2024-05-13T15:40:56+00:00 2023-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2022-07-01 363088628 Erie Family Health Center Inc ERIE 3126663494 1701 W Superior Street Chicago IL 60622 Lee Francis President and CEO 2024-05-13 true Lee Francis 999009999 JENNIFER BURKE 3128997000 2022 2023-04-26 12:10:37Z Lee Francis 1701 W Superior Street Chicago IL 60622 118476825 false X www.eriefamilyhealth.org X 1970 IL OPERATE A HEALTHCARE CENTER TO SERVE A LARGELY MEDICALLY UNDER-SERVED POPULATION IN CHICAGO METROPOLITAN AREA. 21 21 1181 25 0 0 36418253 33890040 73878100 76701316 3162328 1322016 -40146 -23799 113418535 111889573 10103 40300 0 65519670 72196380 78417 1451336 32880171 33128863 98409944 105443960 15008591 6445613 100905418 111496272 22536513 24896627 78368905 86599645 MOTIVATED BY THE BELIEF THAT HEALTHCARE IS A HUMAN RIGHT, ERIE FAMILY HEALTH CENTERS, INC. (ERIE) PROVIDES HIGH QUALITY, AFFORDABLE CARE TO SUPPORT HEALTHIER PEOPLE, FAMILIES AND COMMUNITIES. ERIE'S MISSION IS AN OUTGROWTH OF THE CIVIL RIGHTS MOVEMENT, AND FOR MORE THAN 60 YEARS OUR COMMITMENT TO EQUITY AND JUSTICE HAS REMAINED STEADFAST. OUR VISION OF "ALL PEOPLE LIVING THEIR HEALTHIEST LIVES" DEMANDS THAT WE EXAMINE AND WORK TO ADDRESS THE SOCIAL DRIVERS OF HEALTH AND STRUCTURAL BARRIERS THAT ARE THE ROOT CAUSES OF INEQUITY IN OUR COMMUNITIES. false false 89692062 40300 76712629 ERIE FAMILY HEALTH CENTER (ERIE), A FEDERALLY QUALIFIED HEALTH CENTER, IS A REGIONAL HEALTHCARE RESOURCE FOR MORE THAN 86,000 PATIENTS, MOSTLY LOW-INCOME, WHO ARE SERVED IN THE CHICAGO AREA AT THIRTEEN LOCATIONS: SEVEN LARGE PRIMARY CARE CENTERS, FIVE SCHOOL-BASED HEALTH CENTERS AND OUR TEEN CENTER-THE REGION'S OLDEST AND LARGEST HEALTH CENTER DEDICATED TO ADOLESCENTS. SINCE THE ONSET OF THE COVID-19 HEALTH CRISIS, ERIE HAS ALSO OFFERED TELEHEALTH SERVICES TO ASSURE CONTINUOUS, SAFE ACCESS TO ESSENTIAL HEALTHCARE. TO EMPOWER OUR MISSION AND VISION AND TO FULFILL ERIE'S VALUES OF SOCIAL JUSTICE, IMPACT, EXCELLENCE, RELATIONSHIPS, AND LEARNING, ERIE PROVIDES A COMPREHENSIVE ARRAY OF HEALTH SERVICES TO PROMOTE LIFELONG WELLNESS AMONG THE COMMUNITY'S MOST VULNERABLE MEMBERS. SINCE GROWING FROM A ONE-ROOM LOCATION IN 1957, ERIE HAS SUSTAINED OUR COMMITMENT TO HELPING MEET THE NEEDS OF RESIDENTS IN DISINVESTED COMMUNITIES. UNIQUELY POSITIONED TO MEET THE NEEDS OF COMMUNITY MEMBERS. ERIE HEALTH CENTERS OFFER A WIDE RANGE OF HIGH QUALITY, AFFORDABLE SERVICES, INCLUDING INTEGRATED MEDICAL, ORAL, AND BEHAVIORAL HEALTHCARE; CHRONIC DISEASE MANAGEMENT; VACCINES AND FLU SHOTS; HIV TESTING; STI TESTING/TREATMENT; PRENATAL CARE; AND REPRODUCTIVE HEALTH SERVICES, WITH PROGRAMS INTENTIONALLY DESIGNED TO MEET THE NEEDS OF ERIE'S INDIVIDUAL PATIENTS. ERIE PROVIDES CULTURALLY-SENSITIVE, TRAUMA-INFORMED CARE FOR PATIENTS, WITH PROVIDERS AND FRONT-LINE STAFF WHO ARE BILINGUAL IN SPANISH AND ENGLISH, WHILE OFFERING TRANSLATION SERVICES FOR THOSE WHO PREFER OTHER LANGUAGES. ERIE WILL CONTINUE TO INVEST IN EFFORTS TO ENSURE STAFF ARE REFLECTIVE OF THOSE IT SERVES, WHICH WILL, IN TURN, PROVIDE ECONOMIC STIMULUS TO THE COMMUNITIES ERIE SERVES. RECOGNIZING THAT FACTORS IN OUR PATIENTS' LIVES HAVE A DEEP IMPACT ON THEIR HEALTH AND WELL-BEING, ERIE OFFERS A ROBUST ARRAY OF EDUCATION AND SUPPORT SERVICES BEYOND OUR EXAM ROOMS AND HEALTH CENTER WALLS. THESE INCLUDE, AMONG OTHERS, ONE ON- ONE AND PERSONALIZED HEALTH EDUCATION AND SUPPORT SERVICES, HEALTHCARE NAVIGATION FOR INSURANCE BENEFITS AND ENROLMENT. ERIE ALSO SCREENS PATIENTS FOR THE SOCIAL DRIVERS OF HEALTH-CONDITIONS IN THE ENVIRONMENTS IN WHICH THEY WORK AND LIVE THAT AFFECT HEALTH-AND LINKS THEM TO COMMUNITY RESOURCES SUCH AS HOUSING ASSISTANCE, FOOD AND BABY SUPPLIES. ERIE CONTINUES TO STRIVE TOWARD ACHIEVING THE HIGH-QUALITY OUTCOMES THAT HAVE PLACED IT IN THE TOP TIER OF HEALTH CENTERS. IN 2023, ERIE RECEIVED THE GOLD AWARD AS A HEALTH CENTER QUALITY LEADER FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), PLACING ERIE IN THE TOP 10% OF COMMUNITY HEALTH CENTERS NATIONALLY. FURTHER, ERIE DELIVERS MORE BABIES THAN ANY OTHER COMMUNITY HEALTH CENTER IN ILLINOIS AND RANKS IN THE TOP 1% NATIONALLY FOR NUMBER OF DELIVERIES. A LEADER IN TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS, IN 2023 ERIE PARTNERED WITH TOP ACADEMIC MEDICAL CENTERS TO OFFER ONSITE MEDICAL TRAINING THROUGH NINE RESIDENCY AND FELLOWSHIP PROGRAMS. THESE INCLUDE RESIDENCIES IN FAMILY MEDICINE, INTERNAL MEDICINE, AND PEDIATRICS; A FELLOWSHIP IN PULMONOLOGY; AND A FELLOWSHIP PROGRAM FOR NURSE PRACTITIONERS AND NURSE MIDWIVES. IN ADDITION, ERIE PROVIDES TRAINING FOR MEDICAL AND DENTAL STUDENTS. IN TOTAL, ERIE TRAINS MORE THAN 250 PROVIDERS AT ITS HEALTH CENTER SITES ANNUALLY. ERIE ALSO OFFERS A MEDICAL ASSISTANT TRAINING PROGRAM THAT EDUCATES STUDENTS FOR CERTIFICATION AS MEDICAL ASSISTANTS AND PREPARES THEM TO WORK AS PART OF A CARE TEAM IN A COMMUNITY HEALTH SETTING. 89692062 true true false true false false false false true true false false true true true false true false false false false false true true false false true false true false false false false false false false false true false false false false true true true true false true 45 0 true 1181 true false false false false false true true false false false false false false X 21 21 false false false false false false false true true false false true true true true true true true true false IL X Celia Martinez 3124322686 1701 West Superior Street Chicago IL 60622 BRIAN P MARSELLA BOARD CHAIRMAN 2.0 0 X X 0 0 0 CELESTE CASTILLO Secretary 2.0 0 X X 0 0 0 ROSALIE ALICEA Vice-Chair 2.0 1.0 X X 0 0 0 WILLIAM G KISTNER TREASURER 2.0 0 X X 0 0 0 ALICE SETRINI DIRECTOR 1.0 0 X 0 0 0 BETZY BERGANZA DIRECTOR 1.0 0 X 0 0 0 CAROLYN DICKENS DIRECTOR 1.0 0 X 0 0 0 ERIC MAYEDA DIRECTOR 1.0 0 X 0 0 0 ERNEST CHANG DIRECTOR 1.0 0 X 0 0 0 IMAN EMAMIFARD DIRECTOR 1.0 0 X 0 0 0 JILL SIMON SVOBODA DIRECTOR 1.0 0 X 0 0 0 JUDY MENDEZ DIRECTOR 1.0 0 X 0 0 0 KATHERINE WILSON DIRECTOR 1.0 0 X 0 0 0 LINDA CUSHMAN DIRECTOR 1.0 1.0 X 0 0 0 LISA DYKSTRA DIRECTOR 1.0 0 X 0 0 0 MATT AARONSON DIRECTOR 1.0 0 X 0 0 0 MICHAEL BOYD DIRECTOR 1.0 0 X 0 0 0 MICHAEL COLE DIRECTOR 1.0 0 X 0 0 0 NANCY BOCK DIRECTOR 1.0 2.0 X 0 0 0 REV EDWARD SARDEN DIRECTOR 1.0 0 X 0 0 0 RICHARD ROMANOWSKI DIRECTOR 1.0 0 X 0 0 0 AMY VALUKAS Chief Population Health Officer 40.0 1.0 X 267003 0 49057 CAROLINE M HOKE CHIEF CLINICAL