2013-02-26T10:44:58-06:00 2012-06-30 MITCHELL & TITUS LLP ONE BATTERY PARK PLAZA NEW YORK NY 10004 990 2011-07-01 363828320 PCC COMMUNITY WELLNESS CENTER % ROBERT URSO PCCC 7083830113 14 WEST LAKE STREET CHICAGO IL 60302 Robert Urso 2013-02-25 true KEVIN FULLER 2127094500 2011 2016-03-07 17:11:31Z ROBERT URSO 14 WEST LAKE STREET CHICAGO IL 60302 25356666 false X WWW.PCCWELLNESS.ORG X 1980 IL TO PROMOTE HEALTH CARE SERVICE PROGRAMS AND COMMUNITY HEALTH CENTERS FOR THE MEDICALLY UNDERSERVED LIVING IN CHICAGO'S WESTSIDE COMMUNITIES. 12 12 366 0 0 0 7674394 6040675 16518235 18067234 56090 47677 145004 1163978 24393723 25319564 0 0 0 0 15531912 16108182 0 0 37102 6326020 6958668 21857932 23066850 2535791 2252714 24320749 30989004 9616171 14031712 14704578 16957292 The mission of PCC Community Wellness Center is to improve health outcomes for the medically underserved community through the provision of high quality, affordable, and accessible primary health care and support services. We are committed to serving the needs of men, women, and children in all lifecycles, while we continue to specialize in the delivery of comprehensive maternal and child health services to address this unmet need in our community. false false 18321967 18067234 PCC provides health care services to the community. PCC health care services include: Pediatric and adolescent health care that includes well-child exams, immunizations, sick infant/child exams, school and sports physicals, and lead screenings; Women's health care (OB/GYN) that includes maternity care and delivery, Pap smears, and breast cancer screenings; Adult health care; Senior health care; Diagnosis and treatment of illness; Disease screening and prevention; Family planning (Birth control); Management of chronic illnesses such as asthma, diabetes, and high blood pressure; HIV testing, counseling, and primary care; and dental care and referral. 18321967 true true false false false false false false false false true false false false true true false true false false false false false false true false false false false true false false false false false false false false false false false false true false false false false false true 20 0 true 366 true false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false IL X ROBERT URSO 7083830113 14 WEST LAKE STREET OAK PARK IL 60302 Ronald Austin 2.0 X X 0 0 0 Carolyn Fitzpatrick MD 2.0 X X 0 0 0 Kenneth Blair MD 2.0 X X 0 0 0 Melinda Malecki 2.0 X X 0 0 0 Amanda Canedo 2.0 X 0 0 0 Barbara Diggins 2.0 X 0 0 0 John M McDonnell 2.0 X 0 0 0 Patricia Ford 2.0 X 0 0 0 Rhonda Stuart 2.0 X 0 0 0 Shawnda Steet 2.0 X 0 0 0 Teresa Reyes 2.0 X 0 0 0 Barbara Vanek 2.0 X 0 0 0 Robert J Urso 40.0 X 239604 0 3511 Paul Luning MD 40.0 X 219714 0 6219 Lynn Hopkins 40.0 X 109396 0 139 Yam-Shun Tong 40.0 X 388349 0 139 Maureen Ruder 40.0 X 215337 0 4675 Bertha Lopez 40.0 X 219153 0 456 Karole A Lakota 40.0 X 205445 0 4173 Thomas J Staff 40.0 X 176621 0 4259 1773619 0 23571 39 false true false Humana Insurance Company PO Box 533 CAROL STREAM IL 60132 Health Insurance 1139728 Global Insight Solutions 2010 N Harlem Avenue ELMWOOD PARK IL 60707 Billing Services 561185 Cardinal Health Med Products Ser PO Box 70539 CHICAGO IL 60673 Medcial Supplies 337620 Norwegian American Hospital 1044 N Francisco CHICAGO IL 60622 Hospital/ Healthcare 334855 Henry Schein 135 Duryea Road MELVILLE NY 11747 Medcial Supplies 292143 18 44082 4829364 1167229 6040675 PATIENT SERVICES REVENUE 624100 16944999 16944999 OTHER SERVICE REVENUE 624100 887160 887160 GRANT REVENUE - WEST SUBURBAN HOSPITAL 623000 235075 235075 18067234 47677 47677 0 0 14783 14783 14783 14783 0 14365 44082 37102 -22737 -22737 0 0 MEANINGFUL USE INCENTIVE PAYMENT (CMS) 900099 871250 871250 MEDICARE SETTLEMENT PAYMENT 900099 93113 93113 MEMI BONUS PAYMENT (HEALTHCARE FAMILY SERVICES) 900099 64560 64560 143009 143009 1171932 25319564 19239166 39723 0 0 0 0 605834 227446 378388 0 13341715 11247005 2094710 0 1094701 769450 325251 1065932 880996 184936 0 63726 63726 278892 278892 0 0 0 2426070 