Form 990 for tax year 2022
Filed by INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC.
Totals
- Total revenue
- -$28,082,889
- Total expenses
- $7,882,678
- Contributions and grants received
- $0
- Grants paid
- $7,709,705
- Program services expenses (Part IX)
- $7,709,705
- Management and general expenses
- $172,973
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,709,705
Program services were 97.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
A MARC HARRISON MD
TRUSTEE/VICE CHAIR (PARTIAL)
- Total calculated
- $6,622,751
- From this org
- $0
- From related orgs
- $4,755,465
- Other
- $1,867,286
- Hours/week
- 3 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $2,137,760 related
- Bonus
- $0 + $2,604,254 related
- Other
- $0 + $13,451 related
- Deferred
- $0 + $1,857,710 related
- Nontaxable benefits
- $0 + $9,576 related
- Filer's total
- $0 + $6,622,751 related
-
ALBERT R ZIMMERLI
TRUSTEE / SEC / VP / TREAS
- Total calculated
- $5,689,429
- From this org
- $0
- From related orgs
- $4,298,891
- Other
- $1,390,538
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,206,132 related
- Bonus
- $0 + $888,226 related
- Other
- $0 + $2,204,533 related
- Deferred
- $0 + $1,380,079 related
- Nontaxable benefits
- $0 + $10,459 related
- Filer's total
- $0 + $5,689,429 related
-
ROBERT W ALLEN
TRUSTEE (PARTIAL)
- Total calculated
- $4,837,304
- From this org
- $0
- From related orgs
- $2,553,920
- Other
- $2,283,384
- Hours/week
- 2 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,190,385 related
- Bonus
- $0 + $806,124 related
- Other
- $0 + $557,411 related
- Deferred
- $0 + $2,267,020 related
- Nontaxable benefits
- $0 + $16,364 related
- Filer's total
- $0 + $4,837,304 related
-
MIKELLE D MOORE
TRUSTEE / PRESIDENT
- Total calculated
- $1,808,704
- From this org
- $0
- From related orgs
- $1,085,580
- Other
- $723,124
- Hours/week
- 3 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $486,463 related
- Bonus
- $0 + $355,168 related
- Other
- $0 + $243,949 related
- Deferred
- $0 + $712,728 related
- Nontaxable benefits
- $0 + $10,396 related
- Filer's total
- $0 + $1,808,704 related
-
DANIEL G GOMEZ
TRUSTEE
- Total calculated
- $1,933
- From this org
- $0
- From related orgs
- $1,933
- Other
- $0
- Hours/week
- 1 + 8 related
-
KAREN HALE
TRUSTEE
- Total calculated
- $1,169
- From this org
- $0
- From related orgs
- $1,169
- Other
- $0
- Hours/week
- 1 + 2 related
-
PAMELA J ATKINSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MARY BANGERTER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LISA ECCLES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOSE ENRIQUEZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANGELO GIARDINO MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
DENEECE HUFTALIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
PATRICIA W JONES
TRUSTEE / CHAIR
- Total calculated
- $0
- Hours/week
- 3
-
GREG J MATIS
SECRETARY
- Total calculated
- $1,942,402
- From this org
- $0
- From related orgs
- $1,380,583
- Other
- $561,819
- Hours/week
- 3 + 62 related
Schedule J breakdown matched by us
- Base
- $0 + $672,534 related
- Bonus
- $0 + $398,107 related
- Other
- $0 + $309,942 related
- Deferred
- $0 + $551,190 related
- Nontaxable benefits
- $0 + $10,629 related
- Filer's total
- $0 + $1,942,402 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$1,280,000
SUPPORT COMMUNITY HEALTH CLINIC
-
$1,101,000
SUPPORT SCHOOL AND COMMUNITY CLINICS
-
SUPPORT COMMUNITY HEALTH CLINIC
-
SUPPORT COMMUNITY HEALTH CLINIC
-
SUPPORT COMMUNITY HEALTH
-
$508,698
SUPPORT COMMUNITY HEALTH
-
MIDTOWN COMMUNITY HEALTH CENTER INC
$385,000
SUPPORT COMMUNITY HEALTH CLINIC
-
UTAH DOMESTIC VIOLENCE COALITION
$300,000
SUPPORT COMMUNITY HEALTH
-
SUPPORT COMMUNITY HEALTH CLINIC
-
FRIENDS OF THE CHILDREN - UTAH
$251,175
SUPPORT COMMUNITY HEALTH
The 10 largest by cash amount. The API serves every itemized grant.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOLDING COMPANY · UT
-
501(C)(3) · HEALTHCARE · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
501(C)(3) · COMMUNITY HEALTH · UT · controlled entity
Directly controlled by IHC HEALTH SERVICES INC
-
INTERMOUNTAIN HEALTH CARE RETIREE VEBA
501(C)(9) · RETIREMENT BENEFITS · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
501(C)(4) · DELIVERY OF HEALTH BENEFITS · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
501(C)(3) · HEALTHCARE · DE · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
SCL HEALTH RESEARCH INSTITUTE INC
501(C)(3) · MEDICAL RESEARCH · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by INTEGRITY HEALTH
-
PLATTE VALLEY MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
-
501(C)(3) · RESIDENT CARE · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
SAINT JOSEPH HOSPITAL FOUNDATION
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · CO · controlled entity
Directly controlled by SAINT JOSEPH HOSPITAL INC
-
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · CO · controlled entity
Directly controlled by SCL HEALTH-FRONT RANGE INC
-
LUTHERAN MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · CO · controlled entity
Directly controlled by SCL HEALTH-FRONT RANGE INC
-
ST MARY'S HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by ST MARY'S HOSPITAL & MEDICAL CENTER INC
-
501(C)(3) · CLINIC SERVICES · KS · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · CLINIC SERVICES · KS · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
HOLY ROSARY HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORTING ORGANIZATION · MT · controlled entity
Directly controlled by HOLY ROSARY HEALTHCARE
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
ST JAMES HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORTING ORGANIZATION · MT · controlled entity
Directly controlled by ST JAMES HEALTHCARE
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
ST VINCENT HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · MT · controlled entity
Directly controlled by SCL HEALTH - MONTANA
-
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
501(C)(3) · MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES · KS · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333069349302193
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.