ALLIANCECHICAGO: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCECHICAGO (EIN 81-5434098)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202541339349301709
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T07:40:06-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 S WACKER DRIVE STE 3300 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 815434098 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCECHICAGO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 3122740068 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W ILLINOIS STREET 5TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60654 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGARET S CASTROVILLARI | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3122740068 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ARIEL GARCIA | PreparerPersonNm |
| PTIN | P02244437 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Preparation | 2025-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARGARET S CASTROVILLARI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W ILLINOIS STREET 5TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60654 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,953,587 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALLIANCECHICAGO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE PERSONAL, COMMUNITY AND PUBLIC HEALTH THROUGH COLLABORATIVE INNOVATION, RESEARCH & EDUCATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 85 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,061,138 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,182,704 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,421,253 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,742,427 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,493 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,464 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,496,884 | PYTotalRevenueAmt |
| CY Total Revenue | $11,953,595 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,577,810 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,318,074 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,131,513 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,358,699 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $316,050 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,139,605 | PYOtherExpensesAmt |
| CY Other Expenses | $2,505,956 | CYOtherExpensesAmt |
| PY Total Expenses | $8,848,928 | PYTotalExpensesAmt |
| CY Total Expenses | $9,182,729 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$352,044 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,770,866 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,425,599 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,906,880 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,859,603 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,534,818 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,565,996 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,372,062 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ALLIANCECHICAGO IS THE CONTINUATION OF AN EXISTING EFFORT TO BRING TOGETHER CHARITABLE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) TO COLLABORATIVELY PURSUE THEIR CHARITABLE MISSIONS BY BETTER SERVING THEIR DISADVANTAGED PATIENTS WITH IMPROVED HEALTH CARE, BETTER INFORMATION, COORDINATION, DIVISION OF LABOR, AND EFFICIENCY. IN ADDITION TO INCUBATING NEW STRATEGIC INITIATIVES, ALLIANCECHICAGO PROVIDES A GOVERNANCE STRUCTURE TO ASSURE ACCOUNTABILITY AND ALIGNMENT OF ACTIVITIES OF ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE OVERARCHING NOT FOR PROFIT MISSION OF ALLIANCECHICAGO. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,193,987 | ExpenseAmt |
| Grant | $660,041 | GrantAmt |
| Revenue | $3,742,427 | RevenueAmt |
| Desc | THREE YEAR HCCN GRANT AWARD FOR PERIOD OF AUGUST 1, 2022 THROUGH JULY 31, 2025 TO SUPPORT NETWORK OF 38 HEALTH CENTERS WORKING TOGETHER TO USE HEALTH INFORMATION TECHNOLOGY (HIT) TO IMPROVE OPERATIONS AND CLINICAL PRACTICES. HCCNS HELP HEALTH CENTERS LEVERAGE HIT TO INCREASE PARTICIPATION IN VALUE-BASED CARE BY (I) ENHANCING THE PATIENT AND PROVIDER EXPERIENCE; (II) ADVANCING INTEROPERABILITY; (III) USING DATA TO ENHANCE VALUE (IV) TWO YEAR AHRQ GRANT FOR THE PERIOD OF SEPTEMBER 1, 2021 THROUGH AUGUST 31, 2023, EXTENDED TO AUGUST 31, 2024 TO ASSESS THE IMPACT OF OKQ IMPLEMENTATION ON REPRODUCTIVE HEALTH METRICS IN THE COMMUNITY HEALTH, PRIMARY CARE SETTING; (V)TWO YEAR ONC GRANT FOR THE PERIOD OF SEPTEMBER 22, 2022 THROUGH SEPTEMBER 21, 2024 TO LEVERAGE FHIR-BASED RESOURCES AND THE EXPERIENCE AND CAPABILITIES OF A STRONG PARTNERSHIP TO ENABLE SERVICE PROVIDERS TO BREAK DOWN BARRIERS TO INTEGRATION AND COORDINATION OF SERVICES IN ORDER TO BETTER ADDRESS SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS EXPERIENCING HOMELESSNESS; (VI) FOUR YEAR CDC GRANT AWARD FOR THE PERIOD OF SEPTEMBER 30, 2023 THROUGH SEPTEMBER 29, 2027 TO SUPPORT PREGNANT PEOPLE - INFANT SURVEILLANCE FOR PUBLIC HEALTH OUTCOMES THROUGH INTEROPERABILITY IN CHICAGO. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,062,497 | ExpenseAmt |
| Grant | $495,628 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | RESEARCH/ACADEMIC GRANT PROJECTS FOR THE PERIOD JULY 1, 2023 THROUGH JUNE 30, 2024 INCLUDED STATE, FEDERAL AND PRIVATE NON-PROFIT RESEARCH AWARDS FOR THE FOLLOWING PROJECTS: (I) COMPARATIVE EFFECTIVENESS OF COMMUNITY HEALTH WORKERS IN CHICAGO AND NEW YORK CITY TO PREVENT DESTABILIZATION AND UNPLANNED HOSPITATLIZATIONS OF ADULTS WITH MULTIPLE CHRONICE DISEASES; (II) EUGENE WASHINGTON PCORI ENGAGEMENT AWARD FOR RESEARCH ENGAGEMENT AND PARTNERSHIPS IN REPRODUCTIVE AND MATERNAL HEALTH OUTCOMES; (III) DISAPEAR: INTERVENTIONS TO DE-IMPLEMENT UNNECESSARY ANTIBIOTIC PRESCRIBING FOR CHILDREN WITH EAR INFECTIONS; (IV) ENGAGEMENT FOR RESEARCH AND EVIDENCE SHARING TO AUGMENT COMMUNITY HEALTH (E-REACH); (V) HSII CAPACITY BUILDING PROJECT; (VI) PATIENTS AND CAREGIVERS' UNDERSTANDING OF THE SERIOUS RISKS OF OPIOID ANALGESICS AND HOW TO USE THESE PRODUCTS SAFELY: A PATIENT/CAREGIVER; (VII) ILLINOIS PUBLIC HEALTH INSTITUTE CHICAGO CARES TO REDUCE DIABETES DISPARATIES AND PROMOTE HEALTH EQUITY; (VIII) FACTORS ASSOCIATED WITH VACCINATION UPTAKE IN DIVERSE AND UNDERSERVED POPULATIONS WHO RECEIVE PRIMARY CARE AT FEDERALLY QUALIFIED HEALTH CENTERS: ARETROSPECTIVE COHORT STUDY; (IX) IMPROVING HPV VACCINATION RATES IN COMMUNITY HEALTH CENTERS (X) INTERVENTION TO REDUCE EARLY (PEANUT) ALLERGY IN CHILDREN (IREACH); (XI) AHRQ "INSPIRE" INTERVENTION IN SMALL PRIMARY CARE PRACTICES TO IMPLEMENT REDUCTION IN UNHEALTHY ALCOHOL USE; (XII) INVESTIGATING THE RELATIONSHIP BETWEEN PROBLEM LIST ACCURACY AND ATTESTATION OF REVIEW (REAL-LIST); (XIII) COMMUNITY INTERVENTION TO REDUCE CARDIOVASCULAR DISEASE IN CHICAGO; (XIV) NIH CARDIOVASCULAR HEALTH TRAJECTORIES FROM BIRTH THROUGH ADOLESCENCE IN A DIVERSER COHORT OF CHILDREN; (XV) SUPPORTING TRANSITIONS TO PRIMARY CARE AMONG UNDER-RESOURCED, POSTPARTUM WOMEN: THE STEP-UP; (XVI) CHICAGO CENTER FOR DIABETES TRANSLATION RESEARCH (CCDTR) TO EXAMINE THE IMPACT OF TELEHEALTH ON DIABETES CARE MANAGEMENT DURING THE COVID-19 PANDEMIC; (XVII) NIH "OPTIMIZE" STUDY OPTIMIZING PATIENT NAVIGATION FOR PERINATAL CARE; (XVIII) NIH ACCELERATING HEALTH EQUITY AND ELIMINATING DIABETES DISPARATIES IN COMMUNITY HEALTH CENTERS (AHEAD-CHC); (XIX) NIH PROMOTING PRECONCEPTION CARE AND DIABETES SELF-MANAGEMENT AMONG REPRODUCTIVE AGED WOMEN WITH DIABETES; (XX) NIH HEALTH BRAIN AND CHILD DEVELOPMENT NATIONAL CONSORTIUM; (XXI) CHICAGO DEPARTMENT OF PUBLIC HEALTH ADULT CESSATION SERVICES; (XXII) UNDERSTANDING T1D AND INSULIN-REQUIRING DIABETES IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHC): A NATIONAL NEEDS ASSESSMENT; (XXIII) ADDRESSING HEALTH INEQUITIES RELATED TO FOOD INSECURITY & OBESITY IN CHICAGO; (XXIV) SUPPORT DATA COLLECTION, MANAGEMENT, ANALYSIS, VISUALIZATION, AND REPORTING OF SURVEY; (XXV) NIH IMPLEMENTATION AND DISSEMINATION OF EVIDENCE-BASED INTERVENTIONS TO IMPROVE PREP CARE CONTINUUM OUTCOMES AMONG WOMEN IN COMMUNITY HEALTH CLINICS; (XXVI) IMPROVING MATERNAL HEALTH THROUGH AN ADAPTATION OF A TWO-GENERATION POSTPARTUM CARE MODEL IN DIVERSE SETTINGS, AND (XXVII) NIH LINCC TRIAL: LINKING INTER-SPECIALTY NEWBORN AND CONTRACEPTION CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,297,353 | ExpenseAmt |
| Grant | $136,805 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROFESSIONAL SERVICES AND CONTRACT AGREEMENTS TO SUPPORT CLINICAL DECISION SUPPORT TOOLS FOR DIABETES CARE, HYPERTENSION, CONTRACEPTION, POSTPARTUM DEPRESSION, HIV, ADULT IMMUNIZATIONS, HEP-C, PEDIATRIC WEIGHT MANAGEMENT, MATERNAL MORBIDITY, COVID-19; LEVERAGING VACCINE UPTAKE; EXAMINING THE RELATIONSHIP BETWEEN SOCIAL RISKS AND SCREENING MAMMOGRAPHY; CONTINUITY AND RELATIONSHIPS AMONG PATIENTS, PHYSICIANS, AND CARE TEAMS; ASTHMA ASSISTANCE; CANCER PREVENTION AND SCREENING INTERVENTIONS; SAFETY AND HEALTHCARE EPIDEMIOLOGY PREVENTION RESEARCH DEVELOPMENT; ADDRESSING HOMELESSNESS, PERINATAL DEPRESSION; ADVANCE POPULATION HEALTH MANAGEMENT CAPABILITIES AND PERFORMANCE METRICS IN QUALITY IMPROVEMENT EFFORTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,069,323 | ExpenseAmt |
| Grant | $25,600 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | FOUNDATION & CORPORATE GRANTS RELATE LARGELY TO ILLINOIS CONTRACEPTION ACCESS NOW (ICAN!) PROGRAMS TO IMPROVE THE QUALITY OF AND ACCESS TO CONTRACEPTIVE CARE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. ICAN! IS A STATE WIDE INITIATIVE TO ADVANCE REPRODUCTIVE HEALTH EQUITY AND TO CLOSE THE CONTRACEPTIVE CARE GAP. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,069,323 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $25,600 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $6,623,160 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 85 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 | MARGARET S CASTROVILLARI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3122740068 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W ILLINOIS STREET 5TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60654 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TRISTE LIETEAU SMITH | |||||||||
| BOARD CHAIRPERSON | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ED STELLON | |||||||||
| BOARD VICE CHAIRPERSON | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LEE FRANCIS MD | |||||||||
| BOARD TREASURER | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID MUNAR | |||||||||
| BOARD SECRETARY (UNTIL 2/29/24) | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRED D RACHMAN MD | |||||||||
| CHIEF EXECUTIVE OFFICER | 19.00 | 31.00 | Yes (X) | $259,918 | $0 | $34,031 | |||
| ANDREW HAMILTON | |||||||||
| CHIEF INFORMATICS OFFICER | 19.00 | 31.00 | Yes (X) | $235,020 | $0 | $20,988 | |||
| MARGARET CASTROVILLARI | |||||||||
