2011-03-21T18:17:47-05:00 2010-06-30 BLACKMAN KALLICK LLP 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2009-07-01 363088628 ERIE FAMILY HEALTH CENTER INC ERIE 3126663494 1701 W SUPERIOR STREET CHICAGO IL 60622 LEE FRANCIS 3126663494 2011-02-22 1 KIMBERLY HAUMANN 3122071040 2011-02-22 2009 2016-02-24 21:20:13Z LEE FRANCIS 1701 W SUPERIOR STREET CHICAGO IL 60622 27021316 0 X WWW.ERIEFAMILYHEALTH.ORG X 1970 IL operate a healthcare center to serve a largely medically underserved population in Chicago. 24 24 396 10 0 0 10716883 11249810 13729086 15704428 69532 20124 55861 -6942 24571362 26967420 0 0 16592243 18489377 0 353312 5602887 6918035 22195130 25407412 2376232 1560008 15669791 16999850 4938228 4708279 10731563 12291571 ERIE FAMILY HEALTH CENTER, INC OPERATES A HEALTHCARE CENTER LOCATED IN CHICAGO, ILLINOIS. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 18931589 12770450 Erie Family Health Center (Erie) serves patients regardless of the ability to pay. Over 66% of adults served by Erie are uninsured. Erie provided comprehensive health services to 31,387 patients annually at nine health centers: three large primary health care centers, one adolescent-only health center,three school-based health centers, and 2 dental health centers as described in 4b. Erie provides primary care medical services including pediatrics, internal medicine, family medicine, women's health and podiatry. In addition, Erie provides HIV/AIDS care, behavioral health counseling, case management services, and health education (asthma, diabetes, nutrition, parenting and prenatal). Erie provides these services to low-income, minority individuals who predominantly reside in the Chicago community areas of Albany Park, Avondale, Belmont Cragin, Hermosa, Humboldt Park, Irving Park, Lincoln Square, Logan Square, North Lawndale and West Town. Erie's patient population is 84% Hispanic and 95% live below 200% of the Federal Poverty Level. Approximately 67% of Erie's patients identify themselves as best served in Spanish. Thirty-seven percent of patients are uninsured, 58% are low income and qualify for Medicaid coverage only 2% carry private insurance and 2% have Medicare coverage. Uninsured patients pay a minimal fee based on their income to receive comprehensive services.Erie's mission is to provide comprehensive affordable health care for those in need. Erie therefore focuses on primary care throughout the full range ages. Over 1,500 healthy babies were delivered by Erie practitioners in 2009 meeting the need of lack of prenatal care in the service area and focusing on high risk expectant moms. Children receive up to date immunizations via our pediatric program and comprehensive well child care such that Erie's immunization rates are better than local, state and national averages. Although Erie provides health care to approximately 30,000 individuals, this generated 149,345 patient visits in 2009 indicating that many patients visit the health center several times per year, a reflection of the level of chronic disease amongst adults in the service community. Chronic illness such as diabetes, obesity, asthma, hypertension and cardiovascular disease all receive special attention at Erie. In addition, there is a special focus on cancer screening in adults. One of Erie's major recent accomplishments has been the launch of an Electronic Health Record System (EHRS) which increases efficiencies in care and has proven to reduce medical errors, as well as providing prompts for improving Erie's quality of patient care overall. Erie also has improved its patient care by increasing access to low cost medications. Erie schedules patients efficiently using a centralized call center which improves access to care.Erie provides innovative services such as school-based health with clinic sites located in 3 high impact Chicago Public School sites. This allows Erie to address health issues which improves a child's ability to stay in school. Similarly, our adolescent health center works with challenging teenagers with a focus on prevention in a unique setting.As a response to community need Erie has almost doubled the volume of services provided between calendar year 2000 and calendar year 2009. The 52 years of Erie's existence have shown progressive accomplishments, commitment to the community and to making a difference amongst those most in need of health services. 