2016-11-15T13:17:04-06:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2015-07-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 3125262088 2016-11-14 1 GREGORY S ADAMS P00095597 6305738600 2015 2017-02-10 21:41:12Z MAHOMED OUEDRAOGO 600 WEST FULTON 2ND FLOOR CHICAGO IL 60661 130161260 0 X WWW.ACCESSCOMMUNITYHEALTH.NET X 1984 IL ACCESS PARTNERS WITH PATIENTS AT ALL POINTS OF CARE, PROVIDING HIGH QUALITY, PATIENT-CENTERED HEALTH SERVICES ACCESSIBLE TO ALL IN THEIR OWN COMMUNITIES. 20 20 1086 20 0 0 25705156 21851570 94648345 105778072 0 0 3512115 2531618 123865616 130161260 0 0 0 0 66142225 70789347 0 0 0 49777449 52728618 115919674 123517965 7945942 6643295 54027781 60942833 35103923 35375680 18923858 25567153 X ACCESS PARTNERS WITH PATIENTS AT ALL POINTS OF CARE, PROVIDING HIGH QUALITY, PATIENT-CENTERED HEALTH SERVICES ACCESSIBLE TO ALL IN THEIR OWN COMMUNITIES. 0 0 96787664 108309690 COMMUNITY HEALTH CENTERS - ACCESS OFFERS A FULL RANGE OF COMPREHENSIVE, QUALITY HEALTH CARE SERVICES CONVENIENTLY LOCATED RIGHT IN YOUR COMMUNITY. OUR PRIMARY CARE SERVICES INCLUDE: FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, SCHOOL AND SPORTS PHYSICALS, OBSTETRIC/GYNECOLOGICAL AND MIDWIFERY SERVICES, AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS DIABETES, ASTHMA, AND HIGH BLOOD PRESSURE. OTHER SERVICES AVAILABLE AT SELECT SITES INCLUDE: LOW-COST BREAST AND CERVICAL CANCER SCREENINGS, BEHAVIORAL HEALTH SERVICES, HIV/AIDS COUNSELING, TESTING AND PRIMARY CARE, SUBSTANCE ABUSE TREATMENT PROGRAM, CASE MANAGEMENT, AND SPECIALTY CARE SERVICES.THIS YEAR ACCESS SERVED MORE THAN 180,000 LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING 30,000 UNINSURED PATIENTS. 96787664 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 123 0 1 1086 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X MAHOMED QUEDRAOGO 3125262100 600 WEST FULTON STREET SUITE 200 CHICAGO IL 60661 BENA SULLIVAN CHAIRWOMAN EMERITUS 1.00 X X 0 0 0 DONNA SIMMONS VICE CHAIRWOMAN 1.00 X X 0 0 0 TERRY BROWN TREASURER 1.00 X X 0 0 0 DENISE KITCHEN BOARD MEMBER 1.00 X 0 0 0 OLIVIA BANKS BOARD MEMBER 1.00 X 0 0 0 PATRICIA BOBB BOARD MEMBER 1.00 X 0 0 0 VIRGINIA OVIEDO BOARD MEMBER 1.00 X 0 0 0 PERLA HERRERA SECRETARY 1.00 X X 0 0 0 ERIN STARKEY BOARD MEMBER 1.00 X 0 0 0 LEOLA TOWNES BOARD MEMBER 1.00 X 0 0 0 DERRICK TUNG BOARD MEMBER 1.00 X 0 0 0 DANIELLA LEVITT BOARD MEMBER 1.00 X 0 0 0 TOMMY FITZGIBBON CHAIRMAN 1.00 X X 0 0 0 RYAN HART BOARD MEMBER 1.00 X 0 0 0 MARILYN SCOTT BOARD MEMBER 1.00 X 0 0 0 DR CHARLES DESHAZER BOARD MEMBER 1.00 X 0 0 0 EVE SALAZAR BOARD MEMBER 1.00 X 0 0 0 ROBERT SHEESLEY BOARD MEMBER 1.00 X 0 0 0 ERICK OSORIO BOARD MEMBER 1.00 X 0 0 0 PETER MCNERNEY BOARD MEMBER 1.00 X 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 40.00 X 712195 0 2322 JAIRO MEJIA CHIEF MEDICAL OFFICER 40.00 X 309268 0 19242 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 40.00 X 363777 0 23130 JANIE GAWRYS CHIEF OPERATING OFFICER 40.00 X 369782 0 19065 ETA ISH HENDERSON CHIEF COMPLIANCE OFFICER 40.00 X 167201 0 1188 TARIQ BUTT VP OF HEALTH AFFAIRS 40.00 X 353416 0 20016 ELEVA RILEY VP HUMAN RESOURCES 40.00 X 208108 0 9166 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 40.00 X 163914 0 19060 KATHLEEN GREGORY VP OF STRATEGY AND BUSINES 40.00 X 182155 0 6558 EDWARD LAMPLEY PHYSICIAN 40.00 X 354494 0 414 PAULA CAVENS PHYSICIAN 40.00 X 324898 0 17826 LEMUEL SHAFFER PHYSICIAN 40.00 X 300164 0 7483 SARIKA ARORA PHYSICIAN 40.00 X 288702 0 22752 MUKUND NARAYAN PHYSICIAN 40.00 X 327377 0 22678 4425451 0 190900 124 0 1 0 EPIC 1979 MILKY WAY VERONA WI 53593 EHR PROVIDER 1625276 600 FULTON OWNER LLC 600 WEST FULTON SUITE 110 CHICAGO IL 60661 SPACE RENTAL 1221563 DANCOH CHICAGO LLC 11 KINGSWOOD ROAD SCARSDALE NY 10583 SPACE RENTAL 