2016-05-10T13:55:33-05:00 2015-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2014-07-01 362893854 CHICAGO FAMILY HEALTH CENTER INC CHIC 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 7737685000 2016-04-27 1 KIMBERLY A HAUMANN P00546491 3122071040 2016-04-27 2014 2016-08-17 19:52:53Z BARRETT HATCHES 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 21445438 0 X CHICAGOFAMILYHEALTH.ORG X 1976 IL TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS. 12 12 299 12 0 0 9059407 7594044 10462548 13734320 96111 117074 734409 0 20352475 21445438 0 0 0 0 13307635 12567035 0 0 69489 7625169 6494731 20932804 19061766 -580329 2383672 22717747 23887656 8385789 7612726 14331958 16274930 X CHICAGO FAMILY HEALTH CENTER'S MISSION IS TO PROVIDE LOW-INCOME RESIDENTS IN OUR COMMUNITY WITH ACCESSIBLE, HIGH QUALITY HEALTH CARE, TO REMAIN COMMITTED TO OUR URBAN NEIGHBORHOODS AND TO WORK EXHAUSTIVELY TO POSITIVELY IMPACT THE HEALTH, AWARENESS AND SELF-RELIANCE OF FUTURE GENERATIONS. 0 0 15575269 20726290 PUBLIC HEALTH SERVICE SECTION 330: THIS PROGRAM PROVIDES COMPREHENSIVE HEALTH 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 HAS 5 SITES SERVICING 30,318 PATIENTS WITH 102,457 MEDICAL AND DENTAL VISITS THIS YEAR. 209497 141709 THE ILLINOIS BREAST AND CERVICAL CANCER 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. 524096 578414 FAMILY CASE MANAGEMENT IS A STATE FUNDED PROGRAM THAT ASSISTS PREGNANT WOMEN BY PROVIDING SERVICES THAT INCLUDE RISK ASSESSMENTS AND REFERRALS. THE PREGNANT CLIENT IS FOLLOWED THROUGHOUT THE PREGNANCY AND UP TO ONE YEAR AFTER THE BIRTH OF THE BABY. UPON DELIVERY, THE INFANT IS ALSO TRACKED FOR WELL BABY VISITS, IMMUNIZATION AND NORMAL DEVELOPMENT. THERE ARE 1,098 PARTICIPANTS EACH MOTH FOR THIS PROGRAM. 16308862 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 47 0 1 299 1 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X ZAKEYA ATIA 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 NORA REYES CHAIR 2.00 1.00 X X 0 0 0 NICK VALADEZ MEMBER 2.00 1.00 X X 0 0 0 JULIUS ALEXANDER MEMBER 2.00 1.00 X X 0 0 0 FULTON NOLEN JR MEMBER 3.00 0.00 X X 0 0 0 REV MARK BRUMMEL CMF MEMBER 3.00 0.00 X 0 0 0 JULIA MUNOZ MEMBER 3.00 0.00 X 0 0 0 ELIVA PEREZ MEMBER 2.00 1.00 X 0 0 0 JAMES SIMMONS MEMBER 3.00 0.00 X 0 0 0 LYLETH RODRIGUEZ MEMBER 3.00 0.00 X 0 0 0 LUPE VALADEZ MEMBER 3.00 0.00 X 0 0 0 ANTHONY ZIAK MEMBER 3.00 0.00 X 0 0 0 TORIN EDMOND MEMBER 3.00 0.00 X 0 0 0 ATIA ZAKEYA A CHIEF FINANCIAL OFFICER 40.00 0.00 X 13462 0 0 HATCHES BARRETT CHIEF EXECUTIVE OFFICER 38.00 2.00 X 187524 0 6003 LAGIOIA DEE N CHIEF OPERATING OFFICER 40.00 0.00 X 20769 0 0 TOREN CARL B CHIEF MEDICAL OFFICER 40.00 0.00 X 235437 0 37121 ROBERT MAZIARKA CFO (7/1/14-11/10/14) 2.00 0.00 X 166253 0 31650 DANIEL LISA D PHYSICIAN 40.00 0.00 X 218715 0 22469 GERVAIS JACQUELINE PHYSICIAN 40.00 0.00 X 239621 0 30365 KESHAVA PRAMODE K PHYSICIAN 40.00 0.00 X 196693 0 33095 MICHEL MARJORIE G PHYSICIAN 40.00 0.00 X 200710 0 21106 SEARLES ERICKA PHYSICIAN 40.00 0.00 X 194105 0 22260 1673289 0 204069 24 0 1 0 BULLEY & ANDREWS 1755 W ARMITAGE CHICAGO IL 606731225 CONSTRUCTION OF NEW PULLMAN 705311 NEXTGEN PO BOX 809390 CHICAGO IL 606809390 BILLING SERVICES 611818 OSIS 8790 GOVERNORS HLL DRIVE CINCINNATI OH 45249 NEXTGEN HOSTING SERVICES 554817 STAFF CARE PO BOX 281923 ATLANTA GA 30384 TEMP AGENCY - PROVIDERS 335829 PRACTICE MANAGEMENT 415 W GOLD ROAD SUITE 16 ARLINGTON HEIGHTS IL 60005 BILLING SERVICES 260977 11 7265688 328356 7594044 PRIVATE CARE 621300 9739379 9739379 HMO INCENTIVE REVENUE 621300 2584964 2584964 CAPITATION REVENUE 621300 1409977 1409977 13734320 117074 117074 21445438 13734320 0 117074 X 3895648 3471022 424626 7032660 5811868 1158454 62338 126711 112900 13811 763715 647740 115975 748301 666736 81565 159593 142197 17396 98206 87502 10704 2211287 1970257 241030 63277 63277 537268 478706 58562 450918 401768 49150 805199 691074 114125 28054 24996 3058 26932 23996 2936 232749 194497 38252 982748 852704 130044 107988 92679 15309 MEDICAL/DENTAL SUPPLIES 395688 337987 57701 OTHER EXPENSES 152288 84133 61004 7151 LICENSE & DUES 125249 111597 13652 REPAIRS & MAINTENANCE 117287 104503 12784 19061766 16308862 2683415 69489 3599472 