TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) A SCOTT ANDERSON........................................................................ TRUSTEE / CHAIR	3.0 .......................15.0	X	X	1,193	0
(2) TERESA BECK........................................................................ TRUSTEE	1.0 .......................3.0	X		702	0
(3) S NEAL BERUBE........................................................................ TRUSTEE	1.0 .......................2.0	X		2,150	0
(4) DOUGLAS C BLACK........................................................................ TRUSTEE	1.0 .......................14.0	X		1,621	622
(5) JANE CARLILE........................................................................ TRUSTEE	1.0 .......................3.0	X		1,508	0
(6) REBECCA CHAVEZ-HOUCK........................................................................ TRUSTEE	1.0 .......................2.0	X		1,098	0
(7) BETH V COLE........................................................................ TRUSTEE	1.0 .......................2.0	X		447	0
(8) SPENCER F ECCLES........................................................................ TRUSTEE	1.0 .......................6.0	X		461	0
(9) KAREN W FAIRBANKS........................................................................ TRUSTEE	1.0 .......................2.0	X		1,437	0
(10) MERRILL GAPPMAYER........................................................................ TRUSTEE	1.0 .......................10.0	X		1,601	0
(11) KEM C GARDNER........................................................................ TRUSTEE / CHAIR EMERITUS	1.0 .......................9.0	X		531	0
(12) KAREN HALE........................................................................ TRUSTEE	1.0 .......................3.0	X		1,275	0
(13) M ELIZABETH HAMMOND MD........................................................................ TRUSTEE	1.0 .......................2.0	X		398	0
(14) RANDY HORIUCHI........................................................................ TRUSTEE	1.0 .......................2.0	X		1,197	0
(15) F ANN MILLNER........................................................................ TRUSTEE	1.0 .......................6.0	X		531	0
(16) ARNOLD MILSTEIN MD MPH........................................................................ TRUSTEE	1.0 .......................2.0	X		447	0
(17) THOMAS B MORGAN........................................................................ TRUSTEE	1.0 .......................4.0	X		1,029	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) BRUCE T REESE........................................................................ TRUSTEE/VICE CHAIR/SEC	3.0 .......................12.0	X	X		1,832	0
(19) SHAHAB SAEED........................................................................ TRUSTEE	1.0 .......................3.0	X			1,183	0
(20) CHARLES W SORENSON JR MD........................................................................ TRUSTEE/PRESIDENT/CEO	55.0 .......................11.0	X	X		1,754,586	1,157,892
(21) CAVELL ALEXANDER........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		277,072	122,384
(22) ROBERT W ALLEN........................................................................ VICE PRESIDENT	50.0 .......................1.0		X		485,352	206,090
(23) DAVID D CLARK........................................................................ VICE PRESIDENT	50.0 .......................1.0		X		723,710	89,911
(24) CHRIS COONS........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		2,242,003	280,014
(25) TODD E CRAGHEAD........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		260,086	95,562
(26) SUZANNE DRAPER........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		267,387	137,890
(27) D R GARDNER........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		305,401	117,763
(28) GEORGE HAMILTON........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		464,242	152,331
(29) DOUGLAS J HAMMER........................................................................ VP/GENERAL COUNSEL	50.0 .......................3.0		X		699,690	232,977
(30) LARRY D HANCOCK........................................................................ VICE PRESIDENT	50.0 .......................2.0		X		920,300	505,893
(31) KIMBERLY HENRICHSEN........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		368,560	141,922
(32) JOSEPH R HORTON........................................................................ SENIOR VICE PRESIDENT	50.0 .......................3.0		X		734,928	200,971
(33) BRENT C JAMES MD........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		1,959,461	250,019
(34) BRUCE H JENSEN........................................................................ VICE PRESIDENT	50.0 .......................1.0		X		588,219	377,846
(35) BRENT T JOHNSON........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		466,009	302,169
(36) GREGORY M JOHNSON........................................................................ VICE PRESIDENT	50.0 .......................5.0		X		496,642	219,352
(37) LAURA S KAISER........................................................................ EXEC VP / COO	50.0 .......................1.0		X		952,573	257,080
(38) TERRI L KANE........................................................................ VICE PRESIDENT	50.0 .......................1.0		X		495,277	227,753
(39) LINDA C LECKMAN MD........................................................................ VICE PRESIDENT	50.0 .......................2.0		X		845,641	460,428
(40) JACQUE MILLARD........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		421,040	174,081
(41) MIKELLE MOORE........................................................................ VICE PRESIDENT	50.0 .......................6.0		X		347,914	146,144
(42) NANCY A NOWAK........................................................................ VICE PRESIDENT	50.0 .......................0.0		X		275,502	78,790
(43) TIMOTHY T PEHRSON........................................................................ VICE PRESIDENT	50.0 .......................3.0		X		680,364	302,649
(44) GREGORY P POULSEN........................................................................ SENIOR VP	50.0 .......................3.0		X		917,135	556,965
(45) MARC PROBST........................................................................ VICE PRESIDENT/ CIO	50.0 .......................0.0		X		735,824	419,047
(46) STEVEN R SMOOT........................................................................ VICE PRESIDENT	50.0 .......................1.0		X		475,225	154,930
(47) BRENT E WALLACE........................................................................ VP/MED DIRECTOR	50.0 .......................0.0		X		819,174	631,373
(48) ALBERT R ZIMMERLI........................................................................ EXEC VP/CFO/SEC/TREAS	55.0 .......................11.0		X		1,510,557	1,021,029
(49) DANIEL L ZUHLKE........................................................................ VICE PRESIDENT	50.0 .......................3.0		X		646,553	384,540
(50) STEVEN CARABINE MD........................................................................ MD-SURGERY / GENERAL	50.0 .......................0.0			X	1,255,410	170,138
(51) DANIEL HAMMON MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.0 .......................0.0			X	1,262,323	184,949
(52) ERIC HOOLEY MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.0 .......................0.0			X	1,400,766	169,976
(53) HOWARD RICHTER MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.0 .......................0.0			X	1,407,205	169,916
(54) DREW VAN BOERUM MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.0 .......................0.0			X	1,215,262	149,934

(A) Name and business address	(B) Description of services	(C) Compensation
UTAH EMERGENCY PHYSICIANS PC, PO BOX 571117MURRAYUT84157	MEDICAL	34,304,001
ASSOCIATED REGIONAL AND UNIVERSITY, 500 CHIPETA WAYSALT LAKE CITYUT84108	MEDICAL	16,528,912
ACCRETIVE HEALTH INC, 401 N MICHIGAN AVE STE 2700CHICAGOIL60611	REVENUE CYCLE MGMT	15,028,941
PRICEWATERHOUSECOOPERS LLP, PO BOX 514038LOS ANGELESCA90051	COUNSULTING	9,746,888
SOUTHWEST EMERGENCY PHYSICIANS LC, PO BOX 910053ST GEORGEUT84791	MEDICAL	8,687,017
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 260

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	10,357,809	10,357,809
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	4,200	4,200
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 ....	31,545,779		31,545,779
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	754,035	754,035
7	Other salaries and wages	1,655,881,461	1,612,111,784	42,545,096	1,224,581
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	124,231,470	122,392,419	1,839,051
9	Other employee benefits .......	115,819,285	109,170,123	6,648,550	612
10	Payroll taxes ...........	109,587,658	105,697,813	3,797,030	92,815
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	13,218,867	6,122,012	7,096,455	400
c	Accounting ...........	691,530	62,865	628,665
d	Lobbying ...........	21,331		21,331
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	8,421,038		8,421,038
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	263,982,481	245,107,301	18,801,253	73,927
12	Advertising and promotion ....	13,065,872	6,152,784	6,911,574	1,514
13	Office expenses .......	19,044,687	18,706,324	303,936	34,427
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	124,628,369	116,987,059	7,580,572	60,738
17	Travel ............	3,263,306	3,062,353	197,469	3,484
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	11,416,039	9,606,484	1,769,277	40,278
20	Interest ...........	48,959,795	48,959,795
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	215,966,362	213,153,554	2,798,963	13,845
23	Insurance ..............	10,214,350	10,214,350
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	688,028,973	688,028,973
b	BAD DEBT	206,828,911	206,816,976	11,935
c	NON-MEDICAL SUPPLIES	106,108,441	101,791,086	3,757,381	559,974
d	ALLOCATION-INDIRECT EXPENSES		120,971,711	-120,971,711
e	All other expenses	63,614,105	60,362,281	2,932,104	319,720
25	Total functional expenses. Add lines 1 through 24e	3,845,656,154	3,816,594,091	26,635,748	2,426,315
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	172,206	1	158,750
2	Savings and temporary cash investments .........	185,411,781	2	430,030,096
3	Pledges and grants receivable, net ...........	3,808,420	3	3,411,740
4	Accounts receivable, net .............	490,360,411	4	537,838,327
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	1,919,654	7	1,649,678
8	Inventories for sale or use ..............	92,094,752	8	94,778,115
9	Prepaid expenses and deferred charges ..........	23,056,234	9	27,696,665
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,712,101,216
b	Less: accumulated depreciation .....	10b	1,686,712,097	1,997,146,648	10c	2,025,389,119
11	Investments—publicly traded securities ..........	2,528,532,754	11	3,043,364,343
12	Investments—other securities. See Part IV, line 11 .....	167,889,394	12	306,772,099
13	Investments—program-related. See Part IV, line 11 .....	19,896,422	13	29,529,302
14	Intangible assets ...............	273,742	14	249,043
15	Other assets. See Part IV, line 11 ...........	131,645,227	15	222,548,758
16	Total assets. Add lines 1 through 15 (must equal line 34)......	5,642,207,645	16	6,723,416,035
	17	Accounts payable and accrued expenses .........	433,141,770	17	279,219,135
18	Grants payable .................	0	18	0
19	Deferred revenue ................	2,631,194	19	2,234,719
20	Tax-exempt bond liabilities .............	1,306,533,753	20	1,542,773,712
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other 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 ..	23,682,512	23	21,754,868
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....................	768,195,867	25	1,318,155,437
26	Total liabilities. Add lines 17 through 25.........	2,534,185,096	26	3,164,137,871
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	3,105,008,029	27	3,554,927,282
28	Temporarily restricted net assets ...........	3,014,520	28	4,350,882
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	3,108,022,549	33	3,559,278,164
34	Total liabilities and net assets/fund balances ........	5,642,207,645	34	6,723,416,035

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization IHC HEALTH SERVICES INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization IHC HEALTH SERVICES INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) .......	21,331	21,331
c	Total lobbying expenditures (add lines 1a and 1b) ...................	21,331	21,331
d	Other exempt purpose expenditures ........................	3,845,634,823	5,041,772,060
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	3,845,656,154	5,041,793,391
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	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) .................	250,000	250,000
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? ......................................		Yes No

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	34,278	18,844	20,156	21,331	94,609

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

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

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
AFFILIATED GROUP MEMBERS	FORM 990, SCHEDULE C, PART II-A	THE FOLLOWING ORGANIZATIONS WERE PART OF THE AFFILIATED GROUP AS DEFINED IN THE INSTRUCTIONS FOR PURPOSES OF COMPLETING SCHEDULE C: IHC HEALTH SERVICES, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2854057 EXEMPT PURPOSE EXPENDITURES: $3,845,656,154 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $1,909,328 501(H) ELECTION: NO IHC MANAGEMENT, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2860622 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO IHC PROFESSIONAL SERVICES, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2886596 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $4,402,602 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $4,089,043 501(H) ELECTION: NO SELECTHEALTH, INC 5381 GREEN STREET MURRAY, UTAH 84123 EIN: 87-0409820 EXEMPT PURPOSE EXPENDITURES: $1,178,576,481 501(H) ELECTION: NO INTERMOUNTAIN HEALTH CARE,INC RETIREE WELFARE BENEFIT TRUST 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 74-2675605 EXEMPT PURPOSE EXPENDITURES: $7,159,783 501(H) ELECTION: NO

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

2012

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

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 XIII, the text of the footnote to its financial statements that describes these items.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	97,177,509	101,250,728	52,342,113	59,160,431	66,273,867
b	Contributions ........	160,555,781	9,298,218	62,579,130	10,677,665	24,863,264
c	Net investment earnings, gains, and losses	4,929,350	757,340	1,441,018	10,327,590	-3,603,820
d	Grants or scholarships .....	53,366,370	28,378	1,302,467
e	Other expenditures for facilities and programs ........	13,142,593	14,095,897	13,809,066	27,823,573	28,372,880
f	Administrative expenses ....	10,966	4,502
g	End of year balance ......	196,142,711	97,177,509	101,250,728	52,342,113	59,160,431

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

11.443 %

Temporarily restricted endowment SchDMd Bullet

88.557 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII 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 .................	35,247,418	233,547,509		268,794,927
b	Buildings ................	38,440,616	1,472,875,477	609,996,073	901,320,020
c	Leasehold improvements ............	1,956,035	80,352,683	42,904,202	39,404,516
d	Equipment ................	107,377	1,651,742,272	1,033,811,822	618,037,826
e	Other .................	493,970	197,337,860		197,831,830
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					2,025,389,119

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
PAYABLE TO THIRD PARTY PAYORS		100,253,049
MINORITY INT IN JT VENTURES		4,043,183
ACCRUED PENSION OBLIGATION		470,927,034
457 PLAN LIABILITY		41,739,789
ASSET RETIREMENT OBLIGATION		4,033,516
INTEREST RATE SWAP LIABILITIES		144,896,512
OTHER LONG TERM LIABILITIES		175,808,405
INVESTMENT PAYABLE		175,173,069
ACCRUED PAYROLL / LEAVE		201,280,880
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,318,155,437
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	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 XII 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 XIII.) ............	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 XIII.) ............	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 XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
LAND, BUILDINGS, AND EQUIPMENT	FORM 990, SCHEDULE D, PART VI, LINE 1E	AMOUNTS REFLECTED ON LINE 1E REPRESENT CONSTRUCTION IN PROGRESS.
Intended Use of Endowment Funds	Form 990, Schedule D, Part V	The reported funds are held by both supporting and publicly supported organizations for the benefit of Health Services. The intended uses of these funds include research, charity care, patient care and other similar purposes.
FASB ACCOUNTING STANDARDS CODIFICATION TOPIC 740 (FIN 48)	FORM 990, SCHEDULE D, PART X, LINE 2	HEALTH SERVICES DID NOT REPORT A LIABILITY IN THE FOOTNOTES OF THE AUDITED FINANCIAL STATEMENTS FOR UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740 (FIN 48).

