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← SIDNEY HILLMAN HEALTH CENTRE OF THE CHICAGO AND CENT ST JNT BRD UNION

Form 990 for tax year 2023

Filed by SIDNEY HILLMAN HEALTH CENTRE OF THE CHICAGO AND CENT ST JNT BRD UNION.

Totals

Total revenue
$2,815,338
Total expenses
$2,742,690
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$2,640,724
Investment income
$4,423
Other revenue
$170,191
Total assets, end of year
$1,000,482
Total liabilities, end of year
$88,394
Net assets or fund balances, end of year
$912,088
Program services expenses (Part IX)
$2,295,022
Management and general expenses
$447,668
Fundraising expenses
$0
Program service expenses (Part III)
$2,295,022

Program services were 83.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUMS

    total $1,977,330 · related or exempt $1,977,330

  • 2b · Program service revenue: INSURANCE CARRIER INCO

    total $311,155 · related or exempt $311,155

  • 2c · Program service revenue: CAPITATION

    total $143,202 · related or exempt $143,202

  • 2d · Program service revenue: DENTAL AND OPTICAL INC

    total $141,415 · related or exempt $141,415

  • 2e · Program service revenue: MEDICARE PAYMENTS

    total $66,249 · related or exempt $66,249

  • 2f · All other program service revenue

    total $1,373 · related or exempt $1,373

  • 3 · Investment income

    total $4,423 · excluded $4,423

  • 11a · Other revenue: IN-KIND SERVICES - ACC

    total $100,155 · excluded $100,155

  • 11b · Other revenue: MISCELLANEOUS

    total $70,036 · excluded $70,036

  • 11e · Other revenue, total

    $170,191

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $130,661 · program services $130,661

  • 7 · Other salaries and wages

    total $772,663 · program services $575,558 · management and general $197,105

  • 8 · Pension plan contributions

    total $91,579 · program services $71,596 · management and general $19,983

  • 9 · Other employee benefits

    total $189,116 · program services $147,851 · management and general $41,265

  • 10 · Payroll taxes

    total $85,328 · program services $66,709 · management and general $18,619

  • 11b · Fees: legal

    total $3,729 · management and general $3,729

  • 11c · Fees: accounting

    total $23,500 · management and general $23,500

  • 11g · Fees: other

    total $295,472 · program services $186,212 · management and general $109,260

  • 13 · Office expenses

    total $19,240 · program services $14,264 · management and general $4,976

  • 14 · Information technology

    total $95,779 · program services $95,779

  • 16 · Occupancy

    total $682,356 · program services $682,356

  • 22 · Depreciation, depletion and amortization

    total $29,365 · program services $29,365

  • 23 · Insurance

    total $48,044 · program services $48,044

  • 24a · Other expenses: LABORATORY EXPENSES

    total $122,607 · program services $122,607

  • 24b · Other expenses: OTHER MEDICAL EXPENSES

    total $39,184 · program services $39,184

  • 24c · Other expenses: MALPRACTICE INSURANCE

    total $30,829 · program services $30,829

  • 24d · Other expenses: DENTAL EXPENSES

    total $30,312 · program services $30,312

  • 24e · All other expenses

    total $52,926 · program services $23,695 · management and general $29,231

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $168,892 · end of year $234,196

  • 2 · Savings and temporary cash investments

    beginning of year $402,145 · end of year $491,569

  • 4 · Accounts receivable

    beginning of year $239,635 · end of year $163,044

  • 8 · Inventories for sale or use

    beginning of year $4,291 · end of year $3,848

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,992 · end of year $19,197

  • 10a · Land, buildings and equipment: cost or other basis

    $1,093,222

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,004,594

  • 10c · Land, buildings and equipment, net

    beginning of year $116,692 · end of year $88,628

  • 17 · Accounts payable and accrued expenses

    beginning of year $107,684 · end of year $87,144

  • 19 · Deferred revenue

    beginning of year $1,523 · end of year $1,250

  • 27 · Net assets without donor restrictions

    beginning of year $839,440 · end of year $912,088

Mission and programs · 2023

Mission

TO ESTABLISH AND OPERATE A VOLUNTARY HEALTH SERVICES PLAN WITHIN THE MEANING OF THE VOLUNTARY HEALTH SERVICES PLAN ACT OF THE STATE OF ILLINOIS AND FURNISH HEALTH SERVICES OR BENEFITS TO THE PLAN SUBSCRIBERS.

Activities or mission (Part I)

TO OPERATE A VOLUNTARY HEALTH SERVICES PLAN

  • PROVIDE COMPREHENSIVE DIAGNOSTIC AND SPECIALIST MEDICAL SERVICES FOR PLAN SUBSCRIBERS.

    Expenses $2,295,022 · Revenue $2,640,724

As filed on the 2023 return.

Listed in Part VII

  • NAOMI K HANSHEW

    CHAIRMAN/PRESIDENT

    Total calculated
    $192,751
    From this org
    $0
    From related orgs
    $156,859
    Other
    $35,892
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $156,859 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $23,948 related
    Nontaxable benefits
    $0 + $11,944 related
    Filer's total
    $0 + $192,751 related

  • DOUGLAS WARREN

    DIRECTOR/ASST. SEC'Y-TREAS

    Total calculated
    $169,461
    From this org
    $0
    From related orgs
    $125,287
    Other
    $44,174
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $125,287 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $17,980 related
    Nontaxable benefits
    $0 + $26,194 related
    Filer's total
    $0 + $169,461 related

  • CARLOS GINARD

    DIRECTOR/VICE PRESIDENT

    Total calculated
    $161,720
    From this org
    $0
    From related orgs
    $117,546
    Other
    $44,174
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $117,546 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $17,980 related
    Nontaxable benefits
    $0 + $26,194 related
    Filer's total
    $0 + $161,720 related

  • JAMES E SKONICKI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHARLES SCHERBAUM

    DIRECTOR/SECRETARY TREASUR

    Total calculated
    $158,321
    From this org
    $0
    From related orgs
    $114,421
    Other
    $43,900
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $114,421 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $17,735 related
    Nontaxable benefits
    $0 + $26,165 related
    Filer's total
    $0 + $158,321 related

  • ANTONIO DIAZ

    DIRECTOR

    Total calculated
    $121,046
    From this org
    $0
    From related orgs
    $82,148
    Other
    $38,898
    Hours/week
    1 + 39 related

  • JOSE CASTELLANOS

    MEDICAL DIRECTOR

    Total calculated
    $130,661
    From this org
    $130,661
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • DR SEIT J WONG

    PHYSICIAN

    Total calculated
    $149,032
    From this org
    $137,407
    From related orgs
    $0
    Other
    $11,625
    Hours/week
    40

  • ADRIANA MEDINA

    EXECUTIVE DIRECTOR

    Total calculated
    $213,240
    From this org
    $164,040
    From related orgs
    $0
    Other
    $49,200
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,040
    Bonus
    $0
    Other
    $0
    Deferred
    $24,449
    Nontaxable benefits
    $24,751
    Filer's total
    $213,240

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
8 August 2024
IRS schema version
2023v5.1
Source object
202442219349301404

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