2021-05-13T08:48:54-07:00 2020-06-30 870514498 Aycock Miles & Assoc CPAs 58 East 100 North 83-13 Roosevelt UT 84066 990 2019-07-01 870276435 Uintah Basin Medical Center UINT 4357224691 250 W 300 N Roosevelt UT 84066 Brent H Hales CFO 2021-05-13 true Michael J Miles P00153639 4357225153 2019 2022-09-23 18:48:47Z 250 W 300 N Roosevelt UT 84066 93416864 false X www.ubh.org X 2003 UT Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. 9 7 905 65 0 1581150 2420660 86842142 90085654 1046949 910550 0 89470241 93416864 0 0 36011214 39137460 0 0 46139467 47812421 82150681 86949881 7319560 6466983 99460262 110436328 25355904 30790351 74104358 79645977 Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. false false 63705894 92506314 Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. The Hospital provided approximately 4,300 patient days, 13,200 home health/hospice visits, 10,800 ER visits, and 2,500 surgeries during the year. 63705894 true true false false false false false false false false true false false false true true false false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 129 0 true 905 true false false false false false false false 0 false false false false false false false X 9 7 false false false false false false false true true true false false true true true true true true true false UT X Brent H Hales CFO 4357224691 250 W 300 N Roosevelt UT 84066 Dr John Blake Chief of Staff 1.00 0.00 X 533840 0 0 Dr Sean Paulsen Board member 1.00 0.00 X 480816 0 0 Joseph Garcia Physician 40.00 0.00 419956 0 20250 Jim Marshall President & CEO 50.00 0.00 X 369586 0 20250 Kerry Baum Physician 40.00 0.00 361917 0 20250 Shane Powell Physician 40.00 0.00 257902 0 14858 Bruce Arnold Pathologist 40.00 0.00 230653 0 14955 Brent H Hales CFO 50.00 0.00 X 220499 0 19225 Manpreet Kaur Physician 40.00 0.00 208572 0 14115 Randall Bennett Senior Vice President 40.00 0.00 183566 0 15964 Roger Marett Senior Vice President 40.00 0.00 161621 0 14485 Bobby Richardson Senior VP 40.00 0.00 161333 0 14137 Robert Gilbert Vice Chair 1.00 0.00 X 5000 0 0 Mindi Crowley Director 1.00 0.00 X 4500 0 0 Tyler Rasmussen Director 1.00 0.00 X 4500 0 0 Tyler Allred Director 1.00 0.00 X 4000 0 0 Ryan Snow Director 1.00 0.00 X 4000 0 0 Gregory Todd 2nd Vice Chair 1.00 0.00 X 4000 0 0 Alarik Myrin Chairman 1.00 0.00 X X 3900 0 0 Dr Jason Larson Chief of Staff 1.00 0.00 X 0 0 0 Shelly Fenn Director 1.00 0.00 X 0 0 0 Irene Hansen Director 1.00 0.00 X 0 0 0 Tim Negus Director 1.00 0.00 X 0 0 0 3620161 168489 12 false true false Cerner Corporation 2800 Rock Creek Pkwy Kansas City MO 64117 Software, IT 2818436 ARUP Laboratories 500 Chipeta Way Salt Lake City UT 84108 Lab testing 1165251 Gordon Olsen MD 250 N 300 W Roosevelt UT 84066 Physician 706268 Peter Tanner MD 250 N 300 W Roosevelt UT 84066 Physician 604039 Jason Larson MD PC 250 N 300 W Roosevelt UT 84066 E.R. Physician 638675 5 2414165 6495 2420660 Net patient services 621110 88420652 88420652 Other medical services 621110 1665002 1665002 90085654 910550 910550 0 0 0 0 0 0 0 0 93416864 90996204 X 0 0 0 0 2225222 1057822 1167400 0 26284737 19088821 7195916 0 10627501 6638562 3988939 0 0 0 0 0 0 0 11110527 10962426 148101 0 0 0 0 0 0 0 0 1050422 1050422 0 5606919 2023028 3583891 406543 99459 307084 Pharmaceuticals 9466056 9413090 52966 Supplies & Materials 8478105 7335943 1142162 Other 4678116 2654988 2023128 Purchased services 4648415 2618116 2030299 2367318 1813639 553679 86949881 63705894 23243987 0 1486422 5134042 31003776 34277027 0 15021515 16503694 0 0 0 1590019 1613230 680455 437734 98644266 51713500 46408961 46930766 0 0 0 1647197 3917462 1621917 1622373 99460262 110436328 4994814 5500438 4242067 17516841 17278233 2844249 3769613 25355904 30790351 X 72604358 78145977 1500000 1500000 74104358 79645977 99460262 110436328 6466983 -925364 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3969998 3969998 60179593 51713500 8466093 34494675 34494675 46930766 Interest rate swap 3769613 3769613 X 92491500 -925364 -925364 93416864 93416864 86949881 86949881 86949881 Part X : FIN48 Footnote The Medical Center is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income tax is necessary. The Medical Center evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of June 30, 2019 and 2018, the Medical Center had no uncertain tax positions requiring accrual. true true X true X true X true true false false true true 1270197 1270197 0.01460 13559285 13509014 50271 0.00060 14829482 13509014 1320468 0.01520 272781 272781 0.00310 272781 272781 0.00310 15102263 13509014 1593249 0.01830 8514919 8514919 0.09790 8514919 8514919 0.09790 true 7831070 2871816 10033713 10415504 -381791 X true false 1 1 Uintah Basin Medical Center 250 W 300 N Roosevelt UT 84066 WWW.ubh.org 2008-HOSP-180 X X X false false true X X X X X X X X 20 true false false true X X true 18 true www.ubh.org false false true X 150.0000 250.0000 X X X true true X X X true X www.ubh.org X www.ubh.org X www.ubh.org X X X X X X true X false X X X X true X false false Facility: - Part V, Section B, Line 5 In connection with its most recent CHNA, Uintah Basin Medical Center (UBMC) took into account input from a variety of persons who represented the broad interest of the community served by UBMC. Uintah Basin Healthcare partnered with the National Rural Health Resource Center (NRHRC) and the University of Duluth the past three cycles (nine years) to conduct a third-party Community Health Needs Assessment. A survey of 800 residents was conducted with an 17.5% response rate in the year 2020. In addition, 12 key participants completed a phone survey conducted by NRHRC. Individuals included those with knowledge of or expertise in public health including state, local and tribal public health organizations as well as organizations such as Uintah Basin Association of Governments (representing underserved, low-income, uninsured and minority populations), TriCounty Health, individuals from nonprofit and community-based organizations, local governmental organizations, local school districts and a local counseling center.Hospital personnel attended a community health needs virtual meeting hosted by NRHRC to discuss the outcomes of community print and phone surveys indicating significant health needs and disparities within the Medical Centers community service area.UBMC disclosed the results of its CHNA survey to participants, our board/leadership, and our community. UBMC discussed top health concerns, and solicited and gathered input regarding possible solutions to the health concerns identified in the Medical Centers CHNA Survey and findings. Facility: - Part V, Section B, Line 7d Website complete URL:https://ubh.org/wp-content/uploads/sites/534/2020/08/CHNA_2020_WebSummary.pptx.pdf Facility: - Part V, Section B, Line 11 As outlined below, all assessed needs were addressed by the hospital.As identified in the Hospitals CHNA, the significant needs are as follows with a description of the CHNA proposed methods to address the concerns. All proposed needs were addressed according to the published CHNA.The top three concerns were diabetes, alcohol abuse and drug use.1.Diabetesa.UBMC will address diabetes by growing our Diabetes Education and Registered Dietitian offerings, hosting a 5k/fun run annually, promoting an employee wellness program, and sponsoring wellness activities (i.e. youth and high school sports, walking trails, the aquatic center, eat well programs, health fairs, etc). Our providers will monitor childrens weight/height/BMI routinely and connect or refer families to breastfeeding support (such as our OB Departments Certified Lactation Counselors) or nutrition education (through our Diabetes Education Program). Our providers/departments are also implementing monitoring systems for patients at risk for diabetes. 2.Alcohol Abuse & 3. Drug Usea.At Uintah Basin Healthcare, we are implementing several initiatives to address drug misuse and alcohol abuse. Our hospital and clinic areas are working to educate and offer alternatives to opioids, as well as promote safe disposal of unused medications by providing a dropbox at the UBMC Pharmacy and DVMC Pharmacy. We will raise awareness through increased community education and collaboration, while identifying and promoting resources for drug and alcohol recovery.i.UBMC partnered with the Thompson House of Hope (a local recovery center) to provide a website, business cards, event banner, vehicle decals, and marketing assistance to raise awareness for local recovery options to those affected by substance abuse.The next ranking items included tobacco/smoking/vaping, mental health, adult obesity, cancer, opioid addiction, heart disease and childhood obesity. Each department manager at UBMC submitted a goal to address top health concerns to establish a shared vision of our ability to make an impact. Goals/Projects are monitored over a three-year process. Basin Care & Rehabilitation 260 W 200 N Roosevelt UT 84066 Long-term care and rehabilitation center Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Please refer to note disclosure No. 4 and No. 8 of the audited financial statements. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The UBMC analyzed bad debt accounts and estimated bad debt expense that reasonably is attributable to patients who likely would have qualified for financial assistance under the Medical Center's charity care policy but for whom insufficient information was obtained to determine their eligibility.The UBMC calculated the prior 2 years' charity predictions as a perecentage of self pay a/r and applied that percentage to the self pay a/r for 2020. A calculation of that percentage to total a/r was in line with the percentages from the prior 2 years as well. The amount of bad debt expense attributable to the Hospital's charity care policy for year ending June 30, 2020 is $2,871,816. Part III, Line 4 - Bad Debt Expense Please refer to note disclosure No. 4 and No. 8 of the audited financial statements. X X X X false false false false false false false false false Bobby Richardson Senior VP 104994 56339 14137 175470 Brent H Hales CFO 206927 13572 19225 239724 Bruce Arnold Pathologist 230653 14955 245608 Dr Sean Paulsen Board member 480816 480816 Dr John Blake Chief of Staff 533840 533840 Jim Marshall President & CEO 307668 61918 20250 389836 Joseph Garcia Physician 419956 20250 440206 Kerry Baum Physician 361917 20250 382167 Manpreet Kaur Physician 208572 14115 222687 Randall Bennett Senior Vice President 172368 11198 15964 199530 Roger Marett Senior Vice President 151424 10197 14485 176106 Shane Powell Physician 257902 14858 272760 Form 990, Part VI, Line 11b: Form 990 Review Process Review is conducted by the CFO and Board Members. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Conflict questionnaires are completed annually. If conflicts are present, Roberts Rules of Order (RRO) are followed and they are recused from voting. If it is determined that there was a conflict not reported, they are subject to disciplinary action. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management An independent compensation consultant is hired who uses a survey. Those results are reviewed by our compensation committee and the Board of Directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees An independent compensation consultant is hired who uses a survey. Those results are reviewed by our compensation committee and the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Some governing documents and conflict of interest policy are available to the public upon written request to the Board of Directors. The IRS Form 990 information return is public record.