OFFICER 40.0 0 X 410331 0 43774 DAVID C BRUCE CHIEF FINANCIAL OFFICER 40.0 2.0 X 311590 0 47022 LEE FRANCIS PRESIDENT & CEO 40.0 2.0 X 434300 0 84717 NICOLE KAZEE Chief Strategy and Transformation Officer 40.0 0 X 258262 0 16271 VICTORIA WHILDIN Chief Operating Officer 40.0 0 X 202696 0 32656 ALISSA CARLSON Clinical Director Prentice Womens Hospital 40.0 0 X 266612 0 6696 ANDY EWBANK OB/GYN Physician 40.0 0 X 300576 0 22493 CATHERINE TE CHEN OB/GYN Physician 40.0 0 X 250475 0 30452 MICHELLE EICHINGER OB/GYN Physician 40.0 0 X 329136 0 18664 TRACY IRWIN Medical Director 40.0 0 X 271454 0 11341 3302434 0 363143 150 false true false VISUALUTIONS INC 7440 MINTWOOD LANE SPRING TX 773791100 BILLING SERVICES 2705691 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 EHR SYSTEM SERVICES 2479667 ALLIANCE CHICAGO 225 W ILLINOIS STREET 5TH FLOOR CHICAGO IL 60654 EHR AND BILLING SYSTEM SERVICES 943525 LEOPARDO COMPANIES INC 120 S RIVERSIDE PLAZA CHICAGO IL 60606 CONSTRUCTION SERVICES 938582 PIVOT POINT CONSULTING LLC PO BOX 667 BRENTWOOD TN 37024 IT CONSULTING SERVICES 921199 31 25000 377680 2616704 21834214 9036442 82091 33890040 MEDICARE/MEDICAID/COMMERCIAL/COVID19 UNINSURED PAYMENTS 624100 48484416 48484416 SELF PAY 624100 597925 597925 340B 624100 23713781 23713781 MANAGED CARE RELATED 624100 4336978 4336978 ACCOUNTABLE CARE ORGANIZATION REVENUE 624100 -290741 -290741 -141043 -141043 0 0 76701316 1237205 1237205 10433 10433 0 10433 10433 6567383 6482572 84811 0 84811 84811 33338 377680 104680 -71342 -71342 37110 880 0 36230 37110 111889573 76712629 0 1286904 40300 40300 1772580 215233 1557347 59964131 54282357 4728424 953350 964481 725896 225224 13361 5211690 3855149 1278841 77700 4283498 3881656 336279 65563 200028 200028 131742 131742 78417 78417 83351 83351 7438540 4064206 3169588 204746 762987 101931 658822 2234 578288 384143 161972 32173 4129639 3957950 153878 17811 3110033 2947519 162514 74344 50494 23692 158 223279 38758 180422 4099 148122 148122 4029332 3078605 950727 418504 129636 288868 PHARMACEUTICALS 8930459 8930459 VACCINES, MEDICAL AND LAB SUPPLIES 1729003 1729003 SECURITY SERVICES 294728 294728 EQUIPMENT RENTAL & MAINTENANCE 247873 247873 598611 588044 8843 1724 105443960 89692062 14300562 1451336 23747324 31390321 67875 36130 6692517 3295040 7733440 7624054 0 0 0 0 3401000 3391000 530522 635043 769588 1117803 44630954 26972551 21541872 17658403 21444398 23803949 0 1945894 1655153 0 13030988 20889376 100905418 111496272 13324403 13550038 731696 200000 0 0 4800000 4800000 3680414 6346589 22536513 24896627 X 71909564 79925306 6459341 6674339 0 0 0 78368905 86599645 100905418 111496272 6445613 1994153 -209026 0 X false true X true true true X 21155879 25331362 34149545 36418253 33890039 150945078 0 0 0 0 0 0 114244 78480 781038 458163 178584 1610509 21270123 25409842 34930583 36876416 34068623 152555587 0 152555587 555330 433440 391915 551155 1237205 3169045 0 0 0 0 0 0 22931 32068 3691 14370 37110 110170 155834802 316918085 0.9790 0.9840 X Schedule A, Part II, Line 10 OTHER INCOME THE ORGANIZATION HAS RESTATED SCHEDULE A, PART II, LINES 10 AND 12 FOR THE 2018 TAX YEAR TO MORE APPROPRIATELY CLASSIFY INCOME THAT IS CONSIDERED GROSS RECEIPTS FROM RELATED ACTIVITIES FOR PURPOSES OF SCHEDULE A, PART II, LINE 12. THESE CHANGES DID NOT HAVE ANY MEANINGFUL IMPACT ON THE ORGANIZATIONS PUBLIC SUPPORT PERCENTAGE AS COMPUTED PURSUANT §501(A)(1). Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 22931.0, COLUMN B - 32068.0, COLUMN C - 3691.0, COLUMN D - 14370.0, COLUMN E - 37110.0, COLUMN F - 110170.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 105360609 105360609 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 0 0 0 0 0 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 3767760 553537 122985 4198312 2970365 1500000 -622605 80000 3767760 2301061 749304 80000 2970365 2038165 342896 80000 2301061 2000000 118165 80000 2038165 0.0 1.0 0.0 false false 77800 77800 16612422 10077934 6534488 7074439 4623892 2450547 17608618 9338746 8269872 3257675 2931979 325696 17658403 457b Corporate Owned Assets EFHC-ETHC Intercompany payable EFHC-EFHF Cash Receipts Contributions to EFHC from EFHF 457f Corporate Owned Asset 457b Corporate Owned Assets 1161792 457f Corporate Owned Asset 594182 EFHC-ETHC Intercompany payable 9460199 EFHC-EFHF Cash Receipts -6399565 Contributions to EFHC from EFHF 10080014 Financing Right-Of-Use Asset 3671528 Operating Right-Of-Use Asset 2321226 20889376 Capitalized Lease Payable Financing Right-of-Use Liability 3708088 Operating Right-of-Use Liability 2638501 6346589 X 114162296 1994153 178584 99986 2272723 111889573 0 0 111889573 105848205 387610 99986 487596 105360609 83351 0 83351 105443960 Schedule D, Part V, Line 4 Intended uses of endowment funds THE PURPOSE OF THE HOSPIRA FOUNDATION ENDOWMENT IS TO ENDOW IN PERPETUITY THE POSITION OF HOSPIRA ENDOWED MEDICAL DIRECTOR OF REPRODUCTIVE HEALTH, THE TOP CLINICAL LEADER AT ERIE RESPONSIBLE FOR REPRODUCTIVE HEALTH SERVICES. THE PURPOSE OF THE GRAINGER ENDOWMENT FOR WORKFORCE EQUITY AND DEVELOPMENT IS TO SUPPORT INITIATIVES IN PERPETUITY AT GRANTEE TO ATTRACT, RETAIN AND DEVELOP TOP TALENT THAT REPRESENTS THE DIVERSITY OF ERIE'S COMMUNITIES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote EFHC and Foundation are exempt from income taxes on income from related activities under Section 501(c) (3) of the U.S. Internal Revenue Code and corresponding state tax law. ETHC is a single member limited liability company, and all income is included in the income of the individual member (EFHC). Accordingly, no provision has been made for federal and state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Forms 990 for EFHC and Foundation have not been subject to examination by the Internal Revenue Service or the State of Illinois for the last three years. Erie does not expect the total of unrecognized tax benefits to significantly change in the next 12 months. Erie did not have any amounts accrued or recognized for interest and penalties relating at June 30, 2023 and 2022. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Grant Revenue Bad Debt - -4694 Fundraising Expense - 104680 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Grant Revenue Bad Debt - -4694 Fundraising Expense - 104680 X X X X X X true Quam Taylor LLC 1133 MADISON STREET EVANSTON IL 60202 Fundraising strategy and communications consulting false 0 78417 -78417 0 78417 -78417 IL Eriedescence 203168 177980 25188 13587 11681 256 16574 Health Equity Impact Awards 207850 199700 8150 16686 24456 12312 9128 0 411018 377680 33338 30273 36137 12568 25702 104680 -71342 true PUERTO RICAN CULTURAL CENTER 2556 W DIVISION ST CHICAGO IL 60622 237347778 25000 Fiesta Boricua 2022_SPONSORSHIP SWEDISH COVENANT HOSPITAL FOUNDATION 5145 N CALIFORNIA AVE CHICAGO IL 60625 205055155 10000 Gold Sponsorship Around the World Gala 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. A LINE ITEM BUDGET IS SUBMITTED TO THE FUNDER THAT INCLUDES ALLOWABLE COSTS THAT ALIGN WITH THE PROGRAM'S NEEDS. ERIE'S FINANCE DEPARTMENT REVIEWS AND APPROVES ALL GRANT BUDGETS PRIOR TO SUBMISSION. QUARTERLY INVOICES ARE SUBMITTED TO ERIE, ALONG WITH SUPPORTING DOCUMENTATION FOR ALL EXPENSES THAT WERE INCLUDED. THE INVOICES ARE COMPARED TO THE BUDGETED LINE ITEMS TO ENSURE THAT ONLY BUDGETED EXPENSES ARE PAID FROM THE GRANT. THE INVOICES ARE AUDITED BY AN ACCOUNTANT ON ERIE'S GRANTS FINANCE TEAM. ANY DISCREPANCIES ARE QUESTIONED AND FOLLOWED UP ON. ONCE ALL EXPENSES ARE VERIFIED, THE INVOICE IS SIGNED OFF ON AND PROCESSED FOR PAYMENT VIA A CHECK REQUEST OR OTHER METHOD. A TRACKER IS KEPT TO COMPARE BUDGETED TO INVOICED EXPENSES TO ENSURE THAT NO LINES ARE OVERSPENT. THE MONTHLY TRACKERS ARE SENT TO THE PROGRAM MANAGER FOR REVIEW. X X X X X false true false false false false false false false LEE FRANCIS PRESIDENT & CEO 314888 0 86983 0 32429 0 82625 0 2092 0 519017 0 0 0 CAROLINE M HOKE CHIEF CLINICAL OFFICER 332023 0 62537 0 15771 0 15000 0 28774 0 454105 0 0 0 DAVID C BRUCE CHIEF FINANCIAL OFFICER 245002 0 55068 0 11520 0 26327 0 20695 0 358611 0 0 0 AMY VALUKAS Chief Population Health Officer 191336 0 48788 0 26879 0 24465 0 24592 0 316060 0 0 0 NICOLE KAZEE Chief Strategy and Transformation Officer 213291 0 44922 0 49 0 15161 0 1110 0 274533 0 0 0 VICTORIA WHILDIN Chief Operating Officer 165544 0 33387 0 3765 0 13635 0 19021 0 235352 0 0 0 MICHELLE EICHINGER OB/GYN Physician 299784 0 0 0 29352 0 7625 0 11039 0 347800 0 0 0 ANDY EWBANK OB/GYN Physician 300576 0 0 0 0 0 6585 0 15908 0 323069 0 0 0 TRACY IRWIN Medical Director 261475 0 0 0 9979 0 6364 0 4977 0 282794 0 0 0 CATHERINE TE CHEN OB/GYN Physician 239288 0 0 0 11187 0 6180 0 24272 0 280927 0 0 0 ALISSA CARLSON Clinical Director Prentice Womens Hospital 261893 0 100 0 4619 0 6241 0 455 0 273308 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ERIE FAMILY HEALTH CENTER HAS ESTABLISHED A SUPPLEMENTAL NONQUALIFIED §457(F) RETIREMENT PLAN THAT ALLOWS FOR CERTAIN INDIVIDUALS TO PARTICIPATE IN THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED DEFERRALS TO THE PLAN DURING CALENDAR YEAR 2022: 1. AMY VALUKAS - $20,000 2. CAROLINE M HOKE - $15,000 3. DAVID BRUCE - $20,000 4. LEE FRANCIS - $75,000 5. VICTORIA WHILDIN - $10,000 6. MELISSA HILTON - $15,000 7.NICOLE KAZEE - $10,000 X 4 82091 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS THAT IT RECEIVED. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE THE CHAIR, THE VICE CHAIR, THE TREASURER, THE SECRETARY, THE QUALITY IMPROVEMENT COMMITTEE CHAIR, THE STRATEGY COMMITTEE CHAIR, THE BOARD DEVELOPMENT COMMITTEE CHAIR, THE PATIENT SERVICES COMMITTEE CHAIR, THE IMMEDIATE PAST CHAIR AND OTHER MEMBERS AS NOMINATED BY THE CHAIR AND APPROVED BY THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A USER DIRECTOR. THE CEO SHALL SERVE, EX OFFICIO, AS A NONVOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MAY, TO THE EXTENT THE BOARD OF DIRECTORS IS UNABLE TO ACT, ACT FOR THE BOARD OF DIRECTORS IN EMERGENCY SITUATIONS FOR THE DURATION OF THE BOARD OF DIRECTORS' INABILITY TO ACT. HOWEVER, ALL EXECUTIVE COMMITTEE ACTIONS ARE SUBJECT TO APPROVAL AND/OR REPEAL BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE SHALL NOT TAKE ANY ACTION THAT WOULD PREVENT THE BOARD OF DIRECTORS FROM REPEALING THE ACTION WITHOUT LIABILITY TO THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body ERIE FAMILY HEALTH CENTER (EFHC) USES CROWE, LLP, (AN INDEPENDENT THIRD PARTY CPA FIRM) TO PREPARE ITS FORM 990. UPON THE FORM'S COMPLETION, A COPY IS PROVIDED TO EFHC'S MANAGEMENT FOR REVIEW AND THEN SUBSEQUENTLY REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE COMMUNICATED TO THE CPA FIRM AND INCORPORATED AS APPROPRIATE. ONCE THE FORM 990 DRAFT IS FINALIZED A COPY IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. THE THIRD PARTY WILL THEN FILE THE FORM 990 ON EFHC'S BEHALF. Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF THE BOARD ARE ANNUALLY REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION. ANY CONFLICT OF INTEREST SHALL BE REFERRED TO THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT FOR AN INITIAL REVIEW AND EVALUATION. IF THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT DEEMS THE MATTER TO BE A CONFLICT OF INTEREST, HE OR SHE SHALL REFER TO THE BOARD FOR FINAL DETERMINATION. THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT IS RESPONSIBLE FOR MAINTAINING APPROPRIATE RECORDS TO ENSURE THAT ANY REPORTED CONFLICTS ARE TRACKED AND ADDRESSES IN ACCORDANCE WITH THE POLICY. Form 990, Part VI, Line 15a Process to establish compensation of top management official ERIE UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO EVALUATE AND RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION COMMITTEE AND TO THE FULL BOARD, MARKET-BASED BASE AND TOTAL COMPENSATION RANGES FOR THE PRESIDENT AND CEO. COMPENSATION RANGES ARE UPDATED EVERY 2-3 YEARS AND AS NEEDED. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES PUBLISHED COMPENSATION SURVEYS (E.G. CHICAGO METRO/MCHC/TOWERS WATSON/MERCER) AS WELL AS A BOARD-APPROVED COMPARATOR GROUP OF SIMILAR ORGANIZATIONS TO GET A CLEAR PICTURE OF COMPENSATION RANGES AND THE RECRUITMENT AND RETENTION CLIMATE. THE CONSULTANT'S RECOMMENDED COMPENSATION RANGES FOR THE PRESIDENT AND CEO ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND THE FULL BOARD OF DIRECTORS. ANNUAL COMPENSATION ADJUSTMENTS FOR THE PRESIDENT AND CEO ARE ALSO BASED ON THE INDEPENDENT COMPENSATION CONSULTANT'S ANALYSIS AND ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND BOARD OF DIRECTORS ANNUALLY. Form 990, Part VI, Line 15b Process to establish compensation of other employees ERIE UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO EVALUATE AND RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION COMMITTEE AND TO THE FULL BOARD, MARKET BASED BASE AND TOTAL COMPENSATION RANGES FOR KEY LEADERS AND KEY EMPLOYEES INCLUDING THE PROFESSIONAL MEDICAL STAFF. COMPENSATION RANGES ARE UPDATED EVERY 2-3 YEARS AND AS NEEDED. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES PUBLISHED COMPENSATION SURVEYS (E.G. CHICAGO METRO/MCHC/TOWERS WATSON/MERCER) AS WELL AS A BOARD-APPROVED COMPARATOR GROUP OF SIMILAR ORGANIZATIONS TO GET A CLEAR PICTURE OF COMPENSATION RANGES AND THE RECRUITMENT AND RETENTION CLIMATE. THE CONSULTANT'S RECOMMENDED COMPENSATION RANGES FOR KEY LEADERS AND KEY EMPLOYEES INCLUDING THE PROFESSIONAL MEDICAL STAFF ARE REVIEWED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE AND THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public EFHC GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. REQUESTS ARE REQUIRED TO BE IN WRITING. Form 990, Part VIII, Line 2f Other Program Service Revenue Medical Records Income - Total Revenue: 1541, Related or Exempt Function Revenue: 1541, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Patient Service Revenue Adjustments - Total Revenue: -781464, Related or Exempt Function Revenue: -781464, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Hospitalist Revenue - Total Revenue: 638880, Related or Exempt Function Revenue: 638880, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue NATL ASSN COMMUNITY HEALTH - Total Revenue: 3600, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3600; DEPOSITION FEE - Total Revenue: 4334, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4334; HEALTHTRUST REBATE - Total Revenue: 4, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4; ADVOCATE - Total Revenue: 36, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 36; JURY DUTY - Total Revenue: 2096, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2096; TRAVELERS INSURANCE WORKS COM - Total Revenue: 8024, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8024; PARKING - Total Revenue: 280, Related or Exempt Function Revenue: 280, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PNC COMMERICAL CARD - Total Revenue: 3478, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3478; APEXUS - Total Revenue: 2542, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2542; IL PRIMARY HEALTHCARE ASSOC - Total Revenue: 600, Related or Exempt Function Revenue: 600, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EPIC - Total Revenue: 1135, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1135; BANK OF AMERICA - Total Revenue: 10981, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10981; ERIE TITLE HOLDING COMPANY 1701 W SUPERIOR STREET CHICAGO IL 606225646 465259444 TITLE HOLDING ENTITY FOR ERIE FAMILY HEALTH CENTER IL 501(c)(2) ERIE FAMILY HEALTH CENTER true ERIE FAMILY HEALTH FOUNDATION INC 1701 W Superior Street Chicago IL 606225646 814172423 Support Erie Family Health Center IL 501(c)(3) Type I Erie Family Health Center true false false true true true false false false false false true false false false false false false false false ERIE FAMILY HEALTH FOUNDATION D 3391000 COST ERIE TITLE HOLDING COMPANY D 9460199 COST ERIE FAMILY HEALTH FOUNDATION C 2616704 FMV