2024-02-26T12:27:08-06:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2022-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 1940 S WESTERN 205 CHICAGO IL 60608 RYAN GADIA CFO 7736405792 2024-02-23 1 RYAN GADIA 999009999 0 CHRIS MANDERFIELD P01238973 6305738600 2024-02-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAN FULWILER 1940 S WESTERN 205 CHICAGO IL 60608 54490222 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 15 15 481 28 0 0 11607121 12564754 35868956 39615790 293185 1257952 505024 978713 48274286 54417209 0 506704 0 0 28757810 34001122 0 0 641368 15892634 18537986 44650444 53045812 3623842 1371397 32262882 58413714 15490688 39701237 16772194 18712477 TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES 0 0 43954274 506704 40585752 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. 43954274 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 36 0 1 481 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X THE ORGANIZATION 7736405792 1940 S WESTERN 205 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 MARISELA LAWSON DIRECTOR 0.25 X 0 0 0 GIA MAC DIRECTOR 0.25 X 0 0 0 RAFAEL ROBLES 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 0 0 0 DESTINY ORTEGA DIRECTOR 0.25 X 0 0 0 NILIMA RAJKUMAR DIRECTOR 0.25 X 0 0 0 LAMEIS DROMGOOLE DIRECTOR 0.25 X 0 0 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 40.00 1.00 X 361086 0 16773 CARMEN VERGARA CHIEF OPERATING OFFICER 40.00 X 192510 0 12639 RYAN D GADIA CHIEF FINANCIAL OFFICER 40.00 1.00 X 165220 0 28539 FREDERICO HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 40.00 X 270815 0 33815 KRISTINA N PONTARELLI PHYSICIAN 40.00 X 258814 0 11554 SYLVIA SHOKUNBI PHYSICIAN 40.00 X 238463 0 31120 LINDA SIMON-PRICE ADVANCED PRACTICE PRACTITIONER 40.00 X 254766 0 14666 ALEJANDRO CLAVIER PHYSICIAN 40.00 X 246948 0 8773 JIMENA B ALVAREZ SOTO PHYSICIAN 40.00 X 237239 0 14295 2225861 0 172174 65 0 1 0 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 EMR AND BILLING SERVICES 2167805 LEOPARDO COMPANIES INC 5200 PRAIRIE STONE PARKWAY HOFFMAN ESTATES IL 60192 CONSTRUCTION 1348459 URBAN WORKS LTD 125 S CLARK ST SUITE 2070 CHICAGO IL 60603 CONSTRUCTION/DESIGN 842486 PCY GENERAL SERVICES INC 5911 W 88TH ST OAK LAWN IL 60453 JANITORIAL SERVICES 546653 MA MORTENSON 300 PARK BLVD STE 100 ITASCA IL 60143 CONSTRUCTION 530294 8 172942 9773981 2617831 12564754 PATIENT FEES 621990 27011562 27011562 PHARMACY REVENUE 621990 12604228 12604228 39615790 1257952 1257952 81764 172942 73013 8751 8751 MISCELLANEOUS 900099 969962 969962 969962 54417209 40585752 0 1266703 506704 506704 989632 831167 144953 13512 27660741 23231567 4051516 377658 721589 606045 105692 9852 2494495 2095064 365373 34058 2134665 1792852 312668 29145 31166 25060 6106 101697 81773 19924 3993955 3270833 723122 87823 250 87573 598335 459405 121859 17071 725528 54274 670711 543 1118278 892599 225679 961785 605842 355943 514607 348138 166469 266765 229146 37619 PHARMACY AND MEDICAL SU 8034575 8022658 11917 STAFF TRAINING 591720 199841 364937 26942 MEMBERSHIP DUES AND SUB 140797 40773 96273 3751 REPAIRS AND MAINTENANCE 129646 107275 22371 1241309 553258 646788 41263 53045812 43954274 8450170 641368 6581056 3733042 2100810 2402253 3642153 5757673 11982000 34444500 697499 847872 4912002 1218384 4052293 3693618 2841477 4099429 178534 157934 187060 3277393 32262882 58413714 4232046 3782735 10929547 32913216 329095 3005286 15490688 39701237 X 16272194 18237477 500000 475000 16772194 18712477 32262882 58413714 X 1371397 568886 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3725069 594060 3131009 1088058 624324 463734 98875 98875 3693618 MHN ACO, LLC 4099429 F 4099429 DEFERRED COMPENSATION ASSETS 175328 RIGHT-OF-USE ASSET - OPERATING, NET 2932568 RIGHT-OF-USE ASSET - FINANCING, NET 169497 3277393 DEFERRED LIABILITIES 175328 LEASE LIABILITY - CURRENT PORTION 763248 LEASE LIABILITY - LONG-TERM PORTION 2335401 UNAMORTIZED DEBT ISSUANCE COSTS, NET -268691 3005286 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 UNCERTAIN TAX POSITIONS. ANNUAL GALA 188947 137262 51685 17862 20293 7203 GOLF OUTING 57987 35680 22307 104 9500 9380 2139 1 7772 7772 326 66 50 1723 4368 254706 172942 81764 326 170 27412 31396 13710 73014 8750 0 RUSH UNIVERSITY MEDICAL CENTER 1653 W CONGRESS PKWY CHICAGO IL 60612 362174823 501(C)(3) 506704 0 HRSA TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM X X X X X 0 1 0 0 0 0 0 1 0 DANIEL FULWILER CHIEF EXECUTIVE OFFICER 304811 0 56275 0 0 0 9453 0 7320 0 377859 0 0 0 FREDERICO HERRERA MEDICAL DIRECTOR - LITTLE VILLAGE 261741 0 9074 0 0 0 10833 0 22982 0 304630 0 0 0 KRISTINA N PONTARELLI PHYSICIAN 233613 0 25201 0 0 0 4189 0 7365 0 270368 0 0 0 SYLVIA SHOKUNBI PHYSICIAN 222594 0 15869 0 0 0 9267 0 21853 0 269583 0 0 0 LINDA SIMON-PRICE ADVANCED PRACTICE PRACTITIONER 219184 0 35582 0 0 0 7301 0 7365 0 269432 0 0 0 ALEJANDRO CLAVIER PHYSICIAN 218522 0 28426 0 0 0 8773 0 0 0 255721 0 0 0 JIMENA B ALVAREZ SOTO PHYSICIAN 218385 0 18854 0 0 0 7497 0 6798 0 251534 0 0 0 CARMEN VERGARA CHIEF OPERATING OFFICER 174147 0 18363 0 0 0 5274 0 7365 0 205149 0 0 0 RYAN D GADIA CHIEF FINANCIAL OFFICER 149037 0 16183 0 0 0 5557 0 22982 0 193759 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 BOARD 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, AND CFO ARE ELIGIBLE TO 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. CHARLES WINTERSTEEN MEMBER OF BOARD OF DIRECTORS 26342 LEGAL SERVICES 0 SCHEDULE L, PART IV ESPERANZA HEALTH CENTER UTILIZES THE SERVICES OF WINTERSTEEN PATEL LAW GROUP FOR LEGAL SERVICES RELATED TO IMMEGRATION MATTERS. CHARLES WINTERSTEEN IS THE FOUNDING PARTNER AND ALSO A MEMBER OF ESPERANZA HEALTH CENTER'S BOARD OF DIRECTORS. 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 XI, LINE 9: TRANSFER OF NET ASSETS BETWEEN AFFILATES 568,886. 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 K 92000 RENTAL AGREEMENT HEALHTY BRIGHTON TITLE HOLDING CORPORATION NFP S 568885 CARRYING VALUE