Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
NorthShore University HealthSystem
 
Employer identification number
36-2167060
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 Association for Precision Medicine
3416 Lodge Dr
Belmont,CA94002 		82-0639561 501(c)(3)   120,000 Book Value PPE Supplies Community Contribution
(2) American Cancer Society Inc
3380 Chastain Meadows Pky NW
Kennesaw,GA30144 		13-1788491 501(c)(3) 20,000       Community Event Contribution
(3) Chicago Medical Society Foundation
515 N Dearborn St
Chicago,IL60654 		36-2171684 501(c)(3)   420,000 Book Value Pulse Oximeters Community Contribution
(4) Council for Jewish Elderly
3003 W Touhy Ave
Chicago,IL60645 		36-2727597 501(c)(3) 10,000 7,920 FMV Office Space Community Contribution
(5) Emergency Medicine Stroger Cook County
1900 W Polk
Chicago,IL60601 		68-0588634 501(c)(3) 12,500       Community Contribution
(6) Erie Family Health Center
1701 W Superior St
Chicago,IL60622 		36-3088628 501(c)(3) 1,000,000       Community Contribution
(7) Evanston Chamber of Commerce
1007 Church St
Evanston,IL60201 		36-1051450 501(c)(6) 6,600       Community Event Contribution
(8) Evanston Community Foundation
1560 Sherman Ave
Evanston,IL60201 		36-3466802 501(c)(3) 11,000       Community Contribution
(9) Evanston Wilmette Golf Course Association
1030 Central St
Evanston,IL60201 		36-2016649 501(c)(3) 9,050       Community Event Contribution
(10) Glenbrook High School
3801 West Lake Ave
Glenview,IL60026 		36-6004414 State of Illinois 20,000       Community Contribution
(11) Greater Chicago Food Depository
4100 W Ann Lurie Pl
Chicago,IL60632 		36-2971864 501(c)(3) 10,000       Community Contribution
(12) Inova Health Care Services
8110 Gatehouse Rd
Falls Church,VA22042 		54-0620889 501(c)(3) 32,287       Community Contribution
(13) Lake County Partnership For Economic Development Inc
1 Overlook Pt
Lincolnshire,IL60069 		36-4206288 501(c)(3) 10,000       Community Contribution
(14) Los Alamos National Laboratory
PO Box 1663 MS P128
Los Alamos,NM87545 		82-3291283   67,512       Illinois Poison Center Contribution
(15) Medical University of South Carolina
19 Hagood Ave
Charleston,SC29425 		57-6000722 South Carolina 18,363       Community Contribution
(16) Metropolitan Chicago Healthcare Council
222 S Riverside Plaza
Chicago,IL60606 		36-3401846 501(c)(6) 73,970       Community Contribution
(17) Mount Auburn Hospital
330 Mount Auburn St
Cambridge,MA02138 		04-2103606 501(c)(3) 56,491       Community Contribution
(18) NAMI Cook County North Suburban
420 W Frontage Rd
Northfield,IL60093 		36-3714540 501(c)(3) 6,500       Community Event Contribution
(19) Niles Township Food Pantry
5255 Lincoln Ave
Skokie,IL60077 		38-3776260 501(c)(3) 10,000       General Support
(20) NorthShore Faculty Practice Associates
1301 Central Street
Evanston,IL60201 		36-3738206 501(c)(3) 131,499,817       General Support
(21) Northwest Community Hospital Foundation
3040 Salt Creek Lane
Arlington Heights,IL60005 		36-3125193 501(c)(3) 20,000,000       Research
(22) Northwestern University
633 Clark St
Evanston,IL60208 		36-2167817 501(c)(3) 654,640       Research
(23) NYU Langone School of Medicine
105 E 17th St
New York,NY10003 		13-5562308 501(c)(3) 35,192       Research
(24) Oregon Health and Science University
3181 SW Sam Jackson Park Rd
Portland,OR97208 		93-1176109 State of Oregon 11,792       Research
(25) Pads Lake County
1800 Grand Ave
Waukegan,IL60085 		36-2948857 501(c)(3) 10,000       Research
(26) Purdue University
101 North Grant St
West Lafayette,IN47906 		35-6002041 State of Indiana 105,019       Research
(27) Regents University of California Los Angeles
406 Hilgard Ave
Los Angeles,CA90095 		95-6006143 State of California 68,701       Research
(28) Rehabilitation Institute of Chicago
345 E Superior St
Chicago,IL60611 		36-2256036 501(c)(3) 19,889       Research
(29) Skills For Chicagolands Future
191 N Wacker Dr
Chicago,IL60606 		45-1287418 501(c)(3) 10,000       Research
(30) The Josselyn Center NFP
405 Central Ave
Northfield,IL60093 		36-2217996 501(c)(3) 55,000       Research
(31) University of Chicago
6054 S Drexel Ave
Chicago,IL60637 		36-2177139 501(c)(3) 81,236       Research
(32) University of Cincinnati
PO Box 670553
Cincinnati,OH45267 		31-6000989 State of Ohio 37,449       Research
(33) University of Illinois
809 S Marshfield Ave
Chicago,IL60612 		37-6000511 501(c)(3) 32,407       Research
(34) University of Miami
PO Box 248106
Coral Gables,FL33124 		59-0624458 501(c)(3) 93,444       Research
(35) University of South Florida
PO Box 864568
Orlando,FL32886 		59-3102112 State of Florida 140,740       Research
(36) University of Washington
4300 Roosevelt Way NE
Seattle,WA98105 		91-6001537 State of Washington 37,086       Research
(37) Upstate Affiliate Organization (UAO)
300 East McBee Ave
Greenville,SC29801 		61-1723202 501(c)(3) 52,377       Research
(38) Vanderbilt University Medical Center
PO Box 121316
Nashville,TN37212 		62-0476822 501(c)(3) 11,064       Research
(39) Weill Medical College of Cornell University
1300 York Ave
New York,NY10065 		13-1623978 501(c)(3) 8,000       Research
(40) Yale University
PO Box 208087
New Haven,CT09520 		08-0646973 501(c)(3) 78,305       Research
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
37
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

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) Scholarships in Medical Field 141 469,074      
(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, Part I, Line 2 Procedures for monitoring use of grant funds. NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship.
Schedule I (Form 990) 2020



Additional Data


Software ID: 20011424
Software Version: 2020v4.0