2019-04-08T12:56:43-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2017-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 RYAN GADIA CFO 7735846200 2019-04-02 1 CHRIS MANDERFIELD P01238973 6305738600 2019-04-02 67.137.57.251 2019-04-02 18:03:56 CD P 4F402DDF36D721BD6AB3A2CA290BB815499705B6 50B5ED40640626E3ACEBEF22A0FBEFD7F66F664C 2017 2019-02-21 02:37:17Z RYAN GADIA 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 19386165 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 14 14 131 14 0 0 3821072 4687188 11394969 14052904 697563 192831 359168 427346 16272772 19360269 0 0 0 0 8448604 9905715 67680 0 0 5745233 6344830 14261517 16250545 2011255 3109724 12081025 22108623 4241531 11670467 7839494 10438156 TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES 0 0 12545097 14481476 ESPERANZA HEALTH CENTERS SERVES AN AREA THAT IS IN GREAT NEED OF QUALITY HEALTHCARE. SERVICES INCLUDE; FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, BEHAVIORAL HEALTH AND WOMEN'S HEALTH/OBSTETRICS. FAMILIES IN ESPERANZA'S SERVICE AREA EXPERIENCE SIGNIFICANT ECONOMIC, EDUCATIONAL, AND HEALTH DISPARITIES. MORE THAN 63 PERCENT OF RESIDENTS LIVE BELOW TWICE THE POVERTY LEVEL. LARGE PORTIONS OF ESPERANZA'S SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. ESPERANZA HEALTH CENTERS PROVIDE HIGH-QUALITY MEDICAL CARE TO ALL RESIDENTS OF OUR SOUTHWEST SIDE SERVICE AREA, REGARDLESS OF THEIR IMMIGRATION STATUS, RACE OR ETHNICITY, INCOME LEVEL OR INSURANCE STATUS. 12545097 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 13 0 1 131 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 IL X RYAN GADIA 7736405792 2001 SOUTH CALIFORNIA AVE SUITE 100 CHICAGO IL 60608 RICK GUTIERREZ VICE CHAIR 0.25 X X 0 0 0 PAUL BETLINSKI TREASURER 0.25 X X 0 0 0 CARA GOLDSBERRY SECRETARY 0.25 X X 0 0 0 ADRIANA DE LA MORA DIRECTOR 0.25 X 0 0 0 NYLA DIAB BOARD CHAIR 0.25 X X 0 0 0 BRIAN FREDERICKS DIRECTOR 0.25 X 0 0 0 LUIS GUTIERREZ DIRECTOR 0.25 X 0 0 0 JODI PORTNOY DIRECTOR 0.25 X 0 0 0 MARK MINIER DIRECTOR 0.25 X 0 0 0 JORGE MONTES DIRECTOR 0.25 X 0 0 0 CHARLES WINTERSTEEN DIRECTOR 0.25 X 0 0 0 ELBA ARANDA-SUH DIRECTOR 0.25 X 0 0 0 MICHAEL CHICO DIRECTOR 0.25 X 0 0 0 RICHARD PROSZOWSKI DIRECTOR 0.25 X 0 0 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 40.00 1.00 X 222620 0 11714 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 40.00 X 235784 0 7820 WAYNE SOTTILE CHIEF FINANCIAL OFFICER 40.00 1.00 X 173856 0 10208 ADRIAN SOTO CHIEF STRATEGY OFFICER 40.00 1.00 X 111313 0 8649 CARMEN VERGARA CHIEF OPERATING OFFICER 40.00 X 111935 0 8756 FEDERICO I HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 40.00 X 186272 0 22583 CATHERINE CHIA AI LIU PHYSICIAN 40.00 X 237121 0 12247 SARAH HOQUE PHYSICIAN 40.00 X 180466 0 11821 ESTHER KIROV PHYSICIAN 40.00 X 178224 0 23920 KYLA N WIAFE-ABABIO PHYSICIAN 40.00 X 168485 0 7099 MARIA SILVA PHYSICIAN 40.00 X 165405 0 24624 1971481 0 149441 24 0 1 0 ATHENA 311 ARSENAL ST WATERTOWN MA 02472 EMR AND BILLING SERVICES 908519 JUAN GABRIEL MORENO ARCHITECTS 223 W OHIO ST CHICAGO IL 60654 ARCHITECTURAL SERVICES 488231 PILSEN WELLNESS CENTER INC 2319 S DAMEN AVENUE CHICAGO IL 60608 RENT 209820 SAINT ANTHONY HOSPITAL - FINANCE DEPARTM 2875 W 19TH STREET CHICAGO IL 60623 OUTSIDE MEDICAL PROVIDER, RENT AND OTHER 197142 MD TECHNOLOGY SERVICES 2030 E ALGONQUIN ROAD SCHAUMBURG IL 60173 IT SUPPORT 178444 9 40500 97426 2569234 1980028 4687188 PATIENT FEES 621990 10447775 10447775 PHARMACY REVENUE 621990 3605129 3605129 14052904 192831 192831 24670 97426 25896 -1226 -1226 MISCELLANEOUS 900099 428572 428572 428572 19360269 14481476 0 191605 X 1041779 746317 295462 7281123 5216104 2065019 268345 192239 76106 685831 491321 194510 628637 450348 178289 1353 970 383 