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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
D/B/A ADV MEDICAL TRANS OF CENTRAL IL
Employer identification number
37-0999878
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) ADVANCED MEDICAL TRANSPORT EAST INC
1718 N STERLING AVE
PEORIA,IL61615 		86-2146583 501(C)(3) 642,660 0     SUPPORT FOR EMS CARE.
(2) CREIGHTON UNIVERSITY
PO BOX 30282
OMAHA,NE68103 		47-0376583 501(C)(3) 25,000 0     SUPPORT FOR EMS EDUCATION.
(3) EASTER SEALS
1014 W PIONEER PKWY STE 110
PEORIA,IL61615 		45-5123895 501(C)(3) 25,000 0     SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
(4) EPC
1913 W TOWNLINE ROAD
PEORIA,IL61615 		37-0794792 501(C)(3) 15,000 0     SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
(5) HEART OF ILLINOIS UNITED WAY
509 W HIGH ST
PEORIA,IL61606 		37-0661504 501(C)(3) 100,000 0     SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS
(6) ICC
1 COLLEGE DR
EAST PEORIA,IL61635 		37-1207827 501(C)(3) 26,000 0     SUPPORT FOR EMS EDUCATION.
(7) OSF HEALTHCARE FOUNDATION
530 NE GLEN OAK AVE
PEORIA,IL61603 		37-1259284 501(C)(3) 500,000 0     SUPPORT FOR CANCER CENTER.
(8) SOUTH SIDE MISSION
1127 S LARAMIE ST
PEORIA,IL61605 		37-0663572 501(C)(3) 7,500 0     SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
(9) STREATOR FIRE DEPARTMENT
108 N WASSON ST
STREATOR,IL61364 		STREATOR FIRE DEPT 5,996 0     IMPROVE LOCAL COMMUNITY CARDIAC ARREST SURVIVABILITY INIATIVES.
(10) UNITY POINT HEALTH - CENTRAL IL FOUNDATION
5409 N KNOXVILLE AVE
PEORIA,IL61614 		37-0681540 501(C)(3) 500,000 0     SUPPORT FOR MENTAL HEALTH SERVICES AND PROGAMS.
(11) WTVP
PO BOX 1347
PEORIA,IL61654 		23-7041401 501(C)(3) 31,500 0     SUPPORT LOCAL EDUCATION PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
14
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
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) 2021



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