Instrumentl eFile Render
Object ID: 202143149349303689 - Rendered 2024-05-07
TIN: 94-2854057
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
Open to Public Inspection
Name of the organization
IHC HEALTH SERVICES INC
Employer identification number
94-2854057
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
LOST CREEK-MURRAY LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
87-0622176
APARTMENT RENTALS
UT
3,443,373
6,958,888
IHC HEALTH SERVICES INC
(2)
IHC UTAH VALLEY LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
94-2854057
MEDICAL OFFICES
UT
0
0
IHC HEALTH SERVICES INC
(3)
INTERMOUNTAIN INTELLECTUAL ASSET MANAGEMENT LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
94-2854057
IP MANAGEMENT
UT
121,325
0
IHC HEALTH SERVICES INC
(4)
5300 SOUTH CENTER LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
20-5581911
OFFICE RENTAL
UT
970,995
11,549,229
IHC HEALTH SERVICES INC
(5)
PEDIATRIC SPECIALTY SERVICES LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
94-2854057
PEDIATRIC SERVICES
UT
0
0
IHC HEALTH SERVICES INC
(6)
INTERMOUNTAIN VENTURES LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
47-2067137
INNOVATION
UT
1,812,062
69,648,482
IHC HEALTH SERVICES INC
(7)
INTERMOUNTAIN ALTA VIEW LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
94-2854057
OFFICE RENTAL
UT
0
0
IHC HEALTH SERVICES INC
(8)
INTERMOUNTAIN EAST BAY LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
81-3640554
PROPERTY ACQUISITION/OPERATION
UT
325,943
6,679,467
IHC HEALTH SERVICES INC
(9)
ICENTRA SOLUTIONS LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
82-0641101
TECHNOLOGY MARKETING
UT
0
0
IHC HEALTH SERVICES INC
(10)
CASTELL ACCOUNTABLE CARE LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
82-2226534
MEDICARE ACO
UT
1,450,749
0
IHC HEALTH SERVICES INC
(11)
CASTELL LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
84-2218160
POPULATION HEALTH MANAGEMENT
UT
286,052
3,695,997
IHC HEALTH SERVICES INC
(12)
CULMINATION BIO LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
82-3542894
BIOREPOSITORY
DE
1,930,824
15,530,062
INTERMOUNTAIN VENTURES LLC
(13)
PARK CITY SURGERY CENTER LLC
900 ROUND VALLEY DRIVE
PARK CITY
,
UT
84060
84-4898736
OUTPATIENT SURGERY
UT
0
0
IHC HEALTH SERVICES INC
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
INTERMOUNTAIN HEALTH CARE INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
87-0269232
HOLDING COMPANY
UT
501(C)(3)
LINE 12B, II
N/A
No
(2)
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
94-2853320
COMMUNITY HEALTH
UT
501(C)(3)
LINE 12B, II
INTERMOUNTAIN HEALTH CARE INC
Yes
(3)
SELECTHEALTH INC
5381 GREEN STREET
MURRAY
,
UT
84123
87-0409820
DELIVERY OF HEALTH BENEFITS
UT
501(C)(4)
N/A
INTERMOUNTAIN HEALTH CARE INC
Yes
(4)
INTERMOUNTAIN HEALTH CARE RETIREE VEBA
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
74-2675605
RETIREE BENEFIT
UT
501(C)(9)
N/A
INTERMOUNTAIN HEALTH CARE INC
Yes
(5)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
80-0225150
COMMUNITY HEALTH
UT
501(C)(3)
LINE 7
IHC HEALTH SERVICES INC
Yes
(6)
HEART & LUNG RESEARCH FOUNDATION
5121 S COTTONWOOD DR
MURRAY
,
UT
84157
87-0617606
COMMUNITY HEALTH
UT
501(C)(3)
LINE 7
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
MCKAY DEE SURGICAL CENTER LLC
3895 HARRISON BLVD STE 200
OGDEN
,
UT
84403
26-0286308
OUTPATIENT SURGERY
UT
IHC HEALTH SERVICES INC
RELATED
6,383,656
13,393,951
No
Yes
71.700 %
(2)
HEART LUNG INSTITUTE LLC
5121 SOUTH COTTONWOOD DRIVE
MURRAY
,
UT
84157
RESEARCH AND DEVELOPMENT
UT
N/A
N/A
No
Yes
(3)
GRANDEUR PEAK INTERNATIONAL STALWARTS LP
136 S MAIN STREET STE 720
SALT LAKE CITY
,
UT
84101
47-5468723
INVESTMENTS
DE
IHC HEALTH SERVICES INC
EXCLUDED
10,591,446
85,501,020
No
No
61.160 %
(4)
INNOVATION FUND HOLDINGS COMPANY LLC
1000 W FULTON STREET STE 213
CHICAGO
,
IL
60607
47-1525723
INNOVATION
DE
IHC HEALTH SERVICES INC
EXCLUDED
4,040,037
10,003,582
No
No
100.000 %
(5)
HEALTHBOX SALT LAKE CITY I LLC
33 WEST MONROE STREET STE 1700
CHICAGO
,
IL
60603
46-5338772
INNOVATION
DE
IHC HEALTH SERVICES INC
EXCLUDED
-39,022
566,563
No
No
78.040 %
(6)
HOMESPIRE LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
82-3121436
HOMECARE ASSISTANCE
UT
IHC HEALTH SERVICES INC
UNRELATED
-839,685
-231,873
No
Yes
87.500 %
(7)
INTERMOUNTAIN VENTURES FUND LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
84-4037085
INVESTMENTS
DE
IHC HEALTH SERVICES INC
EXCLUDED
6,217,353
85,095,462
No
Yes
100.000 %
(8)
PELION OPPORTUNITY FUND III LLC
2750 E COTTONWOOD PARKWAY STE 600
SALT LAKE CITY
,
UT
84121
84-2757193
INVESTMENTS
DE
IHC HEALTH SERVICES INC
EXCLUDED
5,003,390
No
No
100.000 %
(9)
AACP KOREA BUYOUT INVESTORS II LP
ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO
,
CA
94111
82-4971663
INVESTMENTS
CJ
IHC HEALTH SERVICES INC
EXCLUDED
8,015
234,513
No
No
99.010 %
(10)
AACP SPECIAL SITUATIONS II LP
ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO
,
CA
94111
83-2883726
INVESTMENTS
CJ
IHC HEALTH SERVICES INC
EXCLUDED
-32,715
No
No
99.500 %
(11)
BVA SM GROUP LLC
PO BOX 51298
IDAHO FALLS
,
ID
83405
83-4516988
HOLDING COMPANY
ID
IHC HEALTH SERVICES INC
EXCLUDED
No
Yes
95.000 %
(12)
AACP KOREA BUYOUT INVESTORS IV LP
ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO
,
CA
94111
98-1549044
INVESTMENTS
CJ
IHC HEALTH SERVICES INC
EXCLUDED
23
5,015,346
No
No
99.800 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
SELECTHEALTH BENEFIT ASSURANCE COMPANY INC
5381 GREEN STREET
MURRAY
,
UT
84123
87-0497549
DELIVERY OF HEALTH BENEFITS
UT
N/A
C
Yes
(2)
HEALTHCARE CAPTIVE INSURANCE COMPANY
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
20-1937561
INSURANCE
AZ
N/A
C
Yes
(3)
INTERMOUNTAIN SUPPLY SERVICES INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
47-4576955
HOLDING COMPANY
DE
IHC HEALTH SERVICES INC
C
4,282
85,750,000
100.000 %
Yes
(4)
INTALERE INC
TWO CITY PLACE DRIVE SUITE 400
ST LOUIS
,
MO
63141
43-1415071
GROUP PURCHASING
DE
IHC HEALTH SERVICES INC
C
471,033
183,657,734
100.000 %
Yes
(5)
NAVICAN GENOMICS INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
81-4153832
CANCER TREATMENT
DE
IHC HEALTH SERVICES INC
C
8,680
100.000 %
Yes
(6)
EMPIRIC HEALTH INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
38-4026200
HEALTH SERVICES TECHNOLOGY
DE
IHC HEALTH SERVICES INC
C
3,135,657
1,824,695
84.810 %
Yes
(7)
ALLUCEO INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY
,
UT
84111
82-4614934
MENTAL HEALTH INTEGRATION SVCS
DE
IHC HEALTH SERVICES INC
C
2,517,655
1,197,076
100.000 %
Yes
(8)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
770 EAST WARM SPRINGS ROAD
LAS VEGAS
,
NV
89110
20-0160881
HOLDING COMPANY
DE
IHC HEALTH SERVICES INC
C
46,103,000
693,166,000
100.000 %
Yes
(9)
HEALTHCARE PARTNERS MEDICAL GROUP (COATS) LTD
770 EAST WARM SPRINGS ROAD
LAS VEGAS
,
NV
89110
88-0213519
HEALTHCARE
NV
N/A
C
Yes
(10)
SALTZER MEDICAL INC
215 EAST HAWAII AVENUE
NAMPA
,
ID
83686
82-0299231
MEDICAL SERVICES
ID
IHC HEALTH SERVICES INC
C
2,833,466
93,734,579
95.000 %
Yes
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
Yes
h
Purchase of assets from related organization(s)
............................
1h
Yes
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
MCKAY DEE SURGICAL CENTER LLC
A
879,526
CONTRACT
(2)
MCKAY DEE SURGICAL CENTER LLC
L
1,054,882
CONTRACT
(3)
MCKAY DEE SURGICAL CENTER LLC
Q
4,007,154
CONTRACT
(4)
MCKAY DEE SURGICAL CENTER LLC
J
879,526
CONTRACT
(5)
SELECTHEALTH INC
L
1,573,139,393
CONTRACT
(6)
SELECTHEALTH INC
M
16,508,778
CONTRACT
(7)
SELECTHEALTH INC
Q
167,995,929
CONTRACT
(8)
SELECTHEALTH INC
P
3,507,701
COST
(9)
SELECTHEALTH INC
J
2,199,622
CONTRACT
(10)
SELECTHEALTH INC
A
2,199,622
CONTRACT
(11)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
Q
1,328,483
COST
(12)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
C
35,352,416
COST
(13)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
B
5,035,104
COST
(14)
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
C
1,101,000
COST
(15)
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
B
22,000,000
COST
(16)
INTALERE INC
A
28,102
CONTRACT
(17)
HEALTHCARE CAPTIVE INSURANCE COMPANY
M
3,562,010
CONTRACT
(18)
INTERMOUNTAIN HEALTH CARE INC
Q
61,197
COST
(19)
EMPIRIC HEALTH INC
A
526,312
CONTRACT
(20)
ALLUCEO INC
R
552,961
PROPERTY
(21)
HOMESPIRE LLC
D
550,000
LOAN
(22)
EMPIRIC HEALTH INC
D
7,500,000
NOTE
(23)
SELECTHEALTH INC
S
292,000,000
COST
(24)
HOMESPIRE LLC
A
72,244
CONTRACT
(25)
INTERMOUNTAIN VENTURES FUND LLC
I
3,464,867
FAIR MARKET VALUE
(26)
MCKAY DEE SURGICAL CENTER LLC
C
4,984,972
CASH
(27)
INNOVATION FUND HOLDINGS COMPANY LLC
C
5,539,092
CASH
(28)
INNOVATION FUND HOLDINGS COMPANY LLC
B
1,000,000
CASH
(29)
HEALTHBOX SALT LAKE CITY I LLC
C
109,124
CASH
(30)
INTERMOUNTAIN VENTURES FUND LLC
C
8,779,520
CASH
(31)
INTERMOUNTAIN VENTURES FUND LLC
B
33,277,899
CASH
(32)
AACP KOREA BUYOUT INVESTORS IV LP
B
5,114,770
CASH
(33)
AACP KOREA BUYOUT INVESTORS II LP
B
183,293
CASH
(34)
BVA SM GROUP LLC
B
1,453,500
CASH
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R (Form 990) 2020
Additional Data
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Software Version: