2023-08-04T18:21:29-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2022-01-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF EXECUTIVE OFFICER 3125262100 2023-07-27 1 MAHOMED OUEDRAOGO XXX-XX-XXXX 0 CHRIS MANDERFIELD P01238973 6305738600 2023-07-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 180860895 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 1345 18 0 0 29649784 42064717 129551678 138654686 223643 141492 0 0 159425105 180860895 0 0 0 0 91109727 102119572 0 0 0 63710399 71786068 154820126 173905640 4604979 6955255 73786429 103210511 34457603 47400750 39328826 55809761 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 138522451 138654686 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 517,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING APPROXIMATELY 322,000 UNINSURED PATIENTS. 138522451 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 0 0 0 1 293 0 1345 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 DONNA SIMMONS BOARD MEMBER 1.00 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 PATTI BOBB 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 PERLA HERRERA SECRETARY 1.00 X X 0 0 0 DENISE KITCHEN BOARD MEMBER 1.00 X 0 0 0 VIRGINIA OVIDEO BOARD MEMBER 1.00 X 0 0 0 MARIA JENNIFER ZEPEDA BOARD MEMBER 1.00 X 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 886162 0 30321 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 419669 0 31787 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 395526 0 43740 ANN LUNDY CHIEF OPERATING OFFICER 40.00 X 191902 0 20874 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 180811 0 20042 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 372613 0 43130 PAUL GLAVIN GENERAL COUNSEL 40.00 X 328277 0 18908 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 40.00 X 213897 0 20964 JASON HUTTON VP HUMAN RESOURCES 40.00 X 206233 0 31033 KWANG JANG PHYSICIAN 40.00 X 397877 0 34655 JACOB M MEYER PHYS OB GYNE 40.00 X 319483 0 22780 ANDRES MAFLA PHYSICIAN 40.00 X 290633 0 37629 DAVID S RICHARDS PHYS INTERNAL MEDICINE 40.00 X 268618 0 9720 GAGANDEEP GROVER PHYSICIAN 40.00 X 255947 0 38817 4727648 0 404400 174 0 1 0 CONTRACT DIRECT LLC 24300 SOUTHFIELD ROAD SUITE 321 SOUTHFIELD MI 48075 MAINTENANCE SERVICES 2759321 AMERICAN SECURITY SERVICES INC 1515 S HARLEM AVE UNIT 2 FOREST PARK IL 601302655 SECURITY SERVICE 1269161 PRESTIGE PAINTING 126 OLD CREEK ROAD PALOS PARK IL 60464 MAINTENANCE SERVICE 1186365 AJILON DEPT CH 14031 PALANTINE IL 60055 CONSULTANT/TEMP STAFF SERVICE 937633 GLOBO LANGUAGE SOLUTIONS 500 OFFICE CENTER DRIVE STE 400 FORT WASHINGTON PA 19034 INTERPRENTER SERVICE 621090 31 40180203 1884514 42064717 CAPITATION REVENUE 621140 48862275 48862275 PATIENT SERVICE REVENUE 621140 44195996 44195996 340B 621140 38210376 38210376 CARE COORDINATION FEES 621140 5514052 5514052 THIRD-PARTY GRANTS AND CONTRACTS 621140 1088427 1088427 783560 783560 138654686 141492 141492 180860895 138654686 0 141492 2704073 2057552 646521 80789104 61473098 19316006 2728046 1811544 916502 9898793 7366765 2532028 5999556 4456053 1543503 85454 85454 16809722 11519866 5289856 1438444 1212697 225747 15773353 14082567 1690786 64071 64071 2668410 2493454 174956 940637 778979 161658 340B PHARMACY AND FEES 18417473 18417473 0 MEDICAL AND PHARMACY SU 5005831 5005831 0 REFERRED MEDICAL SERVIC 3552787 3552787 0 7029886 4229714 2800172 173905640 138522451 35383189 0 35031974 39191423 6936172 5161780 5542932 5790383 2693308 2282017 82433458 67965682 15904358 14467776 3077654 1847693 4600031 34469439 73786429 103210511 15284554 15306472 11608233 7564816 32094278 34457603 47400750 X 38428145 54996352 900681 813409 39328826 55809761 73786429 103210511 X 6955255 -474320 10000000 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 65000 65000 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 24299180 13204619 11094561 19839524 18771418 1068106 37364088 35989645 1374443 14467776 457 (B) PLAN ASSETS 2816332 DUE FROM AFFILIATE 5476679 RIGHT OF USE ASSET-OPERATING 26176428 34469439 457(B) PLAN PARTICIPANT LIABILITY 2816332 OTHER LIABILITIES 2430308 LEASE LIABILITY-OPERATING, NONCURRENT PORTION 20344307 LEASE LIABILITY-OPERATING, CURRENT PORTION 6503331 32094278 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 650105 0 236057 0 0 0 11921 0 18400 0 916483 0 18400 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 359362 0 60307 0 0 0 18300 0 13487 0 451456 0 13486 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 313505 0 82021 0 0 0 18286 0 25454 0 439266 0 25453 0 KWANG JANG PHYSICIAN 172048 0 225829 0 0 0 12450 0 22205 0 432532 0 22205 0 TARIQ BUTT VP OF HEALTH AFFAIRS 324559 0 48054 0 0 0 18300 0 24830 0 415743 0 24830 0 PAUL GLAVIN GENERAL COUNSEL 250224 0 78053 0 0 0 16166 0 2742 0 347185 0 2741 0 JACOB M MEYER PHYS OB GYNE 192779 0 126704 0 0 0 14227 0 8553 0 342263 0 8553 0 ANDRES MAFLA PHYSICIAN 172293 0 118340 0 0 0 13000 0 24629 0 328262 0 24628 0 GAGANDEEP GROVER PHYSICIAN 165519 0 90428 0 0 0 14894 0 23923 0 294764 0 23922 0 DAVID S RICHARDS PHYS INTERNAL MEDICINE 169065 0 99553 0 0 0 9306 0 414 0 278338 0 413 0 JASON HUTTON VP HUMAN RESOURCES 173179 0 33054 0 0 0 9090 0 21943 0 237266 0 21943 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 175106 0 38791 0 0 0 11565 0 9399 0 234861 0 9398 0 ANN LUNDY CHIEF OPERATING OFFICER 191848 0 54 0 0 0 12466 0 8408 0 212776 0 8407 0 ETTA ISH HENDERSON CHIEF COMPLIANCE OFFICER 142757 0 38054 0 0 0 11565 0 8477 0 200853 0 8476 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 ETTA ISH. 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 XI, LINE 9: GAIN ON DEBT FORGIVENESS 10,000,000. 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 1110000 RENTAL AGREEMENT HEALTHCURA REAL ESTATE INC D 1431007 CASH VALUE