2022-05-10T12:00:31-05:00 2021-12-31 134008324 PRICEWATERHOUSECOOPERS LLC 301 GRANT STREET 45TH FLOOR PITTSBURGH PA 15219 990PF 2021-01-01 870541883 FOUNDATION FOR HOSPICE NORTHERN UT HOSP 6025620883 PO BOX 10316 DES MOINES IA 50306 - TRUSTEE 6025620883 2022-04-26 true JOSEPH J CASTRIANO P01251603 4123556000 2022-04-26 X 2021 2022-09-23 18:48:47Z X 1992722 X 42729 42729 125476 307528 125476 0 5337 5337 173542 173542 12339 9254 0 3085 0 0 0 0 0 0 0 0 6588 514 0 0 0 0 0 0 0 18927 9768 0 3085 40000 40000 58927 9768 0 43085 114615 163774 0 55873 57467 57467 0 0 0 1451799 1935255 1338416 0 1394289 1509266 1992722 0 X 1394289 1509266 1394289 1509266 1394289 1509266 1394289 114615 392 1509296 30 1509266 74.615 INVESCO SMALL CAP GROWTH FD-R5 4764 2021-01-20 4674 4086 588 588 6.391 INVESCO SMALL CAP GROWTH FD-R5 4764 2013-10-04 2021-01-20 400 264 136 136 2.241 INV OPP DEVELOP MRKTS-R6 7038 2020-12-11 2021-01-20 128 118 10 10 50.547 INV OPP DEVELOP MRKTS-R6 7038 2016-09-19 2021-01-20 2876 1688 1188 1188 20.112 ACADIAN EMG MRKTS PORT-I #1960 2020-12-30 2021-01-20 500 454 46 46 75.031 ACADIAN EMG MRKTS PORT-I #1960 2021-01-20 1866 1382 484 484 3.033 AMER FNDS EUROPAC GROW-F3716 2020-12-17 2021-01-20 219 208 11 11 16.991 AMER FNDS EUROPAC GROW-F3716 2018-03-16 2021-01-20 1228 988 240 240 28.656 JPMORGAN SMALL CAP EQTY-I 367 2021-01-20 2096 1845 251 251 261.867 NORTHERN MID CAP INDEX #629 2020-12-17 2021-01-20 5874 5460 414 414 15.124 GOLDMAN SACHS SMALL CAP VALUE I 651 2021-02-17 933 860 73 73 5.77 T ROWE PRICE LARGE/CAP GRW-I 139 2020-12-15 2021-02-17 382 345 37 37 51.826 T ROWE PRICE LARGE/CAP GRW-I 139 2013-10-04 2021-02-17 3435 1270 2165 2165 7.3 NORTHERN MID CAP INDEX #629 2013-10-04 2021-02-17 168 120 48 48 124.542 NORTHERN MID CAP INDEX #629 2020-12-17 2021-02-17 2859 2597 262 262 3.116 VANGUARD 500 INDEX FD- ADM #540 2020-12-21 2021-02-17 1133 1062 71 71 2.893 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-02-17 1052 451 601 601 30.981 VOYA LARGE-CAP GROWTH FND-I 2020-12-16 2021-02-17 1815 1706 109 109 40.936 WF GROWTH FUND - I 3105 2020-12-09 2021-02-17 2606 2279 327 327 1.246 WF GROWTH FUND - I 3105 2015-12-11 2021-02-17 79 56 23 23 18.575 DODGE & COX STOCK FUND #145 2017-12-18 2021-03-16 4175 3933 242 242 53.617 GOLDMAN SACHS SMALL CAP VALUE I 651 2013-10-04 2021-03-16 3618 3025 593 593 46.089 MFS VALUE FUND-R6 4810 2021-03-16 2227 1822 405 405 418.062 NORTHERN MID CAP INDEX #629 2013-10-04 2021-03-16 10071 6856 3215 3215 168.416 T ROWE PRICE EQUITY INCOME #71 2021-03-16 5974 5341 633 633 5.753 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-03-16 2111 897 1214 1214 39.723 T ROWE PRICE LARGE/CAP GRW-I 139 2021-03-16 2021-04-16 2694 2558 136 136 2.649 VANGUARD 500 INDEX FD- ADM #540 2021-03-25 2021-04-16 1024 956 68 68 17.993 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-04-16 6955 2805 4150 4150 57.381 VOYA LARGE-CAP GROWTH FND-I 2021-03-16 2021-04-16 3426 3223 203 203 7.443 DODGE & COX STOCK FUND #145 2017-12-18 2021-05-18 1773 1576 197 197 1.975 DODGE & COX STOCK FUND #145 2021-03-26 2021-05-18 470 441 29 29 7.015 MFS VALUE FUND-R6 4810 2021-03-25 2021-05-18 360 337 23 23 81.358 MFS VALUE FUND-R6 4810 2021-05-18 4179 2710 1469 1469 83.062 NORTHERN MID CAP INDEX #629 2021-04-16 2021-05-18 2037 2058 -21 -21 84.721 T ROWE PRICE EQUITY INCOME #71 2013-10-04 2021-05-18 3170 2653 517 517 8.076 T ROWE PRICE EQUITY INCOME #71 2021-03-29 2021-05-18 302 285 17 17 119.445 CAUSEWAY INTL VALUE FD-I 1271 2021-06-16 2205 1886 319 319 72.767 FIDELITY INTL INDX-INST PRM #2363 2021-06-16 3697 3270 427 427 34.531 T ROWE PRICE LARGE/CAP GRW-I 139 2021-05-18 2021-06-16 2343 2239 104 104 53.898 VOYA LARGE-CAP GROWTH FND-I 2021-05-18 2021-06-16 3219 3044 175 175 44.45 WF GROWTH FUND - I 3105 2021-03-16 2021-06-16 2701 2635 66 66 20.694 T ROWE PRICE LARGE/CAP GRW-I 139 2021-07-19 1465 1340 125 125 51.029 T ROWE PRICE LARGE/CAP GRW-I 139 2013-10-04 2021-07-19 3612 1250 2362 2362 2.489 VANGUARD 500 INDEX FD- ADM #540 2021-06-28 2021-07-19 979 986 -7 -7 18.805 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-07-19 7396 2931 4465 4465 67.242 VOYA LARGE-CAP GROWTH FND-I 2021-07-19 4162 3743 419 419 110.435 WF CORE BD FD-I 944 2021-07-19 1468 1619 -151 -151 10.594 WF CORE BD FD-I 944 2021-07-19 141 156 -15 -15 29.279 WF GROWTH FUND - I 3105 2021-07-19 1833 1684 149 149 154.747 NORTHERN MID CAP INDEX #629 2021-08-17 3808 3846 -38 -38 9.192 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-08-17 3780 1433 2347 2347 35.24 INVESCO SMALL CAP GROWTH FD-R5 4764 2021-05-18 2021-09-17 2248 1994 254 254 39.481 VOYA LARGE-CAP GROWTH FND-I 2020-12-16 2021-09-17 2584 2175 409 409 1.362 MFS VALUE FUND-R6 4810 2021-09-23 2021-10-18 72 72 180.043 NORTHERN MID CAP INDEX #629 2021-10-18 4542 4349 193 193 48.423 GOLDMAN SACHS SMALL CAP VALUE I 651 2021-07-19 2021-11-16 3528 2987 541 541 76.907 T ROWE PRICE LARGE/CAP GRW-I 139 2013-10-04 2021-11-16 6161 1884 4277 4277 18.35 MFS VALUE FUND-R6 4810 2013-10-04 2021-11-16 1004 564 440 440 50.732 MFS VALUE FUND-R6 4810 2021-11-16 2777 2602 175 175 202.05 NORTHERN MID CAP INDEX #629 2021-11-16 5391 4752 639 639 200.97 NORTHERN MID CAP INDEX #629 2013-10-04 2021-11-16 5362 3296 2066 2066 104.998 T ROWE PRICE EQUITY INCOME #71 2021-11-16 4042 3744 298 298 28.559 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-11-16 12412 4452 7960 7960 2.315 VANGUARD 500 INDEX FD- ADM #540 2021-09-28 2021-11-16 1006 930 76 76 37.767 VOYA LARGE-CAP GROWTH FND-I 2020-12-16 2021-11-16 2596 2080 516 516 29.776 WF GROWTH FUND - I 3105 2021-05-18 2021-11-16 2036 1677 359 359 105.47188 DODGE & COX INCOME FD COM #147 2021-12-16 1500 1556 -56 -56 64.05112 DODGE & COX INCOME FD COM #147 2020-11-17 2021-12-16 911 951 -40 -40 295.735 FED HERM TTL RTRN BND-INST 328 2021-12-16 3336 3446 -110 -110 2523.85 LAZARD INTL EQTY PORT-INSTL 632 2021-12-16 52269 41473 10796 10796 34.819 LAZARD INTL EQTY PORT-INSTL 632 2021-12-16 721 706 15 15 43.284 MFS VALUE FUND-R6 4810 2013-10-04 2021-12-16 2327 1330 997 997 230.91722 MET WEST TOTAL RETURN BOND CL I #512 2021-12-16 2524 2690 -166 -166 31.20078 MET WEST TOTAL RETURN BOND CL I #512 2021-12-16 341 376 -35 -35 22.12 VANGUARD 500 INDEX FD- ADM #540 2013-10-04 2021-12-16 9561 3448 6113 6113 14.484 VOYA LARGE-CAP GROWTH FND-I 2020-12-16 2021-12-16 817 798 19 19 190.917 WF CORE BD FD-I 944 2021-12-16 2478 2790 -312 -312 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 CAPITAL GAIN DIVIDENDS P 58393 125476 2276 0 2276 0 2276 1436 0 0 1436 0 840 0 0 false false false false false false false true true UT true false false false false true N/A PRINCIPAL FINANCIAL GROUP 6025620883 PO BOX 10316 DES MOINES IA 50306 false false false false true false false false false false false false false false false false false false false false false false PRINCIPAL FINANCIAL GROUP PO BOX 10316 DES MOINES IA 50306 TRUSTEE 1 12339 NONE 0 NONE 0 1874393 58529 0 1932922 0 0 1932922 28994 1903928 95196 95196 2276 2276 92920 0 92920 0 92920 43085 0 0 0 0 43085 92920 37551 0 0 0 0 0 0 0 43085 37551 0 0 5534 0 0 0 0 0 0 0 0 87386 0 0 0 0 0 0 0 0 NONE NONE X INTERMOUNTAIN FOUNDATION 11520 S REDWOOD RD SOUTH JORDAN UT 84095 NONE PC GENERAL OPERATING 20000 COMMUNITY NURSING SERVICES INC 2830 SOUTH REDWOOD RD WEST VALLEY CITY UT 84119 NONE PC GENERAL OPERATING 20000 40000 14 42729 18 125476 OTHER INCOME 5337 5337 168205 173542 false false false false false false false false false false THE FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEARS UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR ENDING 2018 IN THE AMOUNT OF $14,313. 38142V209 GOLDMAN SACHS SMALL 28100 33104 4812A1373 JPMORGAN SMALL CAP E 42186 57007 949915714 WF GROWTH FUND - I 3 34132 44246 31428Q101 FED HERM TTL RTRN BN 129700 131170 256210105 DODGE & COX INCOME F 131669 132521 592905509 MET WEST TOTAL RETUR 131018 132345 00769G188 ACADIAN EMG MRKTS PO 24618 33410 665130100 NORTHERN MID CAP IND 137508 197557 00141M622 INVESCO SMALL CAP GR 23249 27090 94975J581 WF CORE BD FD-I 944 132412 133570 779547108 T ROWE PRICE EQUITY 74698 90540 298706110 AMER FNDS EUROPAC GR 75737 84442 92913K504 VOYA LARGE-CAP GROWT 63167 88048 55273H353 MFS VALUE FUND-R6 48 51453 89383 256219106 DODGE & COX STOCK FU 34384 45070 315911727 FIDELITY INTL INDX-I 101345 112908 00143W859 INV OPP DEVELOP MRKT 28757 36492 14949P208 CAUSEWAY INTL VALUE 69787 84573 45775L408 T ROWE PRICE LARGE/C 33857 90080 922908710 VANGUARD 500 INDEX F 104022 291699 45775L408 T ROWE PRICE LARGE/C 31428Q101 FEDERATED TOTAL RET 00769G188 ACADIAN EMG MRKTS PO 92913K504 VOYA LARGE-CAP GROWT 592905509 MET WEST TOTAL RETUR 00141M622 INVESCO SMALL CAP GR 14949P208 CAUSEWAY INTL VALUE 4812A1373 JPMORGAN SMALL CAP E 922908710 VANGUARD 500 INDEX F 38142V209 GOLDMAN SACHS SMALL 949915714 WF GROWTH FUND - I 3 55273H353 MFS VALUE FUND-R6 48 256210105 DODGE & COX INCOME F 665130100 NORTHERN MID CAP IND 94975J581 WF CORE BD FD-I 944 779547108 T ROWE PRICE EQUITY 52106N400 LAZARD INTL EQTY POR 256219106 DODGE & COX STOCK FU 298706110 AMER FNDS EUROPAC GR 00143W859 INV OPP DEVELOP MRKT 315911727 FIDELITY INTL INDX-I COST BASIS ADJUSTMENT 30 OTHER INCOME 5337 5337 MUTUAL FUND TIMING ADJ 392 FOREIGN TAX WITHHELD 514 514 0 PY EXCISE TAX DUE 4638 0 0 ESTIMATED EXCISE PAYMENTS 1436 0 0