2019-11-11T11:21:09-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION ST 1600 SAN FRANCISCO CA 94105 990 2018-01-01 800225150 INTERMOUNTAIN HEALTHCARE FOUNDATION INC INTE 8014422000 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 PRESIDENT CDO PRESIDENT 8014422000 2019-11-04 0 EVA NITTA P01286320 4158948000 199.190.170.29 2019-11-04 12:02:10 MS P 8A06FEF07356F7C90A9824A760A1509B37C56892 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 2018 2020-03-31 21:24:44Z DAVID L FLOOD 36 S STATE STREET STE 2200 SLC UT 84111 258487896 0 X N/A X 2009 UT PROVIDE STRATEGIC AND FIDUCIARY LEADERSHIP FOR PHILANTHROPIC ENDEAVORS OF IHC HEALTH SERVICES, INC. 10 6 0 8 313792 0 58818312 41006328 0 0 7811037 13523758 -470899 -370444 66158450 54159642 23444499 38289725 0 0 0 0 759232 414676 1167552 2385383 2674249 26589114 41378650 39569336 12780992 438333911 410916187 147469077 136905162 290864834 274011025 PROVIDE STRATEGIC AND FIDUCIARY LEADERSHIP FOR THE PHILANTHROPIC ENDEAVORS OF IHC HEALTH SERVICES, INC. 0 0 38289725 38289725 0 INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. ("FOUNDATION") SUPPORTED THE HEALTHCARE ACTIVITIES OF IHC HEALTH SERVICES, INC. BY ENHANCING AND STRENGTHENING THE RELATIONSHIP BETWEEN THE FOUNDATION AND COMMUNITY LEADERS AND BY DEVELOPING FINANCIAL AND CHARITABLE SUPPORT. 38289725 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 1 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 A SCOTT ANDERSON TRUSTEE / VICE CHAIR 3.00 6.00 X X 0 1923 0 THOMAS D DEE III TRUSTEE 1.00 0.00 X 0 1178 0 SPENCER F ECCLES TRUSTEE 1.00 2.00 X 0 1710 0 DAVID L FLOOD TRUSTEE / PRESIDENT 50.00 3.00 X X 0 708599 389474 KEM C GARDNER TRUSTEE / CHAIR 3.00 0.00 X X 0 359 0 CYNDI WOODBURY GILBERT TRUSTEE 1.00 0.00 X 0 735 0 A MARC HARRISON MD TRUSTEE / SEC / VP 3.00 70.00 X X 0 2564430 1600881 JAMES D LAUB TRUSTEE 1.00 0.00 X 0 359 0 TODD R PEDERSEN TRUSTEE 1.00 0.00 X 0 716 0 DIANE P STEWART TRUSTEE (PARTIAL YEAR) 1.00 0.00 X 0 0 0 ALBERT R ZIMMERLI TRUSTEE / SECRETARY 2.00 69.00 X X 0 3206043 681786 CHARLES W SORENSON JR MD FORMER OFFICER 0.00 50.00 X 0 508703 71081 0 6994755 2743222 0 1 1 0 GHIORSI & SORRENTI INC 255 MADISON AVENUE WYCKOFF NJ 07481 FUNDRAISING CONSULTANT 343154 SILCHESTER INTERNATIONAL INVESTORS INC 780 3RD AVE 42ND FL NEW YORK NY 10017 INVESTMENT MANAGEMENT 260378 MACKAY SHIELDS LLC 1345 AVENUE OF THE AMERICAS NEW YORK NY 10105 INVESTMENT MANAGEMENT 170704 3 126644 3722614 4740199 59587 32357284 4092185 41006328 5057884 -1228110 6285994 210341684 201875810 8465874 8465874 1541902 6923972 2082000 3722614 2452444 -370444 -370444 54159642 0 313792 12839522 38264725 38264725 25000 25000 69622 43183 26439 34643 34643 414676 414676 906766 906766 389908 226012 163896 78084 69383 8701 424226 172587 251639 156256 136607 19649 3022 709 2313 149413 103845 45568 32803 26518 6285 8797 8714 83 SUPPLIES 280205 107841 172364 MEMBERSHIPS, LICENSES 78863 22924 55939 RECRUITMENT 53174 53174 0 DONOR RECOGNITION 5234 5234 0 3233 3233 41378650 38289725 1921373 1167552 1300 0 27330462 39042388 52844318 45914973 306663588 271215210 45587893 47494487 5906350 7249129 438333911 410916187 3535271 11344005 3881542 3886271 140052264 121674886 147469077 136905162 X 54787838 41749179 201170634 195609348 34906362 36652498 290864834 274011025 438333911 410916187 X 12780992 -29324377 72840 -383264 X 0 1 X 0 0 X 26221725 36784532 54841594 58818312 41006328 217672491 26221725 36784532 54841594 58818312 41006328 217672491 41027805 176644686 3196120 3237550 3468532 4266731 5057884 19226817 236899308 12222594 0.74570 0.75050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 237048460 37992070 -2237839 39576411 233226280 202259102 56147635 3976657 25334934 237048460 170865649 53298045 2372720 24277312 202259102 150372054 36119718 -814205 14811918 170865649 157608038 25669980 1340026 34245990 150372054 0.00000 0.15760 0.84240 0 0 0 PRIVATE EQUITY FUNDS 46919351 F ALTERNATIVE INVESTMENTS 575136 F 47494487 SECURITIES HELD FOR AFFILIATES 118512621 INVESTMENT PURCHASES PAYABLE 3160213 INTERCOMPANY PAYABLE 2052 121674886 FORM 990, SCHEDULE D, PART V, LINE 4 INTERMOUNTAIN HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT AND EARNINGS FROM THE PERMANENT ENDOWMENT FUND IHC HEALTH SERVICES' ACTIVITIES SUCH AS PATIENT PROGRAMS (INCLUDING CHARITY CARE), MEDICAL RESEARCH, AND CAPITAL/TECHNOLOGY NEEDS. 1 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 GRANTS 25000 0 0 0 0 0 0 25000 0 25000 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES HYDROCEPHALUS RESEARCH 25000 CHECK 1 0 0 0 0 0 0 0 SCHEDULE F, PART I, LINE 2 GRANT REQUESTS ARE MADE THROUGH AN APPLICATION PROCESS AND ARE GENERALLY LIMITED TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). GRANTEES ARE REQUIRED TO REPORT HOW THE FUNDS WERE USED TO THE FOUNDATION. X X X X X X 1 GHIORSI & SORRENTI INC 255 MADISON AVE WYCKOFF NJ 07481 FUNDRAISING STRATEGY CONSULTING 0 0 343154 0 GOBEL GROUP 200 OLD FORGE LN STE 202 KENNETT SQUARE PA 19348 FUNDRAISING STRATEGY CONSULTING 0 0 71522 0 414676 UT FESTIVAL OF TREES 3726847 2369341 1357506 0 0 147874 13722 2220 1045221 JUBILEE OF TREES 745762 549871 195891 0 352 97120 59243 8528 215690 13 1332005 803402 528603 1100 51312 177143 48556 34975 549388 5804614 3722614 2082000 1100 51664 422137 121521 45723 1810299 2452444 -370444 1 IHC HEALTH SERVICES INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 942854057 501(C)(3) 36858202 HOSPITAL SUPPORT UNIVERSITY OF UTAH PO BOX 581374 SALT LAKE CITY UT 84158 876000525 GOV 1201757 RESEARCH ALABAMA CHILDREN'S HOSPITAL FOUNDATION 1600 7TH AVE SO BIRMINGHAM AL 35233 630879471 501(C)(3) 80000 HCRN CLINSITE RESEARCH SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS RC-507 SEATTLE WA 98145 910564748 501(C)(3) 45000 HCRN CLINSITE RESEARCH TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 501(C)(3) 40000 HCRN CLINSITE RESEARCH RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC 935 E SOUTH TEMPLE SALT LAKE CITY UT 84102 742386043 501(C)(3) 32766 SUPPORT COMMUNITY HEALTH WEBER STATE UNIVERSITY 3885 N CAMPUS DRIVE OGDEN UT 84408 876000535 GOV 6000 SCHOLARSHIP FUND 7 0 PART I, LINE 2: GRANT REQUESTS ARE MADE THROUGH AN APPLICATION PROCESS AND ARE GENERALLY LIMITED TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). GRANTEES ARE REQUIRED TO REPORT HOW THE FUNDS WERE USED TO THE FOUNDATION. 0 1 0 0 0 0 0 0 0 DAVID L FLOOD TRUSTEE / PRESIDENT 0 463182 0 238770 0 6647 0 361653 0 27821 0 1098073 0 193627 A MARC HARRISON MD TRUSTEE / SEC / VP 0 1587816 0 963647 0 12967 0 1567750 0 33131 0 4165311 0 844769 ALBERT R ZIMMERLI TRUSTEE / SECRETARY 0 2271147 0 639528 0 295368 0 645626 0 36160 0 3887829 0 916224 CHARLES W SORENSON JR MD FORMER OFFICER 0 257067 0 250495 0 1141 0 48463 0 22618 0 579784 0 206041 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 2018 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 2018: - ALBERT R. ZIMMERLI $216,483 THE 2018 SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT REPORTED ABOVE IS INCLUDED IN THE PART II, COLUMN (B)(III) TOTALS. X 46331 FMV X 14008 FMV X 26 1572403 FMV X MISC. ITEMS 0 2459443 FMV 1 0 0 0 PART I, COLUMN (B): THE NONCASH CONTRIBUTIONS RECORDED ON LINE 9 REPRESENTS THE NUMBER OF CONTRIBUTIONS. THE NUMBER OF NONCASH CONTRIBUTIONS OR ITEMS CONTRIBUTED RECORDED ON LINE 25 IS NOT REASONABLY DETERMINABLE. FORM 990, PART V, LINE 1A ALL OF THE FORM 1099'S FOR INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. ARE ISSUED BY A RELATED NONPROFIT ORGANIZATION, IHC HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 2 DAVID L. FLOOD / A. MARC HARRISON, MD / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN IHC HEALTH SERVICES, INC., A RELATED UTAH NONPROFIT CORPORATION) A. MARC HARRISON, MD / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (BOARD MEMBERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) KEM C. GARDNER / TODD R. PEDERSEN - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. IS IHC HEALTH SERVICES, INC., A RELATED 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 AT AN ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE ARTICLES OF INCORPORATION, THE SOLE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE, INCLUDING THE ELECTION OF INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETE FORM 990 AND ALL REQUIRED SCHEDULES WERE MADE AVAILABLE TO THE ENTIRE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE ALSO 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 NEW 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 BETWEEN THE INDIVIDUAL'S ROLE WITH INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. OR THE OUTSIDE ENTITY). FORM 990, PART VI, SECTION B, LINE 15 INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. DID NOT COMPENSATE ANY OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE. COMPENSATION AMOUNTS LISTED ON PART VII WERE PAID BY A RELATED ORGANIZATION AND WERE DETERMINED IN ACCORDANCE WITH 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 HEALTHCARE FOUNDATION, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: NET CHANGE IN THE VALUATION OF TRUSTS RECEIVABLE -1,069. PROVISION FOR UNCOLLECTIBLE ACCOUNTS -382,195. 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 0 INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 942853320 COMMUNITY HEALTH UT 501(C)(3) LINE 12B, II INTERMOUNTAIN HEALTH CARE 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 HEART & LUNG RESEARCH FOUNDATION 5121 S COTTONWOOD DRIVE MURRAY UT 84157 870617606 COMMUNITY HEALTH UT 501(C)(3) LINE 7 INTERMOUNTAIN HEALTHCARE FOUNDATION INC 1 MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD OGDEN UT 84403 260286308 OUTPATIENT SURGERY UT N/A N/A 0 0 HEART LUNG INSTITUTE LLC 5121 SOUTH COTTONWOOD DRIVE MURRAY UT 84157 RESEARCH AND DEVELOPMENT UT N/A N/A 0 0 GRANDEUR PEAK INTERNATIONAL STALWARTS LP 136 S MAIN STREET STE 720 SALT LAKE CITY UT 84101 475468723 INVESTMENTS DE N/A N/A 0 0 INNOVATION FUND HOLDINGS COMPANY LLC 1000 W FULTON STREET CHICAGO IL 60607 471525723 INNOVATION DE N/A N/A 0 0 HEALTHBOX SALT LAKE CITY I LLC 1000 W FULTON MARKET STE 213 CHICAGO IL 60607 465338772 INNOVATION DE N/A N/A 0 0 HOMESPIRE LLC 36 S STATE STREET STE 2200 SALT LAKE CITY UT 84111 823121436 HOMECARE ASSISTANCE UT N/A N/A 0 0 HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 201937561 INSURANCE AZ N/A C 1 SELECTHEALTH BENEFIT ASSURANCE COMPANY INC 5381 GREEN STREET MURRAY UT 84123 870497579 DELIVERY OF HEALTH BENEFITS UT N/A C 1 INTERMOUNTAIN SUPPLY SERVICES INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 474576955 HOLDING COMPANY DE N/A C 1 INTALERE INC TWO CITY PLACE DRIVE SUITE 400 ST LOUIS MO 63141 431415071 GROUP PURCHASING DE N/A C 1 NAVICAN GENOMICS INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 814153832 CANCER TREATMENT DE N/A C 1 EMPIRIC HEALTH INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 384026200 HEALTH SERVICES TECHNOLOGY DE N/A C 1 CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 823542894 BIOREPOSITORY DE N/A C 1 ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 824614934 MENTAL HEALTH INTEGRATION SERVICES DE N/A C 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 IHC HEALTH SERVICES INC B 36858202 COST IHC HEALTH SERVICES INC C 4712699 COST IHC HEALTH SERVICES INC P 1406523 COST INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC Q 305088 COST