2015-05-06T08:25:26-05:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2013-07-01 320115907 ESPERANZA HEALTH CENTERS ESPE 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 WAYNE SOTTILE CFO 7735846200 2015-04-27 1 GREGORY S ADAMS P00095597 6305738600 2013 2016-02-25 16:41:14Z WAYNE SOTTILE 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 8909632 0 X WWW.ESPERANZACHICAGO.ORG X 2004 IL PRIMARY HEALTH CARE SERVICES 13 13 93 38 0 0 1569783 2023843 4948929 6498193 0 0 219315 355726 6738027 8877762 0 0 0 0 3557655 4785401 0 0 0 2608103 3355635 6165758 8141036 572269 736726 1988033 2927215 1509340 1711796 478693 1215419 TO PROMOTE HEALTHY LIFESTYLES & IMPROVE OUR PATIENTS HEALTH THROUGH THE PROVISION OF HIGH QUALITY HEALTH CARE AND WELLNESS SERVICES IN THE COMMUNITIES OF CHICAGOS SOUTHWEST SIDE. 0 0 7039013 6642291 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. 7039013 1 1 0 0 0 0 0 0 0 0 1 0 1 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 3 0 1 93 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 1 1 IL X WAYNE SOTTILE 7735846154 2001 SOUTH CALIFORNIA AVE SUITE 100 CHICAGO IL 60608 ADRIAN SOTO PREIDENT 2.00 X 0 0 0 PAUL BETLINSKI TREASURER 2.00 X 0 0 0 CARA GOLDSBERRY DIRECTOR 1.00 X 0 0 0 SABRINA GRIMALDI SECRETARY 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 RAFAEL LEON DIRECTOR 1.00 X 0 0 0 RANIAL INIGUEZ DIRECTOR 1.00 X 0 0 0 RICK GUTIERREZ VICE PRESIDENT 1.00 X 0 0 0 JOS SALDANA DIRECTOR 1.00 X 0 0 0 JORGE MONTES DIRECTOR 1.00 X 0 0 0 DAN FULWILER CHIEF EXECUTIVE OFFICER 40.00 X 141579 0 0 ANTHONY STOLL CHIEF FINANCIAL OFFICER, THROUGH OCT 2013 40.00 X 85067 0 0 WAYNE SOTTILE CHIEF FINANCIAL OFFICER, EFFECTIVE DEC 2013 40.00 X 3923 0 0 ALEJANDRO CLAVIER MEDICAL DIRECTOR 40.00 X 173923 0 0 MARIA SILVA PHYSICIAN 40.00 X 141882 0 0 TRACY VERA PHYSICIAN 40.00 X 206368 0 0 FEDERICO HERRERA PHYSICIAN 40.00 X 126035 0 0 MIGUEL PENA PHYSICIAN 40.00 X 118783 0 0 HERNANDO REMOLINA PHYSICIAN 40.00 X 165563 0 0 1163123 0 0 9 0 1 0 OHIO SHARED INFORMATION SERVICES 8790 GOVERNORS HILL DRIVE SUITE 2 CINCINNATI OH 45249 EHR HOSTING 300303 PRACTICE MANAGEMENT SUPPORT SERVICES IN 415 W GOLF ROAD STE 16 ARLINGTON HEIGHTS IL 60005 BILLING SERVICES 290709 MD TECHNOLOGY SERVICES 6257A N MCCORMICK ROAD SUITE 238 CHICAGO IL 60659 IT SERVICE 121213 3 70000 1430 1091155 861258 2023843 PATIENT FEES 621990 6113580 6113580 PHARMACY REVENUE 621990 384613 384613 6498193 61030 1430 31870 29160 29160 DEBT FORGIVENESS 900099 182468 182468 MISCELLANEOUS 900099 144098 144098 326566 8877762 6642291 0 211628 439455 132598 306857 3542437 3224137 318300 88010 74197 13813 416273 350918 65355 299226 252243 46983 18335 14668 3667 19061 15249 3812 772869 618295 154574 64181 63701 480 133417 114739 18678 310876 267353 43523 349956 314960 34996 13495 11396 2099 22364 22364 90859 78139 12720 285148 272271 12877 MEDICAL SERVICES AND SU 939460 939460 REPAIRS AND MAINTENANCE 130291 112050 18241 MISCELLANEOUS 120475 120475 STAFF TRAINING 46982 29599 17383 37866 32565 5301 8141036 7039013 1102023 0 511250 912277 379283 461649 580429 830152 175895 187769 487731 152363 341176 335368 200000 1988033 2927215 486476 662357 908271 1049439 114593 1509340 1711796 X 273693 812914 205000 402505 478693 1215419 1988033 2927215 736726 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 487731 152363 335368 335368 MHN, LLC 200000 C 200000 X 8877762 0 8877762 0 8877762 8141036 0 8141036 0 8141036 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 FEDERAL AND STATE TAX RETURNS OF THE CENTER FOR 2010, 2011 AND 2012 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED JUNE 30, 2014 OR 2013. ANNUAL GALA 62460 1430 61030 22857 3227 5786 62460 1430 61030 22857 3227 5786 31870 29160 X X X 0 0 0 0 0 0 0 0 0 ALEJANDRO CLAVIER MEDICAL DIRECTOR 171923 0 2000 0 0 0 0 0 0 0 173923 0 0 0 TRACY VERA PHYSICIAN 204703 0 1665 0 0 0 0 0 0 0 206368 0 0 0 HERNANDO REMOLINA PHYSICIAN 165563 0 0 0 0 0 0 0 0 0 165563 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. FORM 990, PART VI, SECTION B, LINES 16A AND 16B ESPERANZA'S BYLAWS CONTAINS A SECTION INDICATING THE CORPORATION WILL NOT CARRY ON ANY ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE PRIOR TO INVESTING OR PARTICIPATING IN A JOINT VENTURE OR SIMILAR ARRANGEMENT WITH A TAXABLE ENTITY, ESPERANZA FOLLOWS A POLICY REQUIRING IT TO ENGAGE AND CONSULT WITH LEGAL COUNSEL IN ORDER TO EVALUATE ITS PARTICIPATION AND ENSURE THE ARRANGEMENT DOES NOT VIOLATE ESPERANZAS BYLAWS OR COMPLIANCE POLICY.