89447 64129 25318 1593511 1142473 451038 20785 20785 148813 96580 52233 257529 231115 26414 546609 530516 16093 28529 15078 13451 24850 16076 8774 94869 85529 9340 PHARMACY AND MEDICAL SU 2939527 2938045 1482 STAFF TRAINING 143608 69224 74384 MEMBERSHIP DUES AND SUB 129188 103160 26028 REPAIRS AND MAINTENANCE 94394 91528 2866 231818 64345 167473 16250545 12545097 3705448 0 3370912 4956191 1421040 1747203 891470 1027317 11982000 181489 204255 211851 97550 4331589 114301 1884525 2077356 12081025 22108623 1345531 1670467 2896000 10000000 4241531 11670467 X 7413141 10267047 426353 171109 7839494 10438156 12081025 22108623 X 3109724 -511062 X X 0 1 X 1 1 1 X 43122 16987 26135 168729 80563 88166 114301 MHN ACO, LLC 2077356 F 2077356 X PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED JUNE 30, 2018 OR 2017. ANNUAL GALA 113876 97321 16555 6670 13518 450 3692 CHICAGO MARATHON FUNDRAISER 8220 105 8115 1032 534 122096 97426 24670 6670 14550 450 4226 25896 -1226 X X X X X 0 0 0 0 0 0 0 1 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 185870 0 36750 0 0 0 6329 0 5385 0 234334 0 0 0 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 205984 0 29800 0 0 0 7265 0 555 0 243604 0 0 0 WAYNE SOTTILE CHIEF FINANCIAL OFFICER 151356 0 22500 0 0 0 6054 0 4154 0 184064 0 0 0 FEDERICO I HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 167385 0 18887 0 0 0 6695 0 15888 0 208855 0 0 0 CATHERINE CHIA AI LIU PHYSICIAN 222221 0 14900 0 0 0 8093 0 4154 0 249368 0 0 0 SARAH HOQUE PHYSICIAN 171508 0 8958 0 0 0 6860 0 4961 0 192287 0 0 0 ESTHER KIROV PHYSICIAN 160591 0 17633 0 0 0 5439 0 18481 0 202144 0 0 0 KYLA N WIAFE-ABABIO PHYSICIAN 162068 0 6417 0 0 0 4961 0 2138 0 175584 0 3 0 MARIA SILVA PHYSICIAN 164405 0 1000 0 0 0 6474 0 18150 0 190029 0 0 0 PART I, LINE 7 THE CEO, CFO AND MEDICAL DIRECTOR RECEIVE BONUSES IF THEY MEET CERTAIN ANNUAL PERFORMANCE GOALS SUCH AS MEETING/EXCEEDING BUDGETED NET INCOME, ACHIEVING CERTAIN QUALITY SCORES, OR ACHIEVING CERTAIN PROVIDER PRODUCTIVITY LEVELS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED IN DRAFT FORM BY THE ORGANIZATION'S FINANCE COMMITTEE, THEN SENT THE ENTIRE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS COMPLETE COMPLIANCE DISCLOSURES UPON JOINING THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND IS INCLUDED IN THE BOARD MINUTES. THE DECISION WAS MADE USING COMPARISON TO ORGANIZATIONAL GOALS AND COMPARABILITY DATA OF OTHER SIMILAR SIZED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G BILLING SERVICES: PROGRAM SERVICE EXPENSES 709,258. MANAGEMENT AND GENERAL EXPENSES 280,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 989,267. JANITORIAL AND CLEANING: PROGRAM SERVICE EXPENSES 106,934. MANAGEMENT AND GENERAL EXPENSES 42,217. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,151. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 21,395. MANAGEMENT AND GENERAL EXPENSES 8,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,841. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 233,144. MANAGEMENT AND GENERAL EXPENSES 92,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 325,187. LEARNING COLLABORATIVE CONSULTING: PROGRAM SERVICE EXPENSES 71,742. MANAGEMENT AND GENERAL EXPENSES 28,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,065. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO HEALTHY BRIGHTON TITLE HOLDING CORPORATION NFP -511,062. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEALTHY BRIGHTON TITLE HOLDING CORPORATION NFP 2001 SOUTH CALIFORNIA AVENUE CHICAGO IL 60608 821949374 LEASING BUILDING SPACE IL 501(C)(3) LINE 12A, I ESPERANZA HEALTH CENTERS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 HEALHTY BRIGHTON TITLE HOLDING CORPORATION NFP R 511062 HISTORICAL COSTS