Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Harris County Hospital District
Foundation
Employer identification number
76-0408224
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) ChildBuilders
2425 Fountain View Drive
Houston,TX77057
23-7442963 501(c)(3) 40,000 0     Adopt-A-School Program
(2) Harris County Protective Serv
2525 Murworth
Houston,TX77054
76-0609180 170(c)(1) 42,603 0     Family Support Navigator Init
(3) Harris Health System
2525 Holly Hall 235
Houston,TX77054
74-1536936 170(c)(1) 2,359,204 0     Dist. Support/Community Outreach
(4) Hispanic Health Coalition
2626 S Loop West 650R
Houston,TX77054
76-0609180 501(c)(3) 40,000 0     Bounce Health Lifestyle Program
(5) Houston Area Womens Center
1010 Waugh Dr
Houston,TX77019
74-2029166 501(c)(3) 46,551 0     Health Svcs Survivors of Dom Viol
(6) Santa Maria Hostel
2605 Parker Road
Houston,TX77093
74-1669131 501(c)(3) 50,000 0     Children's Mental Health Project
(7) Star of Hope Mission
1811 Ruiz Street
Houston,TX77002
74-1152599 501(c)(3) 54,060 0     Project Bright Star
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
(1) Nursing scholarships 14 6,819      
(2) Employee Disaster Relief 5 8,661      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Grantmaker's Description of How Grants are Used The Foundation makes grants to its closely-affiliated organization, Harris Health System. All grants made to individuals are determined through coordination between the System and the Foundation. The close relationship between the organizations serves to monitor the use of the funds.Regarding grants to other organizations, the Foundation maintains a Children's Health Advisory Committee which receives and reviews grant requests. All grantees are required to send a 6-month interim report and a 12-month status report after receiving the grant. Any funds not spent within 12 months are returned to the Foundation, unless prior permission from the Committee is received.
Schedule I (Form 990) 2014



Additional Data


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