2014-11-12T11:09:25-06:00 2013-12-31 346565596 ERNST & YOUNG US LLP 178 S RIO GRANDE ST STE 400 SALT LAKE CITY UT 84101 990 2013-01-01 942854057 IHC HEALTH SERVICES INC IHCH 8014422000 36 S STATE STREET NO 2200 SALT LAKE CITY UT 84111 VP FINANCE VP FINANCE 8014422000 2014-11-12 0 SHANNON DEFOREST P00712229 8013503300 2013 2015-11-30 17:44:51Z CHARLES W SORENSON JR MD 36 S STATE ST SUITE 2200 SLC UT 84111 8851608341 0 X WWW.INTERMOUNTAINHEALTHCARE.ORG X 1982 UT SEE SCHEDULE O. 16 14 38067 4236 41323750 -4157536 38319634 22708313 4185079947 4420968577 127276563 211102080 31058115 32087786 4381734259 4686866756 10362009 26929893 0 0 2037819688 2160395508 0 0 2274266 1797474457 1892854969 3845656154 4080180370 536078105 606686386 6723416035 7667884709 3164137871 2678125050 3559278164 4989759659 X SEE SCHEDULE O. 0 0 3455042933 26929893 4430604690 IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,663 LICENSED BEDS) AND MORE THAN 300 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 134,000 INPATIENT ADMISSIONS, 474,000 EMERGENCY ROOM VISITS AND 2.91 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $122.5 MILLION IN CHARITY CARE (AT COST) THROUGH 276,674 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2013, SEE SCHEDULE O. 3455042933 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 1 0 1 2738 0 1 38067 1 1 1 1 JA CJ 0 0 0 0 0 0 0 0 X 16 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DENIS SMITH 8014423491 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 A SCOTT ANDERSON TRUSTEE / CHAIR 3.00 13.00 X X 289 0 0 S NEAL BERUBE TRUSTEE 1.00 1.00 X 471 0 0 DOUGLAS C BLACK TRUSTEE 1.00 10.00 X 420 142 0 JANE CARLILE TRUSTEE 1.00 1.00 X 713 0 0 REBECCA CHAVEZ-HOUCK TRUSTEE 1.00 1.00 X 548 0 0 SPENCER F ECCLES TRUSTEE 1.00 2.00 X 579 0 0 KAREN W FAIRBANKS TRUSTEE 1.00 1.00 X 733 0 0 KEM C GARDNER TRUSTEE / EMERITUS CHAIR 3.00 9.00 X X 1002 0 0 DANIEL G GOMEZ TRUSTEE 1.00 4.00 X 40 239 0 KAREN HALE TRUSTEE 1.00 1.00 X 386 0 0 RANDY HORIUCHI TRUSTEE 1.00 1.00 X 273 0 0 STEVE HUEBNER TRUSTEE 1.00 1.00 X 0 0 0 GAIL MILLER TRUSTEE 1.00 1.00 X 0 0 0 F ANN MILLNER TRUSTEE 1.00 4.00 X 273 0 0 ARNOLD MILSTEIN MD PHD TRUSTEE 1.00 1.00 X 273 0 0 BRUCE T REESE TRUSTEE / VICE CHAIR / SEC 3.00 10.00 X X 0 0 0 BRADFORD R RICH TRUSTEE 1.00 3.00 X 40 356 0 SHAHAB SAEED TRUSTEE 1.00 2.00 X 1180 0 0 CHARLES W SORENSON JR TRUSTEE / PRES / CEO 50.00 16.00 X X 6428819 0 969904 ROBERT W ALLEN VICE PRESIDENT 50.00 0.00 X 497909 0 224956 TODD E CRAGHEAD VICE PRESIDENT 50.00 0.00 X 267808 0 104932 DAVID FLOOD VP / CHIEF DEV. OFFICER 0.00 50.00 X 251388 0 56516 LARRY D HANCOCK VICE PRESIDENT 50.00 4.00 X 904625 0 539969 KIMBERLY HENRICHSEN VICE PRESIDENT 50.00 0.00 X 393863 0 178905 BRENT T JOHNSON VICE PRESIDENT 50.00 0.00 X 467131 0 323759 GREGORY M JOHNSON VICE PRESIDENT 50.00 4.00 X 480645 0 232708 LAURA S KAISER EXEC. VP / COO 50.00 4.00 X 1332604 0 660302 TERRI L KANE VICE PRESIDENT 50.00 0.00 X 534200 0 321539 LINDA C LECKMAN MD VICE PRESIDENT 50.00 0.00 X 814034 0 423747 JACQUE MILLARD VICE PRESIDENT 50.00 0.00 X 412521 0 182524 TIMOTHY T PEHRSON VICE PRESIDENT 50.00 0.00 X 664410 0 313465 GREGORY P POULSEN SENIOR VICE PRESIDENT 50.00 1.00 X 812849 0 560496 MARC PROBST VICE PRESIDENT / CIO 50.00 0.00 X 690326 0 37771 STEVEN R SMOOT VICE PRESIDENT 50.00 0.00 X 533405 0 200187 ALBERT R ZIMMERLI EXEC VP/CFO/SEC/TREAS 50.00 15.00 X 1405568 0 1057538 DANIEL L ZUHLKE VICE PRESIDENT 50.00 2.00 X 592691 0 397784 WILLIAM GOWSKI MD-ORTHOPEDIC 50.00 0.00 X 1359965 0 116647 TRAVIS HENDRY MD-SURGERY/ORTHOPEDIC 50.00 0.00 X 1239570 0 111488 ERIC HOOLEY MD MD-SURGERY/ORTHOPEDIC 50.00 0.00 X 1451549 0 126873 HOWARD RICHTER MD MD-SURGERY/ORTHOPEDIC 50.00 0.00 X 1219568 0 92668 BRENT E WALLACE MEDICAL OFFICER-CHIEF 50.00 0.00 X 3356484 0 477829 26119152 737 7712507 2430 0 1 0 UTAH EMERGENCY PHYSICIANS PC PO BOX 57117 MURRAY UT 84157 MEDICAL 33737749 ASSOCIATED REGIONAL AND UNIVERSITY 500 CHIPETA WAY SALT LAKE CITY UT 84108 MEDICAL 15715872 ACCRETIVE HEALTH INC 401 N MICHIGAN AVE STE 2700 CHICAGO IL 60611 REVENUE CYCLE MGMT 12823228 PRICEWATERHOUSECOOPERS LLP PO BOX 514038 LOS ANGELES CA 90051 CONSULTING 10759364 MICROSOFT LICENSING GP PO BOX 844510 DALLAS TX 75284 COMPUTER/SOFTWARE 8612394 250 12915684 7497583 2295046 22708313 PATIENT SERVICE 622110 3850986521 3850986521 LABORATORY 621511 472237537 461740682 10496855 PHARMACY 446110 70459184 37555366 32903818 RENTAL (RELATED) 531120 10408685 10408685 0 LAUNDRY 812320 7081795 5073481 2008314 9794855 8597020 1197835 4420968577 64340054 -5345107 69685161 202656 202656 6041840 5037133 1004707 1004707 60112 944595 4298031322 8232500 4114084569 45619883 183946753 -37387383 146559370 1923 146557447 CAFETERIA 722514 16437544 16437544 CORP CHARGE REVENUE 624100 9636113 9636113 GIFT SHOP / RETAIL 453220 5009422 5009422 31083079 4686866756 4383997868 41323750 238836825 26905893 26905893 24000 24000 23731922 23731922 677694 677694 1738576604 1501109971 236041845 1424788 158986250 146351799 12634451 124323431 82416356 41861138 45937 114099607 96391980 17605416 102211 16874335 414048 16460287 789490 50193 735297 4000 20406 20406 9779795 9779795 274618068 184748250 89815198 54620 14361623 6372463 7988160 1000 20880833 13726119 7138947 15767 136235857 79268990 56893252 73615 3405184 2816582 584581 4021 12012489 8303842 3668969 39678 48809010 48808278 732 215364181 187727636 27625209 11336 10735144 19676 10715468 MEDICAL SUPPLIES 724353239 724353239 BAD DEBT 231400263 231386063 14200 NON-MEDICAL SUPPLIES 111178075 82677378 28047070 453627 RISK MANAGEMENT 22917059 22917059 39119918 30492483 8583769 43666 4080180370 3455042933 622863171 2274266 158750 165038 430030096 551729504 3411740 3343170 537838327 569531485 0 0 0 0 1649678 1273253 94778115 99694051 27696665 42001617 3896083401 1747464943 2025389119 2148618458 3043364343 3436343733 306772099 369770509 29529302 40002861 249043 224345 222548758 405186685 6723416035 7667884709 279219135 281098654 0 0 2234719 1778908 1542773712 1514615532 0 0 0 0 21754868 22173931 0 0 1318155437 858458025 3164137871 2678125050 X 3554927282 4989350572 4350882 409087 0 0 3559278164 4989759659 6723416035 7667884709 X 606686386 289310147 534484962 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 20406 20406 20406 20406 4080159964 5588109985 4080180370 5588130391 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 18844 20156 21331 20406 80737 250000 250000 250000 250000 1000000 1500000 0 0 0 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: $4,080,180,370 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $1,374,714 501(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: $4,724,641 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $17,074,046 501(H) ELECTION: NO SELECTHEALTH, INC. 5381 GREEN STREET