Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
Illinois Children's Healthcare
Foundation
Number and street (or P.O. box number if mail is not delivered to street address)1200 Jorie Blvd 301
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Oak Brook, IL60523
A Employer identification number

03-0503425
B Telephone number (see instructions)

(630) 571-2555
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$172,838,273
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 3,345,937 3,345,937  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 6,081,319
b Gross sales price for all assets on line 6a 12,462,812
7 Capital gain net income (from Part IV, line 2)... 6,081,319
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 9,428,256 9,427,256  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 285,300 8,559   276,741
14 Other employee salaries and wages...... 552,230 8,821   543,409
15 Pension plans, employee benefits....... 209,528 3,737   205,791
16a Legal fees (attach schedule)......... 28,983 0   33,901
b Accounting fees (attach schedule)....... 49,096 36,534   12,562
c Other professional fees (attach schedule).... 422,849 79,734   410,959
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 225,420 97,683   0
19 Depreciation (attach schedule) and depletion... 2,392 0  
20 Occupancy.............. 69,083 384   68,699
21 Travel, conferences, and meetings....... 13,220 0   13,220
22 Printing and publications.......... 6,994 0   6,994
23 Other expenses (attach schedule)....... 50,533 2,069   48,464
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,915,628 237,521   1,620,740
25 Contributions, gifts, grants paid....... 9,505,990 11,491,490
26 Total expenses and disbursements. Add lines 24 and 25 11,421,618 237,521   13,112,230
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,993,362
b Net investment income (if negative, enter -0-) 9,189,735
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 2,221,868 4,717,449 4,717,449
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 26,808 33,816 33,816
10a Investments—U.S. and state government obligations (attach schedule) 19,187,677 Click to see attachment18,477,634 18,477,634
b Investments—corporate stock (attach schedule)....... 141,869,211 Click to see attachment149,607,546 149,607,546
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet126,874
Less: accumulated depreciation (attach schedule) bullet125,046 4,220 Click to see attachment1,828 1,828
15 Other assets (describe bullet) Click to see attachment21,679 Click to see attachment0 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 163,331,463 172,838,273 172,838,273
Liabilities 17 Accounts payable and accrued expenses.......... 88,898 17,531
18 Grants payable................. 8,211,092 6,225,592
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment-29,355 Click to see attachment65,058
23 Total liabilities (add lines 17 through 22)......... 8,270,635 6,308,181
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 155,060,828 166,530,092
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 155,060,828 166,530,092
30 Total liabilities and net assets/fund balances (see instructions). 163,331,463 172,838,273
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
155,060,828
2
Enter amount from Part I, line 27a .....................
2
-1,993,362
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
13,491,981
4
Add lines 1, 2, and 3 ..........................
4
166,559,447
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
29,355
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
166,530,092
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a Publicly Traded Securities      
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 12,462,812   6,381,493 6,081,319
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       6,081,319
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 6,081,319
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 127,737
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 127,737
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 62,679
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 70,058
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 132,737
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,000
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet5,000 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.ilchf.org
    14
    The books are in care ofbulletThe Foundation Telephone no.bullet (630) 571-2555

    Located atbullet1200 Jorie Blvd 301Oak BrookIL ZIP+4bullet605232218
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Peter Flynn PhD Chair/Director
    5.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    J Kay Giles Vice Chair/Director
    2.50
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Juan Carlos Avila Treasurer/Director
    5.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Icy Cade-Bell MD Secretary/Director
    2.50
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Heather Higgins Alderman President
    40.00
    285,300 49,859 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Philip S Cali Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Angela Cantillon Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Jennifer Cartland PhD Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Regina Crider Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Terry F Hatch MD Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    George O'Neill Jr Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Nicholas Panomitros DDS Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Michael Parker Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Ruth B Rosenthal MD Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Kay L Saving MD Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Myrtis Sullivan MD Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Rudy Valdez DM Director
    2.00
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Peter E Doris MD Board Member Emeritus
    0.25
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    C William Pollard Board Member Emeritus
    0.25
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    James Ryan Board Member Emeritus
    0.25
    0 0 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    Amy Starin PhD LCSW Senior Program Offic
    40.00
    153,500 41,783 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Robert J Egan Senior Program Offic
    40.00
    145,500 35,830 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Matthew J Thullen Program Officer
    40.00
    80,022 33,411 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Nedranae Hunt Administrative Manag
    40.00
    85,000 26,229 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Brian Moynihan Dir of Finance and O
    40.00
    88,208 22,416 0
    ICHF 1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    Univ of IL-Urbana Program Consultation and Evaluation 224,888
    1010 W Nevada Ste 2080
    Urbana,IL61801
    Vanguard Investment Consultant 79,734
    PO Box 2600
    Valley Forge,PA19482
    CommonHealth Action Program Consultation and Evaluation 57,890
    1250 Connecticut Ave NW Ste 601
    Washington,DC20036
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 The Illinois Children's Healthcare Foundation works to ensure that every child in Illinois has access to affordable and quality health care by making grants to other not-for-profit organizations that conduct programs designed to address a variety of access issues. Grantmaking is focused in two specific areas: improving the oral health of underserved children and addressing the mental health needs of children. In addition, the Foundation monitors other emerging health issues that the Board of Directors may select as focus areas in the future.The Foundation has no direct charitable activities. 0
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    169,533,461
    b
    Average of monthly cash balances.......................
    1b
    2,408,426
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    171,941,887
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    171,941,887
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    13,112,230
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    158,829,657
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    7,941,483
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    7,941,483
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    127,737
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    127,737
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    7,813,746
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    82,196
    5
    Add lines 3 and 4............................
    5
    7,895,942
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    7,895,942
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 7,895,942
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 940,891
    f Total of lines 3a through e ........ 940,891
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 13,112,230
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 7,895,942
    e Remaining amount distributed out of corpus 5,216,288
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 6,157,179
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    6,157,179
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 940,891
    e Excess from 2021.... 5,216,288
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    wwwilchforg - All applicants must s
    1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    (630) 571-2555
    www.ilchf.org
    bThe form in which applications should be submitted and information and materials they should include:
    Review the open RFP(s) on our website and determine whether your project is a match to the projects being sought for funding. Submit a Letter of Inquiry or Proposal (based on the specific RFP timeline) with the required information by the posting deadline. Be sure to attach all of the requested documentation - incomplete applications will be eliminated from consideration. All applicants must submit their proposals electronically - including all required attachments.
    cAny submission deadlines:
    Please visit our website for currently open RFPs. Submission deadlines vary from year to year.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    You must be either (1) an organization that has been determined by the IRS to be an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code"), that is a public charity described in Section 509(a)(1), (2), or (3) of the Code and that is not a Type III supporting organization within the meaning of Section 4943(f)(5)(A) of the Code; or, (2) a governmental entity described in Section 170(c)(1) or 511(a)(2)(B) of the Code. Your proposed activities must serve Illinois children.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Program Officer - Illinois Children
    1200 Jorie Blvd Suite 301
    Oak Brook,IL60523
    (630) 571-2555
    bThe form in which applications should be submitted and information and materials they should include:
    To propose an unsolicited project for consideration complete the Funding Inquiry Form found on ILCHF's website. The Foundation's Staff will review all inquiries and let applicants know whether their project will be invited to complete a full electronic application.
    cAny submission deadlines:
    There is no deadline to submit a Funding Inquiry.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Eligible projects will be able to demonstrate: Innovation, Support of evidence-based research and/or best practices, Potential for statewide system change, and Impact on children's healthcare in Illinois. There is no specific dollar amount assigned to engagement funding projects, although it is anticipated that most grants will be less than $50,000. You must be either (1) an organization that has been determined by the IRS to be an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code"), that is a public charity described in Section 509(a)(1), (2), or (3) of the Code and that is not a Type III supporting organization within the meaning of Section 4943(f)(5)(A) of the Code; or, (2) a governmental entity described in Section 170(c)(1) or 511(a)(2)(B) of the Code.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Alivio Medical Center Inc
    966 W 21st
    Chicago,IL60608
    None PC Little Village Campus Integrated System for Behavioral Healthcare 150,000
    Ann & Robert H Lurie Childrens Hospital of Chicago
    225 E Chicago Ave Box 282
    Chicago,IL60611
    None PC Illinois Children's Mental Health Partnership - Children's Mental Health PlanEarly Childhood Mental Health Consultation Pilot 50,000
    Asian Human Services Family Health Center Inc
    2501 W Peterson Ave
    Chicago,IL60659
    None PC COVID-19 Oral Health Response Through Integrated Approach 133,000
    Association House of Chicago
    1116 N Kedzie Ave
    Chicago,IL60651
    None PC COVID-19 School Wellness Initiative 300,000
    Board of Trustees of Southern Illinois University
    1400 Douglas Dr
    Carbondale,IL62901
    None PC Graduate Programs Patient Clinic at the Southern Illinois University School of Dental Medicine 250,000
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC Construction of UIC Pediatric Dentistry Ambulatory Surgery Center 250,000
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC Formative Evaluation of Chicago Family Connects 50,000
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC Access barriers to dental care for non-Hispanic African-American/black children in the Chicago area and their careivers' attitudes toward pediatric oral health 28,844
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC Academic & Community Partnership in Value Based Model 100,133
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC UIC Pedriatric Dentistry Continued Response Needs to the COVID-19 Pandemic 133,000
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC UIC OCEAN_HP - COPE Englewood 300,000
    Board of Trustees of the U of Illinois
    506 S Wright St 209
    Urbana,IL61801
    None PC UIC OCEAN_HP - COPE Davis 150,000
    Bright Star Community Outreach Corporation
    3473 S King Dr Ste 334
    Chicago,IL60616
    None PC ILCHF Presidential Grant - Youth Academic Support 10,000
    Centerstone of Illinois Inc
    902 W Main Street
    W Frankfort,IL62896
    None PC Building Compassionate Communities 375,000
    Centerstone of Illinois Inc
    902 W Main Street
    W Frankfort,IL62896
    None PC JC COVID Wellness/Recovery 150,000
    Centerstone of Illinois Inc
    902 W Main Street
    W Frankfort,IL62896
    None PC Giant Steps Towards Wellness 150,000
    Centerstone of Illinois Inc
    902 W Main Street
    W Frankfort,IL62896
    None PC Carterville COVID School Wellness 150,000
    Central Counties Health Centers Inc
    2239 E Cook St
    Springfield,IL62703
    None PC Rebuilding CCHC's Dental Program 133,000
    Central Illinois Foodbank
    1937 E Cook St
    Springfield,IL62791
    None PC Children's Emergency Food Distribution Program 125,000
    Champaign-Urbana Public Health District
    201 W Kenyon Rd
    Champaign,IL61820
    None GOV Increasing Utilization of Quality, Comprehensive Oral Health Services in Refugee, Immigrant and Migrant Populations 99,568
    Chapin Hall Center for Children
    1313 E 60th St
    Chicago,IL60637
    None PC Community Parenting Support Saturation Pilot Evaluation 104,990
    Chestnut Health Systems Inc
    1003 Martin Luther King Dr
    Bloomington,IL61701
    None PC Improving Access to Behavioral Health Care for Youth in St. Clair County through the expansion of the County's System of Care 147,455
    Chicago Family Health Center Inc
    9119 South Exchange Avenue
    Chicago,IL60617
    None PC CFHC Oral Health Program 133,000
    Children's Home & Aid Society of Illinois
    125 S Wacker Dr Suite 1400
    Chicago,IL60606
    None PC Schubert School Family Wellness Expansion 149,425
    Community Counseling Centers of Chicago
    4740 N Clark Street
    Chicago,IL60640
    None PC School Wellness Initiative 149,850
    Community Foundation of Kankakee River Valley
    701 S Harrison Ave
    Kankakee,IL60901
    None PC CMHI 2.0 Implementation - Project SUN - A Strong & Unified Network 150,000
    Community Health Care Inc
    500 W River Dr
    Davenport,IA52801
    None PC In-school mental health support for students, teachers, staff and caregivers in East Moline Schools 150,000
    Community Health Partnership of Illinois
    205 W Randolph St Suite 2222
    Chicago,IL60606
    None PC COVID-19 Response Oral Health General Operating Capacity 133,000
    Community Health Partnership of Illinois
    205 West Randolph Suite 2222
    Chicago,IL60606
    None PC Kankakee, IL Community Strategy to Increase Pediatric Utilization of Oral Health Services 107,400
    Community Resource Center Inc
    904 E Martin Luther King Drive
    Centralia,IL62801
    None PC School Wellness Initiative 195,396
    Crusader Health Foundation DBA Crusader Community Health
    1200 W State St
    Rockford,IL61102
    None PC Ongoing COVID Response Through Protective Equipment 133,000
    Delta Dental of Illinois Foundation
    111 Shuman Blvd
    Naperville,IL60563
    None PC H2O on the Go 115,175
    DuPage County Health Department
    111 North County Farm Road
    Wheaton,IL60187
    None GOV DCHD COVID-19 and Oral Health Project 119,648
    Eastern Illinois Foodbank
    2405 N Shore Dr
    Urbana,IL61802
    None PC Expanded Access to Healthy Food 125,000
    Embarc Inc
    PO Box 221450
    Chicago,IL60622
    None PC ILCHF Presidential Grant - Youth Support 10,000
    Erie Family Health Foundation Inc
    1701 West Superior Street
    Chicago,IL60622
    None PC Rebuilding oral healthcare for underserved children at Erie 133,000
    Erie Family Health Foundation Inc
    1701 West Superior Street
    Chicago,IL60622
    None PC Integrated Oral Health Expansion for Underserved Children on Chicago's West Side 100,000
    Forefront
    200 West Madison Street
    Chicago,IL60606
    None PC General Operating 24,565
    Friend Family Health Center Inc
    800 E 55th St
    Chicago,IL60615
    None PC Mind + Body Girls Health Initiative 150,000
    Gateway Family Services of Illinois
    7757 US Route 136
    Potomac,IL61865
    None PC Sur + Thrive--Successfully Navigating the COVID-19 Pandemic 100,000
    Grantmakers In Health
    1100 Connecticut Ave NW Suite 1100
    Washington,DC20036
    None PC General Operating 11,500
    Greater Chicago Food Depository
    4100 W Ann Lurie Pl
    Chicago,IL60632
    None PC Hunger Relief Initiative for Children in Cook County, Illinois 125,000
    Greater Family Health
    3100 W Higgins Road
    Hoffman Estates,IL60169
    None PC Safeguarding Children's Oral Health Care 133,000
    GRO Community
    11006 S Michigan Ave
    Chicago,IL60628
    None PC GRO Community Program 150,000
    Hancock County Health Department
    671 Wabash Avenue
    Carthage,IL62321
    None GOV Surgically Clean Air 33,949
    Health and Medicine Policy Research Group
    29 E Madison St Ste 602
    Chicago,IL60602
    None PC Illinois Trauma-Informed Systems and Organization Change Initiative 87,500
    HealthConnect One
    227 W Monroe St 21st Floor
    Chicago,IL60606
    None PC HealthConnect One Curriculum Update and Learning Management System Adaptation 40,000
    Heartland Health Outreach Inc
    4750 North Sheridan Road
    Chicago,IL60640
    None PC The School-Based Oral Health Equity Project 100,000
    Heartland International Health Center
    3048 N Wilton Ave 2nd Floor
    Chicago,IL60657
    None PC COVID-19 Response Pediatric Oral Health Capacity Building 133,000
    Henderson County Rural Health Center Inc
    PO Box 198
    Oquawka,IL61469
    None PC COVID-19 Response Oral Health Renewal 32,529
    Heritage Behavioral Health Center
    151 N Main St
    Decatur,IL62523
    None PC CMHI Implementation Grant - Community Together 375,000
    Hillsboro Area Hospital Inc
    1200 E Tremont St
    Hillsboro,IL62049
    None PC Montgomery Mental Health Collaborative 150,000
    Hoyleton Youth and Family Services
    8 Executive Dr Suite 200
    Fairview Heights,IL62208
    None PC Mental Health Services for ESL School District 189 150,000
    Illinois Spina Bifida Association
    2211 N Oak Park Ave
    Chicago,IL60707
    None PC ILCHF Presidential Grant - Expanding Vision Care 5,000
    Infant Welfare Society of Chicago
    3600 W Fullerton Ave
    Chicago,IL60647
    None PC Providing a Dental Home with COVID-19 Protocols for Children in Low-Income Communities 133,000
    Jane Addams Community Mental Health Center
    1045 W Stephenson St
    Freeport,IL61032
    None PC Mental Health and Wellness Improvement Program 109,079
    Juvenile Protective Association
    1707 N Halsted St
    Chicago,IL60614
    None PC Project CARES: Collaborative Access to Resources Promoting Equity in Schools 440,070
    Kane County Health Department
    1240 Highland Avenue
    Aurora,IL60506
    None GOV CMHI 2.0 Implementation - Kane County System of Care Project 150,000
    Lawndale Christian Health Center
    3860 W Ogden Ave
    Chicago,IL60623
    None PC LCHC Dental Reopening Plan 60,000
    Legal Council for Health Justice
    17 N State St Suite 900
    Chicago,IL60602
    None PC New Approaches to Childhood Lead Poisoning 100,000
    Loma Linda University
    PO Box 2000
    Loma Linda,CA92354
    None PC Cook County Demonstration of the MEND Program 50,000
    Lutheran Social Services of Illinois
    1001 E Touhy Ave Ste 50
    Des Plaines,IL60018
    None PC Supporting the Ecosystem for Better Overall Mental Wellness 150,000
    McLean County Health Department
    200 W Front Street
    Bloomington,IL61701
    None GOV Pandemic Loss Supplementation 2021-22 73,691
    Mercer County
    305 NW 7th St
    Aledo,IL61231
    None GOV Mercer County Mobile Dental Program 100,000
    Methodist Medical Center Illinois
    221 Ne Glen Oak Ave
    Peoria,IL61636
    None PC UnityPlace School Wellness Program 149,998
    Metropolitan Family Services
    One North Dearborn 10th Flr
    Chicago,IL60602
    None PC Playful Learning 30,000
    Milestone Inc
    4060 McFarland Road
    Loves Park,IL61111
    None PC Post COVID-19 Dental Clinic Air Purification Project Phase 2 13,000
    Mobile C A R E Foundation
    321 N Loomis Ste 202
    Chicago,IL60607
    None PC Oral Health Clinic COVID-19 Recovery & Improvement Program 30,000
    Mobile C A R E Foundation
    321 N Loomis Ste 202
    Chicago,IL60607
    None PC Oral Health Access & Integration Project 100,000
    NAMI of Greater Chicago
    1801 W Warner Ste 202
    Chicago,IL60618
    None PC Youth Curriculum Evaluation Project 60,000
    Near North Health Service Corporation
    1276 N Clybourn Ave
    Chicago,IL60610
    None PC Near North Health Pediatric Dental Days 66,500
    New Moms Inc
    5317 W Chicago Ave
    Chicago,IL60651
    None PC ILCHF Presidential Grant - General Operating 5,000
    North Central Behavioral Health Systems Inc
    PO Box 1488
    La Salle,IL61301
    None PC COVID-19 School Wellness Initiative 150,000
    Northern Illinois Food Bank
    273 Dearborn Court
    Geneva,IL60134
    None PC Providing Nutritious Food for Children 125,000
    Oak Park and River Forest Infant Welfare Society
    320 Lake Street
    Oak Park,IL60302
    None PC General Operating Support for Oral Health Care Program for Low Income Children 133,000
    Peoria Citizens Committee for Economic Opportunity Inc
    711 W McBean St
    Peoria,IL61605
    None PC PAFB & ILCHF Youth and Families Mobile Pantry 125,000
    Planning Implementation and Evaluation Org
    11899 Leigh Ct
    Frankfort,IL60423
    None PC External Evaluation of Health & Medicine Policy Research Group Trauma Informed Trainings 50,065
    Primo Center for Women and Children
    6212 S Sangamon St
    Chicago,IL60621
    None PC Kids Connected 375,000
    RefugeeOne
    5705 N Lincoln Ave
    Chicago,IL60659
    None PC Behavioral Health Services for Unaccompanied Children 50,000
    River Bend Food Reservoir
    4040 Kimmel Drive
    Davenport,IA52802
    None PC Hunger Relief for Illinois Children and Families 125,000
    Sargent Shriver National Center on Poverty Law
    67 E Madison St Ste 2000
    Chicago,IL60603
    None PC Children's Mental Health Access Advocacy Project 80,000
    Sargent Shriver National Center on Poverty Law
    67 E Madison St Ste 2000
    Chicago,IL60603
    None PC Children's Oral Health Advocacy Project 25,000
    Shawnee Health Service and Development Corp
    109 California St
    Carterville,IL62918
    None PC Shawnee's Decreasing Oral Health Disparities 100,000
    SIHF Healthcare
    2041 Goose Lake Road
    Sauget,IL62206
    None PC Dental Services for Children 127,274
    Southwest Organizing Project
    2558 W 63rd St
    Chicago,IL60629
    None PC Southwest System of Care 250,000
    Southwest Organizing Project
    2558 W 63rd St
    Chicago,IL60629
    None PC Southwest System of Care Network (SWSOC) 130,500
    St Louis Area Food Bank Inc
    70 Corporate Woods Drive
    Bridgeton,MO63044
    None PC Food for Better Childhoods 125,000
    Telpochcalli Community Education Project Inc
    2832 W 24th Blvd
    Chicago,IL60623
    None PC ILCHF Presidential Grant - General Operating 10,000
    The Night Ministry
    1735 North Ashland Ave Ste 2000
    Chicago,IL60622
    None PC ILCHF Presidential Grant - Support Youth Housing 5,000
    Tri-State Food Bank Inc
    2504 Lynch Road
    Evansville,IN47711
    None PC BackPacks and Mobile Food Distributions 125,000
    Vase Education Foundation
    15009 Catlin Tilton Rd
    Danville,IL61834
    None PC Providing Increased Social-Emotional Supports with Counselors 150,000
    VNA Health Care
    400 N Highland Ave
    Aurora,IL60506
    None PC General Operating Support for VNA Health Care Dental Program during COVID-19 Pandemic 133,000
    Well Child Conference of Elgin
    620 Wing St
    Elgin,IL60123
    None PC Pediatric Dental Clinic and First Tooth Visit Program 132,940
    Well Child Conference of Elgin
    620 Wing St
    Elgin,IL60123
    None PC School-Aged Patient Utilization Project 99,446
    Total .................................bullet 3a 11,491,490
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 6,081,319  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 9,427,256 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    9,427,256
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting fees - E Vaccariello & Company PC 32,346 32,346   0
    Audit fees - Ostrow Reisin Berk & Abrams, Ltd. 16,750 4,188   12,562

    TY 2021 CashDeemedCharitableExplnStmt
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Explanation:
    PART IX - LINE 4 - MINIMUM INVESTMENT RETURNThe Illinois Children's Healthcare Foundation chooses to use the amount of adminstrative expenses and charitable disbursements, as shown in Part I, Line 26D of the return, as the cash deemed held for charitable activities due to the large distributions of the organization.

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    HP LaserJet 2300N Printer 2004-03-29 1,207 1,207 SL 5.000000000000 0 0    
    Office Furniture 2004-03-29 12,226 12,226 SL 7.000000000000 0 0    
    GIFTS Grants Management Software 2004-04-20 17,249 17,249 SL 3.000000000000 0 0    
    Quickbooks for Nonprofits Software 2004-03-31 497 497 SL 3.000000000000 0 0    
    Dell 2200 MP LCD Projector 2005-01-06 1,293 1,293 SL 5.000000000000 0 0    
    Office Furniture 2005-08-31 4,924 4,924 SL 7.000000000000 0 0    
    GIFTS Grants Application Module Software 2005-09-15 6,381 6,381 SL 3.000000000000 0 0    
    Polycom Soundstation2 Speaker Phone 2006-01-13 625 625 SL 5.000000000000 0 0    
    Gifts Plus Pack Software 2006-12-27 945 945 SL 3.000000000000 0 0    
    Desktop Computer 2007-12-03 921 921 SL 5.000000000000 0 0    
    Office Furniture 2007-12-21 1,369 1,369 SL 7.000000000000 0 0    
    Smart Buy DL 360 - Two 2009-04-18 4,524 4,524 SL 5.000000000000 0 0    
    146GB 10K RPM Hard Drives - Six 2009-04-18 1,890 1,890 SL 5.000000000000 0 0    
    ASA 5505 8Port SSL 2009-04-18 384 384 SL 5.000000000000 0 0    
    400/800GB LT03 960 Tape Drive 2009-04-18 2,795 2,795 SL 5.000000000000 0 0    
    Smart Buy 6730B P8400 - Three 2009-04-18 2,700 2,700 SL 5.000000000000 0 0    
    Smart Buy DC5800 SFF E8400 - Two 2009-04-18 1,450 1,450 SL 5.000000000000 0 0    
    Netshelter SX 24U Deep Enclosure 2009-04-18 1,025 1,025 SL 5.000000000000 0 0    
    APC Smart-UPS 1500VA 2009-04-18 635 635 SL 5.000000000000 0 0    
    Laserjet P4014N MONO LASER 2009-04-18 815 815 SL 5.000000000000 0 0    
    Catalyst 2960 20Port Gigabit 2009-04-18 1,900 1,900 SL 5.000000000000 0 0    
    Installation New Computer Equip 2009-04-18 3,887 3,887 SL 5.000000000000 0 0    
    EXP Backup Exec SBS Prem Ed 12.5 Win 2009-04-18 689 689 SL 3.000000000000 0 0    
    OLP Win Small Bus Svr Prem 2008 2009-04-18 1,579 1,579 SL 3.000000000000 0 0    
    OLP Win Small Bus Svr Prem Cal Ste 2008 2009-04-18 786 786 SL 3.000000000000 0 0    
    OLP Win Svr Std 2008 Sngl NL 2009-04-18 690 690 SL 3.000000000000 0 0    
    Ayaya Phone System 2009-07-09 4,870 4,870 SL 5.000000000000 0 0    
    Office Furniture - Two Chairs 2009-09-02 1,503 1,503 SL 7.000000000000 0 0    
    Office Furniture - Three Media Towers 2009-09-02 2,137 2,137 SL 7.000000000000 0 0    
    Office Furniture - 4 Cabinets with Custom Top 2009-09-03 2,002 2,002 SL 7.000000000000 0 0    
    Office Furniture 2010-07-19 12,385 12,385 SL 7.000000000000 0 0    
    Office Furniture - Cabinets with Glass Doors 2010-10-01 1,674 1,674 SL 7.000000000000 0 0    
    EX7200 Multimedia Projector 2011-02-22 757 757 SL 5.000000000000 0 0    
    HP EliteBook 8570p - Two 2013-02-01 2,598 2,598 SL 5.000000000000 0 0    
    HP Compaq Elite 8300 - Two 2013-02-01 1,598 1,598 SL 5.000000000000 0 0    
    Microsoft Office PRO Plus 2013 - Four 2013-02-01 1,956 1,956 SL 3.000000000000 0 0    
    Microsoft Surface 2014-04-01 1,301 1,301 SL 5.000000000000 0 0    
    Office Furniture - 3 Chairs 2014-09-01 1,200 1,085 SL 7.000000000000 115 0    
    Office Furniture - Desk and Credenzia 2014-09-01 1,858 1,681 SL 7.000000000000 177 0    
    HP EliteBook 840 G2 Windows 7 2015-07-01 963 963 SL 5.000000000000 0 0    
    HP EliteBook 840 G2 Windows 7 2015-08-01 962 962 SL 5.000000000000 0 0    
    HP ProLiant DL360 2016-06-01 3,831 3,512 SL 5.000000000000 319 0    
    MS Windows 2012 R22 Software 2016-06-01 1,630 1,630 SL 3.000000000000 0 0    
    HP EliteBook 840 G3 14" - Two 2017-01-01 2,304 1,843 SL 5.000000000000 461 0    
    Office Furniture 2017-01-01 3,463 1,979 SL 7.000000000000 495 0    
    Office Furniture - Chair 2017-03-01 564 309 SL 7.000000000000 80 0    
    Laptop and Docking Station 2017-05-01 1,721 1,262 SL 5.000000000000 344 0    
    Computer 2017-11-01 1,486 941 SL 5.000000000000 297 0    
    Office Furniture - Chair 2017-12-01 725 320 SL 7.000000000000 104 0    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Vanguard Total Stk Mkt Indx Fd 60,034,100 60,034,100
    Vanguard Short-Term Investment Grade Fund 8,585,031 8,585,031
    Vanguard Inter-Term Investment Grade Fund 8,520,663 8,520,663
    Vanguard Total International Stock Fd 39,359,181 39,359,181
    Vanguard FTSE Social Index Fund 20,157,555 20,157,555
    Vanguard ESG Intl Stock ETF 12,951,016 12,951,016

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    US Government Securities - End of Year Book Value:

    18,477,634
    US Government Securities - End of Year Fair Market Value:

    18,477,634
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 LandEtcSchedule2
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    HP LaserJet 2300N Printer 1,207 1,207 0  
    Office Furniture 12,226 12,226 0  
    GIFTS Grants Management Software 17,249 17,249 0  
    Quickbooks for Nonprofits Software 497 497 0  
    Dell 2200 MP LCD Projector 1,293 1,293 0  
    Office Furniture 4,924 4,924 0  
    GIFTS Grants Application Module Software 6,381 6,381 0  
    Polycom Soundstation2 Speaker Phone 625 625 0  
    Gifts Plus Pack Software 945 945 0  
    Desktop Computer 921 921 0  
    Office Furniture 1,369 1,369 0  
    Smart Buy DL 360 - Two 4,524 4,524 0  
    146GB 10K RPM Hard Drives - Six 1,890 1,890 0  
    ASA 5505 8Port SSL 384 384 0  
    400/800GB LT03 960 Tape Drive 2,795 2,795 0  
    Smart Buy 6730B P8400 - Three 2,700 2,700 0  
    Smart Buy DC5800 SFF E8400 - Two 1,450 1,450 0  
    Netshelter SX 24U Deep Enclosure 1,025 1,025 0  
    APC Smart-UPS 1500VA 635 635 0  
    Laserjet P4014N MONO LASER 815 815 0  
    Catalyst 2960 20Port Gigabit 1,900 1,900 0  
    Installation New Computer Equip 3,887 3,887 0  
    EXP Backup Exec SBS Prem Ed 12.5 Win 689 689 0  
    OLP Win Small Bus Svr Prem 2008 1,579 1,579 0  
    OLP Win Small Bus Svr Prem Cal Ste 2008 786 786 0  
    OLP Win Svr Std 2008 Sngl NL 690 690 0  
    Ayaya Phone System 4,870 4,870 0  
    Office Furniture - Two Chairs 1,503 1,503 0  
    Office Furniture - Three Media Towers 2,137 2,137 0  
    Office Furniture - 4 Cabinets with Custom Top 2,002 2,002 0  
    Office Furniture 12,385 12,385 0  
    Office Furniture - Cabinets with Glass Doors 1,674 1,674 0  
    EX7200 Multimedia Projector 757 757 0  
    HP EliteBook 8570p - Two 2,598 2,598 0  
    HP Compaq Elite 8300 - Two 1,598 1,598 0  
    Microsoft Office PRO Plus 2013 - Four 1,956 1,956 0  
    Microsoft Surface 1,301 1,301 0  
    Office Furniture - 3 Chairs 1,200 1,200 0  
    Office Furniture - Desk and Credenzia 1,858 1,858 0  
    HP EliteBook 840 G2 Windows 7 963 963 0  
    HP EliteBook 840 G2 Windows 7 962 962 0  
    HP ProLiant DL360 3,831 3,831 0  
    MS Windows 2012 R22 Software 1,630 1,630 0  
    HP EliteBook 840 G3 14" - Two 2,304 2,304 0  
    Office Furniture 3,463 2,474 989  
    Office Furniture - Chair 564 389 175  
    Laptop and Docking Station 1,721 1,606 115  
    Computer 1,486 1,238 248  
    Office Furniture - Chair 725 424 301  


    TY 2021 LegalFeesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Legal fees - Quarles & Brady LLP 28,983 0   33,901


    TY 2021 OtherAssetsSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Section 4940 Excise Tax Deposit 21,679 0 0


    TY 2021 OtherDecreasesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description Amount
    Grants payable present value adjustment 29,355


    TY 2021 OtherExpensesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Equipment rental and maintenance 3,897 0   3,897
    Supplies 8,863 0   8,863
    Postage, shipping and delivery 1,236 0   1,236
    Insurance 12,470 125   12,345
    Software maintenance 19,318 0   19,318
    Staff development and membership dues 850 0   850
    Miscellaneous 269 0   269
    Licenses and fees 400 0   400
    Bank charges 1,944 1,944   0
    Website 1,286 0   1,286


    TY 2021 OtherIncreasesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description Amount
    Unrealized gain on investments carried at market value 13,409,785
    Grants returned 82,196


    TY 2021 OtherLiabilitiesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Description Beginning of Year - Book Value End of Year - Book Value
    Grants payable present value adjustment -29,355 0
    Section 4940 Excise Tax Payable 0 65,058


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll service fees 12,198 0   12,198
    I/T Support 10,325 0   10,325
    Investment consulting - Vanguard 79,734 79,734   0
    Marketing Communications - Amdur Spitz & Associates 3,510 0   3,510
    Program consultation & evaluation - Univ of IL-Urbana 224,888 0   292,732
    Program consultation & evaluation - Matthew Thullen 15,837 0   15,837
    Marketing Communications - Robertz & Kobold Inc 2,682 0   2,682
    Program Press Release - RubyRose Strategies 375 0   375
    Financial Reviews for Grant Applications - Sara Mikuta 15,410 0   15,410
    Program consultation & evaluation - CommonHealth Action 57,890 0   57,890


    TY 2021 TaxesSchedule
    Name:
    Illinois Children's Healthcare
     
    Foundation
    EIN:
    03-0503425
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Section 4940 excise tax 127,737 0   0
    Foreign tax withheld on dividends 97,683 97,683   0