2472222 2933978 Erie's Oral Health Program addresses the need for high quality oral health services in the community by linking dental and medical homes for its patients. Erie employs a tri-fold strategy to achieve program goals, which includes: 1) direct patient care; 2) anticipatory guidance at medical visits; and 3) oral health education in the medical and community settings. In the second half of 2009 and the first half of 2010, the Oral Health program served 6,470 patients and accommodated 21,725 visits. Direct Patient Care: Erie will expand the following direct patient care oral health services to the target population: basic community-based dentistry services such as comprehensive preventive services (including x-ray), restorative services (fillings, crowns and bridges), prosthontic services (restore missing teeth as well as partials, dentures, spacers, and crowns), endodontic services (root canals) and emergency, periodontal (gums) services and oral cancer screening services. These services will be provided to pregnant women, children and their parents and HIV/AIDS patients. Additional preventive care will be provided by the new Dental Hygienist and restorative care and other complex services (prosthontic and endodontic care) will be provided by a new dentist. In order to reduce barriers to care for working families, Erie has expanded the Dental Center's hours of operation to include one evening during the week and Saturday morning hours. Additionally, a new service provided as a result of the expansion is oral cancer screenings for patients that use tobacco. An oral health patient of any age that smokes will be screened for oral cancer and referred to community partner, Division Oral Surgery, if screening results are abnormal.Anticipatory Guidance at Medical Visits: One of the most innovative components of Erie's oral health program is anticipatory guidance. Anticipatory guidance (oral health preventive education in the medical setting) links the medical home with the oral health home. This is particularly important as more research is revealing a link between dental health and overall health. Erie's providers will educate their patients on the importance of oral health for their overall wellness as part of the medical visit. Through conversations with providers and informational brochures, patients will begin to understand the link between oral health and overall health. This approach has proven to improve the oral health status of children. Oral Health Prevention Education: Erie cannot possibly serve all community members in need of oral health care; therefore, Erie provides education to community members on how to take care of their oral health at home and how to receive care at Erie Dental Health Center or other community resources. This preventive health education and outreach will be provided by Erie's Oral Health Educator at a variety of community venues, such as elementary schools and community agencies. The Oral Health Educator will establish new relationships with community organizations, as well as maintain contact with existing community partners. At presentations, the Oral Health Educator will present on various topics such as why our teeth are important, how we take care of them, brushing and flossing, good foods versus bad foods and visiting the dentist. This unique and cost-effective component of Erie's oral health program will help Erie improve the oral health of the community beyond the walls of Erie Dental Health Center-Humboldt Park, reaching out to the greater low-income community through a culturally competent approach. 21403811 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 38 0 396 1 0 0 0 0 0 1 1 0 0 0 24 24 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X zizi atia 3124327389 1701 west superior street chicago IL 60622 William Kistner 2.00 X X 0 0 0 Daniel J Tounsel III 1.50 X X 0 0 0 Eric Mayeda 2.00 X X 0 0 0 Angelica Gomez 1.50 X X 0 0 0 Rosalie Alicea 1.50 X 0 0 0 Celeste Castillo 1.50 X 0 0 0 Michael Cole 1.00 X 0 0 0 Linda Cushman 0.50 X 0 0 0 Pilar Gonzalez 0.50 X 0 0 0 Maria Hernandez 0.50 X 0 0 0 Brian P Marsella 0.50 X 0 0 0 Michael J O'Connor 0.50 X 0 0 0 Reverand Ed Sarden 1.00 X 0 0 0 Ana Maria Soto 1.00 X 0 0 0 Daryl Tom 1.00 X 0 0 0 Humberto Uribe 1.00 X 0 0 0 Katherine Wilson 1.00 X 0 0 0 Deborah-B Wright-Powell 1.00 X 0 0 0 Julie Zerwic 1.00 X 0 0 0 Matt Aaronson 1.00 X 0 0 0 Luis Leon 1.00 X 0 0 0 Jill Simon Svoboda 1.50 X 0 0 0 Jacqueline Cervantes 1.00 X 0 0 0 Amelia Madrigal 1.00 X 0 0 0 Marcelo Jarmendia 1.00 X 0 0 0 Lee Francis 40.00 X 171375 0 5826 David R Buchanan 40.00 X 172254 0 11909 Zakeya Atia 40.00 X 121773 0 1265 Katherine Thurer 40.00 X 202720 0 4869 Virgil C Reid III 40.00 X 190282 0 6165 Javier Fajardo 40.00 X 179512 0 5737 Fred Rachman 40.00 X 177473 0 3106 Frank Castillo 40.00 X 176217 0 7885 1391606 0 46762 25 0 1 0 LAB CORP PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 447747 GHAFARI ASSOCIATES LLC 17101 MICHIGAN AVE DEARBORN MI 48126 Construction contractor 110890 AIR COMFORT 2550 BRAGA DRIVE BROADVIEW IL 60155 HVAC CONTRACTOR 110364 TFI RESOURCES PO BOX 4346 HOUSTON TX 77210 Employment agency 102312 4 176935 9327101 1745774 217000 11249810 MEDICARE/MEDICAID PAYM 624100 13512438 13512438 self-pay 624100 1592261 1592261 KID CARE/HEALTHY MOM 624100 587730 587730 MEDICAL RECORD FEES 624100 11999 11999 15704428 17624 17624 2500 2500 2500 2500 16070 176935 53896 -37826 -37826 OTHER 624100 30884 30884 30884 26967420 15704428 0 13182 1838082 1583052 225089 29941 13881964 11959580 1696007 226377 168942 132841 36101 1483079 1166162 300028 16889 1117310 878554 221281 17475 50523 50523 41038 25000 16038 285093 179304 94270 11519 40728 26547 14181 402566 357951 40763 3852 1070678 953712 116966 39538 31008 8281 249 47998 37642 10058 298 106936 106936 1025438 835680 189384 374 170020 121006 49014 contracted diagnostic s 607780 607780 pharmaceuticals 456880 455201 1679 EQUIPMENT RENTAL & MAIN 442665 326887 115778 bad debt 428044 428044 SHARE OF ALLIANCE LOSS 400459 400459 1301651 897401 357912 46338 25407412 21403811 3650289 353312 895676 1613798 5202526 4404989 1064906 1832327 1352263 1863269 239647 139476 13850104 7154424 6074624 6695680 675438 294980 164711 155331 15669791 16999850 1962068 1981621 75000 75950 1881350 1818598 1019810 832110 4938228 4708279 X 10264568 11886243 466995 405328 10731563 12291571 15669791 16999850 X 0 1 1 X 1 1 X 10444076 9827952 9769035 10716883 11249810 52007756 207762 31160 37597 40830 42883 360232 10651838 9859112 9806632 10757713 11292693 52367988 52367988 26597 25246 83204 74238 17624 226909 37597 40830 42883 121310 52716207 61581675 0.99340 0.97550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77800 77800 4319002 1887343 2431659 4060045 2015369 2044676 2785389 1439388 1346001 2607868 1812324 795544 6695680 THIRD-PARTY PAYOR LIABILITY 832110 832110 26967420 25407412 1560008 0 1560008 27007020 39600 39600 26967420 0 26967420 25447012 39600 39600 25407412 0 25407412 Part X: Description of Uncertain Tax Positions Under FIN 48: The Center's adoption of the Income Tax Topic regarding uncertain tax positions of GAAPUSA on July 1, 2009 had no effect on its financial position as management believes the Center has no material unrecognized income tax benefits, including any potential risk of loss of its not-for-profit tax status. The Center would account for any potential interest or penalties related to possible future liabilities for unrecognized income tax benefits as income tax expense. The Center is no longer subject to examination by federal, state or local tax authorities for periods before 2007. Prior to adoption of the Income Tax Topic, the Center accounted for tax positions under a contingent loss model, requiring recognition of a tax liability when it was both (1) probable that it had been incurred as of year-end and (2) the amount could be reasonably estimated. GOLDEN TOOTHBRUSH 134057 125247 8810 35911 PAINT THE TOWN RED 58948 51688 7260 17985 193005 176935 16070 53896 53896 -37826 X X X X X 0 0 0 0 0 0 0 0 0 Lee Francis 159820 0 11555 0 0 0 3800 0 2026 0 177201 0 0 0 David R Buchanan 155970 0 16284 0 0 0 4035 0 7874 0 184163 0 0 0 Katherine Thurer 189295 0 13425 0 0 0 3310 0 1559 0 207589 0 0 0 Virgil C Reid III 177310 0 12972 0 0 0 3735 0 2430 0 196447 0 0 0 Javier Fajardo 170347 0 9165 0 0 0 4266 0 1471 0 185249 0 0 0 Fred Rachman 177473 0 0 0 0 0 0 0 3106 0 180579 0 0 0 Frank Castillo 167648 0 8569 0 0 0 4130 0 3755 0 184102 0 0 0 X 1 217000 COMPARABLE SALES 0 1 0 Form 990, Part VI, Section B, line 11 ERIE FAMILY HEALTH CENTER (EFHC) USES A THIRD PARTY (INDEPENDENT CPA FIRM) TO PREPARE ITS 990 TAX FORM. UPON THE FORM'S COMPLETION, A COPY IS PROVIDED TO EFHC'S MANAGEMENT FOR REVIEW AND THE SUBSEQUENT REVIEW BY THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES WILL BE COMMUNICATED BACK TO THE CPA FIRM AND A NEW DRAFT OF THE 990 WILL BE PRESENTED BACK TO EFHC MANAGEMENT AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. ONCE THE 990 DRAFT IS APPROVED BY THE BOARD OF DIRECTORS THE THIRD PARTY WILL FILE ON EFHC'S BEHALF. Form 990, Part VI, Section B, line 12c OFFICERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF THE BOARD ARE ANNUALLY REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AS A PRECURSOR TO THEIR SERVICE TO THE ORGANIZATION. POTENTIAL CONFLICTS ARE LOGGED WITH AND MONITORED BY EFHC MANAGEMENT. Form 990, Part VI, Section B, line 15 EFHC PERIODICALLY USES AN INDEPENDENT THIRD PARTY TO REVIEW THE CURRENT COMPENSATION FOR MEMBERS OF THE LEADERSHIP TEAM. BASED ON THIS REVIEW, COMPENSATION LEVELS ARE SET FOR EACH LEVEL OF EMPLOYMENT. COMPENSATION REVIEWS BY THIRD PARTIES ARE CONDUCTED EVERY 3 YEARS. THE LAST REVIEW WAS CONDUCTED IN 2008 AND EFHC IS CURRENTLY IN THE PROCESS OF CONDUCTING A NEW REVIEW FOR EXECUTIVE STAFF AND PROVIDER COMPENSATION. Form 990, Part VI, Section C, line 19 EFHC GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. REQUESTS ARE REQUIRED TO BE IN WRITING AND AT THE ATTENTION OF ZIZI ATIA, CFO.