2015-04-24T08:25:09-05:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2013-07-01 362893854 CHICAGO FAMILY HEALTH CENTER INC CHIC 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 7737685000 2015-04-17 1 GREGORY S ADAMS P00095597 6305738600 2013 2016-02-25 16:41:14Z BARRETT HATCHES 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 20423677 0 X CHICAGOFAMILYHEALTH.ORG X 1976 IL TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS. 13 13 266 0 0 0 13937408 9059407 9666574 10462548 100057 96111 262993 734409 23967032 20352475 0 0 0 0 12998837 13307635 0 0 0 6203686 7625169 19202523 20932804 4764509 -580329 24947811 22717747 10035524 8385789 14912287 14331958 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. 0 0 18078025 10462548 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. 670117 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. 455810 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. 19203952 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 266 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 S EXCHANGE AVENUE CHICAGO IL 60617 NORA REYES CHAIR 2.00 X 0 0 0 NICK VALADEZ VICE CHAIR 2.00 X 0 0 0 JULIUS ALEXANDER TREASURER 2.00 X 0 0 0 FULTON NOLEN JR SECRETARY 2.00 X 0 0 0 REV MARK BRUMMEL CMF DIRECTOR 2.00 X 0 0 0 TORIN EDMOND DIRECTOR 2.00 X 0 0 0 JULIA MUNOZ DIRECTOR 2.00 X 0 0 0 ELVIA PEREZ DIRECTOR 2.00 X 0 0 0 JAMES SIMMONS DIRECTOR 2.00 X 0 0 0 LYLETH RODRIGUEZ DIRECTOR 2.00 X 0 0 0 LUPE VALADEZ DIRECTOR 2.00 X 0 0 0 TONY ZIAK DIRECTOR 2.00 X 0 0 0 FRANCIS THAM DENTAL DIRECTOR 40.00 X 183427 0 20406 WARREN BRODINE CHIEF EXECUTIVE OFFICER UNTIL 02/14 40.00 X 208919 0 15057 MISTY DRAKE CHIEF OPERATING OFFICER 40.00 X 97139 0 0 ROBERT MAZIARKA CHIEF FINANCIAL OFFICER 40.00 X 174532 0 20392 JAMES SOCHA CHIEF INFORMATION OFFICER 40.00 X 119144 0 25219 CARL B TOREN CHIEF MEDICAL OFFICER 40.00 X 244006 0 29693 MARIA VARGAS CHIEF PROGRAM OFFICER 40.00 X 84219 0 10202 LISA DANIEL PHYSICIAN 40.00 X 230140 0 29678 JACQUELINE GERVAIS PHYSICIAN 40.00 X 249369 0 12914 PRAMODE KESHAVA PHYSICIAN 40.00 X 192300 0 20574 MARJORIE MICHEL PHYSICIAN 40.00 X 206494 0 13835 ERICKA SEARLES PHYSICIAN 40.00 X 196081 0 28316 2185770 0 226286 11 0 1 0 BULLEY & ANDREWS 1755 WEST ARMITAGE AVENUE CHICAGO IL 60622 CONSTRUCTION 1652147 OSIS 8790 GOVERNORS HILL DRIVE SUITE 20 CINCINNATI OH 45249 EHR HOSTING 525678 NEXTGEN 795 HORSHAM ROAD HORSHAM PA 19044 ELECTRONIC HEALTH RECORDS (EHR) 329718 BENCO DENTAL 201 HANSEN COURT WOOD DALE IL 60191 DENTAL SUPPLIES 316133 STAFF CARE 12400 HIGH BLUFF DR 100 SAN DIEGO CA 92130 LOCUMS 286248 23 85825 7660148 1313434 9059407 MEDICAL AND DENTAL SERVICE FEES 621300 10462548 10462548 10462548 96111 96111 14852 85825 71202 -56350 -56350 OTHER REVENUE 621300 790759 790759 790759 20352475 10462548 0 830520 2321531 2135809 185722 8656535 7964012 692523 432705 398089 34616 1133771 1043069 90702 763093 702046 61047 133278 122616 10662 80000 73600 6400 1571780 1446038 125742 69231 69231 624237 574298 49939 947631 871821 75810 1124687 1034712 89975 80550 74106 6444 254752 234372 20380 908758 836057 72701 135487 124648 10839 MISCELLANEOUS 692654 637242 55412 DENTAL/MEDICAL SUPPLIES 541962 498605 43357 LICENSES & DUES 172412 158619 13793 REPAIRS & MAINTENANCE 169463 155906 13557 118287 118287 20932804 19203952 1728852 0 4938557 3599472 222798 216605 999443 484012 1982392 2567723 7190190 7190190 42954 6008 143383 130158 14729864 6904789 9026565 7825075 200000 401529 498504 24947811 22717747 3076961 2906891 90371 180550 6868192 5298348 10035524 8385789 X 14912287 14331958 14912287 14331958 24947811 22717747 -580329 0 X X 0 1 X 1 1 1 X 9612081 9451144 9806850 13937408 9059407 51866890 9612081 9451144 9806850 13937408 9059407 51866890 51866890 41850 17686 14955 100057 96111 270659 205988 286398 790759 1283145 53420694 0.97090 0.86340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 567475 567475 9555937 3619890 5936047 4606452 3284899 1321553 7825075 X 20423677 71202 71202 20352475 0 20352475 21004006 71202 71202 20932804 0 20932804 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. ANNUAL GALA 100677 85825 14852 2945 4697 40033 3987 19540 100677 85825 14852 2945 4697 40033 3987 19540 71202 -56350 X X X 0 0 0 0 0 0 0 0 0 FRANCIS THAM DENTAL DIRECTOR 168248 0 15179 0 0 0 6007 0 14399 0 203833 0 0 0 WARREN BRODINE CHIEF EXECUTIVE OFFICER UNTIL 02/14 198919 0 10000 0 0 0 8357 0 6700 0 223976 0 0 0 ROBERT MAZIARKA CHIEF FINANCIAL OFFICER 166964 0 7568 0 0 0 5993 0 14399 0 194924 0 0 0 CARL B TOREN CHIEF MEDICAL OFFICER 217014 0 26992 0 0 0 8509 0 21184 0 273699 0 0 0 LISA DANIEL PHYSICIAN 203972 0 26168 0 0 0 9205 0 20473 0 259818 0 0 0 JACQUELINE GERVAIS PHYSICIAN 220420 0 28949 0 0 0 6214 0 6700 0 262283 0 0 0 PRAMODE KESHAVA PHYSICIAN 187037 0 5263 0 0 0 6175 0 14399 0 212874 0 0 0 MARJORIE MICHEL PHYSICIAN 187144 0 19350 0 0 0 7135 0 6700 0 220329 0 0 0 ERICKA SEARLES PHYSICIAN 182017 0 14064 0 0 0 7843 0 20473 0 224397 0 0 0 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. 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 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 CHICAGO FAMILY HEALTH CENTER FOUNDATION D 138602 ACCOUNTING RECORDS CHICAGO FAMILY HEALTH CENTER TITLE HOLDING CORPORATION NFP D 79105 ACCOUNTING RECORDS CHICAGO FAMILY HEALTH CENTER TITLE HOLDING CORPORATION NFP K 39083 ACCOUNTING RECORDS