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GREATER FAMILY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GREATER FAMILY HEALTH (EIN 36-4249586)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-13
IRS object ID
201400449349301115
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-02-13T09:56:34-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN362985770EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SELDEN FOX LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1619 ENTERPRISE DRIVEAddressLine1
CityOAK BROOKCity
StateILState
ZIP Code605238835ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364249586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGREANameControl
Phone8476081344Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJASON CAREYName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8476081344Phone
Date Signed2013-12-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARGARET MCGINNISName
PTINP00284587PTIN
Phone6309541400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT TANNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14244003GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GEFCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionGREATER 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees189TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7194148ContributionsGrantsPriorYear
Contributions Grants Current Year3319019ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7420507ProgramServiceRevenuePriorYear
Program Service Revenue CY9898765ProgramServiceRevenueCY
Investment Income Prior Year19255InvestmentIncomePriorYear
Investment Income Current Year21938InvestmentIncomeCurrentYear
Other Revenue Prior Year464240OtherRevenuePriorYear
Other Revenue Current Year1004281OtherRevenueCurrentYear
Total Revenue Prior Year15098150TotalRevenuePriorYear
Total Revenue Current Year14244003TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year600000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY100000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6785138SalariesEtcPriorYear
Salaries Etc Current Year8578481SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4119366OtherExpensePriorYear
Other Expenses Current Year5005056OtherExpensesCurrentYear
Total Expenses Prior Year11504504TotalExpensesPriorYear
Total Expenses Current Year13683537TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3593646RevenuesLessExpensesPriorYear
Revenues Less Expenses CY560466RevenuesLessExpensesCY
Total Assets BOY11036735TotalAssetsBOY
Total Assets EOY11815650TotalAssetsEOY
Total Liabilities BOY2260331TotalLiabilitiesBOY
Total Liabilities EOY2478780TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8776404NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9336870NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY, AFFORDABLE HEALTH CARE FOR ALL, INCLUDING THOSE WITHOUT THE ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12125357Expense
Grants100000Grants
Revenue10887231Revenue
DescriptionGREATER 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 AND SYCAMORE COMMUNITIES. DUE TO THE RECENT ECONOMIC RECESSION AND 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.Description
Total Program Service Expense12125357TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees189NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JASON CAREY - CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8476081344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARIA CUMPATA
BOARD CHAIR1.000.10XX000
BETH TZE
CHAIR ELECT1.000.10XX000
ELIZABETH HOEFT
SECRETARY1.000.10XX000
JACKIE BRITTAIN
TREASURER1.000.10XX000
CARA ANDERSON
DIRECTOR1.000.10X000
DONNA ANDERSON
DIRECTOR1.000.10X000
JUDY BALCITIS
DIRECTOR1.000.10X000
PAUL BEDNAR
DIRECTOR1.000.10X000
DEBBIE EVERETT
DIRECTOR1.000.10X000
KEITH GOLDEN
DIRECTOR1.000.10X000
LORRAINE KOPCZYNSKI
DIRECTOR1.000.10X000
MORRIS MALLORY
DIRECTOR1.000.10X000
TRISH SIMON
DIRECTOR1.000.10X000
BOB STEPHENS
DIRECTOR1.000.10X000
ROBERT TANNER
PRESIDENT/CEO40.000.30X202900025512
JASON CAREY
CFO40.001.00X94960019800
VERONICA GUADALUPE FONSECA
COO40.000.20X133741010031
MARK THOMPSON
MEDICAL DIRECTOR, MD40.000.00189514022064X
MAZHAR ZAIDI
MD40.000.00158394017475X
THOMAS DOVIDIO
MD40.000.00148470019351X
NAAZ AZIZ
MD40.000.0013993102500X
NABANITA BHOWMICK
MD40.000.0013706509034X
ARTHUR ARAGONES
MD40.000.00142238024229X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1347213TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation149996TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LAMP INCORPROATED
460 N GROVE AVEELGINIL60120CONSTRUCTION SERVICES695164
DR STEPHEN GLADDIN
4929 RFDLONG GROVEIL60047MEDICAL SERVICES - OBSTETRICS614853
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC272162140LABORATORY SERVICES289232
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL606809390ELECTRONIC HEALTH RECORD AND PRACTICE MA246291
MARGARET NETTLETON MD
370 COVINGTON DRIVEBARRINGTONIL60010MEDICAL SERVICES100567
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants2961074GovernmentGrants
All Other Contributions357945AllOtherContributions
Total Contributions3319019TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column9898765TotalRevenueColumn
Related Or Exempt Function Income9898765RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9898765TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21938TotalRevenueColumn
Exclusion$21,938ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real15815Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15815Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15815TotalRevenueColumn
Exclusion$15,815ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column988466TotalRevenueColumn
Related Or Exempt Function Income988466RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue988466TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14244003TotalRevenueColumn
Related Or Exempt Function Income10887231RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,753ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total100000Total
Program Services100000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total721924Total
Program Services299129ProgramServices
Management And General422795ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6494716Total
Program Services6021800ProgramServices
Management And General472916ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total855805Total
Program Services757588ProgramServices
Management And General98217ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total506036Total
Program Services451573ProgramServices
Management And General54463ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29557Total
Management And General29557ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19618Total
Management And General19618ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1343963Total
Program Services1286002ProgramServices
Management And General57961ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total120796Total
Program Services118802ProgramServices
Management And General1994ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1017646Total
Program Services942485ProgramServices
Management And General75161ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total162037Total
Program Services139990ProgramServices
Management And General22047ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total906590Total
Program Services783683ProgramServices
Management And General122907ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total48774Total
Program Services23239ProgramServices
Management And General25535ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33267Total
Program Services4078ProgramServices
Management And General29189ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total284997Total
Program Services252147ProgramServices
Management And General32850ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total16666Total
Management And General16666ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LAB SERVICES476354476354
BAD DEBT EXPENSE362611362611
REPAIRS AND MAINTENANCE1083779649011887
DUES AND MEMBERSHIPS3383857533263

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39965Total
Program Services8811ProgramServices
Management And General31154ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13683537Total
Program Services12125357ProgramServices
Management And General1558180ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1904192BOY
EOY193869EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY2623311EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4214354BOY
EOY3291755EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1636271BOY
EOY1732454EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY188704BOY
EOY180997EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5018249LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1266805LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2976611BOY
EOY3751444EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY39651BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY76952BOY
EOY41820EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11036735BOY
EOY11815650EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY828252BOY
EOY1056050EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1432079BOY
EOY1422730EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2260331BOY
EOY2478780EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6194575BOY
EOY7549724EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2581829BOY
EOY1787146EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8776404BOY
EOY9336870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11036735BOY
EOY11815650EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses560466ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2476688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2808704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3931716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7194148CurrentTaxYearMinus1Year
Current Tax Year3319019CurrentTaxYear
Total19730275Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2476688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2808704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3931716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7194148CurrentTaxYearMinus1Year
Current Tax Year3319019CurrentTaxYear
Total19730275Total
FieldValueIRS element (for citing)
Public Support Total17019730275PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50709CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28670CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32627CurrentTaxYearMinus1Year
Current Tax Year37753CurrentTaxYear
Total183442Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years332818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years413464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years431125CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year450868CurrentTaxYearMinus1Year
Current Tax Year988466CurrentTaxYear
Total2616741Total
FieldValueIRS element (for citing)
Total Support22530458TotalSupport
Gross Receipts From Admissions Etc36452157GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.87570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89710PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART II, SECTION B, LINE 10: OTHER INCOME CONSISTS OF PROGRAM CARE MANAGEMENT FEES AND ELECTRONIC MEDICAL RECORD IMPLEMENTATION INCENTIVE PAYMENTS RECEIVED BY THE ORGANIZATION.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis296585OtherCostOrOtherBasis
Book Value296585BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2036361OtherCostOrOtherBasis
Depreciation76364Depreciation
Book Value1959997BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1493242OtherCostOrOtherBasis
Depreciation326364Depreciation
Book Value1166878BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1192061OtherCostOrOtherBasis
Depreciation864077Depreciation
Book Value327984BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3751444TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient262608680EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant100000AmountOfCashGrant
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: EXCESS PROGRAM INCOME IS DISTRIBUTED TO A RELATED ORGANIZATION FOR INVESTMENT. THE RELATED ORGANIZATION'S FINANCIAL STATEMENTS ARE MONITORED THROUGH THE OVERLAP IN MANAGMENT AND PRESENTED MONTHLY TO THE BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT TANNER
PRESIDENT/CEO2029000000085450169670228412000
MARK THOMPSON
MEDICAL DIRECTOR, MD1895140000075740144900211578000
MAZHAR ZAIDI
MD1583940000000174750175869000
THOMAS DOVIDIO
MD1484700000014500179010167821000
ARTHUR ARAGONES
MD1422380000057780184510166467000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST CERTIFICATION STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15SALARIES 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 19WE 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

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTER BUILDING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode
FieldValueIRS element (for citing)
EIN364249586EIN
Primary ActivitiesASSET MANAGEMENTPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTERBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1370 SUMMIT STREETAddressLine1
CityELGINCity
StateILState
ZIP Code60120ZIPCode
FieldValueIRS element (for citing)
EIN262608680EIN
Primary ActivitiesPROVIDE STEWARDSHIP OF ASSETS INVESTED TO SUPPORT THE OPERATIONS OF GEFCCPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 8PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved100000AmountInvolved
Method Of Amt DeterminationCASH TRANSFERREDMethodOfAmtDetermination