STRATEGY STUDIO / PUBLIC DATA EXPLORER

GRANT HOSPITAL OF CHICAGO: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GRANT HOSPITAL OF CHICAGO (EIN 36-2167090)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-13
IRS object ID
202211339349103581
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-05-13T14:49:31-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN364049282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PASQUESI SHEPPARD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1585 BANK LANEAddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167090EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT HOSPITAL OF CHICAGOBusinessNameLine1Txt
Business Name Line2D/B/A GRANT HEALTHCARE FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGRANBusinessNameControlTxt
Phone8477351590PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 NORTH WESTERN AVENUE 204AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATE O'CONNORPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8477351590PhoneNum
Signature2022-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATEPersonFirstNm
Person LastOCONNORPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDENNIS P O'BRIENPreparerPersonNm
PTINP00008832PTIN
Phone8472345000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$18,352,504FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$27,797ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$352,198DividendsRevAndExpnssAmt
Dividends Net Invst Incm$352,198DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$331,872NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,621,493GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$331,872CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$280OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$280OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$712,147TotalRevAndExpnssAmt
Total Net Invst Incm$684,350TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$155,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$38,750CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$116,250CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,000AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$18,000OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$18,000OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$26,703TaxesRevAndExpnssAmt
Taxes Net Invst Incm$18,377TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$8,326TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$218DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$13,605OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$1,361OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$12,244OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$20,505OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$2,051OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$18,454OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$242,031TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$82,539TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$159,274TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$770,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$770,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,012,031TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$82,539TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$929,274TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$299,884ExcessRevenueOverExpensesAmt
Net Investment Income$601,811NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$89,470CashBOYAmt
Cash EOY$53,999CashEOYAmt
Cash EOYFMV$53,999CashEOYFMVAmt
Sav And Temp Cash Invst BOY$15,573SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$15,504SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$15,504SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$16,385,999OtherInvestmentsBOYAmt
Other Investments EOY$17,827,930OtherInvestmentsEOYAmt
Other Investments EOYFMV$17,827,930OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$9,715LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,153LandBldgEquipAccumDeprecAmt
Land BOY$779LandBOYAmt
Land EOY$562LandEOYAmt
Land EOYFMV$562LandEOYFMVAmt
Other Assets BOY$423,412OtherAssetsBOYAmt
Other Assets EOY$454,509OtherAssetsEOYAmt
Other Assets EOYFMV$454,509OtherAssetsEOYFMVAmt
Total Assets BOY$16,915,233TotalAssetsBOYAmt
Total Assets EOY$18,352,504TotalAssetsEOYAmt
Total Assets EOYFMV$18,352,504TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$16,491,821NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$17,897,995NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$423,412DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$454,509DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$16,915,233TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$18,352,504TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$16,915,233TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$18,352,504TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$16,915,233TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$299,884ExcessRevenueOverExpensesAmt
Other Increases$1,737,155OtherIncreasesAmt
Subtotal$18,352,504SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$18,352,504TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
VANGUARD ENERGY INVESTOR2021-01-012021-11-01$28,903$39,501-$10,598-$10,598
VANGUARD ENERGY INVESTOR2020-01-012021-11-01$634,868$867,663-$232,795-$232,795
VANGUARD 500 INDEX2010-01-012021-12-02$939,928$382,457$557,471$557,471
CAPITAL GAINS DIVIDENDS$17,794$17,794$17,794P
FieldValueIRS element (for citing)
Capital Gain Net Income$331,872CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,365InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,365SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,365TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,840EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$8,840TotalPaymentsAndCreditsAmt
Es Penalty$29EsPenaltyAmt
Overpayment$446OverpaymentAmt
Applied To ES Tax$446AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.GRANTHEALTHCARE.ORGWebsiteAddressTxt
Individual With BooksKATE GRUBBS O'CONNORIndividualWithBooksNm
Phone8477351590PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1500 N WESTERN AVE SUITE 204AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MAUREEN L BLAHA
500 NORTH WESTERN AVENUELAKE FORESTIL60045SECRETARY/TREASURER1.00$0$0$0
GEORGE M COVINGTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
ROBERT L FRIEDLANDER
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
RICHARD M NORTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
THOMAS C VANDEN BERK
500 NORTH WESTERN AVENUELAKE FORESTIL60045CHAIRMAN1.00$0$0$0
KATE GRUBBS O'CONNOR
500 NORTH WESTERN AVENUELAKE FORESTIL60045EXECUTIVE DIRECTOR40.00$155,000$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$17,106,964AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$87,273AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$439,631FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,633,868TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$17,633,868AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$264,508CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,369,360NetVlNoncharitableAssetsAmt
Minimum Investment Return$868,468MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$868,468MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,365TaxBasedOnInvestmentIncomeAmt
Total Tax$8,365TotalTaxAmt
Distributable Before Adj$860,103DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$860,103DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$860,103DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$929,274ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$929,274QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$860,103DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$210,995ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$186,891ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$184,224ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$174,990ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$116,369ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$873,469TotalExcessDistributionCyovAmt
Qualifying Distributions$929,274QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$860,103AppliedToCurrentYearAmt
Remaining Distri From Corpus$69,171RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$942,640TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$210,995ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$731,645ExcessDistriCyovToNextYrAmt
Excess From Year4$186,891ExcessFromYear4Amt
Excess From Year3$184,224ExcessFromYear3Amt
Excess From Year2$174,990ExcessFromYear2Amt
Excess From Year1$116,369ExcessFromYear1Amt
Excess From Current Year$69,171ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonKATE GRUBBS O'CONNOR GRANT HEALTHCARecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1500 NORTH WESTERN AVENUE SUITE 204AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8477351590RecipientPhoneNum
Recipient Email AddressKOCONNOR@GRANTHEALTHCARE.ORGRecipientEmailAddressTxt
Form And Info And MaterialsGRANT FORM USEDFormAndInfoAndMaterialsTxt
Submission DeadlinesJULYSubmissionDeadlinesTxt
Restrictions On AwardsTHE FIELD OF HEALTHCARE IN THE GREATER CHICAGOLAND AREARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALLIANCE CHICAGO
215 W OHIO STCHICAGOIL60654NONEPCCOMMUNITY HEALTH PROVIDER TRAINING: BUILDING CAPACITY TO DELIVER PATIENT-CENTERED CONTRACEPTIVE CARE$25,000
ANN & ROBERT H LURIE HOSPITAL
225 E CHICAGO AVECHICAGOIL60611NONEPCCENTER FOR CHILDREN RESILIENCE$35,000
BREAKTHROUGH URBAN MINISTRIES
402 N ST LOUIS AVECHICAGOIL60624NONEPCBREAKTHROUGH BEHAVIORAL HEALTH PROGRAM$15,000
CHICAGO CHILDREN'S ADVOCACY CENTER
1240 S DAMEN AVECHICAGOIL60608NONEPCGENERAL OPERATING SUPPORT$20,000
CHICAGO FAMILY HEALTH CENTER
9119 S EXCHANGE AVECHICAGOIL60617NONEPCGENERAL OPERATING SUPPORT AND FQHC - POPULATION HEALTH COLLABORATIVE SPECIALTY CARE PROJECT$45,000
CHILDREN'S RESEARCH TRIANGLE
70 E LAKE ST SUITE 1300CHICAGOIL60601NONEPCTRAUMA TREATMENT PROGRAM$20,000
COMMUNITY COUNSELING CENTERS OF CHICAGO (C4)
4740 N CLARK STCHICAGOIL60640NONEPCTHE BEHAVIORAL HEALTH PRIMARY CARE LEARNING COLLABORATIVE$30,000
COMMUNITY HEALTH
2611 W CHICAGO AVECHICAGOIL60622NONEPCGENERAL OPERATING SUPPORT$20,000
ERIE FAMILY HEALTH CENTER
1701 W SUPERIOR STCHICAGOIL60622NONEPCTHE ERIE TEEN CENTER$20,000
ESPERANZA HEALTH CENTERS
2001 S CALIFORNIA AVE STE 100CHICAGOIL60608NONEPCBEHAVIORAL HEALTH CARE COORDINATION AND CHICAGO SAFETY NET LEARNING COLLABORATIVE$50,000
GADS HILL CENTER
1919 W CULLERTONCHICAGOIL60608NONEPCHEALTHY MINDS, HEALTHY SCHOOLS$20,000
HEARTLAND ALLIANCE HEALTH
208 S LASALLE STCHICAGOIL60604NONEPCIMPROVING ACCESS TO COORDINATED CARE ON CHICAGO'S SOUTH SIDE$20,000
HOWARD BROWN HEALTH CENTER
1025 W SUNNYSIDECHICAGOIL60640NONEPCGENERAL OPERATING SUPPORT FOR THE 63RD STREET CLINIC$20,000
HUMAN RESOURCES DEVELOPMENT INSTITUTE INC
222 S JEFFERSON STCHICAGOIL60661NONEPCHRDI INTEGRATED CARE$45,000
ILLINOIS COLLEGE OF OPTOMETRY
3241 S MICHIGAN AVECHICAGOIL60616NONEPCADDRESSING THE UNMET NEEDS OF UNDERSERVED CHICAGO PUBLIC SCHOOL CHILDREN$20,000
LUSTER LEARNING INSTITUTE
1126 HILLCRESTHIGHLAND PARKIL60035NONEPCGENERAL OPERATING SUPPORT$20,000
MIDWEST ACCESS PROJECT
5215 N RAVENSWOOD AVECHICAGOIL60640NONEPCGENERAL OPERATING SUPPORT$15,000
NEW MOMS INC
5317 W CHICAGO AVECHICAGOIL60651NONEPCTHE FAMILY SUPPORT PROGRAM$20,000
OLD IRVING PARK COMMUNITY CENTER
5425 W ADDISON STCHICAGOIL60641NONEPCGENERAL OPERATING SUPPORT$20,000
PEER HEALTH EXCHANGE
233 W JACKSON BLVD STE 630CHICAGOIL60606NONEPCGENERAL OPERATING SUPPORT$20,000
PLANNED PARENTHOOD OF ILLINOIS
18 S MICHIGAN AVECHICAGOIL60603NONEPCGENERAL OPERATING SUPPORT$50,000
PUBLIC HEALTH INSTITUTE OF METROPOLITAN CHICAGO
180 N MICHIGAN AVE SUITE 1200CHICAGOIL60601NONEPCSCHOOL HEALTH ACCESS COLLABORATIVE$25,000
RUSH UNIVERSITY MEDICAL CENTER
1201 W HARRISON STCHICAGOIL60607NONEPCREPRODUCTIVE SERVICES ACROSS AFC/SBHC PROGRAM$20,000
SINAI HEALTH SYSTEM
1500 S CALIFORNIACHICAGOIL60608NONEPCTRANSITIONS OF CARE CASE MANAGER$40,000
THE BOULEVARD OF CHICAGO
3456 W FRANKLIN BLVDCHICAGOIL60624NONEPCGENERAL OPERATING SUPPORT$15,000
THE NIGHT MINISTRY
4711 N RAVENSWOOD AVECHICAGOIL60640NONEPCTHE OUTREACH AND HEALTH MINISTRY PROGRAM$15,000
THE UNIVERSITY OF CHICAGO
5801 S ELLIS AVECHICAGOIL60637NONEPCEXPANDING PRIMARY CARE CAPACITY TO SUPPORT CARE FOR SERIOUS MENTAL ILLNESS IN VULNERABLE COMMUNITIES$20,000
THRESHOLDS
4101 N RAVENSWOOD AVECHICAGOIL60613NONEPCSUBSTANCE USE TREATMENT PROGRAM$25,000
UCAN (UHLICH CHILDREN'S ADVANTAGE NETWORK)
3605 W FILMORE STCHICAGOIL60624NONEPCGENERAL OPERATING SUPPORT - COUNSELING AND YOUTH DEVELOPMENT SERVICES$30,000
YOUTH GUIDANCE
1 N LASALLE STCHICAGOIL60602NONEPCFAMILY RESOURCE PILOT PROGRAM$30,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$770,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$352,198ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$280ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$331,872ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$684,350ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$684,350TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM C MADLENER TRUSTBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1135 S LASALLE STAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60603ZIPCd
FieldValueIRS element (for citing)
Total Contributions$27,797TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$8,000Amt
Net Investment Income$4,000NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,000DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
OFFICE EQUIPMENT2006-09-01$7,548$7,548SL7.000000000000$0$0
LENOVO IDEACENTER COMPUTER2016-04-11$917$824SL5.000000000000$93$0
DESK AND CONFERENCE TABLE2016-06-14$1,250$563SL10.000000000000$125$0

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$17,827,930BookValueAmt
EOYFMV$17,827,930EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
OFFICE EQUIPMENT$7,548$7,548$0
LENOVO IDEACENTER COMPUTER$917$917$0
DESK AND CONFERENCE TABLE$1,250$688$562

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescBENEFICAL INTEREST IN A PERPETUAL TRUSTDesc
BOY Book Value$423,412BOYBookValueAmt
EOY Book Value$454,509EOYBookValueAmt
EOYFMV$454,509EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOFFICE EXPENSEDesc
Revenue And Expenses Per Books$20,505RevenueAndExpensesPerBooksAmt
Net Investment Income$2,051NetInvestmentIncomeAmt
Disbursements Charitable Prps$18,454DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$280RevenueAndExpensesPerBooksAmt
Net Investment Income$280NetInvestmentIncomeAmt
Adjusted Net Income$280AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED GAIN(LOSS) ON INVESTMENTS$1,706,058
UNREALIZED GAIN(LOSS) ON INVESTMENTS$31,097

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$18,000Amt
Net Investment Income$18,000NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL TAXES$11,101$2,775$8,326
FEDERAL EXCISE TAX$7,337$7,337$0
FOREIGN TAXES$8,265$8,265$0