NEAR NORTH HEALTH SERVICE CORPORATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- NEAR NORTH HEALTH SERVICE CORPORATION (EIN 36-3197647)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-02-25
- IRS object ID
- 201900569349300635
- Schema version
- 2017v2.3
- 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 | 2019-02-25T15:47:47-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W 22ND ST STE 1100 | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | 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 AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAHABI TIJANI | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3123371073 | PhoneNum |
| Signature | 2019-02-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MANDERFIELD | PreparerPersonNm |
| PTIN | P01238973 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Preparation | 2019-02-20 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-20 | IPDt |
| IP Tm | 12:16:05 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4F402DDF36D721BD6AB3A2CA290BB815499705B6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4F402DDF36D721BD6AB3A2CA290BB815499705B6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WAHABI TIJANI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 N CLYBOURN AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,473,834 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | HEALTH CARE SERVICE DELIVERY | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 305 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,970,702 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,832,952 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,935,954 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,148,052 | CYProgramServiceRevenueAmt |
| PY Investment Income | $152,598 | PYInvestmentIncomeAmt |
| CY Investment Income | $174,404 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,626,413 | PYOtherRevenueAmt |
| CY Other Revenue | $286,603 | CYOtherRevenueAmt |
| PY Total Revenue | $24,685,667 | PYTotalRevenueAmt |
| CY Total Revenue | $21,442,011 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,699,180 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,389,704 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $270,750 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,232,195 | PYOtherExpensesAmt |
| CY Other Expenses | $6,710,904 | CYOtherExpensesAmt |
| PY Total Expenses | $18,931,375 | PYTotalExpensesAmt |
| CY Total Expenses | $20,100,608 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,754,292 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,341,403 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,624,300 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,722,284 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,778,810 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,471,388 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,845,490 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,250,896 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,190,490 | ExpenseAmt |
| Revenue | $1,246,762 | 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, X-RAY, HIV/AIDS COUNSELING, MENTAL HEALTH, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES AND HEALTH EDUCATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,873,200 | ExpenseAmt |
| Revenue | $2,788,320 | 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 Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,361,213 | ExpenseAmt |
| Revenue | $1,096,889 | RevenueAmt |
| Desc | NORTH KOSTNER HEALTH CENTER - SERVING THE RESIDENTS OF WEST HUMBOLDT PARK. SERVICES PROVIDED INCLUDE; INTERNAL MEDICINE, WOMEN'S HEALTH, PEDIATRICS, LAB, OPTHAMOLOGY, PODIATRY, X-RAY, DENTAL, HIV/ADIS COUNSELING, CASE MANAGEMENT, DOMESTIC VIOLENCE OUTREACH, WIC AND NUTRITION SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (6 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $832,700 | $609,772 | LOUISE LANDAU HEALTH CENTER - SERVING THE RESIDENTS OF THE SOUTHWEST AND HUMBOLD 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 AND WIC AND NUTRITION SERVICES. |
| $260,589 | $421,670 | COTTAGE VIEW HEALTH CENTER - SERVING THE RESIDENTS OF GRAND BOULEVARD. |
| $405,921 | $361,995 | SUNNYSIDE HEALTH CENTER - SERVING THE RESIDENTS OF UPTOWN. |
| $79,243 | $159,787 | DENNY COMMUNITY HEALTH CENTER - SERVING THE RESIDENTS OF THE LAWSONYMCA AND THE NEAR NORTH SIDE. |
| $298,881 | $251,898 | REAVIS SCHOOL-BASED HEALTH CENTER - SERVING THE RESIDENTS OF THEKENWOOD COMMUNITY. |
| $2,307,719 | $363,808 | OTHER PROGRAM SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,185,053 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,168,930 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,609,956 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 305 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHABI TIJANI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3123371073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1276 NORTH CLYBOURN | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLARENCE BURCH | ||||||||
| CHAIRPERSON | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID DELGADO | ||||||||
| CHAIR ELECT | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAULETTE MARSHALL | ||||||||
| VICE CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PATRICIA CORNELIUS-WOODS | ||||||||
| TREASURER | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JORI BRINK | ||||||||
| ASSISTANT TREASURER | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SAMUEL ROSA | ||||||||
| SECRETARY | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEAN PRZYBYLEK | ||||||||
| ASSISTANT SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOVAN DEON ALLEN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY BERINGER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NORMAN BOLDEN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RODNEY CARTER JR | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEROY DUNCAN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEN DUNKIN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LORETTA FLANAGAN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ABRAHAM A MILLER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SALAY | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES SIMMONS | ||||||||
| MEMEBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PABLO TORRES-VASQUEZ | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOYCE TUCKER | ||||||||
| MEMEBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VALERIE BROWN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLETTE SEIFULLAH | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BERNEICE MILLS THOMAS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 1.00 | Yes (X) | $323,365 | $0 | $16,465 | ||
| WAHABI TIJANI | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 1.00 | Yes (X) | $218,269 | $0 | $19,601 | ||
| TIMOTHY LONG | ||||||||
| DIRECTOR OF QUALITY IMPROVEMENT | 40.00 | Yes (X) | $208,368 | $0 | $12,846 | |||
| NICOLE BURTON | ||||||||
| PEDIATRICIAN | 40.00 | $138,331 | $0 | $10,746 | Yes (X) | |||
| MUNAWAR SULTANA | ||||||||
| INTERNIST | 40.00 | $170,909 | $0 | $23,075 | Yes (X) | |||
| JUDRYN RACINES | ||||||||
| INTERNIST | 40.00 | $154,004 | $0 | $10,896 | Yes (X) | |||
| HYO LEE | ||||||||
| INTERNIST | 40.00 | $146,275 | $0 | $10,714 | Yes (X) | |||
| JENNY CHA-KIM | ||||||||
| PEDIATRICIAN | 40.00 | $135,097 | $0 | $4,443 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,494,618 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $108,786 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | 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 SERVICES | |||||
| 215 W OHIO STREET 4TH FLOOR | CHICAGO | IL | 60654 | EHR HOSTING SERVICES | $346,720 |
| PM DC | |||||
| 1910 RAYMOND DR | NORTHBROOK | IL | 60062 | JANITORIAL SERVICES | $248,400 |
| SINAI MEDICAL GROUP | |||||
| 1500 SOUTH FAIRFIELD AVE | CHICAGO | IL | 60608 | MEDICAL SERVICES | $217,800 |
| MATANKY REALTY GROUP | |||||
| 200 N LASALLE ST SUITE 2350 | CHICAGO | IL | 60601 | RENT | $178,674 |
| NORTHWESTERN MEDICAL GROUP | |||||
| 251 EAST HURON STREET | CHICAGO | IL | 60611 | MEDICAL SERVICES | $135,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $144,392 | FederatedCampaignsAmt |
| Government Grants | $12,646,098 | GovernmentGrantsAmt |
| All Other Contributions | $1,042,462 | AllOtherContributionsAmt |
| Total Contributions | $13,832,952 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE FEES | 621400 | $6,937,093 | $6,937,093 |
| 340B | 621400 | $210,959 | $210,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,148,052 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,404 | TotalRevenueColumnAmt |
| Exclusion | $174,404 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $31,819 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $31,823 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4 | TotalRevenueColumnAmt |
| Exclusion | -$4 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISC INCOME | 621990 | $152,849 | $152,849 | |
| INCOME FROM INVESTMENT IN ALLIANC | 900003 | $133,758 | $133,758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $286,607 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,442,011 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,300,901 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $308,158 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,374 | TotalAmt |
| Program Services | $522,645 | ProgramServicesAmt |
| Management And General | $152,317 | ManagementAndGeneralAmt |
| Fundraising | $9,412 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,443,351 | TotalAmt |
| Program Services | $7,975,409 | ProgramServicesAmt |
| Management And General | $2,324,318 | ManagementAndGeneralAmt |
| Fundraising | $143,624 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,087 | TotalAmt |
| Program Services | $277,118 | ProgramServicesAmt |
| Management And General | $87,979 | ManagementAndGeneralAmt |
| Fundraising | $4,990 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,010 | TotalAmt |
| Program Services | $857,372 | ProgramServicesAmt |
| Management And General | $272,198 | ManagementAndGeneralAmt |
