STRATEGY STUDIO / PUBLIC DATA EXPLORER

GRANT HOSPITAL OF CHICAGO: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GRANT HOSPITAL OF CHICAGO (EIN 36-2167090)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-09-13
IRS object ID
202112569349100906
Schema version
2020v4.1
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)
Return2021-09-13T14:40:24-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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 NO 204AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATE O'CONNORPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8477351590PhoneNum
Signature2021-09-13SignatureDt
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 Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$16,915,233FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$16,123ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$420,466DividendsRevAndExpnssAmt
Dividends Net Invst Incm$420,466DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$294,715NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,231,156GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$294,715CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$112OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$112OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$731,416TotalRevAndExpnssAmt
Total Net Invst Incm$715,293TotalNetInvstIncmAmt
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$7,700AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,850AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,850AccountingFeesChrtblPrpsAmt
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$23,953TaxesRevAndExpnssAmt
Taxes Net Invst Incm$15,864TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$8,089TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$341DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$45,300OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$4,530OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$40,770OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$250,294TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$80,994TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$168,959TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$752,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$752,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,002,294TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$80,994TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$920,959TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$270,878ExcessRevenueOverExpensesAmt
Net Investment Income$634,299NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$35,221CashBOYAmt
Cash EOY$89,470CashEOYAmt
Cash EOYFMV$89,470CashEOYFMVAmt
Sav And Temp Cash Invst BOY$19,429SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$15,573SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$15,573SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$15,685,524OtherInvestmentsBOYAmt
Other Investments EOY$16,385,999OtherInvestmentsEOYAmt
Other Investments EOYFMV$16,385,999OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$9,715LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,936LandBldgEquipAccumDeprecAmt
Land BOY$1,251LandBOYAmt
Land EOY$779LandEOYAmt
Land EOYFMV$779LandEOYFMVAmt
Other Assets BOY$377,112OtherAssetsBOYAmt
Other Assets EOY$423,412OtherAssetsEOYAmt
Other Assets EOYFMV$423,412OtherAssetsEOYFMVAmt
Total Assets BOY$16,118,537TotalAssetsBOYAmt
Total Assets EOY$16,915,233TotalAssetsEOYAmt
Total Assets EOYFMV$16,915,233TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$15,729,721NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$16,491,821NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$388,816DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$423,412DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$16,118,537TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$16,915,233TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$16,118,537TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$16,915,233TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$16,118,537TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$270,878ExcessRevenueOverExpensesAmt
Other Increases$1,067,574OtherIncreasesAmt
Subtotal$16,915,233SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$16,915,233TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES - TD AMERITRADE$1,196,246$936,441$259,805$259,805
CAPITAL GAINS DIVIDENDS$34,910$34,910$34,910P
FieldValueIRS element (for citing)
Capital Gain Net Income$294,715CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,817InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,817SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,817TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$10,320EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$10,320TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,503OverpaymentAmt
Applied To ES Tax$1,503AppliedToESTaxAmt
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 FORESTIL60045DIRECTOR1.00$0$0$0
GEORGE M COVINGTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045SECRETARY/TREASURER1.00$0$0$0
ROBERT L FRIEDLANDER
500 NORTH WESTERN AVENUELAKE FORESTIL60045CHAIRMAN1.00$0$0$0
RICHARD M NORTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
THOMAS C VANDEN BERK
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$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$16,035,762AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$79,846AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$400,262FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$16,515,870TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$16,515,870AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$247,738CashDeemedCharitableAmt
Net Vl Noncharitable Assets$16,268,132NetVlNoncharitableAssetsAmt
Minimum Investment Return$813,407MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$813,407MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,817TaxBasedOnInvestmentIncomeAmt
Total Tax$8,817TotalTaxAmt
Distributable Before Adj$804,590DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$804,590DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$804,590DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$920,959ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$920,959QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$920,959AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$804,590DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$555,593ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$210,995ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$186,891ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$184,224ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$174,990ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,312,693TotalExcessDistributionCyovAmt
Qualifying Distributions$920,959QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$804,590AppliedToCurrentYearAmt
Remaining Distri From Corpus$116,369RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,429,062TotalCorpusAmt
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$555,593ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$873,469ExcessDistriCyovToNextYrAmt
Excess From Year4$210,995ExcessFromYear4Amt
Excess From Year3$186,891ExcessFromYear3Amt
Excess From Year2$184,224ExcessFromYear2Amt
Excess From Year1$174,990ExcessFromYear1Amt
Excess From Current Year$116,369ExcessFromCurrentYearAmt

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 (34 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALLIANCE CHICAGO -JUNO4ME
215 W OHIO STCHICAGOIL60654NONEPCBUILDING CONTRACEPTIVE CARE QUALITY HUBS$25,000
ANN & ROBERT H LURIE HOSPITAL
225 E CHICAGO AVECHICAGOIL60611NONEPCCENTER FOR CHILDREN RESILIENCE$35,000
ARTHRITUS FOUNDATION
P O BOX 96280WASHINGTONDC20077NONEPCGENERAL OPERATING SUPPORT - CHICAGO CHAPTER$12,000
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
CHILDREN'S RESEARCH TRIANGLE
70 E LAKE ST SUITE 1300CHICAGOIL60601NONEPCTRAUMA TREATMENT CENTER$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 100CHICAGOIL60608NONEPCGENERAL OPERATING SUPPORT$20,000
GADS HILL CENTER
1919 W CULLERTONCHICAGOIL60608NONEPCHEALTHY MINDS, HEALTHY SCHOOLS$20,000
HEARTLAND ALLIANCE HEALTH
208 S LASALLE STCHICAGOIL60604NONEPCIMPROVING ACCESS TO HEALTHCARE ON CHICAGO'S SOUTH SIDE$20,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STCHICAGOIL60626NONEPCELEANOR WESTER DENTAL CLINIC$10,000
HOWARD BROWN HEALTH CENTER
4025 N SHERIDAN RDCHICAGOIL60613NONEPCGENERAL OPERATING SUPPORT FOR THE 63RD STREET CLINIC$20,000
HUMAN RESOURCES DEVELOPMENT INSTITUTE INC
222 S JEFFERSON STCHICAGOIL60661NONEPCHRDI INTEGRATED HEALTHCARE$45,000
INNER CITY MUSLIM ACTION NETWORK
2744 W 63RD STCHICAGOIL60629NONEPCGENERAL OPERATING SUPPORT$20,000
LINCOLN PARK ZOOLOGICAL SOCIETY
2001 N CLARK STCHICAGOIL60614NONEPCRESEARCH PROGRAM: TICK-BORNE PATHOGEN RISK IN CHICAGO RECREATIONAL GREEN SPACES$45,000
LUSTER LEARNING INSTITUTE
1126 HILLCRESTHIGHLAND PARKIL60035NONEPCGENERAL OPERATING SUPPORT$20,000
MIDWEST ACCESS COALITION
P O BOX 408363CHICAGOIL60640NONEPCGENERAL OPERATING SUPPORT$15,000
MIDWEST ACCESS PROJECT
PO BOX 13173CHICAGOIL60613NONEPCGENERAL 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
PCC COMMUNITY WELLNESS CENTER
14 LAKE STOAK PARKIL60302NONEPCGENERAL 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
ST BERNARD HOSPITAL
326 W 64TH STCHICAGOIL60621NONEPCDENTAL CENTER$20,000
THE BOULEVARD OF CHICAGO
3456 W FRANKLIN BLVDCHICAGOIL60624NONEPCGENERAL OPERATING SUPPORT$10,000
THE NIGHT MINISTRY
4711 N RAVENSWOOD AVECHICAGOIL60640NONEPCTHE OUTREACH AND HEALTH MINISTRY PROGRAM$15,000
THE UNIVERSITY OF CHICAGO
5801 S ELLIS AVECHICAGOIL60637NONEPCECHO-CHICAGO: EXPANDING 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$30,000
WOMEN'S REPRODUCTIVE RIGHTS ASSISTANCE PROJECT
2934 1/2 BEVERLY GLEN CIRCLE 169LOS ANGELESCA90077NONEPCGENERAL OPERATING SUPPORT$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$752,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$420,466ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$112ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$294,715ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$715,293ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$715,293TotalIncomeProducingActyAmt

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$16,123TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$7,700Amt
Net Investment Income$3,850NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,850DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
OFFICE EQUIPMENT2006-09-01$7,548$7,548SL7.000000000000$0$0
LAP TOP COMPUTER2012-05-16$653$488SL10.000000000000$33$0
LENOVO IDEACENTER COMPUTER2016-04-11$917$641SL5.000000000000$183$0
DESK AND CONFERENCE TABLE2016-06-14$1,250$438SL10.000000000000$125$0

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemMUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$16,385,999BookValueAmt
EOYFMV$16,385,999EOYFMVAmt

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$824$93
DESK AND CONFERENCE TABLE$1,250$563$687

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescBENEFICAL INTEREST IN A PERPETUAL TRUSTDesc
BOY Book Value$377,112BOYBookValueAmt
EOY Book Value$423,412EOYBookValueAmt
EOYFMV$423,412EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOFFICE EXPENSEDesc
Revenue And Expenses Per Books$45,300RevenueAndExpensesPerBooksAmt
Net Investment Income$4,530NetInvestmentIncomeAmt
Disbursements Charitable Prps$40,770DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$112RevenueAndExpensesPerBooksAmt
Net Investment Income$112NetInvestmentIncomeAmt
Adjusted Net Income$112AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED GAIN(LOSS) ON INVESTMENTS$1,021,274
UNREALIZED GAIN(LOSS) ON INVESTMENTS$46,300

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$10,785$2,696$8,089
FEDERAL EXCISE TAX$3,331$3,331$0
FOREIGN TAXES$9,837$9,837$0