ERIE FAMILY HEALTH CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ERIE FAMILY HEALTH CENTER INC (EIN 36-3088628)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201241329349302589
- Schema version
- 2010v3.4
- 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 | 2012-05-11T15:31:51-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLACKMAN KALLICK LLP | 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 | 2010-07-01 | 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 | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY HAUMANN | Name |
| Phone | 3122071040 | Phone |
| Date Prepared | 2012-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 30307585 | 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 | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 24 | NbrIndependentVotingMembers |
| Total Nbr Employees | 421 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11249810 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 13455508 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15704428 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16779866 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20124 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18134 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -6942 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10683 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 26967420 | TotalRevenuePriorYear |
| Total Revenue Current Year | 30264191 | 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 | 18489377 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19614327 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 418276 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6918035 | OtherExpensePriorYear |
| Other Expenses Current Year | 6235513 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25407412 | TotalExpensesPriorYear |
| Total Expenses Current Year | 25849840 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1560008 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4414351 | RevenuesLessExpensesCY |
| Total Assets BOY | 16999850 | TotalAssetsBOY |
| Total Assets EOY | 21802587 | TotalAssetsEOY |
| Total Liabilities BOY | 4708279 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5096665 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12291571 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16705922 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ERIE FAMILY HEALTH CENTER, INC OPERATES A HEALTHCARE CENTER LOCATED IN CHICAGO, ILLINOIS. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19485189 | Expense |
| Revenue | 14923579 | Revenue |
| Description | ERIE FAMILY HEALTH CENTER (ERIE) SERVES PATIENTS REGARDLESS OF THE ABILITY TO PAY. APPROXIMATELY 59% OF ADULTS SERVED BY ERIE ARE UNINSURED. ERIE PROVIDED COMPREHENSIVE HEALTH SERVICES TO APPROXIMATELY 36,000 PATIENTS ANNUALLY AT NINE HEALTH CENTERS: THREE LARGE PRIMARY HEALTH CARE CENTERS, ONE ADOLESCENT-ONLY HEALTH CENTER,THREE SCHOOL-BASED HEALTH CENTERS, AND 2 DENTAL HEALTH CENTERS AS DESCRIBED IN 4B. ERIE PROVIDES PRIMARY CARE MEDICAL SERVICES INCLUDING PEDIATRICS, INTERNAL MEDICINE, FAMILY MEDICINE, WOMEN'S HEALTH AND PODIATRY. IN ADDITION, ERIE PROVIDES HIV/AIDS CARE, BEHAVIORAL HEALTH COUNSELING, CASE MANAGEMENT SERVICES, AND HEALTH EDUCATION (ASTHMA, DIABETES, NUTRITION, PARENTING AND PRENATAL). ERIE PROVIDES THESE SERVICES TO LOW-INCOME, MINORITY INDIVIDUALS WHO PREDOMINANTLY RESIDE IN THE CHICAGO COMMUNITY AREAS OF ALBANY PARK, AVONDALE, BELMONT CRAGIN, HERMOSA, HUMBOLDT PARK, IRVING PARK, LINCOLN SQUARE, LOGAN SQUARE, NORTH LAWNDALE AND WEST TOWN. (ERIE'S PATIENT POPULATION IS 84% HISPANIC AND 95% LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. APPROXIMATELY 60% OF ERIE'S PATIENTS IDENTIFY THEMSELVES AS BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. THIRTY-FOUR PERCENT OF PATIENTS ARE UNINSURED, 60% ARE LOW INCOME AND QUALIFY FOR MEDICAID COVERAGE ONLY 4% CARRY PRIVATE INSURANCE AND 2% HAVE MEDICARE COVERAGE. UNINSURED PATIENTS PAY A MINIMAL FEE BASED ON THEIR INCOME TO RECEIVE COMPREHENSIVE SERVICES.)ERIE'S MISSION IS TO PROVIDE COMPREHENSIVE