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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
ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC
 
Employer identification number
39-1570877
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) ASCENSION ALL SAINTS HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MI631455998 		39-1264986 501(c)(3) 327,985       General/Capital Support
(2) ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MI631455998 		39-1791586 501(c)(3) 27,915       General Support
(3) HOMELESS ASSISTANCE LEADERSHIP ORG
2001 DE KOVEN AVE
RACINE,WI53403 		20-2041432 501(c)(3) 20,000       HALO HOUSING PROGRAM
(4) GOODWILL MANUFACTURING INC
BOX 78564
MILWAUKEE,WI532780564 		35-2531359 501(c)(3) 40,978       HIGHER EXPECTATIONS PROGRAM
(5) THE DEKOVEN FOUNDATION FOR CHURCH WK INC
600 21st ST
RACINE,WI53403 		39-0806356 501(c)(3) 9,500       GRANT FOR DEKOVEN CENTER FOR ENHANCING HYGEINE STANDARDS
(6) BELEAF SURVIVORS INC
2000 DOMANIK DR FL 4
RACINE,WI53404 		85-2092471 501(c)(3) 7,500       GRANT FOR RAPE CRISIS CENTER TO PROMOTE HOPE AND HEALING AFTER SEXUAL ASSAULT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
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 33 65,750      
(2) HARDSHIP ASSISTANCE 20 39,448      
(3) MISSION WORK 5 10,000      
(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. THE FILING ORGANIZATION MAINTAINS FILES AND RECORDS TO MANAGE THE DECISION-MAKING AND AWARD PROCESS FOR ORGANIZATIONS THAT IT PROVIDES COMMUNITY SPONSORSHIP DOLLARS TO. DECISIONS ARE MADE BY A COMMUNITY SPONSORSHIP COMMITTEE WITH LEADERS WHO HOLD POSITIONS IN DIVERSITY, STRATEGIC PLANNING, MISSION SERVICES, MARKETING AND PHILANTHROPY. THE COMMITTEE GENERALLY STRIVES TO SPONSOR ORGANIZATIONS THAT HAVE MISSIONS THAT ALIGN WITH THE MISSION, VISION AND VALUES OF ASCENSION HEALTHCARE. THE COMMITTEE ALSO LOOKS FOR CERTAIN OTHER CRITERIA WHEN DECIDING WHICH ORGANIZATIONS WILL RECEIVE CONTRIBUTIONS, INCLUDING BUT NOT LIMITED TO SUPPORTING HEALTHCARE RELATED ACTIVITIES WITHIN THE SOUTHEAST WISCONSIN, IOWA, AND ILLINOIS MARKETS, SUPPORTING PROGRAMMING THAT WORK TO FURTHER DIVERSITY AND CULTURAL COMPETENCY, ALIGNING WITH OTHER WFH BUSINESS RELATIONSHIPS OR SERVICE LINES, SUPPORTING STUDENT ACADEMIC ACHIEVEMENT OR WORKFORCE DEVELOPMENT INITIATIVES, AND FINALLY, SUPPORTING LEADERS PERIODICALLY MEET WITH REPRESENTATIVES OF SPONSORED ORGANIZATIONS TO DISCUSS OBJECTIVES INCLUDING HOW DOLLARS WILL BE SPENT. ADDITIONALLY, THE FILING ORGANIZATION MAY, AT A LATER DATE, ASK FOR DOCUMENTATION IN ORDER TO MONITOR THAT FUNDS WERE SPENT FOR THEIR INTENDED PURPOSE. CURRENTLY, CONFIRMATION LETTERS ARE SENT TO SPONSORED ORGANIZATIONS WHEN AWARD DOLLARS ARE GIVEN, THAT CONFIRM THE DOLLAR AMOUNT AWARDED AND THE INTENDED PURPOSE, WITH A REQUEST THAT THE RECIPIENT ACKNOWLEDGE RECEIPT OF THE FUNDS IN WRITTEN CORRESPONDENCE. FILES ARE MAINTAINED IN THE ORGANIZATIONAL CHANGE AND LEADERSHIP PERFORMANCE DEPARTMENT TO INCLUDE COPIES OF LETTERS OF REQUEST, AWARD AND DENIAL LETTERS, ADDITIONAL DOCUMENTATION IF REQUESTED, AND ACKNOWLEDGEMENT RECEIPTS FROM SPONSORED ORGANIZATIONS. MANY OF OUR GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS, THEREFORE NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS OUR ORGANIZATION. ANY GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF ASCENSION HEALTHCARE SYSTEM.
Schedule I (Form 990) 2020



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