2016-11-11T15:34:01-06:00 2016-06-30 362985770 SELDEN FOX LTD 619 ENTERPRISE DRIVE OAK BROOK IL 605238835 990 2015-07-01 364249586 GREATER ELGIN FAMILY CARE CENTER GREA 8476081344 370 SUMMIT STREET ELGIN IL 60120 JASON CAREY CHIEF FINANCIAL OFFICER 8476081344 2016-11-03 1 PAUL J ROZEK P00542258 6309541400 2015 2017-02-10 21:41:12Z ROBERT TANNER 370 SUMMIT STREET ELGIN IL 60120 24315745 0 X WWW.GEFCC.ORG X 1998 IL 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. 14 14 305 20 0 0 5152605 7773204 13405754 15202062 2124 3444 1136133 1337035 19696616 24315745 0 0 0 0 11506224 14359806 0 0 0 6884799 7872218 18391023 22232024 1305593 2083721 14754537 18696018 4539525 6397285 10215012 12298733 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE FOR ALL, INCLUDING THOSE WITHOUT THE ABILITY TO PAY. 0 0 19392424 16513336 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. 19392424 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 14 0 1 305 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JASON CAREY - CFO 8476081344 370 SUMMIT STREET ELGIN IL 60120 BETH TZE BOARD CHAIR 1.00 0.10 X X 0 0 0 ELIZABETH HOEFT SECRETARY 1.00 0.10 X X 0 0 0 PAUL BEDNAR TREASURER 1.00 0.10 X X 0 0 0 CRAIG DODT CHAIR - ELECT 1.00 0.10 X X 0 0 0 CARA ANDERSON DIRECTOR 1.00 0.10 X 0 0 0 AZRA BEHLIM DIRECTOR 1.00 0.10 X 0 0 0 COREY DIXON DIRECTOR 1.00 0.10 X 0 0 0 LINDA DRAWHORN DIRECTOR 1.00 0.10 X 0 0 0 DEBBIE EVERETT DIRECTOR 1.00 0.10 X 0 0 0 CHIOMA GEORGE DIRECTOR 1.00 0.10 X 0 0 0 BRIAN HEIMBERG DIRECTOR 1.00 0.10 X 0 0 0 JOAN KANUTE DIRECTOR 1.00 0.10 X 0 0 0 CHIN KEOMUONGCHANH DIRECTOR 1.00 0.10 X 0 0 0 NIMRA KHAN DIRECTOR 1.00 0.10 X 0 0 0 ROBERT TANNER PRESIDENT/CEO 40.00 0.30 X 263466 0 29048 JASON CAREY CFO 40.00 1.00 X 137774 0 22716 VERONICA GUADALUPE FONSECA COO 40.00 0.20 X 159663 0 18540 MARK THOMPSON MEDICAL DIRECTOR, MD 40.00 X 224996 0 20543 NIRMALA GOVINDA MD 40.00 X 179363 0 14055 MAZHAR ZAIDI MD 40.00 X 184513 0 18210 THOMAS DOVIDIO MD 40.00 X 183309 0 25084 CHEERAG PATEL MD 40.00 X 175770 0 26003 SALMAN KHALEELUDDIN MD 40.00 X 152115 0 17210 1660969 0 191409 28 0 1 0 QUEST DIAGNOSTICS 12989 COLLECTIONS CENTER DR CHICAGO IL 606930129 LABORATORY SERVICES 543077 DR STEPHEN GLADDIN 4929 THIMBLEWEED TRAIL LONG GROVE IL 60047 MEDICAL SERVICES - OBSTETRICS 515150 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EHR MAINTENANCE AND BILLING SVC. 258893 DR MICHAEL RIERMAIER 21144 WILDROSE CT DEER PARK IL 60010 MEDICAL SERVICES - OBSTETRICS 203162 DR MARGARET NETTLETON 370 COVINGTON DRIVE BARRINGTON IL 60010 MEDICAL SERVICES - OBSTETRICS 190681 9 7164224 608980 7773204 PATIENT SERVICE REVENUE 621400 15202062 15202062 15202062 3444 3444 25761 0 25761 25761 25761 OTHER INCOME 900099 1311274 1311274 1311274 24315745 16513336 0 29205 844605 315345 529260 11083991 9969879 1114112 216196 159688 56508 1383796 1139625 244171 831218 725846 105372 13122 13122 46630 46630 1916666 1757749 158917 178181 177299 882 1293112 1218840 74272 198002 160793 37209 1526861 1338080 188781 48872 21135 27737 26318 8679 17639 595055 491111 103944 36501 36501 BAD DEBT EXPENSE 970557 970557 LAB SERVICES 615327 615327 REPAIRS AND MAINTENANCE 235920 229120 6800 MISCELLANEOUS 93011 93011 78083 340 77743 22232024 19392424 2839600 0 80774 7747 2018652 2506531 4600325 5807298 3164225 4151151 193731 638881 7967411 2417938 4579572 5549473 117258 34937 14754537 18696018 1362156 1928682 3177369 3487660 980943 4539525 6397285 X 9604503 10857466 610509 1441267 10215012 12298733 14754537 18696018 2083721 0 X 0 1 X 1 1 1 X 7194148 3319019 4483509 5152605 7773204 27922485 7194148 3319019 4483509 5152605 7773204 27922485 27922485 32627 37753 23735 21617 29205 144937 450868 988466 635835 1116640 1311274 4503083 32570505 57523884 0.85730 0.86470 X PART II, SECTION B, LINE 10 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 296585 296585 2048879 230968 1817911 4225106 1249370 2975736 1396841 937600 459241 5549473 X X X X 0 0 0 0 0 0 0 0 0 ROBERT TANNER PRESIDENT/CEO 240586 0 22880 0 0 0 10588 0 18460 0 292514 0 0 0 JASON CAREY CFO 137774 0 0 0 0 0 5725 0 16991 0 160490 0 0 0 VERONICA GUADALUPE FONSECA COO 159663 0 0 0 0 0 6531 0 12009 0 178203 0 0 0 MARK THOMPSON MEDICAL DIRECTOR, MD 222712 0 2284 0 0 0 9135 0 11408 0 245539 0 0 0 NIRMALA GOVINDA MD 179363 0 0 0 0 0 5331 0 8724 0 193418 0 0 0 MAZHAR ZAIDI MD 184513 0 0 0 0 0 0 0 18210 0 202723 0 0 0 THOMAS DOVIDIO MD 183309 0 0 0 0 0 6375 0 18709 0 208393 0 0 0 CHEERAG PATEL MD 175770 0 0 0 0 0 7354 0 18649 0 201773 0 0 0 SALMAN KHALEELUDDIN MD 152115 0 0 0 0 0 0 0 17210 0 169325 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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). GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUST 370 SUMMIT STREET ELGIN IL 60120 262608680 PROVIDE STEWARDSHIP OF ASSETS INVESTED TO SUPPORT THE OPERATIONS OF GEFCC IL 501(C)(3) LINE 8 GREATER ELGIN FAMILY CARE CENTER 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0