2019-05-13T16:16:23-07:00 2018-06-30 870514498 Aycock Miles & Assoc CPAs 58 East 100 North 83-13 Roosevelt UT 84066 990 2017-07-01 870276435 Uintah Basin Medical Center UINT 4357224691 250 W 300 N Roosevelt UT 84066 Brent H Hales CFO 2019-05-13 true Michael J Miles P00153639 4357225153 2017 2019-02-21 02:37:17Z 81042358 false false X www.ubh.org X 2003 UT Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. 8 6 862 58 0 75000 138758 80608179 80472746 279831 430854 0 80963010 81042358 0 0 30948145 34197971 0 0 49539773 42781075 80487918 76979046 475092 4063312 90587657 92380120 28072260 24969116 62515397 67411004 Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. false false 57343170 80491315 Hospital services, long-term health care, rehabilitation, emergency medical care, inpatient and outpatient pharmaceutical services, and other essential medical services. The Hospital provided 4,958 patient days, 13,125 home health/hospice visits, 11,198 ER visits, and 2,772 surgeries during the year. 57343170 true false false false false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false false false false true 93 0 true 862 true false false false false false false false false 0 false false false false false false false false false false X 8 6 false false false false false false false true true true false false true true true true true true true false UT X Brent H Hales CFO 4357224691 250 W 300 N Roosevelt UT 84066 Bob Gilbert 1st Vice Chair 1.00 0.00 X 3600 0 0 Tyler Allred Director 1.00 0.00 X 3200 0 0 Dr Sean Paulsen Director 1.00 0.00 X 476100 0 0 Mindi Crowley Director 1.00 0.00 X 0 0 0 Dr John Blake Chief of Staff 1.00 0.00 X 629179 0 0 Ryan Snow 1st Vice Chair 1.00 0.00 X 0 0 0 Dr John Wells Chief of Staff 1.00 0.00 X 299471 0 0 Kent Peatross Director 1.00 0.00 X 500 0 0 Jenny Adams Director 1.00 0.00 X 3300 0 0 Gregory Todd 2nd Vice Chair 1.00 0.00 X 300 0 0 Tyler Rasmussen Director 1.00 0.00 X 2700 0 0 Jim Marshall President & CEO 50.00 0.00 X 395278 0 27000 Brent H Hales CFO 50.00 0.00 X 239806 0 22753 Alarik Myrin Chairman 1.00 0.00 X 3000 0 0 David Decault Senior Vice President 40.00 0.00 X 171495 0 16801 Randall Bennett Senior Vice President 40.00 0.00 X 203189 0 18931 Bobby Richardson Senior VP 40.00 0.00 X 173242 0 16339 Joseph Garcia Physician 40.00 0.00 X 441147 0 27000 Kerry Baum Physician 40.00 0.00 X 400101 0 19892 Shane Powell Physician 40.00 0.00 X 307044 0 25530 Bruce Arnold Pathologist 40.00 0.00 X 245924 0 24844 Weston Weaver Pharmacy Manager 40.00 0.00 X 178255 0 17818 4176831 216908 13 false true false Dr M Catten MD PC 250 N 300 W Roosevelt UT 84066 E.N.T. Surgeon 978900 Basin Obstetrics & Gynecology PLLC 250 N 300 W Roosevelt UT 84066 Obstretrics & Women 1289946 Cerner Corporation 2800 Rock Creek Pkwy Kansas City MO 64117 Software, IT 655067 Colby Duncan MD 250 N 300 W Roosevelt UT 84066 Physician 635628 Jason Larson MD PC 250 N 300 W Roosevelt UT 84066 E.R. Physician 651173 5 138758 138758 Net patient services 621110 78139609 78139609 Other medical services 621110 2333137 2333137 80472746 430854 430854 0 0 0 0 0 0 0 0 81042358 80903600 X 0 0 0 0 1221211 547927 673284 0 23835439 17338048 6497391 0 9141321 5530603 3610718 0 0 0 0 0 0 0 11545788 11479479 66309 0 0 0 0 0 0 0 0 1156985 1156985 0 5206895 1604060 3602835 391824 101829 289995 Pharmaceuticals 7937874 7937678 196 Supplies & Materials 7588120 6710501 877619 Other 3216171 2309900 906271 Purchased services 2993353 1643116 1350237 2744065 2140029 604036 76979046 57343170 19635876 0 19967316 2767265 23579736 17300491 15291705 0 0 0 0 1508525 1587486 1190077 863641 90199638 43677908 48695271 46521730 0 0 0 1647197 1647197 278780 121360 90587657 92380120 5173024 4473344 19659097 18277729 3240139 2218043 28072260 24969116 X 62515397 67411004 62515397 67411004 90587657 92380120 4063312 832272 23 X false true X true false X 3609980 3609980 54375254 43677908 10697346 32214404 32214404 46521730 Interest rate swap 2218043 2218043 X 81874630 832272 832272 81042358 81042358 76979046 76979046 76979046 Part X : FIN48 Footnote The Medical Center is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income tax is necessary. The Medical Center evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of June 30, 2018 and 2017, the Medical Center had no uncertain tax positions requiring accrual. true true X true X true X true true true false true true 1628569 1628569 0.02120 9704205 9028630 675575 0.00880 11332774 9028630 2304144 0.03000 43921 43921 0.00060 43921 43921 0.00060 11376695 9028630 2348065 0.03060 1096799 1096799 0.01420 1096799 1096799 0.01420 true 11147224 2037456 9327524 9233729 93795 X true false 1 1 Uintah Basin Medical Center 250 W 300 N Roosevelt UT 84066 WWW.ubh.org 2008-HOSP-180 X X X Uintah Basin Medical Center 1 false false true X X X X X X X X 17 true false false true X www.ubh.org/wp-content/uploads X X true 18 true www.ubh.org false false true X 150.0000 250.0000 X X X true true X X X true X www.ubh.org X www.ubh.org X www.ubh.org X X X X X X true X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community In connection with its most recent CHNA, Uintah Basin Medical Center (Medical Center) took into account input from a variety of persons who represented the broad interest of the community served by the Medical Center (including those with special knowledge of or expertise in public health). Specifically, hospital personnel attended a community health needs meeting at the Medical Center's office in Roosevelt, Utah. The meeting was hosted by the Tri-County Health Department and the Utah Department of Health to discuss the significant health needs and disparities within the Medical Center's community service area. There was also a survey of 800 residents with an 18% response rate in year 2017.At this meeting, the Medical Center disclosed the results of its CHNA Survey, discussed the top health concerns of the surrounding community with representatives of the community, and solicited and gathered input from the meeting attendees regarding possible solutions to the health concerns identified in the Medical Center's CHNA Survey and initial findings. Attendees from local, state or tribal public health organizations included individuals from Indian Health Services, the Ute Indian Tribe,the Tri-County Health Department, the Utah Department of Health (UDOH sent three participants--EPICC LHD liaison, accreditation coordinator, and public health assessment representative), and the Uintah Basin Association of Governments. Attendees from medically undeserved, low-income, uninsured and minority populations included individuals from the Uintah Basin Association of Governments and Community Services Development. There were also attendees from nonprofit and community-based organizations (Rotary Club and Family Support Center), local governmental organizations (Duchesne County and Roosevelt City), local school districts (Duchesne County School District), and a community health center/safety net clinic (Northeastern Counseling Center). Part V, Line 7d - Description of Making Needs Assessment Widely Available Website complete URL:www.ubh.org/wp-content/uploads/sites/534/2018/04/presentation_chna_dataforwebsite.pdf Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Waiting on final assessment of most important needs before we allocate resources to address them. Basin Care & Rehabilitation 260 W 200 N Roosevelt UT 84066 Long-term care and rehabilitation center Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Please refer to note disclosure No. 7 of the audited financial statements. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit Taxpayer used the "engaged patient model" tool which has a charity predictor to analyze bad debt accounts and estimate bad debt expense that reasonably is attributable to patients who likely would have qualified for financial assistance under the Medical Center's charity care policy but for whom insufficient information was obtained to determine their eligibility. The amount of bad debt expense attributable to the Hospital's charity care policy for year ending June 30, 2018 is $2,037,456. Part III, Line 4 - Bad Debt Expense Please refer to note disclosure No. 7 of the audited financial statements. X X X X false false false false false false false false false false Bobby Richardson Senior VP 163862 9380 16339 189581 Brent H Hales CFO 227455 12351 22753 262559 Bruce Arnold Pathologist 245924 24844 270768 David Decault Senior Vice President 165078 6417 16801 188296 Dr John Wells Chief of Staff 299471 299471 Dr Sean Paulsen Director 476100 476100 Dr John Blake Chief of Staff 629179 629179 Jim Marshall President & CEO 339298 55980 27000 422278 Joseph Garcia Physician 441147 27000 468147 Kerry Baum Physician 400101 19892 419993 Randall Bennett Senior Vice President 192874 10315 18931 222120 Shane Powell Physician 307044 25530 332574 Weston Weaver Pharmacy Manager 178255 17818 196073 Form 990, Part VI, Line 11b: Form 990 Review Process Review is conducted by the CFO. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Conflict questionnaires are completed by board members annually. If conflicts are present, affected board members are recused from voting. Should an unreported conflict become known, that board member is subject to disciplinary action. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management An independent compensation consultant is hired who uses a survey. Those results are reviewed by our compensation committee and the Board of Directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees An independent compensation consultant is hired who uses a survey. Those results are reviewed by our compensation committee and the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, conflict of interest policy, and financial statements are available to the public upon written request to the Board of Directors.