2024-05-24T06:36:03-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 364346917 FAMILY CHRISTIAN HEALTH CENTER FAMI 7085965177 31 W 155TH STREET HARVEY IL 60426 DR LISA GREEN CEO 7085965177 2024-05-22 1 DR LISA GREEN 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-22 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR LISA GREEN 31 W 155TH STREET HARVEY IL 60426 16205834 0 X WWW.FAMILYCHC.COM X 2000 IL TO PROVIDE EXCELLENT HEALTHCARE TO THE COMMUNITY THAT COMMUNICATES IN WORD AND DEED THE LOVE AND GOSPEL OF JESUS CHRIST. 11 11 209 10 0 0 9518284 4968701 8466213 10998643 280 183243 23510 55247 18008287 16205834 8957 2805 0 0 11093772 10970592 0 0 0 6378580 7563751 17481309 18537148 526978 -2331314 10427543 9228786 5556172 6688729 4871371 2540057 FAMILY CHRISTIAN HEALTH CENTER WAS ORGANIZED TO PROVIDE PRIMARY HEALTH AND DENTAL CARE TO THE MEDICALLY UNDERSERVED IN THE GREATER HARVEY, ILLINOIS AREA. ALSO PROVIDE PRIMARY HEALTH CARE TO LYNWOOD AND DOLTON. 0 0 16100179 2805 11000488 FAMILY CHRISTIAN HEALTH CENTER, INC., PROVIDED MEDICALLY RELATED SERVICES TO OVER 19,500 RESIDENTS OF THE HARVEY AND DOLTON AREAS. ACCORDINGLY, APPROXIMATELY 54,000 PATIENT VISITS WERE PROVIDED. THE CENTER PROVIDED PRIMARY CARE, DENTAL CARE, BEHAVIORAL HEALTH AND OB/GYN SERVICES. THE PRIMARY PURPOSE OF THE CENTER IS TO ADDRESS THE GROWING NUMBER OF RESIDENTS WHO DO NOT HAVE ACCESS TO HEALTH CARE. 16100179 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 13 0 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X DR LISA GREEN CEO 7083395526 31 W 155TH STREET HARVEY IL 60426 KAREN JACOBS PRESIDENT 4.00 X X 0 0 0 TOYA HARVEY VICE PRESIDENT 3.00 X X 0 0 0 KEN MCGHEE TREASURER 1.00 X X 0 0 0 KIMBERLY JONES SAUNDERS SECRETARY 1.00 X X 0 0 0 AYANNA GARDNER ASSISTANT SECRETARY 1.00 X 0 0 0 VERNICE CLARK-DAVIS BOARD MEMBER 1.00 X 0 0 0 FRANCESCA DAVIS BOARD MEMBER 1.00 X 0 0 0 SPENCER HARDY BOARD MEMBER (THRU NOV 2022) 1.00 X 0 0 0 DONNA HART BOARD MEMBER 1.00 X 0 0 0 TONYA ROBERSON BOARD MEMBER 1.00 X 0 0 0 AZUCENA G ROSAS BOARD MEMBER (THRU NOV 2022) 1.00 X 0 0 0 KATHRYN STEFO BOARD MEMBER 1.00 X 0 0 0 DEANE TAYLOR BOARD MEMBER 1.00 X 0 0 0 JEFFERY WADDY BOARD MEMBER (THRU AUG 2022) 1.00 X 0 0 0 DR LISA GREEN CHIEF EXECUTIVE OFFICER 35.00 X 313493 0 33197 JASMINE FINLEY CFO 40.00 X 67733 0 3563 DR LESTER HOCKENBERRY MEDICAL DIRECTOR 35.00 X 199156 0 29006 DR KAMILAH BANKS-WORD PEDIATRIC PHYSICIAN 35.00 X 234839 0 9921 JEROME BUSTER FAMILY PRACTICE PHYSICIAN 35.00 X 165000 0 0 DR LAVERNE BARNES PHYSICIAN OPERATIONS DIRECTOR 35.00 X 164514 0 25448 1144735 0 101135 5 0 1 0 DR EARNEST HAYES 400 E RANDOLPH UNIT 3730 CHICAGO IL 60601 OB/GYN DOCTOR 200000 1 3929219 1039482 587415 4968701 NET PATIENT SERVICE REVENUE 621110 8568342 8568342 340B PHARMACY REVENUE 623990 1722451 1722451 CAPITATION AND INCENTIVES REVENUE 621300 707850 707850 10998643 183243 183243 18725 0 18725 18725 18725 7364 0 7364 7364 29158 1845 27313 29158 16205834 11000488 0 236645 2805 2805 696576 606021 90555 8629419 7507595 1121824 66511 57865 8646 124949 108706 16243 1453137 1264229 188908 82732 82732 36416 36416 768295 668417 99878 41370 41370 222151 193272 28879 944658 821852 122806 603586 525120 78466 36729 31954 4775 78342 68158 10184 297398 258736 38662 579084 399568 179516 22492 19568 2924 BAD DEBT EXPENSE 1601061 1392923 208138 340B PHARMACY 833758 833758 MEDICAL SUPPLIES AND PH 830703 830703 MEMBERSHIP DUES AND LIC 91051 79214 11837 493925 429715 64210 18537148 16100179 2436969 0 24 802 259442 669351 112622 228119 4070912 2400010 421932 511598 115915 56331 12128598 6766023 5435748 5362575 10948 0 10427543 9228786 1048732 1529425 80549 54396 4426891 5104908 5556172 6688729 X 4504345 2173031 367026 367026 4871371 2540057 10427543 9228786 -2331314 0 X X 0 0 1 0 X 4006743 5690985 8488981 9518284 4968701 32673694 7200047 7585260 8368835 8467814 10998643 42620599 47538 31433 1057 3185 36522 119735 11254328 13307678 16858873 17989283 16003866 75414028 0 0 0 75414028 232 26193 27998 19004 201968 275395 232 26193 27998 19004 201968 275395 11254560 13333871 16886871 18008287 16205834 75689423 0.99640 0.99890 0.00360 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 276000 276000 5898458 2717031 3181427 1048946 383843 665103 4761284 3549797 1211487 143910 115352 28558 5362575 X X 0 0 0 0 0 0 0 0 0 DR LISA GREEN CHIEF EXECUTIVE OFFICER 313493 0 0 0 0 0 16703 0 16494 0 346690 0 0 0 DR KAMILAH BANKS-WORD PEDIATRIC PHYSICIAN 234839 0 0 0 0 0 1420 0 8501 0 244760 0 0 0 DR LESTER HOCKENBERRY MEDICAL DIRECTOR 199156 0 0 0 0 0 2987 0 26019 0 228162 0 0 0 DR LAVERNE BARNES PHYSICIAN OPERATIONS DIRECTOR 164514 0 0 0 0 0 1362 0 24086 0 189962 0 0 0 JEROME BUSTER FAMILY PRACTICE PHYSICIAN 165000 0 0 0 0 0 0 0 0 0 165000 0 0 0 X 1 150 FAIR MARKET VALUE X 1 587265 ACQUISITION PRICE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B THE INTERIM CFO, CEO, AND TREASURER REVIEW THE FEDERAL FORM 990 AND STATE REGISTRATION FORMS. UPON COMPLETION OF THIS REVIEW AND APPROVAL THE FORMS ARE SUBMITTED TO THE FINANCE COMMITTEE FOR APPROVAL. UPON APPROVAL BY THE FINANCE COMMITTEE AND BEFORE FILING, THE RETURNS ARE PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF FCHC THAT INTERESTS SHALL BE FULLY DISCLOSED BY ANY INDIVIDUAL REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINED TO EXIST. FHCH REQUIRES THAT ALL BOARD MEMBERS, OFFICERS, EMPLOYEES, CONTRACTORS OR AGENTS, AS WELL AS CANDIDATES FOR BOARD MEMBERSHIP, DISCLOSE IN WRITING AND UPDATE AT LEAST ANNUALLY. IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A BOARD MEMBER (INCLUDING THE CEO), THAT PERSON MAY MAKE A PRESENTATION, TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTE ON, WHETHER A CONFLICT OF INTEREST EXISTS, AND IF SUCH CONFLICT IS DETERMINED BY THE BOARD TO EXIST, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, AND VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS OF DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO INCLUDES REVIEW OF COMPARABLE SALARY DATA, DETERMINING TOTAL COMPENSATION, AND DOCUMENTING MEETING MINUTES, FOLLOWED BY APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 3B THE ORGANIZATION IS REQUIRED TO BE INCLUDED IN A SINGLE AUDIT FO THE YEAR ENDED 06/30/2023. THE DEADLINE FOR THIS FILING FALLS AFTER THE DEADLINE FOR THE 990 FOR THE SAME FISCAL YEAR END. THE SINGLE AUDIT WILL NOT BE FINALIZED AT THE TIME OF THIS SUBMISSION.