2014-03-27T18:08:43-05:00 2013-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2012-07-01 363317058 ACCESS COMMUNITY HEALTH NETWORK ACCE 3125262100 600 WEST FULTON ST SUITE 200 CHICAGO IL 60661 MAHOMED OUEDRAOGO 3125262088 2014-03-26 1 GREGORY S ADAMS P00095597 6305738600 2012 2015-11-30 17:44:51Z X MAHOMED OUEDRAOGO 600 WEST FULTON ST SUITE 200 CHICAGO IL 60661 113666972 0 X WWW.ACCESSCOMMUNITYHEALTH.NET X 1985 IL PROVIDE QUALITY, COMPREHENSIVE COMMUNITY-BASED HEALTHCARE FOR UNDERSERVED IN GREATER CHICAGO AREA AND BEYOND 20 20 1070 0 0 0 22608673 21292159 92008992 82157620 0 0 10729897 10217193 125347562 113666972 0 0 0 0 64496724 60616218 0 0 847 58220655 50817614 122717379 111433832 2630183 2233140 48041621 39993106 41540443 31258788 6501178 8734318 THE MISSION OF ACCESS IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE COMMUNITY-BASED HEALTH CARE FOR THE UNDERSERVED IN THE GREATER CHICAGO AREA AND BEYOND. 0 0 80749012 92374813 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 (INCLUDING OPHTHALMOLOGY, RHEUMATOLOGY, CARDIOLOGY, PODIATRY, ENDOCRINOLOGY, ONCOLOGY/UROLOGY, AND PEDIATRIC SPECIALTY CARE). 80749012 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 481 0 1070 1 0 0 0 0 0 1 1 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 OUEDRAOGO 3125262100 600 WEST FULTON STREET SUITE 200 CHICAGO IL 60661 BENA SULLIVAN 1.00 X X 0 0 0 DONNA SIMMONS 1.00 X X 0 0 0 TERRY BROWN 1.00 X X 0 0 0 DENISE KITCHEN 1.00 X X 0 0 0 OLIVIA BANKS 1.00 X 0 0 0 PATRICIA BOBB 1.00 X 0 0 0 DELPHINE GOREE 1.00 X 0 0 0 DR CHARLES DESHAZER 1.00 X 0 0 0 ADRIENNE WATSON 1.00 X 0 0 0 VIRGINIA OVIEDO 1.00 X 0 0 0 DAVID WISE 1.00 X 0 0 0 EVE SALAZAR 1.00 X 0 0 0 ROBERT SHEESLEY 1.00 X 0 0 0 ERIN STARKEY 1.00 X X 0 0 0 LEOLA TOWNES 1.00 X 0 0 0 DERRICK TUNG 1.00 X 0 0 0 DANIELLA LEVITT 1.00 X 0 0 0 TOMMY FITZGIBBON 1.00 X 0 0 0 RYAN HART 1.00 X 0 0 0 MARILYN SCOTT 1.00 X 0 0 0 DONNA THOMPSON 40.00 X 445238 0 19608 JOAN BOOMSMA 40.00 X 417975 0 30444 TARIQ BUTT 40.00 X 260522 0 16114 LINDA SHAPIRO 40.00 X 214644 0 19466 ELEVA RILEY 40.00 X 176010 0 21863 JULIE BONELLO 40.00 X 154808 0 41100 STEVEN GLASS 40.00 X 150896 0 32380 MAHOMED QEUDRAOGO 40.00 X 161795 0 17778 JANIE GAWRYS 40.00 X 171141 0 13789 EDWARD LAMPLEY 40.00 X 402255 0 16058 PAULA CAVENS 40.00 X 333509 0 39678 CARLOS SANDOVAL-HERRERA 40.00 X 327685 0 17626 LEMUEL SHAFFER 40.00 X 309460 0 29011 KENNETH BRETTS 40.00 X 285262 0 24301 3811200 0 339216 111 0 1 0 EPIC 1979 MILKY WAY VERONA WI 53593 EHR PROVIDER 2285546 LABCORP 55 EAST WASHINGTON STREET CHICAGO IL 60601 LAB SERVICES 1481399 FULTON ASSOCIATES LLC 120 WEST 22ND STREET SUITE 100 OAK BROOK IL 60523 RENT 1361629 CARDINAL BUILDING MAINTENANCE 4952 WEST 128TH PLACE ALSIP IL 60803 CLEANING SERVICES 1175227 SPRINGFIELD SERVICE CORP 8151 183RD STREET TINLEY PARK IL 60487 PROFESSIONAL SERVICES 873813 73 112500 20371574 808085 21292159 NET PATIENT SERVICE REVENUE 621498 50665748 50665748 CAPITATION REVENUE 621498 29416460 29416460 AFFILIATE CONTRACTS 621498 2075412 2075412 82157620 OTHER 621498 10217193 10217193 10217193 113666972 92374813 0 0 2262519 1312261 950258 49968954 35707903 14261051 200842 142351 58491 4760551 3374141 1386410 3423352 2426373 996979 3013215 2135680 877535 11492126 8145288 3346838 1066998 756257 310741 4760579 3374161 1386418 519415 368146 151269 PUCHASED SERVICES 12727786 9021088 3706698 BAD DEBT EXPENSE 6070557 6070557 REFERRED MEDICAL SERVIC 6052171 6052171 OTHER 5114767 1862635 3251285 847 111433832 80749012 30683973 847 2002652 3859460 3157101 2714544 14456782 7285052 720399 1279864 48536310 23682124 27704687 24854186 48041621 39993106 22331200 11800612 19209243 19458176 41540443 31258788 X 6225008 8346549 276170 387769 6501178 8734318 48041621 39993106 2233140 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 342415 342415 12229458 5391065 6838393 12666166 8516048 4150118 23298271 9775011 13523260 24854186 X 107596415 -6070557 -6070557 113666972 0 113666972 105363275 0 105363275 6070557 6070557 111433832 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2013 AND 2012, 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. THE FEDERAL AND STATE TAX RETURNS FOR ACCESS' 2010, 2011 AND 2012 FISCAL YEARS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -6,070,557. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 6,070,557. 0 0 0 0 0 0 0 0 0 DONNA THOMPSON 445238 0 0 0 0 0 17327 0 2281 0 464846 0 0 0 JOAN BOOMSMA 342975 0 75000 0 0 0 16750 0 13694 0 448419 0 0 0 TARIQ BUTT 260522 0 0 0 0 0 0 0 16114 0 276636 0 0 0 LINDA SHAPIRO 214644 0 0 0 0 0 0 0 19466 0 234110 0 0 0 ELEVA RILEY 176010 0 0 0 0 0 15000 0 6863 0 197873 0 0 0 JULIE BONELLO 154808 0 0 0 0 0 22000 0 19100 0 195908 0 0 0 STEVEN GLASS 150896 0 0 0 0 0 16682 0 15698 0 183276 0 0 0 MAHOMED QEUDRAOGO 161795 0 0 0 0 0 0 0 17778 0 179573 0 0 0 JANIE GAWRYS 171141 0 0 0 0 0 0 0 13789 0 184930 0 0 0 EDWARD LAMPLEY 402255 0 0 0 0 0 15644 0 414 0 418313 0 0 0 PAULA CAVENS 333509 0 0 0 0 0 21481 0 18197 0 373187 0 0 0 CARLOS SANDOVAL-HERRERA 327685 0 0 0 0 0 0 0 17626 0 345311 0 0 0 LEMUEL SHAFFER 309460 0 0 0 0 0 22412 0 6599 0 338471 0 0 0 KENNETH BRETTS 285262 0 0 0 0 0 11700 0 12601 0 309563 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 7: PHYSICIANS LISTED RECEIVED CERTAIN COMPENSATION BASED UPON MEASURED PRODUCTIVITY. 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.