PCC COMMUNITY WELLNESS CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: PCC COMMUNITY WELLNESS CENTER (EIN 36-3828320)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-04-15
IRS object ID: 201131059349300608
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-04-15T10:45:54-04:00	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	363828320	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PCC COMMUNITY WELLNESS CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PCCC	NameControl
Phone	7083830113	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14 WEST LAKE STREET	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60302	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Robert J Urso	Name
Title	President And CEO	Title
Date Signed	2010-04-14	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	ROBERT URSO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	14 WEST LAKE STREET	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60302	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	24574380	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.PCCWELLNESS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1980	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE HEALTH CARE SERVICE PROGRAMS AND COMMUNITY HEALTH CENTERS FOR THE MEDICALLY UNDERSERVED LIVING IN CHICAGO'S WESTSIDE COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	354	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5007330	ContributionsGrantsPriorYear
Contributions Grants Current Year	7284118	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	14720043	ProgramServiceRevenuePriorYear
Program Service Revenue CY	17191766	ProgramServiceRevenueCY
Investment Income Prior Year	45449	InvestmentIncomePriorYear
Investment Income Current Year	52275	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10818	OtherRevenuePriorYear
Other Revenue Current Year	46221	OtherRevenueCurrentYear
Total Revenue Prior Year	19783640	TotalRevenuePriorYear
Total Revenue Current Year	24574380	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	12347520	SalariesEtcPriorYear
Salaries Etc Current Year	14355014	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	23909	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6318308	OtherExpensePriorYear
Other Expenses Current Year	6655077	OtherExpensesCurrentYear
Total Expenses Prior Year	18665828	TotalExpensesPriorYear
Total Expenses Current Year	21010091	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1117812	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3564289	RevenuesLessExpensesCY
Total Assets BOY	11677559	TotalAssetsBOY
Total Assets EOY	17385377	TotalAssetsEOY
Total Liabilities BOY	3073061	TotalLiabilitiesBOY
Total Liabilities EOY	5216590	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	8604498	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12168787	NetAssetsOrFundBalancesEOY
Mission Description	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. ANCHORED WITH FAMILY MEDICINE, WE ARE COMMITTED TO SERVING THE NEEDS OF ALL PEOPLE IN ALL STAGES OF LIFE, WHILE WE CONTINUE TO SPECIALIZE IN THE DELIVERY OF COMPREHENSIVE MATERNAL AND CHILD HEALTH SERVICES TO ADDRESS THIS UNMET NEED IN OUR COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	17519617	Expense
Revenue	17237987	Revenue
Description	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.	Description
Total Program Service Expense	17519617	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	57	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	354	NumberOfEmployees
Employment Tax Returns Filed	false	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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	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	ROBERT URSO	NamePerson
Telephone Number	7083830113	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14 WEST LAKE STREET	AddressLine1
City	OAK PARK	City
State	IL	State
ZIP Code	60302	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 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
RONALD AUSTIN
CHAIRPERSON	2.0	X	X	0	0	0
CAROLYN FITZPATRICK MD
VICE CHAIRPERSON	2.0	X	X	0	0	0
KENNETH BLAIR MD
TREASURER	2.0	X	X	0	0	0
AMANDA CANEDO
DIRECTOR	2.0	X		0	0	0
BARBARA DIGGINS
DIRECTOR	2.0	X		0	0	0
DEANNA L DURICA
DIRECTOR	2.0	X		0	0	0
GEORGENE M ORR
DIRECTOR	2.0	X		0	0	0
RHONDA STUART
DIRECTOR	2.0	X		0	0	0
LATORIA TURNER
DIRECTOR	2.0	X		0	0	0
TERESA REYES
DIRECTOR	2.0	X		0	0	0
BARBARA VANEK
DIRECTOR	2.0	X		0	0	0
MELINDA MALECKI
SECRETARY	2.0	X	X	0	0	0
PATRICIA FORD
DIRECTOR	2.0	X		0	0	0
ROBERT J URSO
PRESIDENT AND CEO	40.0		X	208999	0	2115
PAUL LUNING MD
CHIEF MEDICAL OFFICER	40.0		X	205818	0	22061
LYNN HOPKINS
CHIEF OPERATING OFFICER	40.0		X	101404	0	5336
CHAD PARKER
CHIEF FINANCIAL OFFICER	40.0		X	0	0	0
YAM-SHUN TONG MD
OB/GYN Physician	40.0			396132	0	22136	X
BERTHA LOPEZ MD
OB/GYN Physician	40.0			216875	0	0	X
MAUREEN RUDER MD
OB/GYN Physician	40.0			200146	0	21055	X
KAROLE LAKOTA-TREESE MD
Family Practice Physician	40.0			216186	0	20781	X
ALEXANDER M WU MD
FAMILY PRACTICE PHYSICIAN	40.0			198677	0	3744	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1744237	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	97228	TotalOtherCompensation
Number Individuals GT100 K	20	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Humana Insurance Co
PO Box 533	CAROL STREAM	IL	60132	HEALTH INSURANCE	1063872
Global Insight Solutions Inc
2010 N Harlem Ave	ELMWOOD PARK	IL	60707	Billing service	511149
Alliance of Chicago
1440 N Dayton St Suite 308	CHICAGO	IL	60622	practice Mgt service	479720
Norwegian American Hospital
1044 N Francisco	CHICAGO	IL	60622	hospital/healthcare	349726
Cardinal Health Med Products Ser
PO Box 70539	CHICAGO	IL	60673	medical supplies	308036

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	8	NumberOfContractorsGT100K
Government Grants	7152040	GovernmentGrants
All Other Contributions	132078	AllOtherContributions
Total Contributions	7284118	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES REVENUE	624100	15798758	15798758
OTHER SERVICE REVENUE	624100	1171300	1171300
GRANT REVENUE - WEST SUBURBAN HOSPITAL	623000	221708	221708

Field	Value	IRS element (for citing)
Total Program Service Revenue	17191766	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	52275	TotalRevenueColumn
Exclusion	$52,275	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	OTHER INCOME	Description
Business Code	900099	BusinessCode
Total Revenue Column	46221	TotalRevenueColumn
Related Or Exempt Function Income	46221	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	46221	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	24574380	TotalRevenueColumn
Related Or Exempt Function Income	17237987	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$52,275	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	516220	Total
Management And General	516220	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	11942326	Total
Program Services	10305459	ProgramServices
Management And General	1636867	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	961072	Total
Program Services	722118	ProgramServices
Management And General	238954	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	935396	Total
Program Services	787199	ProgramServices
Management And General	148197	ManagementAndGeneral

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	65878	Total
Program Services	2925	ProgramServices
Management And General	62953	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	104855	Total
Management And General	104855	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	729252	Total
Program Services	703774	ProgramServices
Management And General	25478	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1240595	Total
Program Services	1131796	ProgramServices
Management And General	108799	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	574376	Total
Program Services	560129	ProgramServices
Management And General	14247	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	83098	Total
Program Services	58149	ProgramServices
Management And General	24949	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	193495	Total
Program Services	12634	ProgramServices
Management And General	180861	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	137877	Total
Program Services	124830	ProgramServices
Management And General	13047	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	379818	Total
Program Services	379818	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	75987	Total
Program Services	68928	ProgramServices
Management And General	7059	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CONTRACTUAL SERVICES	1848050	1527930	296495	23625
BAD DEBTS	765045	765045
ALL OTHER EXPENSE	456751	368883	87584	284

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	21010091	Total
Program Services	17519617	ProgramServices
Management And General	3466565	ManagementAndGeneral
Fundraising	23909	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4414859	BOY
EOY	4245159	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1024627	BOY
EOY	126957	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	939016	BOY
EOY	1856906	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	867926	BOY
EOY	2446806	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6409	BOY
EOY	32165	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	47402	BOY
EOY	29234	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11096359	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2455261	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4374950	BOY
EOY	8641098	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2370	BOY
EOY	7052	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	11677559	BOY
EOY	17385377	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	301545	BOY
EOY	353390	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	154798	BOY
EOY	77710	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1143451	BOY
EOY	3378569	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1473267	BOY
EOY	1406921	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3073061	BOY
EOY	5216590	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8604498	BOY
EOY	11559029	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	609758	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8604498	BOY
EOY	12168787	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11677559	BOY
EOY	17385377	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	340000	OtherCostOrOtherBasis
Book Value	340000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6281360	OtherCostOrOtherBasis
Depreciation	167134	Depreciation
Book Value	6114226	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1859210	OtherCostOrOtherBasis
Depreciation	1197428	Depreciation
Book Value	661782	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1874931	OtherCostOrOtherBasis
Depreciation	1090699	Depreciation
Book Value	784232	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	740858	OtherCostOrOtherBasis
Book Value	740858	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8641098	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	ACCRUED PAYROLL AND PAYROLL TAXES	Description
Amount	$1,406,921	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1406921	TotalOfAmounts
Total Revenue	24574380	TotalRevenue
Total Expenses	21010091	TotalExpenses
Excess Or Deficit For Year	3564289	ExcessOrDeficitForYear
Excess Or Deficit Per FS	3564289	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	24574380	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	24574380	RevenueSubtotal
Total Revenue Per Form990	24574380	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	21010091	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	21010091	ExpensesSubtotal
Total Expenses Per Form990	21010091	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
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 (7 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
ROBERT J URSO
152887	0	50150	0	5962	0	0	0	2115	0	211114	0	0	0
PAUL LUNING MD
190933	0	12000	0	2885	0	0	0	22061	0	227879	0	0	0
YAM-SHUN TONG MD
368033	0	0	0	28099	0	0	0	22136	0	418268	0	0	0
BERTHA LOPEZ MD
216875	0	0	0	0	0	0	0	0	0	216875	0	0	0
MAUREEN RUDER MD
196868	0	3278	0	0	0	0	0	21055	0	221201	0	0	0
KAROLE LAKOTA-TREESE MD
168409	0	38180	0	9597	0	0	0	20781	0	236967	0	0	0
ALEXANDER M WU MD
160138	0	8940	0	29599	0	0	0	3744	0	202421	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
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	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.