ERIE FAMILY HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ERIE FAMILY HEALTH CENTER INC (EIN 36-3088628)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201441359349306984
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T14:46:49-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | 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 | 363088628 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIE FAMILY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ERIE | NameControl |
| Phone | 3126663494 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W SUPERIOR STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60622 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEE FRANCIS | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 3126663494 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY A HAUMANN | Name |
| PTIN | P00546491 | PTIN |
| Phone | 3122071040 | Phone |
| Date Prepared | 2014-05-15 | DatePrepared |
| 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 | LEE FRANCIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W SUPERIOR STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60622 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 39442702 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ERIEFAMILYHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | OPERATE A HEALTHCARE CENTER TO SERVE A LARGELY MEDICALLY UNDERSERVED POPULATION IN CHICAGO. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 482 | TotalNbrEmployees |
| Total Nbr Volunteers | 99 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15418861 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18683641 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18121102 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20686871 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 24361 | InvestmentIncomePriorYear |
| Investment Income Current Year | 27836 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -23415 | OtherRevenuePriorYear |
| Other Revenue Current Year | -6546 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 33540909 | TotalRevenuePriorYear |
| Total Revenue Current Year | 39391802 | 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 | 22641956 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 25556088 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 179443 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 111605 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 501801 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7105852 | OtherExpensePriorYear |
| Other Expenses Current Year | 9735710 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 29927251 | TotalExpensesPriorYear |
| Total Expenses Current Year | 35403403 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3613658 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3988399 | RevenuesLessExpensesCY |
| Total Assets BOY | 25644724 | TotalAssetsBOY |
| Total Assets EOY | 30745854 | TotalAssetsEOY |
| Total Liabilities BOY | 5325144 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6437875 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20319580 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24307979 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ERIE FAMILY MEDICAL CENTER'S (ERIE) MISSION IS TO PROVIDE AFFORDABLE, ACCESSIBLE HIGH-QUALITY CARE TO THOSE IN NEED. IT ACCOMPLISHES THIS OBJECTIVE BY SERVING AS A MEDICAL HOME FOR THE MORE THAN 50,000 PATIENTS EACH YEAR AND CONTINUOUSLY EVOLVING TO RESPOND TO THE NEEDS OF EACH COMMUNITY IT SERVES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 25223519 | Expense |
| Revenue | 18952776 | Revenue |
| Description | ERIE FAMILY HEALTH CENTER PROVIDES COMPREHENSIVE PRIMARY CARE SERVICES AT THIRTEEN SITES IN CHICAGO AND THE NORTHERN SUBURBS, INCLUDING: SIX LARGE PRIMARY HEALTH CARE CENTERS, ONE ADOLESCENT-ONLY HEALTH CENTER, FIVE SCHOOL-BASED HEALTH CENTERS, AND THREE DENTAL HEALTH CENTERS. ERIE'S PRIMARY CARE MEDICAL SERVICES INCLUDE PEDIATRICS, INTERNAL MEDICINE, FAMILY MEDICINE, AND WOMEN'S HEALTH. IN ADDITION, ERIE PROVIDES ORAL HEALTH SERVICES, PODIATRY, HIV/AIDS CARE, EYE CARE, BEHAVIORAL HEALTH COUNSELING, CASE MANAGEMENT SERVICES AND HEALTH EDUCATION. EIGHTY-FIVE PERCENT OF ERIE'S PATIENTS LIVE AT OR BELOW TWO-HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL AND THIRTHY PERCENT ARE UNINSURED. ERIE'S HIGHLY SKILLED PROVIDERS, INNOVATIVE PARTNERSHIPS AND FORWARD-THINKING APPROACH MAKE IT A NATIONAL LEADER FOR THE PROVISION OF COMMUNITY-BASED HEALTH CARE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2824573 | Expense |
| Revenue | 1734095 | Revenue |
