2022-07-14T14:03:41-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2021-01-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 3125262100 2022-07-13 1 MAHOMED OUEDRAOGO XXX-XX-XXXX CHRIS MANDERFIELD P01238973 6305738600 2022-07-13 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 159425105 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. 18 18 1287 18 0 0 23169926 29649784 62094337 129551678 250859 223643 0 0 85515122 159425105 0 0 0 0 43321292 91109727 0 0 0 34497965 63710399 77819257 154820126 7695865 4604979 65356682 73786429 30632835 34457603 34723847 39328826 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 125078520 129551678 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 484,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING APPROXIMATELY 280,000 UNINSURED PATIENTS. 125078520 1 1 0 1 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 1 293 0 1287 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 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 BOARD MEMBER 1.00 X 0 0 0 DONNA SIMMONS BOARD MEMBER 1.00 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 TOMMY FITZGIBBON VICE CHAIRMAN EMERITUS 1.00 X X 0 0 0 DAKISHA MITCHELL 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 VICE CHAIRMAN 1.00 X X 0 0 0 SHARON GIBSON BOARD MEMBER 1.00 X 0 0 0 MIRIAM MOBLEY-SMITH CHAIRWOMAN 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 CYNTHIA BARGINERE BOARD MEMBER 1.00 X 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 714063 0 23434 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 451416 0 22983 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 416826 0 38710 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 213500 0 27024 ANN LUNDY CHIEF OPERATING OFFICER 40.00 X 434215 0 32206 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 398961 0 35711 CRISTINA SOTELINO VP OF COMMUNIATIONS AND COMMUNITY ENGAGEMENT 40.00 X 233022 0 15680 PAUL GLAVIN GENERAL COUNSEL 40.00 X 273826 0 11331 LEO BOLER PHYSICIAN 40.00 X 268617 0 26013 SARIKA ARORA PHYSICIAN 40.00 X 288734 0 8705 ANDRES MAFLA PHYSICIAN 40.00 X 271728 0 34811 KWANG JANG PHYSICIAN 40.00 X 389926 0 30842 GAGANDEEP GROVER PHYSICIAN 40.00 X 282330 0 30358 4637164 0 337808 149 0 1 0 GDI SERVICES INC 4952 W 128TH PL ALSIP IL 60803 MAINTENANCE SERVICES 1501722 AMERICAN SECURITY SERVICES INC 1515 S HARLEM AVE UNIT 2 FOREST PARK IL 601302620 SECURITY SERVICE 1155904 AHEAD LLC 401 N MICHIGAN AVE STE 3400 CHICAGO IL 60611 CONSULTANT SERVICE 785110 ADVENTIST HEALTH PARTNERS INC 2601 NAVISTAR DR LISLE IL 60532 CONTRACT PROVIDER SERVICE 509216 TELL YOUR STORY BRAND COMMUNICATIONS INC 1167 WILLMETTE STE 201 WILLMETTE IL 60091 MARKETING CONSULTANT 428491 20 66496 27876950 1706338 29649784 CAPITATION REVENUE 621140 44721255 44721255 NET PATIENT SERVICE REVENUE 621140 42473531 42473531 340B 621140 35283760 35283760 CARE COORDINATION FEES 621140 5031136 5031136 AFFILIATE CONTRACTS 621140 1362351 1362351 679645 679645 129551678 223643 223643 159425105 129551678 0 223643 2230021 1724573 505448 73142266 56564133 16578133 2006553 1551756 454797 8246241 6202191 2044050 5484646 4200132 1284514 46760 46760 12315586 8475346 3840240 1450327 983003 467324 1138173 841275 296898 665398 396724 268674 16135724 14554920 1580804 53175 36809 16366 50478 11670 38808 123752 104669 19083 3546797 3259991 286806 766269 639462 126807 340B PHARMACY AND FEES 16348700 16348700 MEDICAL AND PHARMACY SU 4285867 4282085 3782 REFERRED MEDICAL SERVIC 3424178 3424178 OTHER 3359215 1476903 1882312 154820126 125078520 29741606 0 23616376 35031974 5339755 6936172 8200847 5542932 2445472 2693308 81926713 66022355 18515351 15904358 2663029 3077654 4575852 4600031 65356682 73786429 19514115 15284554 4145539 11608233 6973181 7564816 30632835 34457603 X 33681734 38428145 1042113 900681 34723847 39328826 65356682 73786429 4604979 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20000 20000 0 PART II-B, LINE 1: ACCESS COMMUNITY HEALTH NETWORK HAS CONTRACTED WITH A CONSULTANT TO: 1) IDENTIFY AND SECURE FUNDING FROM VARIOUS SOURCES, INCLUDING THE STATE OF ILLINOIS, AND OTHER RELATED BODIES OF GOVERNEMENT 2) PROVIDE INTRODUCTIONS TO STATE OF ILLINOIS OFFICIALS AND EMPLOYEES 3) PROVIDE INTRODUCTIONS TO VARIOUS LEADERS IN STATE OF ILLINOIS TO BETTER POSITION ACCESS IN ATTAINING ITS OBJECTIVES 4) PROVIDE ASSISTANCE FOR ADVOCACY RELATED TO SECURING AVAILABLE GOVERNMENT FUNDING. 930666 930666 23330138 11750690 11579448 20942708 19621323 1321385 36723201 34650342 2072859 15904358 457 (B) PLAN ASSETS 3169024 DUE FROM AFFILIATE 1431007 4600031 DEFERRED RENT OBLIGATION 2084572 457(B) PLAN PARTICIPANT LIABILITY 3169024 OTHER LIABILITIES 2311220 7564816 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 603006 0 0 0 111057 0 11600 0 11834 0 737497 0 0 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 353363 0 0 0 98053 0 11715 0 11268 0 474399 0 0 0 ANN LUNDY CHIEF OPERATING OFFICER 327661 0 0 0 106554 0 12192 0 20014 0 466421 0 0 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 310272 0 0 0 106554 0 12607 0 26103 0 455536 0 0 0 TARIQ BUTT VP OF HEALTH AFFAIRS 317407 0 0 0 81554 0 12165 0 23546 0 434672 0 0 0 KWANG JANG PHYSICIAN 294910 0 0 0 95016 0 9278 0 21564 0 420768 0 0 0 GAGANDEEP GROVER PHYSICIAN 238199 0 0 0 44131 0 11937 0 18421 0 312688 0 0 0 ANDRES MAFLA PHYSICIAN 185288 0 0 0 86440 0 9537 0 25274 0 306539 0 0 0 SARIKA ARORA PHYSICIAN 167642 0 0 0 121092 0 8418 0 287 0 297439 0 0 0 LEO BOLER PHYSICIAN 265563 0 0 0 3054 0 10641 0 15372 0 294630 0 0 0 PAUL GLAVIN GENERAL COUNSEL 247272 0 0 0 26554 0 11331 0 0 0 285157 0 0 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND COMMUNITY EN 166468 0 0 0 66554 0 6402 0 9278 0 248702 0 0 0 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 146946 0 0 0 66554 0 8200 0 18824 0 240524 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 WHICH IS FUNDED SOLEY BY EMPLOYEE CONTRIBUTIONS: 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 1431007 CASH VALUE