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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
2019
Open to Public
Inspection
Name of the organization
Ann & Robert H Lurie Children's Hospital of
Chicago
Employer identification number
36-2170833
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) LURIE CHILDREN'S HOSPITAL OF CHICAGO FDN
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3357006 501(c)(3) 1,168,780       MISSION SUPPORT
(2) STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3357005 501(c)(3) 9,380,881       MISSION SUPPORT
(3) PEDIATRIC FACULTY FOUNDATION INC
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3279680 501(c)(3) 36,459,504       MISSION SUPPORT
(4) LURIE CHILDRENS MEDICAL GROUP LLC
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-4187449 501(c)(3) 1,626,698       MISSION SUPPORT
(5) ALMOST HOME KIDS
7 S 721 ROUTE 53
NAPERVILLE,IL60540 		36-3822010 501(c)(3) 2,278,961       MISSION SUPPORT
(6) CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CTR
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3357004 501(c)(3) 1,210,609       MISSION SUPPORT
(7) HEALTH PARTNERS CARE COORDINATION LLC
225 E CHICAGO AVE
CHICAGO,IL606112991 		35-2503476 501(c)(3) 1,366,730       MISSION SUPPORT
(8) Lurie Children's Primary Care LLC
225 E Chicago Ave
CHICAGO,IL606112991 		32-0476042 501(C)(3) 165,143       MISSION SUPPORT
(9) LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSN
225 E CHICAGO AVE BOX 282
CHICAGO,IL606112991 		37-1838535 501(c)(3) 2,885,801       MISSION SUPPORT
(10) LURIE CHILDREN'S SURGICAL FOUNDATION
2300 CHILDRENS PLAZA STE 114
CHICAGO,IL60614 		83-1650513 501(C)(3) 19,889,795       MISSION SUPPORT
(11) CHILDREN'S HOSPITAL OF CHICAGO FPP
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3393780 501(c)(3) 175,625       MISSION SUPPORT
(12) STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3357005 501(c)(3) 30,609,370       RELEASED FROM RESTRICTION
(13) PEDIATRIC FACULTY FOUNDATION INC
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-3279680 501(c)(3) 9,258,268       RELEASED FROM RESTRICTION
(14) LURIE CHILDRENS MEDICAL GROUP LLC
225 E CHICAGO AVE
CHICAGO,IL606112991 		36-4187449 501(c)(3) 1,979,985       RELEASED FROM RESTRICTION
(15) ALMOST HOME KIDS
7 S 721 ROUTE 53
NAPERVILLE,IL60540 		36-3822010 501(c)(3) 60,050       Released from Restriction
(16) HEALTH PARTNERS CARE COORDINATION LLC
225 E CHICAGO AVE
CHICAGO,IL606112991 		35-2503476 501(C)(3) 195,833       RELEASED FROM RESTRICTION
(17) LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSN
225 E CHICAGO AVE BOX 282
CHICAGO,IL606112991 		37-1838535 501(c)(3) 182,170       RELEASED FROM RESTRICTION
(18) LURIE CHILDREN'S SURGICAL FOUNDATION
2300 CHILDRENS PLAZA STE 114
CHICAGO,IL60614 		83-1650513 501(C)(3) 2,001,662       RELEASED FROM RESTRICTION
(19) AMERICAN CANCER SOCIETY
250 Williams Street NW
Atlanta,GA30303 		13-1788491 501(C)(3) 25,000       MISSION SUPPORT
(20) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 97,500       MISSION SUPPORT
(21) CITIZENS UNITED FOR RESEARCH
430 West Erie Street Suite 210
Chicago,IL60654 		36-4253176 501(C)(3) 8,000       MISSION SUPPORT
(22) LEADERSHIP GREATER CHICAGO
111 East Wacker Drive Suite 1220
Chicago,IL60601 		36-3293207 501(C)(3) 25,000       MISSION SUPPORT
(23) The Children's Heart Foundation
5 REVERE DR STE 2000
NORTHBROOK,IL60062 		36-4077528 501(C)(3) 25,000       MISSION SUPPORT
(24) THE EXECUTIVES CLUB OF CHICAGO
8 S MICHIGAN AVE STE 320
CHICAGO,IL60603 		36-1054078 501(C)(3) 30,000       MISSION SUPPORT
(25) INNOVATIVE DEVELOPMENT
222 W MERCHANDISE MART PLZA STE 123
CHICAGO,IL60654 		46-3253782 501(C)(3) 30,000       MATTER PROGRAM
(26) THE CIVIC FEDERATION
205 W WACKER DR STE 1400
CHICAGO,IL60603 		36-2170124 501(C)(3) 5,500       MISSION SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
19
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) 2019

Schedule I (Form 990) 2019
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
Form 990, SCHEDULE I WE REVIEW ALL GRANT FUNDS ON A MONTHLY BASIS. FINANCIAL REPORTS ARE GENERATED MONTHLY AND DISTRIBUTED ELECTRONICALLY TO ALL FUND DIRECTORS AND THE OFFICE OF SPONSORED PROJECTS (OSP) FOR REVIEW. EXPENDITURES ARE REVIEWED FOR APPROPRIATENESS AND AGAINST BUDGETARY GUIDELINES BY THE FINANCE OFFICE (FUND ACCOUNTING). OSP AND FUND ACCOUNTING WORK WITH THE INVESTIGATORS TO MONITOR THEIR ACTIVITY AND MAKE SURE THEY ARE IN COMPLIANCE WITH THE TERMS OF THE AWARD.
Schedule I (Form 990) 2019



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