| Description | ERIE'S AWARD-WINNING ORAL HEALTH PROGRAM SERVES MORE THAN 9,000 LOW-INCOME CHICAGOANS PER YEAR, INCLUDING CHILDREN AND THEIR NUCLEAR FAMILY MEMBERS, DIABETICS, INDIVIDUALS WITH HIV/AIDS AND PREGNANT WOMEN. SERVICES PROVIDED INCLUDE ROUTINE CLEANINGS, X-RAYS, SEALANTS, FILLINGS, CROWNS, ROOT CANALS AND TOOTH EXTRACTIONS. ERIE FOCUSES NOT ONLY ON TREATING, BUT ALSO ON PREVENTING ORAL HEALTH PROBLEMS. ORAL CARE IS INTEGRATED INTO THE PRIMARY MEDICAL CARE OFFERED AT ALL ERIE LOCATIONS. IN ADDITION, ERIE PROVIDES ORAL HEALTH EDUCATION TO MORE THAN 2,500 COMMUNITY MEMBERS ANNUALLY. TO CONTINUE TO MEET THE GROWING COMMUNITY NEED FOR AFFORDABLE HIGH-QUALITY CARE, ERIE PLANS TO DOUBLE ITS DENTAL CARE CAPACITY WITHIN THE NEXT FIVE YEARS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 28048092 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 42 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 482 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY RAJU | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3124322725 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 WEST SUPERIOR STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60622 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 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 |
|---|---|---|---|---|---|---|---|
| BRIAN P MARSELLA | |||||||
| BOARD CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| ANA MARIA SOTO | |||||||
| BOARD VICE CHAIR | 1.50 | X | X | 0 | 0 | 0 | |
| ERIC MAYEDA | |||||||
| BOARD TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| DEBORAH B WRIGHT-POWELL | |||||||
| BOARD SECRETARY | 1.50 | X | X | 0 | 0 | 0 | |
| WILLIAM KISTNER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| DANIEL J TOUNSEL III | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROSALIE ALICEA | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| CELESTE CASTILLO | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| MICHAEL COLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LINDA CUSHMAN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| PILAR GONZALEZ | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARIA HERNANDEZ | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| REVEREND ED SARDEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DARYL TOM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HUMBERTO URIBE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KATHERINE WILSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JULIE ZERWIC | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MATT AARONSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JILL SIMON SVOBODA | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| JACQUELINE CERVANTES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| AMELIA MADRIGAL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUAN FERNANDO JAUREGI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUAN LILIA VIVAR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEE FRANCIS | |||||||
| PRESIDENT & CEO | 40.00 | X | X | 208062 | 0 | 6475 | |
| DAVID R BUCHANAN | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | X | 198213 | 0 | 14342 | ||
| ILIANA MORA | |||||||
| SENIOR VP OF STRATEGY & BU | 40.00 | X | 173419 | 0 | 3477 | ||
| RAMON BARAJAS | |||||||
| OB/GYN PHYSICIAN | 40.00 | 242192 | 0 | 8691 | X | ||
| DEBORAH L EDBERG | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 211590 | 0 | 11463 | X | ||
| MIRIAH D PLAWER-VOLMERDING | |||||||
| OB/GYN PHYSICIAN | 40.00 | 203326 | 0 | 3891 | X | ||
| FRANK CASTILLO | |||||||
| MEDICAL OFFICER | 40.00 | 175953 | 0 | 10460 | X | ||
| FRED RACHMAN | |||||||
| MEDICAL OFFICER | 40.00 | 193826 | 0 | 6462 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1606581 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 65261 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LAB CORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB SERVICES | 808593 |
| MCKESSON MEDICAL SURGICAL | |||||
| PO BOX 93302 | ATLANTA | GA | 31193 | MEDICAL SUPPLIES | 634187 |
| TRINIDAD CONSTRUCTION | |||||
| 9449 S KEDZIE AVE SUITE 147 | EVERGREEN PARK | IL | 60805 | CONSTRUCTION | 597781 |
| ALLIANCE OF CHICAGO | |||||
| 215 W OHIO ST 4TH FLOOR | CHICAGO | IL | 60654 | SUPPORT SERVICES | 516297 |
| TYPANI INC | |||||
| 25550 NETWORK PLACE | CHICAGO | IL | 60673 | IT CONSULTING | 316419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| Fundraising Events | 150600 | FundraisingEvents |
| Government Grants | 6138824 | GovernmentGrants |
| All Other Contributions | 12394217 | AllOtherContributions |
| Total Contributions | 18683641 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 624100 | 17822606 | 17822606 |
| SELF-PAY | 624100 | 2151810 | 2151810 |
| KID CARE/HEALTHY MOM | 624100 | 546817 | 546817 |
| ALLIANCE EQUITY INCOME | 624100 | 139250 | 139250 |
| MEDICAL RECORD FEES | 624100 | 17736 | 17736 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8652 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8652 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20686871 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27836 | TotalRevenueColumn |
| Exclusion | $27,836 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 44354 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 150600 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 50900 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6546 | TotalRevenueColumn |
| Exclusion | -$6,546 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39391802 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20686871 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $21,290 | ExclusionAmount |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 612968 | Total |
| Program Services | 358559 | ProgramServices |
| Management And General | 254409 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21085641 | Total |
| Program Services | 17375334 | ProgramServices |
| Management And General | 3416935 | ManagementAndGeneral |
| Fundraising | 293372 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234629 | Total |
| Program Services | 171982 | ProgramServices |
| Management And General | 62647 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2153012 | Total |
| Program Services | 1477009 | ProgramServices |
| Management And General | 637811 | ManagementAndGeneral |
| Fundraising | 38192 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1469838 | Total |
| Program Services | 1056082 | ProgramServices |
| Management And General | 392451 | ManagementAndGeneral |
| Fundraising | 21305 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177348 | Total |
| Management And General | 177348 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111605 | Total |
| Fundraising | 111605 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534560 | Total |
| Program Services | 433560 | ProgramServices |
| Management And General | 79287 | ManagementAndGeneral |
| Fundraising | 21713 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64212 | Total |
| Program Services | 51322 | ProgramServices |
| Management And General | 12890 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 665278 | Total |
| Program Services | 556739 | ProgramServices |
| Management And General | 107196 | ManagementAndGeneral |
| Fundraising | 1343 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1342896 | Total |
| Program Services | 718711 | ProgramServices |
| Management And General | 624185 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33216 | Total |
| Program Services | 20637 | ProgramServices |
| Management And General | 11403 | ManagementAndGeneral |
| Fundraising | 1176 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204192 | Total |
| Program Services | 126866 | ProgramServices |
| Management And General | 75671 | ManagementAndGeneral |
| Fundraising | 1655 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69175 | Total |
| Management And General | 69175 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1639427 | Total |
| Program Services | 1191765 | ProgramServices |
| Management And General | 441824 | ManagementAndGeneral |
| Fundraising | 5838 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182508 | Total |
| Program Services | 156245 | ProgramServices |
| Management And General | 26263 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED DIAGNOSTIC S | 825861 | 825861 | |
| EQUIPMENT RENTAL & MAIN | 783461 | 502341 | 281120 |
| MEDICAL AND LAB SUPPLIE | 770289 | 770289 | |
| BAD DEBT | 616511 | 616511 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1826776 | Total |
| Program Services | 1638279 | ProgramServices |
| Management And General | 182895 | ManagementAndGeneral |
| Fundraising | 5602 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35403403 | Total |
| Program Services | 28048092 | ProgramServices |
| Management And General | 6853510 | ManagementAndGeneral |
| Fundraising | 501801 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4287556 | BOY |
| EOY | 5576029 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4444807 | BOY |
| EOY | 4463123 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2246543 | BOY |
| EOY | 4619261 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3274264 | BOY |
| EOY | 2473064 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357305 | BOY |
| EOY | 446434 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22656276 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10290994 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10420891 | BOY |
| EOY | 12365282 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466365 | BOY |
| EOY | 640198 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146993 | BOY |
| EOY | 162463 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25644724 | BOY |
| EOY | 30745854 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2661080 | BOY |
| EOY | 4087868 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220363 | BOY |
| EOY | 22259 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1611591 | BOY |
| EOY | 1493224 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 832110 | BOY |
| EOY | 834524 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5325144 | BOY |
| EOY | 6437875 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19919892 | BOY |
| EOY | 21285597 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399688 | BOY |
| EOY | 3022382 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20319580 | BOY |
| EOY | 24307979 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25644724 | BOY |
| EOY | 30745854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 3988399 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10716883 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11249810 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13455508 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15418861 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18546525 | CurrentTaxYear |
| Total | 69387587 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40830 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 42883 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40002 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13586 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17736 | CurrentTaxYear |
| Total | 155037 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10757713 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11292693 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13495510 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15432447 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18564261 | CurrentTaxYear |
| Total | 69542624 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 69542624 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 74238 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17624 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18134 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24361 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27836 | CurrentTaxYear |
| Total | 162193 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40830 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 42883 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40002 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13586 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17736 | CurrentTaxYear |
| Total | 155037 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 69859854 | TotalSupport |
| Gross Receipts From Admissions Etc | 85445381 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99550 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99360 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2184 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2184 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 35403403 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 35405587 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 3000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,500,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 7500 | CurrentYearMinus2 |
| Current Year | 2184 | CurrentYear |
| Total | 9684 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 750000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,125,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77800 | OtherCostOrOtherBasis |
| Book Value | 77800 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5165854 | OtherCostOrOtherBasis |
| Depreciation | 2397942 | Depreciation |
| Book Value | 2767912 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8622832 | OtherCostOrOtherBasis |
| Depreciation | 3106803 | Depreciation |
| Book Value | 5516029 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3971067 | OtherCostOrOtherBasis |
| Depreciation | 2517123 | Depreciation |
| Book Value | 1453944 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4818723 | OtherCostOrOtherBasis |
| Depreciation | 2269126 | Depreciation |
| Book Value | 2549597 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12365282 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD-PARTY PAYOR LIABILITY | Description |
| Amount | $834,524 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 834524 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 39307020 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 480829 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 50900 | OtherRevenues |
| Revenue Not Rptd F990 | 531729 | RevenueNotRptdF990 |
| Revenue Subtotal | 38775291 | RevenueSubtotal |
| Other Revenues Not Included | 616511 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 616511 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 39391802 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 35318621 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 480829 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 50900 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 531729 | ExpensesNotRptdF990 |
| Expenses Subtotal | 34786892 | ExpensesSubtotal |
