TY 2022 Form 990

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

INTERMOUNTAIN COMMUNITY CARE
FOUNDATION INC

Employer identification number

94-2853320

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................36

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) COMMUNITY HEALTH CENTERS INC	742412898	7		No	1,280,000	0
(B) IHC HEALTH SERVICES INC	942854057	3	Yes		1,101,000	0
(C) WASATCH HOMELESS HEALTHCARE DBA FOURTH STREET CLINIC	870569356	7		No	904,000	0
(D) MOUNTAINLANDS COMMUNITY HEALTH CENTER	870515716	7		No	600,000	0
(E) ASSOCIATION FOR UTAH COMMUNITY HEALTH	870430946	7		No	586,819	0
(F) THE CHILDREN'S CENTER UTAH	876114073	7		No	508,698	0
(G) MIDTOWN COMMUNITY HEALTH CENTER INC	870540039	7		No	385,000	0
(H) UTAH DOMESTIC VIOLENCE COALITION	870524312	7		No	300,000	0
(I) SOUTHWEST UTAH COMMUNITY HEALTH CENTER	352163112	10		No	275,000	0
(J) FRIENDS OF THE CHILDREN - UTAH	844890857	7		No	251,175	0
(K) SOUTHERN UTAH UNIVERSITY	876000481	6		No	245,981	0
(L) CREEK VALLEY HEALTH CLINIC	833039533	7		No	143,250	0
(M) THE DREAM INSTITUTE INC	844986263	7		No	143,250	0
(N) DAVIS EDUCATION FOUNDATION	870386379	7		No	115,625	0
(O) UTAH PARTNERS FOR HEALTH	270021804	10		No	100,000	0
(P) ODYSSEY HOUSE INC - UTAH	870292487	7		No	50,000	0
(Q) ASIAN ASSOCIATION OF UTAH	870333555	7		No	50,000	0
(R) PEOPLE'S HEALTH CLINIC	870638042	7		No	49,900	0
(S) BOYS & GIRLS CLUB OF GREATER SALT LAKE	870304654	10		No	49,875	0
(T) FAMILY SUPPORT CENTER	870359719	7		No	49,722	0
(U) JEWISH FAMILY SERVICE	870227089	7		No	49,313	0
(V) ALLIANCE HOUSE INC	742440617	10		No	47,700	0
(W) FAMILY HEALTH SERVICES CORPORATION	820371093	10		No	47,625	0
(X) RONALD MCDONALD HOUSE CHARITIES	742386043	7		No	45,300	0
(Y) JORDAN EDUCATION FOUNDATION	746356280	7		No	44,349	0
(Z) UTAH AIDS FOUNDATION	870455172	7		No	44,349	0
(AA) YOUTH IMPACT INCORPORATED	205228230	1		No	41,085	0
(AB) THE SHARING PLACE	870514353	10		No	34,728	0
(AC) FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC	870271413	7		No	27,420	0
(AD) THE WORK ACTIVITY CENTER INC	870255186	10		No	25,710	0
(AE) UTAH YOUTH VILLAGE	870301014	7		No	25,000	0
(AF) FIT TO RECOVER INC	470998466	10		No	20,586	0
(AG) UTAH CHILDREN DBA VOICES FOR UTAH CHILDREN	870428873	7		No	18,875	0
(AH) UTAH CLEAN ENERGY ALLIANCE INC	371438788	7		No	18,175	0
(AI) SALT LAKE COMMUNITY COLLEGE FOUNDATION	942886220	5		No	16,020	0
(AJ) CARBON MEDICAL SERVICE ASSOCIATION	870217443	7		No	14,175	0
Total 36					7,709,705	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Yes

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Yes

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Yes

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1:	SUPPORTED ORGANIZATIONS OF THE FILING ENTITY ARE DESIGNATED BY CLASS IN ACCORDANCE WITH ITS ARTICLES OF INCORPORATION. THE ARTICLES STATE THAT THE PURPOSE OF THE ORGANIZATION IS CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF OR TO CARRY OUT THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF IHC HEALTH SERVICES, INC. ONE OF THE SUPPORTED ORGANIZATIONS, IHC HEALTH SERVICES, INC., IS RELATED TO THE FILING ORGANIZATION (SEE SCHEDULE R) AND HAS HAD AN ONGOING AND HISTORIC RELATIONSHIP SINCE THE FILING ENTITY WAS ORGANIZED IN 1983.
FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 2:	DETERMINATIONS OF 509(A)(1) OR (2) WERE BASED ON REPRESENTATIONS MADE BY THE RECIPIENT ENTITIES ON THEIR MOST RECENTLY FILED FORMS 990.
FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A:	AS PART OF A FORMAL GRANT APPLICATION AND REVIEW PROCESS, SEVERAL ENTITIES WERE ADDED TO/DELETED FROM THE LIST OF THE SUPPORTED ORGANIZATIONS REPORTED ON THE PRIOR YEAR RETURN. SINCE ALL OF THE NEWLY ADDED ORGANIZATIONS ARE PART OF THE CHARITABLE CLASS AS IT IS DESCRIBED IN THE ARTICLES OF INCORPORATION, THEY ARE NOT LISTED INDIVIDUALLY HERE. DETAILS REGARDING EACH RECIPIENT ENTITY, INCLUDING THE NAME AND ADDRESS OF THE ORGANIZATION, THE AMOUNT GRANTED, AND THE BOARD-APPROVED PURPOSE OF THE GRANT, ARE REPORTED ON SCHEDULE I OF THIS RETURN. BY FORMAL RESOLUTION, THE GOVERNING BODY APPROVED THE GRANTS UNDER THE AUTHORITY OF AND IN FURTHERANCE OF THE FILING ORGANIZATION'S PURPOSE AS STATED IN THE ARTICLES OF INCORPORATION.
FORM 990, SCHEDULE A, PART IV, SECTION C, LINE 1:	THREE OF THE FILING ORGANIZATION'S THIRTEEN BOARD MEMBERS ARE ALSO ON THE BOARD OF IHC HEALTH SERVICES, INC., THE LARGEST OF THE FILING ORGANIZATION'S SUPPORTED ORGANIZATIONS. FOUR OF THE FIVE OFFICERS OF THE FILING ENTITY ARE EMPLOYEES OF THIS SUPPORTED ORGANIZATION. ADDITIONALLY, THE FILING ORGANIZATION IS HOUSED IN THE SUPPORTED ORGANIZATION'S FACILITIES, STAFFED BY ITS EMPLOYEES, AND WOULD HAVE LITTLE ABILITY TO OPERATE INDEPENDENTLY.

Schedule A (Form 990) 2022

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

INTERMOUNTAIN COMMUNITY CARE
FOUNDATION INC

Employer identification number

94-2853320

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	413,286,857	140,683,243	127,585,155	80,329,316	35,298,839
b	Contributions ...	3,764	275,000,000	16,072,266	50,243,909	46,265,150
c	Net investment earnings, gains, and losses	77,086	719,335	136,037	105,481	92,917
d	Grants or scholarships ...	3,071,769	3,115,721	3,110,215	3,093,551	1,327,590
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	410,295,938	413,286,857	140,683,243	127,585,155	80,329,316

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

96.370 %

Permanent endowment SchDMd Bullet

0.970 %

Term endowment SchDMd Bullet

2.660 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,444,652
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC.'S ENDOWMENTS HAVE BEEN SET ASIDE TO FUND PHYSICAL, BEHAVIORAL AND MENTAL HEALTH PROGRAMS FOR LOW-INCOME, UNINSURED OR MEDICALLY UNREPRESENTED POPULATIONS AND IMPROVE SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION.

Schedule D (Form 990) 2021

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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.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
INTERMOUNTAIN COMMUNITY CARE
FOUNDATION INC

Employer identification number
94-2853320

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) COMMUNITY HEALTH CENTERS INC 2621 S 3270 W WEST VALLEY CITY,UT84119	74-2412898	501(C)(3)	1,280,000	SUPPORT COMMUNITY HEALTH CLINIC
(2) IHC HEALTH SERVICES INC 36 S STATE ST STE 2200 SALT LAKE CITY,UT84111	94-2854057	501(C)(3)	1,101,000	SUPPORT SCHOOL AND COMMUNITY CLINICS
(3) WASATCH HOMELESS HEALTHCARE DBA FOURTH STREET CLINIC 409 S 400 W SALT LAKE CITY,UT84101	87-0569356	501(C)(3)	904,000	SUPPORT COMMUNITY HEALTH CLINIC
(4) MOUNTAINLANDS COMMUNITY HEALTH CENTER 589 S STATE ST PROVO,UT84606	87-0515716	501(C)(3)	600,000	SUPPORT COMMUNITY HEALTH CLINIC
(5) ASSOCIATION FOR UTAH COMMUNITY HEALTH 860 E 4500 S STE 206 SALT LAKE CITY,UT84107	87-0430946	501(C)(3)	586,819	SUPPORT COMMUNITY HEALTH
(6) THE CHILDREN'S CENTER UTAH 350 S 400 E SALT LAKE CITY,UT84111	87-6114073	501(C)(3)	508,698	SUPPORT COMMUNITY HEALTH
(7) MIDTOWN COMMUNITY HEALTH CENTER INC 2240 ADAMS AVE OGDEN,UT84401	87-0540039	501(C)(3)	385,000	SUPPORT COMMUNITY HEALTH CLINIC
(8) UTAH DOMESTIC VIOLENCE COALITION 124 S 400 E STE 430 SALT LAKE CITY,UT84111	87-0524312	501(C)(3)	300,000	SUPPORT COMMUNITY HEALTH
(9) SOUTHWEST UTAH COMMUNITY HEALTH CENTER 25 N 100 E STE 102 ST GEORGE,UT84770	35-2163112	501(C)(3)	275,000	SUPPORT COMMUNITY HEALTH CLINIC
(10) FRIENDS OF THE CHILDREN - UTAH 5361 S 4220 W STE B KEARNS,UT84118	84-4890857	501(C)(3)	251,175	SUPPORT COMMUNITY HEALTH
(11) SOUTHERN UTAH UNIVERSITY 351 W UNIVERSITY BLVD CEDAR CITY,UT84720	87-6000481	GOV	245,981	SUPPORT COMMUNITY HEALTH
(12) CREEK VALLEY HEALTH CLINIC PO BOX 418 COLORADO CITY,AZ86021	83-3039533	501(C)(3)	143,250	SUPPORT COMMUNITY HEALTH
(13) THE DREAM INSTITUTE INC 13613 N CAVE CREEK RD PHOENIX,AZ85022	84-4986263	501(C)(3)	143,250	SUPPORT COMMUNITY HEALTH
(14) DAVIS EDUCATION FOUNDATION 45 E STATE ST FARMINGTON,UT84025	87-0386379	501(C)(3)	115,625	SUPPORT COMMUNITY HEALTH
(15) UTAH PARTNERS FOR HEALTH 7651 S MAIN ST MIDVALE,UT84047	27-0021804	501(C)(3)	100,000	SUPPORT COMMUNITY HEALTH CLINIC
(16) ODYSSEY HOUSE INC - UTAH 344 E 100 S STE 301 SALT LAKE CITY,UT84111	87-0292487	501(C)(3)	50,000	SUPPORT COMMUNITY HEALTH
(17) ASIAN ASSOCIATION OF UTAH 155 S 300 W STE 101 SALT LAKE CITY,UT84101	87-0333555	501(C)(3)	50,000	SUPPORT COMMUNITY HEALTH
(18) PEOPLE'S HEALTH CLINIC PO BOX 681558 PARK CITY,UT84068	87-0638042	501(C)(3)	49,900	SUPPORT COMMUNITY HEALTH
(19) BOYS & GIRLS CLUB OF GREATER SALT LAKE 179 E 5065 S MURRAY,UT84107	87-0304654	501(C)(3)	49,875	SUPPORT COMMUNITY HEALTH
(20) FAMILY SUPPORT CENTER 1760 W 4805 S TAYLORSVILLE,UT84129	87-0359719	501(C)(3)	49,722	SUPPORT COMMUNITY HEALTH
(21) JEWISH FAMILY SERVICE 495 E 4500 S STE 100 SALT LAKE CITY,UT84107	87-0227089	501(C)(3)	49,313	SUPPORT COMMUNITY HEALTH
(22) ALLIANCE HOUSE INC 1724 S MAIN ST SALT LAKE CITY,UT84115	74-2440617	501(C)(3)	47,700	SUPPORT COMMUNITY HEALTH
(23) FAMILY HEALTH SERVICES CORPORATION 794 EASTLAND DR TWIN FALLS,ID83301	82-0371093	501(C)(3)	47,625	SUPPORT COMMUNITY HEALTH
(24) RONALD MCDONALD HOUSE CHARITIES 935 E SOUTH TEMPLE SALT LAKE CITY,UT84102	74-2386043	501(C)(3)	45,300	SUPPORT COMMUNITY HEALTH
(25) JORDAN EDUCATION FOUNDATION 7387 S CAMPUS VIEW DR WEST JORDAN,UT84084	74-6356280	501(C)(3)	44,349	SUPPORT COMMUNITY HEALTH
(26) UTAH AIDS FOUNDATION 1408 S 1100 E SALT LAKE CITY,UT84105	87-0455172	501(C)(3)	44,349	SUPPORT COMMUNITY HEALTH
(27) YOUTH IMPACT INCORPORATED 2305 GRANT AVE OGDEN,UT84401	20-5228230	501(C)(3)	41,085	SUPPORT COMMUNITY HEALTH
(28) THE SHARING PLACE 1695 E 3300 S SALT LAKE CITY,UT84106	87-0514353	501(C)(3)	34,728	SUPPORT COMMUNITY HEALTH
(29) FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC 3518 WASHINGTON BLVD OGDEN,UT84403	87-0271413	501(C)(3)	27,420	SUPPORT COMMUNITY HEALTH
(30) THE WORK ACTIVITY CENTER INC 1275 W 2320 S WEST VALLEY CITY,UT84119	87-0255186	501(C)(3)	25,710	SUPPORT COMMUNITY HEALTH
(31) UTAH YOUTH VILLAGE 5800 S HIGHLAND DR SALT LAKE CITY,UT84121	87-0301014	501(C)(3)	25,000	SUPPORT COMMUNITY HEALTH
(32) FIT TO RECOVER INC 789 W 1390 S SALT LAKE CITY,UT84104	47-0998466	501(C)(3)	20,586	SUPPORT COMMUNITY HEALTH
(33) UTAH CHILDREN DBA VOICES FOR UTAH CHILDREN 747 E SOUTH TEMPLE STE 100 SALT LAKE CITY,UT84102	87-0428873	501(C)(3)	18,875	SUPPORT COMMUNITY HEALTH
(34) UTAH CLEAN ENERGY ALLIANCE INC 1014 2ND AVE SALT LAKE CITY,UT84103	37-1438788	501(C)(3)	18,175	SUPPORT COMMUNITY HEALTH
(35) SALT LAKE COMMUNITY COLLEGE FOUNDATION 4600 S REDWOOD RD SALT LAKE CITY,UT84123	94-2886220	501(C)(3)	16,020	SUPPORT COMMUNITY HEALTH
(36) CARBON MEDICAL SERVICE ASSOCIATION 305 CENTER ST EAST CARBON,UT84520	87-0217443	501(C)(3)	14,175	SUPPORT COMMUNITY HEALTH

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

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 A FORMAL APPLICATION PROCESS AND ARE LIMITED TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS. ALL GRANTS ARE SUBJECT TO APPROVAL BY THE GOVERNING BODY. GRANTEES ARE REQUIRED TO REPORT BACK TO THE FOUNDATION TO DESCRIBE HOW THE FUNDS WERE USED.

Schedule I (Form 990) 2022

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

INTERMOUNTAIN COMMUNITY CARE
FOUNDATION INC

Employer identification number

94-2853320

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1A MARC HARRISON MD TRUSTEE/VICE CHAIR (PARTIAL)	(i) (ii)	0 ------------- 2,137,760	0 ------------- 2,604,254	0 ------------- 13,451	0 ------------- 1,857,710	0 ------------- 9,576	0 ------------- 6,622,751	0 ------------- 1,862,265
2ALBERT R ZIMMERLI TRUSTEE / SEC / VP / TREAS	(i) (ii)	0 ------------- 1,206,132	0 ------------- 888,226	0 ------------- 2,204,533	0 ------------- 1,380,079	0 ------------- 10,459	0 ------------- 5,689,429	0 ------------- 759,188
3ROBERT W ALLEN TRUSTEE (PARTIAL)	(i) (ii)	0 ------------- 1,190,385	0 ------------- 806,124	0 ------------- 557,411	0 ------------- 2,267,020	0 ------------- 16,364	0 ------------- 4,837,304	0 ------------- 693,309
4GREG J MATIS SECRETARY	(i) (ii)	0 ------------- 672,534	0 ------------- 398,107	0 ------------- 309,942	0 ------------- 551,190	0 ------------- 10,629	0 ------------- 1,942,402	0 ------------- 0
5MIKELLE D MOORE TRUSTEE / PRESIDENT	(i) (ii)	0 ------------- 486,463	0 ------------- 355,168	0 ------------- 243,949	0 ------------- 712,728	0 ------------- 10,396	0 ------------- 1,808,704	0 ------------- 304,929

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	THE OFFICERS LISTED IN PART II OF SCHEDULE J WERE COMPENSATED BY IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION. SEE THE NARRATIVE ON SCHEDULE O RELATED TO FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4B	IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION, OFFERS A SUPPLEMENTAL NONQUALIFIED 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 2022 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 INDIVIDUAL RECEIVED A SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT FROM IHC HEALTH SERVICES, INC. IN 2022: - ALBERT R. ZIMMERLI $360,375
PART II, COLUMN (C):	DURING 2022, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

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 COMMUNITY CARE
FOUNDATION INC

Employer identification number

94-2853320

Return Reference	Explanation
FORM 990, PART I, LINE 1:	THE MISSION OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME, UNINSURED OR MEDICALLY UNDERREPRESENTED POPULATIONS IN UTAH AND SOUTHERN IDAHO THROUGH IDENTIFYING AND SUPPORTING EXISTING HEALTHCARE PROGRAMS THAT PROVIDE DIRECT MEDICAL, DENTAL AND MENTAL HEALTHCARE TO THESE POPULATIONS. THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION ALSO SUPPORTS ACCESS TO HEALTHCARE SERVICES AND PROGRAMS THAT IMPROVE THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING EDUCATION.
FORM 990, PART VI, SECTION A, LINE 2	ROBERT W. ALLEN / A. MARC HARRISON MD / GREG J. MATIS / MIKELLE D. MOORE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP WITH IHC HEALTH SERVICES, INC., A TAX-EXEMPT SUBSIDIARY OF THE FILING ORGANIZATION'S PARENT) ROBERT W. ALLEN / DANIEL G. GOMEZ / A. MARC HARRISON MD / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) MIKELLE D. MOORE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF ALLUCEO, INC., A RELATED TAXABLE CORPORATION) ROBERT W. ALLEN / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (BOARD MEMBERS OF SALTZER MEDICAL GROUP, INC., A RELATED TAXABLE CORPORATION)
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A 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.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE.
FORM 990, PART VI, SECTION B, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED BY MEMBERS OF THE GOVERNING BOARD.
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.
FORM 990, PART VI, SECTION B, LINE 15	INTERMOUNTAIN COMMUNITY CARE 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 ESTABLISHED 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 COMMUNITY CARE FOUNDATION, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

INTERMOUNTAIN COMMUNITY CARE
FOUNDATION INC

Employer identification number

94-2853320

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

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?
(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	Yes	No
(1)INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0269232	HOLDING COMPANY	UT	501(C)(3)	LINE 12B, II	N/A		No
(2)IHC HEALTH SERVICES INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	HEALTHCARE	UT	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH CARE INC	Yes
(3)INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 80-0225150	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	IHC HEALTH SERVICES INC	Yes
(4)INTERMOUNTAIN HEALTH CARE RETIREE VEBA 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 74-2675605	RETIREMENT BENEFITS	UT	501(C)(9)	N/A	INTERMOUNTAIN HEALTH CARE INC	Yes
(5)SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	DELIVERY OF HEALTH BENEFITS	UT	501(C)(4)	N/A	INTERMOUNTAIN HEALTH CARE INC	Yes
(6)INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC 6355 SOUTH BUFFALO DRIVE LAS VEGAS,NV89113 20-0160881	HEALTHCARE	DE	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH CARE INC	Yes
(7)SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(8)SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-2014794	MEDICAL RESEARCH	CO	501(C)(3)	LINE 4	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(9)INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-4520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(10)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes
(11)PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 74-2255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Yes
(12)MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211 84-0405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(13)NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER,CO80211 47-1194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(14)SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER,CO80218 84-0417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(15)SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER,CO80218 84-0735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC	Yes
(16)SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 84-1103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(17)GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 84-1649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(18)LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 20-8846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(19)ST MARY'S HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 84-0425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(20)ST MARY'S HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 23-7001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARY'S HOSPITAL & MEDICAL CENTER INC	Yes
(21)CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048 48-1009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(22)MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA,KS66607 48-1046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(23)HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY,MT59301 81-0231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(24)HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY,MT59301 20-2270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	HOLY ROSARY HEALTHCARE	Yes
(25)ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE,MT59701 81-0231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(26)ST JAMES HEALTHCARE FOUNDATION INC 400 SOUTH CLARK STREET BUTTE,MT59701 65-1202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	ST JAMES HEALTHCARE	Yes
(27)SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS,MT59101 81-0232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(28)ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS,MT59101 81-0468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	SCL HEALTH - MONTANA	Yes
(29)SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 23-7379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 12B, II	INTERMOUNTAIN HEALTH CARE INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD OGDEN,UT84403 26-0286308	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(2) GRANDEUR PEAK INTERNATIONAL STALWARTS LP 136 S MAIN STREET STE 720 SALT LAKE CITY,UT84101 47-5468723	INVESTMENTS	DE	N/A	N/A				No			No
(3) INNOVATION FUND HOLDINGS COMPANY LLC 1000 W FULTON STREET CHICAGO,IL60607 47-1525723	INNOVATION	DE	N/A	N/A				No			No
(4) HEALTHBOX SALT LAKE CITY I LLC 1000 W FULTON MARKET STE 213 CHICAGO,IL60607 46-5338772	INNOVATION	DE	N/A	N/A				No			No
(5) INTERMOUNTAIN VENTURES FUND LLC 36 S STATE STREET STE 2200 SALT LAKE CITY,UT84111 84-4037085	INVESTMENTS	DE	N/A	N/A				No			No
(6) PELION OPPORTUNITY FUND III LLC 2750 E COTTONWOOD PARKWAY STE 600 SALT LAKE CITY,UT84121 84-2757193	INVESTMENTS	DE	N/A	N/A				No			No
(7) AACP KOREA BUYOUT INVESTORS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 82-4971663	INVESTMENTS	CJ	N/A	N/A				No			No
(8) AACP SPECIAL SITUATIONS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 83-2883726	INVESTMENTS	CJ	N/A	N/A				No			No
(9) AACP KOREA BUYOUT INVESTORS IV LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 98-1549044	INVESTMENTS	CJ	N/A	N/A				No			No
(10) LOGAN SURGERY CENTER LLC 1300 NORTH 500 EAST LOGAN,UT84341 86-1965725	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(11) ST GEORGE SURGERY CENTER LLC 652 S MEDICAL CENTER DRIVE ST GEORGE,UT84790 85-3880188	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(12) SALTZER ASC TEN MILE LLC 875 S VANGUARD WAY SUITE 120 MERIDIAN,ID83642 84-5119941	OUTPATIENT SURGERY	ID	N/A	N/A				No			No
(13) NORTHPOINTE SURGICAL CENTER LLC 2326 NORTH 400 EAST SUITE 100 TOOELE,UT84074 46-1487986	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(14) HW AE CO-INVESTMENT PARTNERS LP 2500 N MILITARY TRAIL 470 BOCA RATON,FL33431 87-3405511	INVESTMENTS	DE	N/A	N/A				No			No
(15) PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP 5 GREENWICH OFFICE PARK THIRD FLOOR GREENWICH,CT06831 85-3942801	INVESTMENTS	DE	N/A	N/A				No			No
(16) MURRAY SURGERY CENTER LLC 5848 SOUTH FASHION BOULEVARD MURRAY,UT84107 87-3940183	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(17) PROVO SURGERY CENTER LLC 1157 NORTH 300 WEST PROVO,UT84604 87-3623664	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(18) SARATOGA SPRINGS SURGERY CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-3875864	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(19) PARK CITY SURGERY CENTER LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 84-4898736	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(20) PARK CITY SURGICAL CENTER REAL ESTATE LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 86-2568233	OUTPATIENT SURGERY	UT	N/A	N/A				No			No
(21) SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027 81-2979243	OP ENDOSCOPY	CO	N/A	N/A				No			No
(22) SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH,NC27609 47-2294770	RADIOLOGY	DE	N/A	N/A				No			No
(23) ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 27-2270640	PHYSICAL THERAPY	MT	N/A	N/A				No			No
(24) SUMMIT SURGERY CENTER LLC 434 SOUTH CLARK STREET BUTTE,MT59701 81-0536068	OP SURGERY	MT	N/A	N/A				No			No
(25) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION,CO81501 84-1505075	OP SURGERY	CO	N/A	N/A				No			No
(26) HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION,CO81502 84-1238904	MANAGEMENT SERVICES	CO	N/A	N/A				No			No
(27) PAVILION IMAGING LLC 750 WELLINGTON AVENUE GRAND JUNCTION,CO81501 03-0516198	RADIOLOGY	CO	N/A	N/A				No			No
(28) SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE,CO81401 20-2856331	OP CANCER	CO	N/A	N/A				No			No
(29) CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-3525381	MEDICAL AIR TRANSPORT	CO	N/A	N/A				No			No
(30) MED-MAP LLC PO BOX 1295 BILLINGS,MT59103 81-0491356	RENTAL REAL ESTATE	MT	N/A	N/A				No			No
(31) YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 72-1519467	OP SURGERY	MT	N/A	N/A				No			No
(32) GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN,MT59718 88-2505265	OP SURGERY	MT	N/A	N/A				No			No
(33) FIRST FLIGHT OF WYOMING LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO81401 92-1785143	MEDICAL AIR TRANSPORT	CO	N/A	N/A				No			No
(34) CDHC 3 LLC 265 N COUNTRY MANOR LANE ALPINE,UT84004 87-3215157	INVESTMENTS	UT	N/A	N/A				No			No
(35) ARK GLOBAL EMERGING COMPANIES LP 22 EAST 100 SOUTH 3RD FLOOR SALT LAKE CITY,UT84111 82-3044843	INVESTMENTS	UT	N/A	N/A				No			No
(36) MONUMENT HEALTH LLC 744 HORIZON COURT STE 260 GRAND JUNCTION,CO81506 47-4424617	HEALTH CARE NETWORK	CO	N/A	N/A				No			No

