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
Catholic Health Initiatives Colorado
 
Employer identification number
84-0405257
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) AMERICAN CANCER SOCIETY
2255 S ONEIDA ST
DENVER,CO80224 		84-1316555 501(C)(3) 5,000       Operational support
(2) AMERICAN HEART ASSOCIATION
PIKES PEAK DIVISION
415 N TEJON STE 201
COLORADO SPRINGS,CO80903 		13-5613797 501(C)(3) 21,250       Operational support
(3) ASSISTANCE LEAGUE OF PUEBLO
515 CHESTER AVE
PUEBLO,CO81003 		23-7127355 501(C)(3) 10,000       Operational support
(4) CATHOLIC CHARITIES OF DIO PUEB
429 W 10TH ST STE 101
PUEBLO,CO81003 		84-0471001 501(C)(3) 5,000       Operational support
(5) CENTER FOR AMERICAN VALUES
101 S MAIN ST 100
PUEBLO,CO81003 		27-2779073 501(C)(3) 5,000       Operational support
(6) CHI COLORADO FOUNDATION
1150 KELLY JOHNSON BLVD 204
COLORADO SPRINGS,CO80920 		52-3663965 501(C)(3) 224,759       Operational support
(7) COLORADO SPRINGS BUSINESS JOURNAL
235 S NEVADA AVE
COLORADO SPRINGS,CO80903 		45-5267177   7,000       Operational support
(8) COLORADO SPRINGS CHILDRENS CHORALE
PO BOX 7841
COLORADO SPRINGS,CO80933 		84-0999238 501(C)(3) 8,000       Operational support
(9) COLORADO SPRINGS FINE ARTS CTR
30 WEST DALE STREET
COLORADO SPRINGS,CO80903 		84-0406947 501(C)(3) 16,000       Operational support
(10) COLORADO SPRINGS PIONEER MUSEU
215 S TEJON ST
COLORADO SPRINGS,CO80903 		27-4151466 501(C)(3) 5,000       Operational support
(11) COLORADO STATE UNIVERSITY
2200 BONFORTE BLVD 187
PUEBLO,CO81001 		84-0517947 501(C)(3) 22,770       Operational support
(12) CREATE CANON CITY
402 VALLEY RD
CANON CITY,CO81212 		45-4476362 501(C)(3) 30,000       Operational support
(13) CROSSROADS MANAGED CARE
509 E 13TH ST
PUEBLO,CO81001 		84-0810723 501(C)(3) 24,000       Operational support
(14) DIOCESE OF COLORADO
29 WEST KIOWA
COLORADO SPRINGS,CO80903 		84-0936629 501(C)(3) 10,000       Operational support
(15) FRANCISCAN CENTER
MOUNT ST FRANCIS
7665 ASSISI HEIGHTS
COLORADO SPRINGS,CO80919 		84-0405261 501(C)(3) 8,941       Operational support
(16) GIRLS ON THE RUN OF
202 NORTH AVENUE 284
GRAND JUNCTION,CO81501 		20-1667120 501(C)(3) 5,000       Operational support
(17) GREATER PUEBLO CHAMBER
302 N SANTA FE
PUEBLO,CO81003 		84-0296940 501(C)(3) 6,300       Operational support
(18) GRECCIO HOUSING UNLIMITED INC
1808 W COLORADO AVE
COLORADO SPRINGS,CO80904 		84-1158819 501(C)(3) 5,000       Operational support
(19) HARP FOUNDATION
125 RIVERWALK PL
PUEBLO,CO81003 		84-1461043 501(C)(3) 10,000       Operational support
(20) HOME FRONT CARES
PO BOX 38516
COLORADO SPRINGS,CO80927 		20-0564493 501(C)(3) 7,700       Operational support
(21) HUMANE SOCIETY THE
610 ABBOTT LANE
COLORADO SPRINGS,CO80905 		84-0410111 501(C)(3) 8,500       Operational support
(22) LONGMONT UNITED HOSPITAL
1950 W MOUNTAIN VIE AVE
LONGMONT,CO80501 		84-0460697 501(C)(3) 10,000,000       Operational support
(23) MARCH OF DIMES BIRTH DEFECTS
PO BOX 932852
ATLANTA,GA31193 		13-1846366 501(C)(3) 8,500       Operational support
(24) NEWBORN HOPE INC
310 HIDDEN CREEK DRIVE
COLORADO SPRINGS,CO80906 		84-1093905 501(C)(3) 8,000       Operational support
(25) PEAK VISTA COMMUNITY HEALTH CE
3205 N ACADEMY BLVD STE 130
COLORADO SPRINGS,CO80917 		84-0617567 501(C)(3) 5,000       Operational support
(26) PIKES PEAK HOSPICE & FOUNDATN
825 E PIKES PEAK AVE STE 600
COLORADO SPRINGS,CO80903 		36-4095186 501(C)(3) 5,000       Operational support
(27) Pikes Peak or Bust Rodeo
104 S CASCADE AVE STE 200B
COLORADO SPRINGS,CO80903 		84-0473034 501(C)(3) 12,615       Operational support
(28) POLICE FOUNDATION OF
10 LAKE CIRCLE
COLORADO SPRINGS,CO80906 		27-0926740 501(C)(3) 10,000       Operational support
(29) ROCKY MOUNTAIN WOMEN'S
421 S TEJON ST 333
COLORADO SPRINGS,CO80903 		84-1097818 501(C)(3) 10,000       Operational support
(30) RONALD MCDONALD HOUSE OF SOUTH
311 N LOGAN
COLORADO SPRINGS,CO80909 		84-1013843 501(C)(3) 11,000       Operational support
(31) SILVER KEY SENIOR SE
1625 SOUTH MURRAY BLVD
COLORADO SPRINGS,CO80916 		23-7109922 501(C)(3) 5,000       Operational support
(32) SPREE RACING
738 E CACHE LA POUDRE
COLORADO SPRINGS,CO80903 		45-5525583 501(C)(3) 20,000       Operational support
(33) SUSAN G KOMEN BREAST CANCER FO
411 LAKEWOOD CR B 107
COLORADO SPRINGS,CO80910 		75-2844654 501(C)(3) 9,000       Operational support
(34) YMCA OF THE PIKES PEAK REGION
17250 JACKSON CREEK PKWY
MONUMENT,CO80133 		84-0404266 501(C)(3) 14,400       Operational support
(35) YWCA OF PUEBLO
801 N SANTA FE AVE
PUEBLO,CO81003 		84-0402720 501(C)(3) 6,500       Operational support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
34
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 23455   98,827,077 Book Financial 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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE GIVEN AT THE DISCRETION OF THE CATHOLIC HEALTH INITIATIVES COLORADO CEO. THE CEO MAKES REQUESTS FOR FUNDING, WHICH IS PAID OUT IN THE FORM OF A DONATION TO THE ENTITY OR USED TO REIMBURSE AN INVOICE SUBMITTED FOR AN EXPENSE FOR A SPECIFIC PURPOSE. THE MAJORITY OF THE DONEES ARE 501(C)(3) ORGANIZATIONS THAT ASSUME RESPONSIBILITY FOR ENSURING THAT THE FUNDS ARE USED IN FURTHERANCE OF THE PURPOSE OF THE GRANT.
Schedule I (Form 990) 2015



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