2019-05-22T14:38:34-05:00 2018-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2017-07-01 362893854 CHICAGO FAMILY HEALTH CENTER INC CHIC 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 7737685000 2019-05-22 1 KIMBERLY A HAUMANN P00546491 3122071040 2019-05-22 76.245.6.76 2019-05-22 08:21:56 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4F551198EC90A92CA2ED3AE42C89D47A164E6F16 2017 2019-02-21 02:37:17Z BARRETT HATCHES 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 23746595 0 X CHICAGOFAMILYHEALTH.ORG X 1976 IL TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS. 11 11 335 11 0 0 7745372 7865145 14711556 15663575 139542 188715 3400 29160 22599870 23746595 0 0 0 0 14843859 17224856 30300 0 279665 7419788 7783913 22293947 25008769 305923 -1262174 27089065 26088400 6592461 6494943 20496604 19593457 CHICAGO FAMILY HEALTH CENTER WILL PROMOTE HEALTH, WORK TO PREVENT DISEASE AND PROVIDE TREATMENT THROUGH THE DELIVERY OF QUALITY, ACCESSIBLE PRIMARY HEALTHCARE THAT IS CULTURALLY SENSITIVE, AFFORDABLE, AND RESPONSIVE TO COMMUNITY AND INDIVIDUAL NEEDS. 0 0 20713827 14989846 PUBLIC HEALTH SERVICES SECTION 330: THIS PROGRAM PROVIDES COMPREHENSIVE AND DENTAL SERVICES ON THE SOUTH SIDE OF CHICAGO. THE PROGRAM INCLUDES PREVENTIVE SCREENING AND TREATMENT, PRENATAL HEALTH CARE, COUNSELING, AND CASE MANAGEMENT. THE CENTER HAD 5 SITES SERVICING MORE THAN 32,000 PATIENTS THROUGH MORE THAN 110,000 VISITS. 338584 416455 THE ILLINOIS BREAST AND CERVICAL CANCER SCREENING PROGRAM (IBCCP) IS A FEDERALLY AND STATE FUNDED PROGRAM THAT OFFERS FREE MAMMOGRAMS, BREAST EXAMS, PELVIC EXAMS, AND PAP TESTS TO ELIGIBLE, UNINSURED WOMEN. SERVICES CAN ALSO BE AUTHORIZED FOR WOMEN OR MEN WITH ABNORMAL FINDINGS WHO ARE OUTSIDE THE NORMAL IBCCP AGE RANGE BUT MEET OTHER IBCCP CRITERIA. PARTICIPANTS WHO ARE ENROLLED IN THE IBCCP PROGRAM AND DIAGNOSED WITH CANCER THROUGH THE PROGRAM'S SCREENING AND TESTS ARE ELIGIBLE TO RECEIVE TREATMENT BENEFITS. MAMMOGRAMS AND CANCER TREATMENT ARE PROVIDED AT PARTNER HOSPITALS. CFHC REIMBURSES EACH PARTNER HOSPITAL FOR IBCCP SERVICES. 242467 257274 THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IS A FOOD ASSISTANCE PROGRAM FOR WOMEN, INFANTS, AND CHILDREN. IT HELPS PREGNANT WOMEN, NEW MOTHERS AND YOUNG CHILDREN EAT WELL AND STAY HEALTHY. WOMEN AND THEIR CHILDREN WHO ARE PREGNANT, BREASTFEEDING OR JUST HAD A BABY, INFANTS AND CHILDREN UNDER 5 YEARS OLD, FAMILIES WITH A LOW TO MEDIUM INCOME CAN RECEIVED SPECIAL CHECKS TO BUY HEALTHY FOODS - LIKE MILK, JUICE, EGGS, CHEESE, CEREAL, DRY BEANS OR PEAS, AND PEANUT BUTTER, INFORMATION ABOUT NUTRITION AND HEALTH INFORMATION AND HELP ABOUT BREASTFEEDING, AND HELP IN FINDING HEALTH CARE AND OTHER SERVICES. 21294878 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 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 15 0 1 335 1 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ERIC BOKLAGE 7737685000 9119 SOUTH EXCHANGE AVENUE CHICAGO IL 60617 NICK VALADEZ CHAIR OF THE BOARD 2.00 1.00 X X 0 0 0 NORA REYES VICE-CHAIR OF THE BOARD 2.00 1.00 X X 0 0 0 JULIUS ALEXANDER TREASUER 2.00 1.00 X X 0 0 0 FULTON NOLEN SECRETARY 2.00 1.00 X X 0 0 0 MARK BRUMMEL DIRECTOR 2.00 0.00 X 0 0 0 MARY JULIA MUNOZ DIRECTOR 2.00 0.00 X 0 0 0 LYLETH RODRIGUEZ DIRECTOR 2.00 0.00 X 0 0 0 JAMES SIMMONS DIRECTOR 2.00 0.00 X 0 0 0 LUPE