| Fundraising | $15,440 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,882 | TotalAmt |
| Program Services | $572,186 | ProgramServicesAmt |
| Management And General | $162,989 | ManagementAndGeneralAmt |
| Fundraising | $11,707 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,474 | TotalAmt |
| Program Services | $4,365 | ProgramServicesAmt |
| Management And General | $57,100 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,125 | TotalAmt |
| Program Services | $4,411 | ProgramServicesAmt |
| Management And General | $57,705 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,995 | TotalAmt |
| Program Services | $83,140 | ProgramServicesAmt |
| Management And General | $1,087,688 | ManagementAndGeneralAmt |
| Fundraising | $167 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,027 | TotalAmt |
| Program Services | $337,584 | ProgramServicesAmt |
| Management And General | $99,844 | ManagementAndGeneralAmt |
| Fundraising | $8,599 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,830 | TotalAmt |
| Program Services | $38,612 | ProgramServicesAmt |
| Management And General | $505,140 | ManagementAndGeneralAmt |
| Fundraising | $78 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,289,773 | TotalAmt |
| Program Services | $1,070,638 | ProgramServicesAmt |
| Management And General | $218,632 | ManagementAndGeneralAmt |
| Fundraising | $503 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,352 | TotalAmt |
| Program Services | $2,849 | ProgramServicesAmt |
| Management And General | $2,371 | ManagementAndGeneralAmt |
| Fundraising | $132 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,515 | TotalAmt |
| Program Services | $16,579 | ProgramServicesAmt |
| Management And General | $104,589 | ManagementAndGeneralAmt |
| Fundraising | $347 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,318 | TotalAmt |
| Management And General | $167,318 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,021,866 | TotalAmt |
| Program Services | $686,662 | ProgramServicesAmt |
| Management And General | $319,409 | ManagementAndGeneralAmt |
| Fundraising | $15,795 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,482 | TotalAmt |
| Program Services | $55,081 | ProgramServicesAmt |
| Management And General | $153,401 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $493,053 | $391,887 | $99,159 | $2,007 |
| FOOD SUPPLIES | $464,749 | $464,749 | ||
| BAD DEBT EXPENSE | $260,785 | $0 | $260,785 | |
| MISCELLANEOUS | $173,117 | $105,707 | $10,425 | $56,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,443 | TotalAmt |
| Program Services | $142,962 | ProgramServicesAmt |
| Management And General | $76,535 | ManagementAndGeneralAmt |
| Fundraising | $946 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,100,608 | TotalAmt |
| Program Services | $13,609,956 | ProgramServicesAmt |
| Management And General | $6,219,902 | ManagementAndGeneralAmt |
| Fundraising | $270,750 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,795,285 | BOYAmt |
| EOY | $10,871,816 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $973,621 | BOYAmt |
| EOY | $976,452 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,600 | BOYAmt |
| EOY | $379,033 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,332,678 | BOYAmt |
| EOY | $3,381,886 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,851,230 | BOYAmt |
| EOY | $7,793,290 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,208 | BOYAmt |
| EOY | $152,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,426,106 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,420,429 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,175,682 | BOYAmt |
| EOY | $8,005,677 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,498,182 | BOYAmt |
| EOY | $6,524,639 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,060,814 | BOYAmt |
| EOY | $1,194,572 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $442,883 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,624,300 | BOYAmt |
| EOY | $39,722,284 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,209,012 | BOYAmt |
| EOY | $1,221,388 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,450,000 | BOYAmt |
| EOY | $4,250,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,798 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,778,810 | BOYAmt |
| EOY | $5,471,388 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,589,888 | BOYAmt |
| EOY | $33,913,551 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,602 | BOYAmt |
| EOY | $337,345 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,845,490 | BOYAmt |
| EOY | $34,250,896 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,624,300 | BOYAmt |
| EOY | $39,722,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,341,403 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$65,951 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $129,954 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,840,039 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,499,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,434,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,970,702 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,832,952 | CurrentTaxYearAmt |
