DELTA DENTAL OF ILLINOIS FOUNDATION: Form 990, tax year 2022
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- Organization
- DELTA DENTAL OF ILLINOIS FOUNDATION (EIN 26-2700504)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202303189349314380
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2023-11-14T15:42:54-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 STATE ST 13TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262700504 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF ILLINOIS FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 6307184782 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SHUMAN BOULEVARD | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60563 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI BON | PersonNm |
| Person Title | VP FINANCE & CFO | PersonTitleTxt |
| Phone | 6307184782 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRI | PersonFirstNm |
| Person Last | BON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIN COUTURE | PreparerPersonNm |
| PTIN | P01390592 | PTIN |
| Phone | 3128560200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRI BON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SHUMAN BOULEVARD | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,531,608 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DELTADENTALIL.COM/DDILFOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH (CONT IN SCH O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,983,989 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,207,890 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $471,786 | PYInvestmentIncomeAmt |
| CY Investment Income | $323,718 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,455,775 | PYTotalRevenueAmt |
| CY Total Revenue | $2,531,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,676,688 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,381,666 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $78,317 | PYOtherExpensesAmt |
| CY Other Expenses | $114,626 | CYOtherExpensesAmt |
| PY Total Expenses | $5,755,005 | PYTotalExpensesAmt |
| CY Total Expenses | $6,496,292 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,299,230 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,964,684 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,024,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,167,268 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $170,648 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,315,850 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,853,741 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,851,418 | NetAssetsOrFundBalancesEOYAmt |
| Mission | DELTA DENTAL OF ILLINOIS FOUNDATION WAS FORMED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH EDUCATION AND ACCESS TO QUALITY HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,839,746 | ExpenseAmt |
| Grant | $3,524,616 | GrantAmt |
| Desc | IMPROVING THE ORAL HEALTH OF ILLINOIS RESIDENTS, PARTICULARLY CHILDREN, THROUGH ITS PROGRAMMING. EACH OF OUR PROGRAMS REACHES STUDENTS, FAMILIES, CHILDREN, DENTAL AND HEALTH PROFESSIONALS AND COMMUNITIES IN ILLINOIS. THE FOUNDATION'S PROGRAMS FOCUS ON OUR THREE CORE THEMES - ORAL HEALTH EDUCATION AND AWARENESS, ACCESS TO ORAL HEALTH CARE AND EDUCATION FOR ORAL HEALTH PROFESSIONALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,609,710 | ExpenseAmt |
| Grant | $2,550,820 | GrantAmt |
| Desc | IMPROVING ACCESS TO DENTAL CARE BY BRINGING ORAL HEALTH EDUCATION AND ASSISTANCE TO ILLINOIS CHILDREN AND FAMILIES IN A VARIETY OF WAYS. OUR LAND OF SMILES ORAL HEALTH EDUCATION PROGRAM VISITS SCHOOLS TO GIVE DENTAL CARE TIPS AND DEMONSTRATE PROPER TECHNIQUES IN AN ENGAGING AND IMPACTFUL WAY TO OUR DENTIST BY 1, WHICH TEACHES THE IMPORTANCE OF EARLY DENTAL VISITS AND HOW TO PROVIDE DENTAL CARE FOR YOUNG CHILDREN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,449,456 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRI BON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6307184782 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SHUMAN BOULEVARD | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60563 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOHN MAPLES | |||||||
| PRESIDENT & DIRECTOR | 5.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,740,272 | $6,357 |
| TERRI BON | |||||||
| TREASURER & DIRECTOR | 5.00 | 40.00 | Yes (X) | Yes (X) | $0 | $657,384 | $38,234 |
| ALEXANDRA PIETRINI | |||||||
| DIRECTOR | 5.00 | 40.00 | Yes (X) | $0 | $405,072 | $30,937 | |
| LORA VITEK | |||||||
| EXECUTIVE DIRECTOR OF FOUNDATION | 40.00 | 5.00 | Yes (X) | $0 | $220,779 | $17,798 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,023,507 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,326 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HSA | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 S CURTIS ROAD | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANUFACTURER & SERVICES | ServicesDesc |
| Compensation | $174,700 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,031,791 | RelatedOrganizationsAmt |
| All Other Contributions | $176,099 | AllOtherContributionsAmt |
| Total Contributions | $2,207,890 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323,718 | TotalRevenueColumnAmt |
| Exclusion | $323,718 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,531,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $323,718 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,381,666 | TotalAmt |
| Program Services | $6,381,666 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,790 | TotalAmt |
| Program Services | $67,790 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,100 | TotalAmt |
| Management And General | $19,100 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,031 | TotalAmt |
| Management And General | $24,031 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| PRINTING | $2,939 | $2,939 |
| BANK CHARGES | $680 | $680 |
| BANK RUBBER STAMP | $71 | $71 |
| LICENSING AND FEES | $15 | $15 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,496,292 | TotalAmt |
| Program Services | $6,449,456 | ProgramServicesAmt |
| Management And General | $46,836 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,850,408 | BOYAmt |
| EOY | $2,496,053 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,600,000 | BOYAmt |
| EOY | $1,818,656 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,515 | BOYAmt |
| EOY | $29,180 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,165 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,512,301 | BOYAmt |
| EOY | $14,823,379 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,024,389 | BOYAmt |
| EOY | $19,167,268 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,648 | BOYAmt |
| EOY | $1,315,850 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,648 | BOYAmt |
| EOY | $1,315,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,144,464 | BOYAmt |
| EOY | $12,851,418 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,709,277 | BOYAmt |
| EOY | $5,000,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,853,741 | BOYAmt |
| EOY | $17,851,418 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,024,389 | BOYAmt |
| EOY | $19,167,268 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,964,684 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,037,639 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF ILLINOIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362612058 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $6,449,456 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $6,449,456 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (1) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 2: | DDIL FOUNDATION HAS A SUPPORTED ORGANIZATION, DELTA DENTAL OF ILLINOIS (DDIL). THE ORGANIZATION DOES NOT HAVE AN IRS DETERMINATION OF A STATUS UNDER SECTION 509(A)(1) OR (2), AS IT IS A 501(C)(4) ORGANIZATION. DDIL, HOWEVER, PREPARES A PUBLIC CHARITY CALCULATION TO DETERMINE IT MEETS THE PUBLIC SUPPORT TEST, AND HAS VERIFIED IT WOULD MEET THE OVERALL TEST UNDER 509(A)(2). |
