2021-05-05T07:42:54-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2019-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 1 CHICAGO IL 60608 RYAN GADIA CFO 7735846200 2021-05-03 1 CHRIS MANDERFIELD P01238973 6305738600 2021-05-03 2019 2022-09-23 18:48:47Z RYAN GADIA 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 24955741 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 16 16 213 16 0 0 5352885 6506347 14681723 17982303 380652 -73130 624185 516964 21039445 24932484 0 0 0 0 11910960 15392718 0 0 923221 7968392 9192243 19879352 24584961 1160093 347523 23906192 24799898 12375193 12921376 11530999 11878522 TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES 0 0 18154908 18421218 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. 18154908 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 1 213 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 16 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 MICHAEL CHICO BOARD CHAIR 0.25 X X 0 0 0 LUIS GUTIERREZ VICE CHAIR 0.25 X X 0 0 0 NYLA DIAB SECRETARY 0.25 X X 0 0 0 BRIAN FREDERICKS TREASURER 0.25 X X 0 0 0 ELBA ARANDA-SUH DIRECTOR 0.25 X 0 0 0 JAIME ARTEAGA DIRECTOR 0.25 X 0 0 0 DAVID BERKEY DIRECTOR 0.25 X 0 0 0 MARISELA LAWSON DIRECTOR 0.25 X 0 0 0 GIA MAC DIRECTOR 0.25 X 0 0 0 JOHN O'TOOLE DIRECTOR 0.25 X 0 0 0 JODI PORTNOY DIRECTOR 0.25 X 0 0 0 JOEL RODARTE DIRECTOR 0.25 X 0 0 0 MELANIE TAN DIRECTOR 0.25 X 0 0 0 CHARLES WINTERSTEEN DIRECTOR 0.25 X 10120 0 0 CARA GOLDSBERRY DIRECTOR 0.25 X 0 0 0 RICK GUTIERREZ SECRETARY 0.25 X X 0 0 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 40.00 1.00 X 276988 0 13911 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 40.00 1.00 X 275013 0 8734 CARMEN VERGARA CHIEF OPERATING OFFICER 40.00 1.00 X 155329 0 11445 RYAN D GADIA CHIEF FINANCIAL OFFICER 40.00 1.00 X 146600 0 23628 FREDERICO HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 40.00 1.00 X 210290 0 22071 KRISTINA N PONTARELLI PHYSICIAN 40.00 X 224637 0 13700 RAFAEL LOPEZ SANCHEZ PHYCHIATRIST 40.00 X 211099 0 13104 CATHERINE LIU PHYSICIAN 40.00 X 209166 0 13503 ESTHER KIROV PHYSICIAN 40.00 X 201212 0 26122 SARAH HOQUE PHYSICIAN 40.00 X 190137 0 11090 2110591 0 157308 32 0 1 0 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 EMR AND BILLING SERVICES 1021736 PCY GENERAL SERVICE INC 5911 W 88TH ST OAK LAWN IL 60453 JANITORIAL SERVICES 206825 RX STRATEGIES INC 1900 GLADES ROAD SUITE 350 BOCA RATON FL 33431 THIRD PARTY ADMINISTRATOR FOR 340B PROGR 176923 MD TECHNOLOGY SERVICES LLC 2242 W BELMONT AVE1E CHICAGO IL 60618 IT CONSULTING AND SUPPORT SERVICES 173907 COMMUNITY HEALTH CENTER INC 575 MAIN STREET 2ND FLOOR MIDDLETOWN CT 06457 FNP RESIDENCY TRAINING PROGRAM 125437 5 253054 23242 4001795 2228256 6506347 PATIENT FEES 621990 12530152 12530152 PHARMACY REVENUE 621990 5452151 5452151 17982303 -73130 -73130 101306 23242 23257 78049 78049 MISCELLANEOUS 900099 438915 438915 438915 24932484 18421218 0 4919 1067288 802367 235576 29345 11921065 8962034 2631267 327764 364419 273963 80436 10020 1160258 872260 256097 31901 879688 661333 194168 24187 4228 2975 1220 33 79821 56165 23032 624 1993140 1260170 720693 12277 60957 60957 251673 133857 98956 18860 350516 18200 332316 701324 340860 360464 17114 13305 3289 520 542053 514844 27209 51595 51528 67 123146 104176 18970 PHARMACY AND MEDICAL SU 3811666 3793235 18431 MISCELLANEOUS 578581 86430 99333 392818 REPAIRS AND MAINTENANCE 235563 98188 137375 STAFF TRAINING 225001 66328 150734 7939 165865 42690 117199 5976 24584961 18154908 5506832 923221 5415898 6062704 1392507 994507 2045795 2323604 11982000 11982000 352635 353214 984556 184151 218662 800405 2458008 2181453 40687 102011 23906192 24799898 2269359 2360369 10000000 9256327 105834 1304680 12375193 12921376 X 11296118 11753522 234881 125000 11530999 11878522 23906192 24799898 347523 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 662929 19122 643807 321627 165029 156598 800405 MHN ACO, LLC 2181453 F 2181453 DEFERRED LIABILITIES 167158 REFUNDABLE ADVANCE 1137522 1304680 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, 2020 AND 2019. ANNUAL GALA 79848 20150 59698 4550 QUINCEANERA EVENT 27882 3092 24790 6736 1730 4915 1 16818 16818 600 1900 2826 124548 23242 101306 600 11286 3630 7741 23257 78049 X X X X X 0 1 0 0 0 0 0 1 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 227600 0 49388 0 0 0 8036 0 5875 0 290899 0 0 0 ANDREW J VAN WIEREN CHIEF MEDICAL OFFICER 238649 0 36364 0 0 0 7658 0 1076 0 283747 0 0 0 CARMEN VERGARA CHIEF OPERATING OFFICER 138116 0 17213 0 0 0 5525 0 5920 0 166774 0 0 0 RYAN D GADIA CHIEF FINANCIAL OFFICER 127850 0 18750 0 0 0 5114 0 18514 0 170228 0 0 0 FREDERICO HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 199290 0 11000 0 0 0 7972 0 14099 0 232361 0 0 0 KRISTINA N PONTARELLI PHYSICIAN 202569 0 22068 0 0 0 7780 0 5920 0 238337 0 0 0 RAFAEL LOPEZ SANCHEZ PHYCHIATRIST 211099 0 0 0 0 0 7184 0 5920 0 224203 0 0 0 CATHERINE LIU PHYSICIAN 198583 0 10583 0 0 0 7748 0 5755 0 222669 0 0 0 ESTHER KIROV PHYSICIAN 190212 0 11000 0 0 0 7608 0 18514 0 227334 0 0 0 SARAH HOQUE PHYSICIAN 177238 0 12899 0 0 0 6490 0 4600 0 201227 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. PART I, LINE 7 THE CEO, CMO, COO, 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 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 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 0 0 HEALHTY BRIGHTON TITLE HOLDING CORPORATION NFP R 142000 RENTAL AGREEMENT