| Total | $64,577,245 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,840,039 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,499,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,434,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,970,702 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,832,952 | CurrentTaxYearAmt |
| Total | $64,577,245 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $64,577,245 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,509 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,361 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,174 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,598 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $174,404 | CurrentTaxYearAmt |
| Total | $720,046 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $144,291 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $232,422 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $741,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,644,918 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $286,607 | CurrentTaxYearAmt |
| Total | $4,050,205 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $69,347,496 | TotalSupportAmt |
| Public Support CY170 | 0.93120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93560 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
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 | $15,506,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,714,870 | DepreciationAmt |
| Book Value | $5,791,621 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,490,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,079,430 | DepreciationAmt |
| Book Value | $411,172 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,858,135 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,317,720 | DepreciationAmt |
| Book Value | $540,415 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,130,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $308,409 | DepreciationAmt |
| Book Value | $822,380 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,005,677 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, NNHSC QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TASTE OF NEAR NORTH | Event1Nm |
| Gross Receipts Event1 | $31,819 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $31,819 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,123 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $111 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $30,589 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Total | $31,819 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $31,819 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,123 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $111 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,589 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $31,823 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BERNEICE MILLS THOMAS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $323,365 | $0 | $0 | $0 | $0 | $0 | $10,847 | $0 | $5,618 | $0 | $339,830 | $0 | $0 | $0 |
| WAHABI TIJANI | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $218,269 | $0 | $0 | $0 | $0 | $0 | $7,255 | $0 | $12,346 | $0 | $237,870 | $0 | $0 | $0 |
| TIMOTHY LONG | ||||||||||||||
| DIRECTOR OF QUALITY IMPROVEMENT | $208,368 | $0 | $0 | $0 | $0 | $0 | $7,228 | $0 | $5,618 | $0 | $221,214 | $0 | $0 | $0 |
| MUNAWAR SULTANA | ||||||||||||||
| INTERNIST | $170,909 | $0 | $0 | $0 | $0 | $0 | $5,730 | $0 | $17,345 | $0 | $193,984 | $0 | $0 | $0 |
| JUDRYN RACINES | ||||||||||||||
| INTERNIST | $154,004 | $0 | $0 | $0 | $0 | $0 | $5,278 | $0 | $5,618 | $0 | $164,900 | $0 | $0 | $0 |
| HYO LEE | ||||||||||||||
| INTERNIST | $146,275 | $0 | $0 | $0 | $0 | $0 | $5,096 | $0 | $5,618 | $0 | $156,989 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THERE IS AN INTERNAL REVIEW PROCESS WHICH IS PERFORMED BY THE DIRECTOR OF FINANCE AND THE EXECUTIVE DIRECTOR. 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, SECTION B, LINE 12C | 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 STAFF 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, SECTION B, LINE 15 | THE COMPENSATION FOR STAFF IS BASED ON THE RESULTS OF ANNUAL REVIEWS CONDUCTED BY THE HEALTHCARE TRADE ASSOCIATIONS. THE SURVEY IS USED AS A GUIDE IN DETERMINING THE CORPOARATION'S SALARY SCHEDULE IN COMPARISON TO ITS INDUSTRY. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP LIABILITY 129,954. |
| FORM 990, PART XII, LINE 2C: | THE CORPORATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINACIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
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 NORTH CLYBOURN | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371734856 | EIN |
| Primary Activities | LEASING BUILDING SPACE | 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 HEALTH SERVICE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NNHSC TITLE HOLDING CORPORATION | ||
| K | $102,000 | LEASE AGREEMENT |
| NNHSC TITLE HOLDING CORPORATION | ||
| E | $102,000 | LEASE AGREEMENT |