1823759 602311 0 1242975 1085866 152919 4190 0 0 592733 578791 13942 122127 89421 32706 0 62042 12269 49773 131793 35769 96024 0 734208 536781 197427 52220 52220 CONTRACTUAL SERVICES 148554 101834 13808 32912 BAD DEBTS 500599 500599 STIPENDS 222906 222906 MAINTENANCE&SUPPORT LICENSES 131877 131877 247946 209075 38871 23066850 18321967 4707781 37102 4530358 5336871 0 1195709 1058997 1429188 2239291 3031660 0 0 0 0 4687800 4752307 32165 0 167184 273404 18359537 3576217 11395769 14783320 0 0 0 0 0 0 0 0 209185 186545 24320749 30989004 579739 605173 0 0 152962 2202747 0 0 0 0 0 0 7439014 9721257 0 0 1444456 1502535 9616171 14031712 X 13262478 12567198 1442100 4390094 0 0 14704578 16957292 24320749 30989004 2252714 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 519000 519000 10232806 473276 9759530 1866584 1355903 510681 2875424 1747038 1128386 2865723 2865723 14783320 0 ACCRUED PAYROLL AND PAYROLL TAXES 786541 INTEREST PAYABLE 47004 ACCRUED VACATION 668990 1502535 Uncertain Tax Positions The Organization adopted the requirements in Financial Accounting Standards Board (FASB) Accounting Standards Update (ASU) 2009-06 regarding uncertain tax positions. ASU 2009-06 defines how uncertain tax positions should be recognized, measured, presented, and disclosed in the financial statements. The authoritative guidance requires entities to recognize a tax benefit from an uncertain tax position only if it is more-likely-than-not that the position is sustainable based solely on its technical merits and consideration of the relevant taxing authoritys widely understood administrative practices and precedents. The Organization evaluated its tax positions taken or expected to be taken to determine whether the tax positions are more-likely-than-not to be sustained by the applicable taxing authority, and has determined that it currently does not have any uncertain tax positions. The Organizations management believes that the Organization is no longer subject to income tax examinations for the years prior to 2009. GALA 58447 44082 14365 505 1594 2900 18358 6150 7595 0 58447 44082 14365 505 1594 2900 18358 6150 7595 37102 -22737 X X X X false false false false false false false false false Robert J Urso 219758 0 16000 0 3846 0 0 0 3511 0 243115 0 0 0 Paul Luning MD 193781 0 16000 0 9933 0 0 0 6219 0 225933 0 0 0 Yam-Shun Tong 229869 0 0 0 158480 0 0 0 139 0 388488 0 0 0 Maureen Ruder 211001 0 576 0 3760 0 0 0 4675 0 220012 0 0 0 Bertha Lopez 215218 0 2735 0 1200 0 0 0 456 0 219609 0 0 0 Karole A Lakota 143835 0 16604 0 45006 0 0 0 4173 0 209618 0 0 0 Thomas J Staff 145569 0 7758 0 23294 0 0 0 4259 0 180880 0 0 0 Form 990, Part VI, Line 12c All transactions and processes are reviewed and monitored through policy, executive management, and ratified by the voting members of the board, if necessary. Form 990, Part VI, Line 15a + 15b The process of determining compensation for the CEO and other key officers of the organization is done through a review and approval process via the governing body, and subject to ratification of the board. Form 990, Part VI, Line 19 Governing documents, conflict of interest policy statements, and financial statements are made available upon request. Form 990, Schedule H Since PCC Community Wellness Center does not operate at least one facility that is, or is required to be, licensed, registered, or similarly recognized by a state as a hospital, there is no need to attach schedule H with this form. Form 990, Part VI, Line 11 The Finance Manager and CFO complete the Form 990 information request for a CPA firm to prepare return, and review draft for approval before filing. PCC Qalicb LLC 14 W LAKE STREET OAK PARK IL 60302 273160926 See Part VII IL 333151 6496136 See Part VII PCC QALICB, LLC Form 990, Schedule R, Part I, Column (b) Primary activity: To serve as the Qualified Active Low-Income Community Business that provides charitable activities in the distressed community. PCC QALICB, LLC Form 990, Schedule R, Part I, Column (f) Direct controlling entity: PCC Community Wellness Center.