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. 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? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	548,268,882
	East Asia and the Pacific	Investments	40,453,627
	Europe (Including Iceland and Greenland)	Investments	134,620,605
	Middle East and North Africa	Investments	831,940
	North America	Investments	7,629,590
	South America	Investments	1,401,760











3a	Sub-total .....		733,206,404
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		733,206,404

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
International Investments	Form 990, Schedule F, Part I, Line 3	AS PART OF A FULLY DIVERSIFIED PORTFOLIO, HEALTH SERVICES INVESTS IN CERTAIN ALTERNATIVE INVESTMENTS THAT ARE HELD BY ADMINISTRATORS IN FOREIGN JURISDICTIONS. WHILE MOST OF THE INVESTMENTS ARE DOMESTIC, THE STRUCTURE OF THE INVESTMENT AND LOCATION OF THE ADMINISTRATOR REQUIRE DISCLOSURE ON SCHEDULE F. THESE ALTERNATIVE INVESTMENTS ACCOUNT FOR APPROXIMATELY 79% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 21% REPRESENTS INTERNATIONAL INVESTMENTS IN EQUITIES AND BONDS IN SEPARATELY MANAGED ACCOUNTS. HEALTH SERVICES USES THESE INTERNATIONAL INVESTMENTS AS AN ADDITIONAL DIVERSIFICATION TOOL. THE INVESTMENTS ARE HELD IN SAFEKEEPING IN THE UNITED STATES BUT ARE REQUIRED TO BE REPORTED BASED UPON THE COUNTRY OF ISSUANCE.

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	105,221,385		105,221,385	2.890 %
b	Medicaid (from Worksheet 3, column a) ....	498,257,007	464,431,797	33,825,209	0.930 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	603,478,392	464,431,797	139,046,594	3.820 %
Other Benefits		1,359,141	13,391	1,345,750	0.040 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	1,359,141	13,391	1,345,750	0.040 %
f	Health professions education (from Worksheet 5) ..	30,121,424		30,121,424	0.830 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	12,492,534		12,492,534	0.340 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	11,383,684	1,299	11,382,385	0.310 %
j	Total. Other Benefits ..	55,356,783	14,690	55,342,093	1.520 %
k	Total. Add lines 7d and 7j .	658,835,175	464,446,487	194,388,687	5.340 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	76,892	76,892
7	Community health improvement advocacy
8	Workforce development	113,098	113,098
9	Other
10	Total	189,990	189,990

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

206,828,911

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

103,414,456

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

468,584,998

Enter Medicare allowable costs of care relating to payments on line 5.....

489,516,419

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-20,931,421

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1McKay Dee Surgical	Outpatient Surgery	75.800 %	24.200 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?22 Name, address, and primary website address									Facility reporting group
1	INTERMOUNTAIN MEDICAL CENTER 5121 SOUTH COTTONWOOD STREET MURRAY,UT84157	X	X		X		X	X	A
2	UTAH VALLEY REGIONAL MEDICAL CENTER 1034 NORTH 500 WEST PROVO,UT84604	X	X		X		X	X	A
3	PRIMARY CHILDREN'S MEDICAL CENTER 100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY,UT84113	X	X	X	X		X	X	A
4	MCKAY-DEE HOSPITAL CENTER 4401 HARRISON BOULEVARD OGDEN,UT84403	X	X		X		X	X	A
5	DIXIE REGIONAL MEDICAL CENTER 1380 EAST MEDICAL CENTER DRIVE ST GEORGE,UT84790	X	X				X	X	A
6	LDS HOSPITAL 8TH AVENUE AND C STREET SALT LAKE CITY,UT84143	X	X		X		X	X	A
7	LOGAN REGIONAL HOSPITAL 500 EAST 1400 NORTH LOGAN,UT84341	X	X					X	A
8	AMERICAN FORK HOSPITAL 170 NORTH 1100 EAST AMERICAN FORK,UT84003	X	X					X	A
9	ALTA VIEW HOSPTIAL 9660 SOUTH 1300 EAST SANDY,UT84094	X	X					X	A
10	RIVERTON HOSPITAL 3741 WEST 12600 SOUTH RIVERTON,UT84065	X	X				X	X	A
11	THE ORTHOPEDIC SPECIALTY HOSPITAL 5848 SOUTH FASHION BOULEVARD MURRAY,UT84107	X							A
12	PARK CITY MEDICAL CENTER 900 ROUND VALLEY DRIVE PARK CITY,UT84060	X	X					X	A
13	VALLEY VIEW MEDICAL CENTER 1303 NORTH MAIN STREET CEDAR CITY,UT84720	X	X					X	A
14	CASSIA REGIONAL MEDICAL CENTER 1501 HILAND AVENUE BURLEY,ID83318	X	X			X		X	A
15	OREM COMMUNITY HOSPITAL 331 NORTH 400 WEST OREM,UT84057	X	X					X	A
16	SEVIER VALLEY MEDICAL CENTER 100 NORTH MAIN RICHFIELD,UT84701	X	X					X	A
17	BEAR RIVER VALLEY HOSPITAL 440 WEST 600 NORTH TREMONTON,UT84337	X	X					X	A
18	HEBER VALLEY MEDICAL CENTER 1485 SOUTH HIGHWAY 40 HEBER CITY,UT84032	X	X			X		X	A
19	SANPETE VALLEY HOSPITAL 1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT,UT84647	X	X			X		X	A
20	GARFIELD MEMORIAL HOSPITAL 200 NORTH 400 EAST PANGUITCH,UT84759	X	X					X	A
21	DELTA COMMUNITY MEDICAL CENTER 126 WHITE SAGE AVENUE DELTA,UT84624	X	X			X		X	A
22	FILLMORE COMMUNITY MEDICAL CENTER 674 SOUTH HIGHWAY 99 FILLMORE,UT84631	X	X			X		X	A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 500.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?320
Name and address		Type of Facility (describe)
1	RIVERTON HOSPITALISTS 3723 WEST 12600 SOUTH RIVERTON,UT84065	CLINIC
2	MCKAY DEE MATERNAL FETAL MEDICINE 4401 HARRISON BLVD STE 4600 OGDEN,UT84403	CLINIC
3	LOGAN HYPERBARIC AND WOUND CARE 1400 NORTH 500 EAST LOGAN,UT84341	CLINIC
4	INT MFM SPECIALISTS DIAGNOSTIC 5121 COTTONWOOD ST STE 100 MURRAY,UT84107	CLINIC
5	LDS HOSPITAL RADIATION ONCOLOGY 8TH AVE AND C STREET SALT LAKE CITY,UT84143	CLINIC
6	PARK CITY CLINIC 1665 BONANZA DRIVE PARK CITY,UT84060	CLINIC
7	DIXIE NEONATOLOGY 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
8	CARDIOVASCULAR & THORACIC SURGERY 1380 E MEDICAL CENTER DR STE 2600 ST GEORGE,UT84790	SURGERY CENTER
9	CACHE VALLEY HEART CLINIC 1300 NORTH 500 EAST STE 320 LOGAN,UT84341	CLINIC
10	INTERMOUNTAIN OB & GYN SPECIALISTS 5063 COTTONWOOD ST SUITE 120 MURRAY,UT84107	CLINIC
11	SUMMIT CLINIC 502 S MAIN STREET SMITHFIELD,UT84335	CLINIC
12	WEST JORDAN KIDSCARE 2655 WEST 9000 SOUTH WEST JORDAN,UT84088	CLINIC
13	PROVO NEUROLOGICAL CLINIC NW PLAZA 1134 NORTH 500 WEST STE 101 PROVO,UT84604	CLINIC
14	WASATCH OBGYN 2400 NORTH WASHINGTON BLVD NORTH ODGEN,UT84414	CLINIC
15	LDS HOSPITAL HOSPITALISTS 8TH AVE AND C STREET SALT LAKE CITY,UT84143	CLINIC
16	LAYTON WORKMED 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
17	LEGACY OBGYN 1159 EAST 200 NORTH STE 250 AMERICAN FORK,UT84003	CLINIC
18	TAYLORSVILLE INSTACARE 3845 WEST 4700 SOUTH TAYLORSVILLE,UT84129	CLINIC
19	MCKAY DEE CARDIOLOGY SOUTH 4403 HARRISON BLVD STE 3400 OGDEN,UT84403	CLINIC
20	ALTA VIEW HOSPITALISTS 9660 SOUTH 1300 EAST SANDY,UT84094	CLINIC
21	INTERMOUNTAIN NURSE MIDWIVES 855 CALIFORNIA AVE SALT LAKE CITY,UT84104	CLINIC
22	BRYNER CLINIC 525 EAST 100 SOUTH STE 500 SALT LAKE CITY,UT84102	CLINIC
23	MCKAY DEE WOUND & HYPERBARIC CENTER 4401 HARRISON BLVD STE 1885 OGDEN,UT84403	CLINIC
24	NOYES SURGICAL ONCOLOGY 5169 COTTONWOOD ST STE 440 MURRAY,UT84107	CLINIC
25	MURRAY WORKMED 201 EAST 5900 SOUTH STE 100 MURRAY,UT84107	CLINIC
26	VALLEY VIEW RADIATION ONCOLOGY 1303 NORTH MAIN STREET CEDAR CITY,UT84721	CLINIC
27	NORTH OREM CLINIC 1975 NORTH STATE STREET OREM,UT84057	CLINIC
28	UTAH VALLEY ORTHOPAEDICS 1157 NORTH 300 WEST SUITE 201 PROVO,UT84604	CLINIC
29	HEREFORDSHIRE CLINIC 1915 WEST 5950 SOUTH ROY,UT84067	CLINIC
30	VALLEY VIEW HEART CLINIC 1303 NORTH MAIN STREET STE H CEDAR CITY,UT84720	CLINIC
31	CEDAR CITY INSTACARE 962 SAGE DRIVE CEDAR CITY,UT84720	CLINIC
32	SOUTHRIDGE KIDSCARE 3723 WEST 12600 SOUTH STE 150 RIVERTON,UT84065	CLINIC
33	MCKAY DEE NEONATOLOGY 4401 HARRISON BLVD OGDEN,UT84403	CLINIC
34	HURRICANE VALLEY INSTACARE 75 NORTH 2260 WEST HURRICANE,UT84737	CLINIC
35	INTERMOUNTAIN HEART & LUNG SURG ASSOC 5169 COTTONWOOD STREET STE 600 MURRAY,UT84107	SURGERY CENTER
36	ST GEORGE PULMONARY CLINIC 1380 EAST MEDICAL CENTER DR STE 220 ST GEORGE,UT84790	CLINIC
37	SOUTH OGDEN INSTACARE 975 CHAMBERS STREET SOUTH OGDEN,UT84403	CLINIC
38	PHYSICAL MEDICINE & REHAB CLINIC 1055 NORTH 300 WEST STE 410 PROVO,UT84604	CLINIC
39	SYRACUSE CLINIC 745 SOUTH 2000 WEST SYRACUSE,UT84075	CLINIC
40	HIGHLAND CLINIC 10968 NORTH ALPINE HWY HIGHLAND,UT84003	CLINIC
41	NORTH OGDEN CLINIC 2400 NORTH WASHINGTON BLVD NORTH OGDEN,UT84414	CLINIC
42	REDROCK DIGESTIVE HEALTH 652 SOUTH MEDICAL CENTER DR STE 330 ST GEORGE,UT84790	CLINIC
43	HEREFORDSHIRE INSTACARE 1915 WEST 5950 SOUTH ROY,UT84067	CLINIC
44	AMERICAN FORK SURGICAL ASSOCIATES 1159 EAST 200 NORTH STE 350 AMERICAN FORK,UT84003	SURGERY CENTER
45	MEDICAL CENTER RADIATION ONCOLOGY 5131 COTTONWOOD STREET MURRAY,UT84107	CLINIC
46	NORTH OGDEN INSTACARE 2400 NORTH WASHINGTON BLVD NORTH OGDEN,UT84414	CLINIC
47	DRMC WOUND AND HYPERBARIC 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
48	MCKAY DEE DERMATOLOGY & PLASTIC SURGERY 4403 HARRISON BLVD STE 4835 OGDEN,UT84403	SURGERY CENTER
49	SYRACUSE INSTACARE 745 SOUTH 2000 WEST SYRACUSE,UT84075	CLINIC
50	MCKAY DEE ENDOCRINE & DIABETES CLINIC 4403 HARRISON BLVD STE 3630 OGDEN,UT84403	CLINIC
51	LOGAN RADIATION ONCOLOGY 500 EAST 1400 NORTH LOGAN,UT84341	CLINIC
52	MT PLEASANT CLINIC 1100 SOUTH MEDICAL DRIVE MT PLEASANT,UT84647	CLINIC
53	SOUTHERN UTAH SURGICAL ASSOCIATES 166 WEST 1325 STE 350 CEDAR CITY,UT84720	SURGERY CENTER
54	IMED CAMPUS SLEEP PROGRAM 5121 COTTONWOOD STREET MURRAY,UT84107	CLINIC
55	MANTI FAMILY CLINIC 159 N MAIN ST MANTI,UT84642	CLINIC
56	LDS MATERNAL FETAL MEDICINE 8TH AVE AND C STREET SALT LAKE CITY,UT84143	CLINIC
57	MCKAY DEE ENT CLINIC 4403 HARRISON BLVD STE 2645 OGDEN,UT84403	CLINIC
58	LDS CAMPUS SLEEP PROGRAM 325 8TH AVE SALT LAKE CITY,UT84143	CLINIC
59	AVENUES NEUROSURGERY 370 9TH AVE STE 111 SALT LAKE CITY,UT84103	SURGERY CENTER
60	IM FLASH 1550 EAST 3400 NORTH LEHI,UT84043	CLINIC
61	WEST JORDAN CLINIC 2655 WEST 9000 SOUTH WEST JORDAN,UT84088	CLINIC
62	ORTHOPEDIC SPECIALTY GROUP 5169 COTTONWOOD ST STE 430 MURRAY,UT84107	CLINIC
63	UTAH VALLEY WOMENS CENTER 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
64	HIGHLAND INSTACARE 10968 NORTH ALPINE HWY HIGHLAND,UT84003	CLINIC
65	UTAH VALLEY HOSPITALISTS 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
66	HOLLADAY ALLERGY & DERMATOLOGY 6272 SOUTH HIGHLAND DRIVE MURRAY,UT84121	CLINIC
67	INTERNAL MEDICINE ASSOCIATES 9844 SOUTH 1300 EAST STE 200 SANDY,UT84094	CLINIC
68	UTAH VALLEY ORTHO 250 EAST STATE ROAD 73 SARATOGA SPRINGS,UT84043	CLINIC
69	DRMC INPATIENT PSYCHIATRY 544 S 400 EAST ST GEORGE,UT84770	CLINIC
70	INTERMOUNTAIN WOMENS HEALTH SPECIALISTS 346 EAST 600 SOUTH ST GEORGE,UT84770	CLINIC
71	MCKAY DEE CRITICAL CARE 4401 HARRISON BLVD OGDEN,UT84403	CLINIC
72	LOGAN CLINIC 412 NORTH 200 EAST LOGAN,UT84321	CLINIC
73	ROSE PARK ELEMENTARY CLINIC 1105 WEST 1000 NORTH SALT LAKE CITY,UT84116	CLINIC
74	UTAH VALLEY EAR NOSE & THROAT 872 NORTH 2000 WEST STE A PLEASANT GROVE,UT84062	CLINIC
75	SUNSET FAMILY PRACTICE 1739 WEST SUNSET BLVD ST GEORGE,UT84770	CLINIC
76	SALT LAKE CLINIC RADIOLOGY 333 SOUTH 900 EAST SALT LAKE CITY,UT84102	CLINIC
77	CALTON-HARRISON CLINIC-TRAUMA 4403 HARRISON BLVD STE 2400 OGDEN,UT84403	CLINIC
78	PARK CITY HOSPITALISTS 900 ROUND VALLEY DRIVE PARK CITY,UT84060	CLINIC
79	UTAH HEART 5169 COTTONWOOD STREET STE 520 MURRAY,UT84107	CLINIC
80	INTERMOUNTAIN SURGICAL SPECIALISTS 5169 COTTONWOOD STREET STE 410 MURRAY,UT84107	SURGERY CENTER
81	REDROCK PEDIATRICS 1380 E MEDICAL CENTER DRIVE STE 310 ST GEORGE,UT84790	CLINIC
82	TOOELE INSTACARE 777 N MAIN STREET TOOELE,UT84074	CLINIC
83	MCKAY DEE HOSPITALISTS 4401 HARRISON BLVD OGDEN,UT84403	CLINIC
84	OGDEN CARDIOVASCULAR ASSOCIATES 4403 HARRISON BLVD STE 3835 OGDEN,UT84403	CLINIC
85	HURRICANE VALLEY CLINIC 75 NORTH 2260 WEST HURRICANE,UT84737	CLINIC
86	GORANG FAMILY PRACTICE 9720 SOUTH 1300 EAST STE E230 SANDY,UT84094	CLINIC
87	SOUTH JORDAN CLINIC 11444 SOUTH REDWOOD ROAD SOUTH JORDAN,UT84095	CLINIC
88	HOLLADAY CLINIC 6272 HIGHLAND DRIVE MURRAY,UT84121	CLINIC
89	NORTHERN UTAH SURGEONS 4403 HARRISON BLVD STE 1635 OGDEN,UT84403	SURGERY CENTER
90	LAYTON KIDSCARE 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
91	SEVIER VALLEY CLINIC 70 EAST 1000 NORTH RICHFIELD,UT84701	CLINIC
92	INTERMOUNTAIN UROLOGICAL INSTITUTE 5169 COTTONWOOD STREET STE 420 MURRAY,UT84107	CLINIC
93	MEMORIAL KIDSCARE 2000 SOUTH 900 EAST SALT LAKE CITY,UT84105	CLINIC
94	UTAH VALLEY HEART & LUNG SURGICAL ASSOC 1134 NORTH 500 WEST STE 100 PROVO,UT84604	SURGERY CENTER
95	MCKAY DEE INTERNAL MEDICINE CLINIC 4403 HARRISON BLVD OGDEN,UT84403	CLINIC
96	UTAH VALLEY SPORTS MEDICINE 1157 NORTH 300 WEST PROVO,UT84604	CLINIC
97	INTERMOUNTAIN NURSE MIDWIVES 5063 COTTONWOOD STREET STE 130 MURRAY,UT84107	CLINIC
98	RICHFIELD FAMILY PRACTICE 460 NORTH MAIN STREET RICHFIELD,UT84701	CLINIC
99	SALT LAKE WORKMED 1685 WEST 2200 SOUTH SALT LAKE CITY,UT84119	CLINIC
100	SUNSET INSTACARE 1739 WEST SUNSET BLVD ST GEORGE,UT84770	CLINIC
101	SOUTHWEST UROLOGY 1380 EAST MEDICAL CENTER DR STE 210 ST GEORGE,UT84790	CLINIC
102	DRMC RADIATION ONCOLOGY 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
103	REDROCK SPINE & NEUROSURGERY CLINIC 652 S MEDICAL CENTER DR STE 115 ST GEORGE,UT84790	SURGERY CENTER
104	MATERNAL FETAL MEDICINE SPECIALISTS 5121 COTTONWOOD STREET STE 100 MURRAY,UT84107	CLINIC
105	INTERMOUNTAIN LIFETIME CLINIC FREEPORT CENTER BLDG D-12 CLEARFIELD,UT84016	CLINIC
106	NORTH VALLEY PEDIATRICS 212 SOUTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
107	RIM ROCK ORTHOPAEDICS 652 SOUTH MEDICAL CENTER DR STE 120 ST GEORGE,UT84790	CLINIC
108	BEAR RIVER FAMILY MEDICINE 935 NORTH 1000 WEST TREMONTON,UT84337	CLINIC
109	UTAH VALLEY NEONATOLOGY 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
110	CW ENDOCRINE & DIABETES 5169 COTTONWOOD ST STE 640 MURRAY,UT84107	CLINIC
111	VALLEY VIEW HEART 200 NORTH 400 EAST PANGUITCH,UT84759	CLINIC
112	AMERICAN FORK RADIATION ONOCOLOGY 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
113	AVENUES SPECIALTY CLINIC 324 10TH AVE STE 100 SALT LAKE CITY,UT84103	CLINIC
114	AMERICAN FORK MATERNAL FETAL MEDICINE 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
115	BLOOD AND MARROW TRANSPLANTLEUKEMIA 8TH AVE AND C STREET SALT LAKE CITY,UT84143	CLINIC
116	DIXIE MATERNAL FETAL MEDICINE 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
117	CANYON VIEW FAMILY PRACTICE 15 EAST 400 NORTH PAROWAN,UT84761	CLINIC
118	MOUNTAIN VIEW PEDIATRICS 9720 SOUTH 1300 EAST STE 100 SANDY,UT84094	CLINIC
119	ISOM PLASTIC SURGERY 1350 NORTH 500 EAST STE 310 LOGAN,UT84341	SURGERY CENTER
120	LAYTON ORTHOPEDICS 2400 N WASHINGTON BLVD NORTH OGDEN,UT84414	CLINIC
121	DIXIE SLEEP DISORDERS CENTER 652 S MEDICAL CENTER DR STE 310 ST GEORGE,UT84790	CLINIC
122	TALYORSVILLE KIDSCARE 3845 WEST 4700 SOUTH TAYLORSVILLE,UT84129	CLINIC
123	BUDGE SURGICAL SPEC 2400 N WASHINGTON BLVD NORTH OGDEN,UT84414	SURGERY CENTER
124	ORTHOPEDIC SPECIALTY GROUP 3723 W 12600 SOUTH STE 460 RIVERTON,UT84065	CLINIC
125	ORTHOPEDIC SPECIALTY GROUP-TRAUMA 5169 COTTONWOOD ST STE 430 MURRAY,UT84107	CLINIC
126	SOUTH OGDEN CLINIC 975 CHAMBERS ST SOUTH OGDEN,UT84403	CLINIC
127	BUDGE CLINIC GI 1300 NORTH 500 EAST STE 340 LOGAN,UT84341	CLINIC
128	AMERICAN FORK HOSPITALISTS 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
129	LOGAN WORKMED 412 NORTH 200 EAST LOGAN,UT84321	CLINIC
130	DIXIE PLASTIC & RECONSTRUCTIVE SURGERY 652 S MEDICAL CENTER DR STE 300 ST GEORGE,UT84790	SURGERY CENTER
131	UTAH HEART-AVH 9690 SOUTH 1300 EAST STE 200 SANDY,UT84094	CLINIC
132	SOUTHWEST REGIONAL CANCER 1303 NORTH MAIN STREET CEDAR CITY,UT84720	CLINIC
133	HEART RHYTHM SPECIALISTS 1233 EAST 2ND STREET CASPER,WY82601	CLINIC
134	ST GEORGE WORKMED 385 NORTH 3050 EAST ST GEORGE,UT84790	CLINIC
135	RIVERTON CAMPUS SLEEP PROGRAM 3723 WEST 12600 SOUTH STE 480 RIVERTON,UT84065	CLINIC
136	MCKAY DEE HEART SERVICES CLINIC 4403 HARRISON BLVD STE 3450 OGDEN,UT84403	CLINIC
137	SOUTHRIDGE INSTACARE 3723 WEST 12600 SOUTH STE 150 RIVERTON,UT84065	CLINIC
138	OGDEN WORKMED 1355 WEST 3400 SOUTH OGDEN,UT84401	CLINIC
139	CEDAR CITY WORKMED 962 SAGE DRIVE CEDAR CITY,UT84720	CLINIC
140	HEART OF UTAH 4403 HARRISON BLVD STE 3400 OGDEN,UT84403	CLINIC
141	MEDICAL TOWER FAMILY PRACTICE 5770 SOUTH 250 EAST STE 170 MURRAY,UT84107	CLINIC
142	SANDY SLEEP DISORDERS 9600 SOUTH 1300 EAST SANDY,UT84094	CLINIC
143	BOUNTIFUL INSTACARE 390 NORTH MAIN STREET BOUNTIFUL,UT84010	CLINIC
144	MEMORIAL CLINIC 2000 SOUTH 900 EAST SALT LAKE CITY,UT84105	CLINIC
145	UTAH VALLEY PEDIATRIC HOSPITALISTS 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
146	BUDGE CLINIC INTERNAL MEDICINE 1350 NORTH 500 EAST LOGAN,UT84341	CLINIC
147	UTAH VALLEY HYPERBARIC & WOUND CARE 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
148	ALTA VIEW SENIOR CLINIC 9720 SOUTH 1300 EAST STE E240 SANDY,UT84094	CLINIC
149	RIVER ROAD FAMILY PRACTICE 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
150	SALT LAKE CLINIC 333 SOUTH 900 EAST SALT LAKE CITY,UT84102	CLINIC
151	SOUTHERN UTAH BEHAVIORAL HEALTH 1054 E RIVERSIDE DR STE 202 ST GEORGE,UT84790	CLINIC
152	SPRINGVILLE CLINIC 762 WEST 400 SOUTH SPRINGVILLE,UT84663	CLINIC
153	SPORTS MEDICINE SPECIALISTS 280 NORTH MAIN STREET BOUNTIFUL,UT84010	CLINIC
154	RIVER ROAD INSTACARE 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
155	INTERMOUNTAIN PLASTIC SURGERY CENTER 5169 COTTONWOOD ST STE 410 MURRAY,UT84107	SURGERY CENTER
156	EPHRAIM CLINIC 525 N MAIN STREET EPHRAIM,UT84627	CLINIC
157	PROVO INSTACARE 1134 NORTH 500 WEST STE 102 PROVO,UT84604	CLINIC
158	SANDY CLINIC 9500 SOUTH 1300 EAST SANDY,UT84094	CLINIC
159	ALTA VIEW SPECIALTY CLINIC 9450 SOUTH 1300 EAST SANDY,UT84094	CLINIC
160	NORTH OREM INSTACARE 1975 NORTH STATE STREET OREM,UT84057	CLINIC
161	CENTRAL OREM CLINIC 505 WEST 400 NORTH OREM,UT84057	CLINIC
162	AMERICAN FORK PULMONARY CRITICAL CARE 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
163	DIXIE HOSPITALISTS 1380 EAST MEDICAL CENTER DR ST GEORGE,UT84790	CLINIC
164	SOUTH SANDY CLINIC 955 EAST 11400 SOUTH SANDY,UT84094	CLINIC
165	UTAH VALLEY VASCULAR SURGERY 1055 NORTH 300 WEST STE 205 PROVO,UT84604	SURGERY CENTER
166	SUMMIT ORTHOPEDICS 4403 HARRISON BLVD STE 2600 OGDEN,UT84403	CLINIC
167	HEALTH AND FITNESS PROGRAM 440 D STREET STE 206 SALT LAKE CITY,UT84103	CLINIC
168	PHYSICAL MED AND REHAB 1159 EAST 200 NORTH STE 100 AMERICAN FORK,UT84003	CLINIC
169	SOUTHWEST NEUROLOGY ASSOCIATES 652 SOUTH MEDICAL CENTER DR STE 320 ST GEORGE,UT84790	CLINIC
170	DIXIE PULMONARY CRITICAL CARE 1380 EAST MEDICAL CENTER DR ST GEORGE,UT84790	CLINIC
171	INTERMOUNTAIN NEUROSCIENCES INSTITUTE 5171 COTTONWOOD ST STE 810 MURRAY,UT84107	CLINIC
172	KEARNS CLINIC 4946 WEST 6200 SOUTH KEARNS,UT84117	CLINIC
173	AMERICAN FORK INTERNAL MED & DERMATOLOGY 1159 EAST 200 NORTH STE 150 AMERICAN FORK,UT84003	CLINIC
174	BOUNTIFUL CLINIC 390 NORTH MAIN STREET BOUNTIFUL,UT84010	CLINIC
175	DRAPER EXPRESS CARE 212 EAST 12300 SOUTH DRAPER,UT84020	CLINIC
176	MEDICAL CENTER HOSPITALISTS 5121 COTTONWOOD ST MURRAY,UT84107	CLINIC
177	PROVO RADIATION ONCOLOGY 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
178	INT NEUROSCIENCES 5121 COTTONWOOD ST MURRAY,UT84107	CLINIC
179	SOUTHRIDGE PEDIATRICS 3723 WEST 12600 SOUTH STE 450 RIVERTON,UT84065	CLINIC
180	UTAH VALLEY PULMONARY CLINIC 1055 NORTH 300 WEST STE 500 PROVO,UT84604	CLINIC
181	COTTONWOOD ENDOCRINE & DIABETES CENTER 5770 SOUTH 250 EAST STE 310 MURRAY,UT84107	CLINIC
182	BUDGE CLINIC PEDIATRICS 1350 NORTH 500 EAST LOGAN,UT84341	CLINIC
183	BUDGE CLINIC SURGICAL SPECIALISTS 1350 NORTH 500 EAST LOGAN,UT84341	CLINIC
184	CENTRAL OREM-NORTH CANYON OB 3200 NORTH CANYON RD STE C PROVO,UT84604	CLINIC
185	SNOWBIRD CLINIC HWY 210 LITTLE COTTONWOOD CANYON SNOWBIRD,UT84092	CLINIC
186	SOUTHRIDGE CLINIC 3723 WEST 12600 SOUTH STE 270 RIVERTON,UT84065	CLINIC
187	DIXIE HIGH RISK OB 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
188	MCKAY DEE FOOT & ANKLE CLINIC 4403 HARRISON BLVD STE 2835 OGDEN,UT84403	CLINIC
189	UTAH VALLEY SPORTS MEDICINE 1159 EAST 200 NORTH STE 100 AMERICAN FORK,UT84003	CLINIC
190	FILLMORE CLINIC 700 SOUTH HIGHWAY 99 STE 3 FILLMORE,UT84631	CLINIC
191	UTAH VALLEY SPORTS MED 87 SMITH FIELD HOUSE PROVO,UT84602	CLINIC
192	MURRAY INSTACARE 196 EAST WINCHESTER ST MURRAY,UT84107	CLINIC
193	SOUTHERN UTAH SURGICAL 126 WHITE SAGE AVE DELTA,UT84624	SURGERY CENTER
194	PARK CITY CLINIC 4000 CANYONS RESORT DRIVE PARK CITY,UT84098	CLINIC
195	SALT LAKE INSTACARE 389 SOUTH 900 EAST SALT LAKE CITY,UT84102	CLINIC
196	LOGAN HOSPITALISTS 1400 NORTH 500 EAST LOGAN,UT84341	CLINIC
197	PARK CITY CLINIC 750 ROUND VALLEY DRIVE PARK CITY,UT84060	CLINIC
198	ROCK CANYON PEDIATRIC SPECIALISTS 1055 NORTH 300 WEST STE 110 PROVO,UT84604	CLINIC
199	SOUTHRIDGE OB-GYN 3723 WEST 12600 SOUTH STE 360 RIVERTON,UT84065	CLINIC
200	CEDAR CITY CLINIC 1303 N MAIN STREET STE 3C CEDAR CITY,UT84720	CLINIC
201	WEST JORDAN INSTACARE 2655 WEST 9000 SOUTH WEST JORDAN,UT84088	CLINIC
202	SOUTHWEST CARDIOLOGY 1380 E MEDICAL CENTER DRIVE STE 150 ST GEORGE,UT84790	CLINIC
203	SOUTHERN UTAH SURGICAL 224 NORTH 400 EAST PANGUITCH,UT84759	CLINIC
204	MCKAY DEE RHEUMATOLOGY CLINIC 4403 HARRISON BLVD STE 3650 OGDEN,UT84403	CLINIC
205	NORTH TEMPLE CLINIC 54 NORTH 800 WEST SALT LAKE CITY,UT84116	CLINIC
206	ROSE CANYON CLINIC 5541 WEST 13400 SOUTH RIVERTON,UT84096	CLINIC
207	BOUNTIFUL KIDSCARE 390 N MAIN STREET BOUNTIFUL,UT84010	CLINIC
208	WASATCH OBGYN 4403 HARRISON BLVD STE 4815 OGDEN,UT84403	CLINIC
209	DRMC ACUTE REHAB 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
210	MCKAY DEE INFECTIOUS DISEASE 4403 HARRISON BLVD STE 3630 OGDEN,UT84403	CLINIC
211	OREM WORKMED 830 NORTH 980 WEST OREM,UT84057	CLINIC
212	HEART RHYTHM SPECIALISTS 3100 CHANNING WAY IDAHO FALLS,ID83404	CLINIC
213	TAYLORSVILLE CLINIC 3845 WEST 4700 SOUTH TAYLORSVILLE,UT84129	CLINIC
214	ORTHOPEDIC SPECIALTY GROUP 324 10TH AVE STE 100 SALT LAKE CITY,UT84103	CLINIC
215	NORTH CANYON FAMILY PRACTICE 3200 N CANYON RD STE D PROVO,UT84604	CLINIC
216	INTERMOUNTAIN NURSE MIDWIVES 1105 WEST 1000 NORTH SALT LAKE CITY,UT84116	CLINIC
217	CENTRAL ENT HEAD-NECK SURGERY 5169 COTTONWOOD ST STE 640 MURRAY,UT84107	SURGERY CENTER
218	PARK CITY SPECIALTY 750 ROUND VALLEY DR STE 101 PARK CITY,UT84060	CLINIC
219	UTAH VALLEY MATERNAL FETAL MEDICINE 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
220	UTAH HEART 900 ROUND VALLEY DR PARK CITY,UT84060	CLINIC
221	INTERMOUNTAIN SENIOR CLINIC 5770 SOUTH 250 EAST STE 210 MURRAY,UT84107	CLINIC
222	DIXON CLINIC 750 WEST 200 NORTH PROVO,UT84601	CLINIC
223	SOUTHWEST CARDIOLOGY 110 WEST 1325 NORTH STE 100 CEDAR CITY,UT84721	CLINIC
224	SPRINGVILLE WORKMED 385 SOUTH 400 EAST SPRINGVILLE,UT84663	CLINIC
225	INT NEUROSCIENCES-INPATIENT 5171 COTTONWOOD ST STE 810 MURRAY,UT84107	CLINIC
226	PROVO NEUROLOGICAL CLINIC-UVRMC 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
227	COTTONWOOD INTERNAL MEDICINE 5770 SOUTH 250 EAST STE 335 MURRAY,UT84107	CLINIC
228	SEVIER VALLEY FP SVMC 1000 NORTH MAIN STREET RICHFIELD,UT84701	CLINIC
229	DIXIE HIGH RISK FERTILITY 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
230	HEBER VALLEY CLINIC 1473 S HIGHWAY 40 STE E HEBER CITY,UT84032	CLINIC
231	UTAH HEART 8TH AVE AND C STREET SALT LAKE CITY,UT84143	CLINIC
232	ORTHOPEDIC SPECIALTY GROUP 5848 SOUTH 300 EAST STE 120 MURRAY,UT84107	CLINIC
233	MEMORIAL INSTACARE 2000 SOUTH 900 EAST SALT LAKE CITY,UT84105	CLINIC
234	HILLCREST PEDIATRICS 5063 COTTONWOOD ST STE 160 MURRAY,UT84107	CLINIC
235	LINCOLN SCHOOL CLINIC 1090 ROBERTA ST SALT LAKE CITY,UT84111	CLINIC
236	UTAH VALLEY ORTHO 1100 SOUTH MEDICAL SRIVE MT PLEASANT,UT84647	CLINIC
237	SOUTH CACHE VALLEY CLINIC 190 SOUTH HIGHWAY 165 PROVIDENCE,UT84332	CLINIC
238	MCKAY DEE BEHAVIORAL HEALTH 5030 HARRISON BLVD OGDEN,UT84403	CLINIC
239	REDROCK SPINE & NEUROSURGERY 1303 NORTH MAIN ST CEDAR CITY,UT84720	CLINIC
240	LOGAN MATERNAL FETAL MEDICINE 1400 NORTH 500 EAST LOGAN,UT84341	CLINIC
241	INT HEART RHYTHM COTTONWOOD 5979 FASHION BLVD SALT LAKE CITY,UT84107	CLINIC
242	HOLLADAY INSTACARE 6272 HIGHLAND DRIVE MURRAY,UT84121	CLINIC
243	PARK CITY SPECIALTY 900 ROUND VALLEY DR STE 200 PARK CITY,UT84060	CLINIC
244	SANDY INSTACARE 9493 SOUTH 700 EAST SANDY,UT84070	CLINIC
245	SOUTHWEST RHEUMATOLOGY ASSOCIATES 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
246	HOLLADAY PEDIATRICS NORTH 2160 EAST 4500 SOUTH SALT LAKE CITY,UT84117	CLINIC
247	BUDGE CLINIC OBSTETRICS & GYNECOLOGY 1400 NORTH 500 EAST LOGAN,UT84341	CLINIC
248	SARATOGA SPRINGS FAMILY PRACTICE 354 WEST STATE ROAD 73 SARATOGA SPRINGS,UT84043	CLINIC
249	NORTHERN UTAH PEDIATRICS 4403 HARRISON BLVD STE 4875 OGDEN,UT84403	CLINIC
250	HOLLADAY PEDIATRICS 2180 EAST 4500 SOUTH STE 210 SALT LAKE CITY,UT84117	CLINIC
251	HEART RHYTHM SPECIALISTS 5169 COTTONWOOD ST STE 510 MURRAY,UT84107	CLINIC
252	FARMINGTON EXPRESSCARE 1316 NORTH HIGHWAY 89 FARMINGTON,UT84025	CLINIC
253	ZION ORTHOPAEDICS & SPORTS MEDICINE 652 S MEDICAL CENTER DR STE 400 ST GEORGE,UT84790	CLINIC
254	NEIGHBORHOOD CLINIC-SORENSON CENTER 855 WEST CALIFORNIA AVE SALT LAKE CITY,UT84104	CLINIC
255	CANYON VIEW ORTHOPEDICS & ASSOC 1300 NORTH 500 EAST STE 130 LOGAN,UT84341	CLINIC
256	INTERMOUNTAIN SLEEP PROGRAM TOSH 5770 SOUTH 250 EAST STE 340 MURRAY,UT84107	CLINIC
257	ALTA VIEW NURSE MIDWIVES 9600 SOUTH 1300 EAST STE 310 SANDY,UT84094	CLINIC
258	DIXIE NEONATOLOGY 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
259	SANDY OBGYN 9600 SOUTH 1300 EAST STE 308 SANDY,UT84094	CLINIC
260	UTAH VALLEY PSYCHIATRY AND COUNSEL 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
261	WASATCH OBGYN 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
262	RIM ROCK ORTHOPAEDICS 75 NORTH 2260 WEST HURRICANE,UT84737	CLINIC
263	PRIMARY CHILDREN'S RADIATION ONCOLOGY 100 NORTH MEDICAL DRIVE SALT LAKE CITY,UT84113	CLINIC
264	COTTONWOOD FAMILY PRACTICE 5872 SOUTH 900 EAST STE 100 MURRAY,UT84121	CLINIC
265	MCKAY DEE CARDIO-ID HEART INSTITUTE 2985 CORTEZ AVE IDAHO FALLS,ID83404	CLINIC
266	MORONI CLINIC 51 EAST MAIN STREET MORONI,UT84646	CLINIC
267	UTAH VALLEY HEART LUNG & VEIN 1134 NORTH 500 WEST PROVO,UT84604	CLINIC
268	MCKAY DEE PEDS CS SEDATION 4401 HARRISON BLVD OGDEN,UT84403	CLINIC
269	SOUTH SEVIER CLINIC 539 SOUTH MAIN STREET MONROE,UT84754	CLINIC
270	LOGAN INSTACARE 412 NORTH 200 EAST LOGAN,UT84321	CLINIC
271	OREM MIDWIFERY 527 WEST 400 NORTH STE 4 OREM,UT84057	CLINIC
272	MCKAY DEE CARDIOLOGY CLINIC 4403 HARRISON BLVD STE 3490 OGDEN,UT84403	CLINIC
273	CALTONHARRISON ORTHOPEDIC CLINIC 4403 HARRISON BLVD STE 2400 OGDEN,UT84403	CLINIC
274	SARATOGA SPRINGS INSTACARE 354 WEST STATE ROAD 73 SARATOGA SPRINGS,UT84043	CLINIC
275	ORTHOPEDIC SPECIALTY GROUP 9450 SOUTH 1300 EAST STE 120 SANDY,UT84094	CLINIC
276	HEART RHYTHM SPECIALISTS 196 EAST 2000 NORTH TOOELE,UT84074	CLINIC
277	LAYTON CLINIC 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
278	LDS CAMPUS SLEEP-ST JOSEPH'S VILLA 451 BISHOP FEDERAL LANE SALT LAKE CITY,UT84115	CLINIC
279	ALTA VIEW SLEEP PROGRAM 9660 SOUTH 1300 EAST SANDY,UT84094	CLINIC
280	NORTHERN UTAH KIDSCARE 4403 HARRISON BLVD STE 4875 OGDEN,UT84403	CLINIC
281	ALTA VIEW PLASTIC SURGERY SPEC 9450 SOUTH 1300 EAST SANDY,UT84094	SURGERY CENTER
282	UTAH VALLEY PULMONARY-CRITICAL CARE 1055 NORTH 300 WEST STE 500 PROVO,UT84604	CLINIC
283	SPRINGVILLE INSTACARE 762 WEST 400 SOUTH SPRINGVILLE,UT84663	CLINIC
284	HEART RHYTHM SPECIALISTS 1300 NORTH 500 EAST STE 320 LOGAN,UT84341	CLINIC
285	PARK CITY ALLERGY CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT84060	CLINIC
286	UTAH VALLEY ORTHOPAEDICS 10968 NORTH ALPINE HWY HIGHLAND,UT84003	CLINIC
287	SOUTHERN UTAH SURGICAL 700 SOUTH HIGHWAY 99 FILLMORE,UT84631	CLINIC
288	UTAH VALLEY SPORTS MED 800 WEST UNIVERSITY PKWY OREM,UT84058	CLINIC
289	HEART RHYTHM SPECIALISTS POCATELLO 777 HOSPITAL WAY STE 101 POCATELLO,ID83201	CLINIC
290	NORTH SEVIER MEDICAL CLINIC 530 NORTH 250 WEST SALINA,UT84654	CLINIC
291	MT PLEASANT 126 WHITE SAGE AVE DELTA,UT84624	CLINIC
292	MCKAY DEE NEURO-HOSPITALISTS 4403 HARRISON BLVD OGDEN,UT84403	CLINIC
293	DIXIE ENDO-DIABETES CLINIC 348 EAST 600 SOUTH ST GEORGE,UT84770	CLINIC
294	US SYNTHETIC CLINIC 1260 SOUTH 1600 WEST OREM,UT84058	CLINIC
295	MCKAY DEE CARDIO-EASTERN IDAHO 2001 S WOODRUFF AVE STE 12 IDAHO FALLS,ID83404	CLINIC
296	UTAH VALLEY MFM-ONCOLOGY 1034 NORTH 500 WEST PROVO,UT84604	CLINIC
297	SOUTHWEST REGIONAL CANCER CLINIC 544 SOUTH 400 EAST ST GEORGE,UT84770	CLINIC
298	LAYTON INSTACARE 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
299	MCKAY DEE URO-GYNECOLOGY CLINIC 4403 HARRISON BLVD STE 4440 OGDEN,UT84403	CLINIC
300	BUDGE CLINIC RADIOLOGY 1350 NORTH 500 EAST LOGAN,UT84341	CLINIC
301	DIXIE INFECTIOUS DISEASE CLINIC 1380 E MEDICAL CENTER DR STE 2300 ST GEORGE,UT84790	CLINIC
302	PULMONARY ST GEORGE 110 WEST 1325 NORTH STE 100 CEDAR CITY,UT84721	CLINIC
303	BEAR RIVER SPECIALISTS 935 NORTH 1000 WEST TREMONTON,UT84337	CLINIC
304	SNOWBASIN CLINIC 3925 E SNOWBASIN DRIVE HUNTSVILLE,UT84317	CLINIC
305	SOUTHWEST RHEUMATOLOGY ASSOC 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
306	PARK CITY SLEEP DISORDERS CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT84060	CLINIC
307	EAST MILLCREEK EXPRESSCARE 3215 SOUTH VALLEY STREET SALT LAKE CITY,UT84109	CLINIC
308	UTAH HEART 3741 WEST 12600 SOUTH RIVERTON,UT84065	CLINIC
309	ALTA VIEW MATERNAL FETAL MEDICINE 9660 SOUTH 1300 EAST SANDY,UT84094	CLINIC
310	LAYTON ORTHOPEDICS 2075 UNIVERSITY PARK BLVD LAYTON,UT84041	CLINIC
311	HEART RHYTHM SPECIALISTS 5292 COLLEGE DR STE 200 MURRAY,UT84123	CLINIC
312	UTAH VALLEY PEDIATRIC SPECIALTY 1035 NORTH 500 WEST PROVO,UT84604	CLINIC
313	UTAH VALLEY INTERNAL MEDICINE 1134 NORTH 500 WEST 101 PROVO,UT84604	CLINIC
314	SOUTHWEST CARDIOLOGY-EP 1380 E MEDICAL CENTER DR STE 4100 ST GEORGE,UT84790	CLINIC
315	AMERICAN FORK PULMONARY CLINIC 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
316	RIVER ROAD INTERNAL MEDICINE 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
317	MCKAY DEE RADIATION ONCOLOGY 4401 HARRISON BLVD OGDEN,UT84403	CLINIC
318	BEAR RIVER SPECIALISTS 150 NORTH 200 WEST MALAD,ID83252	CLINIC
319	MOUNTAIN VIEW PEDIATRICS KIDS CARE 9720 SOUTH 1300 EAST STE 100 SANDY,UT84094	CLINIC
320	MCKAY DEE SURGICAL CENTER LLC 3903 HARRISON BLVD OGDEN,UT84403	OUTPATIENT SURGERY CENTER

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
FINANCIAL ASSISTANCE ELIGIBILITY	FORM 990, SCHEDULE H, PART I, LINE 3C	MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO INDIVIDUALS AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD ARE RESPONSIBLE FOR ONLY A MINIMUM CO-PAY. EVIDENCE HAS SHOWN THAT PATIENTS WHO PAY SOMETHING, EVEN VERY SMALL AMOUNTS, ARE MORE LIKELY TO FOLLOW THE MEDICAL RECOMMENDATIONS GIVEN TO THEM BY PROVIDERS. PATIENTS WHO ARE NOT ABLE TO CONTRIBUTE ANYTHING WILL NOT BE REQUIRED TO CONTRIBUTE AND WILL STILL RECEIVE CARE. A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 150% AND 500% OF FPG.
BAD DEBT EXPENSE	FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F)	AMOUNT OF BAD DEBT EXPENSE INCLUDED ON THE FORM 990, PART IX, LINE 25: $206,828,911.
COMMUNITY BENEFITS COSTING METHODOLOGIES	FORM 990, SCHEDULE H, PART I, LINE 7	The financial assistance at cost (line 7a) was calculated using the cost to charge ratio derived from Worksheet 2 of the Schedule H instructions. The unreimbursed Medicaid (line 7b) was principally calculated using the filing organization's internal cost accounting system. The expenses reported for community health improvement (line 7e), health professions education (line 7f), and the cash and in-kind contributions include only the direct expenses associated with each activity. The indirect expenses associated with these activities were not reported. The expenses associated with research (Line 7h) were calculated using the same methodology used for grant progress reporting to the Federal government.
COMMUNITY BUILDING ACTIVITES	FORM 990, SCHEDULE H, PART II	HEALTH SERVICES REPORTED COALITION BUILDING AND WORKFORCE DEVELOPMENT DETAILS ON SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES. COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. HEALTH SERVICES PARTICIPATES IN STATEWIDE SAFEKIDS COALITIONS TO PROMOTE AWARENESS AND USE OF CHILD SEAT BELTS AND TRAFFIC AND BICYCLE SAFETY AND IN THE NATIONWIDE LIVE WELL CAMPAIGN. HEALTH SERVICES ALSO PARTICIPATES IN DIABETES-RELATED COALITIONS TO HELP REDUCE THE INCIDENCE OF DIABETES IN CHILDREN AND ADULTS. HEALTH SERVICES EMPLOYEES UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES. HEALTH SERVICES ALSO RECRUITED PHYSICIANS TO MEDICALLY UNDERSERVED AREAS IN RURAL SETTINGS TO MEET THE HEALTHCARE NEEDS OF RESIDENTS IN RURAL SETTINGS, THEREBY HELPING REDUCE BARRIERS TO ACCESSING CARE. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE CURRICULUM DEVELOPMENT ACTIVITIES FOR HIGH SCHOOL STUDENTS FOR WHICH THEY RECEIVE SCHOOL CREDIT FOR HEALTH CAREERS TRAINING THAT LEADS TO COLLEGE-LEVEL EDUCATION.
BAD DEBT EXPENSE	FORM 990, SCHEDULE H, PART III, LINES 2 - 3	The allowance for Bad debts on the filing organization's financial statements is estimated using a balance sheet approach based on both the payor mix and the age of the receivables. The underlying accounts receivables used in the analysis are recorded at the current outstanding balance. When a patient or responsible party is uninsured or under-insured and expresses either concern about their ability to pay or interest in applying for financial assistance, Health Services' staff are educated to give the patient an application for financial assistance and instructions for completing and returning the application, and to code the patient's account "Pending Financial Assistance". In situations where the patient fails to return the application and the account progresses through the collections cycle to bad debts, the account will be written off as bad debt. Accounts in bad debts with the code described above may have qualified for financial assistance had the patient or responsible party followed through and applied for assistance. The charity care amounts included in the financial statements are separate and distinct from bad debt expense, which generally represents patient services revenues that are not collectible due to either an unwillingness to pay by those responsible for payment, or an inability by Health Services to obtain documentation from those responsible for payment that would substantiate the patient's qualification for charity consideration. Bad debt expense is reflected in the consolidated statements of operations and changes in net assets and was $206.8 million and $193.0 million for the years ended December 31, 2012 and 2011, respectively. TEXT OF BAD DEBT FOOTNOTE FORM 990, SCHEDULE H, PART III, LINE 4 BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE COMPANY'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNWILLING TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, THE COMPANY RECORDS AN ESTIMATED PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE RENDERED TO UNINSURED AND UNDERINSURED PATIENTS. MANAGEMENT ESTIMATES THE PROVISION FOR BAD DEBTS BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS FOR EACH MAJOR PAYER SOURCE. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF ALLOWANCES FOR BAD DEBTS BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS FOR EACH MAJOR PAYER.
MEDICARE SHORTFALL	FORM 990, SCHEDULE H, PART III, LINES 5-7	The Medicare allowable costs on Part III, line 6 are based on the Medicare Cost Reports, which are significantly different from total financial statement expenses. Medicare's "allowable costs" exclude commonly incurred business expenses such as interest, research, public relations, etc. In addition, the amounts do not fully reflect the filing organization's participation in Medicare programs. For example, the following is a partial list of activities that are not currently included in the Schedule H calculation: - Physician Services Billed by the Filing Organization - Medicare Parts C and D (Medicare Advantage and Prescription Drug Coverage) - Fee Schedule Services (e.g., Outpatient Clinical Laboratory and Therapy Services, etc.) - Durable Medical Equipment and Home IV Therapy Services Inclusion of all expenses associated with Medicare activities would make a significant difference in the filing organization's calculation. If the additional activities were reportable on Schedule H, it is estimated that the filing organization's Medicare shortfall would total approximately $193.2 million, a difference of $172.3 million from the amount disclosed on Part III of the Schedule H.
MEDICARE COSTING METHODOLOGY	FOR 990, SCHEDULE H, PART III, LINE 8	Total direct and overhead costs for each cost center are divided by the corresponding total patient revenue to determine cost/charge ratios. The cost/charge ratios are multiplied by the applicable Medicare charges to determine Medicare costs. Allowable costs for routine areas are calculated based on per diem costs (i.e., (total costs / total days) x Medicare days). The methodology described in the instructions to Schedule H, part III, section b, line 6 does not take into account all of the associated costs incurred by Health Services' hospitals for the services provided and does not represent the total community benefit conferred in this area. The Medicare surplus reflected on schedule H, part III, section b is determined using information from the Organization's Medicare cost reports (using the Medicare cost report step-down methodology). Medicare shortfalls should be treated and reported on Schedule H as a Community benefit for the following reasons: (1) Absent the Medicare program, it is likely many of the individuals would qualify for charity care or other needs-based government programs; (2) By accepting payment below cost to treat these individuals, the burdens of government are relieved; (3) A significant possibility exists that continued reduction in Medicare reimbursement may actually create difficulties in access for these individuals; and (4) The amount spent to cover the reported Medicare shortfall is money not available to cover charity care and other community benefit needs.
BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS	FORM 990, SCHEDULE H, PART V, LINE 12	CATASTROPHIC ASSISTANCE. HEALTH SERVICES ATTEMPTS TO LIMIT AN INDIVIDUAL'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS HOUSEHOLD ANNUAL INCOME. EXTENUATING CIRCUMSTANCES. SINCE EACH INDIVIDUAL'S PERSONAL CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILTY FOR FINANCIAL ASSISTANCE.
PUBLICATION OF THE FINANCIAL ASSISTANCE POLICY	FORM 990, SCHEDULE H, PART V, LINE 14	SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY. ELIGIBILITY COUNSELORS ASSSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENT'S PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS. SIGNS ARE POSTED IN PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DO NOT HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT IHC HEALTH SERVICES' FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE	FORM 990, SCHEDULE H, PART V, LINE 20	Health Services provides an automatic discount of 25% to uninsured patients, including those who qualify under the financial assistance program. This discount approximates the average negotiated rates charged to commercial insurance companies. An additional 15% discount is available to patients who qualify for financial assistance if payment is made in full at the time of service. This combined discount of 40% is in excess of the best negotiated rates for insured patients. Rates charged to under-insured patients who qualify for financial assistance are consistent with the commercially negotiated rate of that individual's insurance carrier. Final amounts billed to patients who qualify for financial assistance are based on the patients' ability to pay as determined under Health Services' financial assistance policy.
COMMUNITY HEALTH NEEDS ASSESSMENT	FORM 990, SCHEDULE H, PART VI, LINE 2	During 2012, Health Services and its 21 hospitals began a Community Health Needs Assessment (CHNA) to identify healthcare needs in each hospital community, focusing in particular on the healthcare needs of the low-income residents in each hospital community and to satisfy specific requirements of the Patient Protection and Affordable Care Act (PPACA). The CHNA was completed during 2013 prior to the filing of this return. Health Services conducted the CHNA in two parts, 1) community input meetings, and 2) health indicator data review to identify healthcare needs of each of its hospital communities. Based on the community healthcare needs identified, and in consultation with Health Services' nonprofit and government partners, the hospitals developed three-year implementation plans to address priority healthcare needs identified through the CHNA. The CHNA priorities align with Healthy People 2020 goals: 1) Improve the prevention, detection, and treatment of chronic diseases associated with weight and unhealthy behaviors; 2) Improve access to comprehensive, high-quality healthcare services for low-income populations; and 3) Improve appropriate behavioral health services for low-income populations. A fourth health priority was added to the CHNA especially for Primary Children's Medical Center, a pediatric specialty hospital, and the community the hospital serves: 4) Improve accident and injury prevention for children and adolescents. CHNA Part One: Community Input Meetings Community input meetings were convened by each hospital to elicit observations and comments about how each of the health priorities affected the community. Participants were identified by hospital staff with consultation from the Central Office Community Benefit Department staff. Participants recieved hospital community information for each of the health priorities to help prompt thoughtful discussion for each of the health priorities and to identify successful strategies to address health priorities. Participants represented the hospital and the broad community including: - behavioral health provider agency staff - county or state health department staff - higher education faculty and/or staff - hospital governing board members - hospital staff - human service agency staff - local school district staff - low-income advocates - residents of the hospital neighborhood - retired business people - safety-net clinic staff - small business owners CHNA Part Two Health Services' clinical leaders identified health indicators for each of the four health priorities identified in the CHNA. Health Services' planning staff provided the zip codes that define the primary market area for each of its 21 hospitals which were used to clearly delineate each hospital's "community." Research department staff collaborated with the Utah Department of Health and the Idaho Department of Health and Welfare to assemble available data for health indicators for each hospitals communities'. Data were drawn from the Behavioral Risk Factor Surveillance System, Vital Records Statistics, and State Hospital Discharge Data. Two or three years of data were aggregated together for each indicator to achieve a large enough sample size to create health indicators in each hospital community. A report containing scores on each health indicator for each community and a summary of the community input meetings was presented to hospital administration and their Community Benefit leadership, which was used with the summaries of the community input meetings for the next step, implementation planning based on the CHNA results. Implementation Planning: Results of the two-part CHNA were used to develop three-year implementation plans with Community Benefit and hospital leaders, planners, administrators, governing board members, and community members with an expertise in health. Each Hospital team identified local health needs that aligned with hospital-specific programs, resources and priorities, and opportunities to make measurable health improvement in the community. Each Planning team identified potential collaborative partnerships with county and/or state health departments, schools, health coalitions, and other advocacy agencies engaged in health initiatives focused on one of the four health priorities. The implementation plans include evidence-based strategies for addressing health needs; each plan includes an outline of strategies and outcome measures beginning 2013 through 2015. Each of the annual strategies is also an annual Community Benefit goal, part of the Health Services' Community Stewardship goal for each hospital. Annual goals are tracked and reported quarterly through internal reporting processes so that the status of each goal will be reported to hospital leadership, hospital governing boards, Health Services' senior leadership and Board of Trustees. Hospital implementation plans were reviewed by the hospital governing board and signed by 1) the person accountable for the implementation plan, 2) the hospital administrator (also accountable for achieving the goals over the next three years), and 3) the governing board chair. Needs identified and not addressed in Hospital Implementation Plans: Health Services is addressing the identified health priorities concurrent with the Implementation Plans (established by each of its 21 hospitals) as a system. In addition, Health Services provides funding through grants, in-kind contributions, and other cash contributions to help support access to healthcare. Because appropriate access to behavioral health services is a challenge to low-income people in many geographic areas, Health Services is partnering with community agencies to create access to services. Currently, community networks are serving or are in development in four urban geographic areas. Health Services is piloting a telehealth psychiatric service for its rural hospitals. HEALTH SURVEY DATA SOURCES: - Chronic Diseases at a Glance, National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, U.S. Department of Health and Human Services, 2009. - Utah Burden of Chronic Disease, National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, U.S. Department of Health and Human Services, 2008. - Behavioral Risk Factor Surveillance Survey, Utah, 2007, 2008, 2009, and 2010. - Healthy People 2020, www.healthypeople.gov - 2012 Utah Statewide Health Status Report, Utah Department of Health, January 2013 - Internal Case Mix Data, Intermountain Healthcare, 2011 - Kessler, R.C, Chiu W, Demler O., et al. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005 Jun; 62(6):617-27. - Utah Healthcare Access Survey. Population Estimates: UDOH Office of Public Health Assessment. Estimates are for 2007 year. - Holzer, C.E., & Nguyen, H.T. (2008). Synthetic Estimates of Mental Health Needs for Utah (based on the Collaborative Psychiatric Epidemiological Surveys and the U.S. Census 2009 Population Estimate), from www.charles.holzer.com. - Utah Health Status Update, Teen and Adult Suicide, Utah Department of Health, July 2008. - Vital Signs; Unintentional Injury Deaths Among Persons Aged 0-19 years-US, 2000-2009, Centers for Disease Control and Prevention, April 16, 2012. 16, 2012. years-US, 2000-2009, Centers for Disease Control and Prevention, April 16, 2012.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FORM 990, SCHEDULE H, PART VI, LINE 3 & part v, line 18e	BY POLICY, HEALTH SERVICES PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY ON THE BASIS OF MEDICAL NEED WITHOUT REGARD TO RACE, RELIGION, GENDER, AGE, OR ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE MEDICALLY NECESSARY AND GENERALLY AVAILABLE AT THE HOSPITALS AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY. ELIGIBILITY COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENTS' PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS. SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
COMMUNITY INFORMATION	FORM 990, SCHEDULE H, PART VI, LINE 4	HEALTH SERVICES OPERATES 22 HOSPITALS (21 OWNED AND ONE, GARFIELD MEMORIAL HOSPITAL, MANAGED BY HEALTH SERVICES) AND 320 CLINICS THROUGHOUT UTAH AND SOUTHERN IDAHO. THE HOSPITALS AND CLINICS VARY IN SIZE AND SERVICES BASED ON THE INDIVIDUAL NEEDS OF EACH COMMUNITY ranging FROM URBAN SETTINGS TO RURAL AREAS in Utah and southern Idaho. Five hospitals are Critical Access hospitals: Cassia Regional Medical Center in Burley, Idaho; Delta Community Medical Center in Delta, Utah; Fillmore Community Medical Center in Fillmore, Utah; Heber Valley Medical Center in Heber, Utah; and Sanpete Valley Hospital in Mount Pleasant, Utah. AN ADDITIONAL 24 HOSPITALS ALSO PROVIDE SERVICES in Utah. BASED ON 2012 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 2.8 MILLION INDIVIDUALS, 2.1 MILLION OF WHICH LIVE ALONG THE WASATCH FRONT, ENCOMPASSING THE OGDEN TO PROVO METROPOLITAN AREA. THE AREA REPRESENTS A RELATIVELY YOUNGER POPULATION THAN THE NATIONAL AVERAGE (31.2% OF THE POPULATION is UNDER 18 YEARS OLD WHILE ONLY 9% is 65 YEARS AND OLDER). EDUCATION LEVELS ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE - 90.6% OF THE POPULATION ARE HIGH SCHOOL GRADUATES AND 29.6% HAVE A BACHELOR'S DEGREE OR HIGHER. THE 2011 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $57,783. About 11.4% OF THE POPULATION LIVED AT OR BELOW POVERTY LEVELS. About 9% OF THE POPULATION WAS ENROLLED IN MEDICAID (OVER HALF OF WHICH WERE CHILDREN); 10% WAS ENROLLED IN MEDICARE; AND 59% WAS ENROLLED IN EMPLOYER-SPONSORED HEALTH INSURANCE. About 14% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE. AS OF SEPTEMBER 2011, FOUR OF UTAH'S COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED POPULATIONS. NINE OF THE COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED AREAS. AN ADDITIONAL SIX COUNTIES WERE LISTED AS PARTIAL COUNTY MEDICALLY UNDERSERVED AREAS OR POPULATIONS. NINE OF THE COUNTIES WERE DESIGNATED AS FULL OR PARTIAL COUNTY HEALTH PROFESSIONAL SHORTAGE AREAS. THERE ARE 44 HOSPITALS IN THE SERVICE AREA.
PROMOTION OF COMMUNITY HEALTH	FORM 990, SCHEDULE H, PART VI, LINE 5	THE MAJORITY OF HEALTH SERVICES' GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN ITS SERVICE AREA, REPRESENTING BROAD COMMUNITY PERSPECTIVES. HEALTH SERVICES EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITIES SERVED. AS AN ORGANIZATION EXEMPT UNDER IRC SEC 501(C)(3), SURPLUS FUNDS OF HEALTH SERVICES ARE REINVESTED BACK INTO THE COMMUNITY TO IMPROVE PATIENT CARE BY UPGRADING FACILITIES AND EQUIPMENT AND BY PROVIDING CHARITY CARE AND SIMILAR COMMUNITY BENEFIT ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITIES.
Affiliated health care system	FORM 990, SCHEDULE H, Part VI line 6	The parent organization, Intermountain Health Care, Inc., is a 501(c)(3) ORGANIZATION that promotes community healthcare through coordinating the activities of and providing support to Health Services and its other affiliated subsidiaries. Medical services for the communities served are provided through the hospitals and clinics of IHC Health Services. Its mission is "Excellence in the provision of healthcare services to communities in the intermountain region." A more detailed account of Health Services' activities is available on Form 990, Part III and Schedule O. The Intermountain Healthcare Foundation and Intermountain Community Care Foundation make grants to local nonprofit agencies that provide direct medical, dental, and mental health services for low-income, uninsured or medically-underserved populations. Health Services has partnered with qualified physicians to form the McKay Dee Surgical Center, LLC, an organization that provides surgical services on an outpatient basis in the Ogden Utah area. SelectHealth, Inc. has as its purpose the development and operation of alternative healthcare delivery plans and financing systems to provide cost-effective and high quality care to participating employer groups and individuals as well as the conducting of research and educational demonstration projects. The Healthcare Captive Insurance Company is engaged in underwriting the liabilities of Intermountain Health Care, Inc. and certain affiliates in excess of their self-insured limits. The two remaining entities, IHC Professional Services, Inc. and IHC Management Co. are either inactive or have a de minimis level of activity.
COMMUNITY BENEFIT REPORT	FORM 990, SCHEDULE H, PART VI, LINE 7	HEALTH SERVICES FILES COMMUNITY BENEFIT REPORTS (OR "CHARITY PLANS") WITH EACH COUNTY IN UTAH WHERE HOSPITALS ARE LOCATED AS REQUIRED BY THE UTAH NONPROFIT HOSPITAL AND NURSING HOME PROPERTY TAX EXEMPTION STANDARDS. HEALTH SERVICES HAS ONE HOSPITAL IN IDAHO, CASSIA REGIONAL MEDICAL CENTER; IDAHO DOES NOT HAVE STATE NONPROFIT HOSPITAL COMMUNITY BENEFIT REPORTING REQUIREMENTS.
DEBT COLLECTION POLICY	FORM 990, SCHEDULE H, PART III, LINE 9A & B	Health Services recognizes its responsibility to manage the cost of healthcare by asking those who can pay to do so and is committed to assisting patients by providing various options for resolving their financial obligation, including discounts for the uninsured, time payment plans, and reduced or waived responsibility through financial assistance. Health Services also assists patients who are potentially eligible for government assistance programs to apply for such assistance. Delinquent accounts may be referred to external collection agencies only after reasonable attempts are made to contact the responsible party and no arrangement has been made to pay the account balance. Such agencies are expected to treat patients with the same respect and dignity that Health Services affords its patients. For example, contacts by the agencies will include financial assistance options to patients unable to pay. Agencies are restricted to legal proceedings to collect debts in limited circumstances and may only do so upon approval by Health Services. STRONGER MEASURES SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(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) AMERICAN CANCER SOCIETY GREAT WEST DIV 2120 1ST AVE N SEATTLE,WA98109	84-1316555	501(C)(3)		752,000	FMV	REAL ESTATE	CANCER RESEARCH
(2) FAMILY COUNSELING CENTER 5250 S COMMERCE DR STE 250 MURRAY,UT84107	87-0212455	501(C)(3)	12,000				SUPPORT COUNSELING SERVICES
(3) INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE STE 2200 SLC,UT84111	87-0269232	501(c)(3)	650,000				SUPPORT COMMUNITY HEALTH
(4) RONALD MCDONALD HOUSE 935 EAST SOUTH TEMPLE SLC,UT84102	74-2386043	501(C)(3)	10,000				SUPPORT COMMUNITY PROGRAMS
(5) SALT LAKE CITY 451 SOUTH STATE STREET SLC,UT84111	87-6000279	GOV		38,887	FMV	OPTICOM UNIT	OPTICOM DEVICES
(6) SALT LAKE COUNTY 2001 SOUTH STATE STREET SLC,UT84414	87-6000316	GOV	5,000	25,925	FMV	OPTICOM UNIT	SUPPORT COMM HEALTH
(7) SALT LAKE HEAD START 1307 SOUTH 900 WEST SLC,UT84104	87-0269683	501(c)(3)	17,500				HEAD START MEDICAL CLINIC
(8) UTAH FAMILIES FOUNDATION 9160 S 300 W SUITE 21 SANDY,UT84070	87-0509416	501(C)(3)	40,000				SUPPORT CHILDREN'S HEALTHCARE
(9) UTAH HISPANIC BUSINESS LEADERSHIP FOUND 1635 S REDWOOD ROAD SLC,UT84101	55-0801305	501(C)(3)	7,500				SCHOLARSHIPS
(10) WASATCH MENTAL HEALTH 750 N 200 W STE 300 PROVO,UT84601	45-0531249	501(C)(3)	15,000				SUPPORT MENTAL HEALTH
(11) INTERMOUNTAIN RESEARCH & MEDICAL FOUNDATION 5121 SOUTH COTTONWOOD MURRAY,UT84107	23-7062016	501(C)(3)	416,667				SUPPORT COMM HEALTH
(12) INTERMOUNTAIN HEALTHCARE FOUNDATION 36 S STATE ST SUITE 2200 SLC,UT84111	80-0225150	501(C)(3)	5,501,035				SUPPORT COMMUNITY HEALTH
(13) FAMILY HEALTHCARE (HURRICANE SCHOOL CLINIC) 25 N 100 E STE 102 ST GEORGE,UT84770		GOV	130,000				SUPPORT SCHOOL CLINIC
(14) SEALANTS FOR SMILES 5373 S GREEN ST 4TH FLOOR SLC,UT84123	20-8857514	501(C)(3)	100,000				DENTAL PROGRAM
(15) SALT LAKE EDUCATION FOUNDATION 400 EAST 100 SOUTH SLC,UT84111	74-2563849	501(C)(3)	180,000				NEW CLINIC
(16) WASATCH MENTAL HEALTH 750 NORTH 200 WEST PROVO,UT84601	80-0059518	GOV	20,000				MENTAL HEALTH CARE
(17) MIDTOWN COMMUNITY HEALTH CENTER 2240 ADAMS AVE OGDEN,UT84401	87-0540039	501(C)(3)	10,000				SUPPORT COMM HEALTH
(18) UNITED WAY OF SALT LAKE 257 EAST 200 SOUTH SUITE 300 SLC,UT84111	87-0227091	501(C)(3)	750,000				SUPPORT HEALTHCARE
(19) ASSOC FOR UTAH COMMUNITY HEALTH 860 EAST 4500 SOUTH SUITE 206 SLC,UT84107	87-0430946	501(C)(3)	90,000				SUPPORT COMMUNITY HEALTH
(20) UTAH COMMISSION ON VOLUNTEERS 655 WEST CENTER STREET MIDVALE,UT84047		GOV	35,000				COMM HEALTH SCREENINGS
(21) PROVO CITY 351 WEST CENTER STREET PROVO,UT84603	87-6000266	gov	50,000				SUPPORT EXERCISE PROGRAMS
(22) THANKSGIVING POINT 3003 NORTH THANKSGIVING WAY LEHI,UT84043	84-1416158	501(C)(3)	300,000				LIVE WELL PROGRAMS
(23) UTAH STATE DEPARTMENT OF HEALTH PO BOX 14101 SLC,UT84114	87-6000545	GOV	550,000				SUPPORT CLINIC PROGRAMS
(24) MCKAY DEE HOSPITAL FOUNDATION 4401 HARRISON BLVD OGDEN,UT84403	87-6135827	501(C)(3)	215,414				SUPPORT HOSPITAL SERVICES
(25) THE FOUNDATION OF DIXIE REG MED CENTER 1380 E MEDICAL CENTER DR ST GEORGE,UT84790	94-2638220	501(C)(3)	25,000				SUPPORT HOSPITAL

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated 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, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Monitoring Grant Funds in the United States	Form 990, Schedule I, Part I, Line 2	BY POLICY, HEALTH SERVICES' GRANTS ARE GENERALLY LIMITED TO PUBLIC CHARITIES EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(3) THAT (1) SUPPORT EFFORTS TO IMPROVE HEALTH AND/OR HEALTHCARE AND HUMAN SERVICES OR (2) STRENGTHEN THE LOCAL COMMUNITY. THE CEO AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVE INDIVIDUAL GRANTS EQUAL TO OR EXCEEDING $10,000. EXCEPTIONS TO THIS POLICY REQUIRE WRITTEN APPROVAL BY THE EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 of the expenses described above? If "No," complete Part III to explain....

Yes

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? .......

Yes

Indicate which, if any, of the following the filing organization used 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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

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 (E) amounts for that individual.

(A) Name and Title		(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)CAVELL ALEXANDERVICE PRESIDENT	(i) (ii)	192,559 0	65,518 0	18,995 0	109,327 0	13,057 0	399,456 0	65,518 0
(2)ROBERT W ALLENVICE PRESIDENT	(i) (ii)	277,996 0	184,789 0	22,567 0	188,091 0	17,999 0	691,442 0	155,749 0
(3)STEVEN CARABINE MDMD-SURGERY / GENERAL	(i) (ii)	1,157,858 0	96,223 0	1,329 0	153,551 0	16,587 0	1,425,548 0	95,823 0
(4)DAVID D CLARKVICE PRESIDENT	(i) (ii)	101,097 0	267,082 0	355,531 0	86,036 0	3,875 0	813,621 0	230,983 0
(5)CHRIS COONSVICE PRESIDENT	(i) (ii)	361,881 0	329,058 0	1,551,064 0	256,995 0	23,019 0	2,522,017 0	890,516 0
(6)TODD E CRAGHEADVICE PRESIDENT	(i) (ii)	197,318 0	60,873 0	1,895 0	80,790 0	14,772 0	355,648 0	60,873 0
(7)SUZANNE DRAPERVICE PRESIDENT	(i) (ii)	184,181 0	64,311 0	18,895 0	117,345 0	20,545 0	405,277 0	64,311 0
(8)D R GARDNERVICE PRESIDENT	(i) (ii)	59,811 0	211,449 0	34,141 0	108,183 0	9,580 0	423,164 0	180,562 0
(9)GEORGE HAMILTONVICE PRESIDENT	(i) (ii)	352,971 0	109,376 0	1,895 0	131,555 0	20,776 0	616,573 0	109,376 0
(10)DOUGLAS J HAMMERVP/GENERAL COUNSEL	(i) (ii)	376,900 0	298,397 0	24,393 0	209,357 0	23,620 0	932,667 0	254,114 0
(11)DANIEL HAMMON MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,159,154 0	84,757 0	18,412 0	167,886 0	17,063 0	1,447,272 0	84,357 0
(12)LARRY D HANCOCKVICE PRESIDENT	(i) (ii)	550,801 0	364,724 0	4,775 0	485,444 0	20,449 0	1,426,193 0	313,401 0
(13)KIMBERLY HENRICHSENVICE PRESIDENT	(i) (ii)	258,136 0	82,402 0	28,022 0	123,935 0	17,987 0	510,482 0	82,402 0
(14)ERIC HOOLEY MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,276,102 0	106,235 0	18,429 0	153,152 0	16,824 0	1,570,742 0	105,835 0
(15)JOSEPH R HORTONSENIOR VICE PRESIDENT	(i) (ii)	41,597 0	540,316 0	153,015 0	200,244 0	727 0	935,899 0	458,452 0
(16)BRENT C JAMES MDVICE PRESIDENT	(i) (ii)	300,463 0	224,710 0	1,434,288 0	231,288 0	18,731 0	2,209,480 0	567,844 0
(17)BRUCE H JENSENVICE PRESIDENT	(i) (ii)	308,823 0	256,589 0	22,807 0	359,473 0	18,373 0	966,065 0	219,632 0
(18)BRENT T JOHNSONVICE PRESIDENT	(i) (ii)	248,226 0	190,326 0	27,457 0	282,861 0	19,308 0	768,178 0	164,355 0
(19)GREGORY M JOHNSONVICE PRESIDENT	(i) (ii)	268,824 0	195,845 0	31,973 0	197,890 0	21,462 0	715,994 0	170,299 0
(20)LAURA S KAISEREXEC VP / COO	(i) (ii)	612,690 0	300,000 0	39,883 0	243,133 0	13,947 0	1,209,653 0	0 0
(21)TERRI L KANEVICE PRESIDENT	(i) (ii)	369,863 0	104,284 0	21,130 0	209,338 0	18,415 0	723,030 0	104,284 0
(22)LINDA C LECKMAN MDVICE PRESIDENT	(i) (ii)	453,366 0	369,438 0	22,837 0	444,613 0	15,815 0	1,306,069 0	315,943 0
(23)JACQUE MILLARDVICE PRESIDENT	(i) (ii)	220,156 0	173,230 0	27,654 0	154,305 0	19,776 0	595,121 0	148,057 0
(24)MIKELLE MOOREVICE PRESIDENT	(i) (ii)	232,521 0	96,498 0	18,895 0	125,545 0	20,599 0	494,058 0	92,831 0
(25)NANCY A NOWAKVICE PRESIDENT	(i) (ii)	0 0	246,032 0	29,470 0	78,790 0	0 0	354,292 0	214,776 0
(26)TIMOTHY T PEHRSONVICE PRESIDENT	(i) (ii)	403,119 0	256,695 0	20,550 0	282,448 0	20,201 0	983,013 0	224,879 0
(27)GREGORY P POULSENSENIOR VP	(i) (ii)	421,443 0	454,899 0	40,793 0	536,713 0	20,252 0	1,474,100 0	383,257 0
(28)MARC PROBSTVICE PRESIDENT/ CIO	(i) (ii)	405,943 0	300,789 0	29,092 0	398,019 0	21,028 0	1,154,871 0	259,235 0
(29)HOWARD RICHTER MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,318,164 0	87,712 0	1,329 0	153,329 0	16,587 0	1,577,121 0	87,312 0
(30)STEVEN R SMOOTVICE PRESIDENT	(i) (ii)	351,366 0	88,261 0	35,598 0	137,271 0	17,659 0	630,155 0	88,261 0
(31)CHARLES W SORENSON JR MDTRUSTEE/PRESIDENT/CEO	(i) (ii)	909,711 0	806,437 0	38,438 0	1,122,983 0	34,909 0	2,912,478 0	692,664 0
(32)DREW VAN BOERUM MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,084,636 0	95,214 0	35,412 0	142,975 0	6,959 0	1,365,196 0	94,814 0
(33)BRENT E WALLACEVP/MED DIRECTOR	(i) (ii)	446,606 0	331,054 0	41,514 0	612,047 0	19,326 0	1,450,547 0	283,492 0
(34)ALBERT R ZIMMERLIEXEC VP/CFO/SEC/TREAS	(i) (ii)	774,747 0	707,017 0	28,793 0	993,372 0	27,657 0	2,531,586 0	598,255 0
(35)DANIEL L ZUHLKEVICE PRESIDENT	(i) (ii)	348,007 0	280,284 0	18,262 0	363,899 0	20,641 0	1,031,093 0	240,763 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Compensation Information	Form 990, Schedule J	HEALTH SERVICES IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. HEALTH SERVICES' POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT OR AROUND THE 50TH PERCENTILE OF THE HEALTHCARE LABOR MARKETS FOR SIMILAR POSITIONS AND ORGANIZATIONS (I.E., SIMILAR SIZE AND NONPROFIT STATUS). THE COMPENSATION COMMITTEE OF THE BOARD RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO ACHIEVE A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS AUDIT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID.
Questions Regarding Compensation	Form 990, Schedule J, Part I, Line 1	TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES WILL NOT BE REIMBURSED BY THE ORGANIZATION UNLESS APPROVED BY SENIOR MANAGEMENT. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE INDIVIDUAL ON A FORM W-2 OR 1099. TAX GROSS-UP PAYMENTS - PURSUANT TO COMPANY POLICY, A LIMITED NUMBER OF BENEFITS AND PERQUISITES TO THE GOVERNING BODY ARE GROSSED UP FOR TAX PURPOSES. HOUSING ALLOWANCE PAYMENTS WERE REIMBURSED BY THE ORGANIZATION FOR TEMPORARY HOUSING RELATED TO RELOCATION OF AN OFFICER. THE AMOUNT WAS PROPERLY REPORTED AS TAXABLE TO THE INDIVIDUAL ON A FORM W-2.
Supplemental Nonqualified Retirement Plans	Form 990, Schedule J, Part I, Line 4b	THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2012: - CHRIS COONS $1,514,507 - BRENT C. JAMES MD $1,388,361 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO MEMBERS OF ITS ADVISORY COUNCIL. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN.
ACCRUED COMPENSATION BASED ON NET EARNINGS	SCH J PART I LINE 6A	CERTAIN PHYSICIAN CONTRACTS PROVIDE FOR ANY EXCESS OF COLLECTED REVENUE OVER ANNUAL EXPENSES TO BE PAID TO THE PHYSICIAN ON A PHYSICIAN PRACTICE BASIS.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MURRAY CITY UTAH	87-6000254	626853CE3	11-19-2003	308,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
B	MURRAY CITY UTAH	87-6000254	626853CJ2	10-04-2005	262,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
C	CITY OF RIVERTON UTAH	87-0344045	769369AL3	11-05-2009	252,199,400	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
D	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	05-15-2012	200,000,000	REFUND PRIOR ISSUE 2007A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393AV2	10-25-2012	250,001,777	BLDG CONSTRUCTION & EQUIPMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		24,000,000		0		9,800,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	314,823,712		273,598,644		253,706,966		63,362,310
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		1,507,566		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	1,561,803		1,339,946		0		50,000
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	313,261,909		272,258,698		235,401,173		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		63,312,310
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		16,490,874		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2007				2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X	X			X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .	X						X
c No rebate due? . . . . . . . . . .	X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider . . . . . . . . .	JP MORGAN		JP MORGAN		0
c Term of hedge . . . . . . . . . .	29.3		31.6
d Was the hedge superintegrated? . . . . . .	X		X
e Was a hedge terminated? . . . . . . .		X		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
NOTES TO SCHEDULE K	0	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011, ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS. THE 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS. PART IV, LINE 2C, COLUMN A: THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS (BOND ISSUE A) WAS PERFORMED ON DECEMBER 17, 2008. PART IV, LINE 6: DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED BEYOND THE THREE-YEAR TEMPORARY PERIOD. YIELD RESTRICTION RULES ARE BEING FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD. PART V: AS OF 12/31/2012, THE FILING ORGANIZATION HAD WRITTEN POLICIES AND PROCEDURES IN PLACE THAT ADDRESS REMEDIAL ACTIONS, WHICH COULD BE TAKEN IN THE EVENT OF A VIOLATION. HOWEVER, THESE POLICIES AND PROCEDURES DID NOT SPECIFICALLY ADDRESS THE VOLUNTARY CLOSING AGREEMENT PROGRAM FOR POTENTIAL VIOLATIONS IN WHICH REMEDIAL PROVISIONS ARE NOT AVAILABLE UNDER THE REGULATIONS. PRIOR TO FILING OF THIS RETURN, THE APPLICABLE POLICIES AND PROCEDURES WERE AMENDED TO REFLECT THIS ADDITIONAL INFORMATION.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MURRAY CITY UTAH	87-6000254	626853CE3	11-19-2003	308,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
B	MURRAY CITY UTAH	87-6000254	626853CJ2	10-04-2005	262,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
C	CITY OF RIVERTON UTAH	87-0344045	769369AL3	11-05-2009	252,199,400	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
D	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	05-15-2012	200,000,000	REFUND PRIOR ISSUE 2007A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393AV2	10-25-2012	250,001,777	BLDG CONSTRUCTION & EQUIPMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		24,000,000		0		9,800,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	314,823,712		273,598,644		253,706,966		63,362,310
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		1,507,566		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	1,561,803		1,339,946		0		50,000
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	313,261,909		272,258,698		235,401,173		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		63,312,310
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		16,490,874		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2007				2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X	X			X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .	X						X
c No rebate due? . . . . . . . . . .	X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider . . . . . . . . .	JP MORGAN		JP MORGAN		0
c Term of hedge . . . . . . . . . .	29.3		31.6
d Was the hedge superintegrated? . . . . . .	X		X
e Was a hedge terminated? . . . . . . .		X		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
NOTES TO SCHEDULE K	0	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011, ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS. THE 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS. PART IV, LINE 2C, COLUMN A: THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS (BOND ISSUE A) WAS PERFORMED ON DECEMBER 17, 2008. PART IV, LINE 6: DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED BEYOND THE THREE-YEAR TEMPORARY PERIOD. YIELD RESTRICTION RULES ARE BEING FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD. PART V: AS OF 12/31/2012, THE FILING ORGANIZATION HAD WRITTEN POLICIES AND PROCEDURES IN PLACE THAT ADDRESS REMEDIAL ACTIONS, WHICH COULD BE TAKEN IN THE EVENT OF A VIOLATION. HOWEVER, THESE POLICIES AND PROCEDURES DID NOT SPECIFICALLY ADDRESS THE VOLUNTARY CLOSING AGREEMENT PROGRAM FOR POTENTIAL VIOLATIONS IN WHICH REMEDIAL PROVISIONS ARE NOT AVAILABLE UNDER THE REGULATIONS. PRIOR TO FILING OF THIS RETURN, THE APPLICABLE POLICIES AND PROCEDURES WERE AMENDED TO REFLECT THIS ADDITIONAL INFORMATION.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ASSOCIATED FOOD STORES	VENDOR	113,491	PURCHASE OF FOOD		No
(2) QUESTAR GAS	VENDOR	2,308,916	PURCHASE OF NATURAL GAS		No
(3) BOYER MADSEN	VENDOR	400,288	RENTAL OF REAL PROPERTY		No
(4) JEFFERY T CRAGHEAD	FAMILY MEMBER OF OFFICER	66,627	EMPLOYEE COMPENSATION		No
(5) MERIT MEDICAL SYSTEMS	VENDOR	1,743,988	PURCHASE OF MEDICAL SUPPLIES		No
(6) JEFFREY L ANDERSON	FAMILY MEMBER OF TRUSTEE	319,147	EMPLOYEE COMPENSATION		No
(7) RICHARD B STEVENSON	FAMILY MEMBER OF OFFICER	87,129	EMPLOYEE COMPENSATION		No
(8) WILLIAM B CHOPLIN	FAMILY MEMBER OF OFFICER	68,836	EMPLOYEE COMPENSATION		No
(9) NICHOLAS PAGE	FAMILY MEMBER OF OFFICER	38,288	EMPLOYEE COMPENSATION		No
(10) KCI MEDICAL	VENDOR	1,481,693	PURCHASE MEDICAL SUPPLIES		No
(11) ZIONS BANK	VENDOR	131,085	BANKING TRANSACTIONS		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
ZIONS BANK		A SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ZIONS BANK.
QUESTAR GAS		TERESA BECK, A PART-YEAR TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF QUESTAR GAS.
BOYER MADSEN		KEM GARDNER, A PART-YEAR TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A PARTNER IN TWO PARTNERSHIPS LEASING PROPERTY TO THE FILING ORGANIZATION.
MERIT MEDICAL SYSTEMS		A SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF MERIT MEDICAL SYSTEMS.
KCI MEDICAL		BRENT C JAMES MD, AN OFFICER OF THE FILING ORGANIZATION, HAS A FAMILY MEMBER WHO WAS A DIRECTOR AT KCI MEDICAL.
ASSOCIATED FOOD STORES		S NEAL BERUBE, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ASSOCIATED FOOD STORES.

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990, PART I, LINE 1 AND PART III, LINE 1	OUR VISION: OUR VISION IS TO BE A MODEL HEALTHCARE SYSTEM BY CONTINUALLY LEARNING AND PROVIDING EXTRAORDINARY CARE IN ALL ITS DIMENSIONS: - CLINICAL EXCELLENCE: WE WILL DELIVER THE BEST CLINICAL CARE IN A CONSISTENT, INTEGRATED WAY, ALWAYS IMPROVING THROUGH INNOVATION AND EVIDENCE-BASED PRACTICE. - PATIENT ENGAGEMENT: WE WILL PROVIDE A COMPASSIONATE HEALING EXPERIENCE THAT REFLECTS THE CARING AND NOBEL NATURE OF OUR WORK IN EVERY ENCOUNTER WITH OUR PATIENTS, MEMBERS, AND GUESTS. WE WILL HELP PATIENTS OPTIMIZE THEIR HEALTH AND PARTICIPATE IN DECISIONS ABOUT THEIR CARE. - PHYSICIAN ENGAGEMENT: WE HONOR THE ESSENTIAL ROLE OF OUR PHYSICIAN COLLEAGUES AND WILL CREATE SYSTEMS AND PROCESSES THAT HELP THEM BEST SERVE THEIR PATIENTS. - OPERATIONAL EFFECTIVENESS: WE WILL BE WISE AND CAREFUL STEWARDS OF OUR RESOURCES TO ENABLE EXTRAORDINARY CARE. WE WILL MAINTAIN THE FINANCIAL STRENGTH WE NEED TO MEET OUR HIGH STANDARDS OF QUALITY WHILE PROVIDING THE LOWEST SUSTAINABLE COST TO RESIDENTS IN OUR COMMUNITIES. - EMPLOYEE ENGAGEMENT: WE VALUE OUR EMPLOYEES AS OUR MOST IMPORTANT RESOURCE AND WILL CREATE A WORKPLACE THAT ATTRACTS AND REWARDS CARING AND TALENTED INDIVIDUALS. - COMMUNITY STEWARDSHIP: WE ARE COMMITTED TO SERVING THE DIVERSE NEEDS OF THE YOUNG AND OLD, RICH AND POOR, AND THOSE LIVING IN URBAN AND RURAL COMMUNITIES IN THE INTERMOUNTAIN REGION, WITH SENSITIVITY TO CULTURAL DIFFERENCES. WE WORK INDEPENDENTLY AND WITH COMMUNITY PARTNERS TO CARE FOR THE UNDERSERVED, AND WE PROVIDE GENERALLY AVAILABLE MEDICAL SERVICES TO ALL RESIDENTS, REGARDLESS OF ABILITY TO PAY. OUR VALUES: - MUTUAL RESPECT. "WE TREAT OTHERS THE WAY WE WANT TO BE TREATED." - ACCOUNTABILITY. "WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND MISTAKES." - TRUST. "WE ACT WITH INTEGRITY AND CAN COUNT ON EACH OTHER." - EXCELLENCE. "WE DO OUR BEST AT ALL TIMES AND LOOK FOR WAYS TO IMPROVE."
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) WAS ORGANIZED IN 1975 TO OWN AND OPERATE THE 15 HOSPITALS FORMERLY OWNED BY THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS. IN 1982, INTERMOUNTAIN FORMED IHC HEALTH SERVICES, INC. (UNDER ITS FORMER NAME IHC HOSPITALS, INC.) AS A UTAH NONPROFIT SUBSIDIARY AND TRANSFERRED TO HEALTH SERVICES ITS HEALTHCARE FACILITIES. HEALTH SERVICES CURRENTLY CONSISTS OF THE HOSPITAL DIVISION, COMPRISED OF 22 HOSPITALS (21 OWNED AND ONE - GARFIELD MEMORIAL - MANAGED BY HEALTH SERVICES) WITH 2,798 LICENSED BEDS IN UTAH AND SOUTHEAST IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 960 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND MORE THAN 300 CLINIC SITES. NINETEEN OF HEALTH SERVICES' HOSPITALS ARE GENERAL ACUTE CARE FACILITIES WHICH PROVIDE INPATIENT AND OUTPATIENT MEDICAL SERVICES BASED ON SPECIFIC NEEDS IN EACH COMMUNITY. THREE HOSPITALS PROVIDE SPECIALTY CARE IN THE FOLLOWING AREAS: - PRIMARY CHILDREN'S MEDICAL CENTER - PEDIATRIC CARE - MCKAY-DEE INSTITUTE FOR BEHAVIORAL MEDICINE - PSYCHIATRIC AND BEHAVIORAL HEALTH - THE ORTHOPEDIC SPECIALTY HOSPITAL - ORTHOPEDIC CARE HEALTH SERVICES' CLINICAL STATISTICS FOR 2012: - ACUTE ADMISSIONS - 140,141 - ACUTE PATIENT DAYS - 519,407 - BIRTHS - 30,873 - INPATIENT SURGERIES - 41,002 - AMBULATORY SURGERIES - 107,587 - EMERGENCY ROOM VISITS - 482,013 - PHYSICIAN CLINIC VISITS - 2,719,766 - HOMECARE PATIENTS SERVED - 76,403 HEALTH SERVICES' CORE BUSINESS IS MANAGING COMMON CLINICAL PROCESSES OF CARE TO ACHIEVE THE HIGHEST CLINICAL QUALITY, SERVICE QUALITY, AND COST OUTCOMES. EACH YEAR, HEALTH SERVICES SETS GOALS FOR CLINICAL QUALITY IMPROVEMENT IN EIGHT CLINICAL PROGRAMS AND OTHER AREAS. PHYSICIANS, NURSES, AND OTHER CLINICAL PROFESSIONALS MEASURE THEIR PROGRESS TOWARD THESE GOALS AND EVALUATE RESULTS. THIS LEADS TO THE SYSTEMATIC IMPLEMENTATION OF BEST PRACTICES - A PROCESS THAT YIELDS BETTER CARE FOR PATIENTS. HEALTH SERVICES AND ITS AFFILIATES (COLLECTIVELY RECOGNIZED AS INTERMOUNTAIN HEALTHCARE) IS RECOGNIZED WORLDWIDE AS AN ORGANIZATION FOCUSED ON PROVIDING CARE BASED ON PROVEN RESULTS. THE FOLLOWING EIGHT CLINICAL PROGRAMS ARE ORGANIZED AND OPERATED BY HEALTH SERVICES TO DEVELOP AND IMPLEMENT EVIDENCED-BASED BEST PRACTICES IN OUR HOSPITAL AND COMMUNITY-BASED SETTINGS: - THE CARDIOVASCULAR CLINICAL PROGRAM INCLUDES THE SPECIALTIES OF CARDIOLOGY, CARDIAC SURGERY, VASCULAR SURGERY, AND THORACIC SURGERY. TEAMS REVIEW AND ESTABLISH BEST PRACTICES FOR PATIENTS WITH HEART DISEASE IN HOSPITALS, EMERGENCY DEPARTMENTS, AND PRIMARY CARE AND SPECIALIST OFFICES. CARE PROCESS MODELS HAVE BEEN DEVELOPED FOR HYPERTENSION, ACUTE CORONARY SYNDROME, HEART FAILURE, AND STROKE PREVENTION. CARDIOVASCULAR SERVICES WORKED CLOSELY WITH THE IMAGING CLINICAL SERVICES TO ESTABLISH GUIDELINES FOR REDUCING RADIATION EXPOSURE TO PATIENTS UNDERGOING CARDIOVASCULAR IMAGING PROCEDURES. - THE WOMEN AND NEWBORNS CLINICAL PROGRAM FOCUSES ATTENTION ON PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH, AND THE NEONATAL PERIOD. GUIDELINES ADOPTED FROM NATIONAL SPECIALTY SOCIETIES AND PEER REVIEW STUDIES HAVE BEEN USED TO ESTABLISH BEST PRACTICE MODELS AND DRIVE CONSISTENCY IN ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL PROCESSES. - THE PRIMARY CARE CLINICAL PROGRAM ADDRESSES THE NEEDS OF AMBULATORY PATIENTS CARED FOR BY FAMILY PRACTITIONERS, INTERNISTS AND PEDIATRICIANS. MAJOR EFFORTS HAVE BEEN DIRECTED AT SMOKING CESSATION, CHILDHOOD VACCINATION, TREATMENT OF COMMUNITY-ACQUIRED PNEUMONIA, AND STANDARDIZING THE CARE OF PATIENTS WITH DIABETES AND ASTHMA. - THE ONCOLOGY CLINICAL PROGRAM INCLUDES A NETWORK OF CANCER SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, PHARMACISTS, NURSES, PATHOLOGISTS AND RADIOLOGISTS, ALONG WITH CANCER REGISTRY AND CLINICAL TRIAL DEPARTMENTS THAT PROVIDE AND SUPPORT CANCER SERVICES THROUGHOUT HEALTH SERVICES. EFFORTS HAVE BEEN MADE TO STANDARDIZE SURGICAL ONCOLOGY, PATHOLOGY, MAMMOGRAPHY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY DATA COLLECTION TO IMPROVE THE PROCESS OF CANCER DIAGNOSIS AND TREATMENT. THE PROGRAM ADDITIONALLY SUPPORTS A COLLABORATIVE EFFORT BETWEEN HEALTH SERVICES AND HUNTSMAN CANCER INSTITUTE TO STRENGTHEN CANCER OUTCOMES, RESEARCH, QUALITY IMPROVEMENT, CLINICAL TRIALS RESEARCH, AND PATIENT EDUCATION. - THE PEDIATRIC SPECIALTIES CLINICAL PROGRAM WORKS TO IMPROVE CARE FOR CHILDREN, INCLUDING CARE BY PEDIATRIC SUBSPECIALTY PROVIDERS. BEST PRACTICE GUIDELINES HAVE BEEN DEVELOPED FOR TREATMENT OF BRONCHIOLITIS, THE FEBRILE INFANT, TYPE I DIABETES, AND TORTICOLLIS. PEDIATRIC TEAMS HAVE ALSO TAKEN STEPS TO PREVENT PEDIATRIC MEDICATION ERRORS, IMPROVE EDUCATION FOR ASTHMA PATIENTS, AND IMPROVE EARLY RECOGNITION OF SHOCK IN CHILDREN. - THE SURGICAL SERVICES CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF OPERATING ROOMS, SAME DAY SURGERY, POST ANESTHESIA CARE UNITS, ANESTHESIA, CENTRAL PROCESSING, AND SEDATION SERVICES. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCE-BASED BEST PRACTICES, WHICH HAVE THE POTENTIAL OF GREATLY AFFECTING PATIENT OUTCOMES. SEVERAL INITIATIVES ARE CURRENTLY IN PROCESS, INCLUDING OUR CARE PROCESS FOR COLON RESECTION PATIENTS, BLOOD UTILIZATION PROJECT FOR PACKED RED BLOOD CELLS, AND DEVELOPMENT OF OUR PAIN MANAGEMENT DATA MART. - THE INTENSIVE MEDICINE CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF EMERGENCY CARE, CRITICAL CARE, TRAUMA CARE, TRANSPORT (AIR AND GROUND AMBULANCE), HOSPITALISTS, STROKE CARE, AND TELEMEDICINE. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCED-BASED BEST PRACTICES, WHICH HAVE THE POTENTIAL OF GREATLY IMPACTING PATIENT OUTCOMES. CARE PROCESS MODELS IN PLACE INCLUDE ACUTE STROKE CARE, TRAUMATIC BRAIN INJURY, AND PNEUMONIA CARE. THE TEAM HAS WORKED TO REDUCE VENTILATOR ASSOCIATED PNEUMONIA, CONTROL GLUCOSE LEVELS IN THE CRITICAL CARE POPULATION, IMPLEMENT RAPID RESPONSE TEAMS IN EACH HOSPITAL, IMPLEMENT THE SEPSIS, VENTILATOR, AND CENTRAL LINE BUNDLES. FUTURE INITIATIVES INCLUDE CONTINUED WORK IN THE DEVELOPMENT AND IMPLEMENTATION OF THE ELECTRONIC MEDICAL RECORD, AND ADVANCING TELEMEDICINE. - THE BEHAVIORAL HEALTH CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, BEHAVIORAL THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS. THE TEAM HAS WORKED TO IMPROVE THERAPEUTIC ALLIANCE SCORES FOR THEIR PATIENTS AND ITS CORRELATION TO CLINICAL OUTCOME MEASUREMENTS. IN ADDITION, SCREENING FOR COMMON MEDICAL CONDITIONS IN BEHAVIORAL HEALTH PATIENTS IN BEHAVIORAL HEALTH TREATMENT SETTINGS IS MEASURED. CURRENTLY, THE TEAM IS WORKING TO IMPROVE POST DISCHARGE CARE PLANNING FOR PATIENTS ADMITTED TO AN INPATIENT BEHAVIORAL HEALTH UNIT. THE MISSION OF HEALTH SERVICES IS EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. PROVIDING THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST POSSIBLE COST TO OUR PATIENTS AND CUSTOMERS IS ONE OF OUR MOST IMPORTANT CONSIDERATIONS. HEALTH SERVICES PROVIDES SERVICES ON THE BASIS OF MEDICAL NEED, WITHOUT REGARD OF ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE AT ITS HOSPITALS AND CLINICS FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE AVAILABLE AT THE HOSPITAL AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WILL CONTINUE TO BE COMMUNICATED THROUGH ALL REASONABLE MEANS. HEALTH SERVICES HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY FOR THE UNINSURED AND THE UNDERINSURED, WHICH OFFERS DISCOUNTS UP TO 100 PERCENT OF CHARGES ON A SLIDING SCALE. FINANCIAL ASSISTANCE IS BASED ON BOTH INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL GUIDELINES AND THE CHARGES FOR SERVICES RENDERED. HEALTH SERVICES' FINANCIAL ASSISTANCE GUIDELINES INCLUDE PROVISIONS THAT ARE RESPONSIVE TO THOSE PATIENTS SUBJECT TO CATASTROPHIC HEALTHCARE EXPENSES.
PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUED	FORM 990, PART III, LINE 4A	DURING 2012