FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY HEALTH CHARITIES OF ILLINOIS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CHARITIES OF ILLINOIS (EIN 36-3243189)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201641379349308039
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-05-16T15:14:09-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560574444PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 METROPOLITAN AVE STE 1000AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363243189EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CHARITIES OF ILLINOISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7035281007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11240 NORTH PITT STREET 3RD FLOORAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMOLLY GRAVHOLTPersonNm
Person TitleCFOPersonTitleTxt
Phone7035281007PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANICE RATICAPreparerPersonNm
PTINP00358837PTIN
Phone7043771678PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Final ReturnYes (X)FinalReturnInd
Principal OfficerTHOMAS BOGNANNOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11240 NORTH PITT STREET 3RD FLOORAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$709,161GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCORP.HEALTHCHARITIES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH CHARITIES OF ILLINOIS IS PART OF A NATIONAL FEDERATION OF PREMIER HEALTH ORGANIZATIONS THAT HAVE JOINED TOGETHER TO PROMOTE WELLNESS IN THE WORKPLACE. AS THE AFFILIATE IN ILLINOIS, WE RAISE CHARITABLE CONTRIBUTIONS FOR OUR MEMBER HEALTH ORGANIZATIONS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,056,517PYContributionsGrantsAmt
CY Contributions Grants$708,956CYContributionsGrantsAmt
PY Program Service Revenue$209,585PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$332PYInvestmentIncomeAmt
CY Investment Income$205CYInvestmentIncomeAmt
PY Other Revenue$18,696PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,285,130PYTotalRevenueAmt
CY Total Revenue$709,161CYTotalRevenueAmt
PY Grants And Similar Paid$899,148PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$390,749CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$266,919PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$212,327CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$67,000CYTotalFundraisingExpenseAmt
PY Other Expenses$195,770PYOtherExpensesAmt
CY Other Expenses$183,024CYOtherExpensesAmt
PY Total Expenses$1,361,837PYTotalExpensesAmt
CY Total Expenses$786,100CYTotalExpensesAmt
PY Revenues Less Expenses-$76,707PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$76,939CYRevenuesLessExpensesAmt
Total Assets BOY$1,192,781TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$1,020,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$171,931NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH CHARITIES OF ILLINOIS IS PART OF A NATIONAL FEDERATION OF PREMIER HEALTH ORGANIZATIONS THAT HAVE JOINED TOGETHER TO PROMOTE WELLNESS IN THE WORKPLACE. AS THE AFFILIATE IN ILLINOIS, WE RAISE CHARITABLE CONTRIBUTIONS FOR OUR MEMBER HEALTH ORGANIZATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$680,548ExpenseAmt
Grant$390,749GrantAmt
DescPROGRAM SERVICES OF COMMUNITY HEALTH CHARITIES OF ILLINOIS INCLUDE:DEVELOPMENT: CHC CULTIVATES AND MANAGES WORKPLACE EMPLOYEE GIVING PROGRAMS FOR THE PURPOSE OF RAISING, COLLECTING AND DISTRIBUTING CONTRIBUTIONS TO NON-PROFIT MEMBER AGENCIES TO SUPPORT THEIR MISSIONS AND OPERATIONS.AGENCY RELATIONS: CHC PROVIDES INFORMATION SERVICES TO, AND PROMOTES COLLABORATION AMONG MEMBER AGENCIES TO ENSURE THEIR CONTINUED WELL-BEING, PARTICIPATION AND MEMBERSHIP. CHC STAFF INVESTED INCREASED TIME AND RESOURCES TO EDUCATING OUR MEMBER CHARITIES ABOUT LEVERAGING CAMPAIGN OPPORTUNITIES AND WORKING TOGETHER TO DEVELOP ADDITIONAL WORKPLACES.Desc
Total Program Service Expenses$680,548TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7035281007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11240 NORTH PITT STREET 3RD FLOORAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
PAUL DONOHUE
PAST CHAIR2.00Yes (X)$0$0$0
KARRY FINNEGAN
DIRECTOR2.00Yes (X)$0$0$0
MARK JONTRY
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM NOVAK MD
DIRECTOR2.00Yes (X)$0$0$0
GEORGE NICHOLSON
DIRECTOR2.00Yes (X)$0$0$0
PATRICK REEDY
DIRECTOR2.00Yes (X)$0$0$0
SCOTT SAXE
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL SHMARAK
DIRECTOR2.00Yes (X)$0$0$0
PETER BOWER
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
MATTHEW BERRAFATO