| PART IV, SECTION A, LINE 3C: | DDIL FOUNDATION DOES ENSURE THAT ALL SUPPORT TO DDIL IN 2022 WAS EXCLUSIVELY USED FOR SECTION 170(C)(2)(B) PURPOSES. PER THE ORGANIZATION'S GOVERNING DOCUMENTS, ARTICLE 1 SECTION 1.1 PURPOSE: "THE FOUNDATION IS ORGANIZED, AND AT ALL TIMES SHALL BE OPERATED, EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE CHARITABLE PURPOSES OF DELTA DENTAL OF ILLINOIS." |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,709,277 | BeginningYearBalanceAmt |
| Administrative Expenses | $10,709,277 | AdministrativeExpensesAmt |
| End Year Balance | $5,000,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,709,277 | BeginningYearBalanceAmt |
| End Year Balance | $15,709,277 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,709,277 | BeginningYearBalanceAmt |
| Contributions | $3,000,000 | ContributionsAmt |
| End Year Balance | $15,709,277 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,709,277 | BeginningYearBalanceAmt |
| End Year Balance | $12,709,277 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,709,277 | BeginningYearBalanceAmt |
| End Year Balance | $12,709,277 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | -$161,364 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,037,639 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $344,667 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$2,692,972 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,531,608 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,531,608 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,840,959 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $344,667 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $344,667 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,496,292 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,496,292 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTENDED USE OF ENDOWMENT FUNDS TO SUPPORT THE LONG TERM OPERATION OF THE FOUNDATION. |
| PART X, LINE 2: | ASC 740 FOOTNOTE THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C) (3) AS A NOT-FOR-PROFIT ORGANIZATION. THE FOUNDATION'S APPLICATION OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE FOUNDATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. THE FOUNDATION WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. |
| PART XI, LINE 2B AND PART XII, LINE 2A: | THE $344,667 OF DONATED SERVICES ON PART XI AND XII REPRESENTS SALARY, WAGE AND BENEFIT ALLOCATIONS FOR TIME DONATED TO THE FOUNDATION FROM DELTA DENTAL OF ILLINOIS. |
| PART V, LINE 1F: | THE AUDITED FINANCIAL STATEMENTS SHOW AN ADJUSTMENT TO ENDOWMENT REPORTING. TO REFLECT THIS CHANGE ON THE FORM 990 AND MAINTAIN CONSISTENCY WITH THE AUDITED FINANCIAL STATEMENTS, THE ADJUSTMENT IS SHOWN AS AN ADMINISTRATIVE EXPENSE ON LINE 1F. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| UNI OF ILLINOIS FOUNDATION - UIC COLL OF DENTISTRY DESIGNATED PROJ #332448 | ||||||||
| PO BOX 734500 | CHICAGO | IL | 60673 | 376006007 | 501(C)(3) | $2,000,000 | $0 | SPECIAL NEEDS AND ELDER CARE CLINIC PROGRAM |
| ADVOCATE CHARITABLE FOUNDATION | ||||||||
| 3075 HIGHLAND PARKWAY SUITE 600 | DOWNERS GROVE | IL | 60515 | 363297360 | 501(C)(3) | $600,000 | $0 | GRANT FOR CLINIC BUILD OUT |
| PILLARS COMMUNITY HEALTH | ||||||||
| 23 CALENDAR AVE | LAGRANGE | IL | 60525 | 362170869 | 501(C)(3) | $400,000 | $0 | FQHC EXPANSION GRANT |
| MIDWESTERN UNIVERSITY | ||||||||
| 555 31ST STREET | DOWNERS GROVE | IL | 60115 | 363377699 | 501(C)(3) | $100,000 | $0 | DEI SCHOLARSHIP |
| HOWARD BROWN HEALTH CENTER | ||||||||
| 4025 N SHERIDAN RD | CHICAGO | IL | 60613 | 362894128 | 501(C)(3) | $100,000 | $0 | GRANT FUNDING TO SUPPORT THE AGENCY'S PEDIATRIC DENTAL PROGRAM |
| CENTRAL COUNTIES HEALTH CENTERS INC | ||||||||
| 2239 E COOK ST | SPRINGFIELD | IL | 62703 | 371361916 | 501(C)(3) | $100,000 | $0 | THE GRANT WILL BE USED TO HIRE AN ADDITIONAL DENTIST WHO WILL BE ABLE TO PROVIDE CARE TO THE CHILDREN SEEN BY CCHC. |
| INFANT WELFARE SOCIETY OF CHICAGO | ||||||||
| 3600 W FULLERTON AVE | CHICAGO | IL | 60647 | 362167752 | 501(C)(3) | $100,000 | $0 | GRANT FUNDING WILL ALLOW IWS TO HIRE A LICENSED CLINICAL SOCIAL WORKER TO HELP INTEGRATE THERAPEUTIC SERVICES WITHIN THE DENTAL HOME AS PART OF AN ORGANIZATION-WIDE EFFORT TO IMPROVE PATIENT HEALTH OUTCOMES. |
| NEAR NORTH HEALTH SERVICE CORPORATION | ||||||||
| 1276 NORTH CLYBOURN | CHICAGO | IL | 60610 | 363197647 | 501(C)(3) | $100,000 | $0 | GRANT FUNDING TO EXPAND ITS ORAL HEALTH OUTREACH PROGRAM TO ADDRESS THE INCREASED NEED FOR CHILDREN'S ORAL HEALTH SERVICES. |
| YWCA OF METROPOLITAN CHICAGO | ||||||||
| 1 N LASALLESUITE 1700 | CHICAGO | IL | 60602 | 362179765 | 501(C)(3) | $100,000 | $0 | YWCA METROPOLITAN CHICAGO WILL USE THE GRANT FOR ORAL HEALTH EDUCATION AND ACTIVITIES TO HELP CAREGIVERS UNDERSTAND THE IMPORTANCE OF PEDIATRIC DENTAL CARE AND GOOD ORAL HEALTH HABITS. |
| LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY | ||||||||
| 3010 GRAND AVE | WAUKEGAN | IL | 60085 | 366006600 | 501(C)(3) | $100,000 | $0 | TO PROVIDE ORAL HEALTH EDUCATION AND CONNECT PEDIATRIC PATIENTS TO DENTAL SERVICES IN UNDER-RESOURCED COMMUNITIES IN LAKE COUNTY. |
| CHESTNUT HEALTH SYSTEMS INC | ||||||||
| 1003 MARTIN LUTHER KING DR | BLOOMINGTON | IL | 61701 | 370964629 | 501(C)(3) | $100,000 | $0 | CHESTNUT HEALTH SYSTEMS WILL USE ITS GRANT TO HELP OPEN AN ORAL HEALTH CLINIC FOR CHILDREN AND ADULTS IN MCLEAN COUNTY. |
| HEARTLAND INTERNATIONAL HEALTH CENTER | ||||||||
| 1301 W DEVON | CHICAGO | IL | 60660 | 363843377 | 501(C)(3) | $100,000 | $0 | FQHC EXPANSION GRANT |
| COMMUNITY HEALTH & EMERGENCY SERVICES INC | ||||||||
| 1250 CEDAR COURT PO BOX 3008 | CARBONDALE | IL | 62901 | 371100482 | 501(C)(3) | $86,000 | $0 | THIS GRANT WILL HELP COMMUNITY HEALTH & EMERGENCY SERVICES, INC., TO DEPLOY OUTREACH WORKERS WHO CAN HELP PATIENTS ACCESS SERVICES BY ARRANGING/PROVIDING TRANSPORTATION TO AND FROM APPOINTMENTS (WHERE TRAVEL IS A BARRIER). |
| ALIVIO MEDICAL CENTER | ||||||||
| 966 W 21ST STREET | CHICAGO | IL | 60608 | 363661051 | 501(C)(3) | $86,000 | $0 | FUNDING WILL BE USED TO OFFSET RISING OPERATIONAL COSTS AS A RESULT OF THE COVID-19 PANDEMIC, SUPPORTING STAFF INCLUDING BILINGUAL PATIENT NAVIGATORS WHO ASSIST PATIENTS AND FAMILIES WITH NEGOTIATING CARE. |
| SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION | ||||||||
| 109 CALIFORNIA ST PO BOX 577 | CARTERVILLE | IL | 62918 | 370966854 | 501(C)(3) | $86,000 | $0 | THE GRANT WILL HELP SUPPORT WORKFORCE DEVELOPMENT AND STABILIZATION EFFORTS FOR DENTAL ASSISTANTS AND DENTISTS. |
| MOBILE CARE FOUNDATION | ||||||||
| 239 W ROOT STREET | CHICAGO | IL | 60609 | 364203198 | 501(C)(3) | $86,000 | $0 | WILL USE GRANT FUNDING TO SUPPORT THE INTEGRATION OF DENTAL AND PRIMARY CARE RECORDS, TRACKING OF INTERNAL AND EXTERNAL REFERRALS AS WELL AS INCREASED FOLLOW-UP TO ENSURE REFERRALS ARE ACTUALIZED. |
| MACOUPIN COMMUNITY HEALTH CENTERS INC | ||||||||
| 805 N BROAD ST | CARLINVILLE | IL | 62626 | 300152342 | 501(C)(3) | $86,000 | $0 | GRANT FUNDING WILL SUPPORT STAFFING AND SUPPLIES AT THE MORGAN STREET CLINIC IN CARLINVILLE. |
| PRIMECARE COMMUNITY HEALTH INC | ||||||||
| 2211 N ELSTON STE 201 | CHICAGO | IL | 60614 | 363845253 | 501(C)(3) | $86,000 | $0 | THE GRANT WILL SUPPORT PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL SERVICES TO CHILDREN UNDER 18. |
| NEAR NORTH HEALTH SERVICE CORPORATION | ||||||||
| 1276 NORTH CLYBOURN | CHICAGO | IL | 60610 | 363197647 | 501(C)(3) | $86,000 | $0 | FUNDS WILL BE SPECIFICALLY USED FOR A PART-TIME DENTIST TO BE ABLE TO INCREASE THE NUMBER OF PATIENTS SEEN IN THEIR CLINIC, AND TO ALSO COVER FOR A PORTION OF THE DENTAL DIRECTOR'S SUPERVISORY TIME. |
| HOWARD BROWN HEALTH CENTER | ||||||||
| 4025 N SHERIDAN RD | CHICAGO | IL | 60613 | 362894128 | 501(C)(3) | $86,000 | $0 | THE GRANT WILL BE USED TO SUPPORT DENTAL STAFF AS WELL AS ONGOING SAFETY AND INFECTION CONTROL MEASURES. |
| BOARD OF TRUSTEES OF THE UNIVERSITY OF ILINOIS & MILES SQUARE HEALTH CENTER | ||||||||
| 28395 NETWORK PLACE | CHICAGO | IL | 60673 | 376000511 | 501(C)(3) | $86,000 | $0 | THEY WILL USE GRANT FUNDING TO UPGRADE EQUIPMENT AND HELP SUPPORT THE CLINIC STAFF TO SPEND ADDITIONAL TIME WITH PATIENTS TO SCREEN FOR AND FACILITATE INTER-CLINIC REFERRALS AS NEEDED FOR SUPPORT SERVICE. |
| MACON COUNTY HEALTH DEPARTMENT | ||||||||
| 1221 E CONDIT ST | DECATUR | IL | 62521 | 376001309 | 501(C)(3) | $86,000 | $0 | GRANT FUNDING WILL SUPPLEMENT SALARIES AND BRING ON MORE TEAM MEMBERS TO ALLOW GREATER FLEXIBILITY IN THE NUMBER OF PATIENTS SEEN WHILE STILL MAINTAINING SAFE CAPACITY NUMBERS. |
| THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS MILES SQUARE HEALTH CTR | ||||||||
| 6821 HALSTED ST | CHICAGO | IL | 60621 | 043828358 | 501(C)(3) | $86,000 | $0 | WILL USE OUR GRANT FUNDS FOR CONTINUED PANDEMIC EFFORTS OF IMPROVING CHILDREN'S ORAL HEALTH ACCESS AND OUTCOMES PROJECT TO CONTINUE TO SUPPORT THE HIRING OF ORAL HEALTH STAFF. |
| SOUTHERN ILLINOIS UNIVERSITY CENTER FOR FAMILY MEDICINE | ||||||||
| PO BOX 19616 | SPRINGFIELD | IL | 62794 | 376005961 | 501(C)(3) | $86,000 | $0 | THIS GRANT WILL BE USED TO INCREASE ACCESS TO DENTAL SERVICES AND SUPPORT PERSONAL PROTECTIVE EQUIPMENT (PPE) INVENTORY. |
| HENDERSON COUNTY RURAL HEALTH CENTER INC | ||||||||
| 1204 HWY 164 E | OQUAWKA | IL | 61469 | 371067171 | 501(C)(3) | $85,971 | $0 | EAGLE VIEW COMMUNITY HEALTH SYSTEM, PART OF HENDERSON COUNTY RURAL HEALTH SERVICE, WILL EXPAND SERVICES TO PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH AND DENTAL SERVICES AT ITS CLINIC IN MONMOUTH. THE GRANT WILL ALSO BE USED FOR EQUIPMENT AT THE MONMOUTH CLINIC. |
| DOUGLAS COUNTY HEALTH DEPARTMENT | ||||||||
| 1250 E US HWY 36 | TUSCOLA | IL | 61953 | 376000728 | 501(C)(3) | $85,880 | $0 | THE GRANT WILL HELP INCREASE DENTIST AVAILABILITY FOR EXTENSIVE APPOINTMENTS LIKE SURGICAL EXTRACTIONS. |
| SARAH BUSH LINCOLN HEALTH CENTER | ||||||||
| 1000 HEALTH CENTER DR | MATTON | IL | 61938 | 237098532 | 501(C)(3) | $85,875 | $0 | GRANT FUNDING WILL BE USED FOR PERSONAL PROTECTIVE EQUIPMENT (PPE), DISINFECTANTS, AND UNIFORMS. |
| THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS ( MILES SQUARE HEALTH C | ||||||||
| 28395 NETWORK PLACE | CHICAGO | IL | 60673 | 376000511 | 501(C)(3) | $69,649 | $0 | RACIAL HEALTH EQUITY PROJECT GRANT |
| BY THE HAND CLUB FOR KIDS | ||||||||
| PO BOX 10041 | CHICAGO | IL | 60610 | 203144282 | 501(C)(3) | $62,022 | $0 | BY THE HAND CLUB WILL USE ITS GRANT FUNDING FOR DENTAL EQUIPMENT TO CONTINUE TO PROVIDE SERVICES AND EXPAND INTO THE NORTH AUSTIN NEIGHBORHOOD. |
| ST BERNARD HOSPITAL | ||||||||
| 326 W 64TH STREET | CHICAGO | IL | 60621 | 362264414 | 501(C)(3) | $50,000 | $0 | THE CLINIC WILL USE ITS FUNDS TO TREAT PATIENTS FOR EXISTING DENTAL DISEASE AND ENCOURAGE CHILDREN AND THEIR CAREGIVERS TO MAINTAIN GOOD ORAL HEALTH PRACTICES. |
| ILLINOIS DENTAL HYGIENISTS' ASSOCIATION | ||||||||
| 400 E RANDOLPH ST STE 2305 | CHICAGO | IL | 60601 | 366086687 | 501(C)(3) | $20,000 | $0 | FUNDING FOR THIS PROGRAM WOULD REIMBURSE UP TO APPROXIMATELY 100 QUALIFIED REGISTERED DENTAL HYGIENISTS FOR SUCCESSFULLY COMPLETING PHDH CERTIFICATION. |
| SOUTHERN ILLINOIS UNIVERSITY FOUNDATION | ||||||||
| 1235 DOUGLAS DR | CARBONDALE | IL | 62901 | 376024575 | 501(C)(3) | $20,000 | $0 | FUNDING WILL SUPPORT ACCESS TO ORAL HEALTHCARE AND EDUCATION FOR UNDERPRIVILEGED CHILDREN LIVING IN RURAL POPULATIONS WHERE DEMAND CONTINUES TO GROW. THIS PROGRAM WILL ALLOW DENTAL HYGIENE STUDENTS AN OPPORTUNITY TO WORK WITH MODERN EQUIPMENT WHEN TREATING CHILDREN TO ENSURE THE PATIENTS ORAL HEALTH CAN BE PROPERLY EVALUATED. |
| UNIVERSITY OF ILLINOIS BOARD OF TRUSTEES- UIC DENTAL SCHOOL | ||||||||
| 28395 NETWORK PLACE | CHICAGO | IL | 60673 | 376000511 | 501(C)(3) | $20,000 | $0 | THE TREATING OUR TODDLERS (TOT'S) PROGRAM FOR INFANT ORAL HEALTH IS A MULTIDISCIPLINARY PROGRAM FOCUSING ON ESTABLISHING A DENTAL HOME FOR CHILDREN AGES NEWBORN TO THREE YEARS. THIS HOLISTIC APPROACH WILL ASSESS THE DENTAL, MEDICAL, NUTRITIONAL, PSYCHOSOCIAL, AND DEVELOPMENTAL NEEDS OF PATIENTS EITHER THROUGH ONE OF OUR TEAM MEMBERS DIRECTLY OR VIA THE APPROPRIATE REFERRALS, FACILITATED BY A SOCIAL WORKER/CARE COORDINATOR. APPROXIMATELY 350 ILLINOIS CHILDREN WILL BE SERVED BY THIS GRANT. |