| CHIEF FINANCIAL OFFICER | 12.00 | 38.00 | Yes (X) | $227,236 | $0 | $33,357 | |||
| NIVEDITA MOHANTY MD | |||||||||
| CHIEF RESEARCH OFFICER | 40.00 | 10.00 | Yes (X) | $232,149 | $0 | $20,732 | |||
| KAI TAO | |||||||||
| PRINCIPAL, IMPACT & INNOVATION ICAN! | 50.00 | 0.00 | $249,272 | $0 | $16,625 | Yes (X) | |||
| MATTHEW STERLING | |||||||||
| SENIOR DIRECTOR OF IT | 3.00 | 47.00 | $211,301 | $0 | $35,001 | Yes (X) | |||
| SHANNON POHL | |||||||||
| DIRECTOR OF INFORMATICS | 8.00 | 42.00 | $169,116 | $0 | $29,762 | Yes (X) | |||
| EKEM MERCHANT BLEIBERG | |||||||||
| SENIOR DIRECTORS OF HIT OPERATIONS | 0.00 | 50.00 | $186,303 | $0 | $14,490 | Yes (X) | |||
| JIN NAM | |||||||||
| DIRECTOR OF PRACTICE TRANSFORMATION | 50.00 | 0.00 | $152,754 | $0 | $17,662 | Yes (X) | |||
| ERICK MICHALSKI | |||||||||
| DIRECTOR OF IT INFRASTRUCTURE | 1.00 | 49.00 | $145,748 | $0 | $6,959 | Yes (X) | |||
| JEREMY CARR | |||||||||
| DIRECTOR OF APPLICATIONS | 8.00 | 42.00 | $132,288 | $0 | $17,853 | Yes (X) | |||
| EVE WALTER | |||||||||
| SENIOR DIR. RESEARCH/EVALUATION | 50.00 | 0.00 | $136,882 | $0 | $27,434 | Yes (X) | |||
| RYAN JAEGER | |||||||||
| DIRECTOR OF DATA & ANALYTICS SERVICE | 18.00 | 32.00 | $153,399 | $0 | $17,677 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,491,386 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $292,571 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THIEDE CONSULTING LLC | |||||
| 9766 S VANDERPOEL AVENUE | CHICAGO | IL | 60643 | CONSULTING SERVICES | $359,187 |
| CRAFT & COMMERCE LLC | |||||
| 714 N HYER AVENUE | ORLANDO | FL | 32803 | CONSULTING SERVICES | $106,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,522,363 | GovernmentGrantsAmt |
| All Other Contributions | $5,660,341 | AllOtherContributionsAmt |
| Total Contributions | $8,182,704 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL SERVICES | 541900 | $3,700,901 | $3,700,901 |
| CONFERENCE REVENUE | 900099 | $27,750 | $27,750 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,776 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,742,427 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,657 | TotalRevenueColumnAmt |
| Exclusion | $22,657 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,005,799 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $999,992 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,807 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,807 | TotalRevenueColumnAmt |
| Exclusion | $5,807 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,953,595 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,742,427 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $28,464 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,318,074 | TotalAmt |
| Program Services | $1,318,074 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,208,318 | TotalAmt |
| Program Services | $894,661 | ProgramServicesAmt |
| Management And General | $287,931 | ManagementAndGeneralAmt |
| Fundraising | $25,726 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,333,400 | TotalAmt |
| Program Services | $2,248,740 | ProgramServicesAmt |
| Management And General | $950,105 | ManagementAndGeneralAmt |
| Fundraising | $134,555 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,537 | TotalAmt |
| Program Services | $81,790 | ProgramServicesAmt |
| Management And General | $33,808 | ManagementAndGeneralAmt |
| Fundraising | $3,939 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,438 | TotalAmt |
| Program Services | $229,296 | ProgramServicesAmt |
| Management And General | $89,212 | ManagementAndGeneralAmt |
| Fundraising | $15,930 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,006 | TotalAmt |
| Program Services | $251,769 | ProgramServicesAmt |
| Management And General | $98,216 | ManagementAndGeneralAmt |
| Fundraising | $13,021 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,393 | TotalAmt |
| Program Services | $617,735 | ProgramServicesAmt |
| Management And General | $79,779 | ManagementAndGeneralAmt |
| Fundraising | $122,879 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,135 | TotalAmt |
| Management And General | $25,135 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,312 | TotalAmt |
| Program Services | $18,060 | ProgramServicesAmt |
| Management And General | $34,252 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,314 | TotalAmt |
| Program Services | $6,314 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,302 | TotalAmt |
| Program Services | $458,302 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,094 | TotalAmt |
| Program Services | $163,103 | ProgramServicesAmt |
| Management And General | $3,991 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,807 | TotalAmt |
| Program Services | $4,033 | ProgramServicesAmt |
| Management And General | $7,774 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,748 | TotalAmt |
| Program Services | $102,552 | ProgramServicesAmt |
| Management And General | $101,196 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,794 | TotalAmt |
| Program Services | $4,297 | ProgramServicesAmt |
| Management And General | $360,497 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,506 | TotalAmt |
| Program Services | $93,688 | ProgramServicesAmt |
| Management And General | $1,818 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,919 | TotalAmt |
| Program Services | $63,555 | ProgramServicesAmt |
| Management And General | $364 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,039 | TotalAmt |
