2019-02-25T15:47:47-06:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2017-07-01 363197647 NEAR NORTH HEALTH SERVICE CORPORATION NEAR 3123371073 1276 N CLYBOURN AVENUE CHICAGO IL 60610 WAHABI TIJANI CHIEF FINANCIAL OFFICER 3123371073 2019-02-20 1 CHRIS MANDERFIELD P01238973 6305738600 2019-02-20 67.137.57.251 2019-02-20 12:16:05 CS P 4F402DDF36D721BD6AB3A2CA290BB815499705B6 4F402DDF36D721BD6AB3A2CA290BB815499705B6 2017 2019-02-21 02:37:17Z WAHABI TIJANI 1276 N CLYBOURN AVENUE CHICAGO IL 60610 21473834 0 X WWW.NEARNORTHHEALTH.ORG X 1982 IL HEALTH CARE SERVICE DELIVERY 21 21 305 21 0 0 13970702 13832952 7935954 7148052 152598 174404 2626413 286603 24685667 21442011 0 0 0 0 12699180 13389704 0 0 270750 6232195 6710904 18931375 20100608 5754292 1341403 38624300 39722284 5778810 5471388 32845490 34250896 X THE MISSION OF NEAR NORTH HEALTH SERVICE CORPORATION (NNHSC) IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTH CARE TO IMPROVE THE HEALTH, WELL-BEING, AND SAFETY OF THE DIVERSE POPULATIONS AND COMMUNITIES WE SERVE. WE ARE A CULTURALLY SENSITIVE AND CULTURALLY COMPETENT, PATIENT CENTERED COMMUNITY HEALTH CENTER THAT EMPOWERS INDIVIDUALS THROUGH EDUCATION, DISEASE PREVENTION, AND PROMOTING HEALTHY BEHAVIORS, REGARDLESS OF ONE'S INABILITY TO PAY. 0 0 4190490 1246762 WINFIELD MOODY HEALTH CENTER - SERVING THE RESIDENTS OF THE CABRINI-GREEN, NEAR NORTH AND WEST TOWN COMMUNITIES. SERVICES PROVIDED INCLUDE; INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPHTHALMOLOGY, MEDICAL DISPENSARY, PODIATRY, X-RAY, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES AND HEALTH EDUCATION. 3873200 2788320 KOMED HOLMAN HEALTH CENTER - SERVING THE RESIDENTS OF THE MID-SOUTH SIDE OF CHICAGO, INCLUDING KENWOOD/OAKLAND GRAND BOULEVARD, HYDE PARK AND CHATHAM. SERVICES PROVIDED INCLUDE; INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPHTHALMOLOGY, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, CASE MANAGEMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES AND HEALTH EDUCATION. 1361213 1096889 NORTH KOSTNER HEALTH CENTER - SERVING THE RESIDENTS OF WEST HUMBOLDT PARK. SERVICES PROVIDED INCLUDE; INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPTHAMOLOGY, PODIATRY, X-RAY, DENTAL, HIV/ADIS COUNSELING, CASE MANAGEMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES. 832700 609772 LOUISE LANDAU HEALTH CENTER - SERVING THE RESIDENTS OF THE SOUTHWEST AND HUMBOLD PARK. SERVICES PROVIDED INCLUDE; INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH AND WIC AND NUTRITION SERVICES. 260589 421670 COTTAGE VIEW HEALTH CENTER - SERVING THE RESIDENTS OF GRAND BOULEVARD. 405921 361995 SUNNYSIDE HEALTH CENTER - SERVING THE RESIDENTS OF UPTOWN. 79243 159787 DENNY COMMUNITY HEALTH CENTER - SERVING THE RESIDENTS OF THE LAWSONYMCA AND THE NEAR NORTH SIDE. 298881 251898 REAVIS SCHOOL-BASED HEALTH CENTER - SERVING THE RESIDENTS OF THEKENWOOD COMMUNITY. 2307719 363808 OTHER PROGRAM SERVICES 4185053 2168930 13609956 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 18 0 305 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X WAHABI TIJANI 3123371073 1276 NORTH CLYBOURN CHICAGO IL 60610 CLARENCE BURCH CHAIRPERSON 2.00 1.00 X X 0 0 0 DAVID DELGADO CHAIR ELECT 2.00 1.00 X X 0 0 0 PAULETTE MARSHALL VICE CHAIR 2.00 1.00 X X 0 0 0 PATRICIA CORNELIUS-WOODS TREASURER 2.00 1.00 X X 0 0 0 JORI BRINK ASSISTANT TREASURER 2.00 1.00 X X 0 0 0 SAMUEL ROSA SECRETARY 2.00 1.00 X X 0 0 0 JEAN PRZYBYLEK ASSISTANT SECRETARY 1.00 X X 0 0 0 JOVAN DEON ALLEN MEMBER 1.00 X 0 0 0 GARY BERINGER MEMBER 1.00 X 0 0 0 NORMAN BOLDEN MEMBER 1.00 X 0 0 0 RODNEY CARTER JR MEMBER 1.00 X 0 0 0 LEROY DUNCAN MEMBER 1.00 X 0 0 0 KEN DUNKIN MEMBER 1.00 X 0 0 0 LORETTA FLANAGAN MEMBER 1.00 X 0 0 0 ABRAHAM A MILLER MEMBER 1.00 X 0 0 0 JOHN SALAY MEMBER 1.00 X 0 0 0 JAMES SIMMONS MEMEBER 1.00 X 0 0 0 PABLO TORRES-VASQUEZ MEMBER 1.00 X 0 0 0 JOYCE TUCKER MEMEBER 1.00 X 0 0 0 VALERIE BROWN MEMBER 1.00 X 0 0 0 CARLETTE SEIFULLAH MEMBER 1.00 X 0 0 0 BERNEICE MILLS THOMAS CHIEF EXECUTIVE OFFICER 40.00 1.00 X 323365 0 16465 WAHABI TIJANI CHIEF FINANCIAL OFFICER 40.00 1.00 X 218269 0 19601 TIMOTHY LONG DIRECTOR OF QUALITY IMPROVEMENT 40.00 X 208368 0 12846 NICOLE BURTON PEDIATRICIAN 40.00 X 138331 0 10746 MUNAWAR SULTANA INTERNIST 40.00 X 170909 0 23075 JUDRYN RACINES INTERNIST 40.00 X 154004 0 10896 HYO LEE INTERNIST 40.00 X 146275 0 10714 JENNY CHA-KIM PEDIATRICIAN 40.00 X 135097 0 4443 1494618 0 108786 10 0 1 0 ALLIANCE OF CHICAGO COMMUNITY SERVICES 215 W OHIO STREET 4TH FLOOR CHICAGO IL 60654 EHR HOSTING SERVICES 346720 PM DC 1910 RAYMOND DR NORTHBROOK IL 60062 JANITORIAL SERVICES 248400 SINAI MEDICAL GROUP 1500 SOUTH FAIRFIELD AVE CHICAGO IL 60608 MEDICAL SERVICES 217800 MATANKY REALTY GROUP 200 N LASALLE ST SUITE 2350 CHICAGO IL 60601 RENT 178674 NORTHWESTERN MEDICAL GROUP 251 EAST HURON STREET CHICAGO IL 60611 MEDICAL SERVICES 135600 7 144392 12646098 1042462 13832952 NET PATIENT SERVICE FEES 621400 6937093 6937093 340B 621400 210959 210959 7148052 174404 174404 31819 31823 -4 -4 MISC INCOME 621990 152849 152849 INCOME FROM INVESTMENT IN ALLIANC 900003 133758 133758 286607 21442011 7300901 0 308158 684374 522645 152317 9412 10443351 7975409 2324318 143624 370087 277118 87979 4990 1145010 857372 272198 15440 746882 572186 162989 11707 61474 4365 57100 9 62125 4411 57705 9 1170995 83140 1087688 167 446027 337584 99844 8599 543830 38612 505140 78 1289773 1070638 218632 503 5352 2849 2371 132 121515 16579 104589 347 167318 167318 1021866 686662 319409 15795 208482 55081 153401 SUPPLIES 493053 391887 99159 2007 FOOD SUPPLIES 464749 464749 BAD DEBT EXPENSE 260785 0 260785 MISCELLANEOUS 173117 105707 10425 56985 220443 142962 76535 946 20100608 13609956 6219902 270750 9795285 10871816 973621 976452 792600 379033 3332678 3381886 7851230 7793290 144208 152036 23426106 15420429 8175682 8005677 6498182 6524639 1060814 1194572 0 442883 38624300 39722284 1209012 1221388 4450000 4250000 119798 0 5778810 5471388 X 32589888 33913551 255602 337345 32845490 34250896 38624300 39722284 X 1341403 -65951 129954 X X 0 1 X 1 1 1 X 11840039 11499199 13434353 13970702 13832952 64577245 11840039 11499199 13434353 13970702 13832952 64577245 64577245 165509 78361 149174 152598 174404 720046 144291 232422 741967 2644918 286607 4050205 69347496 0.93120 0.93560 X 440089 440089 15506491 9714870 5791621 1490602 1079430 411172 4858135 4317720 540415 1130789 308409 822380 8005677 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, NNHSC 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. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. TASTE OF NEAR NORTH 31819 31819 1123 111 30589 1 31819 31819 1123 111 30589 31823 -4 1 X 0 0 0 0 0 0 0 0 0 BERNEICE MILLS THOMAS CHIEF EXECUTIVE OFFICER 323365 0 0 0 0 0 10847 0 5618 0 339830 0 0 0 WAHABI TIJANI CHIEF FINANCIAL OFFICER 218269 0 0 0 0 0 7255 0 12346 0 237870 0 0 0 TIMOTHY LONG DIRECTOR OF QUALITY IMPROVEMENT 208368 0 0 0 0 0 7228 0 5618 0 221214 0 0 0 MUNAWAR SULTANA INTERNIST 170909 0 0 0 0 0 5730 0 17345 0 193984 0 0 0 JUDRYN RACINES INTERNIST 154004 0 0 0 0 0 5278 0 5618 0 164900 0 0 0 HYO LEE INTERNIST 146275 0 0 0 0 0 5096 0 5618 0 156989 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE DIRECTOR OF FINANCE AND THE EXECUTIVE DIRECTOR. SUBSEQUENT TO THAT REVIEW, THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD, WHO THEN SUBMITS THE RETURN TO THE ENTIRE BOARD FOR APPROVAL. A COPY OF THE RETURN IS KEPT ON RECORD FOR PUBLIC REVIEW SHOULD THERE BE SUCH A REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT EVERY YEAR, WHICH IS KEPT IN EACH STAFF AND BOARD MEMBER FILE. DISCLOSURE OF CONFLICT OF INTEREST POLICY QUESTION IS PRESENTED TO EVERY STAFF OR BOARD MEMBER DURING THE RECRUITING OR HIRING PROCESS. FURTHERMORE, AT ANY JUNCTURE WHEN MAJOR DECISIONS ARE ABOUT TO BE MADE, INDIVIDUALS ARE ASKED TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR STAFF IS BASED ON THE RESULTS OF ANNUAL REVIEWS CONDUCTED BY THE HEALTHCARE TRADE ASSOCIATIONS. THE SURVEY IS USED AS A GUIDE IN DETERMINING THE CORPOARATION'S SALARY SCHEDULE IN COMPARISON TO ITS INDUSTRY. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP LIABILITY 129,954. FORM 990, PART XII, LINE 2C: THE CORPORATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINACIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NNHSC TITLE HOLDING CORPORATION 1276 NORTH CLYBOURN CHICAGO IL 60610 371734856 LEASING BUILDING SPACE IL 501(C)(2) NEAR NORTH HEALTH SERVICE CORPORATION 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NNHSC TITLE HOLDING CORPORATION K 102000 LEASE AGREEMENT NNHSC TITLE HOLDING CORPORATION E 102000 LEASE AGREEMENT