| WELL CHILD CENTER | ||||||||
| 620 WING ST | ELGIN | IL | 60123 | 237348349 | 501(C)(3) | $20,000 | $0 | THIS GRANT WILL PROVIDE FUNDING FOR DENTAL STAFF TO PROVIDE COMPREHENSIVE ORAL HEALTH CARE WITH AN IMMEDIATE FOCUS ON EXPANDING THE CLINIC HOURS TO INCLUDE EVENING AND SATURDAY HOURS. |
| OAK PARK RIVER FOREST INFANT WELFARE SOCIETY | ||||||||
| 320 LAKE ST | OAK PARK | IL | 60302 | 369002074 | 501(C)(3) | $20,000 | $0 | THE PORTABLE DENTISTRY PROGRAM CONDUCTS PREVENTIVE DENTAL CARE-ORAL EXAMS, CLEANINGS, FLUORIDE TREATMENTS, AND DENTAL SEALANTS. STUDENTS NEEDING URGENT CARE ARE REFERRED TO THE CLINIC FOR RESTORATIVE CARE, A UNIQUE ASPECT OF OUR PROGRAM THAT FEW OTHER MOBILE DENTAL SERVICES OFFER, WHICH ALLOWS FOR A SEAMLESS FLOW FROM DIAGNOSIS TO TREATMENT. UNFORTUNATELY, DUE TO THE PANDEMIC, THEIR PORTABLE SERVICES CLOSED AND HAVE BEEN UNAVAILABLE SINCE 2020. HOWEVER, WITH THIS GRANT THEY PLAN TO REOPEN THOSE SERVICES IN THE FALL OF 2022. |
| PILLARS COMMUNITY HEALTH | ||||||||
| 23 CALENDAR AVE | LA GRANGE | IL | 60525 | 362170869 | 501(C)(3) | $20,000 | $0 | PILLARS EMPLOYS A DENTAL HOME MODEL FOR COMPREHENSIVE, ACCESSIBLE, FAMILY-CENTERED CARE. IN 2023, WE WILL CONTINUE TO ADDRESS THE PANDEMIC, PRIORITIZING THE HEALTH AND SAFETY OF OUR PATIENTS AND STAFF, WHILE ENCOURAGING ENGAGEMENT IN ESSENTIAL PREVENTIVE AND RESTORATIVE ORAL HEALTH SERVICES AND ORAL HEALTH EDUCATION. THE DENTAL TEAM IS COMMITTED TO UTILIZING THE LESSONS WE LEARNED THROUGH THE PANDEMIC TO CONTINUE STRENGTHENING INTEGRATED SERVICES AND CONTINUUM OF CARE. SOME EFFORTS INCLUDE PILOTING AN INTERNAL DENTAL ASSISTANT TRAINING PROGRAM AND PLANNING FOR EXPANDED HOURS AT OUR ANNE JEANS ELEMENTARY SCHOOL HEALTH CENTER. |
| BOND COUNTY HEALTH DEPARTMENT | ||||||||
| 1520 S 4TH ST | GREENVILLE | IL | 62246 | 376000405 | 501(C)(3) | $20,000 | $0 | THIS GRANT WILL BE UTILIZED TO UPGRADE EQUIPMENT IN THEIR CLINIC WHICH WILL ALLOW THEM TO SEE MORE MEDICAID PATIENTS AND MORE CHILDREN IN THE SCHOOL SETTING. |
| CHICAGO FAMILY HEALTH CENTER | ||||||||
| 9119 S EXCHANGE AVE | CHICAGO | IL | 60617 | 362893854 | 501(C)(3) | $20,000 | $0 | CHICAGO FAMILY HEALTH CENTER OFFERS DIRECT DENTAL SERVICES AT FOUR OF ITS SIX SITES: CHICAGO LAWN, SOUTH CHICAGO, PULLMAN, AND EAST SIDE. PATIENTS AT THE ROSELAND LOCATION CAN ACCESS DENTAL SERVICES AT CFHC'S PULLMAN SITE AND PATIENTS AT THE SCHOOL BASED HEALTH CENTER LOCATION CAN ACCESS DENTAL SERVICES AT CFHC'S SOUTH CHICAGO SITE. DENTAL SERVICES ARE OFFERED AS PART OF CFHC'S INTEGRATED CARE MODEL, MAKING MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES ACCESSIBLE TO ALL. FUNDING WILL HELP PROVIDE ORAL HEALTH SERVICES TO 1,100 CHILDREN. |
| NATIONAL HISPANIC DENTAL ASSOCIATION FOUNDATION | ||||||||
| 17225 EL CAMINO REALSTE 150 | HOUSTON | TX | 77058 | 363994951 | 501(C)(3) | $50,000 | $0 | DENTAL EDUCATION SCHOLARSHIP GRANT |
| SARGET SHRIVER NATIONAL CENTER ON POVERTY LAW | ||||||||
| 67 E MADISON ST STE 2000 | CHICAGO | IL | 60603 | 363151279 | 501(C)(3) | $25,000 | $0 | ADVOCACY GRANT |
| CHICAGO DENTAL SOCIETY (CDS) FOUNDATION | ||||||||
| 401 N MICHIGAN AVE STE 200 | CHICAGO | IL | 60611 | 260784174 | 501(C)(3) | $15,000 | $0 | THE CDS FOUNDATION DENTAL CLINIC OPENED IN 2013 AND HAS OPERATED FIVE DAYS EACH WEEK, YEAR-ROUND SINCE THEN. THE THREE-OPERATORY CLINIC PROVIDES FREE BASIC DENTAL CARE AND A DENTAL HOME TO INDIVIDUALS AND FAMILIES FROM SOCIOECONOMICALLY DISADVANTAGED POPULATIONS IN COOK, LAKE, DUPAGE, AND SURROUNDING AREAS IN CHICAGOLAND. FUNDING WILL BE UTILIZED FOR DIRECT PATIENT NEEDS INCLUDING PPE. |
| SARAH BUSH LINCOLN HEALTH CENTER | ||||||||
| 1000 HEALTH CENTER DR | MATTON | IL | 61938 | 237098532 | 501(C)(3) | $12,000 | $0 | SARA BUSH LINCOLN DENTAL SERVICES WILL UTILIZE THE FUNDS TO PROVIDE EDUCATION, X-RAYS, DENTAL EXAMS, CLEANINGS, AND RESTORATIVE CARE TO CHILDREN FROM BIRTH TO 18 YEARS. THE SERVICES ARE PROVIDED AT NO COST TO THE RURAL UNDERSERVED, UNDERINSURED POPULATION. SERVICES BEGIN WITH A SCHOOL-BASED OUTREACH PROGRAM WHEREIN SBL DENTAL SERVICES STAFF TRAVEL TO SCHOOLS ON A SCHEDULED BASIS TO DELIVER ORAL HEALTH EDUCATION, ASSESS ORAL HEALTH NEEDS, AND PROVIDE PREVENTIVE CARE. A MOBILE UNIT SUPPORTS DELIVERY OF BOTH RESTORATIVE AND PREVENTIVE CARE AT THE SCHOOL BASED ON A CHILD'S DEFINED CARE PLAN. |
| ZION BENTON CHILDREN'S SERVICES | ||||||||
| 1245 27TH ST | ZION | IL | 60099 | 362765140 | 501(C)(3) | $14,000 | $0 | ZION BENTON CHILDREN'S SERVICES PROVIDES PREVENTIVE AND RESTORATIVE DENTAL CARE IN A WELCOMING AND ACCESSIBLE ENVIRONMENT. THEY EDUCATE AND INFORM THEIR PATIENTS ON HEALTHY ORAL HEALTH HABITS. ZBCS ALSO INCORPORATES DENTAL HEALTH EDUCATION INTO EACH OF OUR VISITS, WITH A GOAL OF ESTABLISHING POSITIVE DENTAL HYGIENE THAT WILL PROVIDE OUR PATIENTS LASTING DENTAL CARE. WE AIM TO SERVE 200 CHILDREN BETWEEN THE AGES OF 3-18 THROUGH THIS GRANT. |
| MOBILE CARE CHICAGO | ||||||||
| 239 W ROOT STREET | CHICAGO | IL | 60609 | 364203198 | 501(C)(3) | $10,000 | $0 | MOBILE CARE CHICAGO'S DENTAL CLINIC TRAVELS PRIMARILY IN COOK COUNTY'S SOUTHERN AND WESTERN MUNICIPALITIES, UNDERSERVED AREAS OF CHICAGO, AND WAUKEGAN. THE NEED FOR COMPREHENSIVE PEDIATRIC ORAL HEALTH PROVIDERS IS EXTREME IN ALL THREE AREAS, BUT PARTICULARLY IN THE SOUTHERN SUBURBS. WITH FUNDING, MOBILE CARE PLANS TO PROVIDE CARE TO 7,500 CHILDREN. |
| MILESTONE DENTAL CLINIC | ||||||||
| 4060 MCFARLAND RD | ROCKFORD | IL | 61111 | 362769801 | 501(C)(3) | $10,000 | $0 | THE GOAL OF MILESTONE DENTAL CLINIC IS TO DEVELOP AN INDIVIDUALIZED TREATMENT PLAN THAT WILL MEET THE NEEDS OF EACH PATIENT WITH A DEVELOPMENTAL DISABILITY SEEN AT THE CLINIC. FUNDING WILL COVER CHARGES FOR CLEANINGS AND TREATMENTS NOT COVERED BY INSURANCE OR ILLINOIS MEDICAID. FUNDING WILL ALSO COVER PATIENTS WITH NO AVAILABLE PAYMENT SOURCE, SPECIFICALLY FOR AN ORAL EXAM, CLEANING, AND FLUORIDE TREATMENT. |
| RIVERBEND HEAD START & FAMILY SERVICES | ||||||||
| 550 LANDMARKS BLVD | ALTON | IL | 62002 | 370681548 | 501(C)(3) | $10,000 | $0 | THE 2022-2023 ORAL HEALTH EDUCATION AND ACCESS PROJECT IS FOR 759 PARTICIPANTS ENROLLED IN OUR HEAD START AND EARLY HEAD START PROGRAMS INCLUDING EXPECTANT MOTHERS AND CHILDREN AGES NEWBORN TO FIVE YEARS. THE PROGRAM PROVIDES ANNUAL DENTAL EXAMS FOR AGES TWO AND UP. THIS YEAR, LEVERAGING THEIR FUNDING REQUEST, THEY WOULD LIKE TO CONTINUE TO INCLUDE PRENATAL MOTHERS ENROLLED IN THEIR PROGRAM TO ENSURE THEY HAVE THE NECESSARY EXAMS AND TREATMENT VITAL FOR A HEALTHY PREGNANCY AND BABIES. |
| MOBILE CARE CHICAGO | ||||||||
| 239 W ROOT STREET | CHICAGO | IL | 60609 | 364203198 | 501(C)(3) | $10,000 | $0 | MOBILE CARE CHICAGO'S DENTAL CLINIC SERVES IN CHICAGO AND WAUKEGAN WHERE THE NEED FOR DENTISTS THAT PROVIDE COMPREHENSIVE PEDIATRIC ORAL HEALTH CARE IS HIGH. WITH GRANT FUNDING, MOBILE CARE CHICAGO PLANS TO PROVIDE CARE TO 4,500 CHILDREN. |
| MAYWOOD FINE ARTS CENTER ASSOCIATION | ||||||||
| 25 N 5TH AVE | MAYWOOD | IL | 60153 | 363822848 | 501(C)(3) | $7,500 | $0 | THE MISSION OF MAYWOOD FINE ARTS IS TO PROVIDE QUALITY, AFFORDABLE ARTS AND FITNESS EDUCATION THAT ENRICHES AND ENHANCES THE LIVES OF CHILDREN AND THEIR FAMILIES IN MAYWOOD AND SURROUNDING COMMUNITIES. THEIR GOAL IS TO STRENGTHEN THE COMMUNITY BY COMBATING DRUG ACTIVITY, GANG INVOLVEMENT, AND TEENAGE PREGNANCY. THEY ALSO PROVIDE HEALTHY AFTER-SCHOOL AND WEEKEND ACTIVITIES THAT ENCOURAGE CHILDREN TO REACH THEIR FULL POTENTIAL THROUGH ARTS AND FITNESS EDUCATION. SPECIFICALLY, CHILDREN ARE TAUGHT SELF-DISCIPLINE, TEAMWORK, AND RESPECT FOR OTHERS AS THEY STUDY DANCE, TUMBLING, KARATE, DRAMA, VISUAL ART, AND MUSIC. ACTIVE INVOLVEMENT IN ARTS AND FITNESS ALSO GIVES CHILDREN PRIDE IN THEIR NEW ACCOMPLISHMENTS, RESULTING IN A GREATER ENTHUSIASM FOR LEARNING AND A STRONGER SENSE OF COMMUNITY. |
| THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | ||||||||