AFFORDABLE HEALTH CARE FOR THOSE IN NEED. ERIE THEREFORE FOCUSES ON PRIMARY CARE THROUGHOUT THE FULL RANGE AGES. OVER 1,500 HEALTHY BABIES WERE DELIVERED BY ERIE PRACTITIONERS IN 2010 MEETING THE NEED OF LACK OF PRENATAL CARE IN THE SERVICE AREA AND FOCUSING ON HIGH RISK EXPECTANT MOMS. CHILDREN RECEIVE UP TO DATE IMMUNIZATIONS VIA OUR PEDIATRIC PROGRAM AND COMPREHENSIVE WELL CHILD CARE SUCH THAT ERIE'S IMMUNIZATION RATES ARE BETTER THAN LOCAL, STATE AND NATIONAL AVERAGES. ALTHOUGH ERIE PROVIDES HEALTH CARE TO APPROXIMATELY 30,000 INDIVIDUALS, THIS GENERATED APPROXIMATELY 150,000 PATIENT VISITS IN 2010 INDICATING THAT MANY PATIENTS VISIT THE HEALTH CENTER SEVERAL TIMES PER YEAR, A REFLECTION OF THE LEVEL OF CHRONIC DISEASE AMONGST ADULTS IN THE SERVICE COMMUNITY. CHRONIC ILLNESS SUCH AS DIABETES, OBESITY, ASTHMA, HYPERTENSION AND CARDIOVASCULAR DISEASE ALL RECEIVE SPECIAL ATTENTION AT ERIE. IN ADDITION, THERE IS A SPECIAL FOCUS ON CANCER SCREENING IN ADULTS. ONE OF ERIE'S MAJOR RECENT ACCOMPLISHMENTS HAS BEEN THE LAUNCH OF AN ELECTRONIC HEALTH RECORD SYSTEM (EHRS) WHICH INCREASES EFFICIENCIES IN CARE AND HAS PROVEN TO REDUCE MEDICAL ERRORS, AS WELL AS PROVIDING PROMPTS FOR IMPROVING ERIE'S QUALITY OF PATIENT CARE OVERALL. ERIE ALSO HAS IMPROVED ITS PATIENT CARE BY INCREASING ACCESS TO LOW COST MEDICATIONS. ERIE SCHEDULES PATIENTS EFFICIENTLY USING A CENTRALIZED CALL CENTER WHICH IMPROVES ACCESS TO CARE.ERIE PROVIDES INNOVATIVE SERVICES SUCH AS SCHOOL-BASED HEALTH WITH CLINIC SITES LOCATED IN 3 HIGH IMPACT CHICAGO PUBLIC SCHOOL SITES. THIS ALLOWS ERIE TO ADDRESS HEALTH ISSUES WHICH IMPROVES A CHILD'S ABILITY TO STAY IN SCHOOL. SIMILARLY, OUR ADOLESCENT HEALTH CENTER WORKS WITH CHALLENGING TEENAGERS WITH A FOCUS ON PREVENTION IN A UNIQUE SETTING.AS A RESPONSE TO COMMUNITY NEED ERIE HAS ALMOST DOUBLED THE VOLUME OF SERVICES PROVIDED BETWEEN CALENDAR YEAR 2000 AND CALENDAR YEAR 2010. THE 53 YEARS OF ERIE'S EXISTENCE HAVE SHOWN PROGRESSIVE ACCOMPLISHMENTS, COMMITMENT TO THE COMMUNITY AND TO MAKING A DIFFERENCE AMONGST THOSE MOST IN NEED OF HEALTH SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2615737 | Expense |
| Revenue | 1856287 | Revenue |
| Description | ERIE'S ORAL HEALTH PROGRAM ADDRESSES THE NEED FOR HIGH QUALITY ORAL HEALTH SERVICES IN THE COMMUNITY BY LINKING DENTAL AND MEDICAL HOMES FOR ITS PATIENTS. ERIE EMPLOYS A TRI-FOLD STRATEGY TO ACHIEVE PROGRAM GOALS, WHICH INCLUDES: 1) DIRECT PATIENT CARE; 2) ANTICIPATORY GUIDANCE AT MEDICAL VISITS; AND 3) ORAL HEALTH EDUCATION IN THE MEDICAL AND COMMUNITY SETTINGS. IN THE SECOND HALF OF 2010, THE ORAL HEALTH PROGRAM SERVED APPROXIMATELY 6,500 PATIENTS AND 22,000 VISITS. DIRECT PATIENT CARE: ERIE HAS EXPANDED THE FOLLOWING DIRECT PATIENT CARE ORAL HEALTH SERVICES TO THE TARGET POPULATION: BASIC COMMUNITY-BASED DENTISTRY SERVICES SUCH AS COMPREHENSIVE PREVENTIVE SERVICES (INCLUDING X-RAY), RESTORATIVE SERVICES (FILLINGS, CROWNS AND BRIDGES), PROSTHONTIC SERVICES (RESTORE MISSING TEETH AS WELL AS PARTIALS, DENTURES, SPACERS, AND CROWNS), ENDODONTIC SERVICES (ROOT CANALS) AND EMERGENCY, PERIODONTAL (GUMS) SERVICES AND ORAL CANCER SCREENING SERVICES. THESE SERVICES ARE PROVIDED TO PREGNANT WOMEN, CHILDREN AND THEIR PARENTS AND HIV/AIDS PATIENTS. ADDITIONAL PREVENTIVE CARE ARE PROVIDED BY THE DENTAL HYGIENISTS AND RESTORATIVE CARE AND OTHER COMPLEX SERVICES (PROSTHONTIC AND ENDODONTIC CARE) PROVIDED. IN ORDER TO REDUCE BARRIERS TO CARE FOR WORKING FAMILIES, ERIE HAS EXPANDED DENTAL CENTER'S HOURS. ADDITIONALLY, ORAL CANCER SCREENINGS ARE PROVIDED FOR PATIENTS THAT USE TOBACCO. AN ORAL HEALTH PATIENT OF ANY AGE THAT SMOKES IS SCREENED FOR ORAL CANCER AND REFERRED TO COMMUNITY PARTNER, DIVISION ORAL SURGERY, IF SCREENING RESULTS ARE ABNORMAL.ANTICIPATORY GUIDANCE AT MEDICAL VISITS: ONE OF THE MOST INNOVATIVE COMPONENTS OF ERIE'S ORAL HEALTH PROGRAM IS ANTICIPATORY GUIDANCE. ANTICIPATORY GUIDANCE (ORAL HEALTH PREVENTIVE EDUCATION IN THE MEDICAL SETTING) LINKS THE MEDICAL HOME WITH THE ORAL HEALTH HOME. THIS IS PARTICULARLY IMPORTANT AS MORE RESEARCH IS REVEALING A LINK BETWEEN DENTAL HEALTH AND OVERALL HEALTH. ERIE'S PROVIDERS WILL EDUCATE THEIR PATIENTS ON THE IMPORTANCE OF ORAL HEALTH FOR THEIR OVERALL WELLNESS AS PART OF THE MEDICAL VISIT. THROUGH CONVERSATIONS WITH PROVIDERS AND INFORMATIONAL BROCHURES, PATIENTS WILL BEGIN TO UNDERSTAND THE LINK BETWEEN ORAL HEALTH AND OVERALL HEALTH. THIS APPROACH HAS PROVEN TO IMPROVE THE ORAL HEALTH STATUS OF CHILDREN. ORAL HEALTH PREVENTION EDUCATION: ERIE CANNOT POSSIBLY SERVE ALL COMMUNITY MEMBERS IN NEED OF ORAL HEALTH CARE; THEREFORE, ERIE PROVIDES EDUCATION TO COMMUNITY MEMBERS ON HOW TO TAKE CARE OF THEIR ORAL HEALTH AT HOME AND HOW TO RECEIVE CARE AT ERIE DENTAL HEALTH CENTER OR OTHER COMMUNITY RESOURCES. THIS PREVENTIVE HEALTH EDUCATION AND OUTREACH IS PROVIDED BY ERIE'S ORAL HEALTH EDUCATOR AT A VARIETY OF COMMUNITY VENUES, SUCH AS ELEMENTARY SCHOOLS AND COMMUNITY AGENCIES. THE ORAL HEALTH EDUCATOR ESTABLISHES NEW RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS, AS WELL AS MAINTAIN CONTACT WITH EXISTING COMMUNITY PARTNERS. AT PRESENTATIONS, THE ORAL HEALTH EDUCATOR PRESENTS ON VARIOUS TOPICS SUCH AS WHY OUR TEETH ARE IMPORTANT, HOW WE TAKE CARE OF THEM, BRUSHING AND FLOSSING, GOOD FOODS VERSUS BAD FOODS AND VISITING THE DENTIST. THIS UNIQUE AND COST-EFFECTIVE COMPONENT OF ERIE'S ORAL HEALTH PROGRAM HELPS ERIE IMPROVE THE ORAL HEALTH OF THE COMMUNITY BEYOND THE WALLS OF ERIE DENTAL HEALTH CENTER-HUMBOLDT PARK, REACHING OUT TO THE GREATER LOW-INCOME COMMUNITY THROUGH A CULTURALLY COMPETENT APPROACH. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 22100926 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 38 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 421 | 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 | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 24 | 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 | KEVIN GREENBERG | 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 | ||
| REVERAND 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 | ||
| ANA LILIA VIVAR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEE FRANCIS | |||||||
| PRESIDENT & CEO | 40.00 | X | 184366 | 0 | 6034 | ||
| DAVID R BUCHANAN | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | X | 180197 | 0 | 12401 | ||
| ZAKEYA ATIA | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 133221 | 0 | 1857 | ||
| RAMON BARAJAS | |||||||
| OB/GYN PHYSICIAN | 40.00 | 246324 | 0 | 7257 | X | ||
| DEBORAH L EDBERG | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 198125 | 0 | 9726 | X | ||
| KATHERINE A THURER | |||||||
| OB/GYN PHYSICIAN | 40.00 | 184434 | 0 | 7460 | X | ||
| FRED RACHMAN | |||||||
| PEDIATRICIAN | 40.00 | 182906 | 0 | 5374 | X | ||
| FRANK CASTILLO | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 176937 | 0 | 9020 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1486510 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 59129 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | 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 | 627168 |
| KRAUSE CONSTRUCTION LLC | |||||
| 3330 EDISON AVENUE | BLUE ISLAND | IL | 60406 | CONSTRUCTION CONTRACTOR | 290246 |
| MCKESSON MEDICAL SURGICAL | |||||
| PO BOX 93302 | ATLANTA | GA | 31193 | MEDICAL SUPPLIES | 272409 |
| STATEWIDE INVESTIGATIVE SERVICES | |||||
| 2041 W CARROL AVENUE SUITE 221 | CHICAGO | IL | 60612 | SECURITY SERVICES | 154125 |
| GHAFARI ASSOCIATES LLC | |||||
| 17101 MICHIGAN AVENUE | DEARBORN | MI | 48126 | CONSTRUCTION CONTRACTOR | 118650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 117871 | FundraisingEvents |
| Government Grants | 9778160 | GovernmentGrants |
| All Other Contributions | 3559477 | AllOtherContributions |
| Noncash Contributions | 18978 | NoncashContributions |
| Total Contributions | 13455508 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 624100 | 14184550 | 14184550 |
| SELF-PAY | 624100 | 1730691 | 1730691 |
| KID CARE/HEALTHY MOM | 624100 | 703910 | 703910 |
| ALLIANCE EQUITY INCOME | 624100 | 147235 | 147235 |
| MEDICAL RECORD FEES | 624100 | 13480 | 13480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16779866 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18134 | TotalRevenueColumn |
