2019-11-15T12:46:44-06:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2018-07-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 3125262100 2019-11-15 1 CHRIS MANDERFIELD P01238973 6305738600 2019-11-15 67.137.57.251 2019-11-15 11:18:00 CS P AFD31AC15DD3D3D31778949AA6E3404630EBDA20 15FC16222CA11D74FA98B06BEF52F7231FC6830F 2018 2020-03-31 21:24:44Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 134276421 0 X WWW.ACCESSCOMMUNITYHEALTH.NET X 1984 IL ACCESS PARTNERS WITH PATIENTS AT ALL POINTS OF CARE, PROVIDING HIGH QUALITY, PATIENT-CENTERED HEALTH SERVICES ACCESSIBLE TO ALL IN THEIR OWN COMMUNITIES. 20 20 1120 0 0 0 20318442 20677711 109243640 112083934 49204 80428 1522260 1434348 131133546 134276421 0 0 0 0 69926970 72077505 0 0 0 59842257 65887265 129769227 137964770 1364319 -3688349 56576965 54511495 24274993 25793854 32301972 28717641 X ACCESS PARTNERS WITH PATIENTS AT ALL POINTS OF CARE, PROVIDING HIGH QUALITY, PATIENT-CENTERED HEALTH SERVICES ACCESSIBLE TO ALL IN THEIR OWN COMMUNITIES. 0 0 111434896 113518282 COMMUNITY HEALTH CENTERS - ACCESS OFFERS A FULL RANGE OF COMPREHENSIVE, QUALITY HEALTH CARE SERVICES CONVENIENTLY LOCATED RIGHT IN YOUR COMMUNITY. OUR PRIMARY CARE SERVICES INCLUDE: FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, SCHOOL AND SPORTS PHYSICALS, OBSTETRIC/GYNECOLOGICAL AND MIDWIFERY SERVICES, AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS DIABETES, ASTHMA, AND HIGH BLOOD PRESSURE. OTHER SERVICES AVAILABLE AT SELECT SITES INCLUDE: LOW-COST BREAST AND CERVICAL CANCER SCREENINGS, BEHAVIORAL HEALTH SERVICES, HIV/AIDS COUNSELING, TESTING AND PRIMARY CARE, SUBSTANCE ABUSE TREATMENT PROGRAM, CASE MANAGEMENT, AND SPECIALTY CARE SERVICES.THIS YEAR ACCESS SERVED MORE THAN 171,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING 35,000 UNINSURED PATIENTS. 111434896 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 0 0 1 299 0 1 1120 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X MAHOMED OUEDRAOGO 3125262100 600 WEST FULTON STREET SUITE 200 CHICAGO IL 60661 BENA SULLIVAN CHAIRWOMAN EMERITUS 1.00 X X 0 0 0 DONNA SIMMONS CHAIRWOMAN 1.00 X X 0 0 0 TERRY BROWN TREASURER 1.00 X X 0 0 0 DENISE KITCHEN BOARD MEMBER 1.00 X 0 0 0 PATRICIA BOBB BOARD MEMBER 1.00 X 0 0 0 VIRGINIA OVIEDO BOARD MEMBER 1.00 X 0 0 0 PERLA HERRERA SECRETARY 1.00 X X 0 0 0 ERIN STARKEY BOARD MEMBER 1.00 X 0 0 0 TOMMY FITZGIBBON VICE CHAIRMAN 1.00 X X 0 0 0 RYAN HART BOARD MEMBER 1.00 X 0 0 0 DR CHARLES DESHAZER BOARD MEMBER 1.00 X 0 0 0 EVE SALAZAR BOARD MEMBER 1.00 X 0 0 0 ERICK OSORIO BOARD MEMBER 1.00 X 0 0 0 PETE MCNERNEY BOARD MEMBER 1.00 X 0 0 0 MATTHEW BERKLEY BOARD MEMBER 1.00 X 0 0 0 SHARON GIBSON BOARD MEMBER 1.00 X 0 0 0 LILIA GONZALEZ BOARD MEMBER 1.00 X 0 0 0 MIRIAM MOBLEY-SMITH BOARD MEMBER 1.00 X 0 0 0 JULIO MOREJON BOARD MEMBER 1.00 X 0 0 0 LIZ PEREZ BOARD MEMBER 1.00 X 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 825733 0 5952 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 395301 0 17067 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 464425 0 26330 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 161071 0 8689 ANN LUNDY CHIEF OPERATING OFFICER 40.00 X 290591 0 19063 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 335033 0 22459 ELEVA RILEY VP HUMAN RESOURCES 40.00 X 263772 0 10818 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 40.00 X 171563 0 20640 LEO BOLER PHYSICIAN 40.00 X 268246 0 14491 PAULA CAVENS PHYSICIAN 40.00 X 282501 0 8717 LEMUEL SHAFFER PHYSICIAN 40.00 X 262704 0 2697 NARAYAN PRABHAKAR PHYSICIAN 40.00 X 275803 0 21202 ANDRES MAFLA PHYSICIAN 40.00 X 272532 0 24671 4269275 0 202796 103 0 1 0 GDI SERVICES INC 4952 W 128TH PL ALSIP IL 60803 MAINTENANCE SERVICES 1155512 AMERICAN SECURITY GUARD SERVICES INC 1515 S HARLEM AVE FOREST PARK IL 601302620 SECURITY SERVICE 942420 ADVENTIST HEALTH PARTNERS INC 2601 NAVISTAR DRIVE AMITA HEALTH BL LISLE IL 60532 CONTRACT PROVIDER SERVICE 346304 MEDIX STAFFING SOLUTIONS 222 S RIVERSIDE PLAZA CHICAGO IL 60606 CONSULTANT/TEMP STAFF SERVICE 300365 TELL YOUR STORY BRAND COMMUNICATIONS INC 220 N GREEN ST CHICAGO IL 60607 MARKETING CONSULTANT 279209 28 41793 19616898 1019020 20677711 NET PATIENT SERVICE REVENUE 621498 63661936 63661936 340B 621498 28203452 28203452 CAPITATION REVENUE 621498 15203266 15203266 CARE COORDINATION FEES 621498 3849571 3849571 AFFILIATE CONTRACTS 621498 1165709 1165709 112083934 80428 80428 OTHER 621498 1434348 1434348 1434348 134276421 113518282 0 80428 2907530 2229368 678162 56831016 43575560 13255456 681846 522329 159517 7284892 5328114 1956778 4372221 3220813 1151408 545450 545450 117909 117909 13162348 10131824 3030524 339317 93408 245909 1396712 677324 719388 147289 68310 78979 17090421 14759459 2330962 289323 152039 137284 80765 32170 48595 262038 251241 10797 5118731 4522917 595814 644891 418225 226666 340B PHARMACY AND FEES 14626173 14626173 MEDICAL AND PHARMACY SU 4409902 4409902 REFERRED MEDICAL SERVIC 3269777 3269777 BAD DEBT EXPENSE 1674177 1674177 2712042 1471766 1240276 137964770 111434896 26529874 0 12913083 8532779 3106397 4174873 7215029 10035740 2811230 2908022 79401600 55715272 27162151 23686328 1397585 1537766 1971490 3635987 56576965 54511495 12164945 12973216 8057205 6678614 4052843 6142024 24274993 25793854 X 30897152 27682405 1404820 1035236 32301972 28717641 56576965 54511495 -3688349 104018 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 930666 930666 22450217 9788606 12661611 20099642 16228255 3871387 35921075 29698411 6222664 23686328 457 (B) PLAN ASSETS 2369980 DUE FROM AFFILIATE 1266007 3635987 DEFERRED RENT OBLIGATION 2380886 457(B) PLAN PARTICIPANT LIABILITY 2369980 OTHER LIABILITIES 1391158 6142024 X PART X, LINE 2: ACCESS IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC. IN ADDITION, ACCESS 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 WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. ACCESS HAD NO UNRELATED BUSINESS INCOME DURING FISCAL YEARS 2019 AND 2018, AND THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCESS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. X 0 0 X X 0 1 0 0 0 0 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 565733 0 260000 0 0 0 2388 0 3564 0 831685 0 0 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 325301 0 70000 0 0 0 1713 0 15354 0 412368 0 0 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 394425 0 70000 0 0 0 2005 0 24325 0 490755 0 0 0 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 125071 0 36000 0 0 0 736 0 7953 0 169760 0 0 0 ANN LUNDY CHIEF OPERATING OFFICER 220591 0 70000 0 0 0 1160 0 17903 0 309654 0 0 0 TARIQ BUTT VP OF HEALTH AFFAIRS 295033 0 40000 0 0 0 1377 0 21082 0 357492 0 0 0 ELEVA RILEY VP HUMAN RESOURCES 203772 0 60000 0 0 0 997 0 9821 0 274590 0 0 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 134563 0 37000 0 0 0 325 0 20315 0 192203 0 0 0 LEO BOLER PHYSICIAN 268246 0 0 0 0 0 1459 0 13032 0 282737 0 0 0 PAULA CAVENS PHYSICIAN 282501 0 0 0 0 0 877 0 7840 0 291218 0 0 0 LEMUEL SHAFFER PHYSICIAN 262704 0 0 0 0 0 792 0 1905 0 265401 0 0 0 NARAYAN PRABHAKAR PHYSICIAN 275353 0 450 0 0 0 1039 0 20163 0 297005 0 0 0 ANDRES MAFLA PHYSICIAN 272532 0 0 0 0 0 706 0 23965 0 297203 0 0 0 PART I, LINE 1A THE CEO'S EMPLOYMENT AGREEMENT INCLUDES A PROVISION FOR THE ORGANIZATION TO REIMBURSE THE CEO FOR THE INITIATION FEE, CLUB DUES, ASSESSMENTS, SPECIAL ASSESSMENTS, AND EXPENSES FOR A PROFESSIONAL OR SOCIAL CLUBS OF THE CEO'S CHOOSING. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED 457(B) DEFERRED COMPENSATION PLAN; DONNA THOMPSON, MAHOMED OUEDRAOGO, ANN LUNDY, JAIRO MEJIA, AND TARIQ BUTT. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS E-MAILED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS AND SUBMIT TO THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS THE SALARIES OF THE SENIOR LEADERSHIP TEAM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS 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. HEALTHCURA REAL ESTATE INC 600 W FULTON ST STE 200 CHICAGO IL 606611262 831555935 RENTAL INCOME IL 501(C)(2) ACCESS COMMUNITY HEALTH NETWORK 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 HEALTHCURA REAL ESTATE INC K 240000 CASH PROVIDED