Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2011 and ending 12-31-2011
BCheck if applicable:
CName of organization
SELECTHEALTH INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
5381 GREEN STREET
 
Room/suite
City or town, state or country, and ZIP + 4
MURRAY, UT84123
D Employer identification number

87-0409820
E Telephone number

G Gross receipts $ 2,036,733,037
F Name and address of principal officer:
PATRICIA RICHARDS
5381 GREEN STREET
MURRAY,UT84123
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SELECTHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1985
M State of legal domicile: UT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SELECTHEALTH COLLABORATES WITH CLINICAL PARTNERS TO OFFER COVERAGE AND ACCESS TO HIGH QUALITY HEALTHCARE SERVICES AT THE LOWEST APPROPRIATE COST, AND TO IMPROVE THE HEALTH OF MEMBERS THROUGH SUPERIOR SERVICE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 11
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 933
6 Total number of volunteers (estimate if necessary) .... 6 14
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 1,103,672,824 1,207,584,849
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 7,652,392 26,933,993
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 936,260 885,713
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,112,261,476 1,235,404,555
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 282,700 205,373
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 59,008,716 61,728,855
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,019,022,257 1,121,739,468
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,078,313,673 1,183,673,696
19 Revenue less expenses. Subtract line 18 from line 12....... 33,947,803 51,730,859
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 495,694,043 516,658,939
21 Total liabilities (Part X, line 26)............. 150,574,937 160,765,618
22 Net assets or fund balances. Subtract line 21 from line 20..... 345,119,106 355,893,321
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: SELECTHEALTH COLLABORATES WITH CLINICAL PARTNERS TO OFFER COVERAGE AND ACCESS TO HIGH QUALITY HEALTHCARE SERVICES AT THE LOWEST APPROPRIATE COST, TO IMPROVE THE HEALTH OF OUR MEMBERS AND TO PROVIDE SUPERIOR SERVICE TO OUR CUSTOMERS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,176,035,365 including grants of $ 205,373 ) (Revenue $ 1,208,470,562 )
SELECTHEALTH, INC. (SELECTHEALTH OR COMPANY) PROVIDES FINANCIAL SUPPORT TO IMPROVE THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES IT SERVES. SELECTHEALTH PROVIDES COST-EFFECTIVE INSURANCE PROGRAMS TO UNDERSERVED MARKETS SUCH AS INDIVIDUALS AND SMALL EMPLOYERS. THE COMMUNITIES SELECTHEALTH SERVES ALSO BENEFIT FROM A VARIETY OF SPONSORED HEALTH AND WELLNESS ACTIVITIES, INCLUDING ONLINE AND WORK-SITE HEALTH PROGRAMS, HEALTH FAIRS, AND FLU SHOT CLINICS. CONTINUED ON SCHEDULE O.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,176,035,365
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
Yes
 
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements.
20b
 
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
7,585
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
933
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
15
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MARK BROWN
5381 GREEN STREET
MURRAY,UT84123
(801) 442-5000
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) ALBERT R ZIMMERLI
TRUSTEE
 10.0 X           0 946,720 831,425
(2) BARBARA J RAY
VICE CHAIR/SEC/TRUSTEE
 5.0 X           3,127 448 0
(3) BRADFORD R RICH
TRUSTEE
 2.0 X           927 0 0
(4) CHARLES W SORENSON JR MD
TRUSTEE
 5.0 X           0 1,225,110 971,371
(5) DANIEL G GOMEZ
TRUSTEE
 2.0 X           1,699 0 0
(6) EDWARD G KLEYN
TRUSTEE
 2.0 X           2,071 0 0
(7) KEVEN J JENSEN
TRUSTEE
 2.0 X           1,991 0 0
(8) MARK R BRIESACHER MD
TRUSTEE
 2.0 X           0 336,641 195,400
(9) MICHAEL M SMITH
TRUSTEE
 2.0 X           1,499 0 0
(10) PATRICIA R RICHARDS
PRESIDENT/CEO/TRUSTEE
 50.0 X   X       512,307 0 376,222
(11) STEPHEN W WADE
TRUSTEE
 2.0 X           569 0 0
(12) THOMAS B MORGAN
TRUSTEE / CHAIR
 5.0 X           2,392 1,080 0
(13) MICHAEL S BASSIS PHD
TRUSTEE
 2.0 X           960 0 0
(14) SCOTT SPERRY
TRUSTEE
 2.0 X           358 0 0
(15) ANDREA WOLCOTT
TRUSTEE
 2.0 X           358 0 0
(16) J MURPHY WINFIELD
VICE PRESIDENT
 50.0     X       309,540 0 143,680
(17) JERRY EDGINGTON
VICE PRESIDENT
 50.0     X       334,748   98,732
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) LISA K FALLERT
VICE PRESIDENT/SECRETARY
 50.0     X       308,582 0 121,402
(19) MARK BROWN
VICE PRESIDENT/CFO/TREASURER
 50.0     X       290,608 0 102,006
(20) ROBERT WHITE
VICE PRESIDENT/CIO
 50.0     X       268,621 0 115,068
(21) STEPHEN L BARLOW MD
VICE PRESIDENT/CMO
 50.0     X       437,143 0 273,581
(22) GREG MATIS
SECRETARY
 40.0     X       0 251,077 106,302
(23) H ERIC CANNON
CHIEF PHARMACY SERVICES
 40.0         X   226,533 0 83,034
(24) JEFFREY DUNN
PHARMACY CONTRACT MGR
 40.0         X   176,983 0 46,753
(25) KENNETH SCHAECHER
MEDICAL DIRECTOR
 40.0         X   229,885 0 77,746
(26) MARK JANSSEN
FINANCIAL SERV DIR/CONTROLLER
 40.0         X   178,932 0 81,731
(27) KRISTIN MCCULLAGH
DIRECTOR LEGAL SERVICES
 40.0         X   181,026   67,056






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,470,859 2,761,076 3,691,509
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet59
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY OF UTAH HOSPITAL
50 N MEDICAL DR
SALT LAKE CITY,UT84132 		MEDICAL SERVICES 35,507,486
MOUNTAIN WEST ANESTHESIA LLC
1954 FORT UNION BLVD STE 102
SALT LAKE CITY,UT84121 		MEDICAL SERVICES 23,763,795
CENTRAL UTAH CLINIC
1220 E 3900 STE 4D
SALT LAKE CITY,UT84124 		MEDICAL SERVICES 20,146,623
MOUNTAIN MEDICAL PHYSICIAN SPECIALI
5555 GREEN STREET
MURRAY,UT84123 		MEDICAL SERVICES 10,844,960
UTAH CANCER SPECIALISTS
3838 SOUTH 700 EAST
SALT LAKE CITY,UT84106 		MEDICAL SERVICES 10,036,121
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet768
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service Revenue Business Code
2a ADMINISTRATION FEES 524,292 28,597,333 28,597,333    
b MEDICAL PREMIUMS 524,114 1,178,987,516 1,178,987,516    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,207,584,849
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 7,445,209     7,445,209
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 819,115,119 1,702,147
b Less: cost or other basis and sales expenses 799,559,391 1,769,091
c Gain or (loss) 19,555,728 -66,944
d Net gain or (loss)..........MediumBullet 19,488,784     19,488,784
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a OTHER OPERATING REVENUE 524,298 885,713 885,713    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 885,713
12 Total revenue. See Instructions....MediumBullet 1,235,404,555 1,208,470,562   26,933,993
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 205,373 205,373
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 4,049,620   4,049,620  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 44,142,339 43,699,959 442,380  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,179,291 1,099,883 79,408  
9 Other employee benefits ....... 8,727,994 8,257,123 470,871  
10 Payroll taxes ........... 3,629,611 3,505,124 124,487  
11 Fees for services (non-employees):        
a Management ...... 6,925,164 5,247,437 1,677,727  
b Legal ......... 14,540 14,540    
c Accounting ........... 361,846 361,846    
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 338,695 338,695    
g Other .......... 6,792,662 6,780,227 12,435  
12 Advertising and promotion .... 2,775,274 2,744,454 30,820  
13 Office expenses ....... 5,289,671 5,261,960 27,711  
14 Information technology ...... 570,958 570,553 405  
15 Royalties .. 0      
16 Occupancy ........... 4,671,858 4,671,858    
17 Travel ............ 105,932 105,175 757  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 844,670 747,987 96,683  
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 4,574,739 4,574,739    
23 Insurance .............. 400,197   400,197  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL EXPENSES 1,044,765,498 1,044,765,498    
b COMMISSIONS 40,813,214 40,813,214    
c TAXES & LICENSES 1,197,271 1,173,335 23,936  
d BAD DEBTS 193,440 193,440    
e
f All other expenses 1,103,839 902,945 200,894  
25 Total functional expenses. Add lines 1 through 24f 1,183,673,696 1,176,035,365 7,638,331 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 8,125 1 5,292
2 Savings and temporary cash investments ....... 35,590,222 2 109,162,920
3 Pledges and grants receivable, net ......... 0 3 0
4 Accounts receivable, net ......... 17,876,952 4 19,466,120
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 0 8 0
9 Prepaid expenses and deferred charges ............ 2,837,343 9 2,540,532
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 63,087,907
b Less: accumulated depreciation. ..... 10b 29,048,742 36,835,505 10c 34,039,165
11 Investments—publicly traded securities .......... 400,001,525 11 348,956,557
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 2,000,000 13 2,000,000
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 544,371 15 488,353
16 Total assets. Add lines 1 through 15 (must equal line 34)... 495,694,043 16 516,658,939
Liabilities 17 Accounts payable and accrued expenses . 25,373,390 17 19,153,885
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 14,964,944 19 14,752,393
20 Tax-exempt bond liabilities .......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 110,236,603 25 126,859,340
26 Total liabilities. Add lines 17 through 25..... 150,574,937 26 160,765,618
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 345,119,106 27 355,893,321
28 Temporarily restricted net assets ..... 0 28 0
29 Permanently restricted net assets ..... 0 29 0
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 345,119,106 33 355,893,321
34 Total liabilities and net assets/fund balances ..... 495,694,043 34 516,658,939
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
1,235,404,555
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
1,183,673,696
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
51,730,859
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
345,119,106
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-40,956,644
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
355,893,321
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SELECTHEALTH INC
 
Employer identification number

87-0409820
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$ 61,998
3
Volunteer hours ........................................
0

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$ 498
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$ 61,500
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$ 61,998
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
(1) BRAD L DEE
  		1220 HARRISON AVE
SLC,UT84105 		2,500  
(2) WAYNE NIEDERHAUSER
  		PO BOX 901136
SANDY,UT84090 		3,000  
(3) SALT LAKE COUNTY
REPUBLICAN PARTY 		PO BOX 719
SLC,UT84110 		87-0297805 2,000  
(4) UTAH HOSPAC
  		2180 S 1300 E STE 440
SLC,UT84106 		87-6119772 1,500  
(5) WASHINGTON COUNTY
REPUBLICAN PARTY 		PO BOX 1508
ST GEORGE,UT84770 		27-4068353 250  
(6) CHRISTINE WATKINS
  		1548 E 5700 S
PRICE,UT84501 		1,000  
(7) CURT BRAMBLE
  		3663 N 870 E
PROVO,UT84604 		2,000  
(8) DEREK BROWN
  		PO BOX 711167
SLC,UT84171 		500  
(9) GENE DAVIS
  		865 PARKWAY AVE
SLC,UT84106 		1,000  
(10) JIM BIRD
  		5111 W WOODWORTH RD
WEST JORDAN,UT84081 		500  
(11) JOHNNY ANDERSON
  		4289 S EL CAMNIO ST
TAYLORSVILLE,UT84119 		500  
(12) KEVIN VAN TASSELL
  		3424 W 1500 N
VERNAL,UT84078 		500  
(13) LUZ ROBLES
  		1004 N MORTON DR
SLC,UT84116 		500  
(14) STEVE URQUHART
  		634 E 1100 S
ST GEORGE,UT84790 		500  
(15) GREG HUGHES
  		14057 S NEW SADDLE RD
DRAPER,UT84020 		2,000  
(16) LEE PERRY
  		977 W 23901 S
PERRY,UT84302 		200  
(17) ROSS ROMERO
  		1150 S 1400 E
SLC,UT84105 		500  
(18) TODD KISER
  		10702 S 540 E
SANDY,UT84070 		500  
(19) DAVID HINKINS
  		PO BOX 485
ORANGEVILLE,UT84537 		500  
(20) JIM DUNNIGAN
  		3105 W 5400 S 6
TAYLORSVILLE,UT84118 		1,500  
(21) JT MARTIN
  		451 S STATE ROOM 225
SLC,UT84111 		1,000  
(22) MIKE WINDER
  		4400 W 4100 S
W VALLEY,UT84120 		4,800  
(23) RALPH OKERLUND
  		248 SOUTH 500 WEST
MONROE,UT84754 		500  
(24) SCOTT FREITAG
  		2223 N 1150 W
LAYTON,UT84041 		250  
(25) SCOTT JENKINS
  		4385 W 1975 N
PLAIN CITY,UT84404 		1,000  
(26) SENDEM PAC
  		1150 S 1400 E
SLC,UT84105 		61-1575877 3,000  
(27) SPEAKERS VICTORY FND
  		138 S MAIN ST STE 421
SLC,UT84101 		45-1499619 5,000  
(28) STEVE FAIRBANKS
  		1205 EDEN BROOK DR
SANDY,UT84094 		500  
(29) UT HOUSE REPUBLICAN
ELECTION COMMITTEE 		568 I STREET
SLC,UT84103 		87-0189040 1,500 0
(30) UTAH DEMOCRATIC
PARTY 		825 N 300 W STE C400
SLC,UT84103 		87-0256343 1,500  
(31) UTAH LEAGUE OF
CITIES AND TOWNS 		50 S 600 E STE 150
SLC,UT84102 		87-6000393 10,000  
(32) UTAH REPUBLIC PARTY
  		117 E SOUTH TEMPLE
SLC,UT84111 		87-0189040 2,000  
(33) UTAH SENATE
REPUBLICAN CAMPAIGN 		596 MOUNTAIN VIEW RD
CENTERVILLE,UT84014 		33-1003834 1,500  
(34) UTAH TAXPAYERS ASSOC
  		656 E 11400 S STE R
DRAPER,UT84020 		87-0189230 2,000  
(35) UTAHS PROSPERITY FND
  		175 S W TEMPLE ST STE 650
SLC,UT84101 		45-2521624 5,000  
(36) WAYNE HARPER
  		6683 S NOTTINGHAM DR
WEST JORDAN,UT84084 		500  
For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
POLITICAL EXPENDITURES FORM 990, SCHEDULE C, PART I-A, LINE 1 SELECTHEALTH PARTICIPATES IN THE POLITICAL PROCESS BY PROVIDING SMALL AMOUNTS OF DIRECT CASH AND IN-KIND CONTRIBUTIONS TO STATE AND LOCAL CANDIDATES OF BOTH PARTIES RUNNING FOR PUBLIC OFFICE.
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
SELECTHEALTH INC
 
Employer identification number

87-0409820
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....        
b Contributions ........        
c Net investment earnings, gains, and losses ...        
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........ 		       
f Administrative expenses ....        
g End of year balance ......        
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   25,970,500 2,403,661 23,566,839
c Leasehold improvements ............        
d Equipment ................   36,950,906 26,645,081 10,305,825
e Other .................   166,501   166,501
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 34,039,165
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
ESTIMATED CLAIMS LIABILITY 121,715,154
PAYABLE TO AFFILIATES 3,365,046
RESERVES AND INCENTIVES 1,779,140






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 126,859,340
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FIXED ASSET DETAIL FORM 990, SCHEDULE D, PART VI, LINE 1E  
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
SELECTHEALTH INC
 
Employer identification number
87-0409820
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) THE FOUNDATION OF DIXIE REGIONAL MEDICAL1380 E MEDICAL CENTER DR
ST GEORGE,UT84790 		94-2638220 501(C)(3) 25,000       SUPPORT LOCAL HEALTHCARE
(2) AMERICAN DIABETES ASSOCIATION182 SOUTH 600 EAST SUITE 100
SALT LAKE CITY,UT84102 		87-0306217 501(C)(3) 15,500       DIABETES PREVENTION
(3) UTAH SUMMER GAMES351 WEST UNIVERSITY BLVD
CEDAR CITY,UT84720 		87-0431148 501(C)(3) 10,000       SUPPORT HEALTHY ACTIVITY
(4) UTAH VALLEY HEALTHCARE FOUNDATION367 EAST 1200 SOUTH STE 367
OREM,UT84058 		74-2364579 501(C)(3) 12,500       SUPPORT HEALTHY ACTIVITY
(5) UTAH HEALTH POLICY PROJECT455 EAST 4000 SOUTH
SLC,UT84111 		87-0684606 501(C)(3) 20,000       HEALTH EDUCATION
(6) IHC HEALTH SERVICES INC36 S STATE ST STE 2200
SLC,UT84111 		94-2854057 501(c)(3) 40,000       ENCOURAGE HEALTHY LIVING












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
MONITORING GRANT FUNDS USED IN THE UNITED STATES FORM 990, SCHEDULE I, PART I, LINE 2 By written policy, grants are generally limited to organizations exempt from income tax under IRC section 501(c)(3) for purposes of improving health and/or healthcare and human services or to strengthen the local community. The level of approval required for a given grant is determined by the amount. Deviations from the policy require approval by the executive committee of the Board of Trustees. Potential grant recipients are carefully reviewed prior to receiving any funds from SelectHealth to help ensure that the grants will be used for proper purposes and won't be diverted from their intended use.
Schedule I (Form 990) 2011


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
SELECTHEALTH INC
 
Employer identification number

87-0409820
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ALBERT R ZIMMERLI (i)
(ii)		 0
664,026 		0
238,567 		0
44,127 		0
810,302 		0
21,123 		0
1,778,145 		 
238,567
(2) CHARLES W SORENSON JR MD (i)
(ii)		 0
877,940 		0
311,153 		0
36,017 		0
954,672 		0
16,699 		0
2,196,481 		 
311,153
(3) H ERIC CANNON (i)
(ii)		 177,314
0 		47,527
0 		1,692
0 		65,425
0 		17,609
0 		309,567
0 		43,876
 
(4) J MURPHY WINFIELD (i)
(ii)		 243,153
0 		52,784
0 		13,603
0 		131,053
0 		12,627
0 		453,220
0 		52,784
 
(5) JEFFREY DUNN (i)
(ii)		 154,541
0 		21,143
0 		1,299
0 		31,144
0 		15,609
0 		223,736
0 		19,697
 
(6) JERRY EDGINGTON (i)
(ii)		 205,498
  		118,110
  		11,140
  		81,774
  		16,958
  		433,480
  		118,110
 
(7) KENNETH SCHAECHER (i)
(ii)		 180,518
0 		32,035
0 		17,332
0 		68,215
0 		9,531
0 		307,631
0 		32,035
 
(8) LISA K FALLERT (i)
(ii)		 240,665
0 		56,129
0 		11,788
0 		108,024
0 		13,378
0 		429,984
0 		56,129
 
(9) MARK BROWN (i)
(ii)		 226,651
0 		51,546
0 		12,411
0 		86,969
0 		15,037
0 		392,614
0 		51,546
 
(10) MARK JANSSEN (i)
(ii)		 126,768
0 		25,937
0 		26,227
0 		65,976
0 		15,755
0 		260,663
0 		25,937
 
(11) MARK R BRIESACHER MD (i)
(ii)		 0
300,037 		0
33,288 		0
3,316 		0
177,749 		0
17,651 		0
532,041 		 
33,288
(12) PATRICIA R RICHARDS (i)
(ii)		 357,534
0 		130,869
0 		23,904
0 		363,888
0 		12,334
0 		888,529
0 		130,869
 
(13) ROBERT WHITE (i)
(ii)		 207,887
0 		49,734
0 		11,000
0 		93,887
0 		21,181
0 		383,689
0 		49,734
 
(14) STEPHEN L BARLOW MD (i)
(ii)		 164,705
0 		62,110
0 		210,328
0 		258,077
0 		15,504
0 		710,724
0 		243,249
 
(15) KRISTIN MCCULLAGH (i)
(ii)		 146,028
  		33,650
  		1,348
  		51,095
  		15,961
  		248,082
  		33,650
 
(16) GREG MATIS (i)
(ii)		 0
194,732 		0
53,236 		0
3,109 		0
88,053 		0
18,249 		0
357,379 		 
0
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
QUESTIONS REGARDING COMPENSATION Form 990, Schedule J, Part I, Line 1 Travel for Companions - Pursuant to company policy, companion travel expenses will not be reimbursed by the organization unless approved by the senior management of the filing organizaion's sole member, Intermountain Health Care, Inc. 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 AND CERTAIN OFFICERS ARE GROSSED UP FOR TAX PURPOSES.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUAL RECEIVED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS (457(F)) FROM THE FILING ORGANIZATION: - STEPHEN L BARLOW $181,139
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
SELECTHEALTH INC
 
Employer identification number

87-0409820
Identifier Return Reference Explanation
PROGRAM SERVICES, CONTINUED FORM 990, PART III, LINE 4A ADDITIONALLY, IN RESPONSE TO A DRAMATIC INCREASE IN THE PERCENTAGE OF OVERWEIGHT OR OBESE STUDENTS BETWEEN THE 3RD AND 5TH GRADES, THE COMPANY DEVELOPED STEP EXPRESS, A COMMUNITY OUTREACH PROGRAM TO HELP 4TH GRADE STUDENTS WORK TOWARD A HEALTHIER LIFESTYLE THROUGH CLASSROOM LESSON PLANS, PHYSICAL ACTIVITY, AND A FITNESS CHALLENGE. IN 2011, THE COMPANY RECOGNIZED 25 UTAH ORGANIZATIONS THAT SUPPORT HEALTH IMPROVEMENT OR SERVE SPECIAL POPULATIONS THROUGH ITS SELECT 25 PROGRAM. EACH SELECT 25 AWARD RECIPIENT RECEIVED $2,500 TO USE TOWARD MAKING A HEALTHY DIFFERENCE IN THEIR COMMUNITIES. AWARD WINNERS REPRESENTED A WIDE VARIETY OF CAUSES, INCLUDING PROGRAMS SUPPORTING PHYSICAL ACTIVITY FOR LOW-INCOME CHILDREN, DENTAL CARE FOR THE UNINSURED, AND EXERCISE CLASSES FOR SENIORS. SELECTHEALTH ALSO PARTICIPATES IN FUNDRAISING EVENTS, INCLUDING THE AMERICAN DIABETES ASSOCIATION'S TOUR DE CURE CYCLING EVENT. THE COMPANY'S TEAM OF RIDERS RAISES FUNDS TO BE USED TOWARD DIABETES RESEARCH. PARTICIPATION IN THESE COMMUNITY OUTREACH EVENTS IS GUIDED BY THE COMPANY'S COMMUNITY BENEFIT AND CONTRIBUTIONS POLICY. CONSISTENT WITH THE COMPANY'S MISSION OF HEALTH AND SERVICE, THIS POLICY AIMS TO SUPPORT ORGANIZATIONS AND INITIATIVES THAT FURTHER HEALTH IMPROVEMENT, EDUCATION, AND ECONOMIC DEVELOPMENT.
BOARD MEMBER INDEPENDENCE FORM 990, PART VI, SECTION A, LINE 1B Bradford Rich, a trustee of SelectHealth, Inc., is also the President of Skywest, Inc. a subsidiary of SkyWest Airlines ("SkyWest"). SkyWest has a contractual relationship with the public company, Delta Air Lines ("Delta") pursuant to which it serves as a Delta local carrier. Therefore, although SelectHealth's travel reservations and purchases are booked through Delta Air Lines, many of the local flights by SelectHealth employees are on SkyWest airplanes. Since SelectHealth's transactions are directly with Delta and not SkyWest, Mr. Rich has been reported as independent on the Form 990, Part VI, Line 1b. ********** IN ADDITION TO SERVING ON THE FILING ORGANIZATION'S BOARD, EACH SELECTHEALTH TRUSTEE WAS ALSO A DIRECTOR OF THE SELECTHEALTH BENEFIT ASSURANCE COMPANY ("SHBAC"), A WHOLLY-OWNED TAXABLE SUBSIDIARY. DURING 2011, SHBAC PURCHASED ADMINISTRATIVE SERVICES FROM THE FILING ORGANIZATION. SEE SCHEDULE R, PART V. NO FINANCIAL BENEFIT CAN OR DOES ACCRUE TO THE TRUSTEES AS A RESULT OF THEIR SERVICE ON BOTH BOARDS. THEREFORE, THE INDEPENDENCE STATUS OF THE FILING ORGANIZATION'S TRUSTEES HAS NOT BEEN AFFECTED BY THIS RELATIONSHIP.
BUSINESS AND FAMILY RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 ALBERT R. ZIMMERLI / ANDREA WOLCOTT / BARBARA J. RAY / BRADFORD R. RICH / CHARLES W. SORENSON JR MD / DANIEL G. GOMEZ / EDWARD G. KLEYN / KEVEN J. JENSEN / MARK R. BRIESACHER, MD / MICHAEL S. BASSIS, PHD / MICHAEL M. SMITH / PATRICIA R. RICHARDS / SCOTT SPERRY / STEPHEN W. WADE / THOMAS B. MORGAN - BUSINESS RELATIONSHIP (BOARD MEMBERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE ORGANIZATION THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATION.) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR MD - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF IHC AFFILIATED SERVICES, INC., AN INACTIVE CORPORATION THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATION'S PARENT.) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR MD - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF THE HEALTHCARE CAPTIVE INSURANCE COMPANY, A TAXABLE CORPORATION THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATON'S PARENT.) KEVEN J. JENSEN / THOMAS B. MORGAN - FAMILY RELATIONSHIP CHARLES W. SORENSON JR, MD / ALBERT R. ZIMMERLI / MARK R. BRIESACHER, MD - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN A RELATED TAX EXEMPT ORGANIZATION)
ORGANIZATION MEMBER FORM 990, PART VI, SECTION A, LINES 6 & 7 The sole member of SelectHealth, Inc. is Intermountain Health Care, Inc., a Utah nonprofit corporation. Pursuant to the approved bylaws, the member exercises all property, voting, and other rights, interests and powers conferred under local statute, including the election of SelectHealth's trustees.
FORM 990 REVIEW BY BOARD MEMBERS FORM 990, PART VI, SECTION B, LINE 11 The Board of Trustees delegated the initial, detailed review of the Form 990 to the Audit and Compliance Committee. Draft copies of the return were provided to the Committee in advance of its October meeting. The return was discussed and questions were answered during that meeting. Prior to filing with the IRS, a copy of the final return was provided by mail to each board member.
MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12 Each officer, director, trustee, and key employee is required to complete the 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 IHC Health Services' Vice President of Business Ethics and Compliance. Potential conflicts of interest are reviewed with appropriate personnel of the sole member, Intermountain Health Care, Inc., and SelectHealth, Inc. If an individual discloses a situation that poses a conflict of interest, a determination is made whether the situation can be managed (such as by recusal in decision-making settings) or must be eliminated (such as through divestiture of the outside interest or requiring a choice between the individual's role with SelectHealth or the outside entity). Findings are reported to the Audit and Compliance Committee of SelectHealth.
EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 The Executive Compensation Committee ("Committee") of Intermountain Health Care, Inc. is responsible for the process of annually determining the total compensation package for the SelectHealth President / Chief Executive Officer. Pursuant to Intermountain Health Care's written "Compensation Philosophy," the Committee annually retains an independent, external consulting firm to provide an analysis of valid, comparable data. The consultants review the various types of direct compensation, including base salary, total cash, as well as 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 the SelectHealth President / Chief Executive Officer. Decisions by the Committee are contemporaneously documented. The Committee reviews all of the collected information and the associated pay decisions with the entire Intermountain Healthcare board of trustees. The Executive Committee of the filing organization is responsible for reviewing and approving the compensation packages for the remaining SelectHealth officers. Adjustments in compensation are based on current market information and changes in job responsibility.
PUBLIC INSPECTION OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STMTS. FORM 990, PART VI, SECTION C, LINE 19 SelectHealth does not currently allow public inspection of its governing documents, conflict of interest policy, or financial statements.
RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN FUND BALANCE: - ($37,956,644) CHANGE IN NET UNREALIZED INVESTMENT GAINS - ($3,000,000) PENSION FUNDING ASSESSMENT
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALBERT R ZIMMERLI TITLE:TRUSTEE HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BARBARA J RAY TITLE:VICE CHAIR/SEC/TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRADFORD R RICH TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES W SORENSON JR MD TITLE:TRUSTEE HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL G GOMEZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD G KLEYN TITLE:TRUSTEE HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVEN J JENSEN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK R BRIESACHER MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL M SMITH TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICIA R RICHARDS TITLE:PRESIDENT/CEO/TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN W WADE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS B MORGAN TITLE:TRUSTEE / CHAIR HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL S BASSIS, PHD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SCOTT SPERRY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDREA WOLCOTT TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J MURPHY WINFIELD TITLE:VICE PRESIDENT HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JERRY EDGINGTON TITLE:VICE PRESIDENT HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA K FALLERT TITLE:VICE PRESIDENT/SECRETARY HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK BROWN TITLE:VICE PRESIDENT/CFO/TREASURER HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN L BARLOW MD TITLE:VICE PRESIDENT/CMO HOURS:3
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
SELECTHEALTH INC
 
Employer identification number

87-0409820
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) IHC INSURANCE AGENCY LLC
5381 GREEN STREET
MURRAY,UT84123
87-0666736 		INSURANCE UT 0 7,058 FILING ORG
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Intermountain Health Care Inc

36 South State Suite 2200

Salt Lake City,UT84111
87-0269232 		HOLDING CO UT 501(c)(3) 11a TYPE I NA
 
 
No
(2) IHC HEALTH SERVICES INC

36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
94-2854057 		HOSPITAL UT 501(c)(3) 3 IHC INC
 
 
No
(3) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
94-2853320 		COMM HEALTH UT 501(c)(3) 11a TYPE I IHC INC
 
 
No
(4) IHC MANAGEMENT INC

36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
94-2860622 		COMM HEALTH UT 501(c)(3) 11b TYPE II IHC INC
 
 
No
(5) IHC PROFESSIONAL SERVICES INC

36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
94-2886596 		COMM HEALTH UT 501(c)(3) 11a TYPE I IHC INC
 
 
No
(6) INTERMOUNTAIN HEALTH CARE RETIREE VEBA

36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
74-2675605 		RET BENEFITS UT 501(c)(9) N/A IHC INC
 
 
No


For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MCKAY DEE SURGICAL CENTER LLC

3903 HARRISON BLVD SUITE 100
OGDEN,UT84403
26-0286308 		OUTPT SURGERY UT NA
  		N/A                












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) SelectHealth Benefit Assurance Company
5381 GREEN STREET
MURRAY,UT84123
87-0497549 		Insurance UT FILING ORG
  		C Corporation 3,065,348 13,733,972 100.000 %
(2) IHC AFFILIATED SERVICES INC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
87-0405996 		INACTIVE UT NA
  		C CORPORATION      
(3) HEALTHCARE CAPTIVE INSURANCE COMPANY
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
20-1937561 		INSURANCE AZ NA
  		C CORPORATION      








Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) SELECTHEALTH BENEFIT ASSURANCE COMPANY

 K 81,082 CASH
(2) SELECTHEALTH BENEFIT ASSURANCE COMPANY

 P 173,810 cash
(3) SELECTHEALTH BENEFIT ASSURANCE COMPANY

 Q 4,931,441 CASH
(4)
(5)
(6)
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: