Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 244,815 | 400,862 | 150,309 | 88,537 | 189,429 | 1,073,952 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 244,815 | 400,862 | 150,309 | 88,537 | 189,429 | 1,073,952 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 1,073,952 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 244,815 | 400,862 | 150,309 | 88,537 | 189,429 | 1,073,952 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 8,348 | 9,049 | 9,103 | 16,220 | 24,414 | 67,134 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 1,141,086 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE INSTITUTE OF MEDICINE OF CHICAGO (IOMC) IS AN ORGANIZATION OF DISTINGUISHED LEADERS IN THE HEALTH FIELD WHO COLLABORATE TO IMPROVE THE HEALTH OF THE PUBLIC IN CHICAGOLAND. DRAWING UPON THE EXPERTISE OF ITS MEMBERSHIP & REGIONAL LEADERS, IOMC ADDRESSES A VARIETY OF HEALTH ISSUES. |
| FORM 990, PAGE 2, PART III, LINE 4A | PORTES FOUNDATION GRANT REVIEW THE PORTES FOUNDATION WAS ESTABLISHED OVER 70 YEARS AGO TO PROVIDE GRANT SUPPORT FOR PROJECTS TO PREVENT DISEASE AND IMPROVE CHICAGO'S HEALTH, ESPECIALLY THROUGH INNOVATIVE APPROACHES. THE IOMC NOW ADMINISTERS THE GRANT PROGRAM AND REVIEWS GRANT REQUESTS TO IDENTIFY THE MOST PROMISING AND COUNSEL GRANTEES ON HOW TO ENSURE THEIR PROJECT SUCCEEDS. GRANT REVIEWERS INCLUDE SCIENTISTS (WHO KNOW THE FIELDS), ADMINISTRATORS (WHO CAN HELP MAKE A PROJECT SUCCEED), POLICY MAKERS (WHO UNDERSTAND HOW THE PROJECT RELATES TO OVERALL HEALTH POLICY) AND COMMUNITY RESIDENTS WHO UNDERSTAND HOW THE PROJECT WILL BENEFIT THE COMMUNITY. WHILE MOST OF THE REVIEWERS ARE IOMC MEMBERS, EXPERTS FROM ALL AREAS ARE ASKED TO BECOME REVIEWS. THIS COMBINATION OF REVIEWERS REFLECTS IOMC'S MISSION TO SEE HEALTH AS A COMBINED EFFORT OF PROVIDERS, PAYERS, COMMUNITY RESIDENTS, AND POLICY MAKERS. THIS YEAR THE IOMC CO-REVIEWED 29 LETTERS OF INTENT AND INVITED 7 FULL PROPOSALS WHICH INCORPORATED 5 BOARD MEMBERS AND 4 ADDITIONAL FELLOWS. A GRANT FUNDING FOR A TOTAL OF 65,000 WAS AWARDED FOR THE SOLAR POWERED DRINKING WATER PROJECT TO PREVENT DIARRHEA IN CHILDREN IM WESTERN KENYA. |
| FORM 990, PAGE 2, PART III, LINE 4B | LEADERSHIP BREAKFASTS - APRIL, 2018: HEALTHY CHICAGO 2.0 - PRIMARY & SECONDARY GUN VIOLENCE PREVENTION THE INSTITUTE OF MEDICINE OF CHICAGO (IOMC) IS EXCITED TO LAUNCH THE FIRST LEADERSHIP BREAKFAST FOR 2018. THE BREAKFAST IS AN OPPORTUNITY TO CONVENE LOCAL LEADERSHIP, IOMC FELLOWS AND MEMBERS, AND ASPIRING HEALTH PROFESSIONALS AND NETWORK REGARDING ONE OR MORE OF FOUR-P'S (PEOPLE,/PUBLIC, PROVIDERS, PAYERS, AND POLICY). THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) ESTABLISHED THE OFFICE OF VIOLENCE PREVENTION (OVP) IN 1994 FOLLOWING THE SURGEON GENERAL DECLARATION OF VIOLENCE AS A PUBLIC HEALTH EPIDEMIC. OVP WORKS TO PREVENT VIOLENCE ACROSS THE LIFESPAN AND REDUCE ITS NEGATIVE IMPACTS WHEN IT DOES OCCUR. - JUNE , 2018): ILLINOIS' IMPACT ON THE OPIOID EPIDEMIC CBS2 BROADCAST CENTER HOSTED THIS PRESENTATION BY ILLINOIS LT. GOVERNOR EVELYN SANGUINETTI. SHE DESCRIBED THE EXTENT OF THE OPIOID EPIDEMIC IN ILLINOIS AND HOW IT AFFECTS EVERY COUNTY AND EVERY SOCIOECONOMIC GROUP. SHE LED THE DISCUSSION OF THE STEPS ILLINOIS IS TAKING TO REDUCE THE USE OF OPIOIDS AND TO PROVIDE TREATMENT TO THOSE CURRENTLY AFFLICTED. SHE EMPHASIZED THE STATE'S ROLE OF BEING BOTH THE PROVIDER AND THE COORDINATOR OF EFFORTS BY PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS. - SEPTEMBER, 2018: ACCELERATE HEALTH EQUITY WITH COLLECTIVE SOCIAL IMPACT SETH GREEN, FOUNDING DIRECTOR OF THE BAUMHART CENTER FOR SOCIAL ENTERPRISE AND RESPONSIBILITY AT LOYOLA UNIVERSITY OF CHICAGO, LED THE DISCUSSION OF ALL SECTORS (PUBLIC, PRIVATE, AND NONPROFIT) AFFECT HEALTH STATUS AND THE CHANGING ROLE OF MEDICAL PROVIDERS IN THIS MORE COMPLEX ENVIRONMENT. AS ONE PHYSICIAN COMMENTED "I USED TO THINK THAT ALL HEALTH CARE CAME FROM A DOCTOR'S OFFICE." ATTENDEES INCLUDED PROVIDERS, PAYERS, POLICY EXPERTS, CITIZENS, AND STUDENTS AND THIS SESSION CONTINUED IOMC'S MISSION OF BEING THE FORUM WHERE IDEAS CAN BE DISCUSSED OPENLY. IN THIS CASE, THIS SESSION EMPHASIZED THE ROLE OF THOSE WHO ARE NOT MEDICAL PROFESSIONALS. THE BAUMHART CENTER IS AN INTERDISCIPLINARY CENTER AT LOYOLA UNIVERSITY OF CHICAGO THAT EQUIPS CHICAGOLAND LEADERS WITH THE TOOLS TO ACCELERATE SOCIAL CHANGE. - NOVEMBER, 2018: THE HEALTH AND WELLBEING OF THE METROPOLITAN CHICAGO PEOPLE CBS2 BROADCAST CENTER HOSTED THIS PRESENTATION BY JOHN JAY SHANNON, MD, CEO OF COOK COUNTY HEALTH. DR. SHANNON LED THE DISCUSSION OF WAYS TO PROVIDE COST-EFFECTIVE HEALTH CARE TO BOTH POPULATIONS AND INDIVIDUALS, INCLUDING THE CHOICES THAT MUST BE MADE. ATTENDANCE EXCEEDED EXPECTATIONS AND ATTENDEES INCLUDED PROVIDERS, PAYERS, STUDENTS, CITIZENS AND MEMBERS OF THE MEDIA. THIS MEETING CONTINUED IOMC'S MISSION TO BE A FORUM WHERE DIFFERENT PERSPECTIVES CAN BE DISCUSSED AND PEOPLE CAN DISAGREE WITHOUT BEING DISAGREEABLE. |
| FORM 990, PAGE 2, PART III, LINE 4C | STATE OF HEALTH OF CHICAGO (SOHOC) - APRIL, 2018: GUN VIOLENCE PREVENTION ADVOCACY 101; CO-HOSTED WITH STRENGTHENING CHICAGO'S YOUTH, WE BROUGHT HEALTH CARE PROVIDERS TOGETHER TO LEARN HOW TO APPROACH THEIR POLITICIANS IN SUPPORT OF GUN VIOLENCE LEGISLATION. REBECCA LEVIN, MPH, EXECUTIVE DIRECTOR AND IOMC FELLOWS PRESENTED AND DEMONSTRATED METHODS TO IDENTIFY THE NEED AND SHARE INFORMATION AS A CITIZEN AND HEALTH CARE PROVIDER. - NOVEMBER, 2018: SOHOC 2017 FOLLOW UP: PROTECTING PUBLIC HEALTH AND PROMOTING EQUITY IN ADULT USE OF MARIJUANA LEGALIZATION IN ILLINOIS- RECOMMENDATIONS FROM POLICY MAKERS. CO-CREATED AND SUPPORTED A MONOGRAPH ABOUT GETTING IT RIGHT FROM THE START. IT WAS PROVIDED TO LEGISLATORS AND THE INCOMING ADMINISTRATION TO CONSIDER SHOULD MARIJUANA BE LEGALIZED. - DECEMBER, 2018: SOHOC2017 FOLLOW UP: MET WITH MIDWEST BUSINESS GROUP ON HEALTH'S LEADING ORGANIZATIONS TO DRAFT A RECOMMENDATION TO ADDRESS MENTAL HEALTH. ORGANIZATIONS INCLUDED: BOEING, WALGREENS, JOHNSON AND JOHNSON, IBM, CORELLA BRAND, ADVOCATE, COOK COUNTY AND THE STATE OF ILLINOIS HUMAN RESOURCE DIVISIONS. |
| FORM 990, PAGE 2, PART III, LINE 4D | ALL OTHER PROGRAM SERVICE ACCOMPLISHMENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE TREASURER, EXECUTIVE DIRECTOR AND THE FINANCE COMMITTEE PROVIDE THE INITIAL REVIEW OF THE FORM 990. THE TREASURER AND EXECUTIVE DIRECTOR THEN PRESENT THE FORM 990 TO THE ENTIRE BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S BY-LAWS ARE AVAILABLE TO THE PUBLIC ON THE IOMC WEBSITE. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 17,493 19,528 3,662 |
| FORM 990, PART XI | CHANGE IN MARKET VALUE OF INVESTMENTS |
| Software ID: | |
| Software Version: |