Chestnut Health Systems
Chestnut Health Systems reported $81.5 million in revenue and $80.8 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $94.83 went to program services, $5.17 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 55.1% of the total. Government grants made up 37.3%. The highest compensation it reported for one person was $757,361 (CHIEF EXECUTIVE OFFICER). 60 people received more than $100,000 in reportable compensation. Revenue rose 87% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $81MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $81MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 94.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 5.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 39.9% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 37.3% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 55.1% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $757,361 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.94% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 60 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 3.6 | 6.6 |
| Independent voting board members Part VI 1a–1b | 9 of 9 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseBehavioral 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…
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
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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CHIEF EXECUTIVE OFFICER Officer, 38.00 hrs/week | $701,817 | $0 | $55,544 | $757,361 |
| CFO Officer, 39.00 hrs/week | $420,451 | $0 | $82,346 | $502,797 |
| CHIEF OPERATING OFFICER Officer, 38.00 hrs/week | $378,848 | $0 | $103,315 | $482,163 |
| DIRECTOR OF LI Key employee, 40.00 hrs/week | $391,846 | $0 | $51,510 | $443,356 |
| SR. RESEARCH SCIENTIST Highest compensated employee, 40.00 hrs/week | $272,664 | $0 | $46,838 | $319,502 |
| SR. RESEARCH SCIENTIST (LEFT 5/25) Highest compensated employee, 40.00 hrs/week | $262,963 | $0 | $44,777 | $307,740 |
| SR. RESEARCH SCIENTIST Highest compensated employee, 40.00 hrs/week | $281,360 | $0 | $22,890 | $304,250 |
| MEDICAL DIRECTOR OF CFHC Highest compensated employee, 40.00 hrs/week | $295,197 | $0 | $7,378 | $302,575 |
60 people received more than $100,000 in reportable compensation from Chestnut Health Systems (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.1M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b9 · 9 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 51,061
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| TERI'S ROUTE 66 DINER Catering | $307,479 |
| COGNITRAINER LLC Software design & development | $225,000 |
| CLIFTONLARSONALLEN LLP Accouting services | $188,963 |
| SARA SONIC THERAPY LLC Contractor | $179,290 |
| CUSTOM CATERING Catering | $178,011 |
Individuals listed as contractors are left out. 9 contractors were paid more than $100,000 in all.
Private foundation grants it received
7 private foundations reported grants to Chestnut Health Systems totaling $803K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Chestnut Health Systems's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Chestnut Health Systems, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Chestnut Health Systems spent in FY2025, $94.83 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- St Joseph's Hospital - Hospital Sisters - Third Order of St FrancisBreese, IL · revenue $81M · programs 78.4% · FY2025
- LifeCare Medical CenterRoseau, MN · revenue $81M · programs 83.3% · FY2025
- The Richland HospitalRichland Center, WI · revenue $81M · programs 83.6% · 2024
- Menorah Home and Hospital for Aged and InfirmNew York, NY · revenue $81M · programs 90.0% · 2024
- Southern Monterey County Memorial HospitalKing City, CA · revenue $81M · programs 66.5% · FY2025
Questions people ask
How much of Chestnut Health Systems's spending goes to programs?
In the fiscal year ending June 30, 2025, Chestnut Health Systems reported that 94.8% of its $80.8 million in expenses went to program services, 5.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Chestnut Health Systems pay its top executive?
The largest total compensation Chestnut Health Systems reported for one person in the fiscal year ending June 30, 2025 was $757,361, for the role of CHIEF EXECUTIVE OFFICER (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Chestnut Health Systems get its money?
Of $81.5 million in revenue in the fiscal year ending June 30, 2025, 39.9% came from contributions and grants (including 37.3% from government grants) and 55.1% from program service revenue (Form 990, Part VIII).
Is Chestnut Health Systems a registered charity?
The IRS lists EIN 37-0964629 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631359349302828 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202510859349300211 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441299349301594 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202310589349301461 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202210319349301401 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202130549349301023 · read the filing
All filings for EIN 37-0964629: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.