MURRAY, UTAH 84123 EIN: 87-0409820 EXEMPT PURPOSE EXPENDITURES: $1,476,718,548 501(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: $8,058,072 501(H) ELECTION: NO 195242262 32779950 3272859 1081964 30754950 199458157 96787154 159810561 4910350 50397499 15857338 10966 195242262 101217194 9533404 767953 247815 14479080 4502 96787154 52342055 62638026 1445298 1302467 13905718 101217194 59157657 10677665 10327590 27820857 52342055 0.00000 0.15560 0.84440 0 1 1 35019523 238004663 273024186 31602488 1511752086 652773116 890581458 1243324 78070515 40925719 38388120 67989 1701273778 1053766108 647575659 514206 298534829 299049035 2148618458 MISC AR 57412663 INTEREST RECEIVABLE 3860978 MISC OTHER ASSETS 237066 BOND ISSUANCE 4120156 OTHER LT ASSETS 4567559 ACCRUED RET. WELFARE BENEFIT 108247285 INVESTMENT RECEIVABLE 97350941 ACCRUED PENSION BENEFIT 129390037 405186685 PAYABLE TO THIRD PARTY PAYORS 103015969 MINORITY INT IN JT VENTURES 4312599 457 PLAN LIABILITY 56160558 ASSET RETIREMENT OBLIGATION 3691909 INTEREST RATE SWAP LIABILITIES 101432493 OTHER LONG TERM LIABILITIES 192887478 INVESTMENT PAYABLE 201641738 ACCRUED PAYROLL / LEAVE 195315281 858458025 X PART V, LINE 4: EXPLANATION: 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, CAPITAL PROJECTS AND OTHER SIMILAR PURPOSES. FORM 990, SCHEDULE D, PART VI, LINE 1E AMOUNTS REFLECTED ON LINE 1E REPRESENT CONSTRUCTION IN PROGRESS. FORM 990, SCHEDULE D, PART X, LINE 2 U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO SIGNIFICANT UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) IN THE CONSOLIDATED FINANCIAL STATEMENTS OR DISCLOSURE IN THE ACCOMPANYING NOTES. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 489845206 EAST ASIA AND THE PACIFIC INVESTMENTS 59502077 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS 154347139 MIDDLE EAST AND NORTH AFRICA INVESTMENTS 931163 NORTH AMERICA INVESTMENTS 6166060 SOUTH AMERICA INVESTMENTS 1650154 0 0 0 0 0 0 712441799 0 712441799 1 0 1 1 1 0 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 73% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 27% 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. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 119873059 0 119873059 0.03110 508340229 459036821 49303408 0.01280 628213288 459036821 169176467 0.04390 1305759 2952 1302807 0.00030 31584300 0 31584300 0.00820 10995443 7223923 3771520 0.00100 20633222 0 20633222 0.00540 64518724 7226875 57291849 0.01490 692732012 466263696 226468316 0.05880 69419 0 69419 0.00000 73475 0 73475 0.00000 142894 142894 1 231400263 115700132 503940417 541854334 -37913917 X 1 1 1 MCKAY DEE SURGICAL CENTER OUTPATIENT SURGERY 0.74800 0.25200 22 1 INTERMOUNTAIN MEDICAL CENTER 5121 SOUTH COTTONWOOD STREET MURRAY UT 84157 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X X X A 2 UTAH VALLEY REGIONAL MEDICAL CENTER 1034 NORTH 500 WEST PROVO UT 84604 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2 X X X X X A 3 PRIMARY CHILDREN'S HOSPITAL 100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-4 X X X X X X A 4 MCKAY-DEE HOSPITAL 4401 HARRISON BOULEVARD OGDEN UT 84403 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-1 X X X X X A 5 DIXIE REGIONAL MEDICAL CENTER 1380 EAST MEDICAL CENTER DRIVE ST GEORGE UT 84790 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X X A 6 LDS HOSPIAL 8TH AVENUE AND C STREET SALT LAKE CITY UT 84143 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X X X A 7 LOGAN REGIONAL HOSPITAL 500 EAST 1400 NORTH LOGAN UT 84341 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X A 8 AMERICAN FORK HOSPITAL 170 NORTH 1100 EAST AMERICAN FORK UT 84003 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-1 X X X A 9 RIVERTON HOSPITAL 3741 WEST 12600 SOUTH RIVERTON UT 84065 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-9 X X X X A 10 ALTA VIEW HOSPITAL 9660 SOUTH 1300 EAST SANDY UT 84094 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X A 11 THE ORTHOPEDIC SPECIALTY HOSPITAL 5848 SOUTH FASHION BOULEVARD MURRAY UT 84107 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-3 X A 12 PARK CITY MEDICAL CENTER 900 ROUND VALLEY DRIVE PARK CITY UT 84060 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-9 X X X A 13 VALLEY VIEW MEDICAL CENTER 1303 NORTH MAIN STREET CEDAR CITY UT 84720 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-2 X X X A 14 CASSIA REGIONAL MEDICAL CENTER 1501 HILAND AVENUE BURLEY ID 83318 HTTP://INTERMOUNTAINHEALTHCARE.ORG 20 X X X X A 15 OREM COMMUNITY HOSPITAL 331 NORTH 400 WEST OREM UT 84057 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2 X X X A 16 SEVIER VALLEY MEDICAL CENTER 100 NORTH MAIN RICHFIELD UT 84701 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2 X X X A 17 HEBER VALLEY MEDICAL CENTER 1485 SOUTH HIGHWAY 40 HEBER CITY UT 84032 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-2 X X X X A 18 BEAR RIVER VALLEY HOSPITAL 440 WEST 600 NORTH TREMONTON UT 84337 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X A 19 SANPETE VALLEY HOPSITAL 1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT UT 84647 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-2 X X X X A 20 GARFIELD MEMORIAL HOSPITAL 200 NORTH 400 EAST PANGUITCH UT 84759 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1 X X X A 21 DELTA COMMUNITY MEDICAL CENTER 126 WHITE SAGE AVENUE DELTA UT 84624 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2 X X X X A 22 FILLMORE COMMUNITY MEDICAL CENTER 674 SOUTH HIGHWAY 99 FILLMORE UT 84631 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2 X X X X A HOSPITAL REPORTING GROUP A 1 X X X X X X X X X 13 1 0 1 X SEE SECTION C X X X X X X 0 0 1 1 150.000000000000 1 500.000000000000 1 X X X X X X X X 1 1 X 1 0 X X X X 1 X 0 0 FORM 990, SCHEDULE H, PART V, SECTION B, LINES 3 AND 7 THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), SIGNED INTO LAW IN MARCH 2010, REQUIRES EACH NONPROFIT HOSPITAL TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS AND DEVELOP A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED COMMUNITY NEEDS. HEALTH SERVICES' COMMUNITY BENEFIT DEPARTMENT CREATED A SYSTEM-WIDE PROCESS TO BE USED BY EACH OF ITS 21 HOSPITALS IN CONDUCTING THE FOLLOWING COMPONENTS OF THE CHNA: 1) ASKING FOR COMMUNITY INPUT REGARDING LOCAL HEALTHCARE NEEDS; 2) QUANTITATIVE DATA COLLECTION; 3) DEVELOPING IMPLEMENTATION STRATEGIES; AND 4) MAKING THE CHNA RESULTS PUBLICLY AVAILABLE. LOCAL HOSPITAL LEADERS IMPLEMENTED THE PROCESS IN EACH COMMUNITY SERVED BY A HEALTH SERVICES HOSPITAL. EACH OF HEALTH SERVICES' CHNAS INCLUDED:- DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL- DEMOGRAPHICS OF THE COMMUNITY- EXISTING HEALTHCARE FACILITIES- EXPLANATION OF HOW THE DATA WAS OBTAINED- HEALTH NEEDS OF THE COMMUNITY- PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED, LOW-INCOME AND MINORITIES- DESCRIPTION OF THE PROCESS USED TO IDENTIFY AND PRIORITIZE NEEDS- DESCRIPTION OF THE PROCESS FOR CONSULTING WITH PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY- IDENTIFIED GAPS THAT LIMITED THE ABILITY TO ASSESS COMMUNITY HEALTH NEEDSTHE 2013 CHNA COMBINED A REVIEW OF THE DATA DESCRIBING THE HEALTH NEEDS WITH INPUT FROM MEMBERS OF THE COMMUNITY REPRESENTING BROAD INTERESTS OF THE RESIDENTS, INCLUDING THOSE WITH AN EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE NEEDS OF MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS. COMMUNITY INPUT MEETINGS INCLUDED OPEN-ENDED QUESTIONS ABOUT LOCAL HEALTH NEEDS AS WELL AS DISCUSSION ON SYSTEM-WIDE COMMUNITY HEALTH PRIORITIES. HEALTH SERVICES FIRST ESTABLISHED SYSTEM COMMUNITY HEALTH PRIORITIES IN 2009; CLINICAL STAFF DETERMINED TO USE SIMILAR HEALTH PRIORITIES IDENTIFIED IN A PREVIOUS HEALTH STATUS REPORT FOR THE 2013 QUANTITATIVE DATA COLLECTION TO IDENTIFY ANY CHANGES IN THE HEALTH INDICATORS OVER THE PAST FEW YEARS. THESE FOUR BROAD CATEGORIES REMAIN SIGNIFICANT HEALTH ISSUES FOR COMMUNITIES SERVED BY EACH OF HEALTH SERVICES' HOSPITALS; PEDIATRIC COMMUNITY HEALTH NEEDS ARE ADDRESSED BY PRIMARY CHILDREN'S HOSPITAL ON BEHALF OF HEALTH SERVICES' SYSTEM: 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;3) IMPROVE ACCESS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES FOR LOW-INCOME POPULATIONS; AND4) IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. (PRIMARY CHILDREN'S HOSPITAL ONLY)CHNA PART ONE: COMMUNITY INPUT MEETINGSCOMMUNITY INPUT MEETINGS WERE CONVENED BY EACH HOSPITAL TO ELICIT OBSERVATIONS AND COMMENTS ABOUT HEALTHCARE NEEDS IN THE LOCAL COMMUNITY. PARTICIPANTS WERE IDENTIFIED BY HOSPITAL STAFF WITH CONSULTATION FROM THE CENTRAL OFFICE COMMUNITY BENEFIT DEPARTMENT STAFF. PARTICIPANTS REPRESENTED 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 SERVICES AGENCY STAFF- LOCAL SCHOOL DISTRICT STAFF - LOW-INCOME ADVOCATES- RESIDENTS OF THE HOSPITAL NEIGHBORHOOD- RETIRED BUSINESS PEOPLE- SAFETY-NET CLINIC STAFF- SMALL BUSINESS OWNERSCHNA PART TWO: HEALTH INDICATOR DATA COLLECTIONHEALTH 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 HOSPITAL'S 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 WERE PRESENTED TO HOSPITAL ADMINISTRATION AND THEIR COMMUNITY BENEFIT LEADERSHIP, WHICH WERE USED FOR THE NEXT STEP, IMPLEMENTATION PLANNING BASED ON THE CHNA RESULTS.IMPLEMENTATION STRATEGIES AND COMMUNITY HEALTH INITIATIVES 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 IN 2013 THROUGH 2015. OF THE 21 IMPLEMENTATION STRATEGIES CREATED BY HEALTH SERVICES, 19 FOCUS ON THE PREVENTION, IDENTIFICATION, AND TREATMENT OF CHRONIC DISEASE IN A WIDE VARIETY OF EVIDENCE-BASED COMMUNITY HEALTH IMPROVEMENT STRATEGIES RANGING FROM PRESCRIBING EXERCISE IN SAFETY-NET CLINICS TO COMPREHENSIVE INTENSIVE BEHAVIOR MODIFICATION TREATMENT FOR FAMILIES AT RISK FOR OBESITY. PARK CITY MEDICAL CENTER IS WORKING TO IMPROVE ACCESS TO COMPREHENSIVE HEALTHCARE THROUGH COMMUNITY INSURANCE ENROLLMENT OUTREACH. PRIMARY CHILDREN'S HOSPITAL IS LEADING SYSTEM-WIDE EFFORTS TO IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. HOSPITAL IMPLEMENTATION PLANS WERE REVIEWED BY THE HOSPITAL GOVERNING BOARD AND SIGNED BY 1) THE EMPLOYEE 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.IN ADDITION TO HEALTHCARE NEEDS ADDRESSED IN EACH IMPLEMENTATION STRATEGY SET BY HEALTH SERVICES' 21 HOSPITALS, SYSTEM-WIDE COMMUNITY BENEFIT INITIATIVES ADDRESS THE HEALTH PRIORITIES OF IMPROVING PREVENTION OF CHRONIC DISEASE, ACCESS TO HIGH QUALITY, COMPREHENSIVE MEDICAL CARE, AND ACCESS TO BEHAVIORAL HEALTH. THESE CENTRALLY-LED EFFORTS IMPACT MANY OF THE 21 HOSPITAL COMMUNITIES AND ENSURE THAT HEALTH SERVICES CONTINUES TO ADDRESS THE HEALTH NEEDS.HEALTH SERVICES' STAFF IDENTIFIED TWO SIGNIFICANT GAPS IN THE QUANTITATIVE ANALYSIS PORTION OF THE CHNA. FIRST, SIGNIFICANT HEALTH INDICATORS WERE NOT AVAILABLE FOR RECENT DEPRESSION AND OTHER BEHAVIORAL HEALTH DIAGNOSTIC CATEGORIES FROM THE UTAH DEPARTMENT OF HEALTH. SECOND, CURRENT MEDICAID ENROLLMENT AND ELIGIBILITY DATA AND INFORMATION ON THE NUMBER OF HEALTHCARE PROVIDERS ACCEPTING MEDICAID IN LOCAL COMMUNITIES WAS UNAVAILABLE TO HEALTH SERVICES.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. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5A INTERMOUNTAINHEALTHCARE.ORG/ABOUT/PAGES/CHNA-REPORTS FORM 990, SCHEDULE H, PART V, SECTION B, LINE 12I 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 CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILTY FOR FINANCIAL ASSISTANCE.ASSISTANCE BASED ON INCOME. HEALTH SERVICES EVALUATES AN INDIVDUAL'S HOUSEHOLD INCOME COMPARED TO THE HHS FEDERAL POVERTY INCOME GUIDELINES AND OFFERS THE MAXIMUM AVAILABLE ASSISTANCE TO QUALIFYING INDIVIDUALS UNDER 150% OF THOSE GUIDELINES. HEALTH SERVICES APPLIES AN EVALUATIVE MODEL TO ESTIMATE A REASONABLE AMOUNT AN INDIVIDUAL COULD PAY WHEN INCOME FALLS BETWEEN 150% AND 500% OF THE POVERTY GUIDELINES AND THEN OFFERS ASSISTANCE TOWARDS MEDICAL BILLS IN EXCESS OF THAT ESTIMATED PAYMENT AMOUNT. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 14G AND 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. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20D 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.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. THE FILING ORGANIZATION BELIEVES IT IS IN COMPLIANCE WITH THE LANUGUAGE OF THE APPLICABLE STATUTE AND WILL VERIFY SUCH COMPLIANCE UPON PROMULGATION OF THE FINAL REGULATIONS. 332 SALT LAKE CLINIC 333 S 900 E SALT LAKE CITY UT 841022310 CLINIC MEMORIAL CLINIC 2000 S 900 E SALT LAKE CITY UT 841053208 CLINIC AVENUES SPECIALTY CLINIC 324 10TH AVE STE 100 SALT LAKE CITY UT 841032870 CLINIC BOUNTIFUL CLINIC 390 N MAIN ST BOUNTIFUL UT 840106046 CLINIC MCKAY DEE RHEUMATOLOGY CLINIC 4403 HARRISON BLVD STE 3650 OGDEN UT 844033288 CLINIC ORTHOPEDIC SPECIALTY GROUP - TOSH 5848 S 300 E STE 120 MURRAY UT 841076121 CLINIC CALTONHARRISON ORTHOPEDIC CLINIC 4403 HARRISON BLVD STE 2400 OGDEN UT 844033297 CLINIC BUDGE CLINIC INTERNAL MEDICINE 1350 N 500 E LOGAN UT 843412400 CLINIC CANYON VIEW ORTHOPEDICS & ASSOCIATES 1300 N 500 E STE 130 LOGAN UT 843412466 CLINIC LAYTON CLINIC 2075 UNIVERSITY PARK BLVD LAYTON UT 840411611 CLINIC UTAH HEART 5169 COTTONWOOD ST STE 520 MURRAY UT 841075701 CLINIC REDROCK SPINE 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SALT LAKE CITY UT 841430001 CLINIC NOYES SURGICAL ONCOLOGY 5169 COTTONWOOD ST STE 440 MURRAY UT 841076774 SURGICAL CENTER SOUTHERN UTAH SURGICAL ASSOCIATES 166 W 1325 N STE 350 CEDAR CITY UT 847207796 SURGICAL CENTER NORTH VALLEY PEDIATRICS 212 S 1100 E AMERICAN FORK UT 840032829 CLINIC LDS CAMPUS SLEEP PROGRAM 325 8TH AVE SALT LAKE CITY UT 841430001 CLINIC MCKAY DEE WOUND AND HYPERBARIC CNTR 4401 HARRISON BLVD STE 1885 OGDEN UT 844033325 CLINIC CEDAR CITY INSTACARE 962 SAGE DR CEDAR CITY UT 847201885 CLINIC MCKAY DEE RADIATION ONCOLOGY 4401 HARRISON BLVD OGDEN UT 844033195 CLINIC HIGHLAND INSTACARE 10968 N ALPINE HWY HIGHLAND UT 840038874 CLINIC UTAH VALLEY ORTHOPAEDICS 10968 N ALPINE HWY HIGHLAND UT 840038874 CLINIC AMERICAN FORK HOSPITALISTS 170 N 1100 E AMERICAN FORK UT 840032096 CLINIC MT PLEASANT CLINIC 1100 S MEDICAL DR MT PLEASANT UT 846472222 CLINIC VALLEY VIEW HEART CLINIC 1303 N MAIN ST STE H CEDAR CITY UT 847209746 CLINIC LDS HOSPITAL RADIATION ONCOLOGY 8TH AVE AND C ST SALT LAKE CITY UT 841430002 CLINIC EPHRAIM CLINIC 525 N MAIN ST EPHRAIM UT 846271155 CLINIC PROVO RADIATION ONCOLOGY 1034 N 500 W PROVO UT 846043380 CLINIC MATERNAL FETAL MEDICINE SPECIALISTS 5121 COTTONWOOD ST STE 100 MURRAY UT 841075701 CLINIC HURRICANE VALLEY INSTACARE 75 N 2260 W HURRICANE UT 847372034 CLINIC VALLEY VIEW FAMILY MEDICINE 1333 N MAIN ST CEDAR CITY UT 847219314 CLINIC SYRACUSE CLINIC 745 S 2000 W SYRACUSE UT 840759621 CLINIC UTAH VALLEY HYPERBARIC AND WOUND 1034 N 500 W PROVO UT 846043380 CLINIC SOUTHWEST NEUROLOGY ASSOCIATES 652 S MEDICAL CENTER DR STE 320 ST GEORGE UT 847907017 CLINIC ORTHOPEDIC SPECIALTY GROUP - TRAUMA 5169 COTTONWOOD ST STE 430 MURRAY UT 841076774 CLINIC HOLLADAY PEDIATRICS NORTH 2160 E 4500 S SALT LAKE CITY UT 841174011 CLINIC DRMC WOUND AND HYPERBARIC 544 S 400 E ST GEORGE UT 847703705 CLINIC DRMC RADIATION ONCOLOGY 544 S 400 E ST GEORGE UT 847703705 CLINIC ISOM PLASTIC SURGERY 1350 N 500 E STE 310 LOGAN UT 843412400 SURGICAL CENTER INTERMOUNTAIN SLEEP PROGRAM TOSH 5770 S 250 E STE 340 MURRAY UT 841078163 CLINIC SUMMIT ORTHOPEDICS 4403 HARRISON BLVD STE 2600 OGDEN UT 844033277 CLINIC MEMORIAL KIDSCARE 2000 S 900 E SALT LAKE CITY UT 841053208 CLINIC CALTON-HARRISON CLINIC - TRAUMA 4403 HARRISON BLVD STE 2400 OGDEN UT 844033297 CLINIC UTAH VALLEY MATERNAL FETAL MEDICINE 1034 N 500 W PROVO UT 846043380 CLINIC MANTI FAMILY CLINIC 159 N MAIN ST MANTI UT 846421257 CLINIC WASATCH OBGYN 2075 UNIVERSITY PARK BLVD LAYTON UT 840411611 CLINIC WEST JORDAN KIDSCARE 2655 W 9000 S WEST JORDAN UT 840888542 CLINIC AMERICAN FORK PULMONARY CLINIC 170 N 1100 E AMERICAN FORK UT 840032096 CLINIC LOGAN HYPERBARIC AND WOUND CARE 1400 N 500 E LOGAN UT 843412455 CLINIC MOUNTAIN VIEW PEDIATRICS KIDSCARE 9720 S 1300 E STE 100 SANDY UT 840943743 CLINIC CENTRAL ENT HEAD-NECK SURGERY 5169 COTTONWOOD ST STE 640 MURRAY UT 841076771 SURGICAL CENTER PHYSICAL MEDICINE & REHAB CLINIC 1055 N 300 W STE 410 PROVO UT 846043354 CLINIC LOGAN HOSPITALISTS 1400 N 500 E LOGAN UT 843412455 CLINIC UTAH HEART 3741 W 12600 S RIVERTON UT 840657215 CLINIC SYRACUSE INSTACARE 745 S 2000 W SYRACUSE UT 840759621 CLINIC INTERMOUNTAIN SENIOR CLINIC 5770 S 250 E STE 210 MURRAY UT 841076163 CLINIC AMERICAN FORK RADIATION ONCOLOGY 170 N 1100 E AMERICAN FORK UT 840032096 CLINIC DIXIE SLEEP DISORDERS CENTER 652 S MEDICAL CENTER DR STE 310 ST GEORGE UT 847907017 CLINIC NEIGHBORHOOD CLINIC 855 W CALIFORNIA AVE SALT LAKE CITY UT 841041632 CLINIC SEVIER VALLEY FP SVMC 1000 N MAIN ST RICHFIELD UT 847011857 CLINIC UTAH HEART-AVH 9690 S 1300 E STE 200 SANDY UT 840943740 CLINIC RIVERTON HOSPITALISTS 3723 W 12600 S RIVERTON UT 840657295 CLINIC ALTA VIEW HOSPITALISTS 9660 S 1300 E SANDY UT 840943766 CLINIC UTAH VALLEY SPORTS MEDICINE 1159 E 200 N STE 100 AMERICAN FORK UT 840032053 CLINIC WASATCH OBGYN 2400 N WASHINGTON BLVD NORTH OGDEN UT 844147233 CLINIC MCKAY DEE MATERNAL FETAL MEDICINE 4401 HARRISON BLVD STE 4600 OGDEN UT 844033293 CLINIC SNOWBIRD CLINIC HIGHWAY 210 LITTLE COTTONWOOD CYN SNOWBIRD UT 840920000 CLINIC NORTH SEVIER MEDICAL CLINIC 530 N 250 W SALINA UT 846545514 CLINIC NORTHERN UTAH KIDSCARE 4403 HARRISON BLVD STE 4875 OGDEN UT 844033335 CLINIC MORONI CLINIC 51 E MAIN ST MORONI UT 846460810 CLINIC LDS MATERNAL FETAL MEDICINE 8TH AVE AND C ST SALT LAKE CITY UT 841430001 CLINIC LOGAN PSYCHIATRY 1300 N 500 E STE 250 LOGAN UT 843412417 CLINIC INT NEUROSCIENCES-INPATIENT 5171 COTTONWOOD ST STE 810 MURRAY UT 841075705 CLINIC SOUTHWEST RHEUMATOLOGY ASSOCIATES 577 S RIVER RD ST GEORGE UT 847902097 CLINIC LOGAN RADIATION ONCOLOGY 500 E 1400 N LOGAN UT 843412455 CLINIC PROVO NEUROLOGICAL CLINIC 1134 N 500 W STE 101 PROVO UT 846045569 CLINIC UTAH VALLEY INTERNAL MEDICINE 1134 N 500 W STE 101 PROVO UT 846045569 CLINIC HEALTH AND FITNESS PROGRAM 440 D ST STE 206 SALT LAKE CITY UT 841032838 CLINIC ST GEORGE PULMONARY CLINIC 1380 E MEDICAL CENTER DR STE 2200 ST GEORGE UT 847902130 CLINIC DIXIE ENDO-DIABETES CLINIC 348 E 600 S ST GEORGE UT 847703949 CLINIC BEAR RIVER SPECIALISTS 935 N 1000 W TREMONTON UT 843379356 CLINIC US SYNTHETIC CLINIC 1260 S 1600 W OREM UT 840584931 CLINIC INT NEUROSCIENCES-ECCLES OP 5121 COTTONWOOD ST MURRAY UT 841075701 CLINIC NORTH CACHE VALLEY INSTACARE 4088 N HIGHWAY 91 HYDE PARK UT 843184108 CLINIC DIXIE HIGH RISK OB 544 S 400 E ST GEORGE UT 847703705 CLINIC IM FLASH 1550 E 3400 N LEHI UT 840439692 CLINIC CANYON VIEW FAMILY PRACTICE 15 E 400 N PAROWAN UT 847610000 CLINIC PARK CITY HOSPITALISTS 900 ROUND VALLEY DR PARK CITY UT 840607552 CLINIC UTAH VALLEY PEDIATRIC HOSPITALISTS 1034 N 500 W PROVO UT 846043380 CLINIC ALTA VIEW SENIOR CLINIC 9720 S 1300 E STE E240 SANDY UT 840943795 CLINIC LDS CAMPUS SLEEP-ST JOSEPH'S VILLA 451 BISHOP FEDERAL LN SALT LAKE CITY UT 841152357 CLINIC LAYTON KIDSCARE 2075 UNIVERSITY PARK BLVD LAYTON UT 840411611 CLINIC AVENUES NEUROSURGERY 370 9TH AVE STE 111 SALT LAKE CITY UT 841033180 SURGICAL CENTER DIXIE MATERNAL FETAL MEDICINE 544 S 400 E ST GEORGE UT 847703705 CLINIC SALT LAKE CLINIC-FAMILY INTERNAL MEDICIN 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC GORANG FAMILY PRACTICE 9720 S 1300 E STE E230 SANDY UT 840943771 CLINIC DRMC ACUTE REHAB 544 S 400 E ST GEORGE UT 847703705 CLINIC VALLEY VIEW RADIATION ONCOLOGY 1303 N MAIN ST CEDAR CITY UT 847219746 CLINIC PARK CITY CLINIC - CANYONS 4000 CANYONS RESORT DR PARK CITY UT 840986546 CLINIC SOUTHERN UTAH BEHAVIORAL HEALTH 1054 E RIVERSIDE DR STE 202 ST GEORGE UT 847904829 CLINIC SALT LAKE CLINIC-PHYSICAL MEDICINE 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC MCKAY DEE NEURO-HOSPITALISTS 4403 HARRISON BLVD OGDEN UT 844033271 CLINIC SALT LAKE CLINIC-DERMATOLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SALT LAKE CLINIC-ORTHOPEDICS 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC INTERMOUNTAIN PSYCH & COUNSELING 5169 S COTTONWOOD ST STE 400 MURRAY UT 841076769 CLINIC ALTA VIEW NURSE MIDWIVES 9600 S 1300 E STE 310 SANDY UT 840943766 CLINIC DRMC INPATIENT PSYCHIATRY 544 S 400 E ST GEORGE UT 847703705 CLINIC SOUTH SEVIER CLINIC 539 S MAIN ST MONROE UT 847544623 CLINIC DIXON CLINIC 750 W 200 N PROVO UT 846012606 CLINIC SOUTHWEST REGIONAL CANCER-CEDAR CITY 1303 N MAIN ST CEDAR CITY UT 847209746 CLINIC UTAH VALLEY PEDIATRIC SPECIALTY-UVRMC 1035 N 500 W PROVO UT 846043337 CLINIC PROVO NEUROLOGICAL CLINIC-UVRMC 1034 N 500 W PROVO UT 846043380 CLINIC SALT LAKE CLINIC-ENT 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC RIVERTON CAMPUS SLEEP PROGRAM 3723 W 12600 S STE 480 RIVERTON UT 840657296 CLINIC SALT LAKE CLINIC-ALLERGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC CENTRAL OREM-NORTH CANYON OB 3200 N CANYON RD STE C PROVO UT 846044682 CLINIC BUDGE SURGICAL SPECIALISTS 2400 N WASHINGTON BLVD NORTH OGDEN UT 844147233 SURGICAL CENTER SALT LAKE CLINIC-PEDIATRICS 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC MCKAY DEE BH 2075 UNIVERSITY PARK BLVD LAYTON UT 840411611 CLINIC MCKAY DEE INFECTIOUS DISEASE 4403 HARRISON BLVD STE 3630 OGDEN UT 844033287 CLINIC LINCOLN SCHOOL CLINIC 1090 ROBERTA ST SALT LAKE CITY UT 841114624 CLINIC IMED CAMPUS SLEEP PROGRAM 5121 COTTONWOOD ST MURRAY UT 841075701 CLINIC MCKAY DEE NEUROLOGY 4403 HARRISON BLVD STE 3855 OGDEN UT 844033349 CLINIC INTERMOUNTAIN LIFETIME CLINIC FREEPORT CENTER BLDG D-12 CLEARFIELD UT 840160010 CLINIC SALT LAKE CLINIC-OPHTHALMOLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC PHYSICAL MED AND REHAB-AMERICAN FORK 1159 E 200 N STE 100 AMERICAN FORK UT 840032053 CLINIC AMERCIAN FORK MATERNAL FETAL MED 170 N 1100 E AMERICAN FORK UT 840032096 CLINIC LAYTON ORTHOPEDICS 2400 N WASHINGTON BLVD NORTH OGDEN UT 844147233 CLINIC UTAH VALLEY ORTHO-NVSARATOGA 250 E STATE RD 73 SARATOGA SPRINGS UT 840432966 CLINIC ROSE PARK ELEMENTARY CLINIC 1105 W 1000 N SALT LAKE CITY UT 841162135 CLINIC CW ENDOCRINE & DIABETES 5169 COTTONWOOD ST STE 640 MURRAY UT 841076771 CLINIC PARK CITY ALLERGY CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY UT 840607549 CLINIC DIXIE INFECTIOUS DISEASE CLINIC 1380 E MEDICAL CENTER DR STE 2300 ST GEORGE UT 847902131 CLINIC UTAH VALLEY SPORTS MED-BYU EXT 87 SMITH FIELD HOUSE PROVO UT 846020002 CLINIC SALT LAKE CLINIC-UROLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SALT LAKE CLINIC-ENDOCRINOLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC LOGAN MATERNAL FETAL MEDICINE 1400 N 500 E LOGAN UT 843412455 CLINIC INTERMOUNTAIN NURSE MIDWIVES 855 CALIFORNIA AVE SALT LAKE CITY UT 841041632 CLINIC SALT LAKE CLINIC-OBGYN 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC INTERMOUNTAIN NURSE MIDWIVES 1105 W 1000 N SALT LAKE CITY UT 841162135 CLINIC WHITE SAGE FAMILY MEDICINE CLINIC 130 WHITE SAGE AVE DELTA UT 846248928 CLINIC BUDGE CLINIC RADIOLOGY 1350 N 500 E LOGAN UT 843412400 CLINIC SALT LAKE CLINIC-RHEUMATOLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SALT LAKE CLINIC-CARDIOLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC LAYTON-OGDEN CLINIC 4650 HARRISON BLVD OGDEN UT 844034303 CLINIC SANDY SLEEP DISORDERS 9600 S 1300 E SANDY UT 840943766 CLINIC REDROCK SPINE & NEUROSURGERY CLINIC 1303 N MAIN ST CEDAR CITY UT 847209746 SURGICAL CENTER HEART RHYTHM SPECIALISTS 1300 N 500 E STE 320 LOGAN UT 843412462 CLINIC HEART RHYTHM SPECIALISTS 1233 E 2ND ST CASPER WY 826012926 CLINIC VALLEY VIEW WOUND CLINIC 1333 N MAIN ST STE 3 CEDAR CITY UT 847219314 CLINIC SALT LAKE CLINIC-SURGICAL SPECIALISTS 389 S 900 E SALT LAKE CITY UT 841022310 SURGICAL CENTER SALT LAKE CLINIC-PODIATRY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC UTAH HEART-PARK CITY 900 ROUND VALLEY DR PARK CITY UT 840607552 CLINIC BEAR RIVER SPECIALISTS 150 N 200 W MALAD ID 832521239 CLINIC UTAH VALLEY HEART & LUNG-VEIN 1134 N 500 W STE 100 PROVO UT 846043383 CLINIC SALT LAKE CLINIC-NEUROLOGY 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SNOWBASIN CLINIC 3925 E SNOWBASIN DR HUNTSVILLE UT 843170000 CLINIC MCKAY DEE PEDS CS SEDATION 4401 HARRISON BLVD OGDEN UT 844033195 CLINIC SOUTHWEST CARDIOLOGY-EP 1380 E MEDICAL CENTER DR STE 4100 ST GEORGE UT 847902156 CLINIC VALLEY VIEW HEART-GARFIELD 200 N 400 E PANGUITCH UT 847590389 CLINIC HEART RHYTHM SPECIALISTS IDAHO FALLS 3100 CHANNING WAY IDAHO FALLS ID 834047533 CLINIC PARK CITY SLEEP DISORDERS CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY UT 840607549 CLINIC UTAH VALLEY SPORTS MED-UVSC 800 W UNIVERSITY PKWY OREM UT 840586703 CLINIC INTERMOUNTAIN EMPLOYEE CLINIC 5171 S COTTONWOOD ST STE 130 MURRAY UT 841075704 CLINIC DIXIE HIGH RISK FERTILITY 544 S 400 E ST GEORGE UT 847703705 CLINIC SOUTHWEST CARDIOLOGY 110 W 1325 N STE 100 CEDAR CITY UT 847218101 CLINIC ALTA VIEW SLEEP PROGRAM 9660 S 1300 E SANDY UT 840943762 CLINIC HEART RHYTHM SPECIALISTS 777 HOSPITAL WAY STE 101 POCATELLO ID 832015162 CLINIC SOUTHERN UTAH SURGICAL 224 N 400 E PANGUITCH UT 847598001 SURGICAL CENTER HEART RHYTHM SPECIALISTS 5292 S COLLEGE DR STE 200 MURRAY UT 841232598 CLINIC SALT LAKE CLINIC-MHI 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SOUTHERN UTAH SURGICAL 126 WHITE SAGE AVE DELTA UT 846248937 SURGICAL CENTER MCKAY DEE CARDIO 2001 S WOODRUFF AVE STE 12 IDAHO FALLS ID 834046372 CLINIC UTAH VALLEY MFM-ONCOLOGY 1034 N 500 W PROVO UT 846043380 CLINIC PULMONARY ST GEORGE-CEDAR CITY 110 W 1325 N STE 100 CEDAR CITY UT 847218101 CLINIC INT HEART RHYTHM COTTONWOOD 5979 FASHION BLVD SALT LAKE CITY UT 841077364 CLINIC INT HEART CARDIOLOGY-SL CLINIC 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC SALT LAKE CLNC-ANTICOAGULATION CLNC 389 S 900 E SALT LAKE CITY UT 841022310 CLINIC DIXIE NEONATOLOGY-GRADUATE 544 S 400 E ST GEORGE UT 847703705 CLINIC RIM ROCK ORTHOPAEDICS-DSC 225 S 700 E ST GEORGE UT 847703875 CLINIC BRYNER CLINIC 525 E 100 S STE 500 SALT LAKE CITY UT 841021956 CLINIC HEART RHYTHM SPECIALISTS 196 E 2000 N TOOELE UT 840749335 CLINIC MCKAY DEE CARDIO-ID HEART INST 2985 CORTEZ AVE IDAHO FALLS ID 834047554 CLINIC INT HEART-IHL-CARDIAC CARE 5121 S COTTONWOOD ST MURRAY UT 841075701 CLINIC AMERICAN FORK PULM CRITICAL CARE 170 N 1100 E AMERICAN FORK UT 840032096 CLINIC PRIMARY CHILDREN'S RADIATION ONC 100 N MEDICAL DR SALT LAKE CITY UT 841131103 CLINIC 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 MINUMUM 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 ARE NOT REQUIRED TO CONTRIBUTE AND WILL STILL RECEIVE CARE.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 150% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, HEALTH SERVICES USES A VARIETY OF FACTORS, INCLUDING INCOME AND ASSET LEVELS, MEDICAL INDIGENCY, INSURANCE STATUS, AND MEDICARE AND MEDICAID ELIGIBILITY.HEALTH SERVICES ALSO LIMITS CHARGES WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH INDIVIDUAL'S CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. 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 (LINE 7I) 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. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 231,400,263. PART II, COMMUNITY BUILDING ACTIVITIES: HEALTH SERVICES' 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, DIABETES-RELATED COALITIONS TO HELP REDUCE THE INCIDENCE OF DIABETES IN CHILDREN AND ADULTS, VARIOUS MENTAL HEALTH/SUICIDE PREVENTION EFFORTS, AND OTHER COALITIONS THAT ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY. 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. PART III, LINE 2: THE ALLOWANCE FOR BAD DEBTS ON THE FILING ORGANIZATION'S FINANCIAL STATEMENTS IS ESTIMATED USING A BALANCE SHEET APPROACH BASED ON ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. PART III, LINE 3: 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 A 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 $231.4 MILLION AND $206.8 MILLION FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, RESPECTIVELY. 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 FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF ALLOWANCES FOR BAD DEBTS BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS.PART III, LINES 5-7THE 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) - 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 $228.7 MILLION, A DIFFERENCE OF $190.8 MILLION FROM THE AMOUNT DISCLOSED ON PART III OF THE 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 PROVIDED 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, BURDENS BORNE BY GOVERNMENTS 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. PART III, LINE 9B: 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, 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. PART VI, LINE 3: 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 HOSPITALS AND 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-REGISTRATIONS 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. PART VI, LINE 4: HEALTH SERVICES OPERATES 22 HOSPITALS (21 OWNED AND ONE, GARFIELD MEMORIAL HOSPITAL, MANAGED BY HEALTH SERVICES) AND MORE THAN 300 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.BASED ON 2013 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 2.9 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 (31.1% OF THE POPULATION IS UNDER 18 YEARS OLD WHILE ONLY 9.5% IS 65 YEARS AND OLDER). EDUCATION LEVELS ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE (90.6% OF THE POPULATION ARE HIGH SCHOOL GRADUATES AND 29.9% HAVE A BACHELOR'S DEGREE OR HIGHER). THE 2012 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $57,164. IN 2012 ABOUT 12.1% OF THE POPULATION LIVED AT OR BELOW THE FEDERAL POVERTY LEVELS; ABOUT 10% OF THE POPULATION WAS ENROLLED IN MEDICAID (OVER HALF OF WHICH WERE CHILDREN); 9% WAS ENROLLED IN MEDICARE; AND 58% WAS ENROLLED IN EMPLOYER-SPONSORED HEALTH INSURANCE. ABOUT 15% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE.AS OF JULY 2012, FOUR OF UTAH'S COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED POPULATIONS. NINE 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 46 HOSPITALS IN THE SERVICE AREA. PART VI, LINE 5: HEALTH SERVICES PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN STATE AND LOCAL HEALTH DEPARTMENTS, VARIOUS COALITIONS AND SERVICES THAT ADDRESS DOCUMENTED HEALTH NEEDS TO IMPROVE HEALTH. 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 IRS 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. PART VI, LINE 6: THE PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., IS A SECTION 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 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. INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. AND INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 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 CONDUCTING 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. 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 CURRENTLY DOES NOT HAVE STATE NONPROFIT HOSPITAL COMMUNITY BENEFIT REPORTING REQUIREMENTS. 1 HUNTSMAN CANCER FOUNDATION 500 HUNTSMAN WAY SALT LAKE CITY UT 84108 870541293 501 (C) (3) 20000000 CONSTRUCTION OF CANCER RESEARCH CENTER INTERMOUNTAIN HEALTHCARE FOUNDATION 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 800225150 501 (C) (3) 5636629 SUPPORT FOUNDATION UNITED WAY 257 EAST 200 SOUTH SUITE 300 SALT LAKE CITY UT 84111 870227091 501 (C) (3) 295443 SUPPORT HEALTHCARE NAMI 1600 WEST 2200 SOUTH SUITE 202 WEST VALLEY CITY UT 84119 870432972 501 (C) (3) 107575 SUPPORT COMMUNITY HEALTH UHA UTAH HOSPITALS HEALTH SYSTEMS 2180 SOUTH 1300 EAST SUITE 440 SALT LAKE CITY UT 84106 876119772 501 (C) (3) 96504 SUPPORT HEALTHCARE ST ANNE CENTER 137 WEST BINFORD OGDEN UT 84401 870368808 501 (C) (3) 25000 SUPPORT COMMUNITY HEALTH UNIVERSITY OF UTAH 301 WALKER WAY SALT LAKE CITY UT 84106 876000525 501 (C) (3) 25000 SUPPORT COMMUNITY EMERGENCY PREPAREDNESS COMMUNITY HEALTH CONNECT 591 S STATE ST PROVO UT 84606 651260998 501 (C) (3) 23000 CLINIC CASE MNGT, VOLUNTEER PROVIDER NETWORK POLIZZI FOUNDATION 1208 E 3300 S SALT LAKE CITY UT 84116 571241243 501 (C) (3) 20000 EXPANSION OF MENTAL HEALTH SERVICES FOR CHILDREN UTAH FAMILIES FOUNDATION 9160 SOUTH 300 WEST 21 SANDY UT 84070 870509416 501 (C) (3) 20000 SUPPORT COMMUNITY HEALTH THE CHILDREN'S CENTER 350 S 400 E SALT LAKE CITY UT 84111 876114073 501 (C) (3) 12500 MENTAL HEALTH; AUTISM VOLUNTEER CARE CLINIC 151 S UNIVERSITY AVE PROVO UT 84601 201567171 501 (C) (3) 12343 DONATION FOR COMPUTER MIGRATION TO ELECTRONIC MEDICAL RECORDS CANCER WELLNESS HOUSE 59 S 1100 E SALT LAKE CITY UT 84102 870568405 501 (C) (3) 10000 MENTAL HEALTH ISSUES FOR LOW INCOME COMMUNITY ACTION PROGRAM 1307 SOUTH 900 WEST SALT LAKE CITY UT 84104 870269683 501 (C) (3) 10000 SUPPORT COMMUNITY HEALTH JUNIOR ACHIEVEMENT OF UTAH 515 EAST 100 SOUTH 200 SALT LAKE CITY UT 84102 870225875 501 (C) (3) 10000 MONROE ELEMENTARY SPONSORSHIP RONALD MCDONALD HOUSE 935 EAST SOUTH TEMPLE SALT LAKE CITY UT 84102 742386043 501 (C) (3) 10000 SUPPORT FAMILIES IN NEED UTAH NON PROFITS ASSOCIATION 231 E 400 S STE345 SALT LAKE CITY UT 84111 840481455 501 (C) (3) 10000 CLASS AT CONFERENCE FOR SMALL NON PROFIT BUSINESS/AGENCY UTAH HISPANIC CHAMBER OF COMMERCE 1635 S REDWOOD RD WEST JORDAN UT 84104 870501979 501 (C) (3) 7500 UHCC PLATINUM MEMBERSHIP/ SOMOS SCHOLARSHIP FUND FOR STUDENTS PURSUING HEALTHCARE FIELDS SAMS FOUNDATION PO BOX 1015 CANFIELD OH 44406 131717058 501 (C) (3) 20000 SUPPORT MEDICAL SERVICES IN UNDERSERVED AREAS. 19 0 PHARMACY VOUCHERS 730 24000 0 CASH PHARMACY DRUG ASSISTANCE 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 1 1 X X X X X 0 1 0 0 0 1 0 0 0 CHARLES W SORENSON JR TRUSTEE / PRES / CEO 941185 0 703560 0 4784074 0 930113 0 39791 0 7398723 0 5281544 0 ROBERT W ALLEN VICE PRESIDENT 315959 0 160069 0 21881 0 202075 0 22881 0 722865 0 126978 0 TODD E CRAGHEAD VICE PRESIDENT 203818 0 62172 0 1818 0 85465 0 19467 0 372740 0 50138 0 DAVID FLOOD VP / CHIEF DEV. OFFICER 162523 0 50000 0 38865 0 46875 0 9641 0 307904 0 0 0 LARRY D HANCOCK VICE PRESIDENT 605890 0 293554 0 5181 0 516952 0 23017 0 1444594 0 234977 0 KIMBERLY HENRICHSEN VICE PRESIDENT 295903 0 83458 0 14502 0 155334 0 23571 0 572768 0 70132 0 BRENT T JOHNSON VICE PRESIDENT 276278 0 159370 0 31483 0 303362 0 20397 0 790890 0 118683 0 GREGORY M JOHNSON VICE PRESIDENT 293685 0 167397 0 19563 0 208662 0 24046 0 713353 0 126094 0 LAURA S KAISER EXEC. VP / COO 807048 0 500003 0 25553 0 638573 0 21729 0 1992906 0 264618 0 TERRI L KANE VICE PRESIDENT 401717 0 112906 0 19577 0 303206 0 18333 0 855739 0 116880 0 LINDA C LECKMAN MD VICE PRESIDENT 493559 0 272516 0 47959 0 404200 0 19547 0 1237781 0 207345 0 JACQUE MILLARD VICE PRESIDENT 242829 0 139830 0 29862 0 160164 0 22360 0 595045 0 106831 0 TIMOTHY T PEHRSON VICE PRESIDENT 419969 0 222205 0 22236 0 289348 0 24117 0 977875 0 180877 0 GREGORY P POULSEN SENIOR VICE PRESIDENT 429606 0 332642 0 50601 0 534854 0 25642 0 1373345 0 256526 0 MARC PROBST VICE PRESIDENT / CIO 434740 0 243929 0 11657 0 13660 0 24111 0 728097 0 187625 0 STEVEN R SMOOT VICE PRESIDENT 411140 0 102863 0 19402 0 177448 0 22739 0 733592 0 97500 0 ALBERT R ZIMMERLI EXEC VP/CFO/SEC/TREAS 802579 0 569617 0 33372 0 1025850 0 31688 0 2463106 0 441156 0 DANIEL L ZUHLKE VICE PRESIDENT 369724 0 203290 0 19677 0 375516 0 22268 0 990475 0 160970 0 WILLIAM GOWSKI MD-ORTHOPEDIC 1181723 0 159413 0 18829 0 96889 0 19758 0 1476612 0 0 0 TRAVIS HENDRY MD-SURGERY/ORTHOPEDIC 1047875 0 154776 0 36919 0 89128 0 22360 0 1351058 0 0 0 ERIC HOOLEY MD MD-SURGERY/ORTHOPEDIC 1248007 0 184563 0 18979 0 107472 0 19401 0 1578422 0 134038 0 HOWARD RICHTER MD MD-SURGERY/ORTHOPEDIC 1063855 0 153007 0 2706 0 73512 0 19156 0 1312236 0 130010 0 BRENT E WALLACE MEDICAL OFFICER-CHIEF 500636 0 258319 0 2597529 0 454581 0 23248 0 3834313 0 1697663 0 PART I, LINE 1A 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. PART I, LINE 3 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. PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2013: - CHARLES W. SORENSON JR MD $4,738,970 - BRENT E. WALLACE $2,568,988 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO SELECT 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. PART I, LINE 6 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 0 0 0 B MURRAY CITY UTAH 876000254 626853CJ2 2005-10-04 262000000 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 C CITY OF RIVERTON UTAH 870344045 769369AL3 2009-11-05 252199400 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 D SALT LAKE COUNTY UTAH 876000316 795677BM4 2011-03-21 63362310 REFUND PRIOR ISSUE 2001B 0 0 0 A 314823712 1561803 313261909 2007 0 0 1 1 B 32000000 273598644 1339946 272258698 2007 0 0 1 1 C 10000000 253629646 1597895 252031751 0 0 0 1 D 16400000 63362310 50000 63312310 2011 1 0 1 1 A 0 1 1 0 1 0 0.00100 0.00100 0.00200 0 0 1 B 0 1 1 0 1 0 0.00100 0.00100 0.00200 0 0 1 C 0 1 1 0 1 0 0.00100 0.00000 0.00100 0 0 1 A 0 0 0 1 1 1 JP MORGAN 29.300000000000 0 0 0 0 1 B 1 1 1 JP MORGAN 31.600000000000 0 0 0 0 1 C 0 1 0 0 0 0 0 1 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART II, LINE 3, COLUMNS A, B, C, D AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I COLUMN E DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD. FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFOMRED ON DECEMBER 17, 2008. FORM 990, SCHEDULE K, PART IV, LINE 6, COLUMN C DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED SLIGHTLY BEYOND THE THREE-YEAR TEMPORARY PERIODS. HOWEVER, THE YIELD RESTRICTION RULES WERE FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD. FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN D 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. FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN A 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. A CITY OF RIVERTON UTAH 870344045 769369AM1 2012-05-15 200000000 REFUND PRIOR ISSUE 2007A 0 0 0 B UTAH COUNTY UTAH 876000312 917393AV2 2012-10-25 250001777 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 A 200000000 200000000 2012 1 0 1 1 B 250381553 379776 138295270 111224502 0 0 0 1 A 0 1 1 0 1 0 0.00100 0.00000 0.00100 0 0 1 B 0 1 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 ZIONS BANK VENDOR 128620 BANKING 0 MERIT MEDICAL SYSTEM VENDOR 1950858 SUPPLIES 0 JEFFREY L ANDERSON TRUSTEE FAMILY 355972 WAGES 0 JEFFREY T CRAGHEAD OFFICER FAMILY 73241 WAGES 0 RICHARD B STEVENSON OFFICER FAMILY 92090 WAGES 0 FORM 990, SCHEDULE L, PART IV ZIONS BANKA. SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ZIONS BANK.MERIT MEDICAL SYSTEMSA. SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF MERIT MEDICAL SYSTEMS. FORM 990, PART I, LINE 1 EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. 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 NOBLE 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." FORM 990, PART III, LINE 1: EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. 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. (FORMALLY 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 2,663 LICENSED BEDS IN UTAH AND SOUTHEAST IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,050 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND MORE THAN 300 CLINIC SITES. TWENTY OF HEALTH SERVICES' HOSPITALS ARE GENERAL ACUTE CARE FACILITIES WHICH PROVIDE INPATIENT AND OUTPATIENT MEDICAL SERVICES BASED ON SPECIFIC NEEDS IN EACH COMMUNITY. TWO HOSPITALS PROVIDE SPECIALTY CARE IN THE FOLLOWING AREAS: - PRIMARY CHILDREN'S HOSPITAL - PEDIATRIC CARE - THE ORTHOPEDIC SPECIALTY HOSPITAL - ORTHOPEDIC CARE HEALTH SERVICES' CLINICAL STATISTICS FOR 2013: - ACUTE ADMISSIONS 133,973 - ACUTE PATIENT DAYS 504,384 - BIRTHS 30,792 - INPATIENT SURGERIES 39,552 - AMBULATORY SURGERIES 109,442 - EMERGENCY ROOM VISITS 474,450 - PHYSICIAN CLINIC VISITS 2,911,110 - HOMECARE PATIENTS SERVED 87,998 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 BEHAVIORAL HEALTH CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, BEHAVIORAL THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS. THESE TEAMS WORK TO IMPROVE THERAPEUTIC ALLIANCE SCORES FOR THEIR PATIENTS WITH THE UNDERSTANDING OF THE POSITIVE CORRELATION TO CLINICAL OUTCOME MEASUREMENTS. THEY SCREEN FOR COMMON MEDICAL CONDITIONS IN PATIENTS IN THE BEHAVIORAL HEALTH TREATMENT SETTINGS. CURRENTLY, THE TEAMS ARE WORKING TO IMPROVE POST DISCHARGE CARE PLANNING FOR PATIENTS ADMITTED TO INPATIENT BEHAVIORAL HEALTH FACILITIES. THE TEAMS ARE CURRENTLY PART OF EXPANSION EFFORTS TO HAVE MENTAL HEALTH INTEGRATION INTO ALL PRIMARY CARE CLINICS AND TELEPSYCHIATRY INTO RURAL FACILITIES. CARE PROCESS MODELS ARE IN PLACE FOR THE MANAGEMENT OF DEPRESSION, BIPOLAR DISORDER, EATING DISORDERS, AND ATTENTION DEFICIT DISORDER. CARE PROCESS MODELS ARE IN DEVELOPMENT FOR SUBSTANCE USE DISORDERS AND SUICIDE ASSESSMENT AND PREVENTION. HEALTH SERVICES' CLINICAL INTEGRATION STRATEGY OVER THE LAST 17 YEARS HAS BEEN WELL-VALIDATED BY THE SUCCESS OF THE NATIONALLY RESPECTED CARDIOVASCULAR CLINICAL PROGRAM. THROUGH HIGHLY EVOLVED TEAMWORK AND ALIGNMENT, CARDIOLOGISTS, CARDIOVASCULAR (CV) SURGEONS, THORACIC SURGEONS, AND VASCULAR SURGEONS ALONG WITH NURSES AND ADMINISTRATIVE SUPPORT HAVE ACHIEVED OUTSTANDING CLINICAL QUALITY, SERVICE QUALITY AND VALUE. USING EXTENSIVE EVIDENCE-BASED GUIDELINES SUPPORTED BY MEANINGFUL MEASUREMENTS AND REPORTS, THE CV PROGRAM HAS ACHIEVED WELL-PUBLISHED EXCEPTIONAL OUTCOMES IN SUCH AREAS AS CV SURGERY, ACUTE MYOCARDIAL INFARCTION (MI), HEART FAILURE, CARDIAC RISK MANAGEMENT AND RHYTHM MANAGEMENT. 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 POSITIVELY IMPACTING PATIENT OUTCOMES. THE TEAM HAS WORKED TO REDUCE VENTILATOR ASSOCIATED PNEUMONIA, CONTROL GLUCOSE LEVELS IN THE CRITICAL CARE POPULATION, IMPLEMENT RAPID RESPONSE TEAMS IN EACH HOSPITAL, AND IMPLEMENT THE SEPSIS, VENTILATOR, AND CENTRAL LINE BUNDLES. FUTURE INITIATIVES INCLUDE THE IMPLEMENTATION OF TELESTROKE AND TELECRITICAL CARE SERVICES. 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 PRIMARY CARE CLINICAL PROGRAM ADDRESSES THE NEEDS OF AMBULATORY PATIENTS CARED FOR BY FAMILY PRACTITIONERS, INTERNISTS AND PEDIATRICIANS. MAJOR EFFORTS HAVE BEEN DIRECTED TOWARD IMPROVING QUALITY OUTCOMES FOR CHRONIC DISEASES SUCH AS DIABETES AND ASTHMA. ADDITIONALLY, WE HAVE LAUNCHED A "CHOOSING WISELY" CAMPAIGN TO EVALUATE OVERUSE OF MEDICAL TESTS AND PROCEDURES, AS WELL AS TO PROVIDE ADVICE ON UNDERUTILIZED AND PREVENTATIVE CARE. TO GET UPSTREAM OF CHRONIC DISEASE, WE HAVE CREATED A NEW CARE PROCESS MODEL "LIFESTYLE AND WEIGHT MANAGEMENT: HELPING PATIENTS FIND THEIR WAY TO LIVE WELL" TO PROMOTE AN EVIDENCE-BASED APPROACH TO LIFESTYLE AND WEIGHT MANAGEMENT, AND TO FACILITATE IMPLEMENTATION IN ROUTINE PRIMARY CARE. ADDITIONALLY WE HAVE CREATED A DIABETES PREVENTION PROGRAM TO DELAY OR PREVENT DIABETES FOR THE PATIENTS WE SERVE. THE ONCOLOGY CLINICAL PROGRAM INVOLVES A NETWORK OF CANCER SPECIALISTS IN SURGERY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, INFUSION, NURSING, PATHOLOGY, RADIOLOGY, GENETICS, AND SUPPORTIVE CARE TO IMPROVE THE PROCESS OF CANCER DIAGNOSIS, TREATMENT, AND DELIVERY OF CARE ACROSS THE CONTINUUM. CONSIDERABLE EFFORTS HAVE BEEN MADE TO DEVELOP AND STANDARDIZE BEST PRACTICES IN SURGICAL ONCOLOGY, PATHOLOGY, MAMMOGRAPHY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY BY ENGAGING THE PROVIDER NETWORK AND UTILIZING MEANINGFUL CLINICAL DATA LOCATED IN HEALTH SERVICES' CANCER REGISTRY AND ELECTRONIC MEDICAL RECORD. THE ONCOLOGY PROGRAM ADDITIONALLY SUPPORTS THE HUNTSMAN-INTERMOUNTAIN CANCER CARE PROGRAM, A COLLABORATIVE EFFORT BETWEEN HEALTH SERVICES' AND HUNTSMAN CANCER INSTITUTE TO IMPROVE PROVIDER COLLABORATION AND ENHANCE CANCER OUTCOMES, RESEARCH, QUALITY IMPROVEMENT, CLINICAL TRIALS RESEARCH, BIO-TISSUE RESEARCH, AND PATIENT EDUCATION. THE SURGICAL SERVICES CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF PRE-SCREENING, SAME DAY SURGERY, OPERATING ROOMS, POST ANESTHESIA CARE UNITS, ANESTHESIA, CENTRAL PROCESSING, AND SEDATION SERVICES. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCE-BASED BEST PRACTICES, WHICH POSITIVELY AFFECT PATIENT OUTCOMES. THE SURGICAL SERVICES TEAMS HAVE HAD SEVERAL AREAS OF FOCUS INCLUDING THE IMPLEMENTATION OF A CARE PROCESS MODEL FOR COLON RESECTION PATIENTS, DECREASING UTILIZATION OF BLOOD PRODUCTS, ESTABLISHING PHYSICIAN CREDENTIALING AND CLINICAL CRITERIA FOR ROBOTICS SURGERY, DEVELOPING CARE PROCESSES FOR ORTHOPEDIC SURGERY PATIENTS, DEVELOPMENT OF CLINICAL PATHWAY FOR BARIATRIC SURGERY PATIENTS, AND DEVELOPMENT AND IMPLEMENTATION OF TOOLS TO REDUCE SUPPLY COSTS AND CREATION OF A PAIN MANAGEMENT DATA MART. THE WOMEN AND NEWBORNS CLINICAL PROGRAM FOCUSES ATTENTION ON NON-ONCOLOGY RELATED WOMEN'S CARE AND THE CARE OF THE NEWBORN IN THE NEONATAL PERIOD. THIS INCLUDES CARE RELATED TO PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH, AND THE POSTPARTUM 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 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. FORM 990, PART III, LINE 4A 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. DURING 2013, THROUGH MORE THAN 276,674 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $119.8 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 2013, THESE CLINICS HAD MORE THAN 23,439 PATIENT VISITS. MOST PATIENTS PAY ON A SLIDING FEE SCALE ACCORDING TO THEIR HOUSEHOLD INCOMES, AND MANY QUALIFY FOR HEALTH SERVICES' FINANCIAL ASSISTANCE. THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION, AN AFFILIATE SUPPORTED BY HEALTH SERVICES, AWARDS GRANTS AND OTHER CASH CONTRIBUTIONS TO 19 INDEPENDENTLY OWNED CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD MORE THAN 302,136 PATIENT VISITS IN 2013. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2013, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED MORE THAN $57.3 MILLION. SEE SCHEDULE H. FORM 990, PART VI, SECTION A, LINE 2 CHARLES W. SORENSON JR. MD / GREGORY P. POULSEN - FAMILY RELATIONSHIP ALBERT R. ZIMMERLI / DOUGLAS C. BLACK / BRENT T. JOHNSON - BUSINESS RELATIONSHIP (BOARD MEMBERS OF A CORPORATE INVESTMENT THAT IS 50% OWNED BY THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR. MD / DOUGLAS C. BLACK / DANIEL G. GOMEZ / BRADFORD R. RICH - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS 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 / LAURA S. KAISER - 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) FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HEALTH SERVICES 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 ARTICLES OF INCORPORATION, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE. 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 AND COMPLIANCE COMMITTEE MEETING. PRIOR TO FILING WITH THE IRS, COPIES OF THE FINAL RETURN WERE PROVIDED TO THE HEALTH SERVICES' BOARD OF TRUSTEES FOR REVIEW AND WERE DISCUSSED AS PART OF A REGULARLY SCHEDULED BOARD MEETING. 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 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. 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 PRESIDENT - CERTAIN CORPORATE AND REGIONAL VICE PRESIDENTS PURSUANT TO HEALTH SERVICES' WRITTEN "COMPENSATION PHILOSOPHY," THE COMMITTEE ANNUALLY 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. 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. FORM 990, PART XI, LINE 9: UNRECOGNIZED CHANGE IN FUNDED STATUS OF POSTRETIREMENT BENEFIT PLANS 534,644,153. MISCELLANEOUS CHANGES TO UNRESTRICTED NET ASSETS -20,000. BOOK/TAX DIFFERENCE ON THE SALE OF AN LLC INTEREST -139,191. 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