1154375 LAB CORP PO BOX 2270 BURLINGTON NC 272162270 LAB SERVICES 928570 MOUNT SINAI HOSPITAL 1500 SOUTH FAIRFIELD AVENUE CHICAGO IL 60608 MEDICAL SERVICES 855938 81 144424 18864564 2842582 21851570 NET PATIENT SERVICE REVENUE 621498 64440004 64440004 340B 621498 19317421 19317421 CAPITATION REVENUE 621498 16132569 16132569 CARE COORDINATION FEES 621498 4638521 4638521 AFFILIATE CONTRACTS 621498 1249557 1249557 105778072 OTHER 621498 2531618 2531618 2531618 130161260 108309690 0 0 1922223 1466637 455586 58474531 44615485 13859046 6385848 4812172 1573676 4006745 3085922 920823 358744 358744 10290392 6781189 3509203 1535403 1325019 210384 13194044 11026707 2167337 1066754 852063 214691 5618098 4614168 1003930 610109 485114 124995 340B PHARMACY AND FEES 7001274 7001274 REFERRED MEDICAL SERVIC 3810991 3810991 OTHER 3415745 1434926 1980819 BAD DEBT EXPENSE 3264947 3264947 2562117 2211050 351067 123517965 96787664 26730301 0 12277277 20384080 5920840 3897365 7942865 6924598 1566300 2467708 66759034 39489952 26320499 27269082 54027781 60942833 13197101 11796147 21399429 22587814 507393 991719 35103923 35375680 X 18683434 23424059 240424 2143094 18923858 25567153 54027781 60942833 6643295 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 537792 537792 20153545 7176162 12977383 17396622 12216728 5179894 28671075 20097062 8574013 27269082 DEFERRED RENT OBLIGATION 991719 991719 X 126896313 -3264947 -3264947 130161260 0 130161260 120253018 0 120253018 3264947 3264947 123517965 PART X, LINE 2: ACCESS IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC. IN ADDITION, ACCESS 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 WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. ACCESS HAD NO UNRELATED BUSINESS INCOME DURING FISCAL YEARS 2015 AND 2014, AND THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCESS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -3,264,947. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,264,947. X X 0 0 0 0 0 0 0 0 0 DONNA THOMPSON CHIEF EXECUTIVE OFFICER 512195 0 200000 0 0 0 0 0 2322 0 714517 0 0 0 JAIRO MEJIA CHIEF MEDICAL OFFICER 187573 0 121695 0 0 0 0 0 19242 0 328510 0 0 0 MAHOMED OUEDRAOGO CHIEF FINANCIAL OFFICER 257687 0 106090 0 0 0 0 0 23130 0 386907 0 0 0 JANIE GAWRYS CHIEF OPERATING OFFICER 263692 0 106090 0 0 0 0 0 19065 0 388847 0 0 0 ETA ISH HENDERSON CHIEF COMPLIANCE OFFICER 137201 0 30000 0 0 0 0 0 1188 0 168389 0 0 0 TARIQ BUTT VP OF HEALTH AFFAIRS 313416 0 40000 0 0 0 0 0 20016 0 373432 0 0 0 ELEVA RILEY VP HUMAN RESOURCES 208108 0 0 0 0 0 0 0 9166 0 217274 0 0 0 CRISTINA SOTELINO VP OF COMMUNIATIONS AND CO 124130 0 39784 0 0 0 0 0 19060 0 182974 0 0 0 KATHLEEN GREGORY VP OF STRATEGY AND BUSINES 139189 0 42966 0 0 0 0 0 6558 0 188713 0 0 0 EDWARD LAMPLEY PHYSICIAN 329773 0 24721 0 0 0 0 0 414 0 354908 0 0 0 PAULA CAVENS PHYSICIAN 282892 0 42006 0 0 0 0 0 17826 0 342724 0 0 0 LEMUEL SHAFFER PHYSICIAN 262163 0 38001 0 0 0 0 0 7483 0 307647 0 0 0 SARIKA ARORA PHYSICIAN 207509 0 81193 0 0 0 0 0 22752 0 311454 0 0 0 MUKUND NARAYAN PHYSICIAN 195024 0 132353 0 0 0 0 0 22678 0 350055 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WAS E-MAILED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS AND SUBMIT TO THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS THE SALARIES OF THE SENIOR LEADERSHIP TEAM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS 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. HEALTHCURA LLC 600 W FULTON CHICAGO IL 60661 462285138 COORDINATE & PROVIDE OVERSIGHT TO HEALTHCURA,INC. DE 839608 625879 ACCESS COMMUNITY HEALTH NETWORK HEALTHCURA INC 600 W FULTON CHICAGO IL 60661 465498098 ACCOUNTABLE CARE ENTITY IL HEALTHCURA LLC C 100 100 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HEALTHCURA INC A 11281 CASH PAID