CHICAGO FAMILY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHICAGO FAMILY HEALTH CENTER INC (EIN 36-2893854)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-04-24
- IRS object ID
- 201501149349300425
- Schema version
- 2013v4.0
- 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 | 2015-04-24T08:25:09-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W 22ND ST STE 1100 | AddressLine1 |
| City | OAK BROOK | City |
| State | IL | State |
| ZIP Code | 60523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362893854 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHICAGO FAMILY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIC | BusinessNameControlTxt |
| Phone | 7737685000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9119 SOUTH EXCHANGE AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60617 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRETT HATCHES | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 7737685000 | PhoneNum |
| Signature | 2015-04-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY S ADAMS | PreparerPersonNm |
| PTIN | P00095597 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARRETT HATCHES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9119 SOUTH EXCHANGE AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,423,677 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CHICAGOFAMILYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 266 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,937,408 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,059,407 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,666,574 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,462,548 | CYProgramServiceRevenueAmt |
| PY Investment Income | $100,057 | PYInvestmentIncomeAmt |
| CY Investment Income | $96,111 | CYInvestmentIncomeAmt |
| PY Other Revenue | $262,993 | PYOtherRevenueAmt |
| CY Other Revenue | $734,409 | CYOtherRevenueAmt |
| PY Total Revenue | $23,967,032 | PYTotalRevenueAmt |
| CY Total Revenue | $20,352,475 | 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 | $12,998,837 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,307,635 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,203,686 | PYOtherExpensesAmt |
| CY Other Expenses | $7,625,169 | CYOtherExpensesAmt |
| PY Total Expenses | $19,202,523 | PYTotalExpensesAmt |
| CY Total Expenses | $20,932,804 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,764,509 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$580,329 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,947,811 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,717,747 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,035,524 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,385,789 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,912,287 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,331,958 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE HEALTH, WORK TO PREVENT DISEASE AND PROVIDE TREATMENT THROUGH THE DELIVERY OF QUALITY, ACCESSIBLE PRIMARY HEALTH CARE THAT IS CULTURALLY SENSITIVE, AFFORDABLE, AND RESPONSIVE TO COMMUNITY AND INDIVIDUAL NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,078,025 | ExpenseAmt |
| Revenue | $10,462,548 | RevenueAmt |
| Desc | 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 6 SITES SERVICING 28,301 PATIENTS WITH 91,749 MEDICAL AND DENTAL VISITS THIS YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $670,117 | ExpenseAmt |
| Desc | HEALTHY START IS A GRANT PROVIDED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES MATERNAL CHILD HEALTH BUREAU TO HELP DECREASE INFANT MORTALITY, TEENAGE PREGNANCY, AND LOW BIRTH WEIGHT DELIVERIES BY CASE MANAGING PARTICIPANTS THROUGH THE PREGNANCY AND UP TO ONE YEAR OF AGE OF THE INFANT. HEALTHY START ALSO WORKS IN THE COMMUNITY TO PROMOTE EARLY ENROLLMENT INTO PRENATAL CARE AND TO DO PRESENTATIONS TO YOUTHS IN THE COMMUNITY ON HIGH-RISK TOPICS SUCH AS SMOKING PREVENTION, DRUG USE PREVENTION, AND PREGNANCY PREVENTION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $455,810 | ExpenseAmt |
| Desc | 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 ASLO TRACKED FOR WELL BABY VISITS, IMMUNIZATION AND NORMAL DEVELOPMENT. THERE ARE 1,203 PARTICIPANTS EACH MONTH FOR THIS PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $19,203,952 | 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 | Yes (1) | 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 | Yes (1) | 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 266 | 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 |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 | ZAKEYA ATIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7737685000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9119 S EXCHANGE AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60617 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| NORA REYES | |||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| NICK VALADEZ | |||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIUS ALEXANDER | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FULTON NOLEN JR | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REV MARK BRUMMEL CMF | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TORIN EDMOND | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIA MUNOZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ELVIA PEREZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES SIMMONS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LYLETH RODRIGUEZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LUPE VALADEZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TONY ZIAK | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANCIS THAM | |||||||
