2017-04-07T10:50:19-05:00 2016-06-30 132781641 MITCHELL & TITUS LLP ONE BATTERY PARK PLAZA NEW YORK NY 10004 990 2015-07-01 363828320 PCC COMMUNITY WELLNESS CENTER PCCC 7083830113 14 WEST LAKE STREET oak park IL 60302 ROBERT J URSO president & ceo 7083830113 2017-04-07 1 Frederick E Davis Jr P00446023 2127094500 2015 2021-01-29 14:40:06Z robert J urso 14 WEST LAKE STREET oak park IL 60302 36060983 0 X www. pccwellness.org X 1992 IL to promote health care service programs and community health centers for the medically underserved living in chicago's westside communities. 13 13 491 13 0 0 5825022 6963499 26155372 28298011 56806 35568 98460 710198 32135660 36007276 0 0 0 0 21916756 24672530 0 0 28326 9314429 10367467 31231185 35039997 904475 967279 32414282 31155974 11688589 17485802 20725693 13670172 X The mission of pcc community wellness center is to improve health Outcomes for the medically underserved community through the Provision of high quality, affordable, and accessible primary health Care and support services. We are committed to serving the needs of Men, women, and children in all lifecycles, while we continue to Specialize in the delivery of comprehensive maternal and child health Services to address this unmet need in our community. 0 0 28369508 28974939 Pcc provides health care services to the community. Pcc health care services include: pediatric and adolescent health care that includes well-child exams, immunizations, sick infant/child exams, school and sports physicals, and lead screenings; women's health care (ob/gyn) that includes maternity care and delivery, pap smears, and breast cancer screenings; adult health care; senior Health care; diagnosis and treatment of illness; disease screening and prevention; family planning (birth control); management of chronic illnesses such as asthma, diabetes, and high blood pressure; hiv testing, counseling, and primary care; and dental care and referral. 28369508 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 1 1 1 0 0 1 88 0 1 491 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X ROBERT URSO 7083830113 14 WEST LAKE STREET oak park IL 60302 Ronald Austin Jr Chairperson 2.00 2.00 X X 0 0 0 Carolyn Fitzpatrick MD Vice Chairperson 2.00 0.00 X X 0 0 0 Melinda Malecki Secretary 2.00 0.00 X X 0 0 0 Kenneth Blair MD Treasurer 2.00 2.00 X X 0 0 0 Velda Brunner Director 2.00 0.00 X 0 0 0 Barbara Diggins Director 2.00 0.00 X 0 0 0 Patricia Ford Director 2.00 0.00 X 0 0 0 John McDonnell Director 2.00 2.00 X 0 0 0 Mariana Osoria Director 2.00 0.00 X 0 0 0 Teresa Reyes Director 2.00 0.00 X 0 0 0 Shawnda Steer Director 2.00 0.00 X 0 0 0 Brandon Thorne Director 2.00 0.00 X 0 0 0 Barbara Vanek Director 2.00 0.00 X 0 0 0 Robert J Urso President & CEO 40.00 2.00 X 289546 0 2681 Patrick Garrick Chief Financial Officer 40.00 2.00 X 140803 0 1740 Paul Luning Chief Medical Officer 40.00 0.00 X 233287 0 6651 Lynn Hopkins Chief Operating Officer 36.00 0.00 X 134644 0 151 Katherine Suberlak Chief Population Health Officer 40.00 0.00 X 106047 0 597 Sherif Milik Family Practice Physician 40.00 0.00 X 185784 0 1783 Karole Lakota Medical Director of PI 40.00 0.00 X 266351 0 4910 Christine Swartz Medical Director 40.00 0.00 X 267946 0 1645 Bertha Lopez OB/GYN Physician 40.00 0.00 X 216787 0 6302 Yam-Shun Tong OB/GYN Physician 40.00 0.00 X 435069 0 3250 2276264 0 29710 41 0 1 0 GLOBAL INSIGHT SOLUTIONS 2010 N HARLEM AVENUE ELMWOOD PARK IL 60707 Medical Billing Services 742440 ALLIANCE 215 W OHIO STREET 4TH FLOOR CHICAGO IL 60654 Community Health Services 417777 PERAINO & ASSOCIATES LLC 4959 THAMES ST EAST KISSIMMEE FL 34758 Consultation Contractors 221404 NIXON PEABODY LLP 70 W MADISON ST SUITE 3500 CHICAGO IL 60602 Legal Services 170067 B AND B MAINTENANCE INC 537 CAPITAL DRIVE LAKE ZURICH IL 60047 Professional Building Services 155594 7 18100 1393151 5552248 6963499 patience services revenue, net 621400 22893838 22893838 Other Service Revenue - Pharmacy 621400 4124096 4124096 Other Service Revenue - Incentive 621400 1280077 1280077 28298011 35568 35568 86977 18100 53707 33270 33270 Partnership investments income 624100 530000 530000 other income 900099 146928 146928 676928 36007276 28974939 0 68838 818577 223291 595286 20375722 17732536 2643186 1783852 1523058 260794 1694379 1435479 258900 129741 129741 53172 53172 3048826 2116326 904174 28326 499825 340945 158880 225043 188515 36528 170135 110821 59314 238585 24816 213769 957878 432784 525094 94407 35645 58762 Medical Supplies 2824083 2808401 15682 Dues and Licenses 1479979 1023553 456426 Repairs and maintenance 149798 123501 26297 Staff expenses 128664 7654 121010 367331 242183 125148 35039997 28369508 6642163 28326 7647003 8109816 330836 1849928 1124086 1123922 3005328 3033065 4687800 0 337313 431752 22868107 6965021 15024095 15903086 257821 704405 32414282 31155974 769472 602088 205365 93111 9026217 14941003 1687535 1849600 11688589 17485802 X 20481849 13082267 243844 587905 20725693 13670172 32414282 31155974 X 967279 -8022800 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 519000 519000 14861576 2332289 12529287 2120068 1641847 478221 4396769 2990885 1405884 970694 970694 15903086 ACCRUED PAYROLL AND PAYROLL TAX 699592 INTEREST PAYABLE 47003 ACCRUED VACATION 1103005 1849600 X Part X, Line 2: The Organization adopted the requirements in Financial Accounting Standards Board (FASB) Accounting Standards Update (ASU) 2009-06 regarding uncertain tax positions. ASU 2009-06 defines how uncertain tax positions should be recognized, measured, presented, and disclosed in the financial statements. The authoritative guidance requires entities to recognize a tax benefit from an uncertain tax position only if it is more-likely-than-not that the position is sustainable based solely on its technical merits and consideration of the relevant taxing authority's widely understood administrative practices and precedents. The Organization evaluated its tax positions taken or expected to be taken to determine whether the tax positions are more-likely-than-not to be sustained by the applicable taxing authority, and has determined that it currently does not have any uncertain tax positions. The Organization's management believes that the Organization is no longer subject to income tax examinations for years prior to 2013. GALA 105077 18100 86977 4265 20969 6720 21753 105077 18100 86977 4265 20969 6720 21753 53707 33270 X X X X 0 0 0 0 0 0 0 0 0 Robert J Urso President & CEO 276446 0 0 0 13100 0 0 0 2681 0 292227 0 0 0 Paul Luning Chief Medical Officer 204000 0 16320 0 12967 0 0 0 6651 0 239938 0 0 0 Sherif Milik Family Practice Physician 145600 0 12695 0 27489 0 0 0 1783 0 187567 0 0 0 Karole Lakota Medical Director of PI 179800 0 30395 0 56156 0 0 0 4910 0 271261 0 0 0 Christine Swartz Medical Director 191564 0 10423 0 65959 0 0 0 1645 0 269591 0 0 0 Bertha Lopez OB/GYN Physician 215675 0 0 0 1112 0 0 0 6302 0 223089 0 0 0 Yam-Shun Tong OB/GYN Physician 230008 0 0 0 205061 0 0 0 3250 0 438319 0 0 0 Form 990, Part VI, Section B, line 11 THE DEPARTMENT OF FINANCE'S CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE COMPLETE THE FORM 990 INFORMATION REQUESTS FOR A CPA FIRM TO PREPARE THE RETURN. THE INITIAL RETURN IS THEN REVIEWED WITH THE CHIEF EXECUTIVE OFFICER. THE DRAFT 990 RETURN IS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND SHARED WITH THE BOARD OF DIRECTORS. COPIES OF THE 990 ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FINALIZATION. Form 990, Part VI, Section B, line 12c ALL TRANSACTIONS AND PROCESSES ARE REVIEWED AND MONITORED THROUGH POLICY, EXECUTIVE MANAGEMENT, AND RATIFIED BY THE VOTING MEMBERS OF THE BOARD, IF NECESSARY. Form 990, Part VI, Section B, line 15 THE PROCESS OF DETERMINING COMPENSATION FOR THE CEO AND OTHER KEY OFFICERS OF THE ORGANIZATION IS DONE THROUGH A REVIEW AND APPROVAL PROCESS VIA THE GOVERNING BODY, AND SUBJECT TO RATIFICATION OF THE BOARD. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy statements, and financial statements are made available upon request. Form 990, Part XI, line 9: Transfer of unrestricted net assets to PCC Foundation -8,022,800. PCC QALICB LLC 14 WEST LAKE STREET OAK PARK IL 60302 273160926 SEE PART VII IL 323151 6643738 PCC COMMUNITY WELLNESS CENTER PCC FOUNDATION 14 LAKE STREET OAK PARK IL 60302 475608703 See part VII IL 501(c)(3) Line 11a, I PCC Community Wellness Center 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 PCC FOUNDATION N 500 ESTIMATED USE PCC FOUNDATION O 2021 ESTIMATED TIME SPENT PCC FOUNDATION R 8022800 COST Form 990, Schedule R, Part V, Line 2 Transfer of cash or property to the related organization - PCC Foundation 1. Notes receivables $7,919,999; 2. Investment in MCO $80,000 3. Cash $22,801 Total $8,022,800 Form 990, Schedule R, Part I, Line 1, Column (b) & Part II, Column (b) PRIMARY ACTIVITY: PCC QALICB LLC SERVEs AS THE QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS THAT PROVIDES CHARITABLE ACTIVITIES IN THE DISTRESSED COMMUNITY. The PCC Foundation conducts fundraising activities for PCC Community Wellness Center ("Center") and intends to award grants to the Center upon request.