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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
METHODIST MEDICAL CENTER OF ILLINOIS
 
Employer identification number
37-0661223
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) AMERICAN HEART ASSOCIATION
221 S MISSOURI AVE
MORTON,IL61550 		13-5613797 501(C)(3) 10,000       EVENT SPONSOR
(2) DOWNTOWN DEVELOPMNT CORP PEORIA
820 SW ADAMS ST STE 1A
PEORIA,IL61602 		46-4486780 501(C)(3) 35,000       EVENT SPONSOR
(3) FRIENDS OF WILDLIFE PRAIRIE PARK
3826 N TYLOR RD
HANNA CITY,IL61536 		20-8064678 501(C)(3) 50,000       PROGRAM SUPPORT
(4) HEART OF ILLINOIS UNITED WAY
509 W HIGH STREET
PEORIA,IL61605 		37-0661504 501(C)(3) 99,508       PROGRAM SUPPORT
(5) HULT CENTER FOR HEALTHY LIVING
5215 N KNOXVILLE AVE
PEORIA,IL61614 		36-3510390 501(C)(3) 106,518       PROGRAM SUPPORT
(6) UNIVERSITY OF ILLINOIS
506 S WRIGHT ST 209 HAB MC339
URBANA,IL61801 		37-6000511 501(C)(3) 50,000       PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
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) MAMMOGRAM EXPENSES 1798 55,737      
(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: RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. COMMUNITY BENEFITS COMMITTEE AND CEO REVIEW ASSISTANCE REQUESTS AND APPROVE BASED ON NEED.
Schedule I (Form 990) 2018



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