2023-11-02T14:20:30-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2022-01-01 942853320 INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC INTE 8014422000 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 MEGAN MAHNCKE PRESIDENT 8014422000 2023-10-31 0 MEGAN MAHNCKE 999009999 0 LAUREN E BENNETT P01787029 2154485000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEGAN MAHNCKE 36 S STATE STE 2200 SLC UT 84111 30815702 0 X N/A X 1983 UT SEE SCHEDULE O. 12 9 0 9 0 0 275000000 0 0 0 19432556 -28082889 0 0 294432556 -28082889 7361164 7709705 0 0 0 0 0 0 0 205225 172973 7566389 7882678 286866167 -35965567 555039402 476536852 10889695 9168895 544149707 467367957 CONDUCTING AND SUPPORTING ACTIVITIES FOR THE BENEFIT OF IHC HEALTH SERVICES, INC. AND OTHER QUALIFIED ORGANIZATIONS. 0 0 7709705 7709705 0 INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. ASSISTS IN FUND DEVELOPMENT AND GRANTS FUNDS TO ORGANIZATIONS THAT PROVIDE PRIMARY HEALTHCARE SERVICES, MENTAL HEALTH SERVICES, CHILDREN'S HEALTH SERVICES, SERVICES RELATED TO THE SOCIAL DETERMINANTS OF HEALTH, AND OTHER SERVICES RELATED TO THE MISSION OF IHC HEALTH SERVICES, INC. SEE SCHEDULE I. 7709705 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X BRYAN HAYMOND 8014423491 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 A MARC HARRISON MD TRUSTEE/VICE CHAIR (PARTIAL) 3.00 58.00 X X 0 4755465 1867286 ALBERT R ZIMMERLI TRUSTEE / SEC / VP / TREAS 1.00 64.00 X X 0 4298891 1390538 ROBERT W ALLEN TRUSTEE (PARTIAL) 2.00 64.00 X 0 2553920 2283384 MIKELLE D MOORE TRUSTEE / PRESIDENT 3.00 54.00 X X 0 1085580 723124 DANIEL G GOMEZ TRUSTEE 1.00 8.00 X 0 1933 0 KAREN HALE TRUSTEE 1.00 2.00 X 0 1169 0 PAMELA J ATKINSON TRUSTEE 1.00 0.00 X 0 0 0 MARY BANGERTER TRUSTEE 1.00 0.00 X 0 0 0 LISA ECCLES TRUSTEE 1.00 0.00 X 0 0 0 JOSE ENRIQUEZ TRUSTEE 1.00 0.00 X 0 0 0 ANGELO GIARDINO MD TRUSTEE 1.00 0.00 X 0 0 0 DENEECE HUFTALIN TRUSTEE 1.00 1.00 X 0 0 0 PATRICIA W JONES TRUSTEE / CHAIR 3.00 0.00 X X 0 0 0 GREG J MATIS SECRETARY 3.00 62.00 X 0 1380583 561819 0 14077541 6826151 0 0 1 0 SILCHESTER INTERNATIONAL INVESTORS INC 780 3RD AVE 42ND FL NEW YORK NY 10017 INVESTMENT MANAGEMENT 190504 1 4014411 4014411 26801291 58898591 -32097300 -32097300 -32097300 -28082889 0 0 -28082889 7709705 7709705 30023 30023 142950 142950 7882678 7709705 172973 0 5766294 7936164 549125789 468345526 147319 255162 555039402 476536852 9778822 4724243 1110873 4444652 10889695 9168895 X 526248742 452461675 17900965 14906282 544149707 467367957 555039402 476536852 -35965567 -40816183 0 X 0 1 X 0 0 X X 36 COMMUNITY HEALTH CENTERS INC 742412898 7 0 1280000 0 IHC HEALTH SERVICES INC 942854057 3 1 1101000 0 WASATCH HOMELESS HEALTHCARE DBA FOURTH STREET CLINIC 870569356 7 0 904000 0 MOUNTAINLANDS COMMUNITY HEALTH CENTER 870515716 7 0 600000 0 ASSOCIATION FOR UTAH COMMUNITY HEALTH 870430946 7 0 586819 0 THE CHILDREN'S CENTER UTAH 876114073 7 0 508698 0 MIDTOWN COMMUNITY HEALTH CENTER INC 870540039 7 0 385000 0 UTAH DOMESTIC VIOLENCE COALITION 870524312 7 0 300000 0 SOUTHWEST UTAH COMMUNITY HEALTH CENTER 352163112 10 0 275000 0 FRIENDS OF THE CHILDREN - UTAH 844890857 7 0 251175 0 SOUTHERN UTAH UNIVERSITY 876000481 6 0 245981 0 CREEK VALLEY HEALTH CLINIC 833039533 7 0 143250 0 THE DREAM INSTITUTE INC 844986263 7 0 143250 0 DAVIS EDUCATION FOUNDATION 870386379 7 0 115625 0 UTAH PARTNERS FOR HEALTH 270021804 10 0 100000 0 ODYSSEY HOUSE INC - UTAH 870292487 7 0 50000 0 ASIAN ASSOCIATION OF UTAH 870333555 7 0 50000 0 PEOPLE'S HEALTH CLINIC 870638042 7 0 49900 0 BOYS & GIRLS CLUB OF GREATER SALT LAKE 870304654 10 0 49875 0 FAMILY SUPPORT CENTER 870359719 7 0 49722 0 JEWISH FAMILY SERVICE 870227089 7 0 49313 0 ALLIANCE HOUSE INC 742440617 10 0 47700 0 FAMILY HEALTH SERVICES CORPORATION 820371093 10 0 47625 0 RONALD MCDONALD HOUSE CHARITIES 742386043 7 0 45300 0 JORDAN EDUCATION FOUNDATION 746356280 7 0 44349 0 UTAH AIDS FOUNDATION 870455172 7 0 44349 0 YOUTH IMPACT INCORPORATED 205228230 1 0 41085 0 THE SHARING PLACE 870514353 10 0 34728 0 FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC 870271413 7 0 27420 0 THE WORK ACTIVITY CENTER INC 870255186 10 0 25710 0 UTAH YOUTH VILLAGE 870301014 7 0 25000 0 FIT TO RECOVER INC 470998466 10 0 20586 0 UTAH CHILDREN DBA VOICES FOR UTAH CHILDREN 870428873 7 0 18875 0 UTAH CLEAN ENERGY ALLIANCE INC 371438788 7 0 18175 0 SALT LAKE COMMUNITY COLLEGE FOUNDATION 942886220 5 0 16020 0 CARBON MEDICAL SERVICE ASSOCIATION 870217443 7 0 14175 0 36 7709705 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1: SUPPORTED ORGANIZATIONS OF THE FILING ENTITY ARE DESIGNATED BY CLASS IN ACCORDANCE WITH ITS ARTICLES OF INCORPORATION. THE ARTICLES STATE THAT THE PURPOSE OF THE ORGANIZATION IS CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF OR TO CARRY OUT THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF IHC HEALTH SERVICES, INC. ONE OF THE SUPPORTED ORGANIZATIONS, IHC HEALTH SERVICES, INC., IS RELATED TO THE FILING ORGANIZATION (SEE SCHEDULE R) AND HAS HAD AN ONGOING AND HISTORIC RELATIONSHIP SINCE THE FILING ENTITY WAS ORGANIZED IN 1983. FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 2: DETERMINATIONS OF 509(A)(1) OR (2) WERE BASED ON REPRESENTATIONS MADE BY THE RECIPIENT ENTITIES ON THEIR MOST RECENTLY FILED FORMS 990. FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A: AS PART OF A FORMAL GRANT APPLICATION AND REVIEW PROCESS, SEVERAL ENTITIES WERE ADDED TO/DELETED FROM THE LIST OF THE SUPPORTED ORGANIZATIONS REPORTED ON THE PRIOR YEAR RETURN. SINCE ALL OF THE NEWLY ADDED ORGANIZATIONS ARE PART OF THE CHARITABLE CLASS AS IT IS DESCRIBED IN THE ARTICLES OF INCORPORATION, THEY ARE NOT LISTED INDIVIDUALLY HERE. DETAILS REGARDING EACH RECIPIENT ENTITY, INCLUDING THE NAME AND ADDRESS OF THE ORGANIZATION, THE AMOUNT GRANTED, AND THE BOARD-APPROVED PURPOSE OF THE GRANT, ARE REPORTED ON SCHEDULE I OF THIS RETURN. BY FORMAL RESOLUTION, THE GOVERNING BODY APPROVED THE GRANTS UNDER THE AUTHORITY OF AND IN FURTHERANCE OF THE FILING ORGANIZATION'S PURPOSE AS STATED IN THE ARTICLES OF INCORPORATION. FORM 990, SCHEDULE A, PART IV, SECTION C, LINE 1: THREE OF THE FILING ORGANIZATION'S THIRTEEN BOARD MEMBERS ARE ALSO ON THE BOARD OF IHC HEALTH SERVICES, INC., THE LARGEST OF THE FILING ORGANIZATION'S SUPPORTED ORGANIZATIONS. FOUR OF THE FIVE OFFICERS OF THE FILING ENTITY ARE EMPLOYEES OF THIS SUPPORTED ORGANIZATION. ADDITIONALLY, THE FILING ORGANIZATION IS HOUSED IN THE SUPPORTED ORGANIZATION'S FACILITIES, STAFFED BY ITS EMPLOYEES, AND WOULD HAVE LITTLE ABILITY TO OPERATE INDEPENDENTLY. 413286857 3764 77086 3071769 410295938 140683243 275000000 719335 3115721 413286857 127585155 16072266 136037 3110215 140683243 80329316 50243909 105481 3093551 127585155 35298839 46265150 92917 1327590 80329316 0.96370 0.00970 0.02660 0 0 0 INTERCOMPANY PAYABLE 4444652 4444652 PART V, LINE 4: INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC.'S ENDOWMENTS HAVE BEEN SET ASIDE TO FUND PHYSICAL, BEHAVIORAL AND MENTAL HEALTH PROGRAMS FOR LOW-INCOME, UNINSURED OR MEDICALLY UNREPRESENTED POPULATIONS AND IMPROVE SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION. 1 COMMUNITY HEALTH CENTERS INC 2621 S 3270 W WEST VALLEY CITY UT 84119 742412898 501(C)(3) 1280000 0 SUPPORT COMMUNITY HEALTH CLINIC IHC HEALTH SERVICES INC 36 S STATE ST STE 2200 SALT LAKE CITY UT 84111 942854057 501(C)(3) 1101000 0 SUPPORT SCHOOL AND COMMUNITY CLINICS WASATCH HOMELESS HEALTHCARE DBA FOURTH STREET CLINIC 409 S 400 W SALT LAKE CITY UT 84101 870569356 501(C)(3) 904000 0 SUPPORT COMMUNITY HEALTH CLINIC MOUNTAINLANDS COMMUNITY HEALTH CENTER 589 S STATE ST PROVO UT 84606 870515716 501(C)(3) 600000 0 SUPPORT COMMUNITY HEALTH CLINIC ASSOCIATION FOR UTAH COMMUNITY HEALTH 860 E 4500 S STE 206 SALT LAKE CITY UT 84107 870430946 501(C)(3) 586819 0 SUPPORT COMMUNITY HEALTH THE CHILDREN'S CENTER UTAH 350 S 400 E SALT LAKE CITY UT 84111 876114073 501(C)(3) 508698 0 SUPPORT COMMUNITY HEALTH MIDTOWN COMMUNITY HEALTH CENTER INC 2240 ADAMS AVE OGDEN UT 84401 870540039 501(C)(3) 385000 0 SUPPORT COMMUNITY HEALTH CLINIC UTAH DOMESTIC VIOLENCE COALITION 124 S 400 E STE 430 SALT LAKE CITY UT 84111 870524312 501(C)(3) 300000 0 SUPPORT COMMUNITY HEALTH SOUTHWEST UTAH COMMUNITY HEALTH CENTER 25 N 100 E STE 102 ST GEORGE UT 84770 352163112 501(C)(3) 275000 0 SUPPORT COMMUNITY HEALTH CLINIC FRIENDS OF THE CHILDREN - UTAH 5361 S 4220 W STE B KEARNS UT 84118 844890857 501(C)(3) 251175 0 SUPPORT COMMUNITY HEALTH SOUTHERN UTAH UNIVERSITY 351 W UNIVERSITY BLVD CEDAR CITY UT 84720 876000481 GOV 245981 0 SUPPORT COMMUNITY HEALTH CREEK VALLEY HEALTH CLINIC PO BOX 418 COLORADO CITY AZ 86021 833039533 501(C)(3) 143250 0 SUPPORT COMMUNITY HEALTH THE DREAM INSTITUTE INC 13613 N CAVE CREEK RD PHOENIX AZ 85022 844986263 501(C)(3) 143250 0 SUPPORT COMMUNITY HEALTH DAVIS EDUCATION FOUNDATION 45 E STATE ST FARMINGTON UT 84025 870386379 501(C)(3) 115625 0 SUPPORT COMMUNITY HEALTH UTAH PARTNERS FOR HEALTH 7651 S MAIN ST MIDVALE UT 84047 270021804 501(C)(3) 100000 0 SUPPORT COMMUNITY HEALTH CLINIC ODYSSEY HOUSE INC - UTAH 344 E 100 S STE 301 SALT LAKE CITY UT 84111 870292487 501(C)(3) 50000 0 SUPPORT COMMUNITY HEALTH ASIAN ASSOCIATION OF UTAH 155 S 300 W STE 101 SALT LAKE CITY UT 84101 870333555 501(C)(3) 50000 0 SUPPORT COMMUNITY HEALTH PEOPLE'S HEALTH CLINIC PO BOX 681558 PARK CITY UT 84068 870638042 501(C)(3) 49900 0 SUPPORT COMMUNITY HEALTH BOYS & GIRLS CLUB OF GREATER SALT LAKE 179 E 5065 S MURRAY UT 84107 870304654 501(C)(3) 49875 0 SUPPORT COMMUNITY HEALTH FAMILY SUPPORT CENTER 1760 W 4805 S TAYLORSVILLE UT 84129 870359719 501(C)(3) 49722 0 SUPPORT COMMUNITY HEALTH JEWISH FAMILY SERVICE 495 E 4500 S STE 100 SALT LAKE CITY UT 84107 870227089 501(C)(3) 49313 0 SUPPORT COMMUNITY HEALTH ALLIANCE HOUSE INC 1724 S MAIN ST SALT LAKE CITY UT 84115 742440617 501(C)(3) 47700 0 SUPPORT COMMUNITY HEALTH FAMILY HEALTH SERVICES CORPORATION 794 EASTLAND DR TWIN FALLS ID 83301 820371093 501(C)(3) 47625 0 SUPPORT COMMUNITY HEALTH RONALD MCDONALD HOUSE CHARITIES 935 E SOUTH TEMPLE SALT LAKE CITY UT 84102 742386043 501(C)(3) 45300 0 SUPPORT COMMUNITY HEALTH JORDAN EDUCATION FOUNDATION 7387 S CAMPUS VIEW DR WEST JORDAN UT 84084 746356280 501(C)(3) 44349 0 SUPPORT COMMUNITY HEALTH UTAH AIDS FOUNDATION 1408 S 1100 E SALT LAKE CITY UT 84105 870455172 501(C)(3) 44349 0 SUPPORT COMMUNITY HEALTH YOUTH IMPACT INCORPORATED 2305 GRANT AVE OGDEN UT 84401 205228230 501(C)(3) 41085 0 SUPPORT COMMUNITY HEALTH THE SHARING PLACE 1695 E 3300 S SALT LAKE CITY UT 84106 870514353 501(C)(3) 34728 0 SUPPORT COMMUNITY HEALTH FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC 3518 WASHINGTON BLVD OGDEN UT 84403 870271413 501(C)(3) 27420 0 SUPPORT COMMUNITY HEALTH THE WORK ACTIVITY CENTER INC 1275 W 2320 S WEST VALLEY CITY UT 84119 870255186 501(C)(3) 25710 0 SUPPORT COMMUNITY HEALTH UTAH YOUTH VILLAGE 5800 S HIGHLAND DR SALT LAKE CITY UT 84121 870301014 501(C)(3) 25000 0 SUPPORT COMMUNITY HEALTH FIT TO RECOVER INC 789 W 1390 S SALT LAKE CITY UT 84104 470998466 501(C)(3) 20586 0 SUPPORT COMMUNITY HEALTH UTAH CHILDREN DBA VOICES FOR UTAH CHILDREN 747 E SOUTH TEMPLE STE 100 SALT LAKE CITY UT 84102 870428873 501(C)(3) 18875 0 SUPPORT COMMUNITY HEALTH UTAH CLEAN ENERGY ALLIANCE INC 1014 2ND AVE SALT LAKE CITY UT 84103 371438788 501(C)(3) 18175 0 SUPPORT COMMUNITY HEALTH SALT LAKE COMMUNITY COLLEGE FOUNDATION 4600 S REDWOOD RD SALT LAKE CITY UT 84123 942886220 501(C)(3) 16020 0 SUPPORT COMMUNITY HEALTH CARBON MEDICAL SERVICE ASSOCIATION 305 CENTER ST EAST CARBON UT 84520 870217443 501(C)(3) 14175 0 SUPPORT COMMUNITY HEALTH 36 0 PART I, LINE 2: GRANT REQUESTS ARE MADE THROUGH A FORMAL APPLICATION PROCESS AND ARE LIMITED TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS. ALL GRANTS ARE SUBJECT TO APPROVAL BY THE GOVERNING BODY. GRANTEES ARE REQUIRED TO REPORT BACK TO THE FOUNDATION TO DESCRIBE HOW THE FUNDS WERE USED. 0 1 0 0 0 0 0 0 0 A MARC HARRISON MD TRUSTEE/VICE CHAIR (PARTIAL) 0 2137760 0 2604254 0 13451 0 1857710 0 9576 0 6622751 0 1862265 ALBERT R ZIMMERLI TRUSTEE / SEC / VP / TREAS 0 1206132 0 888226 0 2204533 0 1380079 0 10459 0 5689429 0 759188 ROBERT W ALLEN TRUSTEE (PARTIAL) 0 1190385 0 806124 0 557411 0 2267020 0 16364 0 4837304 0 693309 GREG J MATIS SECRETARY 0 672534 0 398107 0 309942 0 551190 0 10629 0 1942402 0 0 MIKELLE D MOORE TRUSTEE / PRESIDENT 0 486463 0 355168 0 243949 0 712728 0 10396 0 1808704 0 304929 PART I, LINE 3 THE OFFICERS LISTED IN PART II OF SCHEDULE J WERE COMPENSATED BY IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION. SEE THE NARRATIVE ON SCHEDULE O RELATED TO FORM 990, PART VI, SECTION B, LINE 15. PART I, LINE 4B IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION, OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. AMOUNTS DEFERRED DURING 2022 FOR THE INDIVIDUALS REPORTED ON PART VII OF THE FORM 990 HAVE BEEN INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C) TOTAL. THE FOLLOWING INDIVIDUAL RECEIVED A SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT FROM IHC HEALTH SERVICES, INC. IN 2022: - ALBERT R. ZIMMERLI $360,375 PART II, COLUMN (C): DURING 2022, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE. FORM 990, PART I, LINE 1: THE MISSION OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME, UNINSURED OR MEDICALLY UNDERREPRESENTED POPULATIONS IN UTAH AND SOUTHERN IDAHO THROUGH IDENTIFYING AND SUPPORTING EXISTING HEALTHCARE PROGRAMS THAT PROVIDE DIRECT MEDICAL, DENTAL AND MENTAL HEALTHCARE TO THESE POPULATIONS. THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION ALSO SUPPORTS ACCESS TO HEALTHCARE SERVICES AND PROGRAMS THAT IMPROVE THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION. FORM 990, PART VI, SECTION A, LINE 2 ROBERT W. ALLEN / A. MARC HARRISON MD / GREG J. MATIS / MIKELLE D. MOORE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP WITH IHC HEALTH SERVICES, INC., A TAX-EXEMPT SUBSIDIARY OF THE FILING ORGANIZATION'S PARENT) ROBERT W. ALLEN / DANIEL G. GOMEZ / A. MARC HARRISON MD / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) MIKELLE D. MOORE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF ALLUCEO, INC., A RELATED TAXABLE CORPORATION) ROBERT W. ALLEN / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (BOARD MEMBERS OF SALTZER MEDICAL GROUP, INC., A RELATED TAXABLE CORPORATION) FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE APPROVED BYLAWS, THE FILING ORGANIZATION'S TRUSTEES ARE ELECTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED BY MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, AND TRUSTEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES, INC.'S VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT OF IHC HEALTH SERVICES, INC. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH THE FILING ORGANIZATION OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF IHC HEALTH SERVICES. INC. FORM 990, PART VI, SECTION B, LINE 15 INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. DID NOT COMPENSATE ANY OFFICER, DIRECTOR, OR TRUSTEE. COMPENSATION AMOUNTS LISTED ON PART VII WERE PAID BY A RELATED ORGANIZATION AND WERE DETERMINED IN ACCORDANCE WITH ESTABLISHED IRS GUIDELINES, INCLUDING REVIEWS AND APPROVALS BY INDEPENDENT PERSONS, USE OF COMPARABLE DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 870269232 HOLDING COMPANY UT 501(C)(3) LINE 12B, II N/A 0 IHC HEALTH SERVICES INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 942854057 HEALTHCARE UT 501(C)(3) LINE 3 INTERMOUNTAIN HEALTH CARE INC 1 INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 800225150 COMMUNITY HEALTH UT 501(C)(3) LINE 7 IHC HEALTH SERVICES INC 1 INTERMOUNTAIN HEALTH CARE RETIREE VEBA 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 742675605 RETIREMENT BENEFITS UT 501(C)(9) N/A INTERMOUNTAIN HEALTH CARE INC 1 SELECTHEALTH INC 5381 GREEN STREET MURRAY UT 84123 870409820 DELIVERY OF HEALTH BENEFITS UT 501(C)(4) N/A INTERMOUNTAIN HEALTH CARE INC 1 INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC 6355 SOUTH BUFFALO DRIVE LAS VEGAS NV 89113 200160881 HEALTHCARE DE 501(C)(3) LINE 3 INTERMOUNTAIN HEALTH CARE INC 1 SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 852014794 MEDICAL RESEARCH CO 501(C)(3) LINE 4 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 840482695 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(C)(3) LINE 10 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 NJH-SJH INC 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