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
JACKIE DOMINGUEZ
SECRETARY2.00Yes (X)$0$0$0Yes (X)
BRIAN MURPHY
TREASURER2.00Yes (X)$0$0$0Yes (X)
DAVID SELZER
PRESIDENT & CEO35.00$165,822$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$165,822TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$248,648FederatedCampaignsAmt
All Other Contributions$460,308AllOtherContributionsAmt
Total Contributions$708,956TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$205TotalRevenueColumnAmt
Exclusion$205ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$709,161TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$205ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$390,749TotalAmt
Program Services$390,749ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$165,822TotalAmt
Program Services$165,822ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,271TotalAmt
Program Services$5,752ProgramServicesAmt
Management And General$1,643ManagementAndGeneralAmt
Fundraising$2,876FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,679TotalAmt
Program Services$12,140ProgramServicesAmt
Management And General$3,469ManagementAndGeneralAmt
Fundraising$6,070FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,555TotalAmt
Program Services$8,151ProgramServicesAmt
Management And General$2,329ManagementAndGeneralAmt
Fundraising$4,075FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$2,050ProgramServicesAmt
Management And General$1,800ManagementAndGeneralAmt
Fundraising$1,150FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,860TotalAmt
Program Services$8,935ProgramServicesAmt
Management And General$7,000ManagementAndGeneralAmt
Fundraising$4,925FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,080TotalAmt
Program Services$1,725ProgramServicesAmt
Management And General$493ManagementAndGeneralAmt
Fundraising$862FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,352TotalAmt
Program Services$9,157ProgramServicesAmt
Management And General$2,616ManagementAndGeneralAmt
Fundraising$4,579FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$478TotalAmt
Program Services$268ProgramServicesAmt
Management And General$76ManagementAndGeneralAmt
Fundraising$134FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,700TotalAmt
Program Services$8,232ProgramServicesAmt
Management And General$2,352ManagementAndGeneralAmt
Fundraising$4,116FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,221TotalAmt
Program Services$684ProgramServicesAmt
Management And General$195ManagementAndGeneralAmt
Fundraising$342FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$181TotalAmt
Program Services$101ProgramServicesAmt
Management And General$29ManagementAndGeneralAmt
Fundraising$51FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,316TotalAmt
Program Services$1,297ProgramServicesAmt
Management And General$371ManagementAndGeneralAmt
Fundraising$648FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$80,712$45,199$12,914$22,599
CAMPAIGN EXPENSES$17,722$8,861$8,861
REVENUE SHARE EXPENSES$9,680$5,421$1,549$2,710
MISCELLANEOUS EXPENSES$4,389$2,458$702$1,229

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,333TotalAmt
Program Services$3,546ProgramServicesAmt
Management And General$1,014ManagementAndGeneralAmt
Fundraising$1,773FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$786,100TotalAmt
Program Services$680,548ProgramServicesAmt
Management And General$38,552ManagementAndGeneralAmt
Fundraising$67,000FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$267,954BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$922,402BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,255BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$170BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,192,781BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,253BOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$991,597BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,020,850BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,931BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$171,931BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,192,781BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$76,939ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$94,992OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,196,765CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,401,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,593,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,056,517CurrentTaxYearMinus1YearAmt
Current Tax Year$708,956CurrentTaxYearAmt