VALADEZ DIRECTOR 2.00 0.00 X 0 0 0 TONY ZIAK DIRECTOR 2.00 0.00 X 0 0 0 CHERYL BRISCOE DIRECTOR 2.00 0.00 X 0 0 0 JOSEPH ERIC BOKLAGE CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 175199 0 22197 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 39.00 1.00 X 269368 0 27581 DEE N LAGIOIA CHIEF OPERATING OFFICER 40.00 0.00 X 114731 0 13621 JAMES P VALEK CHIEF MEDICAL OFFICER 40.00 0.00 X 243508 0 42457 FRANK BRADTKE COO 40.00 0.00 X 0 0 0 MONICA MOORE MEDICAL DIRECTOR, WOMEN'S HEALTH 38.00 0.00 X 203388 0 39134 RAMON C CABE PHYSICIAN 40.00 0.00 X 203873 0 11290 MARIE-TERESA C COLBERT PHYSICIAN 40.00 0.00 X 175514 0 5847 JACQUELINE GERVAIS PHYSICIAN 40.00 0.00 X 266099 0 19482 PRAMODE K KESHAVA PHYSICIAN 40.00 0.00 X 198519 0 24814 JOYCE M SMITH PHYSICIAN 40.00 0.00 X 160312 0 3621 2010511 0 210044 21 0 1 0 UJAMAA CONSTRUCTION INC 7744 SOUTH STONY ISLAND CHICAGO IL 60649 CONSTRUCTION MANAGEMENT 1326320 NEXTGEN HEALTHCARE INC PO BOX 511449 LOS ANGELES CA 90051 PATIENT BILLING SERVICES 681374 OSIS PO BOX 772852 CHICAGO IL 60677 HOSTING FOR NEXTGEN 620397 HENRY SCHEIN INC DEPARTMENT CH 10241 PALATINE IL 60055 DENTAL/MEDICAL SUPPLIES 453103 CARDINAL HEALTH BANK OF AMERICA LOCKBOX SERVICES37 CHICAGO IL 60693 34OB SUPPLIES 285545 15 7602572 262573 7865145 PRIVATE CARE 621300 11366308 11366308 CAPITATION REVENUE 621300 2156849 2156849 HMO INCENTIVE REVENUE 621300 2140418 2140418 15663575 188715 188715 29160 0 29160 29160 29160 23746595 15663575 0 217875 X 1092402 471533 606750 14119 13057563 11831405 1089766 136392 302072 165797 134570 1705 2772819 2410877 332448 29494 100408 2520 97888 74400 74400 19577 19577 2868583 2302322 557913 8348 1925225 1756077 160794 8354 51442 43726 7202 514 202267 184496 16893 878 918671 837958 76727 3986 130674 119193 10914 567 SUPPLIES 1063449 903932 148883 10634 PRINTING AND POSTAGE 98271 89637 8208 426 MEDICAL WASTE REMOVAL 84544 84544 LICENSES AND DUES 75569 75569 0 0 170833 15292 91293 64248 25008769 21294878 3434226 279665 3628599 1903508 2109048 2162811 1262423 888487 2718108 1378328 7190190 7190190 89636 107040 15490679 5939995 7629985 9550684 1933783 2311209 285740 281435 241553 314708 27089065 26088400 1729908 1796088 4618953 4340256 243600 358599 6592461 6494943 X 20461842 19462269 34762 131188 20496604 19593457 27089065 26088400 -1262174 359028 0 X 0 1 X 1 1 1 X 9059407 7594044 8730111 7745372 7865144 40994078 9059407 7594044 8730111 7745372 7865144 40994078 40994078 96111 117074 112839 142942 217875 686841 41680919 67874034 0.98350 0.98810 X 567474 567474 10429198 3474824 6954374 702086 587255 114831 3791921 1877916 1914005 9550684 MHN ACO, LLC 2311209 F 2311209 INTERCOMPANY PAYABLES 358599 358599 X X X 0 0 0 0 0 0 0 1 0 JOSEPH ERIC BOKLAGE CHIEF ADMINISTRATIVE OFFICER 171699 0 3500 0 0 0 7278 0 14919 0 197396 0 0 0 BARRETT HATCHES CHIEF EXECUTIVE OFFICER 269368 0 0 0 0 0 7469 0 20112 0 296949 0 0 0 JAMES P VALEK CHIEF MEDICAL OFFICER 229397 0 14111 0 0 0 9964 0 32493 0 285965 0 0 0 MONICA MOORE MEDICAL DIRECTOR, WOMEN'S HEALTH 203263 0 125 0 0 0 8637 0 30497 0 242522 0 0 0 RAMON C CABE PHYSICIAN 184299 0 19574 0 0 0 0 0 11290 0 215163 0 0 0 MARIE-TERESA C COLBERT PHYSICIAN 175514 0 0 0 0 0 0 0 5847 0 181361 0 0 0 JACQUELINE GERVAIS PHYSICIAN 252587 0 13512 0 0 0 6583 0 12899 0 285581 0 0 0 PRAMODE K KESHAVA PHYSICIAN 198269 0 250 0 0 0 6539 0 18275 0 223333 0 0 0 JOYCE M SMITH PHYSICIAN 160312 0 0 0 0 0 0 0 3621 0 163933 0 0 0 PART I, LINE 7 BONUSES FOR MANAGEMENT AND CEO ARE DETERMINED BASED ON GOALS AND DISCRETION. PROVIDERS IS BASED ON PRODUCTIVITY TARGETS. FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR GUADALUPE (LUPE) VALADEZ AND CHAIRMAN NICK VALADEZ HAVE A FATHER SON RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990 TAX RETURN. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL MEMBERS OF THE BOARD. THE BOARD IS PROVIDED AN OPPORTUNITY TO ASK ANY QUESTIONS DIRECTLY TO ORGANIZATION MANAGEMENT OR THE CONTACT AT THE INDEPENDENT CPA FIRM. FORM 990, PART VI, SECTION B, LINE 12C THE CENTER REVIEWS ANNUAL CONFLICT OF INTEREST STATEMENTS FROM THE BOARD AND SENIOR STAFF AT THE NOVEMBER BOARD MEETING. IN THE STATEMENTS, ALL BOARD MEMBERS AND SENIOR STAFF DISCLOSE THEIR CONFLICTS, POTENTIAL CONFLICTS, AND SITUATIONS THAT COULD BE PERCEIVED TO BE CONFLICTS. THE CENTER THAN EVALUATES THESE STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND OTHER KEY EMPLOYEES COMPENSATION IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE. THE CENTER NEGOTIATED BASED ON THE 990S FROM SIMILAR ORGANIZATIONS IN THE GREATER CHICAGO AREA. COMPENSATION AMOUNTS WERE SET AT THE LOWER END OF COMPARABLE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 THESE DOCUMENTS ARE AVAILABLE UPON REQEUST TO THE CENTER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. FORM 990, PART IX, LINE 11G CONTRACTED AGENCY STAFF - PROVIDER: PROGRAM SERVICE EXPENSES 543,778. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,778. CONTRACTED AGENCY STAFF - OTHER: PROGRAM SERVICE EXPENSES 55,828. MANAGEMENT AND GENERAL EXPENSES 55,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,656. CONTRACTED AGENCY STAFF - CLINICAL SUPPORT: PROGRAM SERVICE EXPENSES 94,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,138. SECURITY SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 152,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,833. LAB SERVICES - DENTAL: PROGRAM SERVICE EXPENSES 463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 463. OFF SITE STORAGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 41,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,637. CREDENTIALING EXPENSES: PROGRAM SERVICE EXPENSES 27,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,653. PROFESSIONAL SERVICES - LAB MEDICAL: PROGRAM SERVICE EXPENSES 23,393. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,393. OUTSIDE CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,503,324. MANAGEMENT AND GENERAL EXPENSES 303,726. FUNDRAISING EXPENSES 8,348. TOTAL EXPENSES 1,815,398. CONSULTANTS: PROGRAM SERVICE EXPENSES 53,745. MANAGEMENT AND GENERAL EXPENSES 3,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,634. CHICAGO FAMILY HEALTH CENTER FOUNDATION 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 453732286 SUPPORTING ORGANIZATION FOR CFHC IL 501(C)(3) 509(A)(3) CFHC 1 CFHC TITLE HOLDING CORPORATION NFP 9119 SOUTH EXCHANGE AVE CHICAGO IL 60617 454956964 HOLDING CORPORATION FOR CFHC IL 501(C)(2) CFHC 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 CFHC TITLE HOLDING CORPORATION NFP K 115000 RECORDS MAINTAINED AT COST CFHC FOUNDATION Q 64315 RECORDS MAINTAINED AT COST LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE