Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ST JOSEPH HEALTH SYSTEM
 
Employer identification number
95-3589356
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) CATHOLIC CHARITIES OF ORANGE COUNTY
1820 EAST SIXTEENTH ST
SANTA ANA,CA92701 		95-3031389 501(C)(3) 10,000       PROGRAM SUPPORT
(2) FACEY MEDICAL FOUNDATION
15451 SAN FERNANDO MISSION BLVD ST
MISSION HILLS,CA91345 		95-4322584 501(C)(3) 243,255       PROGRAM SUPPORT
(3) ILLUMINATION FOUNDATION GRANT
1091 N BATAVIA ST
ORANGE,CA92867 		71-1047686 501(C)(3) 309,895       PROGRAM SUPPORT
(4) MERCY HOUSING INC
1999 BROADWAY SUITE 1000
DENVER,CO80202 		47-0646706 501(C)(3) 200,000       PROGRAM SUPPORT
(5) ONELEGACY FOUNDATION
221 S FIGUEROA ST STE 500
LA,CA90012 		45-2936915 501(C)(3) 25,000       PROGRAM SUPPORT
(6) PROJECT 375 INC
332 S MICHIGAN AVE 9TH FLOOR
CHICAGO,IL60604 		46-1506251 501(C)(3) 25,000       PROGRAM SUPPORT
(7) ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016 		33-0185031 501(C)(3) 1,415,284       PROGRAM SUPPORT
(8) ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016 		95-1643359 501(C)(3) 79,716       PROGRAM SUPPORT
(9) TALLER SAN JOSE HOPE BUILDERS
801 N BROADWAY
SANTA ANA,CA92701 		59-3816355 501(C)(3) 26,000       PROGRAM SUPPORT
(10) THOMAS HOUSE TEMPORARY SHELTER
PO BOX 2737
GARDEN GROVE,CA92842 		33-0204757 501(C)(3) 10,000       PROGRAM SUPPORT
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
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash 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 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF THE ST. JOSEPH HEALTH SYSTEM. NO FOLLOW UP MONITORING IS CONDUCTED.
Schedule I (Form 990) 2018



Additional Data


Software ID:  
Software Version: