NEAR NORTH HEALTH SERVICE CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NEAR NORTH HEALTH SERVICE CORPORATION (EIN 36-3197647)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-04-16
- IRS object ID
- 202511069349300831
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-16T13:40:46+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 S Meyers Road Suite 500 | AddressLine1Txt |
| City | Oakbrook Terrace | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 601815209 | 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 | 363197647 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Near North Health Service Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEAR | BusinessNameControlTxt |
| Phone | 3123371073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRISTE SMITH | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Signature | 2025-04-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Anne White | PreparerPersonNm |
| PTIN | P01708202 | PTIN |
| Phone | 6302829500 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRISTE SMITH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,910,007 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEARNORTHHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SUPPORT NEAR NORTH HEALTH SERVICE CORPORATION, A SEC. 501(C)(3) ORGANIZATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 269 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,834,830 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,354,126 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,217,741 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,776,480 | CYProgramServiceRevenueAmt |
| PY Investment Income | $371,024 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,129,869 | CYInvestmentIncomeAmt |
| PY Other Revenue | $146,217 | PYOtherRevenueAmt |
| CY Other Revenue | $649,532 | CYOtherRevenueAmt |
| PY Total Revenue | $26,569,812 | PYTotalRevenueAmt |
| CY Total Revenue | $30,910,007 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,562,798 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,515,426 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $668,585 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,347,708 | PYOtherExpensesAmt |
| CY Other Expenses | $11,845,487 | CYOtherExpensesAmt |
| PY Total Expenses | $25,910,506 | PYTotalExpensesAmt |
| CY Total Expenses | $30,360,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $659,306 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $549,094 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,049,626 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,490,630 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,808,684 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,816,979 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,240,942 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,673,651 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF NEAR NORTH HEALTH SERVICE CORPORATION (NNHSC) IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTH CARE TO IMPROVE THE HEALTH, WELL-BEING, AND SAFETY OF THE DIVERSE POPULATIONS AND COMMUNITIES WE SERVE. WE ARE A CULTURALLY SENSITIVE AND CULTURALLY COMPETENT, PATIENT CENTERED COMMUNITY HEALTH CENTER THAT EMPOWERS INDIVIDUALS THROUGH EDUCATION, DISEASE PREVENTION, AND PROMOTING HEALTHY BEHAVIORS, REGARDLESS OF ONE'S INABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,886,905 | ExpenseAmt |
| Revenue | $4,104,105 | RevenueAmt |
| Desc | KOMED HOLMAN HEALTH CENTER - SERVING THE RESIDENTS OF THE MID-SOUTH SIDE OF CHICAGO, INCLUDING KENWOOD/OAKLAND GRAND BOULEVARD, HYDE PARK, AND CHATHAM. SERVICES PROVIDED INCLUDE: INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPHTHALMOLOGY, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, CASE MANAGEMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES, AND HEALTH EDUCATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,957,316 | ExpenseAmt |
| Revenue | $3,316,102 | RevenueAmt |
| Desc | WINFIELD MOODY HEALTH CENTER - SERVING THE RESIDENTS OF THE CABRINI-GREEN, NEAR NORTH, AND WEST TOWN COMMUNITIES. SERVICES PROVIDED INCLUDE: INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPHTHALMOLOGY, MEDICAL DISPENSARY, PODIATRY, XRAY, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES, AND HEALTH EDUCATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,431,251 | ExpenseAmt |
| Revenue | $1,877,558 | RevenueAmt |
