2016-02-10T09:27:51-06:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2014-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 WAYNE SOTTILE CFO 7735846200 2016-02-09 1 GREGORY S ADAMS P00095597 6305738600 2014 2016-04-25 22:37:26Z WAYNE SOTTILE 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 10261955 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 13 13 123 5 0 0 2023843 2337041 6498193 7347422 0 0 355726 537078 8877762 10221541 0 0 0 0 4785401 5226580 0 0 0 3355635 3289456 8141036 8516036 736726 1705505 2927215 4007995 1711796 1087071 1215419 2920924 TO PROMOTE HEALTHY LIFESTYLES & IMPROVE OUR PATIENTS' HEALTH THROUGH THE PROVISION OF HIGH QUALITY HEALTH CARE AND WELLNESS SERVICES IN THE COMMUNITIES OF CHICAGO'S SOUTHWEST SIDE. 0 0 7306745 7689811 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. 7306745 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 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 0 0 0 0 1 12 0 1 123 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 0 0 IL X WAYNE SOTTILE 7735846154 2001 SOUTH CALIFORNIA AVE SUITE 100 CHICAGO IL 60608 ADRIAN SOTO PRESIDENT 2.00 X 0 0 0 PAUL BETLINSKI TREASURER 2.00 X 0 0 0 CARA GOLDSBERRY SECRETARY 1.00 X 0 0 0 JENNIFER BENNETT DIRECTOR 2.00 X 0 0 0 DOROTHY BRADEN DIRECTOR 1.00 X 0 0 0 JILL STEMMERMAN DIRECTOR 1.00 X 0 0 0 ANDREW TINAJERO DIRECTOR 1.00 X 0 0 0 MARIA ROMAN DIRECTOR 1.00 X 0 0 0 ADRIANA DE LA MORA DIRECTOR 1.00 X 0 0 0 DEBBIE GONZALEZ DIRECTOR 1.00 X 0 0 0 RICK GUTIERREZ VICE PRESIDENT 1.00 X 0 0 0 MILTON MORA DIRECTOR 1.00 X 0 0 0 JODI PORTNOY DIRECTOR 1.00 X 0 0 0 DAN FULWILER CHIEF EXECUTIVE OFFICER 40.00 X 162077 0 3399 WAYNE SOTTILE CHIEF FINANCIAL OFFICER 40.00 X 112814 0 5240 ALEJANDRO CLAVIER MEDICAL DIRECTOR 40.00 X 200386 0 3341 MARIA SILVA PHYSICIAN 40.00 X 150072 0 16521 MAXIMILLIANO LUNA PHYSICIAN 40.00 X 136024 0 14055 FEDERICO HERRERA PHYSICIAN 40.00 X 138965 0 12502 CATHERINE LIU PHYSICIAN 40.00 X 212044 0 10554 SARAH HOQUE PHYSICIAN 40.00 X 159443 0 508 1271825 0 66120 10 0 1 0 PRACTICE MANAGEMENT SUPPORT SERVICES IN 415 W GOLF ROAD STE 16 ARLINGTON HEIGHTS IL 60005 BILLING SERVICES 371032 OHIO SHARED INFORMATION SERVICES 8790 GOVERNORS HILL DRIVE SUITE 2 CINCINNATI OH 45249 EHR HOSTING 267321 THERACOM 9717 KEY W AVENUE ROCKVILLE MD 20850 PHARMACEUTICAL SERVICES 120434 3 70000 27323 1345639 894079 2337041 PATIENT FEES 621990 6834687 6834687 PHARMACY REVENUE 621990 512735 512735 7347422 52635 27323 40414 12221 12221 MISCELLANEOUS 900099 342389 342389 DEBT FORGIVENESS 900099 182468 182468 524857 10221541 7689811 0 194689 4509230 3796772 712458 41768 35169 6599 300632 253132 47500 374950 315708 59242 14975 12203 2772 36961 30120 6841 777426 633528 143898 56401 56401 80999 68201 12798 341762 287764 53998 401601 345377 56224 11880 10003 1877 23687 23687 91675 77190 14485 190033 175000 15033 MEDICAL SERVICES AND SU 1032847 1032847 0 REPAIRS AND MAINTENANCE 84239 70929 13310 MEMBERSHIP DUES AND SUB 54681 46041 8640 MISCELLANEOUS 47649 33735 13914 42640 26625 16015 8516036 7306745 1209291 0 912277 1962343 461649 511212 830152 899966 187769 184586 492387 242499 335368 249888 200000 200000 2927215 4007995 662357 669479 1049439 417592 1711796 1087071 X 812914 2473252 402505 447672 1215419 2920924 2927215 4007995 1705505 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 492387 242499 249888 249888 X 10221541 0 10221541 0 10221541 8516036 0 8516036 0 8516036 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, 2015 OR 2014. ANNUAL GALA 79958 27323 52635 27958 3586 8870 79958 27323 52635 27958 3586 8870 40414 12221 X X X 0 0 0 0 0 0 0 0 0 DAN FULWILER CHIEF EXECUTIVE OFFICER 154077 0 8000 0 0 0 2829 0 570 0 165476 0 0 0 ALEJANDRO CLAVIER MEDICAL DIRECTOR 187721 0 12665 0 0 0 3341 0 0 0 203727 0 0 0 MARIA SILVA PHYSICIAN 149072 0 1000 0 0 0 2640 0 13881 0 166593 0 0 0 MAXIMILLIANO LUNA PHYSICIAN 135062 0 962 0 0 0 2296 0 11759 0 150079 0 0 0 FEDERICO HERRERA PHYSICIAN 137300 0 1665 0 0 0 2153 0 10349 0 151467 0 0 0 CATHERINE LIU PHYSICIAN 211200 0 844 0 0 0 3775 0 6779 0 222598 0 0 0 SARAH HOQUE PHYSICIAN 159443 0 0 0 0 0 508 0 0 0 159951 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 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.