2012-03-13T16:05:25-05:00 2011-06-30 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2010-07-01 320115907 CENTRO DE SALUD ESPERANZA CENT 7735846200 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 DANIEL FULWILER 7735846200 2012-03-08 1 GREGORY S ADAMS 6305738600 2010 2016-02-24 21:20:13Z DANIEL FULWILER 2001 SOUTH CALIFORNIA AVENUE NO 100 CHICAGO IL 60608 4794903 0 X N/A X 2004 IL PRIMARY HEALTH CARE SERVICES 16 16 42 0 0 0 677278 1173584 3188093 3561615 0 0 0 59704 3865371 4794903 0 0 0 0 2445479 2599905 0 0 0 1230582 1533783 3676061 4133688 189310 661215 1051044 1254372 2270025 1812138 -1218981 -557766 TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND READILY ACCESSIBLE PRIMARY HEALTHCARE SERVICES TO THE RESIDENTS OF THE COMMUNITIES WE SERVE IN A CULTURALLY APPROPRIATE FASHION. 0 0 3675631 3561615 TO PROVIDE PRIMARY HEALTH CARE SERVICES TO NEAR AND MID-SOUTHWEST SIDE OF THE CITY OF CHICAGO 3675631 1 1 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 1 0 0 0 0 0 0 0 0 0 1 9 0 1 42 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 0 0 IL X WAYNE CRAWFORD 7735846200 2001 SOUTH CALIFORNIA AVE SUITE 100 CHICAGO IL 60608 TIM MCCORMICK 1.00 X 0 0 0 JIM SIFUENTES 1.00 X 0 0 0 DENISE ROQUE-LEON 1.00 X 0 0 0 MARIA VELAZQUEZ 2.00 X X 0 0 0 ROSA PULIDO 1.00 X 0 0 0 FRANCISCO CISNEROS 1.00 X 0 0 0 JORGE MONTES 2.00 X X 0 0 0 JOS SALDANA 2.00 X X 0 0 0 JORGE GIROTTI 1.00 X 0 0 0 RANIEL INIGUEZ 1.00 X 0 0 0 SEOWOO LEE 1.00 X 0 0 0 RAFAEL LEON 1.00 X 0 0 0 SONIA LOPEZ 1.00 X 0 0 0 SONIA SIFUENTES 1.00 X 0 0 0 JILL STEMMERMAN 1.00 X 0 0 0 YANIRA VALDEZ 1.00 X 0 0 0 WAYNE CRAWFORD 40.00 X 101789 0 3211 DAN FULWILER 40.00 X 105388 0 18112 ALEJANDRO CLAVIER 40.00 X 141919 0 5914 MARIA JAMES SILVA 40.00 X 127942 0 6758 ESTELLA HERNANDEZ 40.00 X 125067 0 4366 TRACY VERA 40.00 X 192000 0 9805 DIEGO HERNANDO REMOLINA 40.00 X 128163 0 4403 922268 0 52569 8 0 1 0 PRACTICE MANAGEMENT 415 W GOLF RD SUITE 16 ARLINGTON HEIGHTS IL 60005 BILLING COMPANY 185854 SAINT ANTHONY HOSPITAL 2875 W 19TH ST CHICAGO IL 60623 BORROWING AGREEMENT 166225 CAPITAL PREMIUM FINANCING INC PO BOX 30293 SALT LAKE CITY UT 84130 MALPRACTICE INSURANCE FINANCING 156395 CONROYD INSURANCE 135 S BLOOMINGDALE RD BLOOMINGDALE IL 60108 INSURANCE 135153 4 1173584 182467 1173584 PATIENT FEES 621990 3561615 3561615 3561615 MISCELLANEOUS 900099 59704 59704 59704 4794903 3561615 0 59704 222500 68450 154050 1937280 1850441 86839 19684 17519 2165 152279 135528 16751 268162 238664 29498 1698 1698 34333 34333 16900 16900 358524 345286 13238 41309 41309 118609 97955 20654 42178 33321 8857 205520 184968 20552 17138 16062 1076 7703 7703 6315 5494 821 276470 246058 30412 MEDICAL SUPPLIES 302502 302502 REPAIRS AND MAINTENANCE 42085 42085 DUES AND SUBSCRIPTIONS 26429 21936 4493 EQUIPMENT RENTAL 9195 9195 MEMBERSHIP FEES 1595 1324 271 25280 15836 9444 4133688 3675631 458057 0 164716 521155 767747 543675 90078 162011 38829 11298 28503 27531 1051044 1254372 260401 280031 137206 1630925 1448457 241493 83650 2270025 1812138 X -1243756 -558766 24775 1000 -1218981 -557766 1051044 1254372 661215 0 X X 0 1 1 X 0 X 402409 558586 593664 551269 1173584 3279512 402409 558586 593664 551269 1173584 3279512 3279512 1139 975 1661 6834 59704 70313 3349825 14258270 0.97900 0.99550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38829 11298 27531 27531 4794903 4133688 661215 0 661215 4794903 0 4794903 0 4794903 4133688 0 4133688 0 4133688 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2007, 2008, AND 2009 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, 2011 OR 2010. X X X 0 0 0 0 0 1 0 0 0 TRACY VERA 191000 0 1000 0 0 0 1921 0 7884 0 201805 0 100242 0 PART I, LINE 6 THE CEO'S COMPENSATION PACKAGE INCLUDED A BONUS OF UP TO $15,000 THAT WAS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. DURING THE YEAR, THE ORGANIZATION ACCRUED $15,000 FOR THE BONUS THAT WAS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. X DEBT FORGIVENESS 1 182467 AMOUNT SET FORTH IN 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 THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.