COMMUNITY HEALTH IMPROVEMENT CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HEALTH IMPROVEMENT CENTER (EIN 37-0961830)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2011-12-27
IRS object ID: 201220619349300692
Schema version: 2010v3.6
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-12-27T15:18:49-06:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAY COCAGNE & KING PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1353 E MOUND RD SUITE 300	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370961830	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH IMPROVEMENT CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	2174229797	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2905 N MAIN STREET	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BARBARA DUNN	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	2174229797	Phone
Date Signed	2011-10-20	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CATHY J MANSUR	Name
Phone	2178752655	Phone
Date Prepared	2011-12-27	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BARBARA DUNN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2905 N MAIN STREET	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	8809793	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHIC-CLINIC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	THE CENTER'S MISSION IS TO STRIVE TO PROVIDE EXCEPTIONAL, COMPASSIONATE, AND COMPREHENSIVE HEALTH CARE TO THE UNDERSERVED OF CENTRAL ILLINOIS WHILE ENCOURAGING PROFESSIONAL GROWTH, TEAMWORK, AND RESPECT TOWARD OUR COWORKERS IN THE CLINIC AND THROUGHOUT THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	216	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3819281	ContributionsGrantsPriorYear
Contributions Grants Current Year	3809964	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5227885	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4992018	ProgramServiceRevenueCY
Investment Income Prior Year	7556	InvestmentIncomePriorYear
Investment Income Current Year	2093	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5065	OtherRevenuePriorYear
Other Revenue Current Year	5718	OtherRevenueCurrentYear
Total Revenue Prior Year	9059787	TotalRevenuePriorYear
Total Revenue Current Year	8809793	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6671634	SalariesEtcPriorYear
Salaries Etc Current Year	7035728	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2590222	OtherExpensePriorYear
Other Expenses Current Year	2592649	OtherExpensesCurrentYear
Total Expenses Prior Year	9261856	TotalExpensesPriorYear
Total Expenses Current Year	9628377	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-202069	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-818584	RevenuesLessExpensesCY
Total Assets BOY	4759870	TotalAssetsBOY
Total Assets EOY	4102897	TotalAssetsEOY
Total Liabilities BOY	1602689	TotalLiabilitiesBOY
Total Liabilities EOY	1764300	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3157181	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2338597	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE CENTER'S MISSION IS TO STRIVE TO PROVIDE EXCEPTIONAL, COMPASSIONATE, AND COMPREHENSIVE HEALTH CARE TO THE UNDERSERVED OF CENTRAL ILLINOIS WHILE ENCOURAGING PROFESSIONAL GROWTH, TEAMWORK, AND RESPECT TOWARD OUR COWORKERS IN THE CLINIC AND THROUGHOUT THE COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	6142010	Expense
Description	CLINIC SERVICES: PRIMARY MEDICAL CARE SERVICES	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	613253	Expense
Description	MENTAL HEALTH - COUNSELING, BEHAVIORAL HEALTH TESTING, REFERRAL SERVICE FOR SERIOUS MENTAL HEALTH DISORDERS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	326853	Expense
Description	SOCIAL SERVICES/HEALTH EDUCATION: DIETARY COUNSELING, HEALTH EDUCATION SESSIONS, PREVENTION AND AWARENESS ACTIVITIES RELATED TO CHRONIC HEALTH PROBLEMS OR DISEASES.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	271834	Expense
Description	LAB SERVICES: CLINICAL LABORATORY SERVICES PROVIDED IN-HOUSE AND BY OUTSIDE LAB SERVICE. DENTAL CLINIC SUBSIDY: CONTRACTUAL ARRANGEMENT WITH LOCAL HEALTH DEPARTMENT FOR EMERGENCY DENTAL SERVICES AND ROUTINE EXTRACTIONS.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	271834	TotalOfOtherProgramServiceExp
Total Program Service Expense	7353950	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	14	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	216	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RHONDA MITCHELL	NamePerson
Telephone Number	2178779117	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2905 N MAIN ST	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62526	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
REGGIE ALSTON
BOARD MEMBER	0.50	X	0	0	0
DIANTHE COBB
BOARD MEMBER	0.50	X	0	0	0
FATHER DAVID EYNON
BOARD MEMBER	0.50	X	0	0	0
ALVIN JACKSON
BOARD MEMBER	0.50	X	0	0	0
LIANNE KITCHEN
BOARD MEMBER	0.50	X	0	0	0
BRITTNEY MOTLEY
BOARD MEMBER	0.50	X	0	0	0
MIKE MURRAY
BOARD MEMBER	0.50	X	0	0	0
RUBY MURGA
BOARD MEMBER	0.50	X	0	0	0
JOSEPH SCHRODT MD
BOARD MEMBER	0.50	X	0	0	0
ANDREA COOPER-SMITH
BOARD MEMBER	0.50	X	0	0	0
BILLY TYUS
BOARD MEMBER	0.50	X	0	0	0
CANDIS WHITE
BOARD MEMBER	0.50	X	0	0	0
F KATHIE WHITLEY
BOARD MEMBER	0.50	X	0	0	0
DONALD RASCH
BOARD MEMBER	0.50	X	0	0	0
MAGALY ROGERS
BOARD MEMBER	0.50	X	0	0	0
BARBARA DUNN
EXECUTIVE DI	40.00		100912	0	5042	X
RHONDA MITCHELL
CFO	40.00		82745	0	4119	X
CHARLES ELLINGTON
PRESIDENT	0.50		0	0	0	X
KEVIN YONCE
VICE PRESIDE	0.50		0	0	0	X
MIKE HENEGHAN
TREASURER	0.50		0	0	0	X
KAREN LARSON
SECRETARY	0.50		0	0	0	X
DANA RAY
MEDICAL DIRE	40.00		151575	0	7485		X
CHRISTOPHER HEBERTSON
PHYSICIAN	40.00		153528	0	6100			X
SONJA HANSEN
PHYSICIAN	40.00		142912	0	7129			X
COLLEEN M BOWLES
PHYSICIAN	40.00		137268	0	6858			X
SANDRA L YOCKEY
PHYSICIAN	40.00		136997	0	6842			X
CORINNE KOHLER
PHYSICIAN	40.00		131133	0	6539			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1037070	TotalReportableCompFromOrg
Total Other Compensation	50114	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
IL PRIMARY HEALTH CARE ASSOCIATION
500 S 9TH	SPRINGFIELD	IL	62701	PRACT. MGMT	169968
MEDIGLOBE INC
TWO CITY PLACE DRIVE	SAINT LOUIS	MO	63141	TRANSCRIPTION	134922
LABCORP
PO BOX 12140	BURLINGTON	NC	27216	TESTS	131835
KB CONSULTING
6112 WILLOW SPRINGS DR	SPRINGFIELD	IL	62707	IT SERVICES	120508

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Federated Campaigns	342052	FederatedCampaigns
Government Grants	2418286	GovernmentGrants
All Other Contributions	1049626	AllOtherContributions
Total Contributions	3809964	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	524114	BusinessCode
Total Revenue Column	4992018	TotalRevenueColumn
Related Or Exempt Function Income	4992018	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4992018	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2093	TotalRevenueColumn
Exclusion	$2,093	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	5718	TotalRevenueColumn
Related Or Exempt Function Income	5718	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5718	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8809793	TotalRevenueColumn
Related Or Exempt Function Income	4997736	RelatedOrExemptFunctionIncome
Exclusion	$2,093	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	379313	Total
Program Services	154683	ProgramServices
Management And General	224630	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5508004	Total
Program Services	4749530	ProgramServices
Management And General	758474	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	673337	Total
Program Services	546515	ProgramServices
Management And General	126822	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	475074	Total
Program Services	394984	ProgramServices
Management And General	80090	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	40318	Total
Management And General	40318	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	764727	Total
Program Services	306830	ProgramServices
Management And General	457897	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	42452	Total
Program Services	33816	ProgramServices
Management And General	8636	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	162475	Total
Program Services	113303	ProgramServices
Management And General	49172	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	517518	Total
Program Services	237128	ProgramServices
Management And General	280390	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	48165	Total
Program Services	10198	ProgramServices
Management And General	37967	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	34226	Total
Management And General	34226	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	241150	Total
Program Services	184185	ProgramServices
Management And General	56965	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	34671	Total
Program Services	23082	ProgramServices
Management And General	11589	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS	289292	289292
MEDICAL AND LAB SUPPLIES	140042	140042
LAB FEES	131993	131993
INSTRUMENTS & EQUIPMENT	70384	10593	59791
DUES & SUBSCRIPTIONS	44340	16752	27588

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	30896	Total
Program Services	11024	ProgramServices
Management And General	19872	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	9628377	Total
Program Services	7353950	ProgramServices
Management And General	2274427	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	491	BOY
EOY	800	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	949341	BOY
EOY	661318	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	594538	BOY
EOY	453331	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1151938	BOY
EOY	845516	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	66316	BOY
EOY	66494	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3343204	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1303411	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1936264	BOY
EOY	2039793	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	60982	BOY
EOY	35645	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4759870	BOY
EOY	4102897	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	931496	BOY
EOY	932769	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	96785	BOY
EOY	180278	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	574408	BOY
EOY	651253	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1602689	BOY
EOY	1764300	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2799819	BOY
EOY	2021695	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	357362	BOY
EOY	316902	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3157181	BOY
EOY	2338597	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4759870	BOY
EOY	4102897	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-818584	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3437340	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2741630	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3865651	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3819281	CurrentTaxYearMinus1Year
Current Tax Year	3809964	CurrentTaxYear
Total	17673866	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3437340	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2741630	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3865651	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3819281	CurrentTaxYearMinus1Year
Current Tax Year	3809964	CurrentTaxYear
Total	17673866	Total

Field	Value	IRS element (for citing)
Public Support Total170	17673866	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37825	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34351	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	26003	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7556	CurrentTaxYearMinus1Year
Current Tax Year	2093	CurrentTaxYear
Total	107828	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17087	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4539	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15575	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5065	CurrentTaxYearMinus1Year
Current Tax Year	5718	CurrentTaxYear
Total	47984	Total

Field	Value	IRS element (for citing)
Total Support	17829678	TotalSupport
Gross Receipts From Admissions Etc	4997736	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99130	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98990	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1746375	OtherCostOrOtherBasis
Depreciation	373952	Depreciation
Book Value	1372423	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1582129	OtherCostOrOtherBasis
Depreciation	929459	Depreciation
Book Value	652670	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14700	OtherCostOrOtherBasis
Book Value	14700	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2039793	TotalOfBookValueLandBuildings
Total Revenue	8809793	TotalRevenue
Total Expenses	9628377	TotalExpenses
Excess Or Deficit For Year	-818584	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-818584	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	8809793	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	8809793	RevenueSubtotal
Total Revenue Per Form990	8809793	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	9628377	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	9628377	ExpensesSubtotal
Total Expenses Per Form990	9628377	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
DANA RAY
151575	7485	159060
CHRISTOPHER HEBERTSON
153528	6100	159628
SONJA HANSEN
142912	7129	150041

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	THE CENTER'S MISSION IS TO STRIVE TO PROVIDE EXCEPTIONAL, COMPASSIONATE, AND COMPREHENSIVE HEALTH CARE TO THE UNDERSERVED OF CENTRAL ILLINOIS WHILE ENCOURAGING PROFESSIONAL GROWTH, TEAMWORK, AND RESPECT TOWARD OUR COWORKERS IN THE CLINIC AND THROUGHOUT THE COMMUNITY.
ALL OTHER ACHIEVEMENTS DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	LAB SERVICES: CLINICAL LABORATORY SERVICES PROVIDED IN-HOUSE AND BY OUTSIDE LAB SERVICE. DENTAL CLINIC SUBSIDY: CONTRACTUAL ARRANGEMENT WITH LOCAL HEALTH DEPARTMENT FOR EMERGENCY DENTAL SERVICES AND ROUTINE EXTRACTIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE CENTER'S EXECUTIVE DIRECTOR AND CFO REVIEW AND APPROVE THE 990 BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS ARE REQUIRED TO DECLARE ANY SUSPECTED OR ACTUAL DIRECT CONFLICT OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION FOR THE CENTER'S CEO IS DETERMINED BY THE BOARD'S REVIEW AND APPROVAL.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION FOR THE CENTER'S OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE DIRECTOR'S REVIEW AND APPROVAL BASED ON CASH FLOW, THE BOARD'S APPROVAL AND THE CURRENT MARKET RATE FOR SALARIES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.