2014-05-15T11:33:28-05:00 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 DAVID PAYNE 7732541400 2014-05-15 1 THOMAS LANNING P00851654 9732283500 2012 2016-02-25 16:41:14Z DAVID PAYNE 966 WEST 21ST STREET CHICAGO IL 60608 17338184 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 0 0 0 0 3610329 4217693 11168575 12217069 441 85204 675564 818218 15454909 17338184 0 0 0 0 11116259 10698194 0 0 0 4903170 5785356 16019429 16483550 -564520 854634 11154648 14097357 7324313 9552849 3830335 4544508 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 9584025 12958979 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. 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. 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. 9584025 1 1 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 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 7 0 1 0 0 3928739 288954 4217693 PATEINT SERVICES 624100 8808373 8808373 CONTRACT SERVICES 624100 3408696 3408696 12217069 30813 30813 3900 0 3900 3900 3900 54391 0 54391 54391 54391 340 B PHARMACY 624100 567660 567660 MEANINGFUL USE 624100 174250 174250 OTHER 900099 72408 72408 814318 17338184 12958979 0 161512 393669 299188 94481 8036285 6107577 1928708 162335 89284 73051 1468884 807886 660998 637021 350362 286659 400519 400519 164789 164789 214550 140355 74195 57783 14446 43337 761420 234629 526791 531745 5317 526428 190409 49506 140903 273007 8190 264817 638144 38289 599855 88921 36458 52463 CONSUMABLE SUPPLIES 828051 745246 82805 BAD DEBT 445661 445661 OTHER 392037 47044 344993 REPAIRS AND MAINTENANCE 336012 23521 312491 462308 141066 321242 16483550 9584025 6899525 0 144197 869266 53851 2487722 64488 820023 2942317 123491 118060 72236 180618 16134660 7741551 6335593 8393109 1171386 1449015 0 26633 11154648 14097357 3298183 3492071 483710 1373816 3542420 4686962 7324313 9552849 X 2830335 3544508 1000000 1000000 3830335 4544508 11154648 14097357 854634 67844 -208305 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 471567 471567 7902273 3993734 3908539 1247897 238440 1009457 3584259 3003486 580773 2928664 505891 2422773 8393109 X X X 0 1 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 FORM 990, PART IV, LINE 12A: THIS RETURN HAS BEEN PREPARED BASED ON ALL AVAILABLE INFORMATION AT THE TIME OF FILING. IT IS ALSO BASED ON UNAUDITED FINANCIAL STATEMENTS. IF ANY SIGNIFICANT DIFFERENCES ARISE AFTER THIS FILING, THIS RETURN WILL BE AMENDED TO PROPERLY REFLECT THE ADDITIONAL INFORMATION. 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.