2021-03-24T14:35:21-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2019-07-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 3125262100 2021-03-23 1 CHRIS MANDERFIELD P01238973 6305738600 2021-03-23 2019 2022-09-23 18:48:47Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 139118136 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. 21 21 1159 21 0 0 20677711 27765740 112083934 111237487 80428 114909 1434348 0 134276421 139118136 0 0 0 0 72077505 77696621 0 0 0 65887265 63111174 137964770 140807795 -3688349 -1689659 54511495 57637680 25793854 30609698 28717641 27027982 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 114834455 111237487 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 169,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING MORE THAN 38,000 UNINSURED PATIENTS. 114834455 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 1 283 0 1159 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 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 EMERITUS 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 VICE CHAIR 1.00 X X 0 0 0 JULIO MOREJON BOARD MEMBER 1.00 X 0 0 0 LIZ PEREZ BOARD MEMBER 1.00 X 0 0 0 KIMI ELLEN BOARD MEMBER 1.00 X 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 761546 0 33090 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 330968 0 18984 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 398124 0 26950 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 126985 0 9567 ANN LUNDY CHIEF OPERATING OFFICER 40.00 X 269614 0 13065 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 298795 0 20158 ELEVA RILEY VP HUMAN RESOURCES 40.00 X 227152 0 14211 LEO BOLER PHYSICIAN 40.00 X 268268 0 16746 PAULA CAVENS PHYSICIAN 40.00 X 330646 0 9567 SARIKA ARORA PHYSICIAN 40.00 X 258756 0 15842 KENNETH BRETTS PHYSICIAN 40.00 X 249350 0 14503 ANDRES MAFLA PHYSICIAN 40.00 X 258323 0 18953 3778527 0 211636 100 0 1 0 GDI SERVICES INC 4952 W 128TH PL ALSIP IL 60803 MAINTENANCE SERVICES 1512889 KAIZEN HEALTH INC 518 N NOBLE ST UNIT 15 CHICAGO IL 60642 TRANSPORTATION SERVICE 1000889 AMERICAN SECURITY SERVICES INC 1515 S HARLEM AVE FOREST PARK IL 601302620 SECURITY SERVICE 904778 TELL YOUR STORY BRAND COMMUNICATIONS INC 220 N GREEN ST CHICAGO IL 60607 MARKETING CONSULTANT 447079 ADVENTIST HEALTH PARTNERS INC 2601 NAVISTAR DRIVE AMITA HEALTH BL LISLE IL 60532 CONTRACT PROVIDER SERVICE 399360 22 234270 26476877 1054593 27765740 NET PATIENT SERVICE REVENUE 621400 57998611 57998611 340B 621140 33246251 33246251 CAPITATION REVENUE 621400 12913911 12913911 CARE COORDINATION FEES 621140 5223577 5223577 AFFILIATE CONTRACTS 621140 1143921 1143921 711216 711216 111237487 114909 114909 139118136 111237487 0 114909 2413184 1876789 536395 62901753 48920159 13981594 7825518 5825398 2000120 4556166 3550724 1005442 120264 30544 89720 12774962 8687088 4087874 620207 61356 558851 922022 709646 212376 691534 330914 360620 15157491 14166543 990948 164481 132793 31688 69622 36522 33100 272206 215741 56465 4683397 4300824 382573 830311 709557 120754 340B PHARMACY AND FEES 16612491 16612491 MEDICAL AND PHARMACY SU 4148348 4036903 111445 REFERRED MEDICAL SERVIC 3500327 3500327 2543511 1130136 1413375 140807795 114834455 25973340 0 8532779 14409229 4174873 7883310 10035740 6782617 2908022 2600899 80187046 60398671 23686328 19788375 1537766 2208164 3635987 3965086 54511495 57637680 12973216 16625903 6678614 7160693 6142024 6823102 25793854 30609698 X 27682405 26279598 1035236 748384 28717641 27027982 54511495 57637680 -1689659 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 930666 930666 22702799 10617249 12085550 20469656 17836210 2633446 36083925 31945212 4138713 19788375 457 (B) PLAN ASSETS 2609079 DUE FROM AFFILIATE 1356007 3965086 DEFERRED RENT OBLIGATION 2326486 457(B) PLAN PARTICIPANT LIABILITY 2609079 OTHER LIABILITIES 1887537 6823102 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 2020 AND 2019, 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 1 1 X X 0 1 0 0 0 0 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 586546 0 175000 0 0 0 3336 0 29754 0 794636 0 0 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 330918 0 50 0 0 0 2024 0 16960 0 349952 0 0 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 398124 0 0 0 0 0 1561 0 25389 0 425074 0 0 0 ANN LUNDY CHIEF OPERATING OFFICER 269614 0 0 0 0 0 1644 0 11421 0 282679 0 0 0 TARIQ BUTT VP OF HEALTH AFFAIRS 298795 0 0 0 0 0 1873 0 18285 0 318953 0 0 0 ELEVA RILEY VP HUMAN RESOURCES 227152 0 0 0 0 0 1239 0 12972 0 241363 0 0 0 LEO BOLER PHYSICIAN 268148 0 120 0 0 0 1502 0 15244 0 285014 0 0 0 PAULA CAVENS PHYSICIAN 222980 0 107666 0 0 0 1278 0 8289 0 340213 0 0 0 SARIKA ARORA PHYSICIAN 163682 0 95074 0 0 0 996 0 14846 0 274598 0 0 0 KENNETH BRETTS PHYSICIAN 248770 0 580 0 0 0 1466 0 13037 0 263853 0 0 0 ANDRES MAFLA PHYSICIAN 172641 0 85682 0 0 0 1077 0 17876 0 277276 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 360000 RENTAL AGREEMENT