2023-11-02T14:20:30-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2022-01-01 870409820 SELECTHEALTH INC SELE 8014425000 5381 GREEN STREET MURRAY UT 84123 VICE PRESIDENT CFO VICE PRESIDENT / CFO 8014423491 2023-10-26 0 VICE PRESIDENT CFO 999009999 0 LAUREN E BENNETT P01787029 2154485000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TODD TRETTIN 5381 GREEN STREET MURRAY UT 84123 5772460658 0 X WWW.SELECTHEALTH.ORG X 1985 UT SEE SCHEDULE O. 15 10 2311 12 0 0 0 0 3680636102 4139289190 78308480 22326655 3511680 3918237 3762456262 4165534082 658025 450771 0 0 184437282 210755280 0 0 0 3403703646 3863490649 3588798953 4074696700 173657309 90837382 2020841636 1902872967 818497996 811493551 1202343640 1091379416 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE AND BEING A MODEL HEALTH PLAN BY PROVIDING HIGH-VALUE HEALTH BENEFITS AND SUPERIOR SERVICE AT AN AFFORDABLE COST. 0 0 4051707411 450771 4143207427 ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE COMBINED HEALTH SYSTEM EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.SELECTHEALTH, INC. (SELECTHEALTH OR COMPANY) PROVIDED FINANCIAL SUPPORT TO IMPROVE THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES IT SERVED. (SEE SCH. O FOR CONTINUATION) 4051707411 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 10247 0 1 2311 1 0 0 0 0 0 0 1 0 X 15 10 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X TODD TRETTIN 8014423491 5381 GREEN STREET MURRAY UT 84123 A MARC HARRISON MD TRUSTEE (PARTIAL) 1.00 60.00 X 0 4755465 1867286 ALBERT R ZIMMERLI TRUSTEE 1.00 64.00 X 0 4298891 1390538 ROBERT W ALLEN TRUSTEE (PARTIAL) 2.00 64.00 X 0 2553920 2283384 MARK R BRIESACHER MD TRUSTEE (PARTIAL) 1.00 54.00 X 0 3672392 29210 LYDIA W JUMONVILLE TRUSTEE (PARTIAL) 1.00 55.00 X 0 3193207 695330 JAMES P VALIN TRUSTEE (PARTIAL) 1.00 55.00 X 0 1799242 167793 MARTI LOLLI TRUSTEE/PRES/CEO (PARTIAL) 50.00 3.00 X X 1279805 0 582757 ROB HITCHCOCK TRUSTEE/PRESIDENT (PARTIAL) 50.00 3.00 X X 373832 0 83359 DANIEL G GOMEZ TRUSTEE (PARTIAL) / CHAIR (PARTIAL) 3.00 6.00 X X 1933 0 0 MARIA GARCIAZ TRUSTEE (PARTIAL) 1.00 1.00 X 1166 0 0 MICHAEL ANGLIN TRUSTEE 1.00 1.00 X 0 0 0 KARLA K BERGESEN TRUSTEE 1.00 1.00 X 0 0 0 JOSH A ENGLAND TRUSTEE 1.00 1.00 X 0 0 0 DENEECE G HUFTALIN TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 LIZ OWENS TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 KATE E SANDERSON TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 D BRETT SANFORD TRUSTEE / VICE CHAIR (PARTIAL) 3.00 3.00 X X 0 0 0 MARIA R SUMMERS TRUSTEE 1.00 1.00 X 0 0 0 CYDNI TETRO TRUSTEE / VICE CHAIR (PARTIAL) 3.00 3.00 X X 0 0 0 ANDREA P WOLCOTT TRUSTEE/VC/SEC/CHAIR (PARTIAL) 3.00 3.00 X X 0 0 0 DAVID A LEMPERLE VP SALES (PARTIAL) 50.00 3.00 X 975277 0 46020 TODD TRETTIN VP (PARTIAL) / TREASURER / CFO 50.00 3.00 X 616542 0 290488 RUSSEL J KUZEL MD CMO (PARTIAL) / VP (PARTIAL) 50.00 3.00 X 853164 0 31734 KRISTIN R MCCULLAGH SEC/VP/CHIEF ADMIN OFFICER (PARTIAL) 50.00 3.00 X 540313 0 251397 JON R GRIFFITH CHIEF EXP OFFICER/VP (PARTIAL) 50.00 3.00 X 422535 0 201513 SEAN DUNROE CHIEF STRAT OFFICER/VP (PARTIAL) 50.00 3.00 X 385641 0 200755 HEATHER O'TOOLE CMO (PARTIAL) / VP (PARTIAL) 50.00 3.00 X 334166 0 143902 JERRY R EDGINGTON VICE PRESIDENT (PARTIAL) 50.00 3.00 X 313086 0 39203 KRISTA SCHONROCK MD SENIOR MEDICAL DIRECTOR 50.00 0.00 X 545231 0 219896 STEPHEN BARLOW MD MEDICAL DIRECTOR 50.00 0.00 X 518912 0 206451 H ERIC CANNON PHARMACY SERVICES 50.00 0.00 X 399091 0 198345 ED CASTLEDINE MARKET PRESIDENT 50.00 6.00 X 413369 0 125295 SCOTT WHITTLE MD MEDICAL DIRECTOR 50.00 0.00 X 363032 0 6530 GREGORY M JOHNSON FORMER OFFICER 0.00 59.00 X 0 1607457 281279 ROBERT L WHITE FORMER OFFICER 50.00 0.00 X 910760 0 96891 PATRICIA R RICHARDS FORMER OFFICER 0.00 0.00 X 137717 0 0 9385572 21880574 9439356 383 1 1 0 ST LUKES REGIONAL MEDICAL CENTER 125 E IDAHO ST STE 300 BOISE ID 83712 MEDICAL SERVICES 125245099 UNIVERSITY OF UTAH HOSPITALS 201 S PRESIDENTS CIR STE 145 SLC UT 84112 MEDICAL SERVICES 73072136 REVERE HEALTH 1055 N 500 W PROVO UT 84604 MEDICAL SERVICES 57278085 MOUNTAIN WEST ANESTHESIA LLC PO BOX 3570 SALT LAKE CITY UT 84110 MEDICAL SERVICES 48315763 ST LUKES JEROME PO BOX 587 TWIN FALLS ID 83303 MEDICAL SERVICES 31748669 1435 MEDICAL PREMIUMS 524114 4076362441 4076362441 ADMINISTRATION FEES 524292 62926749 62926749 4139289190 32228002 32228002 1597025229 1606925174 1402 -9899945 -1402 -9901347 -9901347 INTERCOMPANY SERVICES 561499 3829286 3829286 SMALL EMPLR. BANK FEES 900099 47075 47075 INDIVIDUAL BANK FEES 900099 38435 38435 3441 3441 3918237 4165534082 4143207427 0 22326655 408825 408825 41946 41946 9110856 9110856 152437667 150979339 1458328 5877966 5459460 418506 32409826 30739897 1669929 10918965 10616169 302796 23257323 18007880 5249443 83236 83236 934151 934151 754561 754561 60469680 58684425 1785255 6451403 6421239 30164 19476937 19347322 129615 3469209 3467861 1348 15984489 15984177 312 80817 78792 2025 1327279 1137658 189621 5820092 5820092 MEDICAL EXPENSES 3556139615 3556139333 282 COMMISSIONS 121727767 121727767 FEDERAL PROGRAM FEES 34496801 34496801 TAXES AND LICENSES 8589433 8521826 67607 4427856 3626602 801254 4074696700 4051707411 22989289 0 12051 8170 88876597 43469165 190733257 192494308 7096439 13405168 111974690 79056149 23410871 32918541 1568263320 1554829837 2250125 2250125 140198976 63497653 2020841636 1902872967 136195399 153838195 79758717 19854444 602543880 637800912 818497996 811493551 X 1202343640 1091379416 1202343640 1091379416 2020841636 1902872967 90837382 -201801606 0 X 0 1 X 1 0 162413 5413 157000 162413 1 ADAMS LEADERSHIP PAC PO BOX 763 LEHI UT 84043 12000 BEDKE FOR IDAHO PO BOX 89 OAKLEY ID 83346 3000 BEDKE FOR LEGISLATURE 630 N CENTER OAKLEY ID 83346 2000 BLANKSMA FOR IDAHO PO BOX 843 MOUNTAIN HOME ID 83647 1000 CAMPAIGN FOR BRITTNEY MILLER 9030 W SAHARA 364 LAS VEGAS NV 89117 500 CAMPAIGN FOR DINA NEAL 3217 BRAUTIGAN CT NORTH LAS VEGAS NV 89032 1000 CAMPAIGN TO ELECT KARIANNE LISONBEE 4334 W 1700 S SYRACUSE UT 84075 2500 CAMPAIGN TO ELECT ROCHELLE NGUYEN PO BOX 26025 LAS VEGAS NV 89126 1000 CANDICE PIERUCCI FOR DISTRICT 52 13457 S CORBIN VALLEY DR RIVERTON UT 84096 1000 CAROL S MOSS 2712 KELLY LN HOLLADAY UT 84117 500 COMMITTEE TO ELECT AARON FORD PO BOX 96003 LAS VEGAS NV 89193 2500 COMMITTEE TO ELECT ALEXIS HANSEN 68 AMIGO CT SPARKS NV 89441 500 COMMITTEE TO ELECT CURT BRAMBLE 3663 N 870 E PROVO UT 84604 1000 COMMITTEE TO ELECT DANIELE MONROE-MORENO 5575 SIMMONS ST 154 NORTH LAS VEGAS NV 89031 1000 COMMITTEE TO ELECT DUY NGUYEN 7322 S RAINBOW BLVD 198 LAS VEGAS NV 89139 500 COMMITTEE TO ELECT ELAINE MARZOLA 2420 TILDEN WAY HENDERSON NV 89074 1000 COMMITTEE TO ELECT ERICA MOSCA 2126 CITROEN ST LAS VEGAS NV 89142 500 COMMITTEE TO ELECT FABIAN DONATE 1724 BRACKEN AVE LAS VEGAS NV 89104 1000 COMMITTEE TO ELECT GENE DAVIS 865 PARKWAY AVE SALT LAKE CITY UT 84106 1000 778 COMMITTEE TO ELECT HOWARD WATTS 1701 S 14TH ST LAS VEGAS NV 89104 500 COMMITTEE TO ELECT IRA HANSEN 68 AMIGO CT SPARKS NV 89441 500 COMMITTEE TO ELECT JAKE ANDEREGG 788 SO 2575 W LEHI UT 84043 1000 COMMITTEE TO ELECT JAMES OHRENSCHALL PO BOX 97741 LAS VEGAS NV 89193 500 COMMITTEE TO ELECT JILL DICKMAN 1344 DISC DR 201 SPARKS NV 89436 500 COMMITTEE TO ELECT LINCOLN FILLMORE 10167 S 1190 W SOUTH JORDAN UT 84095 500 COMMITTEE TO ELECT MAX E CARTER II 181 CLAYTON ST LAS VEGAS NV 89110 500 COMMITTEE TO ELECT MELISSA HARDY 633 HOUSE BLEND LN HENDERSON NV 89052 500 COMMITTEE TO ELECT MIKE KENNEDY 659 E 200 N ALPINE UT 84004 1000 COMMITTEE TO ELECT MIKE MCKELL 642 KIRBY LN STE 105 SPANISH FORK UT 84660 2000 COMMITTEE TO ELECT PK ONEILL 1216 SONOMA ST CARSON CITY NV 89701 500 COMMITTEE TO ELECT ROBERTA LANGE 2030 IRWIN CIR LAS VEGAS NV 89119 1000 COMMITTEE TO ELECT RONALD WINTERTON 1189 W 1000 S ROOSEVELT UT 84066 1000 COMMITTEE TO ELECT SANDRA HOLLINS 518 N 800 W SALT LAKE CITY UT 84116 1000 COMMITTEE TO ELECT SANDRA JAUREGUI 7582 LAS VEGAS BLVD S 118 LAS VEGAS NV 89123 1000 COMMITTEE TO ELECT STEVE ELIASON 8157 S GRAMBLING WAY SANDY UT 84094 1000 COMMITTEE TO ELECT TRACY BROWN MAY 6406 SPARROW LN LAS VEGAS NV 89103 500 COMMITTEE TO ELECT ZACH CONIE 8808 STAFFORD SPRINGS DR LAS VEGAS NV 89134 2500 CULLIMORE FOR SENATE 8996 CANYON GATE RD SANDY UT 84093 1500 DALY FOR SENATE DISTRICT 13 2180 4TH ST SPARKS NV 89431 1000 DANIEL WILLIAM THATCHER 6352 CITY VISTAS WAY WEST VALLEY CITY UT 84128 500 ELECT HEIDI KASAMA 11035 LAVENDER HILL DR STE 160-456 LAS VEGAS NV 89135 500 ELECT MIKE SCHULTZ LLC 1798 W 5150 S STE 103 ROY UT 84067 1000 ELECT ROBERT SPENDLOVE 8491 TREASURE MOUNTAIN DR SANDY UT 84093 1000 EVAN VICKERS CAMPAIGN 2166 N COBBLE CREEK DR CEDAR CITY UT 84721 2000 FRED MARTIN 3672 N TUMBLEWEED PL BOISE ID 83713 500 FRIENDS OF ANN MILLNER 4695 S 1900 W STE 3 ROY UT 84067 1500 FRIENDS OF DAN MCCAY 13307 HERITAGE FARM COVE RIVERTON UT 84065 1000 FRIENDS OF GREGORY T HAFEN II 5250 HAFEN RANCH RD PAHRUMP NV 89061 1000 FRIENDS OF SARAH PETERS 2258 SUNRISE DR RENO NV 89509 500 FRIENDS OF SPENCER COX PO BOX 3431 SALT LAKE CITY UT 84110 13500 IDAHO GOVERNORS CUP PO BOX 983 BOISE ID 83701 8000 IDAHO HOUSE REPUBLICAN CAUCUS 595 S THACKER HAMMETT ID 83627 1000 INTEGRITY FOR GROWTH & OPPORTUNITY PAC 50 S JONES BLVD 201 LAS VEGAS NV 89107 2500 JERRY STEVENSON CAMPAIGN ACCOUNT 466 S 1700 W LAYTON UT 84041 1500 JILL KOFORD CAMPAIGN PO BOX 150022 OGDEN UT 84415 500 JIM DUNNIGAN CAMPAIGN 3105 W 5400 S 6 SALT LAKE CITY UT 84129 2000 1407 KEITH GROVER CAMPAIGN 1374 W 1940 N PROVO UT 84604 500 KRISTY ANN PIKE 3469 MULBERRY DR ST GEORGE UT 84790 500 826 LISA KRASNER FOR NEVADA 59 DAMONTE RANCH PKWY B-460 RENO NV 89521 1000 NEVADA STRONG PAC 10120 W FLAMINGO RD STE 4162 LAS VEGAS NV 89147 2500 NEVADA VICTORY PAC 7322 S RAINBOW BLVD 51 LAS VEGAS NV 89139 2500 NORTHERN UTAH LEGISLATIVE PAC 4287 HARRISON BLVD 313 OGDEN UT 84403 10000 NV FIRST 316 CALIFORNIA AVE 519 RENO NV 89509 3500 ROBIN TITUS FOR NEVADA PO BOX 377 WELLINGTON NV 89444 1000 SCOTT SANDALL CAMPAIGN FUND 635 HILLCREST CIR TREMONTON UT 84337 500 SEAN REYES FOR ATTORNEY GENERAL 210 N 1950 W SALT LAKE CITY UT 84134 5000 2402 SENATE REPUBLICAN PAC OF IDAHO PO BOX 173 BOISE ID 83701 1000 SENDEMPAC 5044 W BANNOCK CIR WEST VALLEY CITY UT 84120 2000 SHANNON FOR NEVADA 438 E SAHARA AVE LAS VEGAS NV 89104 500 SPEARMAN FOR NEVADA 431 S 6TH ST LAS VEGAS NV 89101 1000 STONE FOR SENATE 2654 W HORIZON RIDGE PKWY STE B2-2 HENDERSON NV 89052 500 UTAH HOUSE REPUBLICAN ELECTION COMMITTEE 370 E SOUTH TEMPLE SALT LAKE CITY UT 84111 10000 UTAH REPUBLICAN SENATE CAMPAIGN 1584 LOCUST LN PROVO UT 84604 15000 UTAH STATE DEMOCRATIC PARTY 825 N 300 W STE C400 SALT LAKE CITY UT 84103 2000 WILSON LEADERSHIP PAC 67 S MAIN ST STE 300 LAYTON UT 84041 7500 PART I-A, LINE 1: SELECTHEALTH PARTICIPATES IN THE POLITICAL PROCESS BY PROVIDING SMALL AMOUNTS OF DIRECT CASH AND IN-KIND CONTRIBUTIONS TO STATE AND LOCAL CANDIDATES RUNNING FOR PUBLIC OFFICE. 26606126 15881041 10725085 6850481 6290210 560271 65359214 56720622 8638592 13158869 164276 12994593 32918541 PHYSICIAN RESERVE PAYABLE 6221568 INVESTMENT PURCHASES PAYABLE 129051494 HEALTHCARE BENEFITS LIABILITY 486950127 LEASE OBLIGATION 11979912 ACCRUED PAYROLL PAYABLE 998811 OTHER LONG TERM LIABILITIES 2599000 637800912 3965870741 -198214570 -1450173 -199664743 4165535484 -1402 -1402 4165534082 4073247929 1402 1402 4073246527 2202253 -752080 1450173 4074696700 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS (2,202,253) INCOME TAX EXPENSE NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS (84,974) NONOPERATING RETIREMENT EXPENSE NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 837,054 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS (1,402) PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 1,402 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCOME TAX EXPENSE NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 84,974 NONOPERATING RETIREMENT EXPENSE NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS (837,054) NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 INVESTMENTS 1998651 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS 412864 0 0 0 0 0 0 2411515 0 2411515 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 SLC BIKE SHARE 150 S STATE ST SALT LAKE CITY UT 84111 453547978 501C3 150000 0 COMMUNITY HEALTH IMPROVEMENT OPERA IDAHO INC 515 S 9TH ST BOISE ID 83702 237331238 501C3 25000 0 COMMUNITY HEALTH IMPROVEMENT URBAN FOOD CONNECTIONS OF UTAH 201 S MAIN NO 2300 SALT LAKE CITY UT 84111 464797397 501C3 12500 0 COMMUNITY HEALTH IMPROVEMENT IDAHO SHAKESPEARE FESTIVAL INC PO BOX 9365 BOISE ID 83707 820316246 501C3 12000 0 COMMUNITY HEALTH IMPROVEMENT UTAH HEALTH POLICY PROJECT 2369 W ORTON CIR STE 20 SALT LAKE CITY UT 84119 870684606 501C3 11000 0 COMMUNITY HEALTH IMPROVEMENT NAMPA HARVEST FESTIVAL ASSOCIATION 16114 IDAHO CENTER BLVD STE 4 NAMPA ID 83687 820148165 501C4 11000 0 COMMUNITY HEALTH IMPROVEMENT JANE GOODALL INSTITUTE FOR WILDLIFE RESEARCH EDUCATION AND CONSERVATION 1595 SPRING HILL RD NO 550 VIENNA VA 22182 942474731 501C3 10000 0 DONATION ON BEHALF OF SPEAKER JUNIOR LEAGUE OF SALT LAKE CITY INC 526 E 300 S SALT LAKE CITY UT 84102 870401142 501C3 7500 0 COMMUNITY HEALTH IMPROVEMENT 7 1 SCHOLARSHIPS 11 41946 CASH SCHOLARSHIP ASSISTANCE PART I, LINE 2: BY WRITTEN POLICY, GRANTS ARE GENERALLY LIMITED TO ORGANIZATIONS EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS FOR PURPOSES OF IMPROVING HEALTH AND/OR HEALTHCARE AND HUMAN SERVICES OR TO STRENGTHEN THE LOCAL COMMUNITY. THE LEVEL OF APPROVAL REQUIRED FOR A GIVEN GRANT IS DETERMINED BY THE AMOUNT. DEVIATIONS FROM THE POLICY REQUIRE APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. POTENTIAL GRANT RECIPIENTS ARE CAREFULLY REVIEWED PRIOR TO RECEIVING ANY FUNDS FROM SELECTHEALTH TO HELP ENSURE THAT THE GRANTS WILL BE USED FOR PROPER PURPOSES AND WILL NOT BE DIVERTED FROM THEIR INTENDED USE. THE INDIVIDUAL SCHOLARSHIPS ARE PART OF A SCHOLARSHIP PROGRAM THAT IS CARRIED OUT IN CONJUNCTION WITH SALT LAKE COMMUNITY COLLEGE. EACH YEAR CANDIDATES ARE ALLOWED TO APPLY AND STUDENTS ARE SELECTED BY A PANEL THAT INCLUDES SELECTHEALTH LEADERSHIP AND BOARD MEMBERS. EACH STUDENT IS ELIGIBLE TO RECEIVE UP TO $5,000 FOR EACH CALENDAR YEAR. X X X 1 1 1 1 0 0 0 0 0 0 0 A MARC HARRISON MD TRUSTEE (PARTIAL) 0 2137760 0 2604254 0 13451 0 1857710 0 9576 0 6622751 0 1862265 ALBERT R ZIMMERLI TRUSTEE 0 1206132 0 888226 0 2204533 0 1380079 0 10459 0 5689429 0 759188 ROBERT W ALLEN TRUSTEE (PARTIAL) 0 1190385 0 806124 0 557411 0 2267020 0 16364 0 4837304 0 693309 LYDIA W JUMONVILLE TRUSTEE (PARTIAL) 0 1457019 0 1300392 0 435796 0 675533 0 19797 0 3888537 0 382586 MARK R BRIESACHER MD TRUSTEE (PARTIAL) 0 152262 0 617848 0 2902282 0 26281 0 2929 0 3701602 0 1229981 JAMES P VALIN TRUSTEE (PARTIAL) 0 1018982 0 675622 0 104638 0 137560 0 30233 0 1967035 0 98880 GREGORY M JOHNSON FORMER OFFICER 0 546031 0 305661 0 755765 0 260012 0 21267 0 1888736 0 655717 MARTI LOLLI TRUSTEE/PRES/CEO (PARTIAL) 783713 0 444627 0 51465 0 572601 0 10156 0 1862562 0 408507 0 DAVID A LEMPERLE VP SALES (PARTIAL) 141430 0 268826 0 565021 0 42618 0 3402 0 1021297 0 234441 0 ROBERT L WHITE FORMER OFFICER 59716 0 221001 0 630043 0 89196 0 7695 0 1007651 0 148453 0 TODD TRETTIN VP (PARTIAL) / TREASURER / CFO 475502 0 139506 0 1534 0 281337 0 9151 0 907030 0 138906 0 RUSSEL J KUZEL MD CMO (PARTIAL) / VP (PARTIAL) 47198 0 263972 0 541994 0 31222 0 512 0 884898 0 230029 0 KRISTIN R MCCULLAGH SEC/VP/CHIEF ADMIN OFFICER (PARTIAL) 421599 0 116798 0 1916 0 241663 0 9734 0 791710 0 109144 0 KRISTA SCHONROCK MD SENIOR MEDICAL DIRECTOR 433658 0 109689 0 1884 0 210107 0 9789 0 765127 0 0 0 STEPHEN BARLOW MD MEDICAL DIRECTOR 396784 0 120494 0 1634 0 194684 0 11767 0 725363 0 0 0 JON R GRIFFITH CHIEF EXP OFFICER/VP (PARTIAL) 326658 0 93996 0 1881 0 189668 0 11845 0 624048 0 93996 0 H ERIC CANNON PHARMACY SERVICES 311161 0 84854 0 3076 0 186015 0 12330 0 597436 0 84854 0 SEAN DUNROE CHIEF STRAT OFFICER/VP (PARTIAL) 305477 0 78219 0 1945 0 187786 0 12969 0 586396 0 77984 0 ED CASTLEDINE MARKET PRESIDENT 289649 0 72452 0 51268 0 117688 0 7607 0 538664 0 0 0 HEATHER O'TOOLE CMO (PARTIAL) / VP (PARTIAL) 303949 0 0 0 30217 0 134923 0 8979 0 478068 0 0 0 ROB HITCHCOCK TRUSTEE/PRESIDENT (PARTIAL) 239463 0 133100 0 1269 0 81318 0 2041 0 457191 0 0 0 SCOTT WHITTLE MD MEDICAL DIRECTOR 90078 0 66304 0 206650 0 2458 0 4072 0 369562 0 0 0 JERRY R EDGINGTON VICE PRESIDENT (PARTIAL) 115175 0 196539 0 1372 0 34389 0 4814 0 352289 0 171334 0 PATRICIA R RICHARDS FORMER OFFICER 0 0 137717 0 0 0 0 0 0 0 137717 0 118893 0 PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL - IN ACCORDANCE WITH COMPANY POLICY, FIRST CLASS AND CHARTER TRAVEL WAS AVAILABLE ON A VERY LIMITED BASIS TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A FOR LONG INTERNATIONAL FLIGHTS AND/OR FOR SAFETY OR HEALTH REASONS. THE ADDITIONAL COST OF FIRST CLASS AND CHARTER TRAVEL WAS NOT REPORTED AS TAXABLE COMPENSATION. THE COSTS ASSOCIATED WITH THE LIMITED CIRCUMSTANCES OF FIRST CLASS AND CHARTER TRAVEL WERE A NECESSARY BUSINESS EXPENSE. TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES ARE AVAILABLE TO ANYONE IF APPROVED IN ADVANCE BY SENIOR MANAGEMENT OF THE FILING ORGANIZATION. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE EMPLOYEE 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 AND CERTAIN OFFICERS ARE GROSSED UP FOR TAX PURPOSES. A TOTAL OF TWO INDIVIDUALS RECEIVED THIS BENEFIT. THE PAYMENTS ARE INCLUDED ON EITHER A FORM W-2 OR 1099. PART I, LINE 3 INTERMOUNTAIN HEALTH CARE, INC., THE SOLE MEMBER OF THE FILING ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE SELECTHEALTH CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY/STUDY -APPROVAL BY THE COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN 2022: - MARK R. BRIESACHER, MD $2,141,477 - RUSSEL J. KUZEL, MD $541,600 - DAVID A. LEMPERLE $563,599 - ROBERT L. WHITE $471,729 - SCOTT WHITTLE $146,495 IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION, OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. AMOUNTS DEFERRED DURING 2022 FOR THE INDIVIDUALS REPORTED ON PART VII OF THE FORM 990 HAVE BEEN INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C) TOTAL. THE FOLLOWING INDIVIDUALS RECEIVED A SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT IN 2022: - MARK R. BRIESACHER, MD $750,631 - GREGORY M. JOHNSON $655,717 - ROBERT L. WHITE $148,453 - ALBERT R. ZIMMERLI $360,375 THE 2022 SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT REPORTED ABOVE IS INCLUDED IN THE PART II, COLUMN (B)(III) TOTALS. PART II, COLUMN (C): DURING 2022, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE. FORM 990, PART I, LINE 1: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE AND BEING A MODEL HEALTH PLAN BY PROVIDING HIGH-VALUE HEALTH BENEFITS AND SUPERIOR SERVICE AT AN AFFORDABLE COST. FORM 990, PART III, LINE 4A: SELECTHEALTH PROVIDES FINANCIAL SUPPORT TO IMPROVE THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES IT SERVES, WHICH IS INCLUDED IN OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. SELECTHEALTH BENEFITS LOW-INCOME MEMBERS OF THE COMMUNITY BY PROVIDING COST-EFFECTIVE INSURANCE COVERAGE FOR INDIVIDUALS AND EMPLOYERS. SELECTHEALTH OFFERS PLANS IN UTAH, IDAHO AND NEVADA IN THE INSURANCE MARKETPLACES RESULTING FROM THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). SELECTHEALTH'S COMMITMENT TO UNDERSERVED COMMUNITIES IS SUPPORTED BY THE OFFERING OF A MANAGED MEDICAID PLAN IN UTAH AS WELL AS MEDICARE ADVANTAGE PLANS IN UTAH, IDAHO AND NEVADA. THE COMMUNITIES SELECTHEALTH SERVES ALSO BENEFIT FROM A VARIETY OF SPONSORED HEALTH AND WELLNESS INITIATIVES, INCLUDING ONLINE AND WORKSITE HEALTH PROGRAMS, HEALTH FAIRS AND FLU SHOT CLINICS. SELECTHEALTH ALSO OFFERS HEALTHCARE REFORM EDUCATION AND ENROLLMENT FORUMS IN LOCATIONS THROUGHOUT UTAH, IDAHO AND NEVADA. ADDITIONALLY, IN RESPONSE TO AN INCREASE IN THE PERCENTAGE OF OVERWEIGHT OR OBESE CHILDREN, SELECTHEALTH DEVELOPED BRAIN, BODY, BOOST (B3), A SCHOOL-BASED OUTREACH PROGRAM TO HELP CHILDREN WORK TOWARD A HEALTHIER LIFESTYLE THROUGH CLASSROOM LESSON PLANS, PHYSICAL ACTIVITY AND NUTRITION. IN 2022, SELECTHEALTH RECOGNIZED 20 UTAH ORGANIZATIONS THAT SUPPORT HEALTH IMPROVEMENT OR SERVE SPECIAL POPULATIONS THROUGH ITS SELECTHEALTH AWARDS PROGRAM. EACH RECIPIENT ORGANIZATION RECEIVED A CASH AWARD AND MARKETING PACKAGE TO USE TOWARD MAKING A HEALTHY DIFFERENCE IN THEIR COMMUNITIES. AWARD WINNERS REPRESENTED A WIDE VARIETY OF CAUSES, INCLUDING AREA FOOD PANTRIES, MENTAL HEALTH SUPPORT AND EDUCATIONAL RESOURCES FOR THOSE WITH SPECIAL NEEDS. SELECTHEALTH PARTICIPATED IN WELLNESS AND TRANSPORTATION INITIATIVES SUCH AS SALT LAKE CITY'S DOWNTOWN FARMERS MARKET, LAS VEGAS' SUMMERLIN FARMERS MARKET, A SCHOLARSHIP PROGRAM AND THE BIKE SHARE PROGRAM KNOWN AS GREENBIKE IN UTAH. PARTICIPATION IN THESE COMMUNITY OUTREACH EVENTS IS GUIDED BY SELECTHEALTH'S COMMUNITY BENEFIT AND CORPORATE CONTRIBUTIONS POLICY. CONSISTENT WITH SELECTHEALTH'S MISSION, THIS POLICY AIMS TO SUPPORT LOCAL ORGANIZATIONS AND INITIATIVES IN THE COMPANY'S SERVICE AREAS THAT FURTHER WELLNESS, LITERACY AND ECONOMIC DEVELOPMENT. FORM 990, PART VI, SECTION A, LINE 2 ROBERT W. ALLEN / MARK R. BRIESACHER, MD / A. MARC HARRISON, MD / GREGORY M. JOHNSON / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION) ROBERT W. ALLEN / MICHAEL ANGLIN / KARLA K. BERGESEN / MARK R. BRIESACHER, MD / SEAN DUNROE / JERRY R. EDGINGTON / JOSH A. ENGLAND / MARIA GARCIAZ / DANIEL G. GOMEZ / JON GRIFFITH / A. MARC HARRISON, MD / ROB HITCHCOCK / RUSSEL J. KUZEL, MD / DAVID A. LEMPERLE / MARTI LOLLI / KRISTIN R. MCCULLAGH / HEATHER O'TOOLE, MD / D. BRETT SANFORD / MARIA R. SUMMERS / CYDNI TETRO / TODD TRETTIN / JAMES P. VALIN, MD / ANDREA P. WOLCOTT / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE ORGANIZATION THAT IS WHOLLY OWNED BY THE FILING ORGANIZATION) LYDIA W. JUMONVILLE / JAMES P. VALIN, MD- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION) ROBERT W. ALLEN / ED CASTLEDINE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF SALTZER MEDICAL GROUP, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING CHANGES, UPDATES, AND/OR CLARIFICATIONS WERE MADE TO THE ARTICLES OF INCORPORATION DURING 2022: - THE LANGUAGE WAS UPDATED TO CLARIFY THAT SELECTHEALTH TRUSTEES CAN BE BOTH APPOINTED AND REMOVED BY THE MEMBER. - THE PRESIDENT OF THE FILING ORGANIZATION WILL NOW BE APPOINTED BY THE MEMBER RATHER THAN BY THE TRUSTEES, AND THE PRESIDENT WILL APPOINT ALL OTHER OFFICERS. - UPON DISSOLUTION, ANY REMAINING ASSETS CAN BE DISTRIBUTED TO THE MEMBER, OR TO OTHER ORGANIZATIONS DESIGNATED BY THE MEMBER, AS LONG AS THEY ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SOCIAL WELFARE, CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES. THE FOLLOWING CHANGES, UPDATES AND CLARIFICATIONS WERE ALSO MADE TO THE FILING ORGANIZATION'S BYLAWS IN 2022: - TRUSTEES WILL NOW BE APPOINTED BY THE MEMBER AT THE FILING ORGANIZATION'S ANNUAL MEETING. - THE MEMBER WILL NOT BE REQUIRED TO MAKE CONTRIBUTIONS, LOANS OR GUARANTEES TO THE FILING ORGANIZATION. - VARIOUS POWERS HAVE BEEN DELEGATED TO THIS ORGANIZATION FROM THE SOLE MEMBER, SUCH AS DEVELOPING, ADOPTING AND OVERSEEING STRATEGY, GOALS AND OBJECTIVES; THE NOMINATION OF TRUSTEES AND BOARD OFFICERS; OVERSEEING CLINICAL QUALITY, MEMBER EXPERIENCE, FINANCE AND AUDIT; AND THE REVIEW AND APPROVAL OF COMPENSATION PACKAGES FOR SENIOR EXECUTIVES. - TRUSTEE TERMS WERE LENGTHENED TO THREE YEARS WITH A LIMIT OF THREE TERMS. - THE BOARD CHAIR AND VICE CHAIR TERMS WERE LENGTHENED TO A SINGLE THREE-YEAR TERM. - THE PRESIDENT'S RESPONSIBILITIES AND DUTIES WERE UPDATED AND INCLUDE, BUT ARE NOT LIMITED TO, GENERAL MANAGEMENT, SUPERVISION AND CONTROL OF THE BUSINESS; DEVELOPING AND RECOMMENDING STRATEGIC GOALS AND OBJECTIVES; MONITORING THE EFFECTIVENESS OF POLICIES STANDARDS AND GUIDELINES; RECOMMENDING ANNUAL OPERATING AND CAPITAL BUDGETS; APPOINTING AND REMOVING OTHER OFFICERS; OVERSEEING EMPLOYMENT AND DETERMINATION OF COMPENSATION AND BENEFITS; AND ENSURING COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS. - THE DUTIES OF THE SECRETARY AND TREASURER WERE ALSO ADDED. - POLICY MAKING WAS NOTED AS A RESERVED POWER OF THE MEMBER. - TRUSTEES MAY BE REIMBURSED FOR EXPENSES RELATED TO BOARD SERVICE AND MAY RECEIVE APPROPRIATE TOKENS OF APPRECIATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SELECTHEALTH, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE APPROVED BYLAWS, THE FILING ORGANIZATION'S TRUSTEES ARE ELECTED BY THE SOLE MEMBER AT AN ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE AND AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE PROVIDED TO THE COMMITTEES IN ADVANCE OF THEIR NOVEMBER MEETINGS. THE RETURN WAS DISCUSSED AND QUESTIONS WERE ANSWERED DURING THOSE MEETINGS. PRIOR TO FILING WITH THE IRS, A COPY OF THE FINAL RETURN WAS MADE AVAILABLE FOR BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE 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. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES, INC.'S VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL OF THE SOLE MEMBER, INTERMOUNTAIN HEALTH CARE, INC., AND SELECTHEALTH, INC. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH THE FILING ORGANIZATION OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO SELECTHEALTH'S AUDIT AND COMPLIANCE COMMITTEE. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15B THE EXECUTIVE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE") OF INTERMOUNTAIN HEALTH CARE, INC., THE FILING ORGANIZATION'S SOLE MEMBER, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGE FOR THE SELECTHEALTH PRESIDENT / CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF VALID, COMPARABLE 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 NONPROFIT 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 COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR THE SELECTHEALTH PRESIDENT / CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE REVIEWS THE COLLECTED INFORMATION AND THE ASSOCIATED PAY DECISIONS WITH THE ENTIRE INTERMOUNTAIN HEALTH CARE, INC. BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE OF THE FILING ORGANIZATION IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION PACKAGES FOR THE REMAINING SELECTHEALTH OFFICERS. ADJUSTMENTS IN COMPENSATION ARE BASED ON THE INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS, CURRENT MARKET INFORMATION, AND CHANGES IN JOB RESPONSIBILITIES. COMPENSATION DECISIONS AND DELIBERATIONS BY BOTH COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 SELECTHEALTH DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ON THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' WEBSITE. 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