| Management And General | $4,039 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,626 | TotalAmt |
| Program Services | $45,228 | ProgramServicesAmt |
| Management And General | $138,398 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,026 | TotalAmt |
| Management And General | $25,026 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROFESSIONAL DUES, SUBS | $13,036 | $12,660 | $376 |
| MISCELLANEOUS | $10,806 | $9,303 | $1,503 |
| TAXES | $99 | $99 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,182,729 | TotalAmt |
| Program Services | $6,623,160 | ProgramServicesAmt |
| Management And General | $2,243,519 | ManagementAndGeneralAmt |
| Fundraising | $316,050 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,801,911 | BOYAmt |
| EOY | $2,928,298 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,440 | BOYAmt |
| EOY | $487,251 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279,880 | BOYAmt |
| EOY | $1,724,444 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,674 | BOYAmt |
| EOY | $196,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,379,717 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $750,013 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,915 | BOYAmt |
| EOY | $629,704 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,740,026 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,510,779 | BOYAmt |
| EOY | $2,200,738 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,425,599 | BOYAmt |
| EOY | $10,906,880 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,046,822 | BOYAmt |
| EOY | $3,371,864 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,510 | BOYAmt |
| EOY | $383,183 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,562 | BOYAmt |
| EOY | $144,848 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,415,709 | BOYAmt |
| EOY | $2,634,923 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,859,603 | BOYAmt |
| EOY | $6,534,818 | 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 | -$1,577,022 | BOYAmt |
| EOY | -$1,390,593 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,143,018 | BOYAmt |
| EOY | $5,762,655 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,565,996 | BOYAmt |
| EOY | $4,372,062 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,425,599 | BOYAmt |
| EOY | $10,906,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,770,866 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $35,200 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,233,499 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,833,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,827,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,061,138 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,182,704 | CurrentTaxYearAmt |
| Total | $31,138,435 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,233,499 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,833,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,827,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,061,138 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,182,704 | CurrentTaxYearAmt |
| Total | $31,138,435 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $5,754,916 | SubstantialContributorsTotAmt |
| Public Support Total170 | $25,383,519 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,657 | CurrentTaxYearAmt |
| Total | $37,150 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,175,585 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $8,255,574 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.81420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.78270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,314 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,314 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ADVANCE AND IMPLEMENT POLICIES THAT EXPAND COVERAGE OF, PAYMENT FOR, AND ACCESS TO CONTRACEPTIVE SERVICES, PROMOTING A SYSTEM-WIDE APPROACH TO ENSURING CONTRACEPTIVE EQUITY. ICAN! WILL WORK WITH HFS TO ENSURE THAT ILLINOIS' NEW FAMILY PLANNING SPA INCLUDES PROVISIONS THAT WILL MAKE IT A MODEL FOR OTHER STATES AND ENSURE EXPANDED COVERAGE FOR TENS OF THOUSANDS OF INDIVIDUALS WITH LOW RESOURCES, INCLUDING: INCOME ELIGIBILITY REQUIREMENTS THAT ARE BASED ON INDIVIDUAL RATHER THAN HOUSEHOLD INCOME, FLEXIBLE AUTO-ENROLLMENT, AND A "GOOD CAUSE EXCEPTION" FOR INDIVIDUALS WITH CONFIDENTIALITY CONCERNS. ICAN! WILL ADVOCATE FOR STATE MEDICAID TO ADVANCE CONTRACEPTIVE EQUITY BY REQUIRING ADEQUATE NETWORK COVERAGE FOR VOLUNTARY CONTRACEPTIVE HEALTH SERVICES, ENSURING MEMBER TRANSPARENCY SO MEMBERS KNOW THEIR RIGHT FOR FULL COVERAGE OF ALL FDA APPROVED CONTRACEPTIVE SERVICES, AND ADOPTING CONTRACEPTIVE ACCESS AND QUALITY PAY-FOR-PERFORMANCE METRICS. THE ICAN!-LED CARE COALITION SUCCESSFULLY ADVOCATED FOR THE APPROVAL OF SB 957 WHICH CALLS FOR THE ENACTMENT OF A FAMILY PLANNING STATE PLAN AMENDMENT (SPA) THAT WILL SIGNIFICANTLY EXPAND ELIGIBILITY FOR CONTRACEPTIVE CARE AND RELATED REPRODUCTIVE HEALTH SCREENINGS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $637,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $265,149 | DepreciationAmt |
| Book Value | $372,365 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $632,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $414,162 | DepreciationAmt |
| Book Value | $218,582 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,459 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,702 | DepreciationAmt |
| Book Value | $38,757 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $629,704 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSIT | $66,625 |
| RIGHT-OF-USE ASSET | $2,102,068 |
| DUE FROM ACRES | $32,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,200,738 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $346,077 |
| OPERATING LEASE LIABILITIES | $2,288,846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,634,923 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,988,795 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $35,200 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $35,200 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,953,595 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,953,595 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,182,729 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,182,729 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,182,729 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ALLIANCE IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE ALLIANCE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ALLIANCE 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 EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ALLIANCE AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBTI). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES DURING THE PERIODS COVERED BY THESE FINANCIAL STATEMENTS. THE ALLIANCE FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF ILLINOIS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ACCESS COMMUNITY HEALTH NETWORK | ||||||||
| 600 W FULTON | CHICAGO | IL | 60661 | 363317058 | 501(C)(3) | $13,750 | $0 | NACHC MATERNAL MORBIDITY AND PERINATAL QUALITY COLLABORATIVE PARTNERS |
| AHS FAMILY HEALTH CENTER | ||||||||
| 2501 W PETERSON AVE | CHICAGO | IL | 60659 | 010567661 | 501(C)(3) | $6,547 | $0 | CHICAGO CARES: DIABETES PREVENTION PROGRAM, IMPROVING ADULT INFLUENZA VACCINATION & ROUTINE VACCINATION SERVICES FOR ADULTS |
| ANGEL HARVEY FAMILY HEALTH CENTER OF THE INFANT WELFARE SOCIETY OF CHICAGO | ||||||||
| 3600 W FULLERTON AVE | CHICAGO | IL | 60647 | 362167752 | 501(C)(3) | $5,217 | $0 | NACHC DEVELOPMENT OF WORKFORCE INNOVATIVE PRACTICE ROADMAP, NACHC PEDIATRIC WEIGHT MANAGEMENT AND MICRONUTRIENTS, LINCC TRIAL: LINKING INTER-SPECIALTY NEWBORN AND CONTRACEPTION CARE |
| CHICAGO HOUSE AND SOCIAL SERVICE AGENCY | ||||||||
| 2229 S MICHIGAN AVENUE SUITE 304 | CHICAGO | IL | 60616 | 363376432 | 501(C)(3) | $14,700 | $0 | LEADING EDGE ACCELERATION PROJECTS (LEAP) IN HEALTH INFORMATION TECHNOLOGY |
| CROSSING RECOVERY CENTER | ||||||||
| 320 E CENTRAL AVENUE | DECATUR | IL | 62521 | 833116299 | 501(C)(3) | $7,600 | $0 | NACHC PEDIATRIC WEIGHT MANAGEMENT AND MICRONUTRIENTS |
| CRUSADERS HEALTH FOUNDATION | ||||||||
| 1200 W STATE STREET | ROCKFORD | IL | 61102 | 363259761 | 501(C)(3) | $13,750 | $0 | NACHC MATERNAL MORBIDITY AND PERINATAL QUALITY COLLABORATIVE PARTNERS |
| EMI ADVISORS LLC | ||||||||
| 4133 WOODBINE STREET | CHEVY CHASE | MD | 20815 | 461359083 | $303,137 | $0 | LEADING EDGE ACCELERATION PROJECTS (LEAP) IN HEALTH INFORMATION TECHNOLOGY | |
| ERIE FAMILY HEALTH CENTER | ||||||||
| 1701 W SUPERIOR | CHICAGO | IL | 60622 | 363088628 | 501(C)(3) | $192,854 | $0 | CLINICAL DIRECTORS NETWORK GRANT PATIENT ENGAGEMENT, SUPPORTING TRANSITIONS TO PRIMARY CARE AMONG UNDER-RESOURCED, POSTPARTUM WOMEN: THE STEP-UP, PROMOTING PRECONCEPTION CARE AND DIABETES SELF-MANAGEMENT AMONG REPRODUCTIVE-AGED WOMEN WITH DIABETES: THE PREPARED TRIAL, WOMEN'S HEALTH POST PARTUM CDS, GDM, ECQM, ICAN! EXPANDING CONTRACEPTIVE ACCESS PROJECT, DEVELOPMENT OF WORKFORCE INNOVATIVE PRACTICE ROADMAP, NACHC MATERNAL MORBIDITY AND PERINATAL QUALITY COLLABORATIVE PARTNERS, IMPLEMENTATION AND DISSEMINATION OF EVIDENCE-BASED INTERVENTIONS TO IMPROVE PREP CARE CONTINUUM OUTCOMES AMONG WOMEN IN COMMUNITY HEALTH CLINICS IN THE SOUTHERN U.S. |
| ESPERANZA HEALTH CENTERS | ||||||||
| 1940 S WESTERN AVE SUITE 205 | CHICAGO | IL | 60608 | 320115907 | 501(C)(3) | $16,047 | $0 | NACHC IMPROVING ADULT INFLUENZA VACCINATION & ROUTINE VACCINATION SERVICES FOR ADULTS, NACHC PEDIATRIC WEIGHT MANAGEMENT, NACHC MATERNAL MORBIDITY AND PERINATAL QUALITY COLLABORATIVE PARTNERS |
| FAMILY CHRISTIAN HEALTH CENTER | ||||||||
| 31 W 155TH ST | HARVEY | IL | 60426 | 364346917 | 501(C)(3) | $9,031 | $0 | RESEARCH ENGAGEMENT AND PARTNERSHIPS IN REPRODUCTIVE AND MATERNAL HEALTH OUTCOMES (REPRO), OPTIMIZING PATIENT NAVIGATION FOR PERINATAL CARE |
| FAMILY HEALTH OF CENTRAL NEW YORK INC | ||||||||
| 85 S WEST STREET | HOMER | NY | 13077 | 161133983 | 501(C)(3) | $6,000 | $0 | MERCK IMPROVING HPV VACCINATION RATES IN COMMUNITY HEALTH CENTERS, IDENTIFYING ESSENTIAL AND FRONTLINE WORKERS USING STRUCTURED WORK INFORMATION |
| FRIEND HEALTH | ||||||||
| 800 E 55TH STREET | CHICAGO | IL | 60615 | 364161801 | 501(C)(3) | $39,748 | $0 | CLINICAL DIRECTORS NETWORK GRANT PATIENT ENGAGEMENT, RESEARCH ENGAGEMENT AND PARTNERSHIPS IN REPRODUCTIVE AND MATERNAL HEALTH OUTCOMES (REPRO), FACTORS ASSOCIATED WITH VACCINATION UPTAKE IN DIVERSE AND UNDERSERVED POPULATIONS WHO RECEIVE PRIMARY CARE AT FEDERALLY QUALIFIED HEALTH CENTERS: A RETROSPECTIVE COHORT STUDY, OPTIMIZING PATIENT NAVIGATION FOR PERINATAL CARE, MILLION HEARTS: PREVENTING HEART ATTACKS AND STROKES IN PRIMARY CARE, ICAN! EXPANDING CONTRACEPTIVE ACCESS PROJECT, ILLINOIS FAMILY PLANNING PROGRAM, LINCC TRIAL: LINKING INTER-SPECIALTY NEWBORN AND CONTRACEPTION CARE |
| HEALTH CHOICE NETWORK OF FLORIDA INC | ||||||||
| 9064 NW 13TH TERRACE | MIAMI | FL | 33172 | 650504316 | 501(C)(3) | $209,013 | $0 | RESEARCH ENGAGEMENT AND PARTNERSHIPS IN REPRODUCTIVE AND MATERNAL HEALTH OUTCOMES (REPRO), ENGAGEMENT FOR RESEARCH AND EVIDENCE SHARING TO AUGMENT COMMUNITY HEALTH (E-REACH), CHICAGO CENTER FOR DIABETES TRANSLATION RESEARCH,IMPLEMENTATION AND DISSEMINATION OF EVIDENCE-BASED INTERVENTIONS TO IMPROVE PREP CARE CONTINUUM OUTCOMES AMONG WOMEN IN COMMUNITY HEALTH CLINICS IN THE SOUTHERN U.S. |
| HEARTLAND ALLIANCE HEALTH | ||||||||
| 4730 N WINTHROP AVE | CHICAGO | IL | 60640 | 363775696 | 501(C)(3) | $18,705 | $0 | CHICAGO CENTER FOR DIABETES TRANSLATION RESEARCH, LEADING EDGE ACCELERATION PROJECTS (LEAP) IN HEALTH INFORMATION TECHNOLOGY, NACHC HIV CDS/EPROMPT, CDPH ADULT TOBACCO CESSATION |
| ILLINOIS PRIMARY HEALTH CARE ASSOCIATION | ||||||||
| 500 S NINTH STREET | SPRINGFIELD | IL | 62701 | 363369241 | 501(C)(3) | $216,299 | $0 | HEALTH RESOURCES SERVICES ADMINISTRATION GRANT, SUPPORT PARTICIPTING HEALTH CENTERS TO MEET THE GOALS OF HRSA INITIATIVE |
| NATIONAL OPINION RESEARCH CENTER | ||||||||
| 55 E MONROE ST FL 20 | CHICAGO | IL | 60603 | 362167808 | 501(C)(3) | $107,884 | $0 | LEADING EDGE ACCELERATION PROJECTS (LEAP) IN HEALTH INFORMATION TECHNOLOGY, ICAN! EXPANDING CONTRACEPTIVE ACCESS PROJECT |
| NEAR NORTH HEALTH SERVICE CORP | ||||||||
| 1276 N CLYBOURN | CHICAGO | IL | 60610 | 363197647 | 501(C)(3) | $20,523 | $0 | RESEARCH ENGAGEMENT AND PARTNERSHIPS IN REPRODUCTIVE AND MATERNAL HEALTH OUTCOMES (REPRO), OPTIMIZING PATIENT NAVIGATION FOR PERINATAL CARE, PROMOTING PRECONCEPTION CARE AND DIABETES SELF-MANAGEMENT AMONG REPRODUCTIVE-AGED WOMEN WITH DIABETES: THE PREPARED TRIAL, HEALTHY BRAIN AND CHILD DEVELOPMENT NATIONAL CONSORTIUM, NACHC MILLION HEARTS: PREVENTING HEART ATTACKS AND STROKES IN PRIMARY CARE, WOMENS HEALTH PROJECT: POSTPARTUM CARE SERVICES |
| NORTHWESTERN UNIVERSITY | ||||||||
| 633 CLARK | EVANSTON | IL | 602081110 | 362167817 | 501(C)(3) | $5,747 | $0 | AMA CONTINUITY AND RELATIONSHIPS AMONG PATIENTS, PHYSICIANS, AND CARE TEAMS (CARE PACT), THE COMMUNITY HEALTH CENTER - REPRODUCTIVE LIFE PLAN (CHC-RLP) PROJECT |
| PCC COMMUNITY WELLNESS CENTER | ||||||||
| 14 LAKE ST | OAK PARK | IL | 60302 | 363828320 | 501(C)(3) | $50,000 | $0 | ICAN! EXPANDING CONTRACEPTIVE ACCESS PROJECT, ILLINOIS FAMILY PLANNING PROGRAM |
| SETTLEMENT HEALTH & MEDICAL SERVICES INC | ||||||||
| 212 E 106TH ST | NEW YORK | NY | 10029 | 132957943 | 501(C)(3) | $6,048 | $0 | MERCK: FACTORS ASSOCIATED WITH VACCINATION UPTAKE IN DIVERSE AND UNDERSERVED POPULATIONS WHO RECEIVE PRIMARY CARE AT FEDERALLY QUALIFIED HEALTH CENTERS: A RETROSPECTIVE COHORT STUDY, NACHC PEDIATRIC WEIGHT MANAGEMENT AND MICRONUTRIENTS, LINCC TRIAL: LINKING INTER-SPECIALTY NEWBORN AND CONTRACEPTION CARE |
| SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP | ||||||||
| 109 CALIFORNIA ST | CARTERVILLE | IL | 62918 | 370966854 | 501(C)(3) | $14,380 | $0 | IMPROVING ADULT INFLUENZA VACCINATION & ROUTINE VACCINATION SERVICES FOR ADULTS, NACHC MATERNAL MORBIDITY AND PERINATAL QUALITY COLLABORATIVE PARTNERS |
| SHRIVER CENTER OF POVERTY LAW | ||||||||
| 67 E MADISON STREET SUITE 2000 | CHICAGO | IL | 60603 | 363151279 | 501(C)(3) | $10,000 | $0 | RWJF: EMPLOYING PARTICIPATORY ACTION RESEARCH TO STUDY THROUGH A RACIAL EQUITY LENS THE IMPACT OF COVID-19-RELATED CONTINUOUS MEDICAID COVERAGE |
| TAPESTRY 360 HEALTH | ||||||||
| 1301 W DEVON AVENUE | CHICAGO | IL | 606601329 | 363843377 | 501(C)(3) | $56,405 | $0 | CHICAGO CARES: DIABETES PREVENTION PROGRAM, IMPROVING HPV VACCINATION RATES IN COMMUNITY HEALTH CENTERS, SUPPORTING TRANSITIONS TO PRIMARY CARE AMONG UNDER-RESOURCED, LEVERAGING COMMUNITY-ACADEMIC PARTNERSHIPS AND SOCIAL NETWORKS TO DISSEMINATE VACCINE-RELATED INFORMATION AMONG BLACK INDIVIDUALS WITH RHEUMATIC DISEASES (LEVERAGING VACCINE UPTAKE), SUPPORTING TRANSITIONS TO PRIMARY CARE AMONG UNDER-RESOURCED, POSTPARTUM WOMEN: THE STEP-UP, AMA STUDYING ADVANCED ROOMING THROUGH OBSERVATIONS (START), CARDIOVASCULAR HEALTH TRAJECTORIES FROM BIRTH THRU ADOLESCENCE IN A DIVERSE COHORT OF CHILDREN, PROMOTING PRECONCEPTION CARE AND DIABETES SELF-MANAGEMENT AMONG REPRODUCTIVE-AGED WOMEN WITH DIABETES: THE PREPARED TRIAL, NACHC IMPROVING ADULT INFLUENZA VACCINATION & ROUTINE VACCINATION SERVICES FOR ADULTS, NACHC PEDIATRIC WEIGHT MANAGEMENT, NACHC WOMENS HEALTH PROJECT: POSTPARTUM CARE SERVICES, LINCC TRIAL: LINKING INTER-SPECIALTY NEWBORN AND CONTRACEPTION CARE |
| VARYN CONSULTING LLC | ||||||||
| 3106 RHODE ISLAND AVENUE S | SAINT LOUIS PARK | MN | 55426 | 814916135 | $16,600 | $0 | NACHC MILLION HEARTS: IDENTIFYING PATIENTS WITH UNMET SOCIAL NEEDS AND ELEVATED CARDIOVASCULAR RISK: IDENTIFYING OPPORTUNITIES FOR CV PREVENTION | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SEPARATE LEDGERS ARE MAINTAINED FOR EACH GRANT/CONTRACT AND ALL REVENUES AND EXPENDITURES RELATED TO GRANTS/CONTRACTS ARE RECORDED TO THEIR RESPECTIVE GRANT LEDGER. ALL GRANTS CONTRACTS ARE SUPPORTED BY EXECUTED AGREEMENTS AND/OR SCOPES OF WORK. SERVICES, DELIVERABLE DUE DATES, AND COMPENSATION FOR SERVICES/DELIVERABLES ARE DOCUMENTED IN THE EXECUTED AGREEMENTS. FINANCE MEETS WITH PROGRAM STAFF REGULARLY TO CONFIRM COMPLETION OF SERVICES/DELIVERABLES, AND CONFIRMS AMOUNTS AGAINST EXECUTED AGREEMENTS BEFORE INVOICES AND/OR PAYMENTS FOR SERVICES ARE PROCESSED FOR PAYMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRED D RACHMAN MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $259,918 | $0 | $0 | $0 | $0 | $0 | $10,424 | $0 | $23,607 | $0 | $293,949 | $0 | $0 | $0 |
| KAI TAO | ||||||||||||||
| PRINCIPAL, IMPACT & INNOVATION ICAN! | $249,272 | $0 | $0 | $0 | $0 | $0 | $6,697 | $0 | $9,928 | $0 | $265,897 | $0 | $0 | $0 |
| MARGARET CASTROVILLARI | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $227,236 | $0 | $0 | $0 | $0 | $0 | $9,430 | $0 | $23,927 | $0 | $260,593 | $0 | $0 | $0 |
| ANDREW HAMILTON | ||||||||||||||
| CHIEF INFORMATICS OFFICER | $235,020 | $0 | $0 | $0 | $0 | $0 | $9,540 | $0 | $11,448 | $0 | $256,008 | $0 | $0 | $0 |
| NIVEDITA MOHANTY MD | ||||||||||||||
| CHIEF RESEARCH OFFICER | $232,149 | $0 | $0 | $0 | $0 | $0 | $9,430 | $0 | $11,302 | $0 | $252,881 | $0 | $0 | $0 |
| MATTHEW STERLING | ||||||||||||||
| SENIOR DIRECTOR OF IT | $211,301 | $0 | $0 | $0 | $0 | $0 | $8,651 | $0 | $26,350 | $0 | $246,302 | $0 | $0 | $0 |
| EKEM MERCHANT BLEIBERG | ||||||||||||||
| SENIOR DIRECTORS OF HIT OPERATIONS | $186,303 | $0 | $0 | $0 | $0 | $0 | $7,585 | $0 | $6,905 | $0 | $200,793 | $0 | $0 | $0 |
| SHANNON POHL | ||||||||||||||
| DIRECTOR OF INFORMATICS | $169,116 | $0 | $0 | $0 | $0 | $0 | $6,880 | $0 | $22,882 | $0 | $198,878 | $0 | $0 | $0 |
| RYAN JAEGER | ||||||||||||||
| DIRECTOR OF DATA & ANALYTICS SERVICE | $153,399 | $0 | $0 | $0 | $0 | $0 | $6,282 | $0 | $11,395 | $0 | $171,076 | $0 | $0 | $0 |
| JIN NAM | ||||||||||||||
| DIRECTOR OF PRACTICE TRANSFORMATION | $152,754 | $0 | $0 | $0 | $0 | $0 | $6,257 | $0 | $11,405 | $0 | $170,416 | $0 | $0 | $0 |
| EVE WALTER | ||||||||||||||
| SENIOR DIR. RESEARCH/EVALUATION | $136,882 | $0 | $0 | $0 | $0 | $0 | $1,600 | $0 | $25,834 | $0 | $164,316 | $0 | $0 | $0 |
| ERICK MICHALSKI | ||||||||||||||
| DIRECTOR OF IT INFRASTRUCTURE | $145,748 | $0 | $0 | $0 | $0 | $0 | $5,810 | $0 | $1,149 | $0 | $152,707 | $0 | $0 | $0 |
| JEREMY CARR | ||||||||||||||
| DIRECTOR OF APPLICATIONS | $132,288 | $0 | $0 | $0 | $0 | $0 | $5,477 | $0 | $12,376 | $0 | $150,141 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | ALLIANCECHICAGO IS THE CONTINUATION OF AN EXISTING EFFORT TO BRING TOGETHER CHARITABLE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) TO COLLABORATIVELY PURSUE THEIR CHARITABLE MISSIONS BY BETTER SERVING THEIR DISADVANTAGED PATIENTS WITH IMPROVED HEALTH CARE, BETTER INFORMATION, COORDINATION, DIVISION OF LABOR, AND EFFICIENCY. IN ADDITION TO INCUBATING NEW STRATEGIC INITIATIVES, ALLIANCECHICAGO PROVIDES A GOVERNANCE STRUCTURE TO ASSURE ACCOUNTABILITY AND ALIGNMENT OF ACTIVITIES OF ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE OVERARCHING NOT FOR PROFIT MISSION OF ALLIANCECHICAGO. THE BOARD OF DIRECTORS OF ALLIANCECHICAGO HOLD TOP LEADERSHIP POSITIONS IN FOUR 501(C)(3) FQHCS BASED IN CHICAGO, AND HAVE A LONGSTANDING HISTORY OF COLLABORATION IN DEVELOPING CORE SERVICES THAT CAN BE MORE BROADLY SHARED TO SUPPORT NOT FOR PROFIT SAFETY NET HEALTH CARE ORGANIZATIONS SHARING SIMILAR VISIONS AND SERVICE MISSIONS. RECOGNIZING THAT THEY COULD ADVANCE THEIR ALIGNED MISSIONS BETTER THROUGH COLLABORATION, THE LEADERSHIP OF ERIE FAMILY HEALTH CENTER, HEARTLAND ALLIANCE HEALTH, HOWARD BROWN HEALTH CENTER AND NEAR NORTH HEALTH SERVICE CORPORATION ("FOUNDERS") CAME TOGETHER TO EXPLORE WAYS TO SHARE RESOURCES IN SUPPORT OF THEIR COMMON MISSIONS INCLUDING OVERALL PERFORMANCE IMPROVEMENT AND PRACTICE TRANSFORMATION. THESE 4 FOUNDERS ARE ALL 501(C)(3) ORGANIZATIONS AND RECEIVE PUBLIC AND PRIVATE CHARITABLE FUNDS TO SUPPORT THEIR CHARITABLE PURPOSES. FUNDED INITIALLY IN 1997 WITH A DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATION (HRSA) GRANT AND FOLLOWING A SERIES OF SUCCESSFUL JOINT DEMONSTRATION AND PLANNING GRANTS, THE 4 FOUNDERS' LEADERSHIP CREATED THE ALLIANCE OF CHICAGO COMMUNITY HEALTH SERVICES LLC ("ALLIANCE L3C") IN 2001 AND SELECTED HEALTH INFORMATION TECHNOLOGY ("HIT") AS A STRATEGIC FOCUS. IN 2011, THE ALLIANCE L3C CHANGED ITS LLC STATUS TO A LOW PROFIT LIMITED LIABILITY COMPANY (L3C) AND ADDED RESTRICTIONS SPECIFYING THAT THE PURPOSE OF THE ALLIANCE L3C SHALL BE LIMITED TO ONE OR MORE CHARITABLE OR EDUCATION PURPOSES WITHIN THE MEANING OF SECTION 170(C)(2)(B) OF THE INTERNAL REVENUE CODE OF 1986, AND THAT NO SIGNIFICANT PURPOSE OF THE ALLIANCE L3C IS THE PRODUCTION OF INCOME OR THE APPRECIATION OF PROPERTY. THE ALLIANCE L3C OPERATES TODAY AS ALLIANCECHICAGO HEALTH INFORMATION TECHNOLOGY ("ALLIANCECHICAGO HIT"), A HRSA HEALTH CENTER CONTROLLED NETWORK, WHICH SERVICES A COMMUNITY OF OVER 50 NOT FOR PROFIT COMMUNITY HEALTH CENTERS IN 16 STATES THAT DELIVER HEALTH CARE TO MORE THAN 450,000 PATIENTS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ALLIANCE L3C IS THE SOLE MEMBER OF THE ALLIANCECHICAGO. CURRENTLY, THE SAME FOUR INDIVIDUALS THAT HOLD TOP LEADERSHIP POSITIONS IN THE 4 FOUNDER FQHCS SERVE ON BOTH THE ALLIANCECHICAGO AND ALLIANCE L3C BOARDS OF DIRECTORS. ADDITIONALLY, THE 4 FOUNDER FQHCS ARE CONSUMERS OF SERVICES OFFERED BY ALLIANCECHICAGO AND ALLIANCE L3C. NO OFFICER OR DIRECTOR RECEIVES A PRIVATE INDIVIDUAL BENEFIT FROM THEIR ENGAGEMENT IN ALLIANCECHICAGO OR ALLIANCE L3C; RATHER THEY SERVE IN THEIR CAPACITY AS LEADERS OF THEIR RESPECTIVE FQHCS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ALLIANCE L3C IS THE INITIAL, SOLE MEMBER OF ALLAINCECHICAGO AND IS COMPRISED OF THE 4 FOUNDERS. PURSUANT TO THE ALLIANCECHICAGO BY-LAWS, ADDITIONAL MEMBERS MAY BE SELECTED FROM TIME TO TIME BY THE THEN EXISTING MEMBER(S), BUT ANY MEMBER MUST BE A NOT FOR PROFIT, 501(C)(3) CHARITABLE ENTITY, OR CONTROLLED BY ONE OR MORE SUCH ENTITIES. EACH MEMBER SHALL BE REPRESENTED BY THE MEMBER'S BOARD OF MANAGERS, BOARD OF DIRECTORS, OR ANY OFFICER OR AGENT(S) APPOINTED FOR SUCH PURPOSE BY SUCH MEMBER'S BOARD OF MANAGERS OR BOARD OF DIRECTORS, AND SHALL BE ENTITLED TO CAST ONE VOTE ON ANY AND ALL MATTERS SUBMITTED TO THE MEMBERSHIP BY THE ALLIANCECHICAGO BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ALLIANCE L3C IS THE INITIAL, SOLE MEMBER OF ALLAINCECHICAGO AND IS COMPRISED OF THE 4 FOUNDERS. PURSUANT TO THE ALLIANCECHICAGO BY-LAWS, ADDITIONAL MEMBERS MAY BE SELECTED FROM TIME TO TIME BY THE THEN EXISTING MEMBER(S), BUT ANY MEMBER MUST BE A NOT FOR PROFIT, 501(C)(3) CHARITABLE ENTITY, OR CONTROLLED BY ONE OR MORE SUCH ENTITIES. EACH MEMBER SHALL BE REPRESENTED BY THE MEMBER'S BOARD OF MANAGERS, BOARD OF DIRECTORS, OR ANY OFFICER OR AGENT(S) APPOINTED FOR SUCH PURPOSE BY SUCH MEMBER'S BOARD OF MANAGERS OR BOARD OF DIRECTORS, AND SHALL BE ENTITLED TO CAST ONE VOTE ON ANY AND ALL MATTERS SUBMITTED TO THE MEMBERSHIP BY THE ALLIANCECHICAGO BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE/REVIEW THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO THE ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. THE GOVERNING BODY IS PROVIDED A REASONABLE AMOUNT OF TIME TO REVIEW THE RETURN AND ASK ANY QUESTIONS DIRECTLY TO ORGANIZATION MANAGEMENT OR THE CONTACT AT THE INDEPENDENT CPA FIRM PRIOR TO FILING. A MEETING OR CONFERENCE CALL IS LATER SCHEDULED FOR THE CPA FIRM AND ORGANIZATION MANAGEMENT TO DISCUSS THE FORM 990 WITH THE GOVERNING BODY OR THEIR DESIGNATED COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | NOT LESS THAN ANNUALLY, EACH DIRECTOR SHALL COMPLETE, SIGN AND RETURN TO THE CHAIR OF THE BOARD OR SUCH OTHER PARTY DESIGNED BY THE BOARD, A CONFLICT OF INTEREST DISCLOSURE FORM. SUBMISSION OF THE SIGNED CONFLICT OF INTEREST DISCLOSURE FORM CONSTITUTES THE DIRECTOR'S CERTIFICATION THAT HE OR SHE HAS REVIEWED AND COMPLIED WITH ALLIANCECHICAGO'S CONFLICT OF INTEREST POLICY, AND HAS DISCLOSED ANY BUSINESS, PHILANTHROPIC OR PERSONAL AFFILIATIONS BY HIM OR HER (INCLUDING, BUT NOT LIMITED TO EMPLOYMENT RELATIONSHIPS, MATERIAL FINANCIAL INTERESTS, MEMBERSHIP ON BOARDS OF DIRECTORS AND ADVISORY BOARDS). SUBMISSION OF THE DISCLOSURE FORMS OCCURS AT OR BEFORE THE ANNUAL MEETING OF THE BOARD OF DIRECTORS OF THE CORPORATION. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY RECOMMENDATION OF CHANGES TO THE POLICY ARE COMMUNICATED AT THAT TIME. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ALLIANCECHICAGO BOARD OF DIRECTORS IS ACCOUNTABLE FOR APPROVING THE CEO'S COMPENSATION PACKAGE, AS WELL AS THE COMPENSATION OF ALL OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION THROUGH ITS REVIEW AND APPROVAL RESPONSIBILITIES OF THE ORGANIZATION'S ANNUAL BUDGET AND MID-YEAR REFORECAST. THE ORGANIZATION UTILIZES PUBLICLY AVAILABLE SALARY GUIDES AND MARKET COMPENSATION INFORMATION TO EVALUATE SALARY RANGES BY POSITION ON A BI-ANNUAL BASIS DURING THE ANNUAL BUDGET AND MID-YEAR REFORECAST PROCESSES. THIS REVIEW PROCESS COMPARES DATA FOR SIMILAR JOB RESPONSIBILITIES AND TOTAL COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS AGAINST CURRENT COMPENSATION BY POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. HOWEVER, IT IS THE PRACTICE OF THE ORGANIZATION TO POST ITS ANNUAL REPORT AND FORM 990 ON ITS WEBSITE AND TO MAKE ITS FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A: | COMPENSATION REPORTED FOR ALLIANCECHICAGO AND ITS SOLE MEMBER, ALLIANCE OF CHICAGO COMMUNITY HEALTH SERVICES L3C, IS PAID AND REPORTED BY ALLIANCECHICAGO AS THE COMMON PAYMASTER. PAYROLL EXPENSES ARE SUBSEQUENTLY ALLOCATED TO EACH ENTITY BASED ON THE EMPLOYEE'S TIME DEVOTED TO THAT ENTITY. ALLIANCECHICAGO'S FORM 990, PART VII AND SCHEDULE J REPORTS EACH APPLICABLE EMPLOYEE'S TOTAL W-2 COMPENSATION, HOWEVER, THE AMOUNTS REPORTED ON THE FORM 990, PART IX, FUNCTIONAL EXPENSE ARE REPRESENTATIVE OF ALLIANCECHICAGO'S SHARE OF PAYROLL EXPENSES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE FOR COMMUNITY RESEARCH ENGAGEMENT AND SUPPORT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W ILLINOIS STREET 5TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606547927 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452394204 | EIN |
| Primary Activities | TO SUPPORT THE USE OF DATA AND HEALTH IT | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 10 | PublicCharityStatusTxt |
| 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 | ALLIANCE OF CHICAGO COMMUNITY HEALTH SERVICES L3C | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W ILLINOIS STREET 5TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606547927 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364444309 | EIN |
| Primary Activities | HEALTH CENTER CONTROLLED NETWORK THAT PROVIDES TECHNICAL SUPPORT AND HOSTING | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| 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 | 0 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, PRIMARY ACTIVITY CONTINUED: | FormAndLineReferenceDesc |
| Explanation | SERVICES FOR ELECTRONIC HEALTH RECORDS TO FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER NOT FOR PROFIT HEALTH CARE ORGANIZATIONS. | ExplanationTxt |