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?
(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	Yes	No
(1) HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-1937561	INSURANCE	AZ	N/A	C				Yes
(2) SELECTHEALTH BENEFIT ASSURANCE COMPANY INC 5381 GREEN STREET MURRAY,UT84123 87-0497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C				Yes
(3) NAVICAN GENOMICS INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 81-4153832	CANCER TREATMENT	DE	N/A	C				Yes
(4) ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-4614934	MENTAL HEALTH INTEGRATION SERVICES	DE	N/A	C				Yes
(5) SALTZER MEDICAL GROUP INC 215 EAST HAWAII AVENUE NAMPA,ID83686 82-0299231	HEALTHCARE	ID	N/A	C				Yes
(6) CLASSIC MEDICAL INC 1031 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1141912	MEDICAL AIR TRANSPORTATION	UT	N/A	C				Yes
(7) CLASSIC HELICOPTERS INC 1031 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1153642	AIR TRANSPORT SUPPORT	UT	N/A	C				Yes
(8) CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 36-5016511	BIOREPOSITORY	UT	N/A	C				Yes
(9) CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0941069	HEALTHCARE	KS	N/A	C				Yes
(10) WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-4261243	REAL ESTATE MANAGEMENT	MT	N/A	C				Yes
(11) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY1-1102 CJ 98-0370522	INSURANCE	CJ	N/A	C				Yes
(12) ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-3632053	HEALTHCARE	MT	N/A	C				Yes

Schedule R (Form 990) 2021

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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) IHC HEALTH SERVICES INC	B	1,101,000	COST
(2) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	P	142,950	COST

Schedule R (Form 990) 2021

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	9
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	275,000,000	0
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,432,556	-28,082,889
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	294,432,556	-28,082,889
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	7,361,164	7,709,705
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	205,225	172,973
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	7,566,389	7,882,678
19	Revenue less expenses. Subtract line 18 from line 12.......	286,866,167	-35,965,567
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	555,039,402	476,536,852
21	Total liabilities (Part X, line 26).............	10,889,695	9,168,895
22	Net assets or fund balances. Subtract line 21 from line 20.....	544,149,707	467,367,957

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 7,709,705 including grants of $ 7,709,705 ) (Revenue $ 0 )
	INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. ASSISTS IN FUND DEVELOPMENT AND GRANTS FUNDS TO ORGANIZATIONS THAT PROVIDE PRIMARY HEALTHCARE SERVICES, MENTAL HEALTH SERVICES, CHILDREN'S HEALTH SERVICES, SERVICES RELATED TO THE SOCIAL DETERMINANTS OF HEALTH, AND OTHER SERVICES RELATED TO THE MISSION OF IHC HEALTH SERVICES, INC. SEE SCHEDULE I.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses7,709,705

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) A MARC HARRISON MD...................................................................... TRUSTEE/VICE CHAIR (PARTIAL)	3.00 ................. 58.00	X	X	0	4,755,465	1,867,286
(2) ALBERT R ZIMMERLI...................................................................... TRUSTEE / SEC / VP / TREAS	1.00 ................. 64.00	X	X	0	4,298,891	1,390,538
(3) ROBERT W ALLEN...................................................................... TRUSTEE (PARTIAL)	2.00 ................. 64.00	X		0	2,553,920	2,283,384
(4) MIKELLE D MOORE...................................................................... TRUSTEE / PRESIDENT	3.00 ................. 54.00	X	X	0	1,085,580	723,124
(5) DANIEL G GOMEZ...................................................................... TRUSTEE	1.00 ................. 8.00	X		0	1,933	0
(6) KAREN HALE...................................................................... TRUSTEE	1.00 ................. 2.00	X		0	1,169	0
(7) PAMELA J ATKINSON...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(8) MARY BANGERTER...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(9) LISA ECCLES...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(10) JOSE ENRIQUEZ...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(11) ANGELO GIARDINO MD...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(12) DENEECE HUFTALIN...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0	0
(13) PATRICIA W JONES...................................................................... TRUSTEE / CHAIR	3.00 ................. 0.00	X	X	0	0	0
(14) GREG J MATIS...................................................................... SECRETARY	3.00 ................. 62.00		X	0	1,380,583	561,819

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	14,077,541	6,826,151

(A) Name and business address	(B) Description of services	(C) Compensation
SILCHESTER INTERNATIONAL INVESTORS INC 780 3RD AVE 42ND FL NEW YORK,NY10017	INVESTMENT MANAGEMENT	190,504




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,014,411			4,014,411
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		26,801,291	7a
b	Less: cost or other basis and sales expenses		58,898,591	7b
c	Gain or (loss)		-32,097,300	7c
d	Net gain or (loss).........			-32,097,300			-32,097,300
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			-28,082,889	0	0	-28,082,889

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	7,709,705	7,709,705
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	30,023		30,023
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	142,950		142,950
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	7,882,678	7,709,705	172,973	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1
2	Savings and temporary cash investments .........		5,766,294	2	7,936,164
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............			4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		549,125,789	11	468,345,526
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		147,319	15	255,162
16	Total assets. Add lines 1 through 15 (must equal line 33)...		555,039,402	16	476,536,852

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...	9,778,822	18	4,724,243
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,110,873	25	4,444,652
26	Total liabilities. Add lines 17 through 25..	10,889,695	26	9,168,895

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	526,248,742	27	452,461,675
28	Net assets with donor restrictions ...........	17,900,965	28	14,906,282
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	544,149,707	32	467,367,957
33	Total liabilities and net assets/fund balances ........	555,039,402	33	476,536,852