STRATEGY STUDIO / PUBLIC DATA EXPLORER

GRANT HOSPITAL OF CHICAGO: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
GRANT HOSPITAL OF CHICAGO (EIN 36-2167090)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-06-21
IRS object ID
201801729349100810
Schema version
2017v2.2
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)
Return2018-06-21T14:26:51-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-06-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.224.107.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-06-21IPDt
IP Tm14:26:34IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD16871BC3DF7D8B2011C2CFDDE95C80531F82C57AtSubmissionCreationDeviceId
At Submission Filing Device Id140AC84D76119C5FE701CF29AAEA4E25A970F106AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$16,235,288FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$31,699ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$314,684DividendsRevAndExpnssAmt
Dividends Net Invst Incm$314,684DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,030,028NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,988,984GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,030,028CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$377OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$377OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,376,788TotalRevAndExpnssAmt
Total Net Invst Incm$1,345,089TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$135,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$33,750CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$101,250CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$6,900AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,450AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,450AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$55,839OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$55,839OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$5,945InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$36,742TaxesRevAndExpnssAmt
Taxes Net Invst Incm$27,707TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$9,035TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$374DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$62,055OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$6,206OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$64,884OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$302,855TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$126,952TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$178,619TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$749,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$749,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,051,855TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$126,952TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$927,619TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$324,933ExcessRevenueOverExpensesAmt
Net Investment Income$1,218,137NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$29,555CashBOYAmt
Cash EOY$845,645CashEOYAmt
Cash EOYFMV$845,645CashEOYFMVAmt
Sav And Temp Cash Invst BOY$120,697SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$52,874SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$52,874SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$996,082CorporateStockBOYAmt
Corporate Stock EOY$884,712CorporateStockEOYAmt
Corporate Stock EOYFMV$884,712CorporateStockEOYFMVAmt
Other Investments BOY$13,098,579OtherInvestmentsBOYAmt
Other Investments EOY$14,071,789OtherInvestmentsEOYAmt
Other Investments EOYFMV$14,071,789OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$10,368LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,370LandBldgEquipAccumDeprecAmt
Land BOY$2,372LandBOYAmt
Land EOY$1,998LandEOYAmt
Land EOYFMV$1,998LandEOYFMVAmt
Other Assets BOY$587,103OtherAssetsBOYAmt
Other Assets EOY$378,270OtherAssetsEOYAmt
Other Assets EOYFMV$378,270OtherAssetsEOYFMVAmt
Total Assets BOY$14,834,388TotalAssetsBOYAmt
Total Assets EOY$16,235,288TotalAssetsEOYAmt
Total Assets EOYFMV$16,235,288TotalAssetsEOYFMVAmt
Accounts Payable BOY$79,801AccountsPayableBOYAmt
Accounts Payable EOY$76,322AccountsPayableEOYAmt
Total Liabilities BOY$79,801TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,322TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$14,303,500UnrestrictedBOYAmt
Unrestricted EOY$15,673,499UnrestrictedEOYAmt
Temporarily Restricted BOY$107,197TemporarilyRestrictedBOYAmt
Temporarily Restricted EOY$107,197TemporarilyRestrictedEOYAmt
Permanently Restricted BOY$343,890PermanentlyRestrictedBOYAmt
Permanently Restricted EOY$378,270PermanentlyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$14,754,587TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$16,158,966TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$14,834,388TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$16,235,288TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$14,754,587TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$324,933ExcessRevenueOverExpensesAmt
Other Increases$1,079,446OtherIncreasesAmt
Subtotal$16,158,966SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$16,158,966TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (23 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
TOUCHSTONE SMALL CAP2016-12-282017-06-22$2,209$1,961$248$248
HARBOR FD INTL2012-01-012017-06-22$155,895$143,058$12,837$12,837
PEAR TREE POLARIS2016-04-182017-11-21$329,976$259,068$70,908$70,908
TOUCHSTONE SMALL CAP2013-01-012017-06-22$602,614$534,825$67,789$67,789
HARBOR FD INTL2014-01-012017-06-22$692,549$648,630$43,919$43,919
BBH FDS BBH CORE SELECT2012-01-012017-11-21$1,552,911$966,037$586,874$586,874
VANGUARD 500 INDEX FUND2013-01-012017-09-26$199,928$199,928$0$0
QEP RESOURCES2017-04-132017-10-04$9,221$12,796-$3,575-$3,575
RPC INC2017-02-272017-09-14$3,584$3,114$470$470
WILLIAMS COS INC2016-07-012017-03-15$27,832$20,315$7,517$7,517
CANADIAN NATURAL RESOURCES2012-11-282017-05-01$3,180$2,794$386$386
MARATHON OIL CORP2012-08-242017-02-27$11,468$20,345-$8,877-$8,877
MARATHON OIL CORP2012-01-012017-08-03$7,674$18,754-$11,080-$11,080
MARATHON OIL CORP2013-01-012017-11-08$8,668$17,496-$8,828-$8,828
PDC ENERGY INC2014-01-012017-06-29$20,705$24,816-$4,111-$4,111
PIONEER NATURAL RESOURCES2012-07-162017-02-14$5,918$2,555$3,363$3,363
QEP RESOURCES2016-06-032017-10-04$8,460$18,920-$10,460-$10,460
CANADIAN NATURAL RESOURCES2009-10-272017-04-13$16,600$17,102-$502-$502
CANADIAN NATURAL RESOURCES2012-10-102017-05-01$15,898$16,630-$732-$732
DEVON ENERGY2009-10-272017-02-27$5,570$8,803-$3,233-$3,233
HESS CORP2009-11-022017-11-08$6,612$7,857-$1,245-$1,245
SCHLUMBERGER LTD2010-02-222017-05-22$15,840$13,152$2,688$2,688
CAPITAL GAINS DIVIDENDS$285,672$285,672$285,672P
FieldValueIRS element (for citing)
Capital Gain Net Income$1,030,028CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$937,646AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$14,596,045NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.064240DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,285,938AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$14,964,850NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.085931DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,318,146AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$17,255,208NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.076391DistributionYr3Rt
Adjusted Qlfy Distri Yr4$1,165,829AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$16,427,334NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.070969DistributionYr4Rt
Adjusted Qlfy Distri Yr5$1,223,954AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$15,945,636NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.076758DistributionYr5Rt
Total Distribution0.374289TotalDistributionRt
Average Distribution0.074858AverageDistributionRt
Net Vl Noncharitable Assets$15,301,816NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,145,463AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$12,181NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,157,644AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$927,619QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$24,363InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$24,363SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$24,363TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,809EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$5,809TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$18,554TaxDueAmt

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

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
JOSEPH S CARR
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
GEORGE M COVINGTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
ROBERT L FRIEDLANDER
500 NORTH WESTERN AVENUELAKE FORESTIL60045SECRETARY/TREASURER1.00$0$0$0
RICHARD M NORTON
500 NORTH WESTERN AVENUELAKE FORESTIL60045DIRECTOR1.00$0$0$0
RICHARD M ROSS JR
500 NORTH WESTERN AVENUELAKE FORESTIL60045CHAIRMAN1.00$0$0$0
KATE GRUBBS O'CONNOR
500 NORTH WESTERN AVENUELAKE FORESTIL60045EXECUTIVE DIRECTOR40.00$135,000$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$14,525,581AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$524,386AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$484,872FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$15,534,839TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$15,534,839AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$233,023CashDeemedCharitableAmt
Net Vl Noncharitable Assets$15,301,816NetVlNoncharitableAssetsAmt
Minimum Investment Return$765,091MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$765,091MinimumInvestmentReturnAmt
Tax Based On Investment Income$24,363TaxBasedOnInvestmentIncomeAmt
Total Tax$24,363TotalTaxAmt
Distributable Before Adj$740,728DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$740,728DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$740,728DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$927,619ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$927,619QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$927,619AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$740,728DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$434,890ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$362,804ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$476,094ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$555,593ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$210,995ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,040,376TotalExcessDistributionCyovAmt
Qualifying Distributions$927,619QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$740,728AppliedToCurrentYearAmt
Remaining Distri From Corpus$186,891RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,227,267TotalCorpusAmt
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$434,890ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,792,377ExcessDistriCyovToNextYrAmt
Excess From Year4$362,804ExcessFromYear4Amt
Excess From Year3$476,094ExcessFromYear3Amt
Excess From Year2$555,593ExcessFromYear2Amt
Excess From Year1$210,995ExcessFromYear1Amt
Excess From Current Year$186,891ExcessFromCurrentYearAmt

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 (38 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASSOCIATION HOUSE OF CHICAGO
1116 N KEDZIECHICAGOIL60651NONEPCINTEGRATED HEALTH PROGRAM$15,000
BREAKTHROUGH URBAN MINISTRY
402 N ST LOUIS STCHICAGOIL60624NONEPCBEHAVIORAL HEALTH FOR HOMELESS ADULTS$15,000
CANINE THERAPY CORPS
1700 W IRVING PARK RDCHICAGOIL60651NONEPCGENERAL OPERATING SUPPORT$12,000
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
721 N LASALLECHICAGOIL60654NONEPCHOSPITAL TRANSITION PROGRAM$25,000
CENTER ON HALSTED
3858 N HALSTED STCHICAGOIL60613NONEPCBEHAVIORAL HEALTH SERVICES$20,000
CHICAGO CHILDREN'S ADVOCACY CENTER
1240 SOUTH DAMEN AVECHICAGOIL60608NONEPCFAMILY HOPE CENTER$20,000
CHICAGO FAMILY HEALTH CENTER
9119 SOUTH EXCHANGE AVECHICAGOIL60617NONEPCGENERAL OPERATING SUPPORT$20,000
COMMUNITY COUNSELING CENTERS OF CHICAGO
4740 N CLARKCHICAGOIL60640NONEPCBEHAVIORAL HEALTH PRIMARY CARE$30,000
COMMUNITY HEALTH
2811 W CHICAGO AVECHICAGOIL60622NONEPCGENERAL OPERATING SUPPORT$20,000
ERIE FAMILY HEALTH CENTER
1701 W SUPERIOR STCHICAGOIL60622NONEPCPATIENT-CENTERED CARE INEGRATION (PCCI) INITIATIVE$20,000
ESPERANZA HEALTH CENTERS
2001 S CALIFORNIA AVECHICAGOIL60608NONEPCCARE COORDINATION PROGRAM$20,000
EVERTHRIVE ILLINOIS
1256 W CHICAGO AVECHICAGOIL60642NONEPCCHICAGO SAFETY NET LEARNING COLLABORATIVE$20,000
FAMILY FOCUS
310 S PEORIACHICAGOIL60607NONEPCTRAUMA-INFORMED THERAPEUTIC SERVICES$20,000
GADS HILL CENTER
1919 W CULLERTONCHICAGOIL60608NONEPCHEALTHY MINDS, HEALTHY SCHOOLS$15,000
GOLDIE'S PLACE
5705 N LINCOLN AVECHICAGOIL60659NONEPCGENERAL OPERATING SUPPORT$20,000
HOWARD AREA COMMUNITY CENTER
7648 N PAULINA STCHICAGOIL60626NONEPCELEANOR WESTER DENTAL CLINIC$10,000
HOWARD BROWN HEALTH CENTER
4025 N SHERIDAN RDCHICAGOIL60613NONEPCHEALTHCARE OPERATIONS, SALARIES AND PROGRAMS$20,000
HUMAN RESOURCES DEVELOPMENT INSTITUTE INC
222 S JEFFERSON STCHICAGOIL60661NONEPCHHC - BEHAVIORAL HEALTH INTEGRATION PROGRAM$25,000
ILLINOIS COLLEGE OF OPTOMETRY
3241 S MICHIGAN AVECHICAGOIL60616NONEPCCHICAGO VISION OUTREACH$20,000
INNER CITY MUSLIM ACTION NETWORK
2744 W 63RD STCHICAGOIL60629NONEPCIMAN HEALTH CLINIC - GENERAL OPERATING SUPPORT$20,000
LINCOLN PARK ZOOLOGICAL SOCIETY
2001 N CLARK STCHICAGOIL60614NONEPCWILDLIFE AND HUMAN HEALTH INITIATIVE$40,000
LUSTER LEARNING INSTITUTE
1126 HILLCRESTHIGHLAND PARKIL60035NONEPCGENERAL OPERATING SUPPORT$20,000
MIDWEST ACCESS PROJECT
PO BOX 13173CHICAGOIL60613NONEPCGENERAL OPERATING SUPPORT$15,000
NEW MOMS INC
5317 W CHICAGO AVECHICAGOIL60651NONEPCFAMILY SUPPORT PROGRAM$20,000
OLD IRVING PARK COMMUNITY CLINIC
5425 W ADDISON STCHICAGOIL60641NONEPCGENERAL OPERATING SUPPORT$20,000
PCC COMMUNITY WELLNESS CENTER
14 LAKE STOAK PARKIL60302NONEPCGENERAL OPERATING SUPPORT$20,000
PRIMECARE COMMUNITY HEALTH
2232 N CLYBOURNE AVECHICAGOIL60614NONEPCPSYCHIATRIC CONSULTATION IN PRIMARY CARE$17,000
PRIMO CENTER FOR WOMEN AND CHILDREN
4241 W WASHINGTON BLVDCHICAGOIL60624NONEPCTRAUMA-INFORMED MENTAL HEALTH SERVICES IN CONGREGATE CARE$25,000
RUSH UNIVERSITY MEDICAL CENTER
1700 W VAN BURENCHICAGOIL60612NONEPCRUSH ADOLESCENT FAMILY CENTER$20,000
SECOND SENSE
65 E WACKER DRCHICAGOIL60601NONEPCSUPPORT FOR VISION REHABILITATION TO MOVE BEYOND VISION LOSS$10,000
SISTERHOUSE
851 N LEAMINGTON AVECHICAGOIL60651NONEPCGENERAL OPERATING SUPPORT$15,000
ST JAMES CATHEDRAL COUNSELING CENTER
50 E WASHINGTON STCHICAGOIL60602NONEPCPEDIATRIC ASTHMA PROJECT$10,000
THE BOULEVARD OF CHICAGO
3456 W FRANKLIN BLVDCHICAGOIL60624NONEPCGENERAL OPERATING SUPPORT$10,000
THE NIGHT MINISTRY
4711 N RAVENSWOOD AVECHICAGOIL60640NONEPCOUTREACH AND HEALTH MINISTRY$15,000
THE UNIVERSITY OF CHICAGO
5801 S ELLIS AVECHICAGOIL60637NONEPCURBAN HEALTHCARE INNOVATION BUILDING BEHAVIORAL HEALTH CAPACITY FOR VUNERABLE COMMUNITIES$30,000
THRESHOLDS
4101 N RAVENSWOOD AVECHICAGOIL60613NONEPCSUBSTANCE USE TREATMENT AND DIVERSION PROGRAM$25,000
UCAN (UHLICH CHILDREN'S ADVANTAGE NETWORK)
3737 N MOZART STCHICAGOIL60618NONEPCUCAN NORTH LAWDALE CAMPUS - CAPITAL REQUEST$25,000
WOMEN'S REPRODUCTIVE RIGHTS ASSISTANCE PROJECT
2934 1/2 BEVERLY GLEN CIRCLE 169LOS ANGELESCA90077NONEPCGENERAL OPERATING SUPPORT$25,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$749,000TotalGrantOrContriPdDurYrAmt
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$314,684ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$377ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,030,028ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,345,089ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,345,089TotalIncomeProducingActyAmt

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 (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
WILLIAM C MADLENER TRUST
1135 S LASALLE STCHICAGOIL60603$21,486Yes (X)
ILLINOIS HEALTH & HOSPITAL ASSOC
2222 S RIVERSIDE PLAZACHICAGOIL60606$10,213Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$6,900Amt
Net Investment Income$3,450NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,450DisbursementsCharitablePrpsAmt

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$293SL10.000000000000$65$0
LENOVO IDEACENTER COMPUTER2016-04-11$917$92SL5.000000000000$183$0
DESK AND CONFERENCE TABLE2016-06-14$1,250$63SL10.000000000000$125$0

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITIESStockNm
EOY Book Value$884,712EOYBookValueAmt
EOYFMV$884,712EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MUTUAL FUNDSFMV$12,351,433$12,351,433
PARTNERSHIPSAT COST$922,594$922,594
EXCHANGE TRADED FUNDSFMV$797,762$797,762

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (4 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
OFFICE EQUIPMENT$7,548$7,548$0
LAP TOP COMPUTER$653$358$295
LENOVO IDEACENTER COMPUTER$917$275$642
DESK AND CONFERENCE TABLE$1,250$188$1,062

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CASH SURRENDER VALUE - INSURANCE$243,213
BENEFICAL INTEREST IN A PERPETUAL TRUST$343,890$378,270$378,270

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescOFFICE EXPENSEDesc
Revenue And Expenses Per Books$62,055RevenueAndExpensesPerBooksAmt
Net Investment Income$6,206NetInvestmentIncomeAmt
Disbursements Charitable Prps$64,884DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$377RevenueAndExpensesPerBooksAmt
Net Investment Income$377NetInvestmentIncomeAmt
Adjusted Net Income$377AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (3 entries)

DescDescAmtAmt
UNREALIZED GAIN(LOSS) ON INVESTMENTS$488,279
UNREALIZED GAIN(LOSS) ON INVESTMENTS$34,380
LIFE INSURANCE DEATH BENEFIT, NET$556,787

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$55,839Amt
Net Investment Income$55,839NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL TAXES$12,046$3,011$9,035
FEDERAL EXCISE TAX$18,932$18,932$0
FOREIGN TAXES$5,764$5,764$0