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
West Virginia University Hospitals Inc
 
Employer identification number
55-0643304
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) Ronald McDonald House Charities Inc
One Kroc Drive
Oak Brook,IL60523 		36-2934689 501c3 7,500       Support
(2) United Way of Monongalia and Preston Counties
278-C Spruce Street
Morgantown,WV26506 		55-0462065 501c3 35,600       Support
(3) American Heart Association
PO Box 4002907
Des Moines,IA503402907 		13-5613797 501c3 5,000       Support
(4) Morgantown BoPARC
PO Box 590
Morgantown,WV26506 		55-6000620 501c3 10,000       Support
(5) Mon County Child Advocacy
909 Greenbag Road
Morgantown,WV26508 		65-1253972 501c3 13,340       Support
(6) WVU Foundation
1 Waterfront Place
Morgantown,WV26505 		55-6017181 501c3 1,143,870       Support
(7) Mountain State Expo
270 Settlement Lane
St George,WV26287 		23-3942999   6,075       Sponsorship
(8) Your Community Foundation Inc
PO Box 406
Morgantown,WV25607 		27-5249383 501c3 15,500       Support
(9) Mon County Relay for Life
122 South High Street
Morgantown,WV26501 		13-1788491   5,000       Sponsorship
(10) American Association of Kidney Patients
2701 North Rocky Point Drive
Tampa,FL33607 		11-2306416 501c3 5,000       Support
(11) West Virginia Symphony Orchestra Inc
PO Box 2292
Charleston,WV25328 		55-0339426 501c3 5,000       Support
(12) Garrett County Memorial
251 North Fourth Street
Oakland,MD21550 		52-6002795 501c3 5,000       Support
(13) West Virginia Public Theatre Inc
111 High Street
Morgantown,WV26505 		55-0681046 501c3 5,000       Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
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)
(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 WVU Hospitals provides cash contributions to various charitable organizations that support education, healthcare, or community building activities. WVUH does not monitor the use of grants after awarded.
Schedule I (Form 990) 2015



Additional Data


Software ID: 15000290
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