2025-10-09T09:06:51-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2024-01-01 141880824 PROMISE HEALTHCARE NFP PROM 2174035473 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 JENNIFER HENRY CHIEF EXECUTIVE OFFICER 2174035401 2025-10-08 1 0 CHRIS MANDERFIELD P01238973 6305738600 2025-10-08 2024 2025-03-06 01:10:19Z JENNIFER HENRY 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 13009746 0 X WWW.PROMISEHEALTH.ORG X 2003 IL PROMISE HEALTHCARE NFP IS A PRIMARY CARE MEDICAL, BEHAVIORAL HEALTH, AND DENTAL CLINIC DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH TREATMENT, PREVENTION, AND EDUCATION TO MEDICALLY UNDERSERVED PATIENTS. SMILEHEALTHY MOBILE, HEAD START, AND EDUCATION WORKS TO IMPROVE THE ORAL HEALTH OF THE UNDERSERVED IN GREATER CHAMPAIGN COUNTY IN PROVIDING PREVENTATIVE CARE, TREATMENT, AND EDUCATION. 14 14 144 14 0 0 4341688 3146280 7482683 9777461 2042 1712 123878 84293 11950291 13009746 0 0 0 0 7819555 7979876 0 0 0 5348276 6638265 13167831 14618141 -1217540 -1608395 5929564 4084515 1726589 1489935 4202975 2594580 TO IMPROVE THE HEALTH AND WELL-BEING OF THE DIVERSE COMMUNITIES WE SERVE BY PROVIDING HIGH-QUALITY, EQUITABLE HEALTHCARE TO PEOPLE OF ALL AGES. 0 0 7314905 5765769 FRANCES NELSON MEDICAL CENTER PROVIDES HEALTH CARE TO UNDERSERVED PATIENTS FROM GREATER CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE SCALE DISCOUNT IS PROVIDED TO PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. MOST PATIENTS HAVE MEDICAID COVERAGE OR ARE UNINSURED. 2963855 2336176 MENTAL HEALTH PROVIDES MENTAL HEALTH SERVICES TO THE UNDERSERVED IN CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. 2232631 1759809 FRANCES NELSON DENTAL CENTER PROVIDES DENTAL EXAMS, CLEANINGS, AND TREATMENT TO UNDERSERVED PATIENTS FROM GREATER CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE DISCOUNT IS PROVIDED TO PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. 12511391 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 15 0 144 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JENNIFER HENRY 2174035401 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 MINNIE PEARSON DIRECTOR 1.00 X 0 0 0 PAULETTE COLEMON PEEPLES DIRECTOR 1.00 X 0 0 0 KANDACE TURNER DIRECTOR (THRU 9/24/24) 1.00 X 0 0 0 ASHLEY BUCKLEY VICE CHAIR 1.00 X X 0 0 0 SCOTT CLANIN DIRECTOR (THRU 9/24/24) 1.00 X 0 0 0 JULIANNA SELLETT DIRECTOR 1.00 X 0 0 0 CLAYTON OVERSTREET DIRECTOR (AS OF 11/26/24) 1.00 X 0 0 0 ROBERT LEWIS DIRECTOR 1.00 X 0 0 0 CLAUDIA LENNHOFF DIRECTOR 1.00 X 0 0 0 GRANT GHIGHI DIRECTOR 1.00 X 0 0 0 RHONDA REED DIRECTOR (THRU 6/2024) 1.00 X 0 0 0 JENNIFER ZANG DIRECTOR 1.00 X 0 0 0 BRIAN LAIRD BOARD CHAIR 1.00 X X 0 0 0 SCOTT GREENLEE SECRETARY (THRU 9/24/24) 1.00 X X 0 0 0 KEITH FLORES CFO 40.00 X 138056 0 31789 MELONIE RICHARDSON CMO 40.00 X 160710 0 36384 JENNIFER HENRY CEO 40.00 X 192259 0 18500 FEITENG SU PSYCHIATRIST 40.00 X 335533 0 0 SONJA HANSEN PHYSICIAN 40.00 X 174247 0 39664 HAYNG SUNG YANG PSYCHIATRIST 40.00 X 187356 0 29601 OLUMAYOMIDE ADEKANLA COKER DENTIST 40.00 X 164825 0 17391 MYOUNGSU SONG DENTIST 40.00 X 157751 0 9830 1510737 0 183159 8 0 1 0 FQHC NETWORK 319 SOUTH 7TH ST MONMOUTH IL 61462 IT/COMPUTER SUPPORT 330452 PRACTICE MANAGEMENT SUPPORT SERVICES IN 300 N MARTINGALE SUITE 150 SCHAUMBURG IL 60173 MEDICAL BILLING SERVICES 246815 CARLE FOUNDATION HOSPITAL PO BOX 4024 CHAMPAIGN IL 61824 SPACE RENTAL 819 BLOOMINGTON RD 238079 CDS PO BOX 3566 SPRINGFIELD IL 62708 IT SUPPORT SERVICES 236594 THE WRITE CHOICE 19152 247TH AVE BETTENDORF IA 52722 GRANT WRITING SERVICES, RESEARCH, MANAGE 214995 9 45000 2163389 937891 336766 3146280 PATIENT SERVICE REVENUE 621400 5339930 5339930 340B REVENUE 900099 4437531 4437531 9777461 1712 1712 OTHER INCOME 621400 84293 84293 84293 13009746 9861754 0 1712 491025 392820 98205 5975004 5038989 936015 1000712 840615 160097 513135 431018 82117 60125 60125 4630 4630 189597 189597 617779 529075 88704 209014 85527 123487 676527 630637 45890 670275 602115 68160 33187 5178 28009 225791 140057 85734 85084 85084 PHARMACY SUPPLIES 3101689 3101689 IN-KIND SERVICES AND SU 306766 306766 DENTAL AND MEDICAL SUPP 266353 266353 LAB FEES 5650 5650 185798 134902 50896 14618141 12511391 2106750 0 227827 244100 2105143 587394 657609 219993 753531 1105856 48163 52682 1521785 519313 1033790 1002472 1103501 212540 0 659478 5929564 4084515 802718 824057 68333 6400 855538 659478 1726589 1489935 X 4202975 2594580 4202975 2594580 5929564 4084515 -1608395 0 X 0 1 X 1 1 1 X 84293 5896462 4875786 4341688 3146280 18344509 84293 5896462 4875786 4341688 3146280 18344509 18344509 5799 454 925 2042 1712 10932 32730 12040 123879 84293 252942 18608383 0.98580 0.99120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 32,730. 2022 AMOUNT: $ 12,040. 2023 AMOUNT: $ 123,879. 2024 AMOUNT: $ 84,293. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 731058 151958 579101 674208 327028 347181 116519 40327 76190 1002472 RIGHT OF USE ASSETS 659478 659478 SHORT-TERM LEASE LIABILITY 204250 LONG-TERM LEASE LIABILITY 455228 659478 X 13009746 0 13009746 0 13009746 14618141 0 14618141 0 14618141 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON AN EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX EXEMPT STATUS OF THE ORGANIZATION, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED BY THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE ORGANIZATION WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. X X 0 0 0 0 0 0 0 0 0 FEITENG SU PSYCHIATRIST 335533 0 0 0 0 0 0 0 0 0 335533 0 0 0 HAYNG SUNG YANG PSYCHIATRIST 187356 0 0 0 0 0 7713 0 21888 0 216957 0 0 0 SONJA HANSEN PHYSICIAN 174247 0 0 0 0 0 7351 0 32313 0 213911 0 0 0 JENNIFER HENRY CEO 192259 0 0 0 0 0 7813 0 10687 0 210759 0 0 0 MELONIE RICHARDSON CMO 160710 0 0 0 0 0 6730 0 29654 0 197094 0 0 0 OLUMAYOMIDE ADEKANLA COKER DENTIST 164825 0 0 0 0 0 6704 0 10687 0 182216 0 0 0 KEITH FLORES CFO 138056 0 0 0 0 0 4454 0 27335 0 169845 0 0 0 MYOUNGSU SONG DENTIST 157751 0 0 0 0 0 0 0 9830 0 167581 0 0 0 X 2 30000 FAIR VALUE X 3379 306766 FAIR VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER AND THE BOARD RECEIVE A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE CHIEF EXECUTIVE OFFICER. IN ADDITION, THE BOARD REVIEWED THE CONFLICT OF INTEREST POLICY DURING A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS INCLUDES ALL OF THESE ELEMENTS: (1) REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION; (2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE MAIN OFFICE (819 BLOOMINGTON ROAD, CHAMPAIGN, IL 61820) UPON REQUEST.