2020-02-19T17:38:46-06:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2018-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 RYAN GADIA CFO 7735846200 2020-02-13 1 CHRIS MANDERFIELD P01238973 6305738600 2020-02-13 67.137.57.251 2020-02-13 15:12:08 CS P 2B5AE204D57F1ED4849D776CD36261842D4E5D96 69C6B9152479EBD52149E87315EA4E54F39C36FC 2018 2020-09-23 17:36:50Z RYAN GADIA 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 21083137 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 13 13 158 13 0 0 4687188 5352885 14052904 14681723 192831 380652 427346 624185 19360269 21039445 0 0 0 0 9905715 11910960 0 0 527241 6344830 7968392 16250545 19879352 3109724 1160093 22108623 23906192 11670467 12375193 10438156 11530999 TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES 0 0 14876711 15261741 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 95 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. 14876711 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 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 19 0 1 158 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 1 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 CARA GOLDSBERRY DIRECTOR 0.25 X 0 0 0 NYLA DIAB BOARD CHAIR 0.25 X X 0 0 0 BRIAN FREDERICKS TREASURER 0.25 X X 0 0 0 LUIS GUTIERREZ SECRETARY 0.25 X X 0 0 0 JODI PORTNOY DIRECTOR 0.25 X 0 0 0 DAVID BERKEY DIRECTOR 0.25 X 0 0 0 CHARLES WINTERSTEEN DIRECTOR 0.25 X 9750 0 0 ELBA ARANDA-SUH DIRECTOR 0.25 X 0 0 0 MICHAEL CHICO DIRECTOR 0.25 X 0 0 0 JOEL RODARTE DIRECTOR 0.25 X 0 0 0 MARISELA LAWSON DIRECTOR 0.25 X 0 0 0 MELANIE LI YU TAN DIRECTOR 0.25 X 0 0 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 40.00 1.00 X 216980 0 13493 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 40.00 X 255685 0 8640 WAYNE SOTTILE FORMER CHIEF FINANCIAL OFFICER 40.00 1.00 X 152836 0 7619 ADRIAN SOTO CHIEF STRATEGY OFFICER 40.00 1.00 X 111180 0 9634 CARMEN VERGARA CHIEF OPERATING OFFICER 40.00 X 132500 0 9728 RYAN D GADIA CHIEF FINANCIAL OFFICER 40.00 X 106421 0 19143 FEDERICO I HERRERA MEDICAL DIRECTOR - LITTLE 40.00 X 189708 0 22419 CATHERINE CHIA AI LIU PHYSICIAN 40.00 X 244598 0 13897 SARAH HOQUE PHYSICIAN 40.00 X 192581 0 11488 KRISTINA N PONTARELLI PHYSICIAN 40.00 X 206730 0 12660 SYLVIA A SHOKUNBI PHYSICIAN 40.00 X 176912 0 24080 MARIA SILVA PHYSICIAN 40.00 X 177263 0 24260 2173144 0 177061 25 0 1 0 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 EMR AND BILLING SERVICES 953021 JUAN GABRIEL MORENO ARCHITECTS 223 W OHIO STREET CHICAGO IL 60654 ARCHITECTURAL SERVICES 429408 RX STRATEGIES INC 1900 GLADES ROAD SUITE 350 BOCA RATON FL 33431 THIRD PARTY ADMINISTRATOR FOR 340B PROGR 152448 PCY GENERAL SERVICE INC 5911 W 88TH ST OAK LAWN IL 60453 JANITORIAL SERVICES 149405 MCALPINE CONSULTING 4870 N FRANCISCO UNIT 2 CHICAGO IL 60625 CONSULTING 100912 5 40500 68818 2930630 2312937 5352885 PATIENT FEES 621990 10505533 10505533 PHARMACY REVENUE 621990 4176190 4176190 14681723 380652 380652 87859 68818 43692 44167 44167 MISCELLANEOUS 900099 580018 580018 580018 21039445 15261741 0 424819 1067288 772627 262927 31734 8917255 6455345 2196772 265138 350630 253827 86378 10425 845218 611867 208220 25131 730569 528871 179976 21722 28404 19986 8196 222 85919 60456 24792 671 1623155 1142111 468361 12683 40758 215 40543 211513 135857 64929 10727 344981 15818 329088 75 602784 539173 63611 47036 15621 29967 1448 625854 594439 