2021-11-10T11:15:53-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2020-07-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 3125262100 2021-11-05 1 MAHOMED OUEDRAOGO XXX-XX-XXXX CHRIS MANDERFIELD P01238973 6305738600 2021-11-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 85515122 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. 19 19 1218 0 0 0 27765740 23169926 111237487 62094337 114909 250859 0 0 139118136 85515122 0 0 0 0 77696621 43321292 0 0 0 63111174 34497965 140807795 77819257 -1689659 7695865 57637680 65356682 30609698 30632835 27027982 34723847 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 63084738 62094337 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 FISCAL YEAR ACCESS SERVED APPROXIMATELY 136,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING APPROXIMATELY 28,000 UNINSURED PATIENTS. 63084738 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 1 287 0 1218 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 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 DAKISHA MITCHELL BOARD MEMBER 1.00 X 0 0 0 DR CHARLES DESHAZER 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 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 614089 0 19177 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 354506 0 15314 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 325138 0 28821 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 133874 0 13661 ANN LUNDY CHIEF OPERATING OFFICER 40.00 X 293697 0 14297 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 319083 0 24967 ELEVA RILEY VP HUMAN RESOURCES 40.00 X 48548 0 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 40.00 X 150306 0 7933 PAUL GLAVIN GENERAL COUNSEL 40.00 X 249004 0 2692 LEO BOLER PHYSICIAN 40.00 X 283800 0 15893 PAULA CAVENS PHYSICIAN 40.00 X 320454 0 11071 SARIKA ARORA PHYSICIAN 40.00 X 288150 0 2208 KENNETH BRETTS PHYSICIAN 40.00 X 264301 0 17822 ANDRES MAFLA PHYSICIAN 40.00 X 254742 0 24626 3899692 0 198482 155 0 1 0 GDI SERVICES INC 4952 W 128TH PL ALSIP IL 60803 MAINTENANCE SERVICES 1048322 AMERICAN SECURITY SERVICES INC 1515 S HARLEM AVE FOREST PARK IL 601302620 SECURITY SERVICE 523587 GLOBO LANGUAGE SOLUTIONS 500 OFFICE CENTER DRIVE SUITE 400 FORT WASHINGTON PA 19034 INTERPRETER 226098 TELL YOUR STORY BRAND COMMUNICATIONS INC 220 N GREEN ST CHICAGO IL 60607 MARKETING CONSULTANT 225373 KAIZEN HEALTH INC 518 N NOBLE ST UNIT 15 CHICAGO IL 60642 TRANSPORTATION SERVICE 171061 9 11995 21657848 1500083 23169926 NET PATIENT SERVICE REVENUE 621140 27549875 27549875 340B 621140 17245179 17245179 CAPITATION REVENUE 621140 14417670 14417670 CARE COORDINATION FEES 621140 2132599 2132599 AFFILIATE CONTRACTS 621140 587800 587800 161214 161214 62094337 250859 250859 85515122 62094337 0 250859 3899692 3068817 830875 31582368 24853373 6728995 2131413 2131413 3361040 3109816 251224 2346779 1761033 585746 34034 34034 6387998 4133390 2254608 738933 510436 228497 585530 585530 2273715 2097581 176134 7898446 7438580 459866 36326 11607 24719 18082 3355 14727 76708 49986 26722 2125747 1964597 161150 361352 303114 58238 340B PHARMACY AND FEES 8639677 8639677 MEDICAL AND PHARMACY SU 2453207 2425296 27911 REFERRED MEDICAL SERVIC 1527798 1527798 OTHER 1340412 600752 739660 77819257 63084738 14734519 0 14409229 23616376 7883310 5339755 6782617 8200847 2600899 2445472 81039768 62524417 19788375 18515351 2208164 2663029 3965086 4575852 57637680 65356682 16625903 19514115 7160693 4145539 6823102 6973181 30609698 30632835 X 26279598 33681734 748384 1042113 27027982 34723847 57637680 65356682 7695865 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 930666 930666 22798354 11004547 11793807 20571632 18567482 2004150 36739116 32952388 3786728 18515351 457 (B) PLAN ASSETS 3204845 DUE FROM AFFILIATE 1371007 4575852 DEFERRED RENT OBLIGATION 2243157 457(B) PLAN PARTICIPANT LIABILITY 3204845 OTHER LIABILITIES 1525179 6973181 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 614089 0 0 0 0 0 6731 0 12446 0 633266 0 0 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 354506 0 0 0 0 0 4049 0 11265 0 369820 0 0 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 325138 0 0 0 0 0 3231 0 25590 0 353959 0 0 0 TARIQ BUTT VP OF HEALTH AFFAIRS 319083 0 0 0 0 0 3745 0 21222 0 344050 0 0 0 PAULA CAVENS PHYSICIAN 248892 0 71562 0 0 0 2740 0 8331 0 331525 0 0 0 ANN LUNDY CHIEF OPERATING OFFICER 293697 0 0 0 0 0 3231 0 11066 0 307994 0 0 0 LEO BOLER PHYSICIAN 283750 0 50 0 0 0 1694 0 14199 0 299693 0 0 0 SARIKA ARORA PHYSICIAN 178177 0 109973 0 0 0 1992 0 216 0 290358 0 0 0 KENNETH BRETTS PHYSICIAN 263581 0 720 0 0 0 2931 0 14891 0 282123 0 0 0 ANDRES MAFLA PHYSICIAN 189041 0 65701 0 0 0 2154 0 22472 0 279368 0 0 0 PAUL GLAVIN GENERAL COUNSEL 249004 0 0 0 0 0 2692 0 0 0 251696 0 0 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 150306 0 0 0 0 0 390 0 7543 0 158239 0 0 0 ELEVA RILEY VP HUMAN RESOURCES 48548 0 0 0 0 0 0 0 0 0 48548 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 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 HEALTHCURA REAL ESTATE INC K 360000 RENTAL AGREEMENT HEALTHCURA REAL ESTATE INC D 1371007 CASH VALUE