5723087 216605 838393 484012 723680 2567723 1726072 7190190 7190190 6008 0 130158 61165 12678748 5780625 7825075 6898123 200000 240541 0 190053 498504 296352 22717747 23887656 2906891 2621686 180550 6443 5298348 4984597 8385789 7612726 X 14331958 16246303 28627 14331958 16274930 22717747 23887656 X 2383672 -440700 X 0 1 X 1 1 1 X 9451144 9806850 13937408 9059407 7594044 49848853 9451144 9806850 13937408 9059407 7594044 49848853 49848853 17686 14955 100057 96111 117074 345883 50194736 53321506 0.99310 0.97090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 567475 567475 7733173 2336744 5396429 304168 272058 32110 623525 265024 358501 3450407 2906799 543608 6898123 X 21445438 0 21445438 0 21445438 19502466 440700 440700 19061766 0 19061766 PART X, LINE 2: THE CENTER IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. PART XII, LINE 2D - OTHER ADJUSTMENTS: CFHC TITLE HOLDINGS EXPENSES 440,700. X X X 1 0 0 0 0 0 0 0 0 HATCHES BARRETT CHIEF EXECUTIVE OFFICER 187524 0 0 0 0 0 0 0 6003 0 193527 0 0 0 TOREN CARL B CHIEF MEDICAL OFFICER 214114 0 21323 0 0 0 9000 0 28121 0 272558 0 0 0 ROBERT MAZIARKA CFO (7/1/14-11/10/14) 166253 0 0 0 0 0 5591 0 26059 0 197903 0 0 0 DANIEL LISA D PHYSICIAN 207375 0 11340 0 0 0 8749 0 13720 0 241184 0 0 0 GERVAIS JACQUELINE PHYSICIAN 213749 0 25872 0 0 0 6271 0 24094 0 269986 0 0 0 KESHAVA PRAMODE K PHYSICIAN 189180 0 7513 0 0 0 6212 0 26883 0 229788 0 0 0 MICHEL MARJORIE G PHYSICIAN 191140 0 9570 0 0 0 7138 0 13968 0 221816 0 0 0 SEARLES ERICKA PHYSICIAN 186260 0 7845 0 0 0 7764 0 14496 0 216365 0 0 0 PART I, LINE 4A ROBERT MAZIARKA, FORMER CFO WAS TERMINATED IN 2014 AND RECEIVED A $35,538 SEVERANCE PAYMENT. TOTAL COMPENSATION IS REFLECTED ON SCHEDULE J, PART II. 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 11 THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWES THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL MEMBERS OF THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REVIEWS THE COPY AND MEETS WITH THE INDEPENDENT CPA FIRM. AFTER FORM 990 IS ACCEPTED A COPY IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. THE GOVERNING BODY IS PROVIDED A REASONABLE AMOUNT OF TIME TO REVIEW THE RETURN AND ASK ANY QUESTIONS DIRECTLY TO ORGANIZATION MANAGEMENT OR THE CONTACT AT THE INDEPENDENT CPA FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CENTER REVIEWS ANNUAL CONFLICT OF INTEREST STATEMENTS FROM THE BOARD AND SENIOR STAFF AT THE FEBRUARY BOARD RETREAT. IN THE STATEMENTS, ALL BOARD MEMBERS AND SENIOR STAFF DISCLOSE THIER 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. FORM 990, PART IX, LINE 11G CARDINAL MEDICATIONS: PROGRAM SERVICE EXPENSES 220,979. MANAGEMENT AND GENERAL EXPENSES 27,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,012. DENTAL SERVICES: PROGRAM SERVICE EXPENSES 24,710. MANAGEMENT AND GENERAL EXPENSES 3,023. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,733. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 46,071. MANAGEMENT AND GENERAL EXPENSES 5,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,707. OUTSIDE CLERICAL SERVICES: PROGRAM SERVICE EXPENSES 137,546. MANAGEMENT AND GENERAL EXPENSES 16,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,373. OUTSIDE MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 216,511. MANAGEMENT AND GENERAL EXPENSES 26,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,998. OUTSIDE PHYSICIAN SERVICES PROVIDERS: PROGRAM SERVICE EXPENSES 372,089. MANAGEMENT AND GENERAL EXPENSES 45,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,608. BILLING SERVICES: PROGRAM SERVICE EXPENSES 796,662. MANAGEMENT AND GENERAL EXPENSES 97,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,121. CONSULTANTS: PROGRAM SERVICE EXPENSES 155,689. MANAGEMENT AND GENERAL EXPENSES 19,046. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,735. FORM 990, PART XI, LINE 9: CFHC TITLE HOLDINGS EXPENSES -440,700. 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 0 CFHC TITLE HOLDING CORPORATION NFP 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 454956964 HOLDING CORPORATION FOR CFHC IL 501(C)(2) CFHC 0 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 FMV CFHC TITLE HOLDING CORPORATION NFP Q 440700 FMV