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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
CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Employer identification number
42-0680448
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) MERCY MEDICAL CENTER CENTERVILLE
ONE ST JOSEPHS DRIVE
CENTERVILLE,IA52544 		42-0680308 501(C)(3) 196,191       PROGRAM SUPPORT
(2) HOUSE OF MERCY
1111 6TH AVE
DES MOINES,IA50314 		42-1323808 501(C)(3) 2,850,000       PROGRAM SUPPORT
(3) MERCY CLINICS INC
1111 6TH AVE
DES MOINES,IA50314 		42-1193699 501(C)(3) 49,945,182       PROGRAM SUPPORT
(4) PRIMARY HEALTH CARE
3506 E 29TH
DES MOINES,IA50317 		42-1350092 501(C)(3) 1,983,196       COMMUNITY SUPPORT
(5) CATHOLIC CHARITIES OF IOWA
601 GRAND AVE
DES MOINES,IA50309 		42-0680464 501(C)(3) 9,650       COMMUNITY SUPPORT
(6) IOWA CATHOLIC RADIO
PO BOX 838
DES MOINES,IA50304 		20-1935653 501(C)(3) 24,585       COMMUNITY SUPPORT
(7) DES MOINES MARATHON
526 39TH ST
DES MOINES,IA50312 		20-3197356 501(C)(3) 10,000       COMMUNITY SUPPORT
(8) ABOVE & BEYOND CANCER
1915 GRAND AVE
DES MOINES,IA50309 		42-0680438 501(C)(3) 50,000       COMMUNITY SUPPORT
(9) STRANDS OF STRENGTH INC
1310 TULIP TREE LANE
WEST DES MOINES,IA50266 		45-4145232 501(C)(3) 20,000       COMMUNITY SUPPORT
(10) HEALTHY BIRTH DAY
PO BOX 71093
CLIVE,IA50325 		26-3998964 501(C)(3) 27,500       COMMUNITY SUPPORT
(11) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 20,000       COMMUNITY SUPPORT
(12) INNERVISIONS HEALTHCARE
1355 50TH ST STE 400
WEST DES MOINES,IA50266 		45-3790483 501(C)(3) 7,500       COMMUNITY SUPPORT
(13) GREATER DES MOINES PARTNERSHIPOPERATION DOWNTOWN
700 LOCUST ST STE 100
DES MOINES,IA50309 		86-1058466 501(C)(6) 30,000       COMMUNITY SUPPORT
(14) WW GRAINGER INC
100 GRAINGER PKWY
LAKE FOREST,IL60045 		36-1150280 501(C)(3) 14,233       COMMUNITY SUPPORT
(15) MAKE A WISH FOUNDATION
3009 100TH ST
URBANDALE,IA50322 		42-1310530 501(C)(3) 15,000       COMMUNITY SUPPORT
(16) BRAVO GREATER DES MOINES
1915 GRAND AVE
DES MOINES,IA50309 		20-3598346 501(C)(3) 5,000       COMMUNITY SUPPORT
(17) BRAS FOR THE CAUSE IOWA FDTN
5465 MILLS CIVIC PKWY
WEST DES MOINES,IA50266 		26-0446913 501(C)(3) 10,000       COMMUNITY SUPPORT
(18) CHILDSERVE CLINIC INC
5406 MERLE HAY RD
JOHNSTON,IA50131 		45-5327981 501(C)(3) 5,000       COMMUNITY SUPPORT
(19) GREAT OUTDOORS FOUNDATION
PO BOX 8071
DES MOINES,IA50301 		42-1441098 501(C)(3) 5,000       COMMUNITY SUPPORT
(20) AMERICAN LUNG ASSOCIATION
2530 73RD ST
URBANDALE,IA50322 		13-1632524 501(C)(3) 5,000       COMMUNITY 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
20
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)
(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: ALL GRANTS ARE REVIEWED AND MONITORED BY THE GRANTS MANAGER. EACH GRANT IS ASSIGNED A GRANT ADMINISTRATOR WHO COORDINATES GRANT COMPLIANCE WITH THE GRANTS MANAGER. GRANT REIMBURSEMENTS ARE RECEIVED THROUGH THE FINANCIAL OPERATIONS DEPARTMENT. GRANT EXPENDITURES REQUIRE THE SAME APPROVAL AS NON-GRANT EXPENDITURES THROUGH THE ACCOUNTS PAYABLE APPROVAL MATRIX. ALL PERIODIC REPORTS TO THE GRANTING AGENCY FOR GRANTS THAT REQUIRE THIS ARE FILED TIMELY WITH THE APPROPRIATE AGENCY. IN ADDITION, THE ORGANIZATION UNDERGOES A FEDERAL A-133 GRANT AUDIT ANNUALLY BY AN INDEPENDENT AUDITOR.
Schedule I (Form 990) 2020



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