2018-11-16T14:26:05-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION ST 1600 SAN FRANCISCO CA 94105 990 2017-01-01 800225150 INTERMOUNTAIN HEALTHCARE FOUNDATION INC INTE 8014422000 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 PRESIDENT CDO PRESIDENT 8014422000 2018-11-16 0 EVA NITTA P01286320 4158948000 159.212.71.127 2018-11-16 09:44:12 MS P FF63A8BEF45084E4111860BF3B06E27E98C16888 F0B10289AC72EC75365327AE0752FCE38A34E5DB 2017 2019-02-21 02:37:17Z DAVID L FLOOD 36 S STATE STREET STE 2200 SLC UT 84111 181079067 0 X N/A X 2009 UT PROVIDE STRATEGIC AND FIDUCIARY LEADERSHIP FOR PHILANTHROPIC ENDEAVORS OF IHC HEALTH SERVICES, INC. 11 7 0 8 -633222 -759190 54841594 58818312 0 0 3660453 7811037 -513460 -470899 57988587 66158450 22545516 23444499 0 0 0 0 479291 759232 1805211 2327361 2385383 25352168 26589114 32636419 39569336 366757391 438333911 136278025 147469077 230479366 290864834 PROVIDE STRATEGIC AND FIDUCIARY LEADERSHIP FOR THE PHILANTHROPIC ENDEAVORS OF IHC HEALTH SERVICES, INC. 0 0 23444499 23444499 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. 23444499 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 1 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 X 11 7 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 1794 0 THOMAS D DEE III TRUSTEE 1.00 0.00 X 0 776 0 SPENCER F ECCLES TRUSTEE 1.00 2.00 X 0 1119 0 DAVID L FLOOD TRUSTEE (PARTIAL YEAR) / PRES 50.00 3.00 X X 0 621073 284849 KEM C GARDNER TRUSTEE / CHAIR 3.00 0.00 X X 0 0 0 CYNDI WOODBURY GILBERT TRUSTEE 1.00 0.00 X 0 861 0 A MARC HARRISON MD TRUSTEE / SEC / VP 3.00 73.00 X X 0 1621124 1390906 JAMES D LAUB TRUSTEE 1.00 0.00 X 0 661 0 TODD R PEDERSEN TRUSTEE 1.00 0.00 X 0 429 0 DIANE P STEWART TRUSTEE 1.00 0.00 X 0 0 0 ALBERT R ZIMMERLI TRUSTEE / SECRETARY 3.00 71.00 X X 0 1654210 684657 CHARLES W SORENSON JR MD FORMER OFFICER 0.00 50.00 X 0 1026852 90093 0 4928899 2450505 0 1 1 0 SILCHESTER INTERNATIONAL INVESTORS INC 780 3RD AVE 42ND FL NEW YORK NY 10017 INVESTMENT MANAGEMENT 229200 MACKAY SHIELDS LLC 1345 AVENUE OF THE AMERICAS NEW YORK NY 10105 INVESTMENT MANAGEMENT 138686 2 147475 3938953 4941637 74051 49716196 3266589 58818312 4266731 -1410608 5677339 115605749 112061443 3544306 3544306 777386 2766920 2388275 3938953 2859174 -470899 -470899 66158450 0 -633222 7973360 23366999 23366999 77500 77500 417504 303802 113702 33600 33600 759232 759232 511997 511997 76422 32395 44027 434345 151562 282783 146518 144776 1742 12346 4425 7921 21424 16665 4759 78885 52241 26644 2522 2189 333 SUPPLIES 344095 21636 322459 MEMBERSHIPS LICENSES 305725 64116 241609 26589114 23444499 1339404 1805211 1500 1300 27649050 27330462 36163518 52844318 0 0 100108 0 261870912 306663588 36047501 45587893 4924802 5906350 366757391 438333911 8312188 3535271 3124226 3881542 124841611 140052264 136278025 147469077 X 29158178 54787838 172988651 201170634 28332537 34906362 230479366 290864834 366757391 438333911 X 39569336 20888577 190047 -262492 X 0 1 X 0 0 X 26629839 26221725 36784532 54841594 58818312 203296002 26629839 26221725 36784532 54841594 58818312 203296002 37980129 165315873 2806704 3196120 3237550 3468532 4266731 16975637 220271639 12605664 0.75050 0.88080 X 202259102 56147635 3976657 25334934 237048460 170865649 53298045 2372720 24277312 202259102 150372054 36119718 -814205 14811918 170865649 157608038 25669980 1340026 34245990 150372054 146752323 32701504 3107693 24953482 157608038 0.00000 0.14770 0.85230 0 0 0 PRIVATE EQUITY FUNDS 44983113 F ALTERNATIVE INVESTMENTS 604780 F 45587893 SECURITIES HELD FOR AFFILIATES 130437351 INVESTMENT PURCHASES PAYABLE 9614913 140052264 FORM 990, SCHEDULE D, PART V, LINE 4 THE 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 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 1353327 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS 1805462 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 INVESTMENTS 1203442 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 GRANTS 77500 0 0 0 0 0 0 4439731 0 4439731 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES HYDROCEPHALUS RESEARCH 77500 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 577598 0 GOBEL GROUP PO BOX 620 MENDENHALL PA 19357 FUNDRAISING STRATEGY CONSULTING 0 0 118848 0 CONSTELLATION ADVANCEMENT 747 FLORY MILL ROAD LANCASTER PA 17601 PLANNED GIVING CONSULTING 0 0 32171 0 WELLSPRING 198 AMITY ROAD 2ND FLOOD WOODBRIDGE CT 06525 STRATEGIC PLANNING 0 0 24967 0 CAROLYN CHARLTON 24 PIEDMONT ROAD LARKSPUR CA 94939 FUNDRAISING TRAINING 0 0 5648 0 759232 UT FESTIVAL OF TREES 3672975 2205589 1467386 209035 9766 6539 1057958 JUBILEE OF TREES 1129027 873034 255993 285 144210 4599 19420 328049 14 1525226 860330 664896 17817 181822 101650 67850 710174 6327228 3938953 2388275 18102 535067 116015 93809 2096181 2859174 -470899 1 IHC HEALTH SERVICES INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 942854057 501(C)(3) 21255398 HOSPITAL SUPPORT UNIVERSITY OF UTAH PO BOX 581374 SALT LAKE CITY UT 84158 876000525 GOV 1958772 RESEARCH ALABAMA CHILDREN'S HOSPITAL FOUNDATION 1600 7TH AVE SO BIRMINGHAM AL 35233 630879471 501(C)(3) 79500 HCRN CLINSITE RESEARCH TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 501(C)(3) 50000 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) 16329 SUPPORT COMMUNITY HEALTH WEBER STATE UNIVERSITY 3885 N CAMPUS DRIVE OGDEN UT 84408 876000535 GOV 6000 SCHOLARSHIP FUND 6 0 PART I, LINE 2: SCHEDULE I 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 (PARTIAL YEAR) / PRES 0 455626 0 161309 0 4138 0 260843 0 24006 0 905922 0 148516 A MARC HARRISON MD TRUSTEE / SEC / VP 0 1406803 0 200000 0 14321 0 1359147 0 31759 0 3012030 0 200000 ALBERT R ZIMMERLI TRUSTEE / SECRETARY 0 954334 0 408714 0 291162 0 654584 0 30073 0 2338867 0 408714 CHARLES W SORENSON JR MD FORMER OFFICER 0 242483 0 423132 0 361237 0 48743 0 41350 0 1116945 0 246700 PART I, LINE 4B IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION, OFFERS A SUPPLEMENTAL NONQUALIFIED EMPLOYER 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 2017 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 SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS FROM IHC HEALTH SERVICES, INC. IN 2017: - CHARLES W SORENSON JR MD $330,061 - ALBERT R ZIMMERLI $237,121 THE 2017 SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS REPORTED ABOVE ARE INCLUDED IN THE PART II, COLUMN (B)(III) TOTALS. X 1 105000 APPRAISAL X 30 1569858 FMV X MISC. ITEMS 925 1416415 FMV X MEDICAL EQUIP. 5 175316 FMV 0 0 1 0 PART I, COLUMN (B): THE NONCASH CONTRIBUTIONS RECORDED ON LINES 1, 9, AND 26 REPRESENT THE NUMBER OF CONTRIBUTIONS. THE NONCASH CONTRIBUTIONS RECORDED ON LINE 25 REPRESENT THE NUMBER OF INDIVIDUAL CONTRIBUTORS. 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 ALBERT R. ZIMMERLI / A. MARC HARRISON, MD - BUSINESS RELATIONSHIP (BOARD MEMBERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A WHOLLY OWNED TAXABLE SUBSIDIARY OF AN AFFILIATE OF THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / DAVID L. FLOOD / A. MARC HARRISON, MD - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED UTAH NONPROFIT CORPORATION) 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, THE PRESIDENT DETERMINES IF 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 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 143,417. PROVISION FOR UNCOLLECTIBLE ACCOUNTS -405,909. 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 INTERMOUNTAIN HEALTHCARE INNOVATION FUND I LP 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 IMLS SERVICES LLC 36 S STATE STREET STE 2200 SALT LAKE CITY UT 84111 823121436 HOME HEALTHCARE 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 INSURANCE 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 MATTERHORN BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 823542894 BIOREPOSITORY 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 21255398 COST IHC HEALTH SERVICES INC C 4907327 COST IHC HEALTH SERVICES INC P 2111600 COST INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC Q 318988 COST