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Illinois · Nonprofit

CHESTNUT HEALTH SYSTEMS INC

CHESTNUT HEALTH SYSTEMS INC (Illinois) receives grants from 28 organizations whose IRS filings report $8,163,274 to it, the largest being JEFFERSON FOUNDATION ($2,800,000). 15 of them have funded it in more than one year.

Revenue FY2025
$81M
Funders on record
28
Grants received
$8.2M
Net assets
$24M
15/28 repeat funderspeak grant-dependency 4%
01What it does

What Chestnut Health Systems Inc does

Mission

Making a difference: improving quality of life through excellence in service.

As stated on its FY2025 Form 990.

Programs

  1. Behavioral health services: chestnut health systems offers substance use disorder (sud), mental health, and prevention services in central and southern illinois and in eastern missouri. Major program sites include mclean, madison, and st. Clair counties in illinois and jefferson county in missouri. Sud treatment is available for adolescents and adults. Sud services include, but are not limited to, medically-monitored detox, residential treatment, and outpatient/intensive outpatient treatment. Sud prevention services are primarily focused on adolescents and teens. Mental health services include, but are not limited to, crisis intervention, crisis residential, psychiatric, school based services, outpatient counseling, and supported/supervised residential. Chestnut offers counseling for individuals struggling with a variety of disorders and conditions.

    $41,643,776 spent$21,808,086 earned by the program
    54% of program spending
  2. Lighthouse institute: the mission of lighthouse institute (li) is to help practitioners improve the quality of their services through research, program evaluation, and training on evidence based practices. Li serves health and human service agencies through offices in chicago, bloomington, and maryville, illinois; an office in eugene, or; and remote staff in over 20 states. Li staff also create and extend their human and electronic infrastructures to collaborate with similar agencies in all of the united states and provinces of canada, as well as a dozen other countries.

    $19,467,017 spent$16,999,832 earned by the program
    25% of program spending
  3. Chestnut family health center: chestnut family health center (cfhc) is a health center program grantee under 42 u.s.c. 254b, and a deemed public health service employee under 43 u.s.c. 233(g)-(n). It serves residents of mclean, madison, and st clair counties in illinois who live at or below 200 percent of federal poverty guidelines. Cfhc provides health care for patients of all ages - from infants to geriatric patients. Cfhc offers preventive services such as wellness exams; management of chronic illnesses; treatment of acute illnesses; and psychiatric counseling services. A laboratory and pharmacy are located within each of the cfhc sites. Dental services are offered in mclean county.

    $15,484,670 spent$7,617,921 earned by the program
    20% of program spending
  4. Share of undistributed earnings of limited liability companies and joint ventures - interests in foreign llc's and joint ventures are owned. These llc's and joint ventures engage in similar activities consistent with chestnut's mission.

    $22,283 earned by the program

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $76,595,463.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($46M) Expenses 100 ($52M) Net assets 100 ($36M)2018 Revenue 110 ($51M) Expenses 91 ($47M) Net assets 112 ($40M)2019 Revenue 97 ($45M) Expenses 91 ($47M) Net assets 108 ($39M)2020 Revenue 94 ($44M) Expenses 95 ($49M) Net assets 94 ($34M)2021 Revenue 107 ($50M) Expenses 102 ($52M) Net assets 87 ($31M)2022 Revenue 114 ($53M) Expenses 113 ($58M) Net assets 72 ($26M)2023 Revenue 134 ($62M) Expenses 118 ($61M) Net assets 80 ($29M)2024 Revenue 163 ($76M) Expenses 143 ($74M) Net assets 86 ($31M)2025 Revenue 175 ($81M) Expenses 157 ($81M) Net assets 67 ($24M)
'17'18'19'20'21'22'23'24'25
Revenue (175)Expenses (157)Net assets (67)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $46M to $38M (−16%).

$43M
$49M
$50M
$44M
$43M
$37M
$42M
$46M
$38M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 32% · 2018 31% · 2019 41% · 2020 50% · 2021 53% · 2022 62% · 2023 54% · 2024 41% · 2025 37%. Grants only. Government contracts and fees sit inside program revenue.

40% of CHESTNUT HEALTH SYSTEMS INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 5 of the last 9 reported years ran a deficit.

−$5.1M
’17
$4.3M
’18
−$1.4M
’19
−$5.1M
’20
−$2.5M
’21
−$5.3M
’22
$1.7M
’23
$2.2M
’24
$683k
’25
1.5
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

David Sharar

Chief executive officer

Board chair

Laura Haas

Chairperson

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2018 and FY2019 filings.

'17'18'19'20'21'22'23'24'25
Listed202423242021191921
Joined·+7+3+2+1+1+0+3+4
No longer listed·34150232
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 2 funders to 13 funders, grant income rose $50k → $1.3M.

5 of 28 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 4% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of CHESTNUT HEALTH SYSTEMS INC’s funders (the co-funder graph). Top 27 of 28 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

CHESTNUT HEALTH SYSTEMS INC leans on a few funders — its largest provides 34% of grant income and the top three 66%; half comes from just 2 funders.

the vertical line marks half of all grant income — 2 funders to its left

34% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund CHESTNUT HEALTH SYSTEMS INC.

34%
largest funder
66%
top three
~5
effective funders

Largest funder’s share by year: 2017 75% · 2018 100% · 2019 92% · 2020 41% · 2021 54% · 2022 55% · 2023 31% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

50% of CHESTNUT HEALTH SYSTEMS INC's funders are still giving 3 years after their first grant; 54% give in more than one year at all.

first grant+1y+2y+3y+4y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

CHESTNUT HEALTH SYSTEMS INC draws 59% of its grant income from funders outside Illinois, across 10 states in all.

WA
IL
NY
OR
PA
MO
DC
GA
TX
FL

In-state vs out-of-state, by year

’17
’19
’20
’21
’22
’23
Illinois out of state home

Funder states come from each funder’s own filing. $307k arriving through sponsors registered in 3 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

CHESTNUT HEALTH SYSTEMS INC has grown faster than half of the 2,843 health nonprofits its size.

Operating margin1% · below the median
Months of reserve1.5mo · below the median
Revenue growth (annualized)7% · above the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding CHESTNUT HEALTH SYSTEMS INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $139.2M on record — $136.8M federal, $2.4M state.

Federal$136.8M
grants $129.2Mcontracts $7.6M
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$101.8M
  • Department of Housing and Urban Development$17.3M
  • Department of Veterans Affairs$9.4M
  • Department of the Interior$7.6M
  • Department of Justice$742k
State$2.4M
14
17
18
19
20
21
22
23
24
25
By state
  • MA$1.4M
  • OR$843k
  • OK$217k
  • FL$4k
  • DE$1k
  • VT$86

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like CHESTNUT HEALTH SYSTEMS INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Illinois

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

95% of spending goes to programs.

Program 95%Management 5%Fundraising 0%

Governance

9
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

95%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

IL

Part of a family of 3 related entities

  • Chestnut Resolutions Inc Nfp · exempt
  • Chestnut Health Qalicb Inc · exempt
  • Chestnut Global Partners of Mexico Sa de Cv · corp_trust

Screen this organization

A dated, signed PDF of the compliance screen for CHESTNUT HEALTH SYSTEMS INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds CHESTNUT HEALTH SYSTEMS INC?
CHESTNUT HEALTH SYSTEMS INC (Illinois) receives grants from 28 organizations whose IRS filings report $8,163,274 to it, the largest being JEFFERSON FOUNDATION ($2,800,000). 15 of them have funded it in more than one year.
How many funders does CHESTNUT HEALTH SYSTEMS INC have?
IRS filings report 28 organizations giving $8,163,274 in grants to CHESTNUT HEALTH SYSTEMS INC, 15 of which have funded it in more than one year.
Who is the largest funder of CHESTNUT HEALTH SYSTEMS INC?
JEFFERSON FOUNDATION is the largest funder on record, with $2,800,000 in grants. The full list of funders is on this page.
How can an organization like CHESTNUT HEALTH SYSTEMS INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Illinois. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Chestnut Health Systems →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 28 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing