2013-11-14T07:28:41-06:00 2012-12-31 ERNST & YOUNG US LLP 178 SOUTH RIO GRANDE ST SUITE 400 SALT LAKE CITY UT 84101 990 2012-01-01 942854057 IHC HEALTH SERVICES INC % GREGORY M JOHNSON IHCH 8014422000 36 SOUTH STATE SUITE 2200 Suite SALT LAKE CITY UT 84111 GREGORY M JOHNSON 2013-11-11 8013503300 2012 2016-02-24 21:20:13Z Charles W Sorenson JR MD 36 South State Suite 2200 Salt Lake City UT 84111 8587029907 false X www.intermountainhealthcare.org X 1982 UT Excellence in the provision of healthcare services to communities in the intermountain region. See Schedule O. 15 11 36984 4392 41455767 -8688753 32701092 38319634 3983670023 4185079947 104063060 127276563 28037222 31058115 4148471397 4381734259 14451238 10362009 0 0 1905638344 2037819688 0 0 2426315 1700464163 1797474457 3620553745 3845656154 527917652 536078105 5642207645 6723416035 2534185096 3164137871 3108022549 3559278164 X EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. SEE SCHEDULE O. false false 3816594091 10362009 4214280550 IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,798 LICENSED BEDS) AND MORE THAN 300 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 140,000 INPATIENT ADMISSIONS, 482,000 EMERGENCY ROOM VISITS AND 2.72 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $105.2 MILLION IN CHARITY CARE (AT COST) THROUGH 239,195 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2012, SEE SCHEDULE O. 3816594091 true true false true false false false false false true true false false false true false false true false false true false false false false false true true true false true true true false false false false false false false true true false false false false true true true true true false true X 2629 0 true 36984 true true true true BR CJ EG GR IN ID JA SI KS false false false false true 1 false false false X 15 11 true false true false true true true true true false false true true true true true true true true true true X GREGORY M JOHNSON 8014423491 36 SOUTH STATE SUITE 2200 SLC UT 84111 A SCOTT ANDERSON 3.0 15.0 X X 1193 0 0 TERESA BECK 1.0 3.0 X 702 0 0 S NEAL BERUBE 1.0 2.0 X 2150 0 0 DOUGLAS C BLACK 1.0 14.0 X 1621 622 0 JANE CARLILE 1.0 3.0 X 1508 0 0 REBECCA CHAVEZ-HOUCK 1.0 2.0 X 1098 0 0 BETH V COLE 1.0 2.0 X 447 0 0 SPENCER F ECCLES 1.0 6.0 X 461 0 0 KAREN W FAIRBANKS 1.0 2.0 X 1437 0 0 MERRILL GAPPMAYER 1.0 10.0 X 1601 0 0 KEM C GARDNER 1.0 9.0 X 531 0 0 KAREN HALE 1.0 3.0 X 1275 0 0 M ELIZABETH HAMMOND MD 1.0 2.0 X 398 0 0 RANDY HORIUCHI 1.0 2.0 X 1197 0 0 F ANN MILLNER 1.0 6.0 X 531 0 0 ARNOLD MILSTEIN MD MPH 1.0 2.0 X 447 0 0 THOMAS B MORGAN 1.0 4.0 X 1029 0 0 BRUCE T REESE 3.0 12.0 X X 1832 0 0 SHAHAB SAEED 1.0 3.0 X 1183 0 0 CHARLES W SORENSON JR MD 55.0 11.0 X X 1754586 0 1157892 CAVELL ALEXANDER 50.0 0.0 X 277072 0 122384 ROBERT W ALLEN 50.0 1.0 X 485352 0 206090 DAVID D CLARK 50.0 1.0 X 723710 0 89911 CHRIS COONS 50.0 0.0 X 2242003 0 280014 TODD E CRAGHEAD 50.0 0.0 X 260086 0 95562 SUZANNE DRAPER 50.0 0.0 X 267387 0 137890 D R GARDNER 50.0 0.0 X 305401 0 117763 GEORGE HAMILTON 50.0 0.0 X 464242 0 152331 DOUGLAS J HAMMER 50.0 3.0 X 699690 0 232977 LARRY D HANCOCK 50.0 2.0 X 920300 0 505893 KIMBERLY HENRICHSEN 50.0 0.0 X 368560 0 141922 JOSEPH R HORTON 50.0 3.0 X 734928 0 200971 BRENT C JAMES MD 50.0 0.0 X 1959461 0 250019 BRUCE H JENSEN 50.0 1.0 X 588219 0 377846 BRENT T JOHNSON 50.0 0.0 X 466009 0 302169 GREGORY M JOHNSON 50.0 5.0 X 496642 0 219352 LAURA S KAISER 50.0 1.0 X 952573 0 257080 TERRI L KANE 50.0 1.0 X 495277 0 227753 LINDA C LECKMAN MD 50.0 2.0 X 845641 0 460428 JACQUE MILLARD 50.0 0.0 X 421040 0 174081 MIKELLE MOORE 50.0 6.0 X 347914 0 146144 NANCY A NOWAK 50.0 0.0 X 275502 0 78790 TIMOTHY T PEHRSON 50.0 3.0 X 680364 0 302649 GREGORY P POULSEN 50.0 3.0 X 917135 0 556965 MARC PROBST 50.0 0.0 X 735824 0 419047 STEVEN R SMOOT 50.0 1.0 X 475225 0 154930 BRENT E WALLACE 50.0 0.0 X 819174 0 631373 ALBERT R ZIMMERLI 55.0 11.0 X 1510557 0 1021029 DANIEL L ZUHLKE 50.0 3.0 X 646553 0 384540 STEVEN CARABINE MD 50.0 0.0 X 1255410 0 170138 DANIEL HAMMON MD 50.0 0.0 X 1262323 0 184949 ERIC HOOLEY MD 50.0 0.0 X 1400766 0 169976 HOWARD RICHTER MD 50.0 0.0 X 1407205 0 169916 DREW VAN BOERUM MD 50.0 0.0 X 1215262 0 149934 28698034 622 10250708 2180 false true false UTAH EMERGENCY PHYSICIANS PC PO BOX 571117 MURRAY UT 84157 MEDICAL 34304001 ASSOCIATED REGIONAL AND UNIVERSITY 500 CHIPETA WAY SALT LAKE CITY UT 84108 MEDICAL 16528912 ACCRETIVE HEALTH INC 401 N MICHIGAN AVE STE 2700 CHICAGO IL 60611 REVENUE CYCLE MGMT 15028941 PRICEWATERHOUSECOOPERS LLP PO BOX 514038 LOS ANGELES CA 90051 COUNSULTING 9746888 SOUTHWEST EMERGENCY PHYSICIANS LC PO BOX 910053 ST GEORGE UT 84791 MEDICAL 8687017 260 6008311 6652931 25658392 14525 38319634 PATIENT SERVICE REVENUE 621110 3555494960 3555494960 PHARMACY SALES 446110 71863164 40144178 31718986 LABORATORY REVENUE 621500 531255758 521231354 10024404 RENTAL REVENUE (RELATED) 531120 10284117 10284117 LAUNDRY 812300 7094513 5181052 1913461 9087435 7908199 1179236 4185079947 57126069 -4011859 61137928 -415215 -415215 0 7086469 5228957 1857512 0 1857512 619136 1238376 4263436737 7195664 4176181212 23885479 87255525 -16689815 70565709 12403 70553306 0 0 0 CAFETERIA 722514 15918269 15918269 GIFT SHOP / RETAIL 453220 4837418 4837418 OTHER RELATED REVENUE 624100 8444916 8444916 29200603 4381734259 4148688776 41455767 153270082 10357809 10357809 4200 4200 0 0 31545779 31545779 754035 754035 1655881461 1612111784 42545096 1224581 124231470 122392419 1839051 115819285 109170123 6648550 612 109587658 105697813 3797030 92815 0 13218867 6122012 7096455 400 691530 62865 628665 21331 21331 0 8421038 8421038 263982481 245107301 18801253 73927 13065872 6152784 6911574 1514 19044687 18706324 303936 34427 0 0 124628369 116987059 7580572 60738 3263306 3062353 197469 3484 0 11416039 9606484 1769277 40278 48959795 48959795 0 215966362 213153554 2798963 13845 10214350 10214350 MEDICAL SUPPLIES 688028973 688028973 BAD DEBT 206828911 206816976 11935 NON-MEDICAL SUPPLIES 106108441 101791086 3757381 559974 ALLOCATION-INDIRECT EXPENSES 120971711 -120971711 63614105 60362281 2932104 319720 3845656154 3816594091 26635748 2426315 172206 158750 185411781 430030096 3808420 3411740 490360411 537838327 0 0 0 0 1919654 1649678 92094752 94778115 23056234 27696665 3712101216 1686712097 1997146648 2025389119 2528532754 3043364343 167889394 306772099 19896422 29529302 273742 249043 131645227 222548758 5642207645 6723416035 433141770 279219135 0 0 2631194 2234719 1306533753 1542773712 0 0 0 0 23682512 21754868 0 0 768195867 1318155437 2534185096 3164137871 X 3105008029 3554927282 3014520 4350882 0 0 3108022549 3559278164 5642207645 6723416035 X 536078105 151530862 -236353352 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 21331 21331 21331 21331 3845634823 5041772060 3845656154 5041793391 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 34278 18844 20156 21331 94609 250000 250000 250000 250000 1000000 1500000 AFFILIATED GROUP MEMBERS FORM 990, SCHEDULE C, PART II-A THE FOLLOWING ORGANIZATIONS WERE PART OF THE AFFILIATED GROUP AS DEFINED IN THE INSTRUCTIONS FOR PURPOSES OF COMPLETING SCHEDULE C: IHC HEALTH SERVICES, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2854057 EXEMPT PURPOSE EXPENDITURES: $3,845,656,154 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $1,909,328 501(H) ELECTION: NO IHC MANAGEMENT, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2860622 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO IHC PROFESSIONAL SERVICES, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2886596 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $4,402,602 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $4,089,043 501(H) ELECTION: NO SELECTHEALTH, INC 5381 GREEN STREET MURRAY, UTAH 84123 EIN: 87-0409820 EXEMPT PURPOSE EXPENDITURES: $1,178,576,481 501(H) ELECTION: NO INTERMOUNTAIN HEALTH CARE,INC RETIREE WELFARE BENEFIT TRUST 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 74-2675605 EXEMPT PURPOSE EXPENDITURES: $7,159,783 501(H) ELECTION: NO 97177509 160555781 4929350 53366370 13142593 10966 196142711 101250728 9298218 757340 28378 14095897 4502 97177509 52342113 62579130 1441018 1302467 13809066 101250728 59160431 10677665 10327590 27823573 52342113 66273867 24863264 -3603820 28372880 59160431 0.11443 0.88557 true true true 35247418 233547509 268794927 38440616 1472875477 609996073 901320020 1956035 80352683 42904202 39404516 107377 1651742272 1033811822 618037826 493970 197337860 197831830 2025389119 0 PAYABLE TO THIRD PARTY PAYORS 100253049 MINORITY INT IN JT VENTURES 4043183 ACCRUED PENSION OBLIGATION 470927034 457 PLAN LIABILITY 41739789 ASSET RETIREMENT OBLIGATION 4033516 INTEREST RATE SWAP LIABILITIES 144896512 OTHER LONG TERM LIABILITIES 175808405 INVESTMENT PAYABLE 175173069 ACCRUED PAYROLL / LEAVE 201280880 1318155437 LAND, BUILDINGS, AND EQUIPMENT FORM 990, SCHEDULE D, PART VI, LINE 1E AMOUNTS REFLECTED ON LINE 1E REPRESENT CONSTRUCTION IN PROGRESS. Intended Use of Endowment Funds Form 990, Schedule D, Part V The reported funds are held by both supporting and publicly supported organizations for the benefit of Health Services. The intended uses of these funds include research, charity care, patient care and other similar purposes. FASB ACCOUNTING STANDARDS CODIFICATION TOPIC 740 (FIN 48) FORM 990, SCHEDULE D, PART X, LINE 2 HEALTH SERVICES DID NOT REPORT A LIABILITY IN THE FOOTNOTES OF THE AUDITED FINANCIAL STATEMENTS FOR UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740 (FIN 48). Central America and the Caribbean Investments 548268882 East Asia and the Pacific Investments 40453627 Europe (Including Iceland and Greenland) Investments 134620605 Middle East and North Africa Investments 831940 North America Investments 7629590 South America Investments 1401760 733206404 733206404 true false true false true false International Investments Form 990, Schedule F, Part I, Line 3 AS PART OF A FULLY DIVERSIFIED PORTFOLIO, HEALTH SERVICES INVESTS IN CERTAIN ALTERNATIVE INVESTMENTS THAT ARE HELD BY ADMINISTRATORS IN FOREIGN JURISDICTIONS. WHILE MOST OF THE INVESTMENTS ARE DOMESTIC, THE STRUCTURE OF THE INVESTMENT AND LOCATION OF THE ADMINISTRATOR REQUIRE DISCLOSURE ON SCHEDULE F. THESE ALTERNATIVE INVESTMENTS ACCOUNT FOR APPROXIMATELY 79% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 21% REPRESENTS INTERNATIONAL INVESTMENTS IN EQUITIES AND BONDS IN SEPARATELY MANAGED ACCOUNTS. HEALTH SERVICES USES THESE INTERNATIONAL INVESTMENTS AS AN ADDITIONAL DIVERSIFICATION TOOL. THE INVESTMENTS ARE HELD IN SAFEKEEPING IN THE UNITED STATES BUT ARE REQUIRED TO BE REPORTED BASED UPON THE COUNTRY OF ISSUANCE. true true X true X true X 500. true true false true true 105221385 105221385 0.02890 498257007 464431797 33825209 0.00930 603478392 464431797 139046594 0.03820 1359141 13391 1345750 0.00040 30121424 30121424 0.00830 12492534 12492534 0.00340 11383684 1299 11382385 0.00310 55356783 14690 55342093 0.01520 658835175 464446487 194388687 0.05340 76892 76892 113098 113098 189990 189990 true 206828911 103414456 468584998 489516419 -20931421 X true true McKay Dee Surgical Outpatient Surgery 0.75800 0.24200 22 1 INTERMOUNTAIN MEDICAL CENTER

5121 SOUTH COTTONWOOD STREET MURRAY UT 84157

X X X X X A 2 UTAH VALLEY REGIONAL MEDICAL CENTER

1034 NORTH 500 WEST PROVO UT 84604

X X X X X A 3 PRIMARY CHILDREN'S MEDICAL CENTER

100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113

X X X X X X A 4 MCKAY-DEE HOSPITAL CENTER

4401 HARRISON BOULEVARD OGDEN UT 84403

X X X X X A 5 DIXIE REGIONAL MEDICAL CENTER

1380 EAST MEDICAL CENTER DRIVE ST GEORGE UT 84790

X X X X A 6 LDS HOSPITAL

8TH AVENUE AND C STREET SALT LAKE CITY UT 84143

X X X X X A 7 LOGAN REGIONAL HOSPITAL

500 EAST 1400 NORTH LOGAN UT 84341

X X X A 8 AMERICAN FORK HOSPITAL

170 NORTH 1100 EAST AMERICAN FORK UT 84003

X X X A 9 ALTA VIEW HOSPTIAL

9660 SOUTH 1300 EAST SANDY UT 84094

X X X A 10 RIVERTON HOSPITAL

3741 WEST 12600 SOUTH RIVERTON UT 84065

X X X X A 11 THE ORTHOPEDIC SPECIALTY HOSPITAL

5848 SOUTH FASHION BOULEVARD MURRAY UT 84107

X A 12 PARK CITY MEDICAL CENTER

900 ROUND VALLEY DRIVE PARK CITY UT 84060

X X X A 13 VALLEY VIEW MEDICAL CENTER

1303 NORTH MAIN STREET CEDAR CITY UT 84720

X X X A 14 CASSIA REGIONAL MEDICAL CENTER

1501 HILAND AVENUE BURLEY ID 83318

X X X X A 15 OREM COMMUNITY HOSPITAL

331 NORTH 400 WEST OREM UT 84057

X X X A 16 SEVIER VALLEY MEDICAL CENTER

100 NORTH MAIN RICHFIELD UT 84701

X X X A 17 BEAR RIVER VALLEY HOSPITAL

440 WEST 600 NORTH TREMONTON UT 84337

X X X A 18 HEBER VALLEY MEDICAL CENTER

1485 SOUTH HIGHWAY 40 HEBER CITY UT 84032

X X X X A 19 SANPETE VALLEY HOSPITAL

1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT UT 84647

X X X X A 20 GARFIELD MEMORIAL HOSPITAL

200 NORTH 400 EAST PANGUITCH UT 84759

X X X A 21 DELTA COMMUNITY MEDICAL CENTER

126 WHITE SAGE AVENUE DELTA UT 84624

X X X X A 22 FILLMORE COMMUNITY MEDICAL CENTER

674 SOUTH HIGHWAY 99 FILLMORE UT 84631

X X X X A FACILITY REPORTING GROUP A true true 150. true 500. true X X X X X X X true true X true false X X true X false false 320 RIVERTON HOSPITALISTS

3723 WEST 12600 SOUTH RIVERTON UT 84065

CLINIC MCKAY DEE MATERNAL FETAL MEDICINE

4401 HARRISON BLVD STE 4600 OGDEN UT 84403

CLINIC LOGAN HYPERBARIC AND WOUND CARE

1400 NORTH 500 EAST LOGAN UT 84341

CLINIC INT MFM SPECIALISTS DIAGNOSTIC

5121 COTTONWOOD ST STE 100 MURRAY UT 84107

CLINIC LDS HOSPITAL RADIATION ONCOLOGY

8TH AVE AND C STREET SALT LAKE CITY UT 84143

CLINIC PARK CITY CLINIC

1665 BONANZA DRIVE PARK CITY UT 84060

CLINIC DIXIE NEONATOLOGY

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC CARDIOVASCULAR & THORACIC SURGERY

1380 E MEDICAL CENTER DR STE 2600 ST GEORGE UT 84790

SURGERY CENTER CACHE VALLEY HEART CLINIC

1300 NORTH 500 EAST STE 320 LOGAN UT 84341

CLINIC INTERMOUNTAIN OB & GYN SPECIALISTS

5063 COTTONWOOD ST SUITE 120 MURRAY UT 84107

CLINIC SUMMIT CLINIC

502 S MAIN STREET SMITHFIELD UT 84335

CLINIC WEST JORDAN KIDSCARE

2655 WEST 9000 SOUTH WEST JORDAN UT 84088

CLINIC PROVO NEUROLOGICAL CLINIC NW PLAZA

1134 NORTH 500 WEST STE 101 PROVO UT 84604

CLINIC WASATCH OBGYN

2400 NORTH WASHINGTON BLVD NORTH ODGEN UT 84414

CLINIC LDS HOSPITAL HOSPITALISTS

8TH AVE AND C STREET SALT LAKE CITY UT 84143

CLINIC LAYTON WORKMED

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC LEGACY OBGYN

1159 EAST 200 NORTH STE 250 AMERICAN FORK UT 84003

CLINIC TAYLORSVILLE INSTACARE

3845 WEST 4700 SOUTH TAYLORSVILLE UT 84129

CLINIC MCKAY DEE CARDIOLOGY SOUTH

4403 HARRISON BLVD STE 3400 OGDEN UT 84403

CLINIC ALTA VIEW HOSPITALISTS

9660 SOUTH 1300 EAST SANDY UT 84094

CLINIC INTERMOUNTAIN NURSE MIDWIVES

855 CALIFORNIA AVE SALT LAKE CITY UT 84104

CLINIC BRYNER CLINIC

525 EAST 100 SOUTH STE 500 SALT LAKE CITY UT 84102

CLINIC MCKAY DEE WOUND & HYPERBARIC CENTER

4401 HARRISON BLVD STE 1885 OGDEN UT 84403

CLINIC NOYES SURGICAL ONCOLOGY

5169 COTTONWOOD ST STE 440 MURRAY UT 84107

CLINIC MURRAY WORKMED

201 EAST 5900 SOUTH STE 100 MURRAY UT 84107

CLINIC VALLEY VIEW RADIATION ONCOLOGY

1303 NORTH MAIN STREET CEDAR CITY UT 84721

CLINIC NORTH OREM CLINIC

1975 NORTH STATE STREET OREM UT 84057

CLINIC UTAH VALLEY ORTHOPAEDICS

1157 NORTH 300 WEST SUITE 201 PROVO UT 84604

CLINIC HEREFORDSHIRE CLINIC

1915 WEST 5950 SOUTH ROY UT 84067

CLINIC VALLEY VIEW HEART CLINIC

1303 NORTH MAIN STREET STE H CEDAR CITY UT 84720

CLINIC CEDAR CITY INSTACARE

962 SAGE DRIVE CEDAR CITY UT 84720

CLINIC SOUTHRIDGE KIDSCARE

3723 WEST 12600 SOUTH STE 150 RIVERTON UT 84065

CLINIC MCKAY DEE NEONATOLOGY

4401 HARRISON BLVD OGDEN UT 84403

CLINIC HURRICANE VALLEY INSTACARE

75 NORTH 2260 WEST HURRICANE UT 84737

CLINIC INTERMOUNTAIN HEART & LUNG SURG ASSOC

5169 COTTONWOOD STREET STE 600 MURRAY UT 84107

SURGERY CENTER ST GEORGE PULMONARY CLINIC

1380 EAST MEDICAL CENTER DR STE 220 ST GEORGE UT 84790

CLINIC SOUTH OGDEN INSTACARE

975 CHAMBERS STREET SOUTH OGDEN UT 84403

CLINIC PHYSICAL MEDICINE & REHAB CLINIC

1055 NORTH 300 WEST STE 410 PROVO UT 84604

CLINIC SYRACUSE CLINIC

745 SOUTH 2000 WEST SYRACUSE UT 84075

CLINIC HIGHLAND CLINIC

10968 NORTH ALPINE HWY HIGHLAND UT 84003

CLINIC NORTH OGDEN CLINIC

2400 NORTH WASHINGTON BLVD NORTH OGDEN UT 84414

CLINIC REDROCK DIGESTIVE HEALTH

652 SOUTH MEDICAL CENTER DR STE 330 ST GEORGE UT 84790

CLINIC HEREFORDSHIRE INSTACARE

1915 WEST 5950 SOUTH ROY UT 84067

CLINIC AMERICAN FORK SURGICAL ASSOCIATES

1159 EAST 200 NORTH STE 350 AMERICAN FORK UT 84003

SURGERY CENTER MEDICAL CENTER RADIATION ONCOLOGY

5131 COTTONWOOD STREET MURRAY UT 84107

CLINIC NORTH OGDEN INSTACARE

2400 NORTH WASHINGTON BLVD NORTH OGDEN UT 84414

CLINIC DRMC WOUND AND HYPERBARIC

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC MCKAY DEE DERMATOLOGY & PLASTIC SURGERY

4403 HARRISON BLVD STE 4835 OGDEN UT 84403

SURGERY CENTER SYRACUSE INSTACARE

745 SOUTH 2000 WEST SYRACUSE UT 84075

CLINIC MCKAY DEE ENDOCRINE & DIABETES CLINIC

4403 HARRISON BLVD STE 3630 OGDEN UT 84403

CLINIC LOGAN RADIATION ONCOLOGY

500 EAST 1400 NORTH LOGAN UT 84341

CLINIC MT PLEASANT CLINIC

1100 SOUTH MEDICAL DRIVE MT PLEASANT UT 84647

CLINIC SOUTHERN UTAH SURGICAL ASSOCIATES

166 WEST 1325 STE 350 CEDAR CITY UT 84720

SURGERY CENTER IMED CAMPUS SLEEP PROGRAM

5121 COTTONWOOD STREET MURRAY UT 84107

CLINIC MANTI FAMILY CLINIC

159 N MAIN ST MANTI UT 84642

CLINIC LDS MATERNAL FETAL MEDICINE

8TH AVE AND C STREET SALT LAKE CITY UT 84143

CLINIC MCKAY DEE ENT CLINIC

4403 HARRISON BLVD STE 2645 OGDEN UT 84403

CLINIC LDS CAMPUS SLEEP PROGRAM

325 8TH AVE SALT LAKE CITY UT 84143

CLINIC AVENUES NEUROSURGERY

370 9TH AVE STE 111 SALT LAKE CITY UT 84103

SURGERY CENTER IM FLASH

1550 EAST 3400 NORTH LEHI UT 84043

CLINIC WEST JORDAN CLINIC

2655 WEST 9000 SOUTH WEST JORDAN UT 84088

CLINIC ORTHOPEDIC SPECIALTY GROUP

5169 COTTONWOOD ST STE 430 MURRAY UT 84107

CLINIC UTAH VALLEY WOMENS CENTER

1034 NORTH 500 WEST PROVO UT 84604

CLINIC HIGHLAND INSTACARE

10968 NORTH ALPINE HWY HIGHLAND UT 84003

CLINIC UTAH VALLEY HOSPITALISTS

1034 NORTH 500 WEST PROVO UT 84604

CLINIC HOLLADAY ALLERGY & DERMATOLOGY

6272 SOUTH HIGHLAND DRIVE MURRAY UT 84121

CLINIC INTERNAL MEDICINE ASSOCIATES

9844 SOUTH 1300 EAST STE 200 SANDY UT 84094

CLINIC UTAH VALLEY ORTHO

250 EAST STATE ROAD 73 SARATOGA SPRINGS UT 84043

CLINIC DRMC INPATIENT PSYCHIATRY

544 S 400 EAST ST GEORGE UT 84770

CLINIC INTERMOUNTAIN WOMENS HEALTH SPECIALISTS

346 EAST 600 SOUTH ST GEORGE UT 84770

CLINIC MCKAY DEE CRITICAL CARE

4401 HARRISON BLVD OGDEN UT 84403

CLINIC LOGAN CLINIC

412 NORTH 200 EAST LOGAN UT 84321

CLINIC ROSE PARK ELEMENTARY CLINIC

1105 WEST 1000 NORTH SALT LAKE CITY UT 84116

CLINIC UTAH VALLEY EAR NOSE & THROAT

872 NORTH 2000 WEST STE A PLEASANT GROVE UT 84062

CLINIC SUNSET FAMILY PRACTICE

1739 WEST SUNSET BLVD ST GEORGE UT 84770

CLINIC SALT LAKE CLINIC RADIOLOGY

333 SOUTH 900 EAST SALT LAKE CITY UT 84102

CLINIC CALTON-HARRISON CLINIC-TRAUMA

4403 HARRISON BLVD STE 2400 OGDEN UT 84403

CLINIC PARK CITY HOSPITALISTS

900 ROUND VALLEY DRIVE PARK CITY UT 84060

CLINIC UTAH HEART

5169 COTTONWOOD STREET STE 520 MURRAY UT 84107

CLINIC INTERMOUNTAIN SURGICAL SPECIALISTS

5169 COTTONWOOD STREET STE 410 MURRAY UT 84107

SURGERY CENTER REDROCK PEDIATRICS

1380 E MEDICAL CENTER DRIVE STE 310 ST GEORGE UT 84790

CLINIC TOOELE INSTACARE

777 N MAIN STREET TOOELE UT 84074

CLINIC MCKAY DEE HOSPITALISTS

4401 HARRISON BLVD OGDEN UT 84403

CLINIC OGDEN CARDIOVASCULAR ASSOCIATES

4403 HARRISON BLVD STE 3835 OGDEN UT 84403

CLINIC HURRICANE VALLEY CLINIC

75 NORTH 2260 WEST HURRICANE UT 84737

CLINIC GORANG FAMILY PRACTICE

9720 SOUTH 1300 EAST STE E230 SANDY UT 84094

CLINIC SOUTH JORDAN CLINIC

11444 SOUTH REDWOOD ROAD SOUTH JORDAN UT 84095

CLINIC HOLLADAY CLINIC

6272 HIGHLAND DRIVE MURRAY UT 84121

CLINIC NORTHERN UTAH SURGEONS

4403 HARRISON BLVD STE 1635 OGDEN UT 84403

SURGERY CENTER LAYTON KIDSCARE

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC SEVIER VALLEY CLINIC

70 EAST 1000 NORTH RICHFIELD UT 84701

CLINIC INTERMOUNTAIN UROLOGICAL INSTITUTE

5169 COTTONWOOD STREET STE 420 MURRAY UT 84107

CLINIC MEMORIAL KIDSCARE

2000 SOUTH 900 EAST SALT LAKE CITY UT 84105

CLINIC UTAH VALLEY HEART & LUNG SURGICAL ASSOC

1134 NORTH 500 WEST STE 100 PROVO UT 84604

SURGERY CENTER MCKAY DEE INTERNAL MEDICINE CLINIC

4403 HARRISON BLVD OGDEN UT 84403

CLINIC UTAH VALLEY SPORTS MEDICINE

1157 NORTH 300 WEST PROVO UT 84604

CLINIC INTERMOUNTAIN NURSE MIDWIVES

5063 COTTONWOOD STREET STE 130 MURRAY UT 84107

CLINIC RICHFIELD FAMILY PRACTICE

460 NORTH MAIN STREET RICHFIELD UT 84701

CLINIC SALT LAKE WORKMED

1685 WEST 2200 SOUTH SALT LAKE CITY UT 84119

CLINIC SUNSET INSTACARE

1739 WEST SUNSET BLVD ST GEORGE UT 84770

CLINIC SOUTHWEST UROLOGY

1380 EAST MEDICAL CENTER DR STE 210 ST GEORGE UT 84790

CLINIC DRMC RADIATION ONCOLOGY

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC REDROCK SPINE & NEUROSURGERY CLINIC

652 S MEDICAL CENTER DR STE 115 ST GEORGE UT 84790

SURGERY CENTER MATERNAL FETAL MEDICINE SPECIALISTS

5121 COTTONWOOD STREET STE 100 MURRAY UT 84107

CLINIC INTERMOUNTAIN LIFETIME CLINIC

FREEPORT CENTER BLDG D-12 CLEARFIELD UT 84016

CLINIC NORTH VALLEY PEDIATRICS

212 SOUTH 1100 EAST AMERICAN FORK UT 84003

CLINIC RIM ROCK ORTHOPAEDICS

652 SOUTH MEDICAL CENTER DR STE 120 ST GEORGE UT 84790

CLINIC BEAR RIVER FAMILY MEDICINE

935 NORTH 1000 WEST TREMONTON UT 84337

CLINIC UTAH VALLEY NEONATOLOGY

1034 NORTH 500 WEST PROVO UT 84604

CLINIC CW ENDOCRINE & DIABETES

5169 COTTONWOOD ST STE 640 MURRAY UT 84107

CLINIC VALLEY VIEW HEART

200 NORTH 400 EAST PANGUITCH UT 84759

CLINIC AMERICAN FORK RADIATION ONOCOLOGY

170 NORTH 1100 EAST AMERICAN FORK UT 84003

CLINIC AVENUES SPECIALTY CLINIC

324 10TH AVE STE 100 SALT LAKE CITY UT 84103

CLINIC AMERICAN FORK MATERNAL FETAL MEDICINE

170 NORTH 1100 EAST AMERICAN FORK UT 84003

CLINIC BLOOD AND MARROW TRANSPLANTLEUKEMIA

8TH AVE AND C STREET SALT LAKE CITY UT 84143

CLINIC DIXIE MATERNAL FETAL MEDICINE

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC CANYON VIEW FAMILY PRACTICE

15 EAST 400 NORTH PAROWAN UT 84761

CLINIC MOUNTAIN VIEW PEDIATRICS

9720 SOUTH 1300 EAST STE 100 SANDY UT 84094

CLINIC ISOM PLASTIC SURGERY

1350 NORTH 500 EAST STE 310 LOGAN UT 84341

SURGERY CENTER LAYTON ORTHOPEDICS

2400 N WASHINGTON BLVD NORTH OGDEN UT 84414

CLINIC DIXIE SLEEP DISORDERS CENTER

652 S MEDICAL CENTER DR STE 310 ST GEORGE UT 84790

CLINIC TALYORSVILLE KIDSCARE

3845 WEST 4700 SOUTH TAYLORSVILLE UT 84129

CLINIC BUDGE SURGICAL SPEC

2400 N WASHINGTON BLVD NORTH OGDEN UT 84414

SURGERY CENTER ORTHOPEDIC SPECIALTY GROUP

3723 W 12600 SOUTH STE 460 RIVERTON UT 84065

CLINIC ORTHOPEDIC SPECIALTY GROUP-TRAUMA

5169 COTTONWOOD ST STE 430 MURRAY UT 84107

CLINIC SOUTH OGDEN CLINIC

975 CHAMBERS ST SOUTH OGDEN UT 84403

CLINIC BUDGE CLINIC GI

1300 NORTH 500 EAST STE 340 LOGAN UT 84341

CLINIC AMERICAN FORK HOSPITALISTS

170 NORTH 1100 EAST AMERICAN FORK UT 84003

CLINIC LOGAN WORKMED

412 NORTH 200 EAST LOGAN UT 84321

CLINIC DIXIE PLASTIC & RECONSTRUCTIVE SURGERY

652 S MEDICAL CENTER DR STE 300 ST GEORGE UT 84790

SURGERY CENTER UTAH HEART-AVH

9690 SOUTH 1300 EAST STE 200 SANDY UT 84094

CLINIC SOUTHWEST REGIONAL CANCER

1303 NORTH MAIN STREET CEDAR CITY UT 84720

CLINIC HEART RHYTHM SPECIALISTS

1233 EAST 2ND STREET CASPER WY 82601

CLINIC ST GEORGE WORKMED

385 NORTH 3050 EAST ST GEORGE UT 84790

CLINIC RIVERTON CAMPUS SLEEP PROGRAM

3723 WEST 12600 SOUTH STE 480 RIVERTON UT 84065

CLINIC MCKAY DEE HEART SERVICES CLINIC

4403 HARRISON BLVD STE 3450 OGDEN UT 84403

CLINIC SOUTHRIDGE INSTACARE

3723 WEST 12600 SOUTH STE 150 RIVERTON UT 84065

CLINIC OGDEN WORKMED

1355 WEST 3400 SOUTH OGDEN UT 84401

CLINIC CEDAR CITY WORKMED

962 SAGE DRIVE CEDAR CITY UT 84720

CLINIC HEART OF UTAH

4403 HARRISON BLVD STE 3400 OGDEN UT 84403

CLINIC MEDICAL TOWER FAMILY PRACTICE

5770 SOUTH 250 EAST STE 170 MURRAY UT 84107

CLINIC SANDY SLEEP DISORDERS

9600 SOUTH 1300 EAST SANDY UT 84094

CLINIC BOUNTIFUL INSTACARE

390 NORTH MAIN STREET BOUNTIFUL UT 84010

CLINIC MEMORIAL CLINIC

2000 SOUTH 900 EAST SALT LAKE CITY UT 84105

CLINIC UTAH VALLEY PEDIATRIC HOSPITALISTS

1034 NORTH 500 WEST PROVO UT 84604

CLINIC BUDGE CLINIC INTERNAL MEDICINE

1350 NORTH 500 EAST LOGAN UT 84341

CLINIC UTAH VALLEY HYPERBARIC & WOUND CARE

1034 NORTH 500 WEST PROVO UT 84604

CLINIC ALTA VIEW SENIOR CLINIC

9720 SOUTH 1300 EAST STE E240 SANDY UT 84094

CLINIC RIVER ROAD FAMILY PRACTICE

577 SOUTH RIVER ROAD ST GEORGE UT 84790

CLINIC SALT LAKE CLINIC

333 SOUTH 900 EAST SALT LAKE CITY UT 84102

CLINIC SOUTHERN UTAH BEHAVIORAL HEALTH

1054 E RIVERSIDE DR STE 202 ST GEORGE UT 84790

CLINIC SPRINGVILLE CLINIC

762 WEST 400 SOUTH SPRINGVILLE UT 84663

CLINIC SPORTS MEDICINE SPECIALISTS

280 NORTH MAIN STREET BOUNTIFUL UT 84010

CLINIC RIVER ROAD INSTACARE

577 SOUTH RIVER ROAD ST GEORGE UT 84790

CLINIC INTERMOUNTAIN PLASTIC SURGERY CENTER

5169 COTTONWOOD ST STE 410 MURRAY UT 84107

SURGERY CENTER EPHRAIM CLINIC

525 N MAIN STREET EPHRAIM UT 84627

CLINIC PROVO INSTACARE

1134 NORTH 500 WEST STE 102 PROVO UT 84604

CLINIC SANDY CLINIC

9500 SOUTH 1300 EAST SANDY UT 84094

CLINIC ALTA VIEW SPECIALTY CLINIC

9450 SOUTH 1300 EAST SANDY UT 84094

CLINIC NORTH OREM INSTACARE

1975 NORTH STATE STREET OREM UT 84057

CLINIC CENTRAL OREM CLINIC

505 WEST 400 NORTH OREM UT 84057

CLINIC AMERICAN FORK PULMONARY CRITICAL CARE

170 NORTH 1100 EAST AMERICAN FORK UT 84003

CLINIC DIXIE HOSPITALISTS

1380 EAST MEDICAL CENTER DR ST GEORGE UT 84790

CLINIC SOUTH SANDY CLINIC

955 EAST 11400 SOUTH SANDY UT 84094

CLINIC UTAH VALLEY VASCULAR SURGERY

1055 NORTH 300 WEST STE 205 PROVO UT 84604

SURGERY CENTER SUMMIT ORTHOPEDICS

4403 HARRISON BLVD STE 2600 OGDEN UT 84403

CLINIC HEALTH AND FITNESS PROGRAM

440 D STREET STE 206 SALT LAKE CITY UT 84103

CLINIC PHYSICAL MED AND REHAB

1159 EAST 200 NORTH STE 100 AMERICAN FORK UT 84003

CLINIC SOUTHWEST NEUROLOGY ASSOCIATES

652 SOUTH MEDICAL CENTER DR STE 320 ST GEORGE UT 84790

CLINIC DIXIE PULMONARY CRITICAL CARE

1380 EAST MEDICAL CENTER DR ST GEORGE UT 84790

CLINIC INTERMOUNTAIN NEUROSCIENCES INSTITUTE

5171 COTTONWOOD ST STE 810 MURRAY UT 84107

CLINIC KEARNS CLINIC

4946 WEST 6200 SOUTH KEARNS UT 84117

CLINIC AMERICAN FORK INTERNAL MED & DERMATOLOGY

1159 EAST 200 NORTH STE 150 AMERICAN FORK UT 84003

CLINIC BOUNTIFUL CLINIC

390 NORTH MAIN STREET BOUNTIFUL UT 84010

CLINIC DRAPER EXPRESS CARE

212 EAST 12300 SOUTH DRAPER UT 84020

CLINIC MEDICAL CENTER HOSPITALISTS

5121 COTTONWOOD ST MURRAY UT 84107

CLINIC PROVO RADIATION ONCOLOGY

1034 NORTH 500 WEST PROVO UT 84604

CLINIC INT NEUROSCIENCES

5121 COTTONWOOD ST MURRAY UT 84107

CLINIC SOUTHRIDGE PEDIATRICS

3723 WEST 12600 SOUTH STE 450 RIVERTON UT 84065

CLINIC UTAH VALLEY PULMONARY CLINIC

1055 NORTH 300 WEST STE 500 PROVO UT 84604

CLINIC COTTONWOOD ENDOCRINE & DIABETES CENTER

5770 SOUTH 250 EAST STE 310 MURRAY UT 84107

CLINIC BUDGE CLINIC PEDIATRICS

1350 NORTH 500 EAST LOGAN UT 84341

CLINIC BUDGE CLINIC SURGICAL SPECIALISTS

1350 NORTH 500 EAST LOGAN UT 84341

CLINIC CENTRAL OREM-NORTH CANYON OB

3200 NORTH CANYON RD STE C PROVO UT 84604

CLINIC SNOWBIRD CLINIC

HWY 210 LITTLE COTTONWOOD CANYON SNOWBIRD UT 84092

CLINIC SOUTHRIDGE CLINIC

3723 WEST 12600 SOUTH STE 270 RIVERTON UT 84065

CLINIC DIXIE HIGH RISK OB

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC MCKAY DEE FOOT & ANKLE CLINIC

4403 HARRISON BLVD STE 2835 OGDEN UT 84403

CLINIC UTAH VALLEY SPORTS MEDICINE

1159 EAST 200 NORTH STE 100 AMERICAN FORK UT 84003

CLINIC FILLMORE CLINIC

700 SOUTH HIGHWAY 99 STE 3 FILLMORE UT 84631

CLINIC UTAH VALLEY SPORTS MED

87 SMITH FIELD HOUSE PROVO UT 84602

CLINIC MURRAY INSTACARE

196 EAST WINCHESTER ST MURRAY UT 84107

CLINIC SOUTHERN UTAH SURGICAL

126 WHITE SAGE AVE DELTA UT 84624

SURGERY CENTER PARK CITY CLINIC

4000 CANYONS RESORT DRIVE PARK CITY UT 84098

CLINIC SALT LAKE INSTACARE

389 SOUTH 900 EAST SALT LAKE CITY UT 84102

CLINIC LOGAN HOSPITALISTS

1400 NORTH 500 EAST LOGAN UT 84341

CLINIC PARK CITY CLINIC

750 ROUND VALLEY DRIVE PARK CITY UT 84060

CLINIC ROCK CANYON PEDIATRIC SPECIALISTS

1055 NORTH 300 WEST STE 110 PROVO UT 84604

CLINIC SOUTHRIDGE OB-GYN

3723 WEST 12600 SOUTH STE 360 RIVERTON UT 84065

CLINIC CEDAR CITY CLINIC

1303 N MAIN STREET STE 3C CEDAR CITY UT 84720

CLINIC WEST JORDAN INSTACARE

2655 WEST 9000 SOUTH WEST JORDAN UT 84088

CLINIC SOUTHWEST CARDIOLOGY

1380 E MEDICAL CENTER DRIVE STE 150 ST GEORGE UT 84790

CLINIC SOUTHERN UTAH SURGICAL

224 NORTH 400 EAST PANGUITCH UT 84759

CLINIC MCKAY DEE RHEUMATOLOGY CLINIC

4403 HARRISON BLVD STE 3650 OGDEN UT 84403

CLINIC NORTH TEMPLE CLINIC

54 NORTH 800 WEST SALT LAKE CITY UT 84116

CLINIC ROSE CANYON CLINIC

5541 WEST 13400 SOUTH RIVERTON UT 84096

CLINIC BOUNTIFUL KIDSCARE

390 N MAIN STREET BOUNTIFUL UT 84010

CLINIC WASATCH OBGYN

4403 HARRISON BLVD STE 4815 OGDEN UT 84403

CLINIC DRMC ACUTE REHAB

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC MCKAY DEE INFECTIOUS DISEASE

4403 HARRISON BLVD STE 3630 OGDEN UT 84403

CLINIC OREM WORKMED

830 NORTH 980 WEST OREM UT 84057

CLINIC HEART RHYTHM SPECIALISTS

3100 CHANNING WAY IDAHO FALLS ID 83404

CLINIC TAYLORSVILLE CLINIC

3845 WEST 4700 SOUTH TAYLORSVILLE UT 84129

CLINIC ORTHOPEDIC SPECIALTY GROUP

324 10TH AVE STE 100 SALT LAKE CITY UT 84103

CLINIC NORTH CANYON FAMILY PRACTICE

3200 N CANYON RD STE D PROVO UT 84604

CLINIC INTERMOUNTAIN NURSE MIDWIVES

1105 WEST 1000 NORTH SALT LAKE CITY UT 84116

CLINIC CENTRAL ENT HEAD-NECK SURGERY

5169 COTTONWOOD ST STE 640 MURRAY UT 84107

SURGERY CENTER PARK CITY SPECIALTY

750 ROUND VALLEY DR STE 101 PARK CITY UT 84060

CLINIC UTAH VALLEY MATERNAL FETAL MEDICINE

1034 NORTH 500 WEST PROVO UT 84604

CLINIC UTAH HEART

900 ROUND VALLEY DR PARK CITY UT 84060

CLINIC INTERMOUNTAIN SENIOR CLINIC

5770 SOUTH 250 EAST STE 210 MURRAY UT 84107

CLINIC DIXON CLINIC

750 WEST 200 NORTH PROVO UT 84601

CLINIC SOUTHWEST CARDIOLOGY

110 WEST 1325 NORTH STE 100 CEDAR CITY UT 84721

CLINIC SPRINGVILLE WORKMED

385 SOUTH 400 EAST SPRINGVILLE UT 84663

CLINIC INT NEUROSCIENCES-INPATIENT

5171 COTTONWOOD ST STE 810 MURRAY UT 84107

CLINIC PROVO NEUROLOGICAL CLINIC-UVRMC

1034 NORTH 500 WEST PROVO UT 84604

CLINIC COTTONWOOD INTERNAL MEDICINE

5770 SOUTH 250 EAST STE 335 MURRAY UT 84107

CLINIC SEVIER VALLEY FP SVMC

1000 NORTH MAIN STREET RICHFIELD UT 84701

CLINIC DIXIE HIGH RISK FERTILITY

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC HEBER VALLEY CLINIC

1473 S HIGHWAY 40 STE E HEBER CITY UT 84032

CLINIC UTAH HEART

8TH AVE AND C STREET SALT LAKE CITY UT 84143

CLINIC ORTHOPEDIC SPECIALTY GROUP

5848 SOUTH 300 EAST STE 120 MURRAY UT 84107

CLINIC MEMORIAL INSTACARE

2000 SOUTH 900 EAST SALT LAKE CITY UT 84105

CLINIC HILLCREST PEDIATRICS

5063 COTTONWOOD ST STE 160 MURRAY UT 84107

CLINIC LINCOLN SCHOOL CLINIC

1090 ROBERTA ST SALT LAKE CITY UT 84111

CLINIC UTAH VALLEY ORTHO

1100 SOUTH MEDICAL SRIVE MT PLEASANT UT 84647

CLINIC SOUTH CACHE VALLEY CLINIC

190 SOUTH HIGHWAY 165 PROVIDENCE UT 84332

CLINIC MCKAY DEE BEHAVIORAL HEALTH

5030 HARRISON BLVD OGDEN UT 84403

CLINIC REDROCK SPINE & NEUROSURGERY

1303 NORTH MAIN ST CEDAR CITY UT 84720

CLINIC LOGAN MATERNAL FETAL MEDICINE

1400 NORTH 500 EAST LOGAN UT 84341

CLINIC INT HEART RHYTHM COTTONWOOD

5979 FASHION BLVD SALT LAKE CITY UT 84107

CLINIC HOLLADAY INSTACARE

6272 HIGHLAND DRIVE MURRAY UT 84121

CLINIC PARK CITY SPECIALTY

900 ROUND VALLEY DR STE 200 PARK CITY UT 84060

CLINIC SANDY INSTACARE

9493 SOUTH 700 EAST SANDY UT 84070

CLINIC SOUTHWEST RHEUMATOLOGY ASSOCIATES

577 SOUTH RIVER ROAD ST GEORGE UT 84790

CLINIC HOLLADAY PEDIATRICS NORTH

2160 EAST 4500 SOUTH SALT LAKE CITY UT 84117

CLINIC BUDGE CLINIC OBSTETRICS & GYNECOLOGY

1400 NORTH 500 EAST LOGAN UT 84341

CLINIC SARATOGA SPRINGS FAMILY PRACTICE

354 WEST STATE ROAD 73 SARATOGA SPRINGS UT 84043

CLINIC NORTHERN UTAH PEDIATRICS

4403 HARRISON BLVD STE 4875 OGDEN UT 84403

CLINIC HOLLADAY PEDIATRICS

2180 EAST 4500 SOUTH STE 210 SALT LAKE CITY UT 84117

CLINIC HEART RHYTHM SPECIALISTS

5169 COTTONWOOD ST STE 510 MURRAY UT 84107

CLINIC FARMINGTON EXPRESSCARE

1316 NORTH HIGHWAY 89 FARMINGTON UT 84025

CLINIC ZION ORTHOPAEDICS & SPORTS MEDICINE

652 S MEDICAL CENTER DR STE 400 ST GEORGE UT 84790

CLINIC NEIGHBORHOOD CLINIC-SORENSON CENTER

855 WEST CALIFORNIA AVE SALT LAKE CITY UT 84104

CLINIC CANYON VIEW ORTHOPEDICS & ASSOC

1300 NORTH 500 EAST STE 130 LOGAN UT 84341

CLINIC INTERMOUNTAIN SLEEP PROGRAM TOSH

5770 SOUTH 250 EAST STE 340 MURRAY UT 84107

CLINIC ALTA VIEW NURSE MIDWIVES

9600 SOUTH 1300 EAST STE 310 SANDY UT 84094

CLINIC DIXIE NEONATOLOGY

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC SANDY OBGYN

9600 SOUTH 1300 EAST STE 308 SANDY UT 84094

CLINIC UTAH VALLEY PSYCHIATRY AND COUNSEL

1034 NORTH 500 WEST PROVO UT 84604

CLINIC WASATCH OBGYN

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC RIM ROCK ORTHOPAEDICS

75 NORTH 2260 WEST HURRICANE UT 84737

CLINIC PRIMARY CHILDREN'S RADIATION ONCOLOGY

100 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84113

CLINIC COTTONWOOD FAMILY PRACTICE

5872 SOUTH 900 EAST STE 100 MURRAY UT 84121

CLINIC MCKAY DEE CARDIO-ID HEART INSTITUTE

2985 CORTEZ AVE IDAHO FALLS ID 83404

CLINIC MORONI CLINIC

51 EAST MAIN STREET MORONI UT 84646

CLINIC UTAH VALLEY HEART LUNG & VEIN

1134 NORTH 500 WEST PROVO UT 84604

CLINIC MCKAY DEE PEDS CS SEDATION

4401 HARRISON BLVD OGDEN UT 84403

CLINIC SOUTH SEVIER CLINIC

539 SOUTH MAIN STREET MONROE UT 84754

CLINIC LOGAN INSTACARE

412 NORTH 200 EAST LOGAN UT 84321

CLINIC OREM MIDWIFERY

527 WEST 400 NORTH STE 4 OREM UT 84057

CLINIC MCKAY DEE CARDIOLOGY CLINIC

4403 HARRISON BLVD STE 3490 OGDEN UT 84403

CLINIC CALTONHARRISON ORTHOPEDIC CLINIC

4403 HARRISON BLVD STE 2400 OGDEN UT 84403

CLINIC SARATOGA SPRINGS INSTACARE

354 WEST STATE ROAD 73 SARATOGA SPRINGS UT 84043

CLINIC ORTHOPEDIC SPECIALTY GROUP

9450 SOUTH 1300 EAST STE 120 SANDY UT 84094

CLINIC HEART RHYTHM SPECIALISTS

196 EAST 2000 NORTH TOOELE UT 84074

CLINIC LAYTON CLINIC

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC LDS CAMPUS SLEEP-ST JOSEPH'S VILLA

451 BISHOP FEDERAL LANE SALT LAKE CITY UT 84115

CLINIC ALTA VIEW SLEEP PROGRAM

9660 SOUTH 1300 EAST SANDY UT 84094

CLINIC NORTHERN UTAH KIDSCARE

4403 HARRISON BLVD STE 4875 OGDEN UT 84403

CLINIC ALTA VIEW PLASTIC SURGERY SPEC

9450 SOUTH 1300 EAST SANDY UT 84094

SURGERY CENTER UTAH VALLEY PULMONARY-CRITICAL CARE

1055 NORTH 300 WEST STE 500 PROVO UT 84604

CLINIC SPRINGVILLE INSTACARE

762 WEST 400 SOUTH SPRINGVILLE UT 84663

CLINIC HEART RHYTHM SPECIALISTS

1300 NORTH 500 EAST STE 320 LOGAN UT 84341

CLINIC PARK CITY ALLERGY CLINIC

750 ROUND VALLEY DR STE 101A PARK CITY UT 84060

CLINIC UTAH VALLEY ORTHOPAEDICS

10968 NORTH ALPINE HWY HIGHLAND UT 84003

CLINIC SOUTHERN UTAH SURGICAL

700 SOUTH HIGHWAY 99 FILLMORE UT 84631

CLINIC UTAH VALLEY SPORTS MED

800 WEST UNIVERSITY PKWY OREM UT 84058

CLINIC HEART RHYTHM SPECIALISTS POCATELLO

777 HOSPITAL WAY STE 101 POCATELLO ID 83201

CLINIC NORTH SEVIER MEDICAL CLINIC

530 NORTH 250 WEST SALINA UT 84654

CLINIC MT PLEASANT

126 WHITE SAGE AVE DELTA UT 84624

CLINIC MCKAY DEE NEURO-HOSPITALISTS

4403 HARRISON BLVD OGDEN UT 84403

CLINIC DIXIE ENDO-DIABETES CLINIC

348 EAST 600 SOUTH ST GEORGE UT 84770

CLINIC US SYNTHETIC CLINIC

1260 SOUTH 1600 WEST OREM UT 84058

CLINIC MCKAY DEE CARDIO-EASTERN IDAHO

2001 S WOODRUFF AVE STE 12 IDAHO FALLS ID 83404

CLINIC UTAH VALLEY MFM-ONCOLOGY

1034 NORTH 500 WEST PROVO UT 84604

CLINIC SOUTHWEST REGIONAL CANCER CLINIC

544 SOUTH 400 EAST ST GEORGE UT 84770

CLINIC LAYTON INSTACARE

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC MCKAY DEE URO-GYNECOLOGY CLINIC

4403 HARRISON BLVD STE 4440 OGDEN UT 84403

CLINIC BUDGE CLINIC RADIOLOGY

1350 NORTH 500 EAST LOGAN UT 84341

CLINIC DIXIE INFECTIOUS DISEASE CLINIC

1380 E MEDICAL CENTER DR STE 2300 ST GEORGE UT 84790

CLINIC PULMONARY ST GEORGE

110 WEST 1325 NORTH STE 100 CEDAR CITY UT 84721

CLINIC BEAR RIVER SPECIALISTS

935 NORTH 1000 WEST TREMONTON UT 84337

CLINIC SNOWBASIN CLINIC

3925 E SNOWBASIN DRIVE HUNTSVILLE UT 84317

CLINIC SOUTHWEST RHEUMATOLOGY ASSOC

577 SOUTH RIVER ROAD ST GEORGE UT 84790

CLINIC PARK CITY SLEEP DISORDERS CLINIC

750 ROUND VALLEY DR STE 101A PARK CITY UT 84060

CLINIC EAST MILLCREEK EXPRESSCARE

3215 SOUTH VALLEY STREET SALT LAKE CITY UT 84109

CLINIC UTAH HEART

3741 WEST 12600 SOUTH RIVERTON UT 84065

CLINIC ALTA VIEW MATERNAL FETAL MEDICINE

9660 SOUTH 1300 EAST SANDY UT 84094

CLINIC LAYTON ORTHOPEDICS

2075 UNIVERSITY PARK BLVD LAYTON UT 84041

CLINIC HEART RHYTHM SPECIALISTS

5292 COLLEGE DR STE 200 MURRAY UT 84123

CLINIC UTAH VALLEY PEDIATRIC SPECIALTY

1035 NORTH 500 WEST PROVO UT 84604

CLINIC UTAH VALLEY INTERNAL MEDICINE

1134 NORTH 500 WEST 101 PROVO UT 84604

CLINIC SOUTHWEST CARDIOLOGY-EP

1380 E MEDICAL CENTER DR STE 4100 ST GEORGE UT 84790

CLINIC AMERICAN FORK PULMONARY CLINIC

170 NORTH 1100 EAST AMERICAN FORK UT 84003

CLINIC RIVER ROAD INTERNAL MEDICINE

577 SOUTH RIVER ROAD ST GEORGE UT 84790

CLINIC MCKAY DEE RADIATION ONCOLOGY

4401 HARRISON BLVD OGDEN UT 84403

CLINIC BEAR RIVER SPECIALISTS

150 NORTH 200 WEST MALAD ID 83252

CLINIC MOUNTAIN VIEW PEDIATRICS KIDS CARE

9720 SOUTH 1300 EAST STE 100 SANDY UT 84094

CLINIC MCKAY DEE SURGICAL CENTER LLC

3903 HARRISON BLVD OGDEN UT 84403

OUTPATIENT SURGERY CENTER FINANCIAL ASSISTANCE ELIGIBILITY FORM 990, SCHEDULE H, PART I, LINE 3C MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO INDIVIDUALS AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD ARE RESPONSIBLE FOR ONLY A MINIMUM CO-PAY. EVIDENCE HAS SHOWN THAT PATIENTS WHO PAY SOMETHING, EVEN VERY SMALL AMOUNTS, ARE MORE LIKELY TO FOLLOW THE MEDICAL RECOMMENDATIONS GIVEN TO THEM BY PROVIDERS. PATIENTS WHO ARE NOT ABLE TO CONTRIBUTE ANYTHING WILL NOT BE REQUIRED TO CONTRIBUTE AND WILL STILL RECEIVE CARE. A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 150% AND 500% OF FPG. BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F) AMOUNT OF BAD DEBT EXPENSE INCLUDED ON THE FORM 990, PART IX, LINE 25: $206,828,911. COMMUNITY BENEFITS COSTING METHODOLOGIES FORM 990, SCHEDULE H, PART I, LINE 7 The financial assistance at cost (line 7a) was calculated using the cost to charge ratio derived from Worksheet 2 of the Schedule H instructions. The unreimbursed Medicaid (line 7b) was principally calculated using the filing organization's internal cost accounting system. The expenses reported for community health improvement (line 7e), health professions education (line 7f), and the cash and in-kind contributions include only the direct expenses associated with each activity. The indirect expenses associated with these activities were not reported. The expenses associated with research (Line 7h) were calculated using the same methodology used for grant progress reporting to the Federal government. COMMUNITY BUILDING ACTIVITES FORM 990, SCHEDULE H, PART II HEALTH SERVICES REPORTED COALITION BUILDING AND WORKFORCE DEVELOPMENT DETAILS ON SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES. COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. HEALTH SERVICES PARTICIPATES IN STATEWIDE SAFEKIDS COALITIONS TO PROMOTE AWARENESS AND USE OF CHILD SEAT BELTS AND TRAFFIC AND BICYCLE SAFETY AND IN THE NATIONWIDE LIVE WELL CAMPAIGN. HEALTH SERVICES ALSO PARTICIPATES IN DIABETES-RELATED COALITIONS TO HELP REDUCE THE INCIDENCE OF DIABETES IN CHILDREN AND ADULTS. HEALTH SERVICES EMPLOYEES UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES. HEALTH SERVICES ALSO RECRUITED PHYSICIANS TO MEDICALLY UNDERSERVED AREAS IN RURAL SETTINGS TO MEET THE HEALTHCARE NEEDS OF RESIDENTS IN RURAL SETTINGS, THEREBY HELPING REDUCE BARRIERS TO ACCESSING CARE. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE CURRICULUM DEVELOPMENT ACTIVITIES FOR HIGH SCHOOL STUDENTS FOR WHICH THEY RECEIVE SCHOOL CREDIT FOR HEALTH CAREERS TRAINING THAT LEADS TO COLLEGE-LEVEL EDUCATION. BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART III, LINES 2 - 3 The allowance for Bad debts on the filing organization's financial statements is estimated using a balance sheet approach based on both the payor mix and the age of the receivables. The underlying accounts receivables used in the analysis are recorded at the current outstanding balance. When a patient or responsible party is uninsured or under-insured and expresses either concern about their ability to pay or interest in applying for financial assistance, Health Services' staff are educated to give the patient an application for financial assistance and instructions for completing and returning the application, and to code the patient's account "Pending Financial Assistance". In situations where the patient fails to return the application and the account progresses through the collections cycle to bad debts, the account will be written off as bad debt. Accounts in bad debts with the code described above may have qualified for financial assistance had the patient or responsible party followed through and applied for assistance. The charity care amounts included in the financial statements are separate and distinct from bad debt expense, which generally represents patient services revenues that are not collectible due to either an unwillingness to pay by those responsible for payment, or an inability by Health Services to obtain documentation from those responsible for payment that would substantiate the patient's qualification for charity consideration. Bad debt expense is reflected in the consolidated statements of operations and changes in net assets and was $206.8 million and $193.0 million for the years ended December 31, 2012 and 2011, respectively. TEXT OF BAD DEBT FOOTNOTE FORM 990, SCHEDULE H, PART III, LINE 4 BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE COMPANY'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNWILLING TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, THE COMPANY RECORDS AN ESTIMATED PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE RENDERED TO UNINSURED AND UNDERINSURED PATIENTS. MANAGEMENT ESTIMATES THE PROVISION FOR BAD DEBTS BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS FOR EACH MAJOR PAYER SOURCE. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF ALLOWANCES FOR BAD DEBTS BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS FOR EACH MAJOR PAYER. MEDICARE SHORTFALL FORM 990, SCHEDULE H, PART III, LINES 5-7 The Medicare allowable costs on Part III, line 6 are based on the Medicare Cost Reports, which are significantly different from total financial statement expenses. Medicare's "allowable costs" exclude commonly incurred business expenses such as interest, research, public relations, etc. In addition, the amounts do not fully reflect the filing organization's participation in Medicare programs. For example, the following is a partial list of activities that are not currently included in the Schedule H calculation: - Physician Services Billed by the Filing Organization - Medicare Parts C and D (Medicare Advantage and Prescription Drug Coverage) - Fee Schedule Services (e.g., Outpatient Clinical Laboratory and Therapy Services, etc.) - Durable Medical Equipment and Home IV Therapy Services Inclusion of all expenses associated with Medicare activities would make a significant difference in the filing organization's calculation. If the additional activities were reportable on Schedule H, it is estimated that the filing organization's Medicare shortfall would total approximately $193.2 million, a difference of $172.3 million from the amount disclosed on Part III of the Schedule H. MEDICARE COSTING METHODOLOGY FOR 990, SCHEDULE H, PART III, LINE 8 Total direct and overhead costs for each cost center are divided by the corresponding total patient revenue to determine cost/charge ratios. The cost/charge ratios are multiplied by the applicable Medicare charges to determine Medicare costs. Allowable costs for routine areas are calculated based on per diem costs (i.e., (total costs / total days) x Medicare days). The methodology described in the instructions to Schedule H, part III, section b, line 6 does not take into account all of the associated costs incurred by Health Services' hospitals for the services provided and does not represent the total community benefit conferred in this area. The Medicare surplus reflected on schedule H, part III, section b is determined using information from the Organization's Medicare cost reports (using the Medicare cost report step-down methodology). Medicare shortfalls should be treated and reported on Schedule H as a Community benefit for the following reasons: (1) Absent the Medicare program, it is likely many of the individuals would qualify for charity care or other needs-based government programs; (2) By accepting payment below cost to treat these individuals, the burdens of government are relieved; (3) A significant possibility exists that continued reduction in Medicare reimbursement may actually create difficulties in access for these individuals; and (4) The amount spent to cover the reported Medicare shortfall is money not available to cover charity care and other community benefit needs. BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS FORM 990, SCHEDULE H, PART V, LINE 12 CATASTROPHIC ASSISTANCE. HEALTH SERVICES ATTEMPTS TO LIMIT AN INDIVIDUAL'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS HOUSEHOLD ANNUAL INCOME. EXTENUATING CIRCUMSTANCES. SINCE EACH INDIVIDUAL'S PERSONAL CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILTY FOR FINANCIAL ASSISTANCE. PUBLICATION OF THE FINANCIAL ASSISTANCE POLICY FORM 990, SCHEDULE H, PART V, LINE 14 SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY. ELIGIBILITY COUNSELORS ASSSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENT'S PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS. SIGNS ARE POSTED IN PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DO NOT HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT IHC HEALTH SERVICES' FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED. INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE FORM 990, SCHEDULE H, PART V, LINE 20 Health Services provides an automatic discount of 25% to uninsured patients, including those who qualify under the financial assistance program. This discount approximates the average negotiated rates charged to commercial insurance companies. An additional 15% discount is available to patients who qualify for financial assistance if payment is made in full at the time of service. This combined discount of 40% is in excess of the best negotiated rates for insured patients. Rates charged to under-insured patients who qualify for financial assistance are consistent with the commercially negotiated rate of that individual's insurance carrier. Final amounts billed to patients who qualify for financial assistance are based on the patients' ability to pay as determined under Health Services' financial assistance policy. COMMUNITY HEALTH NEEDS ASSESSMENT FORM 990, SCHEDULE H, PART VI, LINE 2 During 2012, Health Services and its 21 hospitals began a Community Health Needs Assessment (CHNA) to identify healthcare needs in each hospital community, focusing in particular on the healthcare needs of the low-income residents in each hospital community and to satisfy specific requirements of the Patient Protection and Affordable Care Act (PPACA). The CHNA was completed during 2013 prior to the filing of this return. Health Services conducted the CHNA in two parts, 1) community input meetings, and 2) health indicator data review to identify healthcare needs of each of its hospital communities. Based on the community healthcare needs identified, and in consultation with Health Services' nonprofit and government partners, the hospitals developed three-year implementation plans to address priority healthcare needs identified through the CHNA. The CHNA priorities align with Healthy People 2020 goals: 1) Improve the prevention, detection, and treatment of chronic diseases associated with weight and unhealthy behaviors; 2) Improve access to comprehensive, high-quality healthcare services for low-income populations; and 3) Improve appropriate behavioral health services for low-income populations. A fourth health priority was added to the CHNA especially for Primary Children's Medical Center, a pediatric specialty hospital, and the community the hospital serves: 4) Improve accident and injury prevention for children and adolescents. CHNA Part One: Community Input Meetings Community input meetings were convened by each hospital to elicit observations and comments about how each of the health priorities affected the community. Participants were identified by hospital staff with consultation from the Central Office Community Benefit Department staff. Participants recieved hospital community information for each of the health priorities to help prompt thoughtful discussion for each of the health priorities and to identify successful strategies to address health priorities. Participants represented the hospital and the broad community including: - behavioral health provider agency staff - county or state health department staff - higher education faculty and/or staff - hospital governing board members - hospital staff - human service agency staff - local school district staff - low-income advocates - residents of the hospital neighborhood - retired business people - safety-net clinic staff - small business owners CHNA Part Two Health Services' clinical leaders identified health indicators for each of the four health priorities identified in the CHNA. Health Services' planning staff provided the zip codes that define the primary market area for each of its 21 hospitals which were used to clearly delineate each hospital's "community." Research department staff collaborated with the Utah Department of Health and the Idaho Department of Health and Welfare to assemble available data for health indicators for each hospitals communities'. Data were drawn from the Behavioral Risk Factor Surveillance System, Vital Records Statistics, and State Hospital Discharge Data. Two or three years of data were aggregated together for each indicator to achieve a large enough sample size to create health indicators in each hospital community. A report containing scores on each health indicator for each community and a summary of the community input meetings was presented to hospital administration and their Community Benefit leadership, which was used with the summaries of the community input meetings for the next step, implementation planning based on the CHNA results. Implementation Planning: Results of the two-part CHNA were used to develop three-year implementation plans with Community Benefit and hospital leaders, planners, administrators, governing board members, and community members with an expertise in health. Each Hospital team identified local health needs that aligned with hospital-specific programs, resources and priorities, and opportunities to make measurable health improvement in the community. Each Planning team identified potential collaborative partnerships with county and/or state health departments, schools, health coalitions, and other advocacy agencies engaged in health initiatives focused on one of the four health priorities. The implementation plans include evidence-based strategies for addressing health needs; each plan includes an outline of strategies and outcome measures beginning 2013 through 2015. Each of the annual strategies is also an annual Community Benefit goal, part of the Health Services' Community Stewardship goal for each hospital. Annual goals are tracked and reported quarterly through internal reporting processes so that the status of each goal will be reported to hospital leadership, hospital governing boards, Health Services' senior leadership and Board of Trustees. Hospital implementation plans were reviewed by the hospital governing board and signed by 1) the person accountable for the implementation plan, 2) the hospital administrator (also accountable for achieving the goals over the next three years), and 3) the governing board chair. Needs identified and not addressed in Hospital Implementation Plans: Health Services is addressing the identified health priorities concurrent with the Implementation Plans (established by each of its 21 hospitals) as a system. In addition, Health Services provides funding through grants, in-kind contributions, and other cash contributions to help support access to healthcare. Because appropriate access to behavioral health services is a challenge to low-income people in many geographic areas, Health Services is partnering with community agencies to create access to services. Currently, community networks are serving or are in development in four urban geographic areas. Health Services is piloting a telehealth psychiatric service for its rural hospitals. HEALTH SURVEY DATA SOURCES: - Chronic Diseases at a Glance, National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, U.S. Department of Health and Human Services, 2009. - Utah Burden of Chronic Disease, National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, U.S. Department of Health and Human Services, 2008. - Behavioral Risk Factor Surveillance Survey, Utah, 2007, 2008, 2009, and 2010. - Healthy People 2020, www.healthypeople.gov - 2012 Utah Statewide Health Status Report, Utah Department of Health, January 2013 - Internal Case Mix Data, Intermountain Healthcare, 2011 - Kessler, R.C, Chiu W, Demler O., et al. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005 Jun; 62(6):617-27. - Utah Healthcare Access Survey. Population Estimates: UDOH Office of Public Health Assessment. Estimates are for 2007 year. - Holzer, C.E., & Nguyen, H.T. (2008). Synthetic Estimates of Mental Health Needs for Utah (based on the Collaborative Psychiatric Epidemiological Surveys and the U.S. Census 2009 Population Estimate), from www.charles.holzer.com. - Utah Health Status Update, Teen and Adult Suicide, Utah Department of Health, July 2008. - Vital Signs; Unintentional Injury Deaths Among Persons Aged 0-19 years-US, 2000-2009, Centers for Disease Control and Prevention, April 16, 2012. 16, 2012. years-US, 2000-2009, Centers for Disease Control and Prevention, April 16, 2012. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FORM 990, SCHEDULE H, PART VI, LINE 3 & part v, line 18e BY POLICY, HEALTH SERVICES PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY ON THE BASIS OF MEDICAL NEED WITHOUT REGARD TO RACE, RELIGION, GENDER, AGE, OR ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE MEDICALLY NECESSARY AND GENERALLY AVAILABLE AT THE HOSPITALS AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY. ELIGIBILITY COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENTS' PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS. SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED. COMMUNITY INFORMATION FORM 990, SCHEDULE H, PART VI, LINE 4 HEALTH SERVICES OPERATES 22 HOSPITALS (21 OWNED AND ONE, GARFIELD MEMORIAL HOSPITAL, MANAGED BY HEALTH SERVICES) AND 320 CLINICS THROUGHOUT UTAH AND SOUTHERN IDAHO. THE HOSPITALS AND CLINICS VARY IN SIZE AND SERVICES BASED ON THE INDIVIDUAL NEEDS OF EACH COMMUNITY ranging FROM URBAN SETTINGS TO RURAL AREAS in Utah and southern Idaho. Five hospitals are Critical Access hospitals: Cassia Regional Medical Center in Burley, Idaho; Delta Community Medical Center in Delta, Utah; Fillmore Community Medical Center in Fillmore, Utah; Heber Valley Medical Center in Heber, Utah; and Sanpete Valley Hospital in Mount Pleasant, Utah. AN ADDITIONAL 24 HOSPITALS ALSO PROVIDE SERVICES in Utah. BASED ON 2012 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 2.8 MILLION INDIVIDUALS, 2.1 MILLION OF WHICH LIVE ALONG THE WASATCH FRONT, ENCOMPASSING THE OGDEN TO PROVO METROPOLITAN AREA. THE AREA REPRESENTS A RELATIVELY YOUNGER POPULATION THAN THE NATIONAL AVERAGE (31.2% OF THE POPULATION is UNDER 18 YEARS OLD WHILE ONLY 9% is 65 YEARS AND OLDER). EDUCATION LEVELS ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE - 90.6% OF THE POPULATION ARE HIGH SCHOOL GRADUATES AND 29.6% HAVE A BACHELOR'S DEGREE OR HIGHER. THE 2011 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $57,783. About 11.4% OF THE POPULATION LIVED AT OR BELOW POVERTY LEVELS. About 9% OF THE POPULATION WAS ENROLLED IN MEDICAID (OVER HALF OF WHICH WERE CHILDREN); 10% WAS ENROLLED IN MEDICARE; AND 59% WAS ENROLLED IN EMPLOYER-SPONSORED HEALTH INSURANCE. About 14% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE. AS OF SEPTEMBER 2011, FOUR OF UTAH'S COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED POPULATIONS. NINE OF THE COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED AREAS. AN ADDITIONAL SIX COUNTIES WERE LISTED AS PARTIAL COUNTY MEDICALLY UNDERSERVED AREAS OR POPULATIONS. NINE OF THE COUNTIES WERE DESIGNATED AS FULL OR PARTIAL COUNTY HEALTH PROFESSIONAL SHORTAGE AREAS. THERE ARE 44 HOSPITALS IN THE SERVICE AREA. PROMOTION OF COMMUNITY HEALTH FORM 990, SCHEDULE H, PART VI, LINE 5 THE MAJORITY OF HEALTH SERVICES' GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN ITS SERVICE AREA, REPRESENTING BROAD COMMUNITY PERSPECTIVES. HEALTH SERVICES EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITIES SERVED. AS AN ORGANIZATION EXEMPT UNDER IRC SEC 501(C)(3), SURPLUS FUNDS OF HEALTH SERVICES ARE REINVESTED BACK INTO THE COMMUNITY TO IMPROVE PATIENT CARE BY UPGRADING FACILITIES AND EQUIPMENT AND BY PROVIDING CHARITY CARE AND SIMILAR COMMUNITY BENEFIT ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITIES. Affiliated health care system FORM 990, SCHEDULE H, Part VI line 6 The parent organization, Intermountain Health Care, Inc., is a 501(c)(3) ORGANIZATION that promotes community healthcare through coordinating the activities of and providing support to Health Services and its other affiliated subsidiaries. Medical services for the communities served are provided through the hospitals and clinics of IHC Health Services. Its mission is "Excellence in the provision of healthcare services to communities in the intermountain region." A more detailed account of Health Services' activities is available on Form 990, Part III and Schedule O. The Intermountain Healthcare Foundation and Intermountain Community Care Foundation make grants to local nonprofit agencies that provide direct medical, dental, and mental health services for low-income, uninsured or medically-underserved populations. Health Services has partnered with qualified physicians to form the McKay Dee Surgical Center, LLC, an organization that provides surgical services on an outpatient basis in the Ogden Utah area. SelectHealth, Inc. has as its purpose the development and operation of alternative healthcare delivery plans and financing systems to provide cost-effective and high quality care to participating employer groups and individuals as well as the conducting of research and educational demonstration projects. The Healthcare Captive Insurance Company is engaged in underwriting the liabilities of Intermountain Health Care, Inc. and certain affiliates in excess of their self-insured limits. The two remaining entities, IHC Professional Services, Inc. and IHC Management Co. are either inactive or have a de minimis level of activity. COMMUNITY BENEFIT REPORT FORM 990, SCHEDULE H, PART VI, LINE 7 HEALTH SERVICES FILES COMMUNITY BENEFIT REPORTS (OR "CHARITY PLANS") WITH EACH COUNTY IN UTAH WHERE HOSPITALS ARE LOCATED AS REQUIRED BY THE UTAH NONPROFIT HOSPITAL AND NURSING HOME PROPERTY TAX EXEMPTION STANDARDS. HEALTH SERVICES HAS ONE HOSPITAL IN IDAHO, CASSIA REGIONAL MEDICAL CENTER; IDAHO DOES NOT HAVE STATE NONPROFIT HOSPITAL COMMUNITY BENEFIT REPORTING REQUIREMENTS. DEBT COLLECTION POLICY FORM 990, SCHEDULE H, PART III, LINE 9A & B Health Services recognizes its responsibility to manage the cost of healthcare by asking those who can pay to do so and is committed to assisting patients by providing various options for resolving their financial obligation, including discounts for the uninsured, time payment plans, and reduced or waived responsibility through financial assistance. Health Services also assists patients who are potentially eligible for government assistance programs to apply for such assistance. Delinquent accounts may be referred to external collection agencies only after reasonable attempts are made to contact the responsible party and no arrangement has been made to pay the account balance. Such agencies are expected to treat patients with the same respect and dignity that Health Services affords its patients. For example, contacts by the agencies will include financial assistance options to patients unable to pay. Agencies are restricted to legal proceedings to collect debts in limited circumstances and may only do so upon approval by Health Services. STRONGER MEASURES SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY. true AMERICAN CANCER SOCIETY GREAT WEST DIV 2120 1ST AVE N SEATTLE WA 98109 841316555 501(C)(3) 752000 FMV REAL ESTATE CANCER RESEARCH FAMILY COUNSELING CENTER 5250 S COMMERCE DR STE 250 MURRAY UT 84107 870212455 501(C)(3) 12000 SUPPORT COUNSELING SERVICES INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE STE 2200 SLC UT 84111 870269232 501(c)(3) 650000 SUPPORT COMMUNITY HEALTH RONALD MCDONALD HOUSE 935 EAST SOUTH TEMPLE SLC UT 84102 742386043 501(C)(3) 10000 SUPPORT COMMUNITY PROGRAMS SALT LAKE CITY 451 SOUTH STATE STREET SLC UT 84111 876000279 GOV 38887 FMV OPTICOM UNIT OPTICOM DEVICES SALT LAKE COUNTY 2001 SOUTH STATE STREET SLC UT 84414 876000316 GOV 5000 25925 FMV OPTICOM UNIT SUPPORT COMM HEALTH SALT LAKE HEAD START 1307 SOUTH 900 WEST SLC UT 84104 870269683 501(c)(3) 17500 HEAD START MEDICAL CLINIC UTAH FAMILIES FOUNDATION 9160 S 300 W SUITE 21 SANDY UT 84070 870509416 501(C)(3) 40000 SUPPORT CHILDREN'S HEALTHCARE UTAH HISPANIC BUSINESS LEADERSHIP FOUND 1635 S REDWOOD ROAD SLC UT 84101 550801305 501(C)(3) 7500 SCHOLARSHIPS WASATCH MENTAL HEALTH 750 N 200 W STE 300 PROVO UT 84601 450531249 501(C)(3) 15000 SUPPORT MENTAL HEALTH INTERMOUNTAIN RESEARCH & MEDICAL FOUNDATION 5121 SOUTH COTTONWOOD MURRAY UT 84107 237062016 501(C)(3) 416667 SUPPORT COMM HEALTH INTERMOUNTAIN HEALTHCARE FOUNDATION 36 S STATE ST SUITE 2200 SLC UT 84111 800225150 501(C)(3) 5501035 SUPPORT COMMUNITY HEALTH FAMILY HEALTHCARE (HURRICANE SCHOOL CLINIC) 25 N 100 E STE 102 ST GEORGE UT 84770 GOV 130000 SUPPORT SCHOOL CLINIC SEALANTS FOR SMILES 5373 S GREEN ST 4TH FLOOR SLC UT 84123 208857514 501(C)(3) 100000 DENTAL PROGRAM SALT LAKE EDUCATION FOUNDATION 400 EAST 100 SOUTH SLC UT 84111 742563849 501(C)(3) 180000 NEW CLINIC WASATCH MENTAL HEALTH 750 NORTH 200 WEST PROVO UT 84601 800059518 GOV 20000 MENTAL HEALTH CARE MIDTOWN COMMUNITY HEALTH CENTER 2240 ADAMS AVE OGDEN UT 84401 870540039 501(C)(3) 10000 SUPPORT COMM HEALTH UNITED WAY OF SALT LAKE 257 EAST 200 SOUTH SUITE 300 SLC UT 84111 870227091 501(C)(3) 750000 SUPPORT HEALTHCARE ASSOC FOR UTAH COMMUNITY HEALTH 860 EAST 4500 SOUTH SUITE 206 SLC UT 84107 870430946 501(C)(3) 90000 SUPPORT COMMUNITY HEALTH UTAH COMMISSION ON VOLUNTEERS 655 WEST CENTER STREET MIDVALE UT 84047 GOV 35000 COMM HEALTH SCREENINGS PROVO CITY 351 WEST CENTER STREET PROVO UT 84603 876000266 gov 50000 SUPPORT EXERCISE PROGRAMS THANKSGIVING POINT 3003 NORTH THANKSGIVING WAY LEHI UT 84043 841416158 501(C)(3) 300000 LIVE WELL PROGRAMS UTAH STATE DEPARTMENT OF HEALTH PO BOX 14101 SLC UT 84114 876000545 GOV 550000 SUPPORT CLINIC PROGRAMS MCKAY DEE HOSPITAL FOUNDATION 4401 HARRISON BLVD OGDEN UT 84403 876135827 501(C)(3) 215414 SUPPORT HOSPITAL SERVICES THE FOUNDATION OF DIXIE REG MED CENTER 1380 E MEDICAL CENTER DR ST GEORGE UT 84790 942638220 501(C)(3) 25000 SUPPORT HOSPITAL 25 Monitoring Grant Funds in the United States Form 990, Schedule I, Part I, Line 2 BY POLICY, HEALTH SERVICES' GRANTS ARE GENERALLY LIMITED TO PUBLIC CHARITIES EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) THAT (1) SUPPORT EFFORTS TO IMPROVE HEALTH AND/OR HEALTHCARE AND HUMAN SERVICES OR (2) STRENGTHEN THE LOCAL COMMUNITY. THE CEO AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVE INDIVIDUAL GRANTS EQUAL TO OR EXCEEDING $10,000. EXCEPTIONS TO THIS POLICY REQUIRE WRITTEN APPROVAL BY THE EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER. X X X true true X X X X X false true false false false true false false false CAVELL ALEXANDER 192559 0 65518 0 18995 0 109327 0 13057 0 399456 0 65518 0 ROBERT W ALLEN 277996 0 184789 0 22567 0 188091 0 17999 0 691442 0 155749 0 STEVEN CARABINE MD 1157858 0 96223 0 1329 0 153551 0 16587 0 1425548 0 95823 0 DAVID D CLARK 101097 0 267082 0 355531 0 86036 0 3875 0 813621 0 230983 0 CHRIS COONS 361881 0 329058 0 1551064 0 256995 0 23019 0 2522017 0 890516 0 TODD E CRAGHEAD 197318 0 60873 0 1895 0 80790 0 14772 0 355648 0 60873 0 SUZANNE DRAPER 184181 0 64311 0 18895 0 117345 0 20545 0 405277 0 64311 0 D R GARDNER 59811 0 211449 0 34141 0 108183 0 9580 0 423164 0 180562 0 GEORGE HAMILTON 352971 0 109376 0 1895 0 131555 0 20776 0 616573 0 109376 0 DOUGLAS J HAMMER 376900 0 298397 0 24393 0 209357 0 23620 0 932667 0 254114 0 DANIEL HAMMON MD 1159154 0 84757 0 18412 0 167886 0 17063 0 1447272 0 84357 0 LARRY D HANCOCK 550801 0 364724 0 4775 0 485444 0 20449 0 1426193 0 313401 0 KIMBERLY HENRICHSEN 258136 0 82402 0 28022 0 123935 0 17987 0 510482 0 82402 0 ERIC HOOLEY MD 1276102 0 106235 0 18429 0 153152 0 16824 0 1570742 0 105835 0 JOSEPH R HORTON 41597 0 540316 0 153015 0 200244 0 727 0 935899 0 458452 0 BRENT C JAMES MD 300463 0 224710 0 1434288 0 231288 0 18731 0 2209480 0 567844 0 BRUCE H JENSEN 308823 0 256589 0 22807 0 359473 0 18373 0 966065 0 219632 0 BRENT T JOHNSON 248226 0 190326 0 27457 0 282861 0 19308 0 768178 0 164355 0 GREGORY M JOHNSON 268824 0 195845 0 31973 0 197890 0 21462 0 715994 0 170299 0 LAURA S KAISER 612690 0 300000 0 39883 0 243133 0 13947 0 1209653 0 0 0 TERRI L KANE 369863 0 104284 0 21130 0 209338 0 18415 0 723030 0 104284 0 LINDA C LECKMAN MD 453366 0 369438 0 22837 0 444613 0 15815 0 1306069 0 315943 0 JACQUE MILLARD 220156 0 173230 0 27654 0 154305 0 19776 0 595121 0 148057 0 MIKELLE MOORE 232521 0 96498 0 18895 0 125545 0 20599 0 494058 0 92831 0 NANCY A NOWAK 0 0 246032 0 29470 0 78790 0 0 0 354292 0 214776 0 TIMOTHY T PEHRSON 403119 0 256695 0 20550 0 282448 0 20201 0 983013 0 224879 0 GREGORY P POULSEN 421443 0 454899 0 40793 0 536713 0 20252 0 1474100 0 383257 0 MARC PROBST 405943 0 300789 0 29092 0 398019 0 21028 0 1154871 0 259235 0 HOWARD RICHTER MD 1318164 0 87712 0 1329 0 153329 0 16587 0 1577121 0 87312 0 STEVEN R SMOOT 351366 0 88261 0 35598 0 137271 0 17659 0 630155 0 88261 0 CHARLES W SORENSON JR MD 909711 0 806437 0 38438 0 1122983 0 34909 0 2912478 0 692664 0 DREW VAN BOERUM MD 1084636 0 95214 0 35412 0 142975 0 6959 0 1365196 0 94814 0 BRENT E WALLACE 446606 0 331054 0 41514 0 612047 0 19326 0 1450547 0 283492 0 ALBERT R ZIMMERLI 774747 0 707017 0 28793 0 993372 0 27657 0 2531586 0 598255 0 DANIEL L ZUHLKE 348007 0 280284 0 18262 0 363899 0 20641 0 1031093 0 240763 0 Supplemental Compensation Information Form 990, Schedule J HEALTH SERVICES IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. HEALTH SERVICES' POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT OR AROUND THE 50TH PERCENTILE OF THE HEALTHCARE LABOR MARKETS FOR SIMILAR POSITIONS AND ORGANIZATIONS (I.E., SIMILAR SIZE AND NONPROFIT STATUS). THE COMPENSATION COMMITTEE OF THE BOARD RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO ACHIEVE A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS AUDIT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID. Questions Regarding Compensation Form 990, Schedule J, Part I, Line 1 TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES WILL NOT BE REIMBURSED BY THE ORGANIZATION UNLESS APPROVED BY SENIOR MANAGEMENT. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE INDIVIDUAL ON A FORM W-2 OR 1099. TAX GROSS-UP PAYMENTS - PURSUANT TO COMPANY POLICY, A LIMITED NUMBER OF BENEFITS AND PERQUISITES TO THE GOVERNING BODY ARE GROSSED UP FOR TAX PURPOSES. HOUSING ALLOWANCE PAYMENTS WERE REIMBURSED BY THE ORGANIZATION FOR TEMPORARY HOUSING RELATED TO RELOCATION OF AN OFFICER. THE AMOUNT WAS PROPERLY REPORTED AS TAXABLE TO THE INDIVIDUAL ON A FORM W-2. Supplemental Nonqualified Retirement Plans Form 990, Schedule J, Part I, Line 4b THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2012: - CHRIS COONS $1,514,507 - BRENT C. JAMES MD $1,388,361 THE FILING 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. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN. ACCRUED COMPENSATION BASED ON NET EARNINGS SCH J PART I LINE 6A CERTAIN PHYSICIAN CONTRACTS PROVIDE FOR ANY EXCESS OF COLLECTED REVENUE OVER ANNUAL EXPENSES TO BE PAID TO THE PHYSICIAN ON A PHYSICIAN PRACTICE BASIS. A MURRAY CITY UTAH 876000254 626853CE3 2003-11-19 308000000 BLDG CONSTRUCTION & EQUIPMENT false false false B MURRAY CITY UTAH 876000254 626853CJ2 2005-10-04 262000000 BLDG CONSTRUCTION & EQUIPMENT false false false C CITY OF RIVERTON UTAH 870344045 769369AL3 2009-11-05 252199400 BLDG CONSTRUCTION & EQUIPMENT false false false D SALT LAKE COUNTY UTAH 876000316 795677BM4 2011-03-21 63362310 REFUND PRIOR ISSUE 2001B false false false A 0 0 314823712 0 0 0 1561803 0 0 313261909 0 0 2007 false false true true B 24000000 0 273598644 0 0 0 1339946 0 0 272258698 0 0 2007 false false true true C 0 0 253706966 0 1507566 0 0 0 0 235401173 0 16490874 false false false true D 9800000 0 63362310 0 0 0 50000 0 0 0 63312310 0 2004 true false true true A false true true false true false 0.00200 0.00100 0.00300 false false false true B false true true false true false 0.00100 0.00100 false false false true C false true true false true false 0.00100 0.00100 false false false true D 0 A false true true true JP MORGAN 29.3 true false false 0 false true B true true true JP MORGAN 31.6 true false false 0 false true C false true false false 0 false 0 true true D false true true false false 0 false 0 false true A false B false C false D false NOTES TO SCHEDULE K 0 THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011, ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS. THE 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS. PART IV, LINE 2C, COLUMN A: THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS (BOND ISSUE A) WAS PERFORMED ON DECEMBER 17, 2008. PART IV, LINE 6: DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED BEYOND THE THREE-YEAR TEMPORARY PERIOD. YIELD RESTRICTION RULES ARE BEING FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD. PART V: AS OF 12/31/2012, THE FILING ORGANIZATION HAD WRITTEN POLICIES AND PROCEDURES IN PLACE THAT ADDRESS REMEDIAL ACTIONS, WHICH COULD BE TAKEN IN THE EVENT OF A VIOLATION. HOWEVER, THESE POLICIES AND PROCEDURES DID NOT SPECIFICALLY ADDRESS THE VOLUNTARY CLOSING AGREEMENT PROGRAM FOR POTENTIAL VIOLATIONS IN WHICH REMEDIAL PROVISIONS ARE NOT AVAILABLE UNDER THE REGULATIONS. PRIOR TO FILING OF THIS RETURN, THE APPLICABLE POLICIES AND PROCEDURES WERE AMENDED TO REFLECT THIS ADDITIONAL INFORMATION. A CITY OF RIVERTON UTAH 870344045 769369AM1 2012-05-15 200000000 REFUND PRIOR ISSUE 2007A false false false B UTAH COUNTY UTAH 876000312 917393AV2 2012-10-25 250001777 BLDG CONSTRUCTION & EQUIPMENT false false false A 0 0 200000000 0 0 0 0 0 0 0 200000000 0 2009 true false true true B 0 0 250030053 0 28276 0 0 0 0 21268207 0 227599063 false false false true A false true true false true false 0.00100 0.00100 false false false true B false true true false true false 0 false false false true A false true true false false 0 false 0 false true B false true false false 0 false 0 false true A false B false ASSOCIATED FOOD STORES VENDOR 113491 PURCHASE OF FOOD false QUESTAR GAS VENDOR 2308916 PURCHASE OF NATURAL GAS false BOYER MADSEN VENDOR 400288 RENTAL OF REAL PROPERTY false JEFFERY T CRAGHEAD FAMILY MEMBER OF OFFICER 66627 EMPLOYEE COMPENSATION false MERIT MEDICAL SYSTEMS VENDOR 1743988 PURCHASE OF MEDICAL SUPPLIES false JEFFREY L ANDERSON FAMILY MEMBER OF TRUSTEE 319147 EMPLOYEE COMPENSATION false RICHARD B STEVENSON FAMILY MEMBER OF OFFICER 87129 EMPLOYEE COMPENSATION false WILLIAM B CHOPLIN FAMILY MEMBER OF OFFICER 68836 EMPLOYEE COMPENSATION false NICHOLAS PAGE FAMILY MEMBER OF OFFICER 38288 EMPLOYEE COMPENSATION false KCI MEDICAL VENDOR 1481693 PURCHASE MEDICAL SUPPLIES false ZIONS BANK VENDOR 131085 BANKING TRANSACTIONS false ZIONS BANK A SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ZIONS BANK. QUESTAR GAS TERESA BECK, A PART-YEAR TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF QUESTAR GAS. BOYER MADSEN KEM GARDNER, A PART-YEAR TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A PARTNER IN TWO PARTNERSHIPS LEASING PROPERTY TO THE FILING ORGANIZATION. MERIT MEDICAL SYSTEMS A SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF MERIT MEDICAL SYSTEMS. KCI MEDICAL BRENT C JAMES MD, AN OFFICER OF THE FILING ORGANIZATION, HAS A FAMILY MEMBER WHO WAS A DIRECTOR AT KCI MEDICAL. ASSOCIATED FOOD STORES S NEAL BERUBE, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ASSOCIATED FOOD STORES. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND PART III, LINE 1 OUR VISION: OUR VISION IS TO BE A MODEL HEALTHCARE SYSTEM BY CONTINUALLY LEARNING AND PROVIDING EXTRAORDINARY CARE IN ALL ITS DIMENSIONS: - CLINICAL EXCELLENCE: WE WILL DELIVER THE BEST CLINICAL CARE IN A CONSISTENT, INTEGRATED WAY, ALWAYS IMPROVING THROUGH INNOVATION AND EVIDENCE-BASED PRACTICE. - PATIENT ENGAGEMENT: WE WILL PROVIDE A COMPASSIONATE HEALING EXPERIENCE THAT REFLECTS THE CARING AND NOBEL NATURE OF OUR WORK IN EVERY ENCOUNTER WITH OUR PATIENTS, MEMBERS, AND GUESTS. WE WILL HELP PATIENTS OPTIMIZE THEIR HEALTH AND PARTICIPATE IN DECISIONS ABOUT THEIR CARE. - PHYSICIAN ENGAGEMENT: WE HONOR THE ESSENTIAL ROLE OF OUR PHYSICIAN COLLEAGUES AND WILL CREATE SYSTEMS AND PROCESSES THAT HELP THEM BEST SERVE THEIR PATIENTS. - OPERATIONAL EFFECTIVENESS: WE WILL BE WISE AND CAREFUL STEWARDS OF OUR RESOURCES TO ENABLE EXTRAORDINARY CARE. WE WILL MAINTAIN THE FINANCIAL STRENGTH WE NEED TO MEET OUR HIGH STANDARDS OF QUALITY WHILE PROVIDING THE LOWEST SUSTAINABLE COST TO RESIDENTS IN OUR COMMUNITIES. - EMPLOYEE ENGAGEMENT: WE VALUE OUR EMPLOYEES AS OUR MOST IMPORTANT RESOURCE AND WILL CREATE A WORKPLACE THAT ATTRACTS AND REWARDS CARING AND TALENTED INDIVIDUALS. - COMMUNITY STEWARDSHIP: WE ARE COMMITTED TO SERVING THE DIVERSE NEEDS OF THE YOUNG AND OLD, RICH AND POOR, AND THOSE LIVING IN URBAN AND RURAL COMMUNITIES IN THE INTERMOUNTAIN REGION, WITH SENSITIVITY TO CULTURAL DIFFERENCES. WE WORK INDEPENDENTLY AND WITH COMMUNITY PARTNERS TO CARE FOR THE UNDERSERVED, AND WE PROVIDE GENERALLY AVAILABLE MEDICAL SERVICES TO ALL RESIDENTS, REGARDLESS OF ABILITY TO PAY. OUR VALUES: - MUTUAL RESPECT. "WE TREAT OTHERS THE WAY WE WANT TO BE TREATED." - ACCOUNTABILITY. "WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND MISTAKES." - TRUST. "WE ACT WITH INTEGRITY AND CAN COUNT ON EACH OTHER." - EXCELLENCE. "WE DO OUR BEST AT ALL TIMES AND LOOK FOR WAYS TO IMPROVE." PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) WAS ORGANIZED IN 1975 TO OWN AND OPERATE THE 15 HOSPITALS FORMERLY OWNED BY THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS. IN 1982, INTERMOUNTAIN FORMED IHC HEALTH SERVICES, INC. (UNDER ITS FORMER NAME IHC HOSPITALS, INC.) AS A UTAH NONPROFIT SUBSIDIARY AND TRANSFERRED TO HEALTH SERVICES ITS HEALTHCARE FACILITIES. HEALTH SERVICES CURRENTLY CONSISTS OF THE HOSPITAL DIVISION, COMPRISED OF 22 HOSPITALS (21 OWNED AND ONE - GARFIELD MEMORIAL - MANAGED BY HEALTH SERVICES) WITH 2,798 LICENSED BEDS IN UTAH AND SOUTHEAST IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 960 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND MORE THAN 300 CLINIC SITES. NINETEEN OF HEALTH SERVICES' HOSPITALS ARE GENERAL ACUTE CARE FACILITIES WHICH PROVIDE INPATIENT AND OUTPATIENT MEDICAL SERVICES BASED ON SPECIFIC NEEDS IN EACH COMMUNITY. THREE HOSPITALS PROVIDE SPECIALTY CARE IN THE FOLLOWING AREAS: - PRIMARY CHILDREN'S MEDICAL CENTER - PEDIATRIC CARE - MCKAY-DEE INSTITUTE FOR BEHAVIORAL MEDICINE - PSYCHIATRIC AND BEHAVIORAL HEALTH - THE ORTHOPEDIC SPECIALTY HOSPITAL - ORTHOPEDIC CARE HEALTH SERVICES' CLINICAL STATISTICS FOR 2012: - ACUTE ADMISSIONS - 140,141 - ACUTE PATIENT DAYS - 519,407 - BIRTHS - 30,873 - INPATIENT SURGERIES - 41,002 - AMBULATORY SURGERIES - 107,587 - EMERGENCY ROOM VISITS - 482,013 - PHYSICIAN CLINIC VISITS - 2,719,766 - HOMECARE PATIENTS SERVED - 76,403 HEALTH SERVICES' CORE BUSINESS IS MANAGING COMMON CLINICAL PROCESSES OF CARE TO ACHIEVE THE HIGHEST CLINICAL QUALITY, SERVICE QUALITY, AND COST OUTCOMES. EACH YEAR, HEALTH SERVICES SETS GOALS FOR CLINICAL QUALITY IMPROVEMENT IN EIGHT CLINICAL PROGRAMS AND OTHER AREAS. PHYSICIANS, NURSES, AND OTHER CLINICAL PROFESSIONALS MEASURE THEIR PROGRESS TOWARD THESE GOALS AND EVALUATE RESULTS. THIS LEADS TO THE SYSTEMATIC IMPLEMENTATION OF BEST PRACTICES - A PROCESS THAT YIELDS BETTER CARE FOR PATIENTS. HEALTH SERVICES AND ITS AFFILIATES (COLLECTIVELY RECOGNIZED AS INTERMOUNTAIN HEALTHCARE) IS RECOGNIZED WORLDWIDE AS AN ORGANIZATION FOCUSED ON PROVIDING CARE BASED ON PROVEN RESULTS. THE FOLLOWING EIGHT CLINICAL PROGRAMS ARE ORGANIZED AND OPERATED BY HEALTH SERVICES TO DEVELOP AND IMPLEMENT EVIDENCED-BASED BEST PRACTICES IN OUR HOSPITAL AND COMMUNITY-BASED SETTINGS: - THE CARDIOVASCULAR CLINICAL PROGRAM INCLUDES THE SPECIALTIES OF CARDIOLOGY, CARDIAC SURGERY, VASCULAR SURGERY, AND THORACIC SURGERY. TEAMS REVIEW AND ESTABLISH BEST PRACTICES FOR PATIENTS WITH HEART DISEASE IN HOSPITALS, EMERGENCY DEPARTMENTS, AND PRIMARY CARE AND SPECIALIST OFFICES. CARE PROCESS MODELS HAVE BEEN DEVELOPED FOR HYPERTENSION, ACUTE CORONARY SYNDROME, HEART FAILURE, AND STROKE PREVENTION. CARDIOVASCULAR SERVICES WORKED CLOSELY WITH THE IMAGING CLINICAL SERVICES TO ESTABLISH GUIDELINES FOR REDUCING RADIATION EXPOSURE TO PATIENTS UNDERGOING CARDIOVASCULAR IMAGING PROCEDURES. - THE WOMEN AND NEWBORNS CLINICAL PROGRAM FOCUSES ATTENTION ON PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH, AND THE NEONATAL PERIOD. GUIDELINES ADOPTED FROM NATIONAL SPECIALTY SOCIETIES AND PEER REVIEW STUDIES HAVE BEEN USED TO ESTABLISH BEST PRACTICE MODELS AND DRIVE CONSISTENCY IN ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL PROCESSES. - THE PRIMARY CARE CLINICAL PROGRAM ADDRESSES THE NEEDS OF AMBULATORY PATIENTS CARED FOR BY FAMILY PRACTITIONERS, INTERNISTS AND PEDIATRICIANS. MAJOR EFFORTS HAVE BEEN DIRECTED AT SMOKING CESSATION, CHILDHOOD VACCINATION, TREATMENT OF COMMUNITY-ACQUIRED PNEUMONIA, AND STANDARDIZING THE CARE OF PATIENTS WITH DIABETES AND ASTHMA. - THE ONCOLOGY CLINICAL PROGRAM INCLUDES A NETWORK OF CANCER SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, PHARMACISTS, NURSES, PATHOLOGISTS AND RADIOLOGISTS, ALONG WITH CANCER REGISTRY AND CLINICAL TRIAL DEPARTMENTS THAT PROVIDE AND SUPPORT CANCER SERVICES THROUGHOUT HEALTH SERVICES. EFFORTS HAVE BEEN MADE TO STANDARDIZE SURGICAL ONCOLOGY, PATHOLOGY, MAMMOGRAPHY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY DATA COLLECTION TO IMPROVE THE PROCESS OF CANCER DIAGNOSIS AND TREATMENT. THE PROGRAM ADDITIONALLY SUPPORTS A COLLABORATIVE EFFORT BETWEEN HEALTH SERVICES AND HUNTSMAN CANCER INSTITUTE TO STRENGTHEN CANCER OUTCOMES, RESEARCH, QUALITY IMPROVEMENT, CLINICAL TRIALS RESEARCH, AND PATIENT EDUCATION. - THE PEDIATRIC SPECIALTIES CLINICAL PROGRAM WORKS TO IMPROVE CARE FOR CHILDREN, INCLUDING CARE BY PEDIATRIC SUBSPECIALTY PROVIDERS. BEST PRACTICE GUIDELINES HAVE BEEN DEVELOPED FOR TREATMENT OF BRONCHIOLITIS, THE FEBRILE INFANT, TYPE I DIABETES, AND TORTICOLLIS. PEDIATRIC TEAMS HAVE ALSO TAKEN STEPS TO PREVENT PEDIATRIC MEDICATION ERRORS, IMPROVE EDUCATION FOR ASTHMA PATIENTS, AND IMPROVE EARLY RECOGNITION OF SHOCK IN CHILDREN. - THE SURGICAL SERVICES CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF OPERATING ROOMS, SAME DAY SURGERY, POST ANESTHESIA CARE UNITS, ANESTHESIA, CENTRAL PROCESSING, AND SEDATION SERVICES. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCE-BASED BEST PRACTICES, WHICH HAVE THE POTENTIAL OF GREATLY AFFECTING PATIENT OUTCOMES. SEVERAL INITIATIVES ARE CURRENTLY IN PROCESS, INCLUDING OUR CARE PROCESS FOR COLON RESECTION PATIENTS, BLOOD UTILIZATION PROJECT FOR PACKED RED BLOOD CELLS, AND DEVELOPMENT OF OUR PAIN MANAGEMENT DATA MART. - THE INTENSIVE MEDICINE CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF EMERGENCY CARE, CRITICAL CARE, TRAUMA CARE, TRANSPORT (AIR AND GROUND AMBULANCE), HOSPITALISTS, STROKE CARE, AND TELEMEDICINE. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCED-BASED BEST PRACTICES, WHICH HAVE THE POTENTIAL OF GREATLY IMPACTING PATIENT OUTCOMES. CARE PROCESS MODELS IN PLACE INCLUDE ACUTE STROKE CARE, TRAUMATIC BRAIN INJURY, AND PNEUMONIA CARE. THE TEAM HAS WORKED TO REDUCE VENTILATOR ASSOCIATED PNEUMONIA, CONTROL GLUCOSE LEVELS IN THE CRITICAL CARE POPULATION, IMPLEMENT RAPID RESPONSE TEAMS IN EACH HOSPITAL, IMPLEMENT THE SEPSIS, VENTILATOR, AND CENTRAL LINE BUNDLES. FUTURE INITIATIVES INCLUDE CONTINUED WORK IN THE DEVELOPMENT AND IMPLEMENTATION OF THE ELECTRONIC MEDICAL RECORD, AND ADVANCING TELEMEDICINE. - THE BEHAVIORAL HEALTH CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, BEHAVIORAL THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS. THE TEAM HAS WORKED TO IMPROVE THERAPEUTIC ALLIANCE SCORES FOR THEIR PATIENTS AND ITS CORRELATION TO CLINICAL OUTCOME MEASUREMENTS. IN ADDITION, SCREENING FOR COMMON MEDICAL CONDITIONS IN BEHAVIORAL HEALTH PATIENTS IN BEHAVIORAL HEALTH TREATMENT SETTINGS IS MEASURED. CURRENTLY, THE TEAM IS WORKING TO IMPROVE POST DISCHARGE CARE PLANNING FOR PATIENTS ADMITTED TO AN INPATIENT BEHAVIORAL HEALTH UNIT. THE MISSION OF HEALTH SERVICES IS EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. PROVIDING THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST POSSIBLE COST TO OUR PATIENTS AND CUSTOMERS IS ONE OF OUR MOST IMPORTANT CONSIDERATIONS. HEALTH SERVICES PROVIDES SERVICES ON THE BASIS OF MEDICAL NEED, WITHOUT REGARD OF ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE AT ITS HOSPITALS AND CLINICS FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE AVAILABLE AT THE HOSPITAL AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WILL CONTINUE TO BE COMMUNICATED THROUGH ALL REASONABLE MEANS. HEALTH SERVICES HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY FOR THE UNINSURED AND THE UNDERINSURED, WHICH OFFERS DISCOUNTS UP TO 100 PERCENT OF CHARGES ON A SLIDING SCALE. FINANCIAL ASSISTANCE IS BASED ON BOTH INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL GUIDELINES AND THE CHARGES FOR SERVICES RENDERED. HEALTH SERVICES' FINANCIAL ASSISTANCE GUIDELINES INCLUDE PROVISIONS THAT ARE RESPONSIVE TO THOSE PATIENTS SUBJECT TO CATASTROPHIC HEALTHCARE EXPENSES. PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUED FORM 990, PART III, LINE 4A DURING 2012, THROUGH MORE THAN 239,195 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $105.2 MILLION IN FINANCIAL ASSISTANCE (AT COST) TO PEOPLE UNABLE TO PAY. THIS AMOUNT DOES NOT INCLUDE BAD DEBTS. BAD DEBTS REFER TO CIRCUMSTANCES WHERE A PERSON HAS THE ABILITY TO PAY BUT DOES NOT PAY FOR THE SERVICES RECEIVED AND THE AMOUNT IS NOT OTHERWISE COLLECTED. IF AN ACCOUNT HAS BEEN INITIALLY IDENTIFIED AS A BAD DEBT BUT THE PATIENT LATER APPLIES FOR AND IS DETERMINED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE AT THE TIME OF TREATMENT, THEN THE BILL IS NO LONGER CONSIDERED A BAD DEBT AND IS CHARGED TO CHARITY CARE. HOWEVER, IF IT IS DETERMINED THAT THE PATIENT HAD THE ABILITY TO PAY AT THE TIME OF SERVICE BUT THE ACCOUNT CANNOT BE COLLECTED LATER, OR THE PATIENT DID NOT COMMUNICATE AN INABILITY TO PAY, IT IS CONSIDERED TO BE A BAD DEBT, WHICH IS NOT COLLECTIBLE. HEALTH SERVICES GENERALLY INCURS SHORTFALLS BETWEEN ITS ESTABLISHED RATES AND AMOUNTS PAID BY MEDICARE (PRINCIPALLY RELATED TO ELDERLY PATIENTS). HEALTH SERVICES PROVIDES A SIGNIFICANT ARRAY OF ADDITIONAL COMMUNITY SERVICES INCLUDING OWNING AND OPERATING SIX COMMUNITY AND SCHOOL-BASED CLINICS TO HELP MEET THE NEEDS OF UNINSURED AND LOW-INCOME PEOPLE IN NEIGHBORHOODS THAT WOULD OTHERWISE LACK CONVENIENT ACCESS TO HEALTHCARE. IN 2012, THESE CLINICS HAD MORE THAN 25,838 PATIENT VISITS. MOST PATIENTS PAY ON A SLIDING FEE SCALE ACCORDING TO THEIR HOUSEHOLD INCOMES, AND MANY QUALIFY FOR HEALTH SERVICES' FINANCIAL ASSISTANCE. AN AFFILIATED FOUNDATION SUPPORTED BY HEALTH SERVICES AWARDS GRANTS AND OTHER CASH CONTRIBUTIONS TO 12 INDEPENDENTLY OWNED CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD MORE THAN 234,979 PATIENT VISITS IN 2012. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2012, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED MORE THAN $55.3 MILLION. SEE SCHEDULE H. BUSINESS AND/OR FAMILY RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 CHARLES W. SORENSON JR. MD / GREGORY P. POULSEN - FAMILY RELATIONSHIP ALBERT R. ZIMMERLI / DOUGLAS C. BLACK / CHRIS M. COONS / BRENT T. JOHNSON - BUSINESS RELATIONSHIP (BOARD MEMBERS OF A CORPORATE INVESTMENT THAT IS 50% OWNED BY THE FILING ORGANIZATION) SPENCER F. ECCLES / DOUGLAS J. HAMMER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX EXEMPT ORGANIZAION) A. SCOTT ANDERSON / THOMAS B. MORGAN - BUSINESS RELATIONSHIP (SUPERVISOR/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAXABLE CORPORATION) ALBERT R. ZIMMERLI / BRUCE T. REESE / CHARLES W. SORENSON JR. MD / DOUGLAS C. BLACK / F. ANN MILLNER / KEM C. GARDNER / MERRILL GAPPMAYER / TERESA BECK - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF THE HEALTHCARE CAPTIVE INSURANCE COMPANY, A TAXABLE ORGANIZATION THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATION'S PARENT) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR. MD / THOMAS B. MORGAN / DOUGLAS C. BLACK - BUSINESS RELATIONSHIP (BOARD MEMBERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE CORPORATION THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / BRUCE T. REESE / CHARLES W. SORENSON JR. MD / A. SCOTT ANDERSON / DOUGLAS C. BLACK / F. ANN MILLNER /GREGORY M. JOHNSON / KEM C. GARDNER / MERRILL GAPPMAYER / TERESA BECK - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF IHC AFFILIATED SERVICES, INC., A TAXABLE CORPORATION WITH MINIMAL ACTIVITY THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) ORGANIZATION MEMBER FORM 990, PART VI, SECTION A, LINES 6-7 THE SOLE MEMBER OF HEALTH SERVICES IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. 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 HEALTH SERVICES' TRUSTEES. FORM 990 REVIEW BY GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11 HEALTH SERVICES' BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE MAILED TO COMMITTEE MEMBERS IN ADVANCE AND DISCUSSED IN DEPTH DURING AN AUDIT COMMITTEE MEETING. PRIOR TO FILING WITH THE IRS, COPIES OF THE FINAL RETURN WERE PROVIDED TO BOARD MEMBERS FOR REVIEW AND WERE DISCUSSED AS PART OF A REGULARLY SCHEDULED BOARD MEETING. MONITORING AND ENFORCEMENT OF THE 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 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 QUESTIONNAIRES ARE COLLECTED AND REVIEWED, PER POLICY, BY THE 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. 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 HEALTH SERVICES OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE FULL AUDIT AND COMPLIANCE COMMITTEE. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES. DETERMINATION OF EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"), A SUBSET OF HEALTH SERVICES' GOVERNING BODY, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NON-CASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENTS, INCLUDING THE CFO - SENIOR VICE PRESIDENTS - CERTAIN CORPORATE AND REGIONAL VICE PRESIDENTS PURSUANT TO HEALTH SERVICES' WRITTEN "COMPENSATION PHILOSOPHY," THE COMMITTEE ANUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NOT-FOR-PROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH INDIVIDUAL LISTED ABOVE. DECISIONS BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMMITTEE PRESENTS ALL OF THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. HEALTH SERVICES' PHILOSOPHY IS TO PAY COMPENSATION AT OR AROUND THE 50TH PERCENTILE OF COMPARABLE HEALTHCARE ORGANIZATIONS. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. PUBLIC INSPECTION OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STMTS. FORM 990, PART VI, SECTION C, LINE 19 HEALTH SERVICES DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE, A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 ($235,537,857) - Unrecognized change in funded status of postretirement benefit plans ($145,775) - MISCELLANEOUS CHANGES TO UNRESTRICTED NET ASSETS ($669,720) - BOOK/TAX DIFFERENCE ON THE SALE OF AN LLC INTEREST ($236,353,352) - Total CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING AMENDMENTS WERE MADE TO THE FILING ORGANIZATIONS BYLAWS: - THE PRESIDENT MAY APPOINT VICE PRESIDENTS WITHOUT PRIOR BOARD APPROVAL. - AN OUTGOING BOARD CHAIR MAY EXCEED TERM AND AGE LIMITS BY BEING ELECTED BY THE MEMBER OF THE ORGANIZATION AS CHAIR EMERITUS FOR A SINGLE, ONE YEAR TERM. - BYLAW CHANGES CAN BE MADE AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD. Lost Creek-Murray LLC 36 South State Suite 2200 Salt Lake City UT 84111 870622176 Apt Rentals UT 2319915 9261322 IHC HTH SVS IHC Utah Valley LLC 36 South State Suite 2200 Salt Lake City UT 84111 942854057 MED OFFICES UT 308024 2775379 IHC HTH SVS Intermountain Invention Management LLC 36 South State Suite 2200 Salt Lake City UT 84111 942854057 Health Tech UT 100789 0 IHC HTH SVS 5300 South Center LLC 36 South State Suite 2200 Salt Lake City UT 84111 205881911 Office Rental UT 3274198 17698549 IHC HTH SVS 5245 College LLC 36 South State Suite 2200 Salt Lake City UT 84111 260806138 Office Rental UT 1125445 17750449 IHC HTH SVS Pediatric Specialty Services LLC 36 South State Suite 2200 Salt Lake City UT 84111 942854057 Pediatric Ser UT 0 0 IHC HTH SVS INTERMOUNTAIN INSIGHTS LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 942854057 RESEARCH UT 0 0 IHC HTH SVS Intermountain Health care Inc 36 South State Suite 2200 Salt Lake City UT 84111 870269232 Holding Co UT 501(C)(3) 11a TYPE I NA false IHC Management Inc 36 South State Suite 2200 Salt Lake City UT 84111 942860622 Comm Health UT 501(C)(3) 11b TYPE II INT HTH CARE false IHC Professional Services Inc 36 South State Suite 2200 Salt Lake City UT 84111 942886596 Comm Health UT 501(C)(3) 11a TYPE I INT HTH CARE false INTERMOUNTAIN COMMUNITY CARE FOUND INC 36 South State Suite 2200 Salt Lake City UT 84111 942853320 Comm Health UT 501(C)(3) 11a TYPE I INT HTH CARE false SelectHealth Inc 5381 GREEN STREET MURRAY UT 84123 870409820 Comm Health UT 501(C)(4) N/A INT HTH CARE false Intermountain Health Care Retiree VEBA 36 South State Suite 2200 Salt Lake City UT 84111 742675605 Retiree Ben UT 501(C)(9) N/A INT HTH CARE false INTERMOUTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 800225150 COMM HEALTH UT 501(C)(3) LINE 7 IHC HTH SVS true McKay Dee Surgical Center LLC OGDEN UT EIN 26-0286308 Ogden UT 84403 260286308 Outpt Surgery UT IHC HTH SVS RELATED 4665369 2805854 false 0 true 0.75800 SelectHealth Benefit Assurance Company 5381 GREEN STREET MURRAY UT 84123 870497549 Insurance UT NA C false IHC Affiliated Services INc 36 South State Suite 2300 Salt Lake City UT 84111 870405996 HOSPITAL SVS UT NA C false Healthcare Captive Insurance Company 36 South State Suite 2200 Salt Lake City UT 84111 201937561 Insurance AZ NA C false true true true false false false false false false true false true true true true false true false true MCKAY DEE SURGICAL CENTER LLC A / J 375907 FMV MCKAY DEE SURGICAL CENTER LLC L 813417 CONTRACT MCKAY DEE SURGICAL CENTER LLC Q 3138786 COST SELECTHEALTH INC L 544861281 COST SELECTHEALTH INC M 13169189 COST SELECTHEALTH INC Q 72134057 COST SELECTHEALTH INC C 100000 COST SELECTHEALTH INC S 6000000 COST INTERMOUTAIN HEALTHCARE FOUNDATION INC B 5501035 COST INTERMOUTAIN HEALTHCARE FOUNDATION INC C 4703795 COST