| Desc | NORTH KOSTNER HEALTH CENTER - SERVING THE RESIDENTS OF WEST HUMBOLD PARK. SERVICES INCLUDE: INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPHTHALMOLOGY, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, CASE MAANGEMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $6,753,653 | $360,624 | OTHER PROGRAM SERVICES |
| $771,799 | $1,463,156 | LOUISE LANDAU HEALTH CENTER - SERVING THE RESIDENTS OF SOUTHWEST AND HUMBOLDT PARK. SERVICES PROVIDED INCLUDE: INTERNAL MEDICINE, WOMEN'S HEALTH PEDIATRICS, LAB, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES. |
| $757,031 | $1,064,334 | COTTAGE VIEW HEALTH CENTER - SERVING THE RESIDENTS OF GRAND BOULEVARD. |
| $525,238 | $472,551 | SUNNYSIDE HEALTH CENTER - SERVING THE RESIDENTS OF UPTOWN AND SUNNYSIDE COMMUNITY. |
| $288,801 | $410,056 | DENNY COMMUNITY HEALTH CENTER - SERVING THE RESIDENTS OF THE LAWSON YMCA AND THE SURROUNDING AREA. |
| $84,902 | $176,140 | RAZEM HEALTH CENTER - SERVING THE RESIDENTS OF LOGAN SQUARE, LAKEVIEW, IRVING PARK, PORTEGE PARK AND LINCOLN SQUARE. |
| $59,798 | $163,386 | REAVIS HEALTH CENTER - SERVING THE RESIDENTS OF KENWOOD/OAKLAND, HYDE PARK, GRAND BOULEVARD, AND WASHINGTON PARK. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,241,222 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,110,247 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,516,694 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 269 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | CUSH MVUDUDU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3123371073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Abraham Miller | ||||||||
| Assistant Secretary | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| Akofa Bonsi-Walless | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Carlette Seifullah | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Christina Pell-doyle | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Clarence Burch | ||||||||
| Chairperson | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| David Delgado | ||||||||
| Chair Elect | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| James Simmons | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Jill Gewargis | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Jill Keats | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| John Salay | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Joyce Tucker | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Ken Dunkin | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Leroy Duncan | ||||||||
| Assistant Treasurer | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| Norman Bolden III | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Patricia Cornelius-Woods | ||||||||
| Treasurer | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| Paulette Marshall | ||||||||
| Vice Chair | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| Rosanna Barrera | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Samuel Rosa | ||||||||
| Secretary | 1.0 | 0.3 | Yes (X) | $0 | $0 | $0 | ||
| Valerie Brown | ||||||||
| Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAN VICENCIO | ||||||||
| Interim Chief Medical Director | 40.0 | $264,037 | $0 | $20,580 | Yes (X) | |||
| TRISTE SMITH | ||||||||
| Chief Executive Officer | 40.0 | 1.0 | $342,846 | $0 | $24,636 | Yes (X) | ||
| IMANI LEWIS | ||||||||
| Executive Director of Practice Transformation and Patient Centered Care | 40.0 | $178,907 | $0 | $4,644 | Yes (X) | |||
| JENNY CHA-KIM | ||||||||
| Pediatrician | 40.0 | $154,214 | $0 | $14,740 | Yes (X) | |||
| JESS RICHARDSON | ||||||||
| Director of Addiction Medicine | 40.0 | $184,793 | $0 | $0 | Yes (X) | |||
| NICOLE BURTON | ||||||||
| Pediatrician | 40.0 | $175,164 | $0 | $15,616 | Yes (X) | |||
| RYAN KUKOR | ||||||||
| Internist- until 11.22.23 | 40.0 | $175,943 | $0 | $8,797 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,475,904 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $89,013 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIANCE OF CHICAGO COMMUNITY | |||||
| 225 W Illinois St 5th Floor | CHICAGO | IL | 60654 | Electronic Health Records Maintenance | $3,887,420 |
| BLUE CROSS & BLUE SHIELD OF ILLINOIS | |||||
| 1515 West 22nd St | Oakbrook | IL | 60523 | Medical and Dental Insurance premiums | $1,343,685 |
| CARDINAL HEALTH 110 LLC | |||||
| 5303 Collection Drive | Chicago | IL | 60693 | Drugs purchases | $1,222,784 |
| PACIFIC COMPANIES INC | |||||
| 75 ENTERPRISE SUITE 220 | ALISO VIEJO | CA | 92656 | PHYSCIANS | $915,287 |
| VISUALUTIONS | |||||
| 7440 MINTWOOD LN | Spring | TX | 77379 | Collection and Revenue Cycle Mgt | $869,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,570,472 | GovernmentGrantsAmt |
| All Other Contributions | $783,654 | AllOtherContributionsAmt |
| Total Contributions | $16,354,126 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE FEES | 621400 | $9,302,763 | $9,302,763 |
| 340B | 621400 | $2,379,926 | $2,379,926 |
| RISK SHARED PROGRAMS | 621400 | $1,093,791 | $1,093,791 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,776,480 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,129,869 | TotalRevenueColumnAmt |
| Exclusion | $1,129,869 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,000 | TotalRevenueColumnAmt |
| Exclusion | $18,000 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $631,532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $631,532 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $631,532 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,910,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,408,012 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,147,869 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,916 | TotalAmt |
| Program Services | $289,784 | ProgramServicesAmt |
| Management And General | $384,132 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,104,253 | TotalAmt |
| Program Services | $12,070,909 | ProgramServicesAmt |
| Management And General | $2,717,941 | ManagementAndGeneralAmt |
| Fundraising | $315,403 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,393 | TotalAmt |
| Program Services | $337,608 | ProgramServicesAmt |
| Management And General | $94,697 | ManagementAndGeneralAmt |
| Fundraising | $11,088 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,376,959 | TotalAmt |
| Program Services | $1,022,841 | ProgramServicesAmt |
| Management And General | $321,617 | ManagementAndGeneralAmt |
| Fundraising | $32,501 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $916,905 | TotalAmt |
| Program Services | $708,299 | ProgramServicesAmt |
| Management And General | $184,917 | ManagementAndGeneralAmt |
| Fundraising | $23,689 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,754 | TotalAmt |
| Management And General | $154,754 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,706 | TotalAmt |
| Management And General | $238,706 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,265,786 | TotalAmt |
| Program Services | $2,050,243 | ProgramServicesAmt |
| Management And General | $1,025,134 | ManagementAndGeneralAmt |
| Fundraising | $190,409 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,244,128 | TotalAmt |
| Program Services | $3,003,913 | ProgramServicesAmt |
| Management And General | $216,580 | ManagementAndGeneralAmt |
| Fundraising | $23,635 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,610,589 | TotalAmt |
| Program Services | $2,299,832 | ProgramServicesAmt |
| Management And General | $278,475 | ManagementAndGeneralAmt |
| Fundraising | $32,282 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,985 | TotalAmt |
| Program Services | $7,141 | ProgramServicesAmt |
| Management And General | $1,625 | ManagementAndGeneralAmt |
| Fundraising | $1,219 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,871 | TotalAmt |
| Management And General | $7,871 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,955 | TotalAmt |
| Program Services | $841,212 | ProgramServicesAmt |
| Management And General | $181,560 | ManagementAndGeneralAmt |
| Fundraising | $9,183 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,265 | TotalAmt |
| Program Services | $87,063 | ProgramServicesAmt |
| Management And General | $71,940 | ManagementAndGeneralAmt |
| Fundraising | $2,262 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $809,594 | $692,880 | $104,589 | $12,125 |
| PRINTING & PUBLICATIONS | $31,209 | $10,504 | $5,916 | $14,789 |
| MISCELLANEOUS | $279,645 | $94,465 | $185,180 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,360,913 | TotalAmt |
| Program Services | $23,516,694 | ProgramServicesAmt |
| Management And General | $6,175,634 | ManagementAndGeneralAmt |
| Fundraising | $668,585 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,915,917 | BOYAmt |
| EOY | $600,654 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,990,152 | BOYAmt |
| EOY | $18,726,857 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,549,328 | BOYAmt |
| EOY | $2,088,384 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,000,164 | BOYAmt |
| EOY | $2,600,402 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,664 | BOYAmt |
| EOY | $3,636,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,232,813 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,407,842 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,989,960 | BOYAmt |
