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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
INTERMOUNTAIN HEALTHCARE
FOUNDATION INC
Employer identification number
80-0225150
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) IHC HEALTH SERVICES INC
36 S STATE STREET STE 2200
SALT LAKE CITY,UT84111 		94-2854057 501(C)(3) 39,158,296 0     HOSPITAL SUPPORT
(2) UNIVERSITY OF UTAH
201 PRESIDENTS CIRCLE RM 411
SALT LAKE CITY,UT84112 		87-6000525 GOV 926,457 0     RESEARCH AND EDUCATION
(3) ALABAMA CHILDREN'S HOSPITAL FOUNDATION
1600 7TH AVENUE SOUTH
BIRMINGHAM,AL35233 		63-0879471 501(C)(3) 50,000 0     HCRN CLINSITE RESEARCH
(4) RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC
935 E SOUTH TEMPLE
SALT LAKE CITY,UT84102 		74-2386043 501(C)(3) 38,682 0     SUPPORT COMMUNITY HEALTH
(5) WEBER STATE UNIVERSITY
3850 DIXON PARKWAY DEPT 1021
OGDEN,UT84408 		87-6000535 GOV 6,000 0     EDUCATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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)
(2)
(3)
(4)
(5)
(6)
(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
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.
Schedule I (Form 990) 2021



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