2019-11-15T09:42:45-06:00 2019-06-30 362985770 SELDEN FOX LTD 619 ENTERPRISE DRIVE OAK BROOK IL 605238835 990 2018-07-01 364249586 GREATER ELGIN FAMILY CARE CENTER GREA 8476081344 370 SUMMIT STREET ELGIN IL 60120 JASON CAREY CHIEF FINANCIAL OFFICER 8476081344 2019-11-11 1 PAUL J ROZEK P00542258 6309541400 50.201.115.82 2019-11-11 10:54:32 CS P 1358F65B09004798D6D727A5B51CF53830FBE9C3 A3036516654C765F6405C0579D73844FC16E1453 2018 2020-03-31 21:24:44Z ROBERT TANNER 370 SUMMIT STREET ELGIN IL 60120 27689483 0 X WWW.GEFCC.ORG X 1998 IL GREATER ELGIN FAMILY CARE CENTER IS A NONPROFIT CORPORATION PROVIDING ACCESS TO QUALITY HEALTHCARE FOR THE UNINSURED AND UNDERSERVED RESIDENTS OF THE GREATER ELGIN, MCHENRY, STREAMWOOD, DEKALB, SYCAMORE, WHEELING, AND HANOVER PARK COMMUNITIES. 13 13 337 26 0 0 7063006 7089923 16203967 17569717 16904 -198155 3078980 3023710 26362857 27485195 0 0 0 0 15543920 16271431 0 0 0 9819259 10207649 25363179 26479080 999678 1006115 19101271 19520644 5805206 5218464 13296065 14302180 X TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE FOR ALL, INCLUDING THOSE WITHOUT THE ABILITY TO PAY. 0 0 23341804 20553601 GREATER ELGIN FAMILY CARE CENTER IS A JOINT COMMISSION-ACCREDITED, PRIMARY CARE MEDICAL HOME-CERTIFIED FEDERALLY QUALIFIED HEALTH CENTER PROVIDING COMPREHENSIVE ACCESS TO HIGH-QUALITY, AFFORDABLE AND INTEGRATED HEALTH CARE IN THE SPECIALTIES OF FAMILY PRACTICE, PEDIATRICS, OBSTETRICS & GYNECOLOGY, ORAL HEALTH AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER SERVICES. THROUGH 9 HEALTH CENTERS LOCATED IN THE COMMUNITIES OF DEKALB, ELGIN, HANOVER PARK, MCHENRY, STREAMWOOD, SYCAMORE AND WHEELING, GREATER ELGIN FAMILY CARE CENTER WAS ABLE TO PROVIDE CARE TO 51,489 PATIENTS THROUGH 170,389 VISITS DURING THE 12-MONTH PERIOD ENDING JUNE 30, 2019. FURTHERMORE, GREATER ELGIN FAMILY CARE CENTER HAS AGAIN BEEN RECOGNIZED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A NATIONAL QUALITY LEADER, WITH OUR CY 2018 CLINICAL OUTCOMES RANKED IN THE TOP 10% NATIONALLY. IN ADDITION, GREATER ELGIN FAMILY CARE CENTER REMAINS A HYPERTENSION CONTROL CHAMPION, AS AWARDED BY THE CENTERS FOR DISEASE CONTROL, AS OUR 2018 HYPERTENSION/HEART HEALTH OUTCOME IS RANKED IN THE TOP 2% NATIONALLY. 23341804 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 37 0 1 337 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JASON CAREY - CFO 8476081344 370 SUMMIT STREET ELGIN IL 60120 COREY DIXON BOARD CHAIR 1.00 0.10 X X 0 0 0 JOSE GARCIA LARA CHAIR ELECT 1.00 0.10 X X 0 0 0 LINDA DRAWHORN SECRETARY 1.00 0.10 X X 0 0 0 BRIAN HEIMBERG TREASURER 1.00 0.10 X X 0 0 0 CRAIG DODT PAST BOARD CHAIR 1.00 0.10 X 0 0 0 JESSICA ALVAREZ DIRECTOR 1.00 0.10 X 0 0 0 TANYA BALDERAS DIRECTOR 1.00 0.10 X 0 0 0 PAUL BEDNAR DIRECTOR 1.00 0.10 X 0 0 0 EIRA CORRAL-SEPULVEDA DIRECTOR 1.00 0.10 X 0 0 0 NIMRA KHAN DIRECTOR 1.00 0.10 X 0 0 0 GISELA LOPEZ-LAUDERDALE DIRECTOR 1.00 0.10 X 0 0 0 SALVADOR RODRIGUEZ DIRECTOR 1.00 0.10 X 0 0 0 SAMANTHA ZUNIGA DIRECTOR 1.00 0.10 X 0 0 0 AZRA BEHLIM DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 DEBBIE EVERETT DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 ROBERT O'QUINN DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 BETH TZE DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 KASIA ZARROW DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 RICHARD EVANS DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 CHIOMA GEORGE DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 JOAN KANUTE DIRECTOR THROUGH OCTOBER 2018 1.00 0.10 X 0 0 0 ROBERT TANNER PRESIDENT/CEO 40.00 0.30 X 303323 0 26425 JASON CAREY CFO 40.00 1.00 X 155219 0 23735 VERONICA GUADALUPE FONSECA COO 40.00 0.20 X 168688 0 24209 MARK THOMPSON MEDICAL DIRECTOR, MD 40.00 X 253445 0 22686 CHEERAG PATEL DO 40.00 X 214090 0 28968 ENGJELLUSH SADIK DO 40.00 X 195375 0 24953 NIMRALA GOVINDA MD 40.00 X 206311 0 17903 SALMAN KHALEELUDDIN DO 40.00 X 182326 0 18303 NABANITA BHOWMICK MD 40.00 X 168023 0 25468 1846800 0 212650 21 0 1 0 DR STEPHEN GLADDIN 4929 THIMBLEWEED TRAIL LONG GROVE IL 60047 MEDICAL SERVICES - OBSTETRICS 459949 NEXTGEN HEALTHCARE PO BOX 809390 CHICAGO IL 60680 EHR MAINTENANCE AND BILLING SVC. 241943 BSD CORPORATION 111 S GRANT STREET HINSDALE IL 60521 JANITORIAL SERVICES 229485 DR MARGARET R NETTLETON 370 COVINGTON DRIVE BARRINGTON IL 60010 MEDICAL SERVICES - OBSTETRICS 217535 WINDSTREAM PO BOX 9001013 LOUISVILLE KY 402901013 TELECOMMUNICATION SERVICES 131552 9 6467757 622166 7089923 PATIENT SERVICE REVENUE 621400 17569717 17569717 17569717 6133 6133 39826 0 39826 39826 39826 204288 -204288 -204288 -204288 OTHER INCOME 900099 2983884 2983884 2983884 27485195 20553601 0 -158329 965277 324318 640959 12498177 11404941 1093236 321106 245840 75266 1552883 1257557 295326 933988 826626 107362 14755 14755 155209 155209 2594468 2575748 18720 132607 131804 803 1845111 1766025 79086 546287 426333 119954 1968966 1711836 257130 36771 21705 15066 18376 8254 10122 744227 678368 65859 62047 62047 BAD DEBT EXPENSE 1542652 1542652 REPAIRS AND MAINTENANCE 286122 271758 14364 LAB SERVICES 53067 53067 206984 94972 112012 26479080 23341804 3137276 0 14031 18954 3289606 4402174 4468290 4381459 2950654 2864034 436289 458932 10651514 3313708 7877531 7337806 64870 57285 19101271 19520644 1677484 1385538 3625839 3832926 501883 5805206 5218464 X 13291065 14104018 5000 198162 13296065 14302180 19101271 19520644 1006115 0 X 0 1 X 1 1 1 X 5152605 7773204 6755182 7063006 7089923 33833920 5152605 7773204 6755182 7063006 7089923 33833920 33833920 21617 29205 37004 46778 45959 180563 1116640 1311274 1486450 3049106 2983884 9947354 43961837 78820760 0.76960 0.80100 X PART II, SECTION B, LINE 10 OTHER INCOME CONSISTS OF PROGRAM CARE MANAGEMENT FEES, DRUG PROGRAM REVENUE, CAPITATION PREMIUM REVENUE, ELECTRONIC HEALTH RECORDS INCENTIVE PAYMENT REVENUE, AND RISK GAIN SHARE REVENUE RECEIVED BY THE ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 296585 296585 2048879 387448 1661431 6533137 1511423 5021714 1761241 1414837 346404 11672 11672 7337806 X X X X 0 0 0 0 0 0 0 0 0 ROBERT TANNER PRESIDENT/CEO 268323 0 35000 0 0 0 12134 0 14291 0 329748 0 0 0 JASON CAREY CFO 155219 0 0 0 0 0 6427 0 17308 0 178954 0 0 0 VERONICA GUADALUPE FONSECA COO 168688 0 0 0 0 0 6901 0 17308 0 192897 0 0 0 MARK THOMPSON MEDICAL DIRECTOR, MD 253445 0 0 0 0 0 9945 0 12741 0 276131 0 0 0 CHEERAG PATEL DO 214090 0 0 0 0 0 8894 0 20074 0 243058 0 0 0 ENGJELLUSH SADIK DO 195375 0 0 0 0 0 7682 0 17271 0 220328 0 0 0 NIMRALA GOVINDA MD 206311 0 0 0 0 0 8321 0 9582 0 224214 0 0 0 SALMAN KHALEELUDDIN DO 181526 0 800 0 0 0 0 0 18303 0 200629 0 0 0 NABANITA BHOWMICK MD 168023 0 0 0 0 0 7059 0 18409 0 193491 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS EMAILED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. ALL COMMENTS MADE BY THE BOARD WERE TAKEN UNDER ADVISEMENT. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST CERTIFICATION STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 SALARIES AND WAGES ARE ANALYZED BY THE BOARD OF DIRECTORS USING A SALARY COMPARISON SURVEY SUPPLIED BY THE ILLINOIS PRIMARY HEALTH CARE ASSOCIATION (IPHCA). A SUB-COMMITTEE OF THE BOARD OF DIRECTORS WAS FORMED FOR APPROVAL OF THE CEO'S SALARY AND WAGES. INFORMATION FROM RELATED ORGANIZATION'S 990S AND IPHCA SALARY SURVEY WAS USED IN MAKING THE SALARY DETERMINATION. ALL REMAINING EMPLOYEE'S SALARIES ARE APPROVED BY THE PRESIDENT/CEO, SUBJECT TO SALARY RANGES APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 WE DO NOT RELEASE ANY DOCUMENTS TO ANYONE OUTSIDE OF THE ORGANIZATION UNLESS REQUIRED TO DO SO BY CONTRACT OR LAW (FREEDOM OF INFORMATION ACT). GREATER ELGIN FAMILY CARE CENTER ENDOWMENT TRUST 370 SUMMIT STREET ELGIN IL 60120 262608680 PROVIDE STEWARDSHIP OF ASSETS INVESTED TO SUPPORT THE OPERATIONS OF GEFCC IL 501(C)(3) LINE 12A, I GREATER ELGIN FAMILY CARE CENTER 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0