SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet 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
Return Reference Explanation
FORM 990, PART V, LINE 1A: ALL OF THE FORM 1099'S FOR INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. ARE ISSUED BY A RELATED TAX-EXEMPT 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 TAX-EXEMPT 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)
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, AND TRUSTEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE 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 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 OF THE INDIVIDUAL'S ROLE WITH THE FILING ORGANIZATION OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF IHC HEALTH SERVICES, INC. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES OF INTERMOUNTAIN HEALTHCARE FOUNDATION, INC.
FORM 990, PART VI, SECTION B, LINE 15 INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. DID NOT COMPENSATE ANY OFFICER, DIRECTOR, OR TRUSTEE. 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 384,829. PROVISION FOR UNCOLLECTIBLE ACCOUNTS -169,758. NET CHANGE IN THE VALUATION OF CHARITABLE GIFT ANNUITIES -271,432.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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