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← SILVER CROSS HEALTHY COMMUNITY COMMISSION

Form 990 for tax year 2022

Filed by SILVER CROSS HEALTHY COMMUNITY COMMISSION.

Totals

Total revenue
$173,665
Total expenses
$173,665
Contributions and grants received
$173,665
Grants paid
$173,665
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$173,665
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$173,665

Program services were 100.0% 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.

  • 1d · Related organizations

    $173,665

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $121,165 · program services $121,165

  • 2 · Grants to domestic individuals

    total $52,500 · program services $52,500

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11c · Fees: accounting

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 17 · Travel

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

PROVIDE OPERATIONAL SUPPORT AND SCHOLARSHIPS TO MEMBERS OF THE COMMUNITY AND COMMUNITY ORGANIZATIONS and economic opportunities benefiting the residents of communities served by Silver Cross Hospital.

Activities or mission (Part I)

Develop health care services, workforce opportunities and educational and economic opportunities benefiting the residents of communities served by Silver Cross Hospital.

  • Provided operational support to assist community organizations promoting wellness, literacy, fitness and education.

    Expenses $121,165 · Grants $121,165

  • Provided scholarships to individuals pursuing college/university degrees or work training/apprenticeship programs.

    Expenses $52,500 · Grants $52,500

As filed on the 2022 return.

Listed in Part VII

  • Betty Washington

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Derrick Brown

    Chairman

    Total calculated
    $0
    Hours/week
    1

  • Cesar Cardenas

    Director

    Total calculated
    $0
    Hours/week
    1

  • Debra Upshaw

    Director

    Total calculated
    $0
    Hours/week
    1

  • Diana Viveros

    Director

    Total calculated
    $0
    Hours/week
    1

  • Edna Brass

    Director

    Total calculated
    $0
    Hours/week
    1

  • Herbert Brooks Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Hugo Manzo

    Director

    Total calculated
    $0
    Hours/week
    1

  • Manuela Botello

    Director

    Total calculated
    $0
    Hours/week
    1

  • Mark Jepson

    Director

    Total calculated
    $466,468
    From this org
    $0
    From related orgs
    $414,328
    Other
    $52,140
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,925 related
    Bonus
    $0 + $110,263 related
    Other
    $0 + $32,140 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $33,840 related
    Filer's total
    $0 + $466,467 related

  • Mike Trafton

    Director

    Total calculated
    $0
    Hours/week
    1

  • Rev Bennie Yarbrough

    Director

    Total calculated
    $0
    Hours/week
    1

  • Richard Brandolino

    Director

    Total calculated
    $0
    Hours/week
    1

  • Ruth Colby

    Director

    Total calculated
    $1,603,310
    From this org
    $0
    From related orgs
    $1,536,825
    Other
    $66,485
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $816,165 related
    Bonus
    $0 + $509,440 related
    Other
    $0 + $211,220 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $48,185 related
    Filer's total
    $0 + $1,603,310 related

  • Scott Paddock

    Director

    Total calculated
    $485,739
    From this org
    $0
    From related orgs
    $460,722
    Other
    $25,017
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,753 related
    Bonus
    $0 + $147,969 related
    Other
    $0
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $6,717 related
    Filer's total
    $0 + $485,739 related

  • Wynter Jackson

    Director

    Total calculated
    $0
    Hours/week
    1

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Executive Retirement Program (SERP)is a non-qualified compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefits, concluding that it is a market-competitive benefit and that the total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year the following reported persons participated in the SERP and received the following employer-funded amounts: Ruth Colby - $195,075, and Mark Jepson - $32,140.

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

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • UCMCSCH ONCOLOGY JV LLC

    N/A · CANCER DIAGNOSIS AND TREATMENT · IL

    Directly controlled by NA

  • PRIME MEDICAL IMAGING

    N/A · OUTPATIENT RADIOLOGICAL SERVICES · IL

    Directly controlled by NA

  • ESSENTIAL HEALTH PARTNERS LLC

    N/A · HEALTHCARE PROVIDER NETWORK · IL

    Directly controlled by NA

  • SILVER CROSS MSO LLC

    N/A · MANAGED CARE · IL

    Directly controlled by NA

Related corporations and trusts

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

  • Health Service Systems Inc

    C Corporation · Physician services · IL · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by SCHS

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202402279349303215

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

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