PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION (EIN 87-0453633)
Tax period: 2012-01-01 to 2012-11-30
Filed: 2013-10-03
IRS object ID: 201322769349300737
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule M
Schedule N
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-03T16:26:02-05:00	Timestamp
Tax Period End Date	2012-11-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	178 SOUTH RIO GRANDE ST SUITE 400	AddressLine1
City	SALT LAKE CITY	City
State	UT	State
ZIP Code	84101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	870453633	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JEREMIAH RADANDT	InCareOfName
Name Control	PRIM	NameControl
Phone	8016626279	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH MARIO CAPECCHI DRIVE	AddressLine1
Address Line2	Suite	AddressLine2
City	SALT LAKE CITY	City
State	UT	State
ZIP Code	84113	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOUGLAS NIELSEN	Name
Title	EXECUTIVE DIRECTOR	Title
Date Signed	2013-10-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8013503300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Terminated Return	X	TerminatedReturn
Name Of Principal Officer Person	DOUGLAS E NIELSEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 NORTH MARIO CAPECCHI DRIVE	AddressLine1
City	SLC	City
State	UT	State
ZIP Code	84113	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	210441201	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1989	YearFormation
State Legal Domicile	UT	StateLegalDomicile
Activity Or Mission Description	SOLICIT CHARITABLE SUPPORT FOR THE SUPPORT OF PRIMARY CHILDREN'S MEDICAL CENTER OF IHC HEALTH SERVICES, INC. IN THE AREAS OF CHARITY CARE, PEDIATRIC MEDICAL RESEARCH, CHILD ADVOCACY AND EDUCATION.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	2714	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	9578074	ContributionsGrantsPriorYear
Contributions Grants Current Year	9510233	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	0	ProgramServiceRevenuePriorYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	4390073	InvestmentIncomePriorYear
Investment Income Current Year	8637493	InvestmentIncomeCurrentYear
Other Revenue Prior Year	573211	OtherRevenuePriorYear
Other Revenue Current Year	636268	OtherRevenueCurrentYear
Total Revenue Prior Year	14541358	TotalRevenuePriorYear
Total Revenue Current Year	18783994	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	8994381	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	94733587	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	120571	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1097052	OtherExpensePriorYear
Other Expenses Current Year	1031001	OtherExpensesCurrentYear
Total Expenses Prior Year	10091433	TotalExpensesPriorYear
Total Expenses Current Year	95764588	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4449925	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-76980594	RevenuesLessExpensesCY
Total Assets BOY	80213256	TotalAssetsBOY
Total Assets EOY	0	TotalAssetsEOY
Total Liabilities BOY	2512975	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	77700281	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	0	NetAssetsOrFundBalancesEOY
Mission Description	SOLICIT CHARITABLE SUPPORT FOR THE SUPPORT OF PRIMARY CHILDREN'S MEDICAL CENTER OF IHC HEALTH SERVICES, INC. IN THE AREAS OF CHARITY CARE, PEDIATRIC MEDICAL RESEARCH, CHILD ADVOCACY AND EDUCATION.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	94878796	Expense
Grants	94733587	Grants
Revenue	0	Revenue
Description	SUPPORTED CHARITABLE ACTIVITIES OF IHC HEALTH SERVICES, INC., INCLUDING PROVISION OF CHARITY MEDICAL CARE, PEDIATRIC MEDICAL RESEARCH, CHILD ADVOCACY, AND EDUCATION.	Description
Total Program Service Expense	94878796	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	true	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	true	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JEREMIAH RADANDT	NamePerson
Telephone Number	8014423491	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 NORTH MARIO CAPECCHI DRIVE	AddressLine1
City	SLC	City
State	UT	State
ZIP Code	84113	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DOUGLAS E NIELSEN
TRUSTEE / EXEC DIRECTOR	40.0	0.0	X	X	175233	0	17192
MELANIE BASTIAN
TRUSTEE	1.0	0.0	X		0	0	0
PATRICK CARTWRIGHT MD
TRUSTEE	1.0	0.0	X		0	0	0
EDWARD CLARK MD
TRUSTEE	1.0	0.0	X		0	0	0
ARLEN B CROUCH
TRUSTEE	1.0	0.0	X		0	0	0
SPENCER F ECCLES
TRUSTEE / TREASURER	3.0	0.0	X	X	0	0	0
FRED W FAIRCLOUGH JR
TRUSTEE	1.0	0.0	X		0	0	0
JAKE GARN
TRUSTEE / CO-CHAIR	3.0	0.0	X	X	0	0	0
KATHLEEN GARN
TRUSTEE / CO-CHAIR	3.0	0.0	X	X	0	0	0
DALE G JOHNSON MD
TRUSTEE	1.0	0.0	X		0	0	0
KENNETH W MACEY
TRUSTEE	1.0	0.0	X		0	0	0
EDWARD B MORETON
TRUSTEE / SECRETARY	3.0	0.0	X	X	0	0	0
MARK PURCELL
TRUSTEE	1.0	0.0	X		0	0	0
BRUCE T REESE
TRUSTEE	1.0	0.0	X		0	0	0
DWAN YOUNG
TRUSTEE	1.0	0.0	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	175233	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	17192	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WELLS FARGO
299 SOUTH MAIN 5TH FLOOR	SALT LAKE CITY	UT	84111	INVESTMENT MGT	345347
IHC HEALTH SERVICES INC
36 S STATE STREET SUITE 2200	SALT LAKE CITY	UT	84111	MANAGEMENT SERVICES	387252

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Federated Campaigns	1848188	FederatedCampaigns
Fundraising Events	187190	FundraisingEvents
All Other Contributions	7474855	AllOtherContributions
Noncash Contributions	128861	NoncashContributions
Total Contributions	9510233	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1546232	TotalRevenueColumn
Exclusion	$1,546,232	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	198669338	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	191578077	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7091261	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7091261	TotalRevenueColumn
Exclusion	$7,091,261	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	715398	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	187190	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	79130	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	636268	TotalRevenueColumn
Exclusion	$636,268	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18783994	TotalRevenueColumn
Exclusion	$9,273,761	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	94696087	Total
Program Services	94696087	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	37500	Total
Program Services	37500	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	19994	Total
Management And General	19994	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8560	Total
Management And General	8560	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	371628	Total
Management And General	371628	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	387252	Total
Management And General	268526	ManagementAndGeneral
Fundraising	118726	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	52078	Total
Management And General	52078	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5000	Total
Management And General	5000	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	4314	Total
Management And General	4314	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	309	Total
Management And General	309	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
BANK FEES	34812	34812
ADVOCACY COMM SAFETY ISSES	145209		145209
MISCELLANEOUS	1845			1845

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	95764588	Total
Program Services	94878796	ProgramServices
Management And General	765221	ManagementAndGeneral
Fundraising	120571	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	584361	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3149247	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4650390	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	42959	BOY
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	0	LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	9240	BOY
EOY	0	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	68947377	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2829682	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	80213256	BOY
EOY	0	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	1418359	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1094616	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2512975	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	55199026	BOY
EOY	0	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13320052	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9181203	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	77700281	BOY
EOY	0	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	80213256	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-76980594	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-976846	ReconciliationUnrealizedInvest
Reconcilation Other Changes	257159	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11700554	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13148536	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17233287	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9578074	CurrentTaxYearMinus1Year
Current Tax Year	9510233	CurrentTaxYear
Total	61170684	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11700554	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13148536	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17233287	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9578074	CurrentTaxYearMinus1Year
Current Tax Year	9510233	CurrentTaxYear
Total	61170684	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	9784024	AmountsSubstContributorsTotal
Public Support Total170	51386660	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1623310	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1238683	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1233292	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1442896	CurrentTaxYearMinus1Year
Current Tax Year	1546232	CurrentTaxYear
Total	7084413	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	68255097	TotalSupport
Gross Receipts From Admissions Etc	4275597	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.75286	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.76970	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23782856	BeginningOfYearBalance
Contributions	2300057	Contributions
Investment Earnings Or Losses	-95286	InvestmentEarningsOrLosses
Other Expenditures	3486372	OtherExpenditures
End Of Year Balance	22501255	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20774751	BeginningOfYearBalance
Contributions	7358870	Contributions
Investment Earnings Or Losses	981162	InvestmentEarningsOrLosses
Other Expenditures	5331927	OtherExpenditures
End Of Year Balance	23782856	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20596934	BeginningOfYearBalance
Contributions	5516541	Contributions
Investment Earnings Or Losses	1667705	InvestmentEarningsOrLosses
Other Expenditures	7006429	OtherExpenditures
End Of Year Balance	20774751	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25639343	BeginningOfYearBalance
Contributions	4405269	Contributions
Investment Earnings Or Losses	-2299311	InvestmentEarningsOrLosses
Other Expenditures	7148367	OtherExpenditures
End Of Year Balance	20596934	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Land		Land
Buildings		Buildings
Leasehold Improvements		LeaseholdImprovements
Equipment		Equipment
Other Land Buildings		OtherLandBuildings
Tot Revenue Etc Audited Fincl Stmt	19183277	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-976846	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	1039840	DonatedSrvcAndUseOfFacilities
Other Revenues	257159	OtherRevenues
Revenue Not Rptd F990	320153	RevenueNotRptdF990
Revenue Subtotal	18863124	RevenueSubtotal
Other Revenues Not Included	-79130	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-79130	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	18783994	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	96883558	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	1039840	DonatedServicesUseOfFacilities
Other Expenses Included	79130	OtherExpensesIncluded
Expenses Not Rptd F990	1118970	ExpensesNotRptdF990
Expenses Subtotal	95764588	ExpensesSubtotal
Total Expenses Per Form990	95764588	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDS	FORM 990, SCHEDULE D, PART V, LINE 4	THE ENDOWMENT FUNDS OF PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION INCLUDED BOTH TERM AND PERMANENT FUNDS. THE INTENDED USE OF THESE FUNDS INCLUDE RESEARCH, CHARITY CARE, PATIENT CARE AND OTHER PROJECTS DETERMINED BY THE BOARD OF TRUSTEES.
RECONCILIATION OF AUDITED REVENUE TO FORM 990	FORM 990, SCHEDULE D, PART XI, LINE 2D	$257,159 - NET CHANGE IN VALUATION OF CONTRIBUTIONS RECEIVABLE AND BENEFICIAL INTEREST IN PERPETUAL TRUSTS REPORTED AS REVENUE IN AUDITED FINANCIAL STATEMENTS.
RECONCILIATION OF AUDITED REVENUE TO FORM 990	FORM 990, SCHEDULE D, PART XI, LINE 4B	($79,130) - SPECIAL EVENT EXPENSES SHOWN AS EXPENSES ON AUDITED FINANCIAL STATEMENTS, AND SHOWN AS COMPONENT OF NET INCOME FROM FUNDRAISING EVENTS ON FORM 990.
RECONCILIATION OF AUDITED EXPENSES TO FORM 990	FORM 990, SCHEDULE D PART XII, LINE 2D	$79,130 - SPECIAL EVENT EXPENSES SHOWN AS EXPENSES ON AUDITED FINANCIAL STATEMENTS, AND SHOWN AS COMPONENT OF INCOME FROM FUNDRAISING EVENTS ON FORM 990.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	true	GrantRecordsMaintained

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	North America	Region
Purpose Of Grant	HYDROCEPHALUS RESEARCH	PurposeOfGrant
Amount Of Cash Grant	37500	AmountOfCashGrant
Manner Of Cash Disbursement	CHECK	MannerOfCashDisbursement

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	MONITORING USE OF GRANT FUNDS	Identifier
Return Reference	FORM 990, SCHEDULE F, PART I, LINE 2	ReturnReference
Explanation	THE FOUNDATION MADE GRANTS FOR RESEARCH AND OTHER PURPOSES. THIS RESEARCH GRANT WAS REVIEWED BY A RESEARCH COMMITTEE OF THE BOARD, WHICH MADE RECOMMENDATIONS TO THE FULL BOARD, WHO GAVE FINAL APPROVAL. FOLLOW-UP REPORTS WERE REQUIRED, INCLUDING REGULAR PROGRESS REPORTS CONCERNING THE RESEARCH ACTIVITY.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FESTIVAL TREES	NameOfEvent1
Gross Receipts Event1	902588	GrossReceiptsEvent1
Charitable Contributions Event1	187190	CharitableContributionsEvent1
Gross Revenue Event1	715398	GrossRevenueEvent1
Rent Facility Costs Event1	13800	RentFacilityCostsEvent1
Other Direct Expenses Event1	65330	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	902588	GrossReceiptsTotal
Charitable Contributions Total	187190	CharitableContributionsTotal
Gross Revenue Total Events	715398	GrossRevenueTotalEvents
Rent Facility Costs Total Events	13800	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	65330	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	79130	DirectExpenseSummaryEvents
Net Income Summary	636268	NetIncomeSummary

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
UNIVERSITY OF UTAH - DEPT OF PEDIATRICS
PO BOX 581374	SALT LAKE CITY	UT	84158	876000525	GOV	1041604	MEDICAL RESEARCH
IHC HEALTH SERVICES - DBA PCMC
100 N MARIO CAPECCHI DR SLC UT 84	SALT LAKE CITY	UT	84113	942854057	501(C)(3)	6289415	CHARITY CARE, EQUIPMENT
ALABAMA CHILDREN'S HOSPITAL
1600 7TH AVE S	BIRMINGHAM	AL	35233	630879471	501(c)(3)	40000	HCRN RESEARCH
INTERMOUNTAIN HEALTHCARE FOUNDATION
36 S STATE STREET SUITE 2200	SALT LAKE CITY	UT	84111	800225150	501(C)(3)	83410538	SUPPORT FOUNDATION	3838335	FMV	NET REC, INVESTMENTS
SEATTLE CHILDREN'S HOSPITAL
SAND POINT WAY	SEATTLE	WA	98115	911156519	501(C)(3)	50000	HCRN SUPPORT
TEXAS CHILDREN'S HOSPITAL
PO BOX 840982	DALLAS	TX	75284	741100555	501(C)(3)	25000	HCRN SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	MONITORING USE OF GRANT FUNDS	Identifier
Return Reference	FORM 990, SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THE FOUNDATION MADE GRANTS FOR RESEARCH AND OTHER PURPOSES. RESEARCH GRANTS WERE REVIEWED BY A RESEARCH COMMITTEE OF THE BOARD, WHICH MADE RECOMMENDATIONS TO THE FULL BOARD, WHO GAVE FINAL APPROVAL. FOLLOW-UP REPORTS WERE REQUIRED, INCLUDING REGULAR PROGRESS REPORTS CONCERNING THE RESEARCH ACTIVITY. OTHER GRANT REQUESTS WERE REVIEWED BY FOUNDATION MANAGEMENT AND APPROVED BY EITHER THE EXECUTIVE DIRECTOR (UP TO $50,000) OR THE BOARD (GRANTS IN EXCESS OF $50,000).	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	DOUGLAS E NIELSEN	NamePerson
Title	TRUSTEE / EXEC DIRECTOR	Title
Base Compensation Filing Org	138502	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	32463	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	4268	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	3041	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	14151	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	192425	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org	32463	CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs	0	CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	COMPENSATION FROM AN UNRELATED ORGANIZATION	Identifier
Return Reference	FORM 990, SCHEDULE J, PART II	ReturnReference
Explanation	THE FOLLOWING INDIVIDUAL RECEIVED COMPENSATION FOR HIS SERVICES TO PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION FROM IHC HEALTH SERVICES, INC., AN UNRELATED ORGANIZATION: - DOUGLAS E NIELSEN	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	50536	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	AUCTION ITEMS	Description
Number Of Contributions	38	NumberOfContributions
Noncash Contribs Rptd F990	78325	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	NUMBER OF NON-CASH CONTRIBUTIONS	Identifier
Return Reference	FORM 990, SCHEDULE M, PART I, COLUMN (b) and LINE 32a	ReturnReference
Explanation	NON-CASH CONTRIBUTIONS RECORDED ON LINE 9 (SECURITIES) REPRESENT THE NUMBER OF INDIVIDUAL CONTRIBUTORS. SECURITIES WERE HELD AND SOLD BY INVESTMENT MANAGEMENT COMPANIES FOR THE FOUNDATION. The noncash contributions recorded on line 25 COLUMN B represents the number of individual contributors.	Explanation

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail (2 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection
INTERMOUNTAIN HEALTHCARE FOUNDATION
CASH	2012-11-28	83410538	CASH	800225150	36 S STATE SUITE 2200	SALT LAKE CITY	UT	84111	501(C)(3)
INTERMOUNTAIN HEALTHCARE FOUNDATION
NET RECIEVALBLE/INVESTMENTS	2012-11-28	3838335	FMV	800225150	36 S STATE SUITE 2200	SALT LAKE CITY	UT	84111	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor	true	DirectorOfSuccessor
Employee Of Successor	false	EmployeeOfSuccessor
Owner Of Successor	false	OwnerOfSuccessor
Receive Compensation	false	ReceiveCompensation
Assets Distributed	true	AssetsDistributed
Required To Notify AG	true	RequiredToNotifyAG
AG Notified	true	AGNotified
Liabilities Paid	true	LiabilitiesPaid
Bonds Outstanding	false	BondsOutstanding
Bond Liabilities Discharged	false	BondLiabilitiesDischarged

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Identifier	LIQUIDATION, TERMINATION, OR DISSOLUTION	Identifier
Return Reference	FORM 990, SCHEDULE N, LINE 2A	ReturnReference
Explanation	EDWARD B CLARK MD AND SPENCER F ECCLES WERE TRUSTEES FOR PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION AND WILL ALSO BE TRUSTEES FOR THE SUCCESSOR FOUNDATION, INTERMOUNTAIN HEALTHCARE FOUNDATION, INC.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Family Relationship	Form 990, Part VI, Section A, Line 2	JAKE Garn / Kathleen Garn - Family Relationship
FORM 990 REVIEW BY BOARD MEMBERS	FORM 990, PART VI, SECTION A, LINE 11	NO REVIEW WAS OR WILL BE CONDUCTED BY THE BOARD.
MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12	EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY THE FOUNDATION'S EXECUTIVE DIRECTOR. ANY POTENTIAL CONFLICTS ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE COMPLIANCE AND LEGAL PERSONNEL 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 BETWEEN THE INDIVIDUAL'S ROLE WITH THE FOUNDATION OR THE OUTSIDE ENTITY).
PUBLIC INSPECTION OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STMTS	FORM 990, PART VI, SECTION C, LINE 19	THE FOUNDATION ALLOWED PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS UPON REQUEST.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9	$257,159 - NET CHANGE IN THE VALUATION OF CONTRIBUTIONS RECEIVABLE AND BENEFICIAL INTEREST IN PERPETUAL TRUSTS.