31415 35278 33760 1518 102400 78082 24318 PHARMACY AND MEDICAL SU 3330768 3313442 17326 STAFF TRAINING 306977 64704 229828 12445 MISCELLANEOUS 291018 79911 121842 89265 REPAIRS AND MAINTENANCE 154536 126886 27650 137011 33928 98071 5012 19879352 14876711 4475400 527241 4956191 5415898 1747203 1392507 1027317 2045795 11982000 11982000 204255 352635 351491 132829 114301 218662 2077356 2458008 40687 22108623 23906192 1670467 2269359 10000000 10000000 0 105834 11670467 12375193 X 10267047 11296118 171109 234881 10438156 11530999 22108623 23906192 X 1160093 -67250 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61652 18518 43134 289839 114311 175528 218662 MHN ACO, LLC 2458008 F 2458008 DEFERRED LIABILITIES 105834 105834 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)(III) 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, 2019 AND 2018. ANNUAL GALA 116066 54005 62061 3000 18538 750 11073 GOLF OUTING 31149 14813 16336 6077 1175 1 9462 9462 878 734 1467 156677 68818 87859 3878 25349 750 13715 43692 44167 X X X X X 0 1 0 0 0 0 0 1 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 199616 0 17364 0 0 0 7985 0 5508 0 230473 0 0 0 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 224559 0 31126 0 0 0 7564 0 1076 0 264325 0 0 0 WAYNE SOTTILE FORMER CHIEF FINANCIAL OFFICER 136298 0 16538 0 0 0 4362 0 3257 0 160455 0 0 0 FEDERICO I HERRERA MEDICAL DIRECTOR - LITTLE 180008 0 9700 0 0 0 7200 0 15219 0 212127 0 0 0 CATHERINE CHIA AI LIU PHYSICIAN 229498 0 15100 0 0 0 8343 0 5554 0 258495 0 0 0 SARAH HOQUE PHYSICIAN 184681 0 7900 0 0 0 6224 0 5264 0 204069 0 0 0 KRISTINA N PONTARELLI PHYSICIAN 192269 0 14461 0 0 0 7106 0 5554 0 219390 0 0 0 SYLVIA A SHOKUNBI PHYSICIAN 162962 0 13950 0 0 0 6518 0 17562 0 200992 0 0 0 MARIA SILVA PHYSICIAN 169263 0 8000 0 0 0 6770 0 17490 0 201523 0 0 0 PART I, LINE 3 THE CEO'S SALARY IS BASED ON A WRITTEN EMPLOYMENT CONTRACT. ANNUAL RAISES ARE BASED ON COMPENSATION STUDIES AND CONSULTATION SUBJECT TO APPROVAL BY THE BOAR OF DIRECTORS. PART I, LINE 4B THE ORGANIZATION SPONSORS AN EXECUTIVE 457(B) PLAN AND A 457(F) PLAN. THE 457(B) PLAN IS AVAILABLE TO SENIOR MANAGEMENT AND OTHER HIGHLY COMPENSATED EMPLOYEES. THE 457(F) PLAN IS CURRENTLY ONLY AVAILABLE TO THE CEO. THE ORGANIZATIONS' CONTRIBUTIONS TO THE PLAN WERE $35,000 FOR THE YEAR ENDING JUNE 30, 2019 WITH AMOUNTS DEFERRED OVER A PERIOD OF 3-4 YEARS. 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 A, LINE 4 THE BYLAWS WERE UPDATED TO READ AS FOLLOWS: ARTICLE 2: BOARD OF DIRECTORS SECTION 2.1 NUMBER OF DIRECTORS. THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL HAVE BETWEEN ELEVEN AND SIXTEEN MEMBERS. AT LEASE FIFTY-ONE PERCENT (51%)OF THE DIRECTORS SHALL BE PERSONS WHO USE THE SERVICES OF THE CORPORATION ("CONSUMER DIRECTORS"), AS DESCRIBED IN SECTION 2.3(A). NO MORE THAN HALF OF THE NON-CONSUMER DIRECTORS MAY BE PERSONS WHO DERIVE MORE THAN 10% OF THEIR ANNUAL INCOME FROM THE HEALTH CARE INDUSTRY, AS DESCRIBED IN SECTION 2.3(B). FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED IN DRAFT FORM BY THE ORGANIZATION'S FINANCE COMMITTEE, THEN SENT TO 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 XI, LINE 9: TRANSFER OF NET ASSETS TO HEALTHY BRIGHTON TITLE HOLDING CORPORATION NFP -67,250. 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 1 0 0 0 0 0 0 1 0 HEALHTY BRIGHTON TITLE HOLDING CORPORATION NFP R 67250 HISTORICAL COSTS