ALIVIO MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ALIVIO MEDICAL CENTER INC (EIN 36-3661051)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-03
- IRS object ID
- 201121239349300902
- Schema version
- 2009v1.7
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-03T10:17:51-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHELL & TITUS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE BATTERY PARK PLAZA | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363661051 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIVIO MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALIV | NameControl |
| Phone | 7732541400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 966 West 21st Street | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Teresa Woods | Name |
| Title | Sr. Accountant | Title |
| Date Signed | 2011-04-29 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2127094500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CARMEN VELASQUEZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2355 SOUTH WESTERN AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14857381 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Alivio Medical Center is committed to providing access to quality, cost effective health care to the Hispanic Community, the uninsured, the underinsured,and not to the exclusion of other cultures and races. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 209 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4228041 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4581017 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10090125 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9935737 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13992 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5307 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 609756 | OtherRevenuePriorYear |
| Other Revenue Current Year | 335320 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14941914 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14857381 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10308913 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10394916 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 159339 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4588164 | OtherExpensePriorYear |
| Other Expenses Current Year | 5278029 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14897077 | TotalExpensesPriorYear |
| Total Expenses Current Year | 15672945 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 44837 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -815564 | RevenuesLessExpensesCY |
| Total Assets BOY | 11157217 | TotalAssetsBOY |
| Total Assets EOY | 10750524 | TotalAssetsEOY |
| Total Liabilities BOY | 6142054 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6458278 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5015163 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4292246 | NetAssetsOrFundBalancesEOY |
| Mission Description | ALIVIO MEDICAL CENTER IS A BILINGUAL, BICULTURAL ORGANIZATION COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND THE UNDERINSURED, AND NOT TO THE EXCLUSION OF OTHER CULTURES AND RACES. THIS MISSION IS EXPRESSED THROUGH THE PROVISION OF SERVICES,ADVOCACY,EDUCATION AND RESEARCH AND EVALUATION PROVIDED IN AN ENVIRONMENT OF CARING RESPECT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 8973983 | Expense |
| Description | 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 and gynecology, diagnostic services, nutrition services, behavioral health services, education and prevention programs, as well as other supporting services. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 350446 | Expense |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 230156 | Expense |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1432798 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 10987383 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 209 | 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 |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | true | 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 | CARMEN VELASQUEZ | NamePerson |
| Telephone Number | 7732541400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2355 SOUTH WESTERN AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| TERESA FRAGA | |||||||
| PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | |
| ESTHER CORPUZ | |||||||
| VICE PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | |
| WAYNE MULDROW | |||||||
| TREASURER | 1.0 | X | X | 0 | 0 | 0 | |
| MARY LEBOLD RN | |||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | |
| VINCENT ALLOCCO | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| GIACOMO MANCUSO | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| PETER MARTINEZ | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| MARTINA MUNOZ | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| SOCORRO VELAZQUEZ | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| Aleiandra Perez-Tamayo MD | |||||||
| 2nd Vice President | 1.0 | X | X | 0 | 0 | 0 | |
| Ann Garcelon MD | |||||||
| member | 1.0 | X | 0 | 0 | 0 | ||
| Nancy Villagranca | |||||||
| member | 1.0 | X | 0 | 0 | 0 | ||
| Olga Lozano | |||||||
| member | 1.0 | X | 0 | 0 | 0 | ||
| CARMEN VELASQUEZ | |||||||
| EXECUTIVE DIRECTOR | 40.0 | X | 379057 | 0 | 204196 | ||
| Thurman C Gills | |||||||
| CFO | 40.0 | X | 155895 | 0 | 0 | ||
| Mark E Kosanovich | |||||||
| Physician | 40.0 | 214386 | 0 | 12301 | X | ||
| Abdul H Bhurgri | |||||||
| Medical Director | 40.0 | 210242 | 0 | 12301 | X | ||
| Gaetano F Perego | |||||||
| Physician | 40.0 | 196978 | 0 | 8102 | X | ||
| Donald V Woznica | |||||||
| Physician | 40.0 | 155158 | 0 | 8102 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1311716 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 245002 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 1280 | FederatedCampaigns |
| Government Grants | 4394667 | GovernmentGrants |
| All Other Contributions | 185070 | AllOtherContributions |
| Total Contributions | 4581017 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 9935737 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9935737 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9935737 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5307 | TotalRevenueColumn |
| Exclusion | $5,307 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 335320 | TotalRevenueColumn |
| Related Or Exempt Function Income | 335320 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 335320 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14857381 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10271057 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,307 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 950522 | Total |
| Program Services | 308793 | ProgramServices |
| Management And General | 641729 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7469629 | Total |
| Program Services | 6219973 | ProgramServices |
| Management And General | 1120882 | ManagementAndGeneral |
| Fundraising | 128774 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1344194 | Total |
| Program Services | 636756 | ProgramServices |
| Management And General | 693821 | ManagementAndGeneral |
| Fundraising | 13617 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 630571 | Total |
| Program Services | 473480 | ProgramServices |
| Management And General | 147050 | ManagementAndGeneral |
| Fundraising | 10041 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206577 | Total |
| Management And General | 206577 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553943 | Total |
| Program Services | 349969 | ProgramServices |
| Management And General | 203974 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47116 | Total |
| Program Services | 8180 | ProgramServices |
| Management And General | 36138 | ManagementAndGeneral |
| Fundraising | 2798 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1311021 | Total |
| Program Services | 1118279 | ProgramServices |
| Management And General | 192742 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 850095 | Total |
| Program Services | 717234 | ProgramServices |
| Management And General | 132861 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169488 | Total |
| Program Services | 41859 | ProgramServices |
| Management And General | 125065 | ManagementAndGeneral |
| Fundraising | 2564 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263850 | Total |
| Program Services | 4506 | ProgramServices |
| Management And General | 259344 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 796416 | Total |
| Program Services | 796416 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86382 | Total |
| Program Services | 38858 | ProgramServices |
| Management And General | 47524 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| LAB TESTS AND ANALYSIS | 63420 | 62402 | 1018 | |
| STAFF DEVELOPMENT/EDUCATION | 17971 | 17971 | ||
| DUES AND SUBSCRIPTIONS | 20506 | 16711 | 2250 | 1545 |
| BAD DEBT | 662881 | 662881 | ||
| PAYROLL PROCESSING FEES | 52367 | 52367 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175996 | Total |
| Program Services | 175996 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15672945 | Total |
| Program Services | 10987383 | ProgramServices |
| Management And General | 4526223 | ManagementAndGeneral |
| Fundraising | 159339 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 917935 | BOY |
| EOY | 379736 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73588 | BOY |
| EOY | 360295 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1017629 | BOY |
| EOY | 1130680 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1877661 | BOY |
| EOY | 1715854 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128108 | BOY |
| EOY | 81167 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106540 | BOY |
| EOY | 121456 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12177871 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6267323 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6112204 | BOY |
| EOY | 5910548 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 782222 | BOY |
| EOY | 877499 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141330 | BOY |
| EOY | 173289 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11157217 | BOY |
| EOY | 10750524 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1609231 | BOY |
| EOY | 3082764 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53978 | BOY |
| EOY | 52937 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4203845 | BOY |
| EOY | 2622577 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275000 | BOY |
| EOY | 700000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6142054 | BOY |
| EOY | 6458278 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4015163 | BOY |
| EOY | 3292246 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000000 | BOY |
| EOY | 1000000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5015163 | BOY |
| EOY | 4292246 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11157217 | BOY |
| EOY | 10750524 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
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) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 423147 | OtherCostOrOtherBasis |
| Book Value | 423147 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7333687 | OtherCostOrOtherBasis |
| Depreciation | 3388615 | Depreciation |
| Book Value | 3945072 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1065769 | OtherCostOrOtherBasis |
| Depreciation | 187400 | Depreciation |
| Book Value | 878369 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Equipment | Equipment |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3355268 | OtherCostOrOtherBasis |
| Depreciation | 2691308 | Depreciation |
| Book Value | 663960 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5910548 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LINE OF CREDIT | Description |
| Amount | $700,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 700000 | TotalOfAmounts |
| Total Revenue | 14857381 | TotalRevenue |
| Total Expenses | 15672945 | TotalExpenses |
| Excess Or Deficit For Year | -815564 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 92647 | NetUnrealizedGLOnInvestments |
| Other | -$200,000 | OtherAmount |
| Total Adjustments | -107353 | TotalAdjustments |
| Excess Or Deficit Per FS | -922917 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14950028 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 92647 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 92647 | RevenueNotRptdF990 |
| Revenue Subtotal | 14857381 | RevenueSubtotal |
| Total Revenue Per Form990 | 14857381 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 15672945 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 15672945 | ExpensesSubtotal |
| Total Expenses Per Form990 | 15672945 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XI LINE 8 | Identifier |
| Explanation | LOSS FROM OVERPAYMENT OF MEDICAL SERVICES | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | 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 |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARMEN VELASQUEZ | |||||||||||||
| 179057 | 0 | 0 | 0 | 200000 | 0 | 200000 | 0 | 4196 | 0 | 583253 | 0 | 200000 | 0 |
| Mark E Kosanovich | |||||||||||||
| 214386 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12301 | 0 | 226687 | 0 | 0 | 0 |
| Abdul H Bhurgri | |||||||||||||
| 210242 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12301 | 0 | 222543 | 0 | 0 | 0 |
| Gaetano F Perego | |||||||||||||
| 196978 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8102 | 0 | 205080 | 0 | 0 | 0 |
| Donald V Woznica | |||||||||||||
| 155158 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8102 | 0 | 163260 | 0 | 0 | 0 |
| Thurman C Gills | |||||||||||||
| 155895 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 155895 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule J, Line 4b | Identifier |
| Explanation | The executive employees participated in a Non-qualified 457B Plan. The participating employess are as follows: Dora Garcia, Associate Director-$15,275, Thurman Gills, CFO-$15,000, Abdul H. Bhurgri, Medical Director-$9,855, Antonia Rodriguez, Program Director-$9,235. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part III, Line 3 | The Ounce of Prevention program has been discontinued as of June 30, 2010. |
| Form 990, Part III, Line 4d | Home Visiting program-provides education and support to teen moms as well as soon-to-be mothers. Social Services program is a bilingual, bicultural family counseling program that provides crisis intervention, counseling and referral services, and education to an increasing number of families experiencing illness, emotional distress, and depression resulting from domestic violence and victimization. The State of Illinois "All Kids" is a state-wide initiative that makes comprehensive health insurance available to all uninsured children in Illinois. |
| Form 990, Part VI, Line 11 | The CFO reviews the Form 990 before presenting it to the Financial Executive Committee of the Board of Directors. Upon their approval it is presented to the Board of Directors for final approval. |
| Form 990, Part VI, 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, Line 15a & 15b | The Board of Directors reviews annually the compensation of the CEO. The CEO evaluates compensation of key employees every two years. |
| Form 990, Part VI, Line 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, SCHEDULE H | ALIVIO MEDICAL CENTER, INC. DOES NOT OPERATE a FACILITY THAT IS, OR IS REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. THEREfore, there IS NO NEED TO ATTACH SCHEDULE H WITH THIS FORM. |
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