Total$5,957,082TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,196,765CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,401,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,593,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,056,517CurrentTaxYearMinus1YearAmt
Current Tax Year$708,956CurrentTaxYearAmt
Total$5,957,082TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,957,082PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,358CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,696CurrentTaxYearMinus1YearAmt
Current Tax Year$205CurrentTaxYearAmt
Total$67,874TotalAmt
FieldValueIRS element (for citing)
Total Support$6,024,956TotalSupportAmt
Public Support CY1700.98870PublicSupportCY170Pct
Public Support PY1700.98870PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ALZHEIMER'S ASSOCIATION ILLINOIS GREATER CHICAGO CHAPTER
8430 WEST BRYN MAWR SUITE 800CHICAGOIL60631363102348501(C)(3)$18,692GENERAL SUPPORT
ALZHEIMER'S ASSOCIATION INDIANA GREATER INDIANA
50 EAST 91ST STREET 100INDIANAPOLISIN46240351747836501(C)(3)$5,141GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION ILLINOIS
55 EAST MONROE STREET SUITE 3420CHICAGOIL60603131623888501(C)(3)$15,106GENERAL SUPPORT
ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO
225 EAST CHICAGO AVENUECHICAGOIL60611362170833501(C)(3)$8,461GENERAL SUPPORT
AUTISM SPEAKS ILLINOIS
2700 SOUTH RIVER ROAD SUITE 304DES PLAINESIL60018202329938501(C)(3)$8,672GENERAL SUPPORT
CROHN'S & COLITIS FOUNDATION OF AMERICA ILLINOIS
2200 EAST DEVON AVENUE SUITE 392DES PLAINESIL60018136193105501(C)(3)$7,522GENERAL SUPPORT
CYSTIC FIBROSIS FOUNDATION ILLINOIS CHAPTER
150 NORTH MICHIGAN AVENUE SUITECHICAGOIL60601362468111501(C)(3)$5,231GENERAL SUPPORT1550
JDRF INTERNATIONAL ILLINOIS MIDWEST AFFILIATE
1 NORTH LASALLE STREET SUITE 1200CHICAGOIL60602231907729501(C)(3)$9,544GENERAL SUPPORT
LES TURNER ALS FOUNDATION ILLINOIS
5550 WEST TOUHY AVENUE SUITE 302SKOKIEIL60077362916466501(C)(3)$5,503GENERAL SUPPORT
LEUKEMIA & LYMPHOMA SOCIETY ILLINOIS CHAPTER
651 WEST WASHINGTON BOULEVARD SUITECHICAGOIL60661135644916501(C)(3)$8,733GENERAL SUPPORT400
LUPUS SOCIETY OF ILLINOIS
525 WEST MONROE SUITE 900CHICAGOIL60661237287880501(C)(3)$7,593GENERAL SUPPORT
MARCH OF DIMES FOUNDATION ILLINOIS CHAPTER
111 WEST JACKSON BOULEVARD SUITECHICAGOIL60604131846366501(C)(3)$5,909GENERAL SUPPORT1650
NATIONAL KIDNEY FOUNDATION ILLINOIS
215 WEST ILLINOIS STREET SUITE 1CCHICAGOIL60654366009226501(C)(3)$7,215GENERAL SUPPORT
NATIONAL MULTIPLE SCLEROSIS SOCIETY ILLINOIS CHAPTER
525 WEST MONROE SUITE 900CHICAGOIL60661362249887501(C)(3)$9,180GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL ILLINOIS
610 NORTH SEVENTH STREETSPRINGFIELDIL62707371145155501(C)(3)$8,835GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF INDIANA
435 LIMESTONE STREETINDIANAPOLISIN46202351497202501(C)(3)$7,738GENERAL SUPPORT
SICKLE CELL DISEASE ASSOCIATION OF AMERICA ILLINOIS
8100 SOUTH WESTERN AVENUECHICAGOIL60620237157702501(C)(3)$8,914GENERAL SUPPORT
SPECIAL OLYMPICS ILLINOIS
605 EAST WILLOW STREETNORMALIL61761362922811501(C)(3)$7,728GENERAL SUPPORT
ST JUDE CHILDREN'S RESEARCH HOSPITAL ILLINOIS MIDWEST AFFILIATE
4619 NORTH RAVENSWOOD SUITE 302CHICAGOIL60640351044585501(C)(3)$107,165GENERAL SUPPORT
ST JUDE CHILDREN'S RESEARCH HOSPITAL INDIANA CHAPTER
3091 EAST 98TH STREET SUITE 240INDIANPOLISIN46280351044585501(C)(3)$10,712GENERAL SUPPORT
SUSAN G KOMEN ILLINOIS CHICAGOLAND AREA AFFILIATE
8765 WEST HIGGINS ROAD SUITE 401CHICAGOIL60631364111723501(C)(3)$13,406GENERAL SUPPORT
SUSAN G KOMEN INDIANA INDIANAPOLIS AFFILIATE
3500 DEPAUW BOULEVARD SUITE 2070INDIANAPOLISIN46268752941627501(C)(3)$9,606GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org22Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDAVID SELZERPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$152,512BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$13,310BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$165,822TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH, RECEIVABLES BALANCE, OTHER MISCELLANEOUS ASSETSAssetsDistriOrExpnssPaidDesc
Distribution2015-02-24DistributionDt
Fair Market Value Of Asset$790,938FairMarketValueOfAssetAmt
Method Of FMV DeterminationNET BOOK VALUEMethodOfFMVDeterminationTxt
EIN136167225EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CHARITIESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11240 NORTH PITT STREET 3RD FLOORAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP22314ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4DURING THE FISCAL YEAR, THE ORGANIZATION MERGED WITH COMMUNITY HEALTH CHARITIES (EIN: 13-6167225).
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ORGANIZATION. A DRAFT FORM 990 IS REVIEWED IN DETAIL BY THE CFO AND, UPON APPROVAL, IS SUBMITTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS. COVERED INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ALL MATERIAL FINANCIAL INTERESTS THAT COULD RESULT IN POTENTIAL OR ACTUAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS IN WRITING. THESE REPORTS ARE PRESENTED TO THE EXECUTIVE COMMITTEE AND ARE MAINTAINED AS A CONFIDENTIAL PART OF THE ORGANIZATION'S PERMANENT FILE. THE EXECUTIVE COMMITTEE REVIEWS ALL REPORTS FOR POTENTIAL CONFLICTS OF INTEREST AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS CONCERNING THE POSSIBLE DUALITY OF INTEREST AND ANY MAJOR FINANCIAL INTERESTS. THE BOARD SHALL CONSIDER ALL RECOMMENDATIONS MADE BY THE EXECUTIVE COMMITTEE AND SHALL MAKE THE FINAL DETERMINATION AS TO WHETHER OR NOT A CONFLICT EXISTS. ANY MATTER COMING BEFORE THE BOARD OF DIRECTORS IN WHICH A COVERED INDIVIDUAL HAS A DIRECT CONFLICT OF INTEREST, THE CONFLICT INDIVIDUAL SHALL DISCLOSE SUCH INTEREST AND PROVIDE THE BOARD OR COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION. THE CONFLICTED INDIVIDUAL SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD (OR COMMITTEE) IS MEETING, SHALL NOT PARTICIPATE IN THE FINAL DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION, AND SHALL REFRAIN FROM ANY VOTE TAKEN ON THE MATTER. THE MINUTES OF THE MEETING DOCUMENT THE DISCLOSURE MADE AND THAT THE CONFLICTED INDIVIDUAL ABSTAINED FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS HANDLED VIA CONTRACT. THE SCOPE AND PRICING OF THE CONTRACTS ARE SET AND APPROVED BY THE BOARD OF DIRECTORS. THE CONTRACTS WERE REVIEWED AGAINST INFORMATION MAINTAINED BY THE NATIONAL OFFICE, OBTAINED THROUGH A SURVEY BY BLUEWATER GROUP, WHICH SURVEYED NON-PROFITS NATIONALLY AND REGIONALLY AND PROVIDED A DETAILED, SEGMENTED REPORT. THE BOARD CHAIR, VICE CHAIR, AND ONE OTHER DIRECTOR APPOINTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS REVIEW THE PRESIDENT & CEO'S PERFORMANCE. THIS COMMITTEE REPORTS TO AND MAKES RECOMMENDATIONS REGARDING PERFORMANCE AND CHANGES TO COMPENSATION TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE ORGANIZATION'S MOST RECENT FORM 990 AND ANNUAL REPORT(INCLUDING AUDITED FINANCIAL STATEMENTS) ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AT: WWW.HEALTHCHARITIES.ORG/ILLINOIS
FORM 990, PART XI, LINE 9:DISTRIBUTION OF NET ASSETS IN MERGER -94,992.