| 28395 NETWORK PLACE | CHICAGO | IL | 60673 | 376000511 | 501(C)(3) | $20,000 | $0 | THIS GRANT WILL HELP IMPROVING ACCESS TO DENTAL CARE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 49 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS IN U.S. THE FOUNDATION REVIEWS AND ANALYZES REQUESTS FOR CHARITABLE GRANTS ON AN ONGOING BASIS. GRANTS ARE AWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE, A COMMUNITY BENEFIT, AND WHO WILL PUT THE USE OF THE FUNDS TOWARD THE CHARITABLE MISSION FOR WHICH THE FOUNDATION WAS FOUNDED. DEPENDING ON THE USE OF THE GRANT, FOLLOW-UP EVALUATION IS PERFORMED THROUGH QUESTIONNAIRES OR MANAGEMENT VISITS OR INTERVIEWS. GRANT FUNDS MAY BE REVOCABLE IF THE GRANTEES' PERFORMANCE OR USE OF FUNDS DOES NOT ALIGN WITH TERMS OF THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MAPLES | ||||||||||||||
| PRESIDENT & DIRECTOR | $0 | $814,679 | $0 | $893,729 | $0 | $31,864 | $0 | $0 | $0 | $6,357 | $0 | $1,746,629 | $0 | $0 |
| TERRI BON | ||||||||||||||
| TREASURER & DIRECTOR | $0 | $449,086 | $0 | $198,842 | $0 | $9,456 | $0 | $27,000 | $0 | $11,234 | $0 | $695,618 | $0 | $0 |
| ALEXANDRA PIETRINI | ||||||||||||||
| DIRECTOR | $0 | $272,668 | $0 | $122,845 | $0 | $9,559 | $0 | $20,500 | $0 | $10,437 | $0 | $436,009 | $0 | $0 |
| LORA VITEK | ||||||||||||||
| EXECUTIVE DIRECTOR OF FOUNDATION | $0 | $144,979 | $0 | $66,236 | $0 | $9,564 | $0 | $10,905 | $0 | $6,893 | $0 | $238,577 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | EDUCATION AND ACCESS TO QUALITY HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS DELTA DENTAL OF ILLINOIS IS THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OR STOCKHOLDERS WHO MAY ELECT DELTA DENTAL OF ILLINOIS AS SOLE MEMBER HAS THE POWER TO ELECT, APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS OR STOCKHOLDERS SUBJECT TO APPROVAL THE SOLE MEMBER HAS THE AUTHORITY TO AUTHORIZE ANY PURCHASING, BORROWING OR DEBT FINANCING IN EXCESS OF A SPECIFIED LIMIT. THE SOLE MEMBER ALSO ESTABLISHES THE PHILOSOPHY AND THE MISSION ACCORDING TO WHICH THE FOUNDATION OPERATES AND CAN AMEND THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE MEMBER CAN AUTHORIZE THE MERGER OR DISSOLVE THE FOUNDATION; AND TRANSACT TO SELL, PLEDGE OR TRANSFER ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS THE ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A DRAFT OF FORM 990, INCLUDING ALL SCHEDULES, WHICH ARE REVIEWED WITH ALL VOTING MEMBERS OF THE GOVERNING BODY. MANAGEMENT ADDRESSES ANY QUESTIONS OR COMMENTS SUBMITTED BY THE ORGANIZATION'S GOVERNING BODY BEFORE FILING ITS FORM 990, AND THE FINALIZED FORM IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE OFFICERS AND DIRECTORS (TRUSTEES). AFTER THIS REVIEW, THE INDIVIDUALS OCCUPYING THESE POSITIONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. POTENTIAL CONFLICTS ARE LOGGED WITH THE SECRETARY OF THE ORGANIZATION AND ANY CHANGES TO THE DISCLOSURE FORM ARE TO BE REPORTED TO THE LEGAL OFFICER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF ILLINOIS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SHUMAN BLVD | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362612058 | EIN |
| Primary Activities | ORAL HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(4) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWINDS TECHNOLOGY SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SHUMAN BLVD | AddressLine1Txt |
| City | NAPERVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841939908 | EIN |
| Primary Activities | TECHNOLOGY | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DDIL DDWI & CORVESTA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| TRUASSURE INSURANCE COMPANY | ||||||||
| 111 SHUMAN BLVD | NAPERVILLE | IL | 60563 | 363757528 | DENTAL INS. | IL | C | 0 |
| PROTEC INSURANCE COMPANY | ||||||||
| 111 SHUMAN BLVD | NAPERVILLE | IL | 60563 | 320416457 | HEALTH INS. | IL | C | 0 |
| TRUASSURE INSURANCE COMPANY OF COLORADO | ||||||||
| 111 SHUMAN BLVD | NAPERVILLE | IL | 60563 | 812595283 | DENTAL INS. | CO | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL OF ILLINOIS | ||
| C | $2,031,791 | FMV |
| DELTA DENTAL OF ILLINOIS | ||
| O | $344,667 | FMV |