PCC COMMUNITY WELLNESS CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PCC COMMUNITY WELLNESS CENTER (EIN 36-3828320)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-03-13
- IRS object ID
- 201420729349300912
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-03-13T17:55:58-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHELL & TITUS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE BATTERY PARK PLAZA | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363828320 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCC COMMUNITY WELLNESS CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % ROBERT URSO | InCareOfName |
| Name Control | PCCC | NameControl |
| Phone | 7083830113 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 WEST LAKE STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Oak Park | City |
| State | IL | State |
| ZIP Code | 60302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert J Urso | Name |
| Title | President & CEO | Title |
| Phone | 7083837340 | Phone |
| Date Signed | 2014-03-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN M FULLER | Name |
| Phone | 2127094500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT URSO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 WEST LAKE STREET | AddressLine1 |
| City | OAK PARK | City |
| State | IL | State |
| ZIP Code | 60302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 25117522 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PCCWELLNESS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE HEALTH CARE SERVICE PROGRAMS AND COMMUNITY HEALTH CENTERS FOR THE MEDICALLY UNDERSERVED LIVING IN CHICAGO'S WESTSIDE COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 365 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6040675 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5884000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18067234 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19151341 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 47677 | InvestmentIncomePriorYear |
| Investment Income Current Year | 80750 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1163978 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1431 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 25319564 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25117522 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16108182 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16537101 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 30372 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6958668 | OtherExpensePriorYear |
| Other Expenses Current Year | 6754505 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23066850 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23291606 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2252714 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1825916 | RevenuesLessExpensesCY |
| Total Assets BOY | 30989004 | TotalAssetsBOY |
| Total Assets EOY | 30681422 | TotalAssetsEOY |
| Total Liabilities BOY | 14031712 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11898214 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16957292 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18783208 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF PCC COMMUNITY WELLNESS CENTER IS TO IMPROVE HEALTH OUTCOMES FOR THE MEDICALLY UNDERSERVED COMMUNITY THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, AND ACCESSIBLE PRIMARY HEALTH CARE AND SUPPORT SERVICES. WE ARE COMMITTED TO SERVING THE NEEDS OF MEN, WOMEN, AND CHILDREN IN ALL LIFECYCLES, WHILE WE CONTINUE TO SPECIALIZE IN THE DELIVERY OF COMPREHENSIVE MATERNAL AND CHILD HEALTH SERVICES TO ADDRESS THIS UNMET NEED IN OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 18323950 | Expense |
| Grants | 0 | Grants |
| Revenue | 19151341 | Revenue |
| Description | PCC provides health care services to the community. PCC health care services include: Pediatric and adolescent health care that includes well-child exams, immunizations, sick infant/child exams, school and sports physicals, and lead screenings; Women's health care (OB/GYN) that includes maternity care and delivery, Pap smears, and breast cancer screenings; Adult health care; Senior health care; Diagnosis and treatment of illness; Disease screening and prevention; Family planning (Birth control); Management of chronic illnesses such as asthma, diabetes, and high blood pressure; HIV testing, counseling, and primary care; and dental care and referral. | Description |
| Total Program Service Expense | 18323950 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 365 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT URSO | NamePerson |
| Telephone Number | 7083830113 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 WEST LAKE STREET | AddressLine1 |
| City | OAK PARK | City |
| State | IL | State |
| ZIP Code | 60302 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Ron Austin | |||||||
| Chairperson | 2.0 | X | X | 0 | 0 | 0 | |
| Carolyn Fitzpatrick | |||||||
| Vice Chairperson | 2.0 | X | X | 0 | 0 | 0 | |
| Kenneth Blair | |||||||
| Treasurer | 2.0 | X | X | 0 | 0 | 0 | |
| Melinda Malecki | |||||||
| Secretary | 2.0 | X | X | 0 | 0 | 0 | |
| Shawnda Steer | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Rhonda Stuart | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Patricia Ford | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| John McDonnell | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Barbara Diggins | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Teresa Reyes | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Mariana Osoria | |||||||
| Director | 2.0 | X | 0 | 0 | 0 | ||
| Robert J Urso | |||||||
| President and Chief Executive | 40.0 | X | 249783 | 0 | 4484 | ||
| Paul Luning | |||||||
| Chief Medical Officer | 40.0 | X | 221831 | 0 | 6565 | ||
| Lynn Hopkins | |||||||
| Chief Operating Officer | 36.0 | X | 112715 | 0 | 139 | ||
| Yam-Shun Tong | |||||||
| OB/GYN Physician | 40.0 | 383869 | 0 | 139 | X | ||
| Maureen Ruder | |||||||
| OB/GYN Physician | 40.0 | 216766 | 0 | 6196 | X | ||
| Karole A Lakota | |||||||
| Family Practice Physician | 40.0 | 215495 | 0 | 4345 | X | ||
| Bertha Lopez | |||||||
| OB/GYN Physician | 40.0 | 214962 | 0 | 713 | X | ||
| Christine Swartz | |||||||
| Family Practice Physician | 40.0 | 201262 | 0 | 2493 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1816683 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 25074 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Global Insight Solutions | |||||
| 2010 N Harlem Avenue | ELMWOOD PARK | IL | 60707 | Medical Billing Serv | 579483 |
| Alliance of Chicago | |||||
| 215 W Ohio Street 4th Floor | CHICAGO | IL | 60654 | Practice Management | 314481 |
| The Frana Group | |||||
| 819 North Main Street | ROCKFORD | IL | 61103 | Accounting Services | 186460 |
| Norwegian American Hospital | |||||
| Fiscal Services 1044 N Francisco A | CHICAGO | IL | 60622 | Physician Services | 186115 |
| US Security Associates Inc | |||||
| 200 Mansell Court 5th Floor | ROSWELL | GA | 30076 | Securtiy Services | 182255 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Government Grants | 5862480 | GovernmentGrants |
| All Other Contributions | 21520 | AllOtherContributions |
| Total Contributions | 5884000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES REVENUE | 624100 | 17527350 | 17527350 |
| OTHER SERVICE REVENUE - PHARMACY | 624100 | 699698 | 699698 |
| IN-PATIENT PURCHASED SERVICES | 621400 | 350277 | 350277 |
| OTHER SERVICE REVENUE - INCENTIVES | 624100 | 216262 | 216262 |
| OTHER SERVICE REVENUE - FHN SHARED SERVICE FUND | 624100 | 107670 | 107670 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 250084 | TotalRevenueColumn |
| Related Or Exempt Function Income | 250084 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19151341 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80750 | TotalRevenueColumn |
| Exclusion | $80,750 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1431 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1431 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25117522 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19152772 | RelatedOrExemptFunctionIncome |
| Exclusion | $80,750 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597994 | Total |
| Program Services | 228627 | ProgramServices |
| Management And General | 369367 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13536175 | Total |
| Program Services | 11647226 | ProgramServices |
| Management And General | 1888949 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1320062 | Total |
| Program Services | 966220 | ProgramServices |
| Management And General | 353842 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1082870 | Total |
| Program Services | 895447 | ProgramServices |
| Management And General | 187423 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69159 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 69159 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238857 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 238857 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335563 | Total |
| Program Services | 314585 | ProgramServices |
| Management And General | 20978 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 327478 | Total |
| Program Services | 191835 | ProgramServices |
| Management And General | 135643 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380383 | Total |
| Program Services | 365983 | ProgramServices |
| Management And General | 14400 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45888 | Total |
| Program Services | 40734 | ProgramServices |
| Management And General | 5154 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84145 | Total |
| Program Services | 65146 | ProgramServices |
| Management And General | 18999 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237330 | Total |
| Program Services | 17160 | ProgramServices |
| Management And General | 220170 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691712 | Total |
| Program Services | 439930 | ProgramServices |
| Management And General | 251782 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65727 | Total |
| Program Services | 9144 | ProgramServices |
| Management And General | 56583 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CONTRACTUAL SERVICES | 1809284 | 1511275 | 267637 | 30372 |
| STIPENDS | 153884 | 153884 | 0 | 0 |
| MAINTENANCE&SUPPORT LICENSES | 655132 | 200651 | 454481 | 0 |
| MEDICAL SUPPLIES | 1241466 | 1078491 | 162975 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418497 | Total |
| Program Services | 197612 | ProgramServices |
| Management And General | 220885 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23291606 | Total |
| Program Services | 18323950 | ProgramServices |
| Management And General | 4937284 | ManagementAndGeneral |
| Fundraising | 30372 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5336871 | BOY |
| EOY | 6163192 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1195709 | BOY |
| EOY | 111433 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1429188 | BOY |
| EOY | 1337691 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3031660 | BOY |
| EOY | 2459546 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4752307 | BOY |
| EOY | 4720297 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273404 | BOY |
| EOY | 262921 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19707727 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4262521 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14783320 | BOY |
| EOY | 15445206 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186545 | BOY |
| EOY | 181136 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30989004 | BOY |
| EOY | 30681422 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605173 | BOY |
| EOY | 845171 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2202747 | BOY |
| EOY | 313075 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9721257 | BOY |
| EOY | 9179258 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1502535 | BOY |
| EOY | 1560710 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14031712 | BOY |
| EOY | 11898214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12567198 | BOY |
| EOY | 17864723 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4390094 | BOY |
| EOY | 918485 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16957292 | BOY |
| EOY | 18783208 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30989004 | BOY |
| EOY | 30681422 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1825916 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 519000 | OtherCostOrOtherBasis |
| Book Value | 519000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13512214 | OtherCostOrOtherBasis |
| Depreciation | 752996 | Depreciation |
| Book Value | 12759218 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2364877 | OtherCostOrOtherBasis |
| Depreciation | 1581121 | Depreciation |
| Book Value | 783756 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1371371 | OtherCostOrOtherBasis |
| Depreciation | 958530 | Depreciation |
| Book Value | 412841 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1940267 | OtherCostOrOtherBasis |
| Depreciation | 969876 | Depreciation |
| Book Value | 970391 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15445206 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PAYROLL AND PAYROLL TAXES | $820,094 |
| INTEREST PAYABLE | $47,004 |
| ACCRUED VACATION | $693,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1560710 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Uncertain Tax Positions | Identifier |
| Explanation | The Organization adopted the requirements in Financial Accounting Standards Board (FASB) Accounting Standards Update (ASU) 2009-06 regarding uncertain tax positions. ASU 2009-06 defines how uncertain tax positions should be recognized, measured, presented, and disclosed in the financial statements. The authoritative guidance requires entities to recognize a tax benefit from an uncertain tax position only if it is more-likely-than-not that the position is sustainable based solely on its technical merits and consideration of the relevant taxing authoritys widely understood administrative practices and precedents. The Organization evaluated its tax positions taken or expected to be taken to determine whether the tax positions are more-likely-than-not to be sustained by the applicable taxing authority, and has determined that it currently does not have any uncertain tax positions. The Organizations management believes that the Organization is no longer subject to income tax examinations for the years prior to 2009. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert J Urso | ||||||||||||||
| President and Chief Executive | 245516 | 0 | 0 | 0 | 4267 | 0 | 0 | 0 | 4484 | 0 | 254267 | 0 | 0 | 0 |
| Paul Luning | ||||||||||||||
| Chief Medical Officer | 193435 | 0 | 16000 | 0 | 12396 | 0 | 0 | 0 | 6565 | 0 | 228396 | 0 | 0 | 0 |
| Yam-Shun Tong | ||||||||||||||
| OB/GYN Physician | 229869 | 0 | 0 | 0 | 154000 | 0 | 0 | 0 | 139 | 0 | 384008 | 0 | 0 | 0 |
| Maureen Ruder | ||||||||||||||
| OB/GYN Physician | 209479 | 0 | 1194 | 0 | 6093 | 0 | 0 | 0 | 6196 | 0 | 222962 | 0 | 0 | 0 |
| Karole A Lakota | ||||||||||||||
| Family Practice Physician | 144141 | 0 | 22646 | 0 | 48708 | 0 | 0 | 0 | 4345 | 0 | 219840 | 0 | 0 | 0 |
| Bertha Lopez | ||||||||||||||
| OB/GYN Physician | 214962 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 713 | 0 | 215675 | 0 | 0 | 0 |
| Christine Swartz | ||||||||||||||
| Family Practice Physician | 119562 | 0 | 32054 | 0 | 49646 | 0 | 0 | 0 | 2493 | 0 | 203755 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Line 12c | All transactions and processes are reviewed and monitored through policy, executive management, and ratified by the voting members of the board, if necessary. |
| Form 990, Part VI, Line 15a + 15b | The process of determining compensation for the CEO and other key officers of the organization is done through a review and approval process via the governing body, and subject to ratification of the board. |
| Form 990, Part VI, Line 19 | Governing documents, conflict of interest policy statements, and financial statements are made available upon request. |
| Form 990, Schedule H | Since PCC Community Wellness Center does not operate at least one facility that is, or is required to be, licensed, registered, or similarly recognized by a state as a hospital, there is no need to attach schedule H with this form. |
| Form 990, Part VI, Line 11 | The Department of Finances Chief Financial Officer and Accounting Manager complete the Form 990 information requests for a CPA firm to prepare the return. The Initial return is then reviewed with the Chief Executive Officer. The Draft 990 return is reviewed with the Finance Committee of the Board of Directors and shared with the Board of Directors. Copies of the 990 are made available to the Board of Directors prior to finalization. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCC Qalicb LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 W LAKE STREET | AddressLine1 |
| City | OAK PARK | City |
| State | IL | State |
| ZIP Code | 60302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273160926 | EIN |
| Primary Activities | See Part VII | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | 323151 | TotalIncome |
| EOY Assets | 6528087 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Part VII | BusinessNameLine1 |
Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PCC QALICB, LLC | Form 990, Schedule R, Part I, Column (b) | Primary activity: To serve as the Qualified Active Low-Income Community Business that provides charitable activities in the distressed community. |
| PCC QALICB, LLC | Form 990, Schedule R, Part I, Column (f) | Direct controlling entity: PCC Community Wellness Center. |