2024-11-06T12:23:31-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2023-01-01 942853320 INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC INTE 8014422000 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 MEGAN MAHNCKE PRESIDENT 8014422000 2024-11-06 0 0 LAUREN E BENNETT P01787029 2154485000 2023 2024-10-15 13:58:12Z MEGAN MAHNCKE 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 51865060 0 X N/A X 1983 UT SEE SCHEDULE O. 11 9 0 9 0 0 0 0 0 0 -28082889 10077170 0 0 -28082889 10077170 7709705 9217195 0 0 0 0 0 0 0 172973 479794 7882678 9696989 -35965567 380181 476536852 525943189 9168895 2053843 467367957 523889346 CONDUCTING AND SUPPORTING ACTIVITIES FOR THE BENEFIT OF IHC HEALTH SERVICES, INC. AND OTHER QUALIFIED ORGANIZATIONS. 0 0 9217195 9217195 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, INNOVATIVE EDUCATION PROGRAMS, AND OTHER SERVICES RELATED TO THE MISSION OF IHC HEALTH SERVICES, INC. SEE SCHEDULE I. 9217195 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 11 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X TYLER SPENCE 8014423491 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 ROBERT W ALLEN TRUSTEE 1.00 60.00 X 0 3669634 2624498 JANIE WADE TRUSTEE / VP / TREAS (PARTIAL) 1.00 59.00 X X 0 5604292 93879 MIKELLE D MOORE TRUSTEE / PRESIDENT (PARTIAL) 1.00 53.00 X X 0 2198026 55829 MEGAN MAHNCKE TRUSTEE / SEC / PRES (PARTIAL) 1.00 53.00 X X 0 944666 507282 DENEECE G HUFTALIN TRUSTEE 1.00 3.00 X 0 1924 0 DANIEL G GOMEZ TRUSTEE 1.00 4.00 X 0 1110 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 KAREN HALE TRUSTEE 1.00 2.00 X 0 0 0 PATRICIA W JONES TRUSTEE / CHAIR 1.00 0.00 X X 0 0 0 GREG J MATIS SECRETARY 1.00 59.00 X 0 1467943 832676 ALBERT R ZIMMERLI FORMER OFFICER 0.00 57.00 X 0 8266670 30965 0 22154265 4145129 0 1 1 0 SILCHESTER INTERNATIONAL INVESTORS INC 780 3RD AVE 42ND FL NEW YORK NY 10017 INVESTMENT MANAGEMENT 335118 1 8809024 8809024 43056036 41787890 1268146 1268146 1268146 10077170 0 0 10077170 9217195 9217195 5119 5119 474675 474675 9696989 9217195 479794 0 7936164 163755 468345526 525779343 255162 91 476536852 525943189 4724243 1760361 4444652 293482 9168895 2053843 X 452461675 511219538 14906282 12669808 467367957 523889346 476536852 525943189 380181 56141208 0 X 0 1 X 0 0 X X 46 STATE OF UTAH 876000545 6 0 1779124 0 COMMUNITY HEALTH CENTERS INC 742412898 7 0 1280000 0 IHC HEALTH SERVICES INC 942854057 3 1 941000 0 ASSOCIATION FOR UTAH COMMUNITY HEALTH 870430946 7 0 800000 0 MOUNTAINLANDS COMMUNITY HEALTH CENTER 870515716 7 0 646893 0 THE CHILDREN'S CENTER UTAH 876114073 7 0 426263 0 HOLY CROSS MINISTRIES OF UTAH 870359324 7 0 406163 0 MIDTOWN COMMUNITY HEALTH CENTER INC 870540039 7 0 385000 0 SOUTHWEST UTAH COMMUNITY HEALTH CENTER 352163112 10 0 322674 0 UNIVERSITY OF UTAH 876000525 6 0 297000 0 CHERISH FAMILIES 383924073 7 0 293334 0 WASATCH HOMELESS HEALTHCARE 870569356 7 0 200000 0 RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC 742386043 7 0 176889 0 UTAH PARTNERS FOR HEALTH 270021804 10 0 50000 0 SALT LAKE EDUCATION FOUNDATION 742563849 7 0 50000 0 CITIZENS AGAINST PHYSICAL AND SEXUAL ABUSE 870413330 7 0 50000 0 SPY HOP PRODUCTIONS 870642304 10 0 49688 0 THE FAMILY PLACE UTAH 870398053 7 0 49563 0 MALIHEH FREE CLINIC 202313461 7 0 49321 0 UNITED WAY OF NORTHERN UTAH 870224251 7 0 49250 0 ALLIANCE HOUSE INC 742440617 10 0 49107 0 ODYSSEY HOUSE INC - UTAH 870292487 7 0 49036 0 SOUTH VALLEY SANCTUARY INC 870543219 7 0 47500 0 SHELTER THE HOMELESS INC 742548948 7 0 47312 0 ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER 812938209 10 0 47036 0 UTAH TECH UNIVERSITY 876000488 6 0 46750 0 PEOPLE'S HEALTH CLINIC INC 870638042 7 0 46107 0 AMERICAN HEART ASSOCIATION INC 135613797 7 0 46089 0 ENVISION UTAH 870462205 7 0 45917 0 THE INN BETWEEN 472329595 7 0 45607 0 UTAH HEALTH & HUMAN RIGHTS PROJECT 203901845 7 0 45000 0 STAND4KIND 800945601 7 0 43375 0 EYE CARE FOR KIDS 870675404 10 0 43189 0 SPECIAL OLYMPICS UTAH INC 870367185 7 0 39252 0 FRIENDS FOR SIGHT 876126811 10 0 33731 0 SALT LAKE DONATED DENTAL SERVICES 870482710 10 0 33644 0 ENGLISH LANGUAGE CENTER OF CACHE VALLEY INC 870609428 7 0 31625 0 YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF UTAH 870212467 7 0 28275 0 UTAH YOUTH VILLAGE 870301014 7 0 24813 0 COMMUNITY NURSING SERVICES 870212459 3 0 24406 0 FRIENDS OF WASATCH MENTAL HEALTH FOUNDATION 450531249 10 0 20475 0 SEAGER MEMORIAL CLINIC 460711300 10 0 20000 0 DOVE CENTER INC 870529095 7 0 19336 0 BIG BROTHERS BIG SISTERS OF UTAH 870336168 7 0 14419 0 SALT LAKE COMMUNITY ACTION PROGRAM 870269683 7 0 13219 0 PEOPLE HELPING PEOPLE 841373515 7 0 9813 0 46 9217195 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: TWO OF THE FILING ORGANIZATION'S THIRTEEN BOARD MEMBERS THAT SERVED DURING THE YEAR, ARE ALSO ON THE BOARD OF IHC HEALTH SERVICES, INC., WHICH IS AMONG THE LARGEST OF THE FILING ORGANIZATION'S SUPPORTED ORGANIZATIONS. TWO 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. 410295938 662852 2837500 408121290 413286857 3764 77086 3071769 410295938 140683243 275000000 719335 3115721 413286857 127585155 16072266 136037 3110215 140683243 80329316 50243909 105481 3093551 127585155 0.96900 0.00980 0.02120 0 0 0 INTERCOMPANY PAYABLE 293482 293482 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 STATE OF UTAH 2110 STATE OFFICE BLDG SALT LAKE CITY UT 84114 876000545 GOVT 1779124 0 SUPPORT COMMUNITY HEALTH 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) 941000 0 SUPPORT SCHOOL & COMMUNITY CLINICS ASSOCIATION FOR UTAH COMMUNITY HEALTH 860 E 4500 S STE 206 SALT LAKE CITY UT 84107 870430946 501(C)(3) 800000 0 SUPPORT COMMUNITY HEALTH MOUNTAINLANDS COMMUNITY HEALTH CENTER 589 S STATE ST PROVO UT 84606 870515716 501(C)(3) 646893 0 SUPPORT COMMUNITY HEALTH CLINIC THE CHILDREN'S CENTER UTAH 350 S 400 E SALT LAKE CITY UT 84111 876114073 501(C)(3) 426263 0 SUPPORT COMMUNITY HEALTH HOLY CROSS MINISTRIES OF UTAH 860 E 4500 S SALT LAKE CITY UT 84107 870359324 501(C)(3) 406163 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 SOUTHWEST UTAH COMMUNITY HEALTH CENTER 25 N 100 E STE 102 ST GEORGE UT 84770 352163112 501(C)(3) 322674 0 SUPPORT COMMUNITY HEALTH CLINIC UNIVERSITY OF UTAH 201 S PRESIDENTS CIR RM 411 SALT LAKE CITY UT 84112 876000525 GOVT 297000 0 SUPPORT COMMUNITY HEALTH CHERISH FAMILIES 13504 S 7530 W HERRIMAN UT 84096 383924073 501(C)(3) 293334 0 SUPPORT COMMUNITY HEALTH WASATCH HOMELESS HEALTHCARE 409 S 400 W SALT LAKE CITY UT 84101 870569356 501(C)(3) 200000 0 SUPPORT COMMUNITY HEALTH CLINIC RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC 935 E SOUTH TEMPLE SALT LAKE CITY UT 84102 742386043 501(C)(3) 176889 0 SUPPORT COMMUNITY HEALTH UTAH PARTNERS FOR HEALTH 7651 S MAIN ST MIDVALE UT 84047 270021804 501(C)(3) 50000 0 SUPPORT COMMUNITY HEALTH CLINIC SALT LAKE EDUCATION FOUNDATION 440 E 100 S SALT LAKE CITY UT 84111 742563849 501(C)(3) 50000 0 SUPPORT COMMUNITY HEALTH CITIZENS AGAINST PHYSICAL AND SEXUAL ABUSE PO BOX 3617 LOGAN UT 84323 870413330 501(C)(3) 50000 0 SUPPORT COMMUNITY HEALTH SPY HOP PRODUCTIONS 208 W HARVEY MILK BLVD SALT LAKE CITY UT 84101 870642304 501(C)(3) 49688 0 SUPPORT COMMUNITY HEALTH THE FAMILY PLACE UTAH PO BOX 6055 NORTH LOGAN UT 84341 870398053 501(C)(3) 49563 0 SUPPORT COMMUNITY HEALTH MALIHEH FREE CLINIC 941 E 3300 S SALT LAKE CITY UT 84106 202313461 501(C)(3) 49321 0 SUPPORT COMMUNITY HEALTH UNITED WAY OF NORTHERN UTAH 2955 HARRISON BLVD STE 201 OGDEN UT 84403 870224251 501(C)(3) 49250 0 SUPPORT COMMUNITY HEALTH ALLIANCE HOUSE INC 1724 S MAIN ST SALT LAKE CITY UT 84115 742440617 501(C)(3) 49107 0 SUPPORT COMMUNITY HEALTH ODYSSEY HOUSE INC - UTAH 344 E 100 S STE 301 SALT LAKE CITY UT 84111 870292487 501(C)(3) 49036 0 SUPPORT COMMUNITY HEALTH SOUTH VALLEY SANCTUARY INC PO BOX 1028 WEST JORDAN UT 84084 870543219 501(C)(3) 47500 0 SUPPORT COMMUNITY HEALTH SHELTER THE HOMELESS INC 242 W PARAMOUNT AVE SALT LAKE CITY UT 84115 742548948 501(C)(3) 47312 0 SUPPORT COMMUNITY HEALTH ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER 331 S 600 E SALT LAKE CITY UT 84102 812938209 501(C)(3) 47036 0 SUPPORT COMMUNITY HEALTH UTAH TECH UNIVERSITY 225 S UNIVERSITY AVE ST GEORGE UT 84770 876000488 GOVT 46750 0 SUPPORT COMMUNITY HEALTH PEOPLE'S HEALTH CLINIC INC PO BOX 681558 PARK CITY UT 84068 870638042 501(C)(3) 46107 0 SUPPORT COMMUNITY HEALTH AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 46089 0 SUPPORT COMMUNITY HEALTH ENVISION UTAH 254 S 600 E STE 201 SALT LAKE CITY UT 84102 870462205 501(C)(3) 45917 0 SUPPORT COMMUNITY HEALTH THE INN BETWEEN 1216 E 1300 S SALT LAKE CITY UT 84105 472329595 501(C)(3) 45607 0 SUPPORT COMMUNITY HEALTH UTAH HEALTH & HUMAN RIGHTS PROJECT 650 E 4500 S STE 220 MURRAY UT 84107 203901845 501(C)(3) 45000 0 SUPPORT COMMUNITY HEALTH STAND4KIND 138 E 12300 S STE C250 DRAPER UT 84020 800945601 501(C)(3) 43375 0 SUPPORT COMMUNITY HEALTH EYE CARE FOR KIDS 6911 S STATE ST MIDVALE UT 84047 870675404 501(C)(3) 43189 0 SUPPORT COMMUNITY HEALTH SPECIAL OLYMPICS UTAH INC 1400 S FOOTHILL DR 238 SALT LAKE CITY UT 84108 870367185 501(C)(3) 39252 0 SUPPORT COMMUNITY HEALTH FRIENDS FOR SIGHT 6715 S 1300 E STE 250 SALT LAKE CITY UT 84121 876126811 501(C)(3) 33731 0 SUPPORT COMMUNITY HEALTH SALT LAKE DONATED DENTAL SERVICES 1383 S 900 W STE 128 SALT LAKE CITY UT 84104 870482710 501(C)(3) 33644 0 SUPPORT COMMUNITY HEALTH ENGLISH LANGUAGE CENTER OF CACHE VALLEY INC 1544 N 200 W LOGAN UT 84341 870609428 501(C)(3) 31625 0 SUPPORT COMMUNITY HEALTH YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF UTAH 322 E 300 S SALT LAKE CITY UT 84111 870212467 501(C)(3) 28275 0 SUPPORT COMMUNITY HEALTH UTAH YOUTH VILLAGE 5790 S HIGHLAND DR SALT LAKE CITY UT 84121 870301014 501(C)(3) 24813 0 SUPPORT COMMUNITY HEALTH COMMUNITY NURSING SERVICES 2830 S REDWOOD RD WEST VALLEY CITY UT 84119 870212459 501(C)(3) 24406 0 SUPPORT COMMUNITY HEALTH FRIENDS OF WASATCH MENTAL HEALTH FOUNDATION 750 N FREEDOM BLVD PROVO UT 84601 450531249 501(C)(3) 20475 0 SUPPORT COMMUNITY HEALTH SEAGER MEMORIAL CLINIC PO BOX 150143 OGDEN UT 84415 460711300 501(C)(3) 20000 0 SUPPORT COMMUNITY HEALTH DOVE CENTER INC 1040 E 100 S BLD 22 221 ST GEORGE UT 84790 870529095 501(C)(3) 19336 0 SUPPORT COMMUNITY HEALTH BIG BROTHERS BIG SISTERS OF UTAH 2121 S STATE ST STE 201 SALT LAKE CITY UT 84115 870336168 501(C)(3) 14419 0 SUPPORT COMMUNITY HEALTH SALT LAKE COMMUNITY ACTION PROGRAM 1307 S 900 W SALT LAKE CITY UT 84104 870269683 501(C)(3) 13219 0 SUPPORT COMMUNITY HEALTH PEOPLE HELPING PEOPLE 265 E 100 S STE 280 SALT LAKE CITY UT 84111 841373515 501(C)(3) 9813 0 SUPPORT COMMUNITY HEALTH 46 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. 1 1 0 0 0 0 0 0 0 ALBERT R ZIMMERLI FORMER OFFICER 0 256243 0 1019415 0 6991012 0 13200 0 17765 0 8297635 0 892202 ROBERT W ALLEN TRUSTEE 0 2031471 0 851892 0 786271 0 2586333 0 38165 0 6294132 0 725164 JANIE WADE TRUSTEE / VP / TREAS (PARTIAL) 0 819609 0 278696 0 4505987 0 71363 0 22516 0 5698171 0 691795 GREG J MATIS SECRETARY 0 767063 0 391369 0 309511 0 800888 0 31788 0 2300619 0 329119 MIKELLE D MOORE TRUSTEE / PRESIDENT (PARTIAL) 0 133532 0 342742 0 1721752 0 40651 0 15178 0 2253855 0 290438 MEGAN MAHNCKE TRUSTEE / SEC / PRES (PARTIAL) 0 550366 0 149156 0 245144 0 477170 0 30112 0 1451948 0 115493 PART I, LINE 3 THE OFFICERS LISTED IN PART II OF SCHEDULE J WERE COMPENSATED BY IHC HEALTH SERVICES, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., RELATED TAX-EXEMPT ORGANIZATIONS. SEE THE NARRATIVE ON SCHEDULE O RELATED TO FORM 990, PART VI, SECTION B, LINE 15. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2023: - MIKELLE D. MOORE $1,719,770 - JANIE WADE $3,903,603 - ALBERT R. ZIMMERLI $6,640,096 IHC HEALTH SERVICES, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., RELATED TAX-EXEMPT ORGANIZATIONS, OFFER SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. PARTICIPATION IN THE PLANS ARE LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLANS ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. AMOUNTS DEFERRED DURING 2023 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 INDIVIDUALS RECEIVED A SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT IN 2023: - MEGAN MAHNCKE $40,914 - JANIE WADE $552,445 - ALBERT R. ZIMMERLI $339,021 PART II, COLUMN (C): DURING 2023, 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 / MEGAN MAHNCKE / GREG J. MATIS / MIKELLE D. MOORE / JANIE WADE- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN RELATED TAX-EXEMPT ORGANIZATIONS) ROBERT W. ALLEN / DENEECE G. HUFTALIN- BUSINESS RELATIONSHIP (TRUSTEES OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) GREG J. MATIS / JANIE WADE- BUSINESS RELATIONSHIP (TRUSTEES OF LEAVEN INSURANCE COMPANY, LTD., A RELATED TAXABLE ENTITY) 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 THE GOVERNING BOARD REVIEWED THE FORM 990 DURING IT'S ANNUAL MEETING. 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 CHIEF COMPLIANCE OFFICER. 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 INTERMOUNTAIN HEALTH CARE, 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 RELATED ORGANIZATIONS 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 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