| Exclusion | $18,134 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 27555 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 117871 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 43394 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15839 | TotalRevenueColumn |
| Exclusion | -$15,839 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 26522 | TotalRevenueColumn |
| Exclusion | $26,522 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26522 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30264191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16779866 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $28,817 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1119931 | Total |
| Program Services | 963140 | ProgramServices |
| Management And General | 134392 | ManagementAndGeneral |
| Fundraising | 22399 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15873151 | Total |
| Program Services | 13650910 | ProgramServices |
| Management And General | 1904778 | ManagementAndGeneral |
| Fundraising | 317463 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186598 | Total |
| Program Services | 160474 | ProgramServices |
| Management And General | 22392 | ManagementAndGeneral |
| Fundraising | 3732 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1264813 | Total |
| Program Services | 1087739 | ProgramServices |
| Management And General | 151778 | ManagementAndGeneral |
| Fundraising | 25296 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1169834 | Total |
| Program Services | 1006057 | ProgramServices |
| Management And General | 140380 | ManagementAndGeneral |
| Fundraising | 23397 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46722 | Total |
| Management And General | 46722 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73200 | Total |
| Management And General | 73200 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206388 | Total |
| Program Services | 124589 | ProgramServices |
| Management And General | 67307 | ManagementAndGeneral |
| Fundraising | 14492 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36730 | Total |
| Program Services | 28452 | ProgramServices |
| Management And General | 8278 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349044 | Total |
| Program Services | 279000 | ProgramServices |
| Management And General | 62830 | ManagementAndGeneral |
| Fundraising | 7214 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1025202 | Total |
| Program Services | 926682 | ProgramServices |
| Management And General | 98520 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35091 | Total |
| Program Services | 27275 | ProgramServices |
| Management And General | 7703 | ManagementAndGeneral |
| Fundraising | 113 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64796 | Total |
| Program Services | 50364 | ProgramServices |
| Management And General | 14315 | ManagementAndGeneral |
| Fundraising | 117 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99118 | Total |
| Management And General | 99118 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1135078 | Total |
| Program Services | 946715 | ProgramServices |
| Management And General | 187926 | ManagementAndGeneral |
| Fundraising | 437 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153837 | Total |
| Program Services | 136937 | ProgramServices |
| Management And General | 16900 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED DIAGNOSTIC S | 566286 | 566286 | |
| BAD DEBT | 482436 | 482436 | |
| EQUIPMENT RENTAL & MAIN | 468713 | 386941 | 81772 |
| MEDICAL AND LAB SUPPLIE | 459342 | 459342 | |
| PHARMACEUTICALS | 282548 | 282548 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750982 | Total |
| Program Services | 535039 | ProgramServices |
| Management And General | 212327 | ManagementAndGeneral |
| Fundraising | 3616 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25849840 | Total |
| Program Services | 22100926 | ProgramServices |
| Management And General | 3330638 | ManagementAndGeneral |
| Fundraising | 418276 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1613798 | BOY |
