2015-05-14T16:20:06-05:00 2013-06-30 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2012-07-01 363661051 ALIVIO MEDICAL CENTER INC ALIV 7732541400 966 WEST 21ST STREET CHICAGO IL 60608 ESTHER CORPUZ 7732541400 2015-05-14 1 THOMAS LANNING P00851654 9732283500 2012 2016-02-25 16:41:14Z X ESTHER CORPUZ 966 WEST 21ST STREET CHICAGO IL 60608 18422592 0 X N/A X 1988 IL ALIVIO MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND THE UNDERINSURED, NOT TO THE EXCLUSION OF OTHER CULTURES AND RACES. 13 13 237 0 0 0 3610329 8340885 11168575 8808373 441 85204 675564 643667 15454909 17878129 0 0 0 0 11116259 10482357 0 0 0 4903170 8203985 16019429 18686342 -564520 -808213 11154648 12987241 7324313 9801840 3830335 3185401 X THE COMMUNITY HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND UNDERINSURED, NO TO THE EXCLUSION OF OTHER CULTURES AND RACES. 0 0 12288768 8688076 THE COMMUNITY HEALTH CENTER WAS ESTABLISHED TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO THE LOCAL COMMUNITY. THE COMPREHENSIVE SERVICES INCLUDE PRIMARY OUTPATIENT MEDICAL CARE, OBSTETRICS, GYNECOLOGY, DIAGNOSTIC SERVICES, NUTRITION SERVICES, BEHAVIORAL HEALTH SERVICES, EDUCATION AND PREVENTION PROGRAMS AS WELL AS OTHER SUPPORTING SERVICES. 341861 341861 THE CHICAGO FAMILY CASE MANAGEMENT PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF MATERNAL AND CHILD HEALTH SERVICES TO PREGNANT WOMEN AND INFANTS UP TO TWELVE MONTHS OF AGE, INCLUDING CASE MANAGEMENT, OUTREACH AND TRANSPORTATION. 348106 348106 TITLE X - FAMILY PLANNING SERVICES PROVIDES MATERNAL/CHILD PRIMARY HEALTH CARE SERVICES, OBSTETRICS, GYNECOLOGY, CASE MANAGEMENT, HEALTH EDUCATION AND FAMILY PLANNING COUNSELING TO PREGNANT WOMEN AND THEIR FAMILIES. 1376648 OTHER PROGRAMS. 1376648 14355383 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 237 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 IL X ESTHER CORPUZ CEO 3128296304 966 WEST 21ST STREET CHICAGO IL 60608 ALEJANDRA PEREZ-TAMAYO 1.00 X X 0 0 0 ANN GARCELON MD 1.00 X 0 0 0 ESTHER CORPUZ 1.00 X X 0 0 0 GIACOMO MANCUSO 1.00 X 0 0 0 MARY LEBOLD RN 1.00 X X 0 0 0 NANCY VILLAFRANCA 1.00 X 0 0 0 PATRICIA REBOLLEDO 1.00 X 0 0 0 PETER MARTINEZ 1.00 X 0 0 0 SARA ZUNIGA-LOPEZ 1.00 X 0 0 0 SOCORRO VELAZQUEZ 1.00 X 0 0 0 TERESA FRAGA 1.00 X X 0 0 0 VINCENT ALLOCCO 1.00 X 0 0 0 WAYNE MULDROW 1.00 X X 0 0 0 CARMEN VELASQUEZ 40.00 X 414769 0 2721 THURMAN GILLS 40.00 X 163713 0 0 ABDUL BHURGRI 40.00 X 218741 0 7451 DONALD WOZNICA 40.00 X 161096 0 6518 DORA GARCIA 40.00 X 170340 0 4449 MARK KOSANOVICH 40.00 X 208118 0 3032 WEN-HO YANG 40.00 X 163711 0 1999 1500488 0 26170 17 0 1 0 0 301 6951065 1389519 1015364 8340885 MEDICAID 624100 4580354 4580354 SELF-PAY 624100 3082930 3082930 OTHER THRID PARTY 624100 792754 792754 MEDICARE 624100 352335 352335 8808373 30813 30813 3900 0 3900 3900 3900 598854 544463 54391 54391 54391 340 B PHARMACY 624100 567660 567660 OTHER 900099 70097 70097 PATIENT RECORDS 624100 2010 2010 639767 17878129 9378043 0 159201 393669 301443 92226 8266325 6329757 1936568 57000 43647 13353 1077203 824844 252359 688160 526943 161217 400519 400519 23539 23539 598317 5462 592855 57783 13146 44637 766420 642568 123852 182141 158463 23678 139927 79077 60850 50482 28529 21953 288724 251190 37534 781011 679480 101531 114559 99666 14893 BAD DEBT 1870964 1870964 DONATED VACCINES 1015364 1015364 CONSUMABLE SUPPLIES 542378 471869 70509 PHARMACY DISPENSING 344935 344935 1026922 668036 358886 18686342 14355383 4330959 0 144197 869266 53851 2487722 464447 820023 946136 123491 58681 72236 17075546 8015228 6335593 9060318 1171386 1109670 0 424872 11154648 12987241 3298183 3147342 483710 1145695 3542420 5169458 0 339345 7324313 9801840 X 2830335 2035576 149825 1000000 1000000 3830335 3185401 11154648 12987241 -808213 67844 95435 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 471567 471567 7902273 4097005 3805268 1247897 237469 1010428 4882348 3606405 1275943 2571461 74349 2497112 9060318 DEFERRED COMP 339345 339345 X 16075009 67844 -1870964 -1803120 17878129 0 17878129 16815378 0 16815378 1870964 1870964 18686342 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2013. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -1,870,964. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 1,870,964. X X X 0 0 0 0 0 0 0 0 0 CARMEN VELASQUEZ 414769 0 0 0 0 0 0 0 2721 0 417490 0 0 0 THURMAN GILLS 163713 0 0 0 0 0 0 0 0 0 163713 0 0 0 ABDUL BHURGRI 218741 0 0 0 0 0 0 0 7451 0 226192 0 0 0 DONALD WOZNICA 161096 0 0 0 0 0 0 0 6518 0 167614 0 0 0 DORA GARCIA 170340 0 0 0 0 0 0 0 4449 0 174789 0 0 0 MARK KOSANOVICH 208118 0 0 0 0 0 0 0 3032 0 211150 0 0 0 WEN-HO YANG 163711 0 0 0 0 0 0 0 1999 0 165710 0 0 0 SUPPLEMENTAL INFORMATION PART III THE ORGANIZATION HAS AN ELIGIBLE NONQUALIFIED SUPPLEMENTAL PENSION PLAN THAT IT MADE CONTRIBUTIONS TO IN AGGREGATE OF $43,000 DURING FISCAL YEAR 2013. HOWEVER, AT THIS TIME THEY ARE UNABLE TO ALLOCATE CONTRIBUTIONS TO SPECIFIC INDIVIDUALS FOR PURPOSES FOR SCHEDULE J, PART II COLUMN (C). X 1 1015364 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 DUE TO TIME CONSTRAINTS, A COPY OF THE 990 WILL NOT BE GOING TO THE BOARD AT THIS TIME. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBERS MUST DISCLOSE IF THERE IS A CONFLICT OF INTEREST AT THE ANNUAL BOARD MEETINGS. THE BOARD MEMBERS COMPLETE AND SIGN A FORM DOCUMENTING THAT AT THE TIME THERE ARE NO CONFLICTS OF INTEREST. EACH YEAR THE BOARD MEMBERS SIGN A NEW FORM AND IF THERE IS A CONFLICT THE MEMBER ABSTAINS FROM VOTING. IF A BOARD MEMBER IS FOUND TO HAVE NOT DISCLOSED A CONFLICT, THE MEMBER WILL BE BROUGHT BEFORE THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS ANNUALLY, THE COMPENSATION OF THE CEO. THE CEO EVALUATES COMPENSATION OF EMPLOYEES EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990 PART XII LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. AMENDED FROM 990: FORM 990 WAS AMENDED TO REFLECT INFORMATION PER THE FINALIZED AUDIT. PARTS III, IV, V, VIII, IX, X, XI AND XII WERE CHANGED TO REFLECT THE NEW INFORMATION. IN ADDITION, SCHEDULES B, D, AND M WERE ALSO ADJUSTED.