Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number
94-2854057
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ABILITY FOUND CORPORATION
2324 SOUTH CONSITITUTION BLVD
SALT LAKE CITY,UT84119 		87-0504354 501(C)(3) 8,000       SUPPORT COMMUNITY HEALTH
(2) ALLIANCE FOR A BETTER UTAH INC
PO BOX 521847
SALT LAKE CITY,UT84152 		45-2463539 501(C)(3) 24,375       SUPPORT COMMUNITY HEALTH
(3) ALLIANCE HOUSE INC
1724 SOUTH MAIN STREET
SALT LAKE CITY,UT84115 		74-2440617 501(C)(3) 15,000       SUPPORT COMMUNITY HEALTH
(4) AMERICAN FOUNDATION FOR SUICIDE PREVENTION
199 WATER STREET 11TH FLOOR
NEW YORK,NY10038 		13-3393329 501(C)(3) 11,000       PROMOTE COMMUNITY HEALTH
(5) AMERICAN NATIONAL RED CROSS
431 18TH STREET NW
WASHINGTON,DC20006 		53-0196605 501(C)(3) 29,000       SUPPORT COMMUNITY HEALTH
(6) ASIAN ASSOCIATION OF UTAH
155 SOUTH 300 WEST SUITE 101
SALT LAKE CITY,UT84101 		87-0333555 501(C)(3) 75,000       SUPPORT COMMUNITY HEALTH
(7) ASSOCIATION FOR UTAH COMMUNITY HEALTH
860 EAST 4500 SOUTH SUITE 206
SALT LAKE CITY,UT84107 		87-0430946 501(C)(3) 600,000       SUPPORT COMMUNITY HEALTH
(8) BREATHE UTAH INC
PO BOX 522435
SALT LAKE CITY,UT84152 		27-2111061 501(C)(3) 70,000       SUPPORT COMMUNITY HEALTH
(9) BRIDGERLAND APPLIED TECHNOLOGY COLLEGE FOUNDATION INC
1474 EAST 1140 NORTH
LOGAN,UT84341 		87-0577312 501(C)(3) 60,000       HEALTH EDUCATION
(10) CANYON CREEK WOMEN'S CRISIS CENTER
PO BOX 2081
CEDAR CITY,UT84721 		87-0540825 501(C)(3) 23,750       SUPPORT COMMUNITY HEALTH
(11) CENTER FOR WOMEN AND CHILDREN IN CRISIS
1433 EAST 840 NORTH
OREM,UT84097 		87-0405229 501(C)(3) 18,750       SUPPORT COMMUNITY HEALTH
(12) CENTRAL UTAH COUNSELING CENTER
152 NORTH 400 WEST
EPHRAIM,UT84627 		87-0502481 GOVT. 300,000       PROMOTE COMMUNITY HEALTH
(13) CHERISH FAMILIES
13504 SOUTH 7530 WEST
HERRIMAN,UT84096 		38-3924073 501(C)(3) 25,000       SUPPORT COMMUNITY HEALTH
(14) CHILDREN'S SERVICE SOCIETY OF UTAH
655 EAST 4500 SOUTH SUITE 200
SALT LAKE CITY,UT84107 		87-0212451 501(C)(3) 12,000       SUPPORT CHILDREN'S HEALTH
(15) CHRISTIAN CENTER OF PARK CITY
PO BOX 683480
PARK CITY,UT84068 		87-0643778 501(C)(3) 45,000       SUPPORT COMMUNITY HEALTH
(16) CITIZENS AGAINST PHYSICAL AND SEXUAL ABUSE
PO BOX 3617
LOGAN,UT84323 		87-0413330 501(C)(3) 23,750       SUPPORT COMMUNITY HEALTH
(17) CITY OF OREM FOUNDATION
56 N STATE STREET
OREM,UT84057 		81-0625490 501(C)(3)   1,300,000 BOOK VALUE LAND SUPPORT COMMUNITY HEALTH
(18) COMMUNITY HEALTH CENTERS INC
220 WEST 7200 SOUTH SUITE A
MIDVALE,UT84047 		74-2412898 501(C)(3) 100,000       SUPPORT COMMUNITY HEALTH
(19) COMMUNITY HEALTH CONNECT
591 SOUTH STATE STREET
PROVO,UT84606 		65-1260998 501(C)(3) 13,500       SUPPORT COMMUNITY HEALTH
(20) DAVIS APPLIED TECHNOLOGY COLLEGE FOUNDATION INC
550 EAST 300 SOUTH
KAYSVILLE,UT84037 		87-0623859 501(C)(3) 60,000       HEALTH EDUCATION
(21) DAVIS BEHAVIORAL HEALTH INC
934 SOUTH MAIN STREET
LAYTON,UT84041 		87-0430116 501(C)(3) 45,000       SUPPORT COMMUNITY HEALTH
(22) DAVIS CITIZENS COALITION AGAINST VIOLENCE
PO BOX 772
KAYSVILLE,UT84037 		87-0516562 501(C)(3) 18,750       SUPPORT COMMUNITY HEALTH
(23) DIXIE STATE UNIVERSITY
225 SOUTH 700 EAST
ST GEORGE,UT84770 		20-5588266 GOVT. 105,000       PROMOTE COMMUNITY HEALTH
(24) DOCTORS VOLUNTEER CLINIC
1036 EAST RIVERSIDE DRIVE
ST GEORGE,UT84790 		87-0645898 501(C)(3) 74,500       SUPPORT COMMUNITY HEALTH
(25) DOVE CENTER INC
1040 EAST 100 SOUTH SUITE 221
ST GEORGE,UT84790 		87-0529095 501(C)(3) 19,000       SUPPORT COMMUNITY HEALTH
(26) FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC
3518 WASHINGTON BLVD
OGDEN,UT84403 		87-0271413 501(C)(3) 74,500       PROMOTE COMMUNITY HEALTH
(27) FAMILY HEALTH SERVICES CORPORATION
794 EASTLAND DRIVE
TWIN FALLS,ID83301 		82-0371093 501(C)(3) 172,000       SUPPORT COMMUNITY HEALTH
(28) FAMILY INSTITUTE OF NORTHERN UTAH
190 EAST CENTER STREET
LOGAN,UT84321 		87-0576153 501(C)(3) 85,000       SUPPORT COMMUNITY HEALTH
(29) FRIENDS AGAINST FAMILY VIOLENCE
133 SOUTH 500 EAST
VERNAL,UT84078 		46-2628164 501(C)(3) 15,000       SUPPORT COMMUNITY HEALTH
(30) FRIENDS OF THE CHILDREN - UTAH
5361 SOUTH 4220 WEST SUITE B
KEARNS,UT84118 		84-4890857 501(C)(3) 150,000       SUPPORT CHILDREN'S HEALTH
(31) FRIENDS OF WASATCH MENTAL HEALTH FOUNDATION
750 NORTH FREEDOM BOULEVARD
PROVO,UT84601 		45-0531249 501(C)(3) 89,500       SUPPORT COMMUNITY HEALTH
(32) FRIENDS OF THE WEBER MORGAN CHILDREN'S JUSTICE CENTER
2408 VAN BUREN AVENUE
OGDEN,UT84401 		87-0515105 501(C)(3) 6,000       SUPPORT CHILDREN'S HEALTH
(33) GET HEALTHY UTAH
2180 SOUTH 1300 EAST SUITE 440
SALT LAKE CITY,UT84106 		82-1612963 501(C)(3) 20,000       SUPPORT COMMUNITY HEALTH
(34) GRANITE TECH INSTITUTE
2500 SOUTH STATE STREET
SALT LAKE CITY,UT84115 		GOVT. 60,000       HEALTH EDUCATION
(35) GUADALUPE CENTER EDUCATIONAL PROGRAMS INC
1385 NORTH 1200 WEST
SALT LAKE CITY,UT84116 		87-0299521 501(C)(3) 20,400       SUPPORT COMMUNITY HEALTH
(36) HOLY CROSS MINISTRIES OF UTAH
860 EAST 4500 SOUTH
SALT LAKE CITY,UT84107 		87-0359324 501(C)(3) 10,000       SUPPORT COMMUNITY HEALTH
(37) HOUSING CONNECT FUND
3595 SOUTH MAIN STREET
SALT LAKE CITY,UT84115 		84-3929104 501(C)(3) 130,000       SUPPORT COMMUNITY HEALTH
(38) INTERMOUNTAIN COMMUNITY CARE FDTN INC
36 SOUTH STATE STREET SUITE 2200
SALT LAKE CITY,UT84111 		94-2853320 501(C)(3) 22,000,000       SUPPORT COMMUNITY HEALTH
(39) INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 SOUTH STATE STREET SUITE 2200
SALT LAKE CITY,UT84111 		80-0225150 501(C)(3) 5,035,104       SUPPORT COMMUNITY HEALTH
(40) LATINO BEHAVIORAL HEALTH SERVICES
3471 SOUTH WEST TEMPLE
SALT LAKE CITY,UT84115 		46-5038499 501(C)(3) 85,000       SUPPORT COMMUNITY HEALTH
(41) LATINOS IN ACTION INC
PO BOX 790
SANDY,UT84091 		26-4304427 501(C)(3) 44,750       SUPPORT COMMUNITY HEALTH
(42) LIFTING HEARTS
5359 WEST EARL PLACE
HIGHLAND,UT84003 		45-3266218 501(C)(3) 20,000       PROMOTE COMMUNITY HEALTH
(43) MIDTOWN COMMUNITY HEALTH CENTER INC
2240 ADAMS AVENUE
OGDEN,UT84401 		87-0540039 501(C)(3) 53,800       SUPPORT COMMUNITY HEALTH
(44) MOUNTAINLAND TECHNICAL COLLEGE
2301 W ASHTON BLVD
LEHI,UT84043 		41-2126821 GOVT. 40,000       HEALTH EDUCATION
(45) NATIONAL ALLIANCE ON MENTAL ILLNESS UTAH
1600 WEST 2200 SOUTH SUITE 202
WEST VALLEY CITY,UT84119 		87-0432972 501(C)(3) 22,500       SUPPORT COMMUNITY HEALTH
(46) NEW HOPE CRISIS CENTER OF BOX ELDER COUNTY
435 EAST 700 SOUTH
BRIGHAM CITY,UT84302 		87-0462752 501(C)(3) 15,000       SUPPORT COMMUNITY HEALTH
(47) NEW HORIZONS CRISIS CENTER INC
PO BOX 9
RICHFIELD,UT84701 		87-0459593 501(C)(3) 19,000       SUPPORT COMMUNITY HEALTH
(48) NORTH SANPETE SCHOOL DISTRICT BOARD
390 EAST 700 SOUTH
MOUNT PLEASANT,UT84647 		87-6000513 GOVT. 15,000       SUPPORT COMMUNITY HEALTH
(49) ODYSSEY HOUSE INC - UTAH
344 EAST 100 SOUTH SUITE 301
SALT LAKE CITY,UT84111 		87-0292487 501(C)(3) 74,500       SUPPORT COMMUNITY HEALTH
(50) OGDEN AREA CHAMBER OF COMMERCE
2380 WASHINGTON BOULEVARD SUITE 290
290
OGDEN,UT84401 		87-0160060 501(C)(3) 7,000       SUPPORT COMMUNITY HEALTH
(51) PEACE HOUSE INC
PO BOX 682141
PARK CITY,UT84068 		87-0500067 501(C)(3) 18,750       SUPPORT COMMUNITY HEALTH
(52) PEOPLES HEALTH CLINIC INC
650 ROUND VALLEY DRIVE PO BOX
681558
PARK CITY,UT84068 		87-0638042 501(C)(3) 68,000       SUPPORT COMMUNITY HEALTH
(53) POLIZZI FOUNDATION
515 EAST 4500 SOUTH
SALT LAKE CITY,UT84107 		57-1241243 501(C)(3) 72,500       SUPPORT COMMUNITY HEALTH
(54) PREVENT CHILD ABUSE UTAH
2955 HARRISON BOULEVARD SUITE 104
OGDEN,UT84409 		74-2434274 501(C)(3) 12,000       SUPPORT CHILDREN'S HEALTH
(55) RED BARN FARMS
1200 WEST RED BARN LANE
FARMINGTON,UT84025 		36-4794282 501(C)(3) 5,500       SUPPORT COMMUNITY HEALTH
(56) RIVERTON CITY
12830 SOUTH REDWOOD ROAD
RIVERTON,UT84065 		87-0344045 GOVT. 100,000       SUPPORT COMMUNITY HEALTH
(57) RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC
935 EAST SOUTH TEMPLE
SALT LAKE CITY,UT84102 		74-2386043 501(C)(3) 75,000       SUPPORT COMMUNITY HEALTH
(58) SAFE NEST FOUNDATION
3900 MEADOWS LANE
LAS VEGAS,NV89107 		82-2923973 501(C)(3) 500,000       SUPPORT COMMUNITY HEALTH
