2024-12-20T16:56:02-06:00 2022-06-30 362938874 OSTROW REISIN BERK & ABRAMS LTD 455 N CITYFRONT PLAZA DR SUITE 1600 CHICAGO IL 60611 990 2021-07-01 363661051 ALIVIO MEDICAL CENTER INC ALIV 3128296304 966 W 21ST ST CHICAGO IL 60608 ESTHER CORPUZ CHIEF EXECUTIVE OFFICER 3128296304 2024-12-19 1 JASON FLAHIVE P02079670 3126707444 2024-12-19 2021 2024-10-15 13:58:12Z X ESTHER CORPUZ 966 W 21ST ST CHICAGO IL 60608 32237060 0 X N/A X 1988 IL ALIVIO MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND THE UNDERINSURED, NOT TO THE EXCLUSION OF OTHER CULTURES AND RACES. 11 11 355 11 0 0 15823506 18524841 9229713 12243082 68100 28888 3684750 1424410 28806069 32221221 0 0 0 0 13127121 15936070 0 0 443412 10151158 7846664 23278279 23782734 5527790 8438487 25946474 28719171 12301540 6497266 13644934 22221905 ALIVIO MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND THE UNDERINSURED, NOT TO THE EXCLUSION OF OTHER CULTURES AND RACES. 0 0 18932817 13667492 THE COMMUNITY HEALTH CENTER WAS ESTABLISHED TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO THE LOCAL COMMUNITY. THE COMPREHENSIVE SERVICES INCLUDE PRIMARY OUTPATIENT MEDICAL CARE, OBSTETRICS, GYNECOLOGY, DIAGNOSTIC SERVICES, NUTRITION SERVICES, BEHAVIOR HEALTH SERVICES, EDUCATION AND PREVENTION PROGRAMS AS WELL AS OTHER SUPPORTING SERVICES. 18932817 1 1 0 0 0 0 0 0 0 1 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 355 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 IL X ESTHER CORPUZ 3128296304 966 W 21ST ST CHICAGO IL 60608 TERESA FRAGA PRESIDENT 1.00 X X 0 0 0 PETER MARTINEZ FIRST VICE PRESIDENT 1.00 X X 0 0 0 ELIZABETH AQUINO RN PHD SECOND VICE PRESIDENT 1.00 X X 0 0 0 SCOTT CRUZ ESQ BOARD MEMBER 1.00 X 0 0 0 LOURDES F DIAZ BOARD MEMBER 1.00 X 0 0 0 SANTIAGO GARCIA BOARD MEMBER 1.00 X 0 0 0 ANTONIO GUILLEN BOARD MEMBER, TREASURY SECRETARY 1.00 X X 0 0 0 MARGARITA LOPEZ BOARD MEMBER 1.00 X 0 0 0 ALEANDRA PEREZ TAMAYO MD BOARD MEMBER 1.00 X 0 0 0 TOMY SANCHEZ BOARD MEMBER 1.00 X 0 0 0 JILL SIDEMAN BOARD MEMBER 1.00 X 0 0 0 JENNIFER VARGAS CHIEF MEDICAL OFFICER 40.00 X 221287 0 1969 ESTHER CORPUZ CHIEF EXECUTIVE OFFICER 40.00 X 213467 0 2626 MAHAMID KHAN DENTAL SERVICES DIRECTOR 40.00 X 160669 0 48 PANKAJ NAGPAL CHIEF FINANCIAL OFFICER 40.00 X 125902 0 12734 JENNIFER GONZALEZ CHIEF OPERATING OFFICER 40.00 X 100591 0 7199 ABDUL BHURGRI PHYSICIAN 40.00 X 184064 0 21341 MARTHA YANEZ PHYSICIAN 40.00 X 160589 0 13151 VIRGINIA SCHMIDT PHYSICIAN 40.00 X 145527 0 7375 NORMA WESTERVELT PHYSICIAN 30.00 X 124992 0 14217 EDWARD KIRSH PHYSICIAN 28.00 X 119550 0 19408 1556638 0 100068 14 0 1 0 0 16394927 2129914 395173 18524841 PATIENT SERVICE REVENUE 900099 4549540 4549540 CAPITATION REVENUE 900099 3911615 3911615 340B CONTRACT PHARMACY REVENUE 900099 2948736 2948736 SHARED SAVINGS REVENUE 900099 833191 833191 12243082 28888 28888 15839 15839 0 INCOME FROM INVESTMENT IN MHN ACO 900099 1121588 1121588 OTHER REVENUE 900099 302822 302822 1424410 32221221 13667492 0 28888 860855 690926 156208 13721 12842408 10307395 2330335 204678 80355 64495 14580 1280 1074248 862198 194929 17121 1078204 865373 195647 17184 94439 48561 35936 9942 34952 17972 13300 3680 12602 12602 1573772 919858 539238 114676 43639 19404 21007 3228 251149 111674 120901 18574 1006916 695558 289085 22273 1093068 933027 152471 7570 127450 27084 98919 1447 9446 2007 7332 107 200219 180527 18374 1318 513556 465972 43987 3597 111020 100733 9509 778 PROGRAM SUPPLIES 2774436 2620053 152145 2238 23782734 18932817 4406505 443412 13239600 14136185 3510 3510 1566391 1401518 1239260 2147437 35657 33883 5900 16440511 10234183 5856316 6206328 1472376 1197224 2499481 3621069 25946474 28719171 2131100 1998461 2674656 1377533 7413530 3121272 82254 12301540 6497266 X 12004488 20058381 1640446 2163524 13644934 22221905 25946474 28719171 8438487 -282236 420720 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 121791 1121791 1000000 1000000 1000000 1000000 1000000 1000000 1000000 1000000 0.00000 0.89140 0.10860 0 0 471567 471567 10847810 7073730 3774080 2256622 676142 1580480 2790817 2483532 307285 73695 779 72916 6206328 INVESTMENT IN LIMITED LIABILITY COMPANY 3621069 C 3621069 X 31976101 -282236 49718 -232518 32208619 12602 12602 32221221 23819850 49718 49718 23770132 12602 12602 23782734 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). MANAGEMENT OF THE CENTER HAS DETERMINED THAT THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2022. X X 0 0 0 0 0 0 0 0 0 JENNIFER VARGAS CHIEF MEDICAL OFFICER 221287 0 0 0 0 0 1969 0 0 0 223256 0 0 0 ESTHER CORPUZ CHIEF EXECUTIVE OFFICER 183467 0 30000 0 0 0 2626 0 0 0 216093 0 0 0 ABDUL BHURGRI PHYSICIAN 184064 0 0 0 0 0 2918 0 18423 0 205405 0 0 0 MARTHA YANEZ PHYSICIAN 160589 0 0 0 0 0 1254 0 11897 0 173740 0 0 0 MAHAMID KHAN DENTAL SERVICES DIRECTOR 160669 0 0 0 0 0 48 0 0 0 160717 0 0 0 VIRGINIA SCHMIDT PHYSICIAN 145527 0 0 0 0 0 963 0 6412 0 152902 0 0 0 SCOTT CRUZ BOARD MEMBER 90813 LEGAL SERVICES PAID TO UB GREENSFELDER 0 X 25 395173 ESTIMATE WHOLESALE VALUE 0 0 0 AMENDED FORM 990 - UPDATES FROM ORIGINALLY FILED 990: LINE G: GROSS RECEIPTS INCREASED FROM $27,114,327 TO $32,237,060. PART I, LINE 5: INCREASED FROM 273 TO 355. PART I, LINE 6: INCREASED FROM 0 TO 11. PART I, LINE 12: INCREASED FROM 27,114,327 TO 32,221,221. PART I, LINE 18: INCREASED FROM 23,432,771 TO 23,782,734. PART I, LINE 19: INCREASED FROM 3,681,556 TO 8,438,487. PART II: OFFICER NAME CHANGED FROM PAUL NAGPAL, CHIEF FINANCIAL OFFICER TO ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER. PART III, 4A-4C: ONLY SHOW ONE PROGRAM SERVICE ACCOMPLISHMENT IN THIS SECTION ON AMENDED 990. EXPENSES AND REVENUES UPDATED TO REFLECT AUDITED FINANCIALS. PART IV, LINE 11E: CHANGED FROM YES TO NO. PART IV, LINE 12A: CHANGED FROM NO TO YES. PART IV, LINE 28A: CHANGED FROM NO TO YES. PART IV, LINE 29: CHANGED FROM NO TO YES. PART V, LINE 1A: DECREASED FROM 1 TO 0. PART V, LINE 2A: INCREASED FROM 273 TO 355. PART VI, SECTION B, LINE 10A: CHANGED FROM NO TO YES. PART VI, SECTION B, LINE 10B: CHANGED FROM NO TO YES. PART VI, SECTION B, LINE 16A: CHANGED FROM YES TO NO. PART VI, SECTION B, LINE 16B: CHANGED FROM YES TO BLANK. PART VII: NUMEROUS UPDATES TO NAMES, TITLES, POSITIONS, AND COMPENSATION AMOUNTS. PART VII, LINE 2: DECREASED FROM 16 TO 14. PART VIII: REVENUE AMOUNTS UPDATED TO REFLECT AUDITED FINANCIALS. PART IX: EXPENSES AMOUNTS UPDATED TO REFLECT AUDITED FINANCIALS. PART X: ASSETS, LIABILITIES, AND NET ASSETS UPDATED TO REFLECT AUDITED FINANCIALS. PART XI, LINE 5: DECREASED FROM -141,723 TO -282,236. PART XI, LINE 8: INCREASED FROM 0 TO 420,720. PART XII, LINE 2B: CHANGED FROM NO TO YES AND SEPARATE BASIS. PART XII, LINE 2C: CHANGED FROM NO TO YES. PART XII, LINE 3B: CHANGED FROM NO TO YES. SCHEDULE B: CONTRIBUTION INFORMATION UPDATED TO REFLECT AUDITED FINANCIALS. SCHEDULE D, PART V: UPDATED ENDOWMENT TOTAL OF 1,000,000 TO TIE TO AUDITED FINANCIALS TOTAL OF 1,121,791. SCHEDULE D, PART VI: INFORMATION UPDATED TO REFLECT AUDITED FINANCIALS. SCHEDULE D, PART VIII: UPDATED TO REFLECT AUDITED FINANCIALS. SCHEDULE D, PART VIII: UPDATED TO REFLECT AUDITED FINANCIALS. SCHEDULE D, PART XI: COMPLETED THIS SECTION. SCHEDULE D, PART XII: COMPLETED THIS SECTION. SCHEDULE D, PART XIII: COMPLETED THIS SECTION. SCHEDULE J, PART II: NUMEROUS UPDATES TO NAMES, TITLES, AND COMPENSATION AMOUNTS. SCHEDULE L: COMPLETED THIS SCHEDULE. SCHEDULE M: COMPLETED THIS SCHEDULE. SCHEDULE O, FORM 990, PART VI, SECTION B, LINE 11B: UPDATED FROM "DUE TO TIME CONSTRAINTS, A COPY OF FORM 990 WILL BE PROVIDED TO THE BOARD AT THE NEXT BOARD MEETING." TO "THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE / CFO WITH THE CHIEF EXECUTIVE OFFICER (CEO) PRIOR TO FILING." FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE / CFO WITH THE CHIEF EXECUTIVE OFFICER (CEO) PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBERS MUST DISCLOSE IF THERE IS A CONFLICT OF INTEREST AT THE ANNUAL BOARD MEETING. THE BOARD MEMBERS COMPLETE AND SIGN A FORM DOCUMENTING THAT AT THE TIME THERE ARE NO CONFLICTS OF INTEREST. EACH YEAR THE BOARD MEMBERS SIGN A NEW FORM AND IF THERE IS A CONFLICT THE MEMBER ABSTAINS FROM VOTING. IF A BOARD MEMBER IS FOUND TO HAVE NOT DISCLOSED A CONFLICT, THE MEMBER WILL BE BROUGHT BEFORE THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS ANNUALLY, THE COMPENSATION OF THE CEO. THE CEO EVALUATES COMPENSATION OF EMPLOYEES EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. MHN ACO LLC 939 W NORTH AVENUE SUITE 875 CHICAGO IL 60642 300833127 HEALTH CARE SERVICES IL 1 2499481 0 0 0.11110