608680 | EIN |
| Primary Activities | PROVIDE STEWARDSHIP OF ASSETS INVESTED TO SUPPORT THE OPERATIONS OF GEFCC | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 8 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER ELGIN FAMILY CARE CENTER | 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 | 0 | 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 |