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," on 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
2015
Open to Public
Inspection
Name of the organization
Children's Health Care
 
Employer identification number
41-1754276
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) Abbott Northwestern Hospital Foundation
800 East 28th Street
Minneapolis,MN55407 		04-3643816 501(c)(3) 10,000       Critical Care Fund Sponsorship - Hire for Ed Program GoNoodle Program Sponsorship - Nurse of the Year, March Sponsorship - Midtown Safety , NNO Assist families in obtaining insurance Health career job training Fundraising Event Sponsorship - Golf and Brew Love Events Contribution Annual Giving, BearPower Collab
(2) Cristo Rey Jesuit High School
2924 4th Ave S
Minneapolis,MN55408 		20-4548714 501(c)(3) 30,000       Sponsorship - Hire for Ed Program
(3) Healthteacher Inc
209 10th Ave S
Suite 350
Nashville,TN37203 		  83,333       Classroom-based PE curriculum
(4) March of Dimes
5233 Edina Industrial Blvd
Edina,MN55439 		13-1846366 501(c)(3) 22,500       Sponsorship - Nurse of the Year
(5) Phillips West Neighborhood Org
2400 Park Ave S
Suite 152
Minneapolis,MN55404 		90-0122796 501(c)(3) 5,200       Sponsorship - Midtown Safety , NNO
(6) Portico Healthnet
2610 University Ave W
Suite 550
St Paul,MN55114 		41-1814659 501(c)(3) 45,962       Assist families in obtaining insurance
(7) Project for Pride in Living
1035 E Franklin Ave
Minneapolis,MN55406 		23-7232208 501(c)(3) 25,000       Health career job training
(8) MN Wild Foundation
317 Washington Street
St Paul,MN55102 		90-0518400 501(c)(3) 16,000       Health Career Program
(9) Ronald McDonald House - Upper Midwest
818 Fulton Street NE
Suite 1200
Minneapolis,MN55414 		41-1313107 501(c)(3) 27,000       Phillips partnership & community development
(10) CycleHealth
6545 Flying Cloud Drive
Suite 202
Eden Prairie,MN55344 		46-3077108 501(c)(3) 15,000       Cardiovascular Program education
(11) YMCA of the Greater Twin Cities
30 S 9th Street
Minneapolis,MN55402 		45-2563299 501(c)(3) 12,500       Event sponsorships
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015
Page 2

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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) Charity Care Assistance to Individuals 1077   3,701,177 Cost Charity care to indv
(1)
(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
Part I, Line 2: From time to time, Children's grants monies to other organizations conducting programs and/or research that will benefit the children that Children's serves. Children's also occasionally provides monetary support to organizations that promote careers in the health care field and community organizations that support the economic development of the area surrounding the Children's Minneapolis campus. Children's receives periodic updates regarding the use of the funds.
Schedule I (Form 990) 2015



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