Skip to content
Nonprofiteer
← JACKSON PARK HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by JACKSON PARK HOSPITAL FOUNDATION.

Totals

Total revenue
$104,523,579
Total expenses
$98,394,922
Contributions and grants received
$12,297,254
Grants paid
$0
Program service revenue
$91,311,110
Investment income
$48,035
Other revenue
$867,180
Total assets, end of year
$138,360,093
Total liabilities, end of year
$44,845,925
Net assets or fund balances, end of year
$93,514,168
Program services expenses (Part IX)
$92,145,918
Management and general expenses
$6,249,004
Fundraising expenses
$0
Program service expenses (Part III)
$92,145,918

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $12,247,054

  • 1f · All other contributions, gifts and grants

    $50,200

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $54,857,300 · related or exempt $54,857,300

  • 2b · Program service revenue: PROVIDER TAX PROCEEDS

    total $36,453,810 · related or exempt $36,453,810

  • 3 · Investment income

    total $48,035 · excluded $48,035

  • 6a · Gross rents

    real property $243,833

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $243,833

  • 6d · Net rental income or loss

    total $243,833 · excluded $243,833

  • 11a · Other revenue: CAFETERIA

    total $233,633 · excluded $233,633

  • 11b · Other revenue: REBATES - OPTUM RX

    total $224,762 · excluded $224,762

  • 11c · Other revenue: REFUNDS - HEALTHTRUST

    total $56,646 · excluded $56,646

  • 11d · All other revenue

    total $108,306 · excluded $108,306

  • 11e · Other revenue, total

    $623,347

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $4,840,795 · management and general $4,840,795

  • 7 · Other salaries and wages

    total $32,010,148 · program services $32,010,148

  • 8 · Pension plan contributions

    total $460,125 · program services $445,325 · management and general $14,800

  • 9 · Other employee benefits

    total $3,061,186 · program services $3,003,215 · management and general $57,971

  • 10 · Payroll taxes

    total $2,549,442 · program services $2,467,441 · management and general $82,001

  • 11b · Fees: legal

    total $557,008 · program services $557,008

  • 11c · Fees: accounting

    total $236,710 · program services $236,710

  • 11d · Fees: lobbying

    total $21,055 · program services $21,055

  • 11f · Fees: investment management

    total $118,711 · management and general $118,711

  • 11g · Fees: other

    total $22,362,451 · program services $21,975,466 · management and general $386,985

  • 12 · Advertising and promotion

    total $133,714 · program services $133,714

  • 13 · Office expenses

    total $6,213,137 · program services $5,743,826 · management and general $469,311

  • 16 · Occupancy

    total $1,461,508 · program services $1,365,406 · management and general $96,102

  • 19 · Conferences, conventions and meetings

    total $1,265 · program services $1,265

  • 20 · Interest

    total $625,768 · program services $601,779 · management and general $23,989

  • 22 · Depreciation, depletion and amortization

    total $2,570,438 · program services $2,412,099 · management and general $158,339

  • 23 · Insurance

    total $469,073 · program services $469,073

  • 24a · Other expenses: BAD DEBT

    total $12,936,787 · program services $12,936,787

  • 24b · Other expenses: HOSPITAL PROVIDER TAX &

    total $7,374,298 · program services $7,374,298

  • 24c · Other expenses: MISC. EXPENSE

    total $350,735 · program services $350,735

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $36,344 · program services $36,344

  • 24e · All other expenses

    total $4,224 · program services $4,224

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $879,089 · end of year $569,244

  • 3 · Pledges and grants receivable

    beginning of year $857,312 · end of year $858,147

  • 4 · Accounts receivable

    beginning of year $6,165,706 · end of year $10,685,571

  • 8 · Inventories for sale or use

    beginning of year $1,236,520 · end of year $1,268,032

  • 9 · Prepaid expenses and deferred charges

    beginning of year $638,363 · end of year $649,635

  • 10a · Land, buildings and equipment: cost or other basis

    $87,101,569

  • 10b · Land, buildings and equipment: accumulated depreciation

    $64,307,096

  • 10c · Land, buildings and equipment, net

    beginning of year $23,351,032 · end of year $22,794,473

  • 11 · Investments: publicly traded securities

    beginning of year $17,005,268 · end of year $15,307,411

  • 12 · Investments: other securities

    beginning of year $5,871 · end of year $913

  • 13 · Investments: program-related

    beginning of year $486,163 · end of year $486,163

  • 14 · Intangible assets

    end of year $2,673,016

  • 15 · Other assets

    beginning of year $82,004,343 · end of year $83,067,488

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,331,844 · end of year $16,661,253

  • 19 · Deferred revenue

    beginning of year $5,403,633 · end of year $1,410,954

  • 23 · Secured mortgages and notes payable

    beginning of year $7,238,910 · end of year $11,722,127

  • 24 · Unsecured notes and loans payable

    beginning of year $9,056,835 · end of year $9,047,199

  • 25 · Other liabilities

    beginning of year $7,259,880 · end of year $6,004,392

  • 27 · Net assets without donor restrictions

    beginning of year $87,338,565 · end of year $93,514,168

Mission and programs · 2022

Mission

TO PROVIDE COMPASSIONATE CARE AND HIGH QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE PATIENTS AND COMMUNITES WE SERVE.

Activities or mission (Part I)

TO PROVIDE COMPASSIONATE CARE AND HIGH QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE PATIENTS AND COMMUNITIES WE SERVE.

  • INPATIENT MEDICAL CARE TO CHICAGO'S SOUTH SIDE COMMUNITIES REGARDLESS OF THE PATIENT'S ABILITY TO PAY INPATIENT SERVICES INCLUDING MEDICAL SURGICAL, ICU AND HOSPICE. IN 2022 THE HOSPITAL SERVED 2,313 ACUTE CARE ADMISSIONS WHICH AMOUNTED TO 13,118 PATIENT DAYS.

    Expenses $56,951,705 · Revenue $56,435,744

  • JACKSON PARK HOSPITAL FOUNDATION PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL MEDICINE SERVICES TO THE GREATER CHICAGOLAND AREA. JACKSON PARK HOSPITAL IS ONE OF THE FEW HOSPITALS IN CHICAGO THAT CONTINUES TO PROVIDE BEHAVIORAL MEDICINE TO ITS COMMUNITY. IN 2022 JACKSON PARK HOSPITAL SERVED 2,875 INPATIENT BEHAVIORAL MEDICINE PATIENTS WHICH AMOUNTED TO 14,470 PATIENT DAYS. JACKSON PARK HOSPITAL PROVIDES MULTIPLE LEVELS OF CARE TO MEET THE NEEDS OF AN ADULT INDIVIDUAL WITH EMOTIONAL AND BEHAVIORAL PROBLEMS. IN ADDITION TO 24 HOUR EMERGENCY PSYCHIATRIC AND INTAKE SERVICES, JACKSON PARK HOSPITAL OFFERS 86-BED INPATIENT PSYCHIATRIC SERVICES, PARTIAL HOSPITAL PROGRAM AND OUTPATIENT SERVICES. THE TREATMENT IS PROVIDED BY MULTIDISCIPLINARY STAFF INCLUDING PSYCHIATRIST, INTERNIST, PSYCHOLOGIST, PSYCHIATRIC NURSE, SOCIAL WORKER, CLINICAL THERAPIST, OCCUPATIONAL THERAPIST, AND NUTRITIONIST.

    Expenses $20,001,564 · Revenue $19,820,357

  • JACKSON PARK HOSPITAL PROVIDES BASIC EMERGENCY ROOM SERVICES TO ITS COMMUNITY 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THE PATIENTS' ABILITY TO PAY. IN 2022 THE HOSPITAL SERVED 16,228 EMERGENCY PATIENTS.

    Expenses $12,468,413 · Revenue $12,355,453

  • MEDICAL EDUCATION - OUR VISION IS TO PROMOTE COMPETENCE IN HEALTH CARE AND CUSTOMER SERVICE BY PROVIDING EDUCATION, DIRECTION, TRAINING AND LEADERSHIP TO OUR STAFF. JPH EDUCATION DEPARTMENT WORKS WITH SEVERAL MEDICAL AND NURSING COLLEGES AND UNIVERSITIES SERVING AS A CLINICAL SITE FOR MEDICAL STUDENTS, NURSING STUDENTS AND ALLIED HEALTH PROFESSIONALS WHO COMPLETE THEIR CLINICAL AFFILIATION AT JPH AS PART OF THEIR ACADEMIC TRAINING. WE ALSO PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH SCREENING TO PROMOTE WELLNESS IN OUR COMMUNITY.

    Expenses $2,724,236 · Revenue $2,699,556

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JAMES I CLARK III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DR WILLIAM O DORSEY III

    CHAIRMAN/CEO

    Total calculated
    $800,938
    From this org
    $775,628
    From related orgs
    $0
    Other
    $25,310
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $775,628
    Bonus
    $0
    Other
    $0
    Deferred
    $10,346
    Nontaxable benefits
    $14,964
    Filer's total
    $800,938

  • DR HARSHAD MEHTA

    DIRECTOR/PHYSICIAN

    Total calculated
    $234,699
    From this org
    $206,056
    From related orgs
    $0
    Other
    $28,643
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,056
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $28,643
    Filer's total
    $234,699

  • DR LAKSHMI DODDA

    DIRECTOR/PHYSICIAN

    Total calculated
    $263,325
    From this org
    $234,965
    From related orgs
    $0
    Other
    $28,360
    Hours/week
    25

    Schedule J breakdown matched by us

    Base
    $234,965
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $28,360
    Filer's total
    $263,325

  • DR HAROON OLOMI

    DIRECTOR/PHYSICIAN

    Total calculated
    $240,449
    From this org
    $5,903
    From related orgs
    $209,996
    Other
    $24,550
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $5,903 + $209,996 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,550
    Filer's total
    $30,453 + $209,996 related

  • DR ZAHIDUR RAHMAN

    DIRECTOR/PHYSICIAN

    Total calculated
    $186,514
    From this org
    $76,853
    From related orgs
    $85,111
    Other
    $24,550
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $76,853 + $85,111 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,550
    Filer's total
    $101,403 + $85,111 related

  • DR SURRENTHIA PARKER

    DIRECTOR/PHYSICIAN

    Total calculated
    $83,045
    From this org
    $46,396
    From related orgs
    $0
    Other
    $36,649
    Hours/week
    4

  • DR BANGALORE R MURTHY

    DIRECTOR/PHYSICIAN

    Total calculated
    $202,246
    From this org
    $160,554
    From related orgs
    $0
    Other
    $41,692
    Hours/week
    25

    Schedule J breakdown matched by us

    Base
    $160,554
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $41,692
    Filer's total
    $202,246

  • DR ARLENE RICHARDSON

    DIRECTOR/PHYSICIAN

    Total calculated
    $0
    Hours/week
    40

  • MERRITT HASBROUCK

    PRESIDENT

    Total calculated
    $667,877
    From this org
    $656,069
    From related orgs
    $0
    Other
    $11,808
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $656,069
    Bonus
    $0
    Other
    $0
    Deferred
    $10,346
    Nontaxable benefits
    $1,462
    Filer's total
    $667,877

  • G RANDALL SMITH

    EXECUTIVE VP

    Total calculated
    $737,750
    From this org
    $690,294
    From related orgs
    $0
    Other
    $47,456
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $690,294
    Bonus
    $0
    Other
    $0
    Deferred
    $10,346
    Nontaxable benefits
    $37,110
    Filer's total
    $737,750

  • MARGO BROOKS-PUGH

    VICE PRESIDENT

    Total calculated
    $158,040
    From this org
    $115,162
    From related orgs
    $0
    Other
    $42,878
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $115,162
    Bonus
    $0
    Other
    $0
    Deferred
    $3,790
    Nontaxable benefits
    $39,088
    Filer's total
    $158,040

  • ALVIN KRUSE

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.25

  • KENNETH MCGHEE

    VP FINANCE

    Total calculated
    $237,997
    From this org
    $223,627
    From related orgs
    $0
    Other
    $14,370
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,627
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,370
    Filer's total
    $237,997

  • THOMAS PANKOW

    CHIEF INFORMATION OFFICER

    Total calculated
    $206,495
    From this org
    $202,092
    From related orgs
    $0
    Other
    $4,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,992
    Bonus
    $3,100
    Other
    $0
    Deferred
    $3,250
    Nontaxable benefits
    $1,153
    Filer's total
    $206,495

  • M PATRICIA SIMON

    SENIOR VP QUALITY & COMPLIANCE

    Total calculated
    $261,903
    From this org
    $221,715
    From related orgs
    $0
    Other
    $40,188
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,715
    Bonus
    $20,000
    Other
    $0
    Deferred
    $9,750
    Nontaxable benefits
    $30,438
    Filer's total
    $261,903

  • NELSON VASQUEZ

    VP FINANCE (TERM ENDED 11/22)

    Total calculated
    $454,241
    From this org
    $409,448
    From related orgs
    $0
    Other
    $44,793
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $404,448
    Bonus
    $5,000
    Other
    $0
    Deferred
    $6,750
    Nontaxable benefits
    $38,043
    Filer's total
    $454,241

  • BARRY MANDELL

    VP SPECIAL PROJECTS

    Total calculated
    $224,329
    From this org
    $187,149
    From related orgs
    $0
    Other
    $37,180
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,649
    Bonus
    $7,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,180
    Filer's total
    $224,329

  • MAGDALENE ARMSTEAD

    VP PATIENT CARE

    Total calculated
    $176,054
    From this org
    $157,725
    From related orgs
    $0
    Other
    $18,329
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,725
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $18,329
    Filer's total
    $176,054

  • RAYLENE SWINOCK

    NURSE

    Total calculated
    $271,474
    From this org
    $262,196
    From related orgs
    $0
    Other
    $9,278
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,346
    Bonus
    $35,850
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,278
    Filer's total
    $271,474

  • SYED ALA MD

    PHYSICIAN

    Total calculated
    $275,414
    From this org
    $57,614
    From related orgs
    $170,000
    Other
    $47,800
    Hours/week
    12 + 28 related

    Schedule J breakdown matched by us

    Base
    $57,614 + $170,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $47,800
    Filer's total
    $105,414 + $170,000 related

  • MATTHEW MALTERS MD

    PHYSICIAN

    Total calculated
    $750,527
    From this org
    $13,166
    From related orgs
    $700,712
    Other
    $36,649
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $13,166 + $700,712 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $36,649
    Filer's total
    $49,815 + $700,712 related

  • CYRIL EZEANYAGU

    NURSE

    Total calculated
    $248,947
    From this org
    $238,220
    From related orgs
    $0
    Other
    $10,727
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,320
    Bonus
    $39,900
    Other
    $0
    Deferred
    $1,222
    Nontaxable benefits
    $9,505
    Filer's total
    $248,947

  • SAHR NGOMBU

    NURSE

    Total calculated
    $256,069
    From this org
    $235,720
    From related orgs
    $0
    Other
    $20,349
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,920
    Bonus
    $34,800
    Other
    $0
    Deferred
    $6,375
    Nontaxable benefits
    $13,974
    Filer's total
    $256,069

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • THE FRIEDELL CLINIC SC

    C · PRIMARY HEALTH CARE · IL · 100% owned · share of income -$9,509,346 · share of assets $217,913 · controlled entity

    Directly controlled by JACKSON PARK HOSPITAL FOUNDATION

Provenance

Return type
form_990
Tax year
2022
Filed
14 February 2024
IRS schema version
2022v5.0
Source object
202440469349301899

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.