| EOY | $6,824,971 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,622,181 | BOYAmt |
| EOY | $7,054,871 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,737,484 | BOYAmt |
| EOY | $1,737,484 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,597,654 | BOYAmt |
| EOY | $1,315,085 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,220,122 | BOYAmt |
| EOY | $905,644 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,049,626 | BOYAmt |
| EOY | $45,490,630 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,522,241 | BOYAmt |
| EOY | $3,678,124 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,333 | BOYAmt |
| EOY | $3,180,370 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,253,110 | BOYAmt |
| EOY | $958,485 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,808,684 | BOYAmt |
| EOY | $7,816,979 | 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 | $36,880,676 | BOYAmt |
| EOY | $37,528,993 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,266 | BOYAmt |
| EOY | $144,658 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,240,942 | BOYAmt |
| EOY | $37,673,651 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,049,626 | BOYAmt |
| EOY | $45,490,630 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $549,094 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$116,385 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $11,927,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,197,296 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,207,182 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,834,830 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,354,126 | CurrentTaxYearAmt |
| Total | $72,520,760 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,927,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,197,296 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,207,182 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,834,830 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,354,126 | CurrentTaxYearAmt |
| Total | $72,520,760 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $72,520,760 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,024 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $159,416 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $141,173 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $390,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,147,869 | CurrentTaxYearAmt |
| Total | $2,174,006 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $345,542 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $194,510 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,162 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $151,441 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $631,532 | CurrentTaxYearAmt |
| Total | $1,439,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $76,133,953 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $62,343,091 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9525 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9657 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - , COLUMN A - 345542.0, COLUMN B - 194510.0, COLUMN C - 116162.0, COLUMN D - 151441.0, COLUMN E - 631532.0, COLUMN F - 1439187.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $440,089 | OtherCostOrOtherBasisAmt |
| Book Value | $440,089 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,580,174 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,764,608 | DepreciationAmt |
| Book Value | $3,815,566 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,857,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,764,962 | DepreciationAmt |
| Book Value | $92,221 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,499,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,917,797 | DepreciationAmt |
| Book Value | $1,581,298 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,856,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $960,475 | DepreciationAmt |
| Book Value | $895,797 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,824,971 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE LEASES | Desc |
| Amt | $958,485 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $958,485 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRISTE SMITH | ||||||||||||||
| Chief Executive Officer | $342,846 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $7,136 | $0 | $367,482 | $0 | $0 | $0 |
| DAN VICENCIO | ||||||||||||||
| Interim Chief Medical Director | $264,037 | $0 | $0 | $0 | $0 | $0 | $13,444 | $0 | $7,136 | $0 | $284,617 | $0 | $0 | $0 |
| NICOLE BURTON | ||||||||||||||
| Pediatrician | $175,164 | $0 | $0 | $0 | $0 | $0 | $8,856 | $0 | $6,760 | $0 | $190,780 | $0 | $0 | $0 |
| JESS RICHARDSON | ||||||||||||||
| Director of Addiction Medicine | $184,793 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $184,793 | $0 | $0 | $0 |
| RYAN KUKOR | ||||||||||||||
| Internist- until 11.22.23 | $175,943 | $0 | $0 | $0 | $0 | $0 | $8,797 | $0 | $0 | $0 | $184,740 | $0 | $0 | $0 |
| IMANI LEWIS | ||||||||||||||
| Executive Director of Practice Transformation and Patient Centered Care | $178,907 | $0 | $0 | $0 | $0 | $0 | $4,644 | $0 | $0 | $0 | $183,551 | $0 | $0 | $0 |
| JENNY CHA-KIM | ||||||||||||||
| Pediatrician | $154,214 | $0 | $0 | $0 | $0 | $0 | $7,980 | $0 | $6,760 | $0 | $168,954 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 6,753,653 including grants of $)(Revenue $ 360,624) OTHER PROGRAM SERVICES |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 771,799 including grants of $)(Revenue $ 1,463,156) LOUISE LANDAU HEALTH CENTER - SERVING THE RESIDENTS OF SOUTHWEST AND HUMBOLDT PARK. SERVICES PROVIDED INCLUDE: INTERNAL MEDICINE, WOMEN'S HEALTH PEDIATRICS, LAB, PODIATRY, X-RAY, DENTAL, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 757,031 including grants of $)(Revenue $ 1,064,334) COTTAGE VIEW HEALTH CENTER - SERVING THE RESIDENTS OF GRAND BOULEVARD. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 525,238 including grants of $)(Revenue $ 472,551) SUNNYSIDE HEALTH CENTER - SERVING THE RESIDENTS OF UPTOWN AND SUNNYSIDE COMMUNITY. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 288,801 including grants of $)(Revenue $ 410,056) DENNY COMMUNITY HEALTH CENTER - SERVING THE RESIDENTS OF THE LAWSON YMCA AND THE SURROUNDING AREA. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 84,902 including grants of $)(Revenue $ 176,140) RAZEM HEALTH CENTER - SERVING THE RESIDENTS OF LOGAN SQUARE, LAKEVIEW, IRVING PARK, PORTEGE PARK AND LINCOLN SQUARE. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 59,798 including grants of $)(Revenue $ 163,386) REAVIS HEALTH CENTER - SERVING THE RESIDENTS OF KENWOOD/OAKLAND, HYDE PARK, GRAND BOULEVARD, AND WASHINGTON PARK. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE CFO AND CEO. SUBSEQUENT TO THAT REVIEW, THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD, WHO THEN SUBMITS THE RETURN TO THE ENTIRE BOARD FOR APPROVAL. A COPY OF THE RETURN IS KEPT ON RECORD FOR PUBLIC REVIEW SHOULD THERE BE SUCH A REQUEST. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT EVERY YEAR, WHICH IS KEPT IN EACH STAFF AND BOARD MEMBER FILE. DISCLOSURE OF CONFLICT OF INTEREST POLICY QUESTION IS PRESENTED TO EVERY SAFF OR BOARD MEMBER DURING THE RECRUITING OR HIRING PROCESS. FURTHERMORE, AT ANY JUNCTURE WHEN MAJOR DECISIONS ARE ABOUT TO BE MADE, INDIVIDUALS ARE ASKED TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE BOARD CHAIRMAN AND HUMAN RESOURCE COMMITTEE EVALUATES THE PRESIDENT & CEO AND DETERMINES COMPENSATION BASED ON SALARY SURVEYS AND OTHER MARKET DATA. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE CEO EVALUATES STAFF AND DETERMINES COMPENSATION. COMPENSATION FOR STAFF IS ALSO BASED ON SALARY SURVEYS AND OTHER MARKET DATA. |
| Form 990, Part VI, Line 19 Required documents available to the public | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, Line 11g Other Fees | Answering Services - Total Expense: 933813, Program Service Expense: 523207, Management and General Expenses: 362015, Fundraising Expenses: 48591; Consultant Fees - Total Expense: 570309, Program Service Expense: 319539, Management and General Expenses: 221094, Fundraising Expenses: 29676; Other Fees for Services - Total Expense: 1761664, Program Service Expense: 1207497, Management and General Expenses: 442025, Fundraising Expenses: 112142; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | THE CORPORATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASE NMTC NNHSC KOSTNERN AVE INVEST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NNHSC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NNHSC TITLE HOLDING CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371734856 | EIN |
| Primary Activities | LEASING | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(2) | ExemptCodeSectionTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEAR NORTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NNHSC TITLE HOLDING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $102,000 | InvolvedAmt |
| Method Of Amount Determination | Lease Agreement | MethodOfAmountDeterminationTxt |
Comments