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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
ST LUKE'S FOUNDATION
 
Employer identification number
45-3811485
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) CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN ST 1100
HOUSTON,TX77030
74-1161938 501(C)(3) 3,289,963 0     PROGRAM SUPPORT
(2) ST LUKE'S HEALTH SYSTEM CORP
PO BOX 20269
HOUSTON,TX77225
76-0536232 501(C)(3) 808,107 0     PROGRAM SUPPORT
(3) TEXAS HEART INSTITUTE
PO BOX 20345
HOUSTON,TX77225
74-6053200 501(C)(3) 506,502 0     PROGRAM SUPPORT - ENDOWED CHAIRS
(4) MEMORIAL HEALTH SYTEM OF EAST TEXAS
1201 W FRANK AVE
LUFKIN,TX75904
75-0755367 501(C)(3) 89,594 0     PROGRAM SUPPORT
(5) COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DR
LAKE JACKSON,TX77566
74-1385192 501(C)(3) 5,350 0     PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
0
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
PART I, LINE 2: ST. LUKE'S FOUNDATION GRANTS FUNDS TO OTHER TAX EXEMPT 501(C)(3) ORGANIZATIONS AND REQUIRES ALL GRANT RECIPIENTS TO MEASURE THEIR SUCCESS IN ATTAINING PROGRAM GOALS.
Schedule I (Form 990) 2021



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