| DENTAL DIRECTOR | 40.00 | Yes (X) | $183,427 | $0 | $20,406 | ||
| WARREN BRODINE | |||||||
| CHIEF EXECUTIVE OFFICER UNTIL 02/14 | 40.00 | $208,919 | $0 | $15,057 | Yes (X) | ||
| MISTY DRAKE | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $97,139 | $0 | $0 | Yes (X) | ||
| ROBERT MAZIARKA | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $174,532 | $0 | $20,392 | Yes (X) | ||
| JAMES SOCHA | |||||||
| CHIEF INFORMATION OFFICER | 40.00 | $119,144 | $0 | $25,219 | Yes (X) | ||
| CARL B TOREN | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $244,006 | $0 | $29,693 | Yes (X) | ||
| MARIA VARGAS | |||||||
| CHIEF PROGRAM OFFICER | 40.00 | $84,219 | $0 | $10,202 | Yes (X) | ||
| LISA DANIEL | |||||||
| PHYSICIAN | 40.00 | $230,140 | $0 | $29,678 | Yes (X) | ||
| JACQUELINE GERVAIS | |||||||
| PHYSICIAN | 40.00 | $249,369 | $0 | $12,914 | Yes (X) | ||
| PRAMODE KESHAVA | |||||||
| PHYSICIAN | 40.00 | $192,300 | $0 | $20,574 | Yes (X) | ||
| MARJORIE MICHEL | |||||||
| PHYSICIAN | 40.00 | $206,494 | $0 | $13,835 | Yes (X) | ||
| ERICKA SEARLES | |||||||
| PHYSICIAN | 40.00 | $196,081 | $0 | $28,316 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,185,770 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $226,286 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BULLEY & ANDREWS | |||||
| 1755 WEST ARMITAGE AVENUE | CHICAGO | IL | 60622 | CONSTRUCTION | $1,652,147 |
| OSIS | |||||
| 8790 GOVERNORS HILL DRIVE SUITE 20 | CINCINNATI | OH | 45249 | EHR HOSTING | $525,678 |
| NEXTGEN | |||||
| 795 HORSHAM ROAD | HORSHAM | PA | 19044 | ELECTRONIC HEALTH RECORDS (EHR) | $329,718 |
| BENCO DENTAL | |||||
| 201 HANSEN COURT | WOOD DALE | IL | 60191 | DENTAL SUPPLIES | $316,133 |
| STAFF CARE | |||||
| 12400 HIGH BLUFF DR 100 | SAN DIEGO | CA | 92130 | LOCUMS | $286,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $85,825 | FundraisingAmt |
| Government Grants | $7,660,148 | GovernmentGrantsAmt |
| All Other Contributions | $1,313,434 | AllOtherContributionsAmt |
| Total Contributions | $9,059,407 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL AND DENTAL SERVICE FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $10,462,548 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,462,548 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,462,548 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,111 | TotalRevenueColumnAmt |
| Exclusion | $96,111 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,852 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $85,825 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $71,202 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$56,350 | TotalRevenueColumnAmt |
| Exclusion | -$56,350 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $790,759 | TotalRevenueColumnAmt |
| Exclusion | $790,759 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $790,759 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,352,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,462,548 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $830,520 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,321,531 | TotalAmt |
| Program Services | $2,135,809 | ProgramServicesAmt |
| Management And General | $185,722 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,656,535 | TotalAmt |
| Program Services | $7,964,012 | ProgramServicesAmt |
| Management And General | $692,523 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,705 | TotalAmt |
| Program Services | $398,089 | ProgramServicesAmt |
| Management And General | $34,616 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,771 | TotalAmt |
| Program Services | $1,043,069 | ProgramServicesAmt |
| Management And General | $90,702 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,093 | TotalAmt |
| Program Services | $702,046 | ProgramServicesAmt |
| Management And General | $61,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,278 | TotalAmt |
| Program Services | $122,616 | ProgramServicesAmt |
| Management And General | $10,662 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,000 | TotalAmt |
| Program Services | $73,600 | ProgramServicesAmt |
| Management And General | $6,400 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,780 | TotalAmt |
| Program Services | $1,446,038 | ProgramServicesAmt |
| Management And General | $125,742 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,231 | TotalAmt |
| Management And General | $69,231 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,237 | TotalAmt |
| Program Services | $574,298 | ProgramServicesAmt |
| Management And General | $49,939 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $947,631 | TotalAmt |
| Program Services | $871,821 | ProgramServicesAmt |
| Management And General | $75,810 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,124,687 | TotalAmt |
| Program Services | $1,034,712 | ProgramServicesAmt |
| Management And General | $89,975 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,550 | TotalAmt |
| Program Services | $74,106 | ProgramServicesAmt |
| Management And General | $6,444 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,752 | TotalAmt |
| Program Services | $234,372 | ProgramServicesAmt |
| Management And General | $20,380 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $908,758 | TotalAmt |
| Program Services | $836,057 | ProgramServicesAmt |
| Management And General | $72,701 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,487 | TotalAmt |
| Program Services | $124,648 | ProgramServicesAmt |
| Management And General | $10,839 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MISCELLANEOUS | $692,654 | $637,242 | $55,412 |
| DENTAL/MEDICAL SUPPLIES | $541,962 | $498,605 | $43,357 |
| LICENSES & DUES | $172,412 | $158,619 | $13,793 |
| REPAIRS & MAINTENANCE | $169,463 | $155,906 | $13,557 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,287 | TotalAmt |
| Program Services | $118,287 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,932,804 | TotalAmt |
| Program Services | $19,203,952 | ProgramServicesAmt |
| Management And General | $1,728,852 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,938,557 | BOYAmt |
| EOY | $3,599,472 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,798 | BOYAmt |
| EOY | $216,605 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $999,443 | BOYAmt |
| EOY | $484,012 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,982,392 | BOYAmt |
| EOY | $2,567,723 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,190,190 | BOYAmt |
| EOY | $7,190,190 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,954 | BOYAmt |
| EOY | $6,008 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,383 | BOYAmt |
| EOY | $130,158 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,729,864 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,904,789 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,026,565 | BOYAmt |
| EOY | $7,825,075 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $200,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,529 | BOYAmt |
| EOY | $498,504 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,947,811 | BOYAmt |
| EOY | $22,717,747 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,076,961 | BOYAmt |
| EOY | $2,906,891 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,371 | BOYAmt |
| EOY | $180,550 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,868,192 | BOYAmt |
| EOY | $5,298,348 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,035,524 | BOYAmt |
| EOY | $8,385,789 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,912,287 | BOYAmt |
| EOY | $14,331,958 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,912,287 | BOYAmt |
| EOY | $14,331,958 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,947,811 | BOYAmt |
| EOY | $22,717,747 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$580,329 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $9,612,081 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,451,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,806,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,937,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,059,407 | CurrentTaxYearAmt |
| Total | $51,866,890 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,612,081 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,451,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,806,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,937,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,059,407 | CurrentTaxYearAmt |
| Total | $51,866,890 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $51,866,890 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,686 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,111 | CurrentTaxYearAmt |
| Total | $270,659 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $205,988 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $286,398 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $790,759 | CurrentTaxYearAmt |
| Total | $1,283,145 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $53,420,694 | TotalSupportAmt |
| Public Support CY170 | 0.97090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.86340 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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) |
|---|---|---|
| Investment Cost Or Other Basis | $567,475 | InvestmentCostOrOtherBasisAmt |
| Book Value | $567,475 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $9,555,937 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,619,890 | DepreciationAmt |
| Book Value | $5,936,047 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,606,452 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,284,899 | DepreciationAmt |
| Book Value | $1,321,553 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,825,075 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,423,677 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $71,202 | OtherRevenueAmt |
| Revenue Not Reported | $71,202 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,352,475 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,352,475 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,004,006 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $71,202 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $71,202 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,932,804 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,932,804 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE CENTER DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. THE FEDERAL AND STATE TAX RETURNS OF THE CENTER FOR 2011, 2012, AND 2013 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EVENT EXPENSES - SEE SCHEDULE G 71,202. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EVENT EXPENSES - SEE SCHEDULE G 71,202. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $100,677 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $85,825 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,852 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,945 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,697 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $40,033 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,987 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $19,540 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $100,677 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $85,825 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $14,852 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,945 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,697 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $40,033 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,987 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,540 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $71,202 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$56,350 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCIS THAM | ||||||||||||||
| DENTAL DIRECTOR | $168,248 | $0 | $15,179 | $0 | $0 | $0 | $6,007 | $0 | $14,399 | $0 | $203,833 | $0 | $0 | $0 |
| WARREN BRODINE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER UNTIL 02/14 | $198,919 | $0 | $10,000 | $0 | $0 | $0 | $8,357 | $0 | $6,700 | $0 | $223,976 | $0 | $0 | $0 |
| ROBERT MAZIARKA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $166,964 | $0 | $7,568 | $0 | $0 | $0 | $5,993 | $0 | $14,399 | $0 | $194,924 | $0 | $0 | $0 |
| CARL B TOREN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $217,014 | $0 | $26,992 | $0 | $0 | $0 | $8,509 | $0 | $21,184 | $0 | $273,699 | $0 | $0 | $0 |
| LISA DANIEL | ||||||||||||||
| PHYSICIAN | $203,972 | $0 | $26,168 | $0 | $0 | $0 | $9,205 | $0 | $20,473 | $0 | $259,818 | $0 | $0 | $0 |
| JACQUELINE GERVAIS | ||||||||||||||
| PHYSICIAN | $220,420 | $0 | $28,949 | $0 | $0 | $0 | $6,214 | $0 | $6,700 | $0 | $262,283 | $0 | $0 | $0 |
| PRAMODE KESHAVA | ||||||||||||||
| PHYSICIAN | $187,037 | $0 | $5,263 | $0 | $0 | $0 | $6,175 | $0 | $14,399 | $0 | $212,874 | $0 | $0 | $0 |
| MARJORIE MICHEL | ||||||||||||||
| PHYSICIAN | $187,144 | $0 | $19,350 | $0 | $0 | $0 | $7,135 | $0 | $6,700 | $0 | $220,329 | $0 | $0 | $0 |
| ERICKA SEARLES | ||||||||||||||
| PHYSICIAN | $182,017 | $0 | $14,064 | $0 | $0 | $0 | $7,843 | $0 | $20,473 | $0 | $224,397 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTOR GUADALUPE (LUPE) VALADEZ AND CHAIRMAN NICK VALADEZ RELATIONSHIP: FATHER AND SON |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO MANAGEMENT OF THE CENTER, WHO REVIEWS THE FORM AND PRESENTS THE INFORMATION TO THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE. THE BOARD AND AUDIT COMMITTEE THEN APPROVE THE FORM 990. |
| 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 THEIR CONFLICTS, POTENTIAL CONFLICTS, AND SITUATIONS THAT COULD BE PERCEIVED TO BE CONFLICTS. THE CENTER THEN EVALUATES THESE STATEMENTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR CEO AND OTHER KEY EMPLOYEES COMPENSATION, THE CENTER NEGOTIATED BASED ON THE 990S FROM SIMILAR ORGANIZATIONS IN THE GREATER CHICAGOLAND AREA. COMPENSATION AMOUNTS WERE SET AT THE LOW END OF COMPARABLE ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENT ARE AVAILABLE UPON REQUEST TO THE CENTER. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART VI, LINES 16A AND B | THE ORGANIZATION'S BYLAWS INDICATE THAT THE ORGANIZATION WILL NOT CARRY ON ANY ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. PRIOR TO INVESTING OR PARTICIPATING IN A JOINT VENTURE OR SIMILAR ARRANGEMENT WITH A TAXABLE ENTITY, THE ORGANIZATION FOLLOWS A POLICY REQUIRING IT TO ENGAGE AND CONSULT WITH LEGAL COUNSEL IN ORDER TO EVALUATE ITS PARTICIPATION AND ENSURE THE ARRANGEMENT DOES NOT VIOLATE ESPERANZAS BYLAWS OR COMPLIANCE POLICY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHICAGO FAMILY HEALTH CENTER FOUNDATION | ||||||||||
| 9119 SOUTH EXCHANGE AVE | CHICAGO | IL | 60617 | 453732286 | SUPPORTING ORGINZATION 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) | N/A | CFHC | 0 |
| 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 | Yes (1) | 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 | Yes (1) | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHICAGO FAMILY HEALTH CENTER FOUNDATION | ||
| D | $138,602 | ACCOUNTING RECORDS |
| CHICAGO FAMILY HEALTH CENTER TITLE HOLDING CORPORATION NFP | ||
| D | $79,105 | ACCOUNTING RECORDS |
| CHICAGO FAMILY HEALTH CENTER TITLE HOLDING CORPORATION NFP | ||
| K | $39,083 | ACCOUNTING RECORDS |