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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
2020
Open to Public
Inspection
Name of the organization
HEALTHNETWORK FOUNDATION
FKA HEALTH NET FOUNDATION INC
Employer identification number
04-3804600
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) CEDARS SINAI MEDICAL CENTER
8700 BEVERLY BLVD
LOS ANGELES,CA90048
95-1644600 501(C)(3) 15,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(2) CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVE
CLEVELAND,OH44195
34-0714585 501(C)(3) 166,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(3) JOHNS HOPKINS
1101E 33RD ST NO E001
BALTIMORE,MD21218
52-1465301 501(C)(3) 247,500   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(4) UNIVERSITY HOSPITALS
11100 EUCLID AVE
CLEVELAND,OH44106
34-0714775 501(C)(3) 40,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(5) BRIGHAM & WOMEN'S HOSPITAL
75 FRANCIS STREET
BOSTON,MA02115
04-2312909 501(C)(3) 15,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(6) PENN MEDICINE
7133 ROOSEVELT BLVD
PHILADELPHIA,PA19149
31-1538725 501(C)(3) 26,000   FMV   IMH - 10/25/21 05:24PM WORKSHEET SCHEDULE I
(7) THE MOUNT SINAI HEALTH SYSTEM
555 W 57TH STREET
NEW YORK,NY10019
13-1624096 501(C)(3) 40,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(8) MAYO CLINIC
4500 SAN PABLO ROAD S
JACKSONVILLE,FL32224
59-3337028 501(C)(3) 15,000   FMV   IMH - 10/25/21 04:52PM WORKSHEET SCHEDULE I
(9) UNIVERSITY OF CINCINNATI FOUNDATION
UNIVERSITY HALL 51 GOODMAN ST
CINCINNATI,OH45221
31-0896555 501(C)(3) 10,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
(10) SHEAR FAMILY FOUNDATION
103 GAMMA DRIVE NO 120
PITTSBURG,PA15238
47-1833006 501(C)(3) 50,000   FMV   GENERAL SUPPORT & MEDICAL RESEARCH
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
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
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 (Form 990) 2020



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