| Other Expenses Not Included | 616511 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 616511 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 35403403 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE CENTER'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE CENTER HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. THE CENTER WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2010. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES FOR FUNDRAISING EVENTS 50,900. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES FOR BAD DEBT 616,511. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES FOR FUNDRAISING EVENTS 50,900. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES FOR BAD DEBT 616,511. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Name Of IndividualNameOfIndividual | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization |
|---|---|---|---|---|---|---|---|---|---|
| THE LOEVY CONSULTING GROUP SARA SE | 1321 EAST 50TH STREET | CHICAGO | IL | 60615 | INTERIM DIRECTOR OF DEVELOPMENT | 0 | 571404 | 75600 | 495804 |
| RACHEL KRAUSE | 1439 NORTH OAKLEY | CHICAGO | IL | 60622 | GRANT WRITING | 0 | 181470 | 36005 | 145465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 752874 | TotalGrossReceipts |
| Total Retained By Contractors | 111605 | TotalRetainedByContractors |
| Total Net To Organization | 641269 | TotalNetToOrganization |
| Licensed States | IL | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLDEN TOOTHBRUSH | NameOfEvent1 |
| Gross Receipts Event1 | 135765 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 117171 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 18594 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 18362 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 700 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 13984 | OtherDirectExpensesEvent1 |
| Name Of Event2 | ERIEDESCENCE | NameOfEvent2 |
| Gross Receipts Event2 | 59189 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 33429 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 25760 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 15027 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 2827 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 194954 | GrossReceiptsTotal |
| Charitable Contributions Total | 150600 | CharitableContributionsTotal |
| Gross Revenue Total Events | 44354 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 33389 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 700 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 16811 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 50900 | DirectExpenseSummaryEvents |
| Net Income Summary | -6546 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEE FRANCIS | ||||||||||||||
| PRESIDENT & CEO | 182000 | 0 | 26062 | 0 | 0 | 0 | 4550 | 0 | 1925 | 0 | 214537 | 0 | 0 | 0 |
| DAVID R BUCHANAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | 177000 | 0 | 21213 | 0 | 0 | 0 | 4690 | 0 | 9652 | 0 | 212555 | 0 | 0 | 0 |
| ILIANA MORA | ||||||||||||||
| SENIOR VP OF STRATEGY & BU | 157000 | 0 | 16419 | 0 | 0 | 0 | 3337 | 0 | 140 | 0 | 176896 | 0 | 0 | 0 |
| RAMON BARAJAS | ||||||||||||||
| OB/GYN PHYSICIAN | 237000 | 0 | 5192 | 0 | 0 | 0 | 5925 | 0 | 2766 | 0 | 250883 | 0 | 0 | 0 |
| DEBORAH L EDBERG | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 196900 | 0 | 14690 | 0 | 0 | 0 | 4723 | 0 | 6740 | 0 | 223053 | 0 | 0 | 0 |
| MIRIAH D PLAWER-VOLMERDING | ||||||||||||||
| OB/GYN PHYSICIAN | 184000 | 0 | 19326 | 0 | 0 | 0 | 3751 | 0 | 140 | 0 | 207217 | 0 | 0 | 0 |
| FRANK CASTILLO | ||||||||||||||
| MEDICAL OFFICER | 156639 | 0 | 19314 | 0 | 0 | 0 | 4136 | 0 | 6324 | 0 | 186413 | 0 | 0 | 0 |
| FRED RACHMAN | ||||||||||||||
| MEDICAL OFFICER | 193826 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6462 | 0 | 200288 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | ERIE FAMILY HEALTH CENTER (EFHC) USES A THIRD PARTY (INDEPENDENT CPA FIRM) TO PREPARE ITS 990 TAX FORM. UPON THE FORM'S COMPLETION, A COPY IS PROVIDED TO EFHC'S MANAGEMENT FOR REVIEW AND THEN SUBSEQUENTLY REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE COMMUNICATED TO THE CPA FIRM AND INCORPORATED AS APPROPRIATE. ONCE THE 990 DRAFT IS FINALIZED A COPY IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. THE THIRD PARTY WILL THEN FILE THE 990 ON EFHC'S BEHALF. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF THE BOARD ARE ANNUALLY REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION. POTENTIAL CONFLICTS ARE LOGGED WITH AND MONITORED BY EFHC MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | EFHC PERIODICALLY USES AN INDEPENDENT THIRD PARTY TO REVIEW THE CURRENT COMPENSATION FOR MEMBERS OF THE LEADERSHIP TEAM. BASED ON THIS REVIEW, COMPENSATION LEVELS ARE SET FOR EACH LEVEL OF EMPLOYMENT. COMPENSATION REVIEWS BY THIRD PARTIES ARE CONDUCTED EVERY 3 YEARS. THE LAST REVIEW WAS IN 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | EFHC GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. REQUESTS ARE REQUIRED TO BE IN WRITING. |