| EOY | 2368921 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4404989 | BOY |
| EOY | 4420917 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1832327 | BOY |
| EOY | 1993216 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1863269 | BOY |
| EOY | 1708683 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139476 | BOY |
| EOY | 148928 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17784871 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7319290 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6695680 | BOY |
| EOY | 10465581 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 294980 | BOY |
| EOY | 462216 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155331 | BOY |
| EOY | 234125 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16999850 | BOY |
| EOY | 21802587 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1981621 | BOY |
| EOY | 2533485 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75950 | BOY |
| EOY | 10717 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1818598 | BOY |
| EOY | 1720353 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 832110 | BOY |
| EOY | 832110 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4708279 | BOY |
| EOY | 5096665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11886243 | BOY |
| EOY | 16072557 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405328 | BOY |
| EOY | 633365 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12291571 | BOY |
| EOY | 16705922 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16999850 | BOY |
| EOY | 21802587 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4414351 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 9827952 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9769035 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10716883 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11249810 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13455508 | CurrentTaxYear |
| Total | 55019188 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31160 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37597 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40830 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 42883 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40002 | CurrentTaxYear |
| Total | 192472 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9859112 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9806632 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10757713 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11292693 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13495510 | CurrentTaxYear |
| Total | 55211660 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 55211660 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25246 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 83204 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 74238 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17624 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18134 | CurrentTaxYear |
| Total | 218446 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 37597 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40830 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 42883 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40002 | CurrentTaxYear |
| Total | 161312 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 55591418 | TotalSupport |
| Gross Receipts From Admissions Etc | 69011920 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99320 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99340 | 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 Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 7500 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 7500 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 21218256 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 21225756 | 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 | 1000000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,500,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 7500 | CurrentYear |
| Total | 7500 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 250000 | CurrentYear |
| Total | 250000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $375,000 | 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 | 5016799 | OtherCostOrOtherBasis |
| Depreciation | 2041835 | Depreciation |
| Book Value | 2974964 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7292235 | OtherCostOrOtherBasis |
| Depreciation | 2291143 | Depreciation |
| Book Value | 5001092 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2772487 | OtherCostOrOtherBasis |
| Depreciation | 1495148 | Depreciation |
| Book Value | 1277339 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2625550 | OtherCostOrOtherBasis |
| Depreciation | 1491164 | Depreciation |
| Book Value | 1134386 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10465581 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD-PARTY PAYOR LIABILITY | Description |
| Amount | $832,110 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 832110 | TotalOfAmounts |
| Total Revenue | 30264191 | TotalRevenue |
| Total Expenses | 25849840 | TotalExpenses |
| Excess Or Deficit For Year | 4414351 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 4414351 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 30301872 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 37681 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 37681 | RevenueNotRptdF990 |
| Revenue Subtotal | 30264191 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 30264191 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 25887521 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 37681 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 37681 | ExpensesNotRptdF990 |
| Expenses Subtotal | 25849840 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 25849840 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 2008. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLDEN TOOTHBRUSH | NameOfEvent1 |
| Gross Receipts Event1 | 103670 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 92570 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 11100 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 25455 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SALUD AND THE CITY | NameOfEvent2 |
| Gross Receipts Event2 | 41756 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 25301 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 16455 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 9907 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 8032 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 145426 | GrossReceiptsTotal |
| Charitable Contributions Total | 117871 | CharitableContributionsTotal |
| Gross Revenue Total Events | 27555 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 9907 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 33487 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 43394 | DirectExpenseSummaryEvents |
| Net Income Summary | -15839 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 (7 entries)
| 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 | |||||||||||||
| 168223 | 0 | 16143 | 0 | 0 | 0 | 3800 | 0 | 2234 | 0 | 190400 | 0 | 0 | 0 |
| DAVID R BUCHANAN | |||||||||||||
| 163797 | 0 | 16400 | 0 | 0 | 0 | 4262 | 0 | 8139 | 0 | 192598 | 0 | 0 | 0 |
| RAMON BARAJAS | |||||||||||||
| 234053 | 0 | 12271 | 0 | 0 | 0 | 4102 | 0 | 3155 | 0 | 253581 | 0 | 0 | 0 |
| DEBORAH L EDBERG | |||||||||||||
| 195157 | 0 | 2968 | 0 | 0 | 0 | 4575 | 0 | 5151 | 0 | 207851 | 0 | 0 | 0 |
| KATHERINE A THURER | |||||||||||||
| 171881 | 0 | 12553 | 0 | 0 | 0 | 4329 | 0 | 3131 | 0 | 191894 | 0 | 0 | 0 |
| FRED RACHMAN | |||||||||||||
| 175206 | 0 | 7700 | 0 | 0 | 0 | 0 | 0 | 5374 | 0 | 188280 | 0 | 0 | 0 |
| FRANK CASTILLO | |||||||||||||
| 163056 | 0 | 13881 | 0 | 0 | 0 | 4139 | 0 | 4881 | 0 | 185957 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12C | |
| 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 2011. | FORM 990, PART VI, SECTION B, LINE 15 | |
| EFHC GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. REQUESTS ARE REQUIRED TO BE IN WRITING AND AT THE ATTENTION OF KEVIN GREENBERG, VP OF FINANCE. | FORM 990, PART VI, SECTION C, LINE 19 |