2018-03-09T09:35:37-06:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2016-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 WAYNE SOTTILE CFO 7735846200 2018-03-07 1 CHRIS MANDERFIELD P01238973 6305738600 2018-03-07 67.137.57.251 2018-03-07 14:35:47 CS P 1A575DA7D4580FEB092587E941B69D20BC1E409C 99C95A981D0D28C6F98C4015289DF6597996F4F5 2016 2021-01-29 14:40:06Z WAYNE SOTTILE 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 16305821 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 11 11 115 9 0 0 3367169 3821072 9940347 11394969 986963 697563 276036 359168 14570515 16272772 0 0 0 0 6791019 8448604 0 67680 67680 4872181 5745233 11663200 14261517 2907315 2011255 6739917 12081025 911678 4241531 5828239 7839494 TO DELIVER HEALTH AND HOPE TO CHICAGO'S UNDERSERVED COMMUNITIES 0 0 11196675 11754178 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 53 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. 11196675 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 115 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 IL X WAYNE SOTTILE 7735846154 2001 SOUTH CALIFORNIA AVE SUITE 100 CHICAGO IL 60608 RICK GUTIERREZ VICE CHAIR 0.25 X X 0 0 0 PAUL BETLINSKI TREASURER 0.25 X X 0 0 0 CARA GOLDSBERRY SECRETARY 0.25 X X 0 0 0 ADRIANA DE LA MORA DIRECTOR 0.25 X 0 0 0 NYLA DIAB BOARD CHAIR 0.25 X X 0 0 0 BRIAN FREDERICKS DIRECTOR 0.25 X 0 0 0 LUIS GUTIERREZ DIRECTOR 0.25 X 0 0 0 JODI PORTNOY DIRECTOR 0.25 X 0 0 0 MARK MINIER DIRECTOR 0.25 X 0 0 0 JORGE MONTES DIRECTOR 0.25 X 0 0 0 CHARLES WINTERSTEEN DIRECTOR 0.25 X 0 0 0 DANIEL FULWILER CEO 40.00 X 207410 0 7128 WAYNE SOTTILE CFO 40.00 X 169539 0 7917 ADRIAN SOTO CHIEF STRATEGY OFFICER 40.00 X 50000 0 2945 ANDREW J VAN WIEREN MEDICAL DIRECTOR 40.00 X 212996 0 7107 CATHERINE CHIA AI LIU PHYSICIAN 40.00 X 227184 0 11209 SARAH HOQUE PHYSICIAN 40.00 X 208023 0 7402 MARIA SILVA PHYSICIAN 40.00 X 157027 0 22322 FEDERICO I HERRERA PHYSICIAN 40.00 X 158615 0 19748 KYLA N WIAFE-ABABIO PHYSICIAN 40.00 X 155673 0 5056 1546467 0 90834 20 0 1 0 ATHENA 311 ARSENAL ST WATERTOWN MA 02472 EMR AND BILLING SERVICES 851773 JUAN GABRIEL MORENO ARCHITECTS 223 W OHIO ST CHICAGO IL 60654 ARCHITECTURAL SERVICES 747581 SAINT ANTHONY HOSPITAL - FINANCE DEPARTM 2875 W 19TH STREET CHICAGO IL 60623 OUTSIDE MEDICAL PROVIDER, RENT AND OTHER 292186 PILSEN WELLNESS CENTER INC 2319 S DAMEN AVENUE CHICAGO IL 60608 RENT 205680 MD TECHNOLOGY SERVICES 2030 E ALGONQUIN ROAD SCHAUMBURG IL 60173 IT SUPPORT 190141 5 70166 102028 2624111 1024767 3821072 PATIENT FEES 621990 8709515 8709515 PHARMACY REVENUE 621990 2685454 2685454 11394969 697563 697563 33008 102028 33049 -41 -41 MISCELLANEOUS 900099 359209 359209 359209 16272772 11754178 0 697522 X 707844 88081 619763 6342937 4947301 1395636 229843 181359 48484 607546 479388 128158 560434 442214 118220 7906 7906 48464 48464 67680 67680 1503171 1239789 263382 62099 62099 131949 93206 38743 274637 246122 28515 468258 465972 2286 8689 3366 5323 91180 17787 73393 86072 82436 3636 PHARMACY AND MEDICAL SU 2517806 2517542 264 MISCELLANEOUS 201722 137631 64091 REPAIRS AND MAINTENANCE 136524 114542 21982 MEMBERSHIP DUES AND SUB 132013 102591 29422 74743 37348 37395 14261517 11196675 2997162 67680 2560431 3370912 991130 1421040 1570135 891470 135414 181489 4414109 82520 295844 4331589 1186963 1884525 6739917 12081025 886678 1345531 25000 2896000 911678 4241531 X 5340576 7413141 487663 426353 5828239 7839494 6739917 12081025 2011255 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3343089 3343089 19122 14471 4651 132806 68049 64757 919092 919092 4331589 MHN ACO, LLC 1884525 C 1884525 X 16272772 0 16272772 0 16272772 14261517 0 14261517 0 14261517 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) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED JUNE 30, 2017 OR 2016. X 1 THE ALFORD GROUP INC 100 N LASALLE SUITE 910 CHICAGO IL 60602 STRATEGIC CAMPAIGN COUNSEL AND BOARD DEVELOPMENT 0 179500 67680 111820 179500 67680 111820 IL ANNUAL GALA 119925 96875 23050 10420 13446 6003 CHICAGO MARATHON FUNDRAISER 15111 5153 9958 1555 1625 135036 102028 33008 10420 15001 7628 33049 -41 X X X X X 0 0 0 0 0 1 0 1 0 DANIEL FULWILER CEO 176010 0 31400 0 0 0 5937 0 1191 0 214538 0 0 0 WAYNE SOTTILE CFO 141539 0 28000 0 0 0 4297 0 3620 0 177456 0 0 0 ANDREW J VAN WIEREN MEDICAL DIRECTOR 195846 0 17150 0 0 0 6571 0 536 0 220103 0 0 0 CATHERINE CHIA AI LIU PHYSICIAN 214584 0 12600 0 0 0 6446 0 4763 0 238393 0 0 0 SARAH HOQUE PHYSICIAN 202223 0 5800 0 0 0 6211 0 1191 0 215425 0 0 0 MARIA SILVA PHYSICIAN 157027 0 0 0 0 0 5308 0 17014 0 179349 0 0 0 FEDERICO I HERRERA PHYSICIAN 158615 0 0 0 0 0 5321 0 14427 0 178363 0 0 0 KYLA N WIAFE-ABABIO PHYSICIAN 155673 0 0 0 0 0 5056 0 0 0 160729 0 0 0 PART I, LINE 6 THE CEO, CFO AND MEDICAL DIRECTOR ARE ELIGIBLE FOR BONUSES IF ESPERANZA HEALTH CENTER MEETS OR EXCEEDS ITS ANNUAL BUDGETED NET INCOME. PART I, LINE 7 THE CEO, CFO AND MEDICAL DIRECTOR 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. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED IN DRAFT FORM BY THE ORGANIZATION'S FINANCE COMMITTEE, THEN SENT 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 IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,239,789. MANAGEMENT AND GENERAL EXPENSES 263,382. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,503,171. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S AUDIT 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.