Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on this filing.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
No value available
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on this filing.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Balance Sheet
Assets
Down$0
Down $2,367,550 (-100%) from 2012
Net Assets
Down$0
Down $2,367,550 (-100%) from 2012
Liabilities
Flat$0
Flat from 2012
Revenue And Expenses
Revenue
Flat$0
Flat from 2012
Expenses
Up$345,886
Up $345,886 from 2012
Net Income
Down-$345,886
Down $345,886 from 2012
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2013 to Dec 31, 2013
- Signed
- Sep 18, 2014
- Return Version
- 2013v3.0
- Gross Receipts
- $0
Mission and Program Overview
Mission
Foster, promote, support, develop and encourage the charitable mission of intermountain health care and its affiliates.
SEE SCHEDULE O.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $2,367,550 | $0 | ▼ $2,367,550 |
| Investments Program Related | $2,224,583 | $0 | ▼ $2,224,583 |
| Cash and Non-Interest-Bearing Accounts | $49,223 | $0 | ▼ $49,223 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Accounts Receivable | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Pledges and Grants Receivable | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Land, Buildings, and Equipment, Net | - | $0 | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Intangible Assets | - | $0 | - |
| Inventories for Sale or Use | - | $0 | - |
| Prepaid Expenses and Deferred Charges | - | $0 | - |
| Total Assets | $2,367,550 | $0 | ▼ $2,367,550 |
| Other Assets Total | $93,744 | $0 | ▼ $93,744 |
| Liabilities | |||
| Total Liabilities | $0 | $0 | → $0 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $2,367,550 | $0 | ▼ $2,367,550 |
| Total Liabilities and Net Assets / Fund Balance | $2,367,550 | $0 | ▼ $2,367,550 |
Compensation and Service Providers
Employees
| Name | Title | Other | Total |
|---|---|---|---|
| Kem C Gardner | Trustee | $1,002 | $1,002 |
| Douglas C Black | Trustee | $563 | $563 |
| A Scott Anderson | Trustee | $289 | $289 |
| F Ann Millner | Trustee | $273 | $273 |
Board Members and Trustees
| Name | Title |
|---|---|
| Albert R Zimmerli | Trustee / Chair/ VP / Sec / Treas |
| Bruce T Reese | Trustee / Sec / Vice Chair |
| Charles W Sorenson Jr Md | Trustee / Vice Chair / Pres / Sec |
| Gregory M Johnson | Vice President |
| Laura S Kaiser | Trustee |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $0
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-345,886
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $345,886 |
| Other Expenses | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $345,886 | - | - | $345,886 |
| Total Functional Expenses | $345,886 | $0 | $0 | $345,886 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| 87-0269232 | - | 501(c)(3) | Support Ihc Health Services, Inc. | $107,437 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 2
“Albert r. Zimmerli / douglas c. Black - business relationship (board members of a corporate investment that is 50% owned by the supported organization, ihc health services, inc.) albert r. Zimmerli / charles w. Sorenson jr md / douglas c. Black - business relationship (board members of the selecthealth benefit assurance company, a taxable organization that is related to the filing organization.) albert r. Zimmerli / charles w. Sorenson jr md / douglas c. Black / f. Ann millner / kem c. Gardner / bruce t. Reese / laura s. Kaiser / gregory m. Johnson / a. Scott anderson - business relationship (board members and/or officers of ihc affiliated services, inc., a taxable corporation with minimal activity that is wholly-owned by the filing organization.)”
Form 990, Part VI, Section A, Line 6
“The sole member of ihc professional services, inc. Is intermountain health care, inc., a utah nonprofit corporation.”
Form 990, Part VI, Section A, Line 7A
“The sole member of ihc professional services, inc. Is intermoutain health care, inc., a utah nonprofit corporation.”
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, including the election of ihc professional services, inc.'s trustees.”
Form 990, Part VI, Section A, Line 8B
“The organization does not have any committees.”
Form 990, Part VI, Section B, Line 11
“The completed form 990 was not provided to the members of the governing body prior to filing.”
Form 990, Part VI, Section B, Line 12C
“Each officer and trustee is required to complete a conflict of interest questionnaire at least annually. These individuals have also 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. The completed questionnaires are collected and reviewed by ihc health services' vice president of business ethics and compliance. Potential conflicts of interest are reviewed with appropriate personnel, which may include (but is not limited to) senior management and external legal counsel.”
Form 990, Part VI, Section C, Line 19
“Ihc professional services, inc. Does not currently allow public inspection of its governing documents, conflict of interest policy, or financial statements.”
Filing and Contact Details
Filer
- EIN
- 94-2886596
- Phone
- 8014422000
Signing Officer
- Name
- Gregory M Johnson
- Title
- Vice President
- Phone
- 8014422000
- Signed
- 2014-09-18
Organization Details
- Principal Officer
- Charles W Sorenson Jr Md
- Formed
- 1982
- Legal Domicile
- Ut
- Voting Board Members
- 8
- Independent Board Members
- 3
- Employees
- 0
- Volunteers
- 5
Supplemental Narrative
Additional Explanations
Form 990, Part I, Line 1
“Foster, promote, support, develop and encourage the charitable mission of intermountain health care and its affiliates.”
FORM 990, PART XI, LINE 9:
“Filing organization's share of subsidiary loss -481. Prior period adjustment of subsidiary fund balance -2,223,583. Distribution from affiliated services, inc. 202,400.”
Raw XML AppendixShowing 400 of 624 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8014423491 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1 | 0 | 36 SOUTH STATE SUITE 2200 |
| IRS990/BooksInCareOfDetail/USAddress/City | 0 | SALT LAKE CITY |
| IRS990/BooksInCareOfDetail/USAddress/State | 0 | UT |
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| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | GRANTS WERE MADE TO INTERMOUNTAIN HEALTH CARE, INC. DURING 2013 TO SUPPORT IHC HEALTH SERVICES, INC. |
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| IRS990/EmployeeCnt | 0 | 0 |
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| IRS990/ExpenseAmt | 0 | 345886 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 12.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 62.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 969904 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DOUGLAS C BLACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KEM C GARDNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LAURA S KAISER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | F ANN MILLNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BRUCE T REESE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CHARLES W SORENSON JR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ALBERT R ZIMMERLI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | GREGORY M JOHNSON |
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| IRS990/FormationYr | 0 | 1982 |
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| IRS990/GrantsToOrganizationsInd | 0 | 1 |
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| IRS990/MissionDesc | 0 | FOSTER, PROMOTE, SUPPORT, DEVELOP AND ENCOURAGE THE CHARITABLE MISSION OF INTERMOUNTAIN HEALTH CARE AND ITS AFFILIATES. |
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| IRS990ScheduleA/CertificationInd | 0 | X |
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| IRS990ScheduleA/ContributionFamilyInd | 0 | 0 |
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| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | THE GRANT LISTED IN PART II WAS EXECUTED CONSISTENT WITH ARTICLE XI OF THE ARTICLES OF INCORPORATION, WHICH STATED THAT IT MUST BE GRANTED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES. |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | CHARLES W SORENSON JR MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | ALBERT R ZIMMERLI |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | GREGORY M JOHNSON |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | TRUSTEE / CHAIR/ VP / SEC / TREAS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | VICE PRESIDENT |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | IHC HEALTH SERVICES, INC., A RELATED ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO MEMBERS OF ITS ADVISORY COUNCIL. 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 FOR THESE INDIVIDUALS DURING 2013 ARE REFLECTED IN THE SCHEDULE J, PART II, COLUMN (C) TOTAL. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES OF THE RELATED ORGANIZATION WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE RELATED ORGANIZATION'S 457(F) PLAN. THE FOLLOWING INDIVIDUAL RECEIVED A SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT FROM IHC HEALTH SERVICES, INC. IN 2013: - CHARLES W SORENSON JR, MD $4,738,970 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 4B |
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| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1 | 0 | INTERMOUNTAIN HEALTH CARE INC |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1 | 1 | INTERMOUNTAIN HEALTH CARE INC |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2013-12-03 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 1 | 2013-12-03 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | FOSTER, PROMOTE, SUPPORT, DEVELOP AND ENCOURAGE THE CHARITABLE MISSION OF INTERMOUNTAIN HEALTH CARE AND ITS AFFILIATES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | ALBERT R. ZIMMERLI / DOUGLAS C. BLACK - BUSINESS RELATIONSHIP (BOARD MEMBERS OF A CORPORATE INVESTMENT THAT IS 50% OWNED BY THE SUPPORTED ORGANIZATION, IHC HEALTH SERVICES, INC.) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR MD / DOUGLAS C. BLACK - BUSINESS RELATIONSHIP (BOARD MEMBERS OF THE SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE ORGANIZATION THAT IS RELATED TO THE FILING ORGANIZATION.) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR MD / DOUGLAS C. BLACK / F. ANN MILLNER / KEM C. GARDNER / BRUCE T. REESE / LAURA S. KAISER / GREGORY M. JOHNSON / A. SCOTT ANDERSON - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF IHC AFFILIATED SERVICES, INC., A TAXABLE CORPORATION WITH MINIMAL ACTIVITY THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATION.) |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE SOLE MEMBER OF IHC PROFESSIONAL SERVICES, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE SOLE MEMBER OF IHC PROFESSIONAL SERVICES, INC. IS INTERMOUTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE, INCLUDING THE ELECTION OF IHC PROFESSIONAL SERVICES, INC.'S TRUSTEES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE COMPLETED FORM 990 WAS NOT PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | EACH OFFICER AND TRUSTEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE ALSO 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. THE COMPLETED QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES' VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) SENIOR MANAGEMENT AND EXTERNAL LEGAL COUNSEL. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | IHC PROFESSIONAL SERVICES, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | FILING ORGANIZATION'S SHARE OF SUBSIDIARY LOSS -481. PRIOR PERIOD ADJUSTMENT OF SUBSIDIARY FUND BALANCE -2,223,583. DISTRIBUTION FROM AFFILIATED SERVICES, INC. 202,400. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART I, LINE 1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION A, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION B, LINE 11 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | FORM 990, PART XI, LINE 9: |
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Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2013 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $0
- Liabilities
- $0
- Net assets
- $0
- Revenue
- $0
- Expenses
- $345,886
- Net income
- -$345,886