(59) SALT LAKE COMMUNITY ACTION PROGRAM
764 SOUTH 200 WEST
SALT LAKE CITY,UT84101 		87-0269683 501(C)(3) 20,000       SUPPORT COMMUNITY HEALTH
(60) SALT LAKE COMMUNITY COLLEGE
4600 SOUTH REDWOOD ROAD
SALT LAKE CITY,UT84123 		87-6000448 501(C)(3) 75,000       HEALTH EDUCATION
(61) SALT LAKE COUNTY HEALTH DEPARTMENT
2001 SOUTH STATE STREET SUITE
S2-600
SALT LAKE CITY,UT84114 		87-6000316 GOVT. 24,000       SUPPORT COMMUNITY HEALTH
(62) SEEKHAVEN FAMILY CRISIS CENTER INC
PO BOX 729
MOAB,UT84532 		87-0494681 501(C)(3) 18,750       SUPPORT COMMUNITY HEALTH
(63) SHELTER THE HOMELESS INC
2001 SOUTH STATE STREET SUITE N49
SALT LAKE CITY,UT84114 		74-2548948 501(C)(3) 990,000       SUPPORT COMMUNITY HEALTH
(64) SOUTH DAVIS SEWER DISTRICT
1800 WEST 1200 NORTH
WEST BOUNTIFUL,UT84047 		GOVT. 40,000       SUPPORT COMMUNITY HEALTH
(65) SOUTH VALLEY SANCTUARY INC
PO BOX 1028
WEST JORDAN,UT84084 		87-0543219 501(C)(3) 32,500       SUPPORT COMMUNITY HEALTH
(66) SOUTHWEST UTAH COMMUNITY CENTER
25 NORTH 100 EAST SUITE 102
ST GEORGE,UT84770 		35-2163112 501(C)(3) 50,000       SUPPORT COMMUNITY HEALTH
(67) ST ANNE'S CENTER INC
269 WEST 3300 SOUTH
OGDEN,UT84401 		87-0368808 501(C)(3) 40,000       SUPPORT COMMUNITY HEALTH
(68) ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET
BILLINGS,MT59101 		81-0468034 501(C)(3) 18,000       PROMOTE COMMUNITY HEALTH
(69) STATE OF UTAH
168 NORTH 1950 WEST 201
SALT LAKE CITY,UT84116 		GOVT. 20,000       SUPPORT COMMUNITY HEALTH
(70) TABITHAS WAY
37 WEST 200 NORTH
SPANISH FORK,UT84660 		27-3402820 501(C)(3) 14,657       SUPPORT COMMUNITY HEALTH
(71) THE CHILDREN'S CENTER
350 SOUTH 400 EAST
SALT LAKE CITY,UT84111 		87-6114073 501(C)(3) 20,000       SUPPORT CHILDREN'S HEALTH
(72) THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS
135 A SUITE E
SALT LAKE CITY,UT84103 		87-0234341 501(C)(3)   40,446 COST MASK MATERIAL SUPPORT COMMUNITY HEALTH
(73) THE GREEN URBAN LUNCH BOX
PO BOX 651098
SALT LAKE CITY,UT84165 		45-4320152 501(C)(3) 41,000       SUPPORT COMMUNITY HEALTH
(74) THE LEARNING CENTER FOR FAMILIES
2044 SOUTH MESA PALMS DRIVE
ST GEORGE,UT84770 		87-0525653 501(C)(3) 26,000       SUPPORT COMMUNITY HEALTH
(75) THE LEUKEMIA AND LYMPHOMA SOCIETY INC
3 INTERNATIONAL DRIVE SUITE 200
RYE BROOK,NY10573 		13-5644916 501(C)(3) 10,000       SUPPORT COMMUNITY HEALTH
(76) THE ROAD HOME
210 RIO GRANDE STREET
SALT LAKE CITY,UT84010 		87-0212465 501(C)(3) 6,163       SUPPORT COMMUNITY HEALTH
(77) TREEUTAH
824 SOUTH 400 WEST SUITE B121
SALT LAKE CITY,UT84101 		87-0474797 501(C)(3) 40,000       SUPPORT COMMUNITY HEALTH
(78) UNITED STATES AIR FORCE - HILL AFS
7981 GEORGIA STREET
HILL AIR FORCE BASE,UT84056 		GOVT.   43,080 COST FLU VACCINE SUPPORT COMMUNITY HEALTH
(79) UNITED WAY OF SALT LAKE
257 EAST 200 SOUTH SUITE 300
SALT LAKE CITY,UT84111 		87-0227091 501(C)(3) 195,000       SUPPORT COMMUNITY HEALTH
(80) UNIVERSITY OF UTAH
301 WALKER WAY
SALT LAKE CITY,UT84106 		87-6000525 GOVT. 51,132,000       HEALTH EDUCATION
(81) URBAN INDIAN CENTER OF SALT LAKE
120 WEST 1300 SOUTH
SALT LAKE CITY,UT84115 		87-0392380 501(C)(3) 310,000       SUPPORT COMMUNITY HEALTH
(82) UTAH DEPARTMENT OF HEALTH
288 NORTH 1460 WEST
SALT LAKE CITY,UT84116 		GOVT. 2,000,000       SUPPORT COMMUNITY HEALTH
(83) UTAH DIVISION OF SUBSTANCE ABUSE & MENTAL HEALTH UTAH DEPT HUMAN SVCS
195 NORTH 1950 WEST
SALT LAKE CITY,UT84116 		GOVT. 550,000       SUPPORT COMMUNITY HEALTH
(84) UTAH DOMESTIC VIOLENCE ADVISORY COUNCIL
124 SOUTH 400 EAST SUITE 430
SALT LAKE CITY,UT84111 		87-0524312 501(C)(3) 10,000       SUPPORT COMMUNITY HEALTH
(85) UTAH FOOD BANK
3150 SOUTH 900 WEST
SALT LAKE CITY,UT84119 		87-0212453 501(C)(3) 267,536       SUPPORT COMMUNITY HEALTH
(86) UTAH HEALTH POLICY PROJECT
1832 WEST RESEARCH WAY 60
SALT LAKE CITY,UT84119 		87-0684606 501(C)(3) 3,067,500       SUPPORT COMMUNITY HEALTH
(87) UTAH HOUSING COALITION INC
230 SOUTH 500 WEST SUITE 216
SALT LAKE CITY,UT84101 		94-2775583 501(C)(3) 50,000       SUPPORT COMMUNITY HEALTH
(88) UTAH NONPROFIT HOUSING CORPORATION
223 WEST 700 SOUTH SUITE C
SALT LAKE CITY,UT84101 		87-6164397 501(C)(3) 375,000       SUPPORT COMMUNITY HEALTH
(89) UTAH NONPROFITS ASSOCIATION
231 EAST 400 SOUTH SUITE 345
SALT LAKE CITY,UT84111 		87-0481455 501(C)(3) 15,000       SUPPORT COMMUNITY HEALTH
(90) UTAH PACIFIC ISLANDER HEALTH COALITION
4220 SOUTH 4850 WEST
WEST VALLEY CITY,UT84120 		84-2168148 501(C)(3) 79,000       SUPPORT COMMUNITY HEALTH
(91) UTAH PARTNERS FOR HEALTH
7651 SOUTH MAIN STREET
MIDVALE,UT84047 		27-0021804 501(C)(3) 50,000       SUPPORT COMMUNITY HEALTH
(92) UTAH PRIDE CENTER INC
PO BOX 1078
SALT LAKE CITY,UT84110 		87-0504077 501(C)(3) 75,000       SUPPORT COMMUNITY HEALTH
(93) UTAH STATE UNIVERSITY FOUNDATION
1590 OLD MAIN HILL
LOGAN,UT84322 		87-0627128 GOVT. 53,000       HEALTH EDUCATION
(94) UTAH SUPPORT ADVOCATES FOR RECOVERY AWARENESS
180 EAST 2100 SOUTH SUITE 102
SALT LAKE CITY,UT84115 		38-3750535 501(C)(3) 300,000       SUPPORT COMMUNITY HEALTH
(95) UTAH VALLEY UNIVERSITY FOUNDATION INC
800 WEST UNIVERSITY PARKWAY SUITE
MS111
OREM,UT84058 		87-0036944 501(C)(3) 102,500       HEALTH EDUCATION
(96) WASHINGTON COUNTY
474 WEST 200 NORTH
ST GEORGE,UT84770 		87-0427767 GOVT. 50,000       SUPPORT COMMUNITY HEALTH
(97) WAYNE COMMUNITY HEALTH CENTER INC
PO BOX 303
BICKNELL,UT84715 		87-0342259 501(C)(3) 45,000       SUPPORT COMMUNITY HEALTH
(98) WEBER HUMAN SERVICES FOUNDATION
237 26TH STREET
OGDEN,UT84401 		87-0528187 501(C)(3) 64,000       SUPPORT COMMUNITY HEALTH
(99) WEBER STATE UNIVERSITY
3850 DIXON PARKWAY DEPARTMENT 1021
OGDEN,UT84408 		87-6000535 GOVT. 945,000       HEALTH EDUCATION
(100) WORK ACTIVITY CENTER
1275 WEST 2320 SOUTH
SALT LAKE CITY,UT84119 		87-0255186 501(C)(3) 25,000       SUPPORT COMMUNITY HEALTH
(101) YCC FAMILY CRISIS CENTER
2261 ADAMS AVENUE
OGDEN,UT84401 		87-0213074 501(C)(3) 18,750       SUPPORT COMMUNITY HEALTH
(102) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF UTAH
322 EAST 300 SOUTH
SALT LAKE CITY,UT84111 		87-0212467 501(C)(3) 42,000       SUPPORT COMMUNITY HEALTH
(103) HEALTH ACCESS PROJECT
140 WEST 2100 SOUTH SUITE 208
SALT LAKE CITY,UT84115 		GOVT. 400,000       SUPPORT COMMUNITY HEALTH
(104) UTAH PEDIATRIC PARTNERSHIP TO IMPROVE HEALTHCARE QUALITY
295 CHIPETA WAY
SALT LAKE CITY,UT84108 		GOVT. 140,000       SUPPORT COMMUNITY HEALTH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
104
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) PHARMACY VOUCHERS 14 1,470 0 CASH PHARMACY DRUG ASSISTANCE
(2) SCHOLARSHIP 1 500 0 CASH SCHOLARSHIP - ABBY YORGASON
(3) SCHOLARSHIP 1 300 0 CASH SCHOLARSHIP - SYDNEY HUNT
(4) SCHOLARSHIP 1 1,000 0 CASH SCHOLARSHIP - MADISON BENNETT
(5) SCHOLARSHIP 1 1,000 0 CASH SCHOLARSHIP - ELISABETH WAGNER
(6) SCHOLARSHIP 1 1,000 0 CASH SCHOLARSHIP - CONNER CHRISTIANSEN
(7) SCHOLARSHIP 1 1,000 0 CASH SCHOLARSHIP - MEAGAN DENNIS
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
FORM 990, SCHEDULE I, PART I, LINE 2: BY POLICY, HEALTH SERVICES' GRANTS ARE GENERALLY LIMITED TO PUBLIC CHARITIES EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) THAT (1) SUPPORT EFFORTS TO IMPROVE HEALTH AND/OR HEALTHCARE AND HUMAN SERVICES OR (2) STRENGTHEN THE LOCAL COMMUNITY. THE ORGANIZATION MONITORS ITS GRANTS TO ENSURE THAT THEY ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE BY REQUIRING ORGANIZATIONS THAT RECEIVE FUNDS GREATER THAN $5,000 TO SIGN A LETTER OF INTENT COMMITTING TO THE SPECIFIC USE OF THE FUNDS AND REGULARLY SUBMITTING OUTCOME REPORTS RELATED TO THE USE OF FUNDS.
FORM 990, SCHEDULE I, PART III: HEALTH SERVICES PROVIDES SCHOLARSHIPS TO HIGH SCHOOL SENIORS PURSUING A CAREER IN HEALTHCARE TO FURTHER ONGOING EFFORTS TO SUPPORT STUDENTS IN ITS COMMUNITIES. APPLICANTS ARE REVIEWED AND MUST SUBMIT PROOF OF COLLEGE REGISTRATION. ONCE SELECTED, HEALTH SERVICES WILL MAKE THE DONATION DIRECTLY TO THE STUDENT'S TUITION OR OTHER SCHOOLING EXPENSES, IN ORDER TO ENSURE THAT THE FUNDS ARE BEING SPENT FOR THEIR INTENDED PURPOSE.
Schedule I (Form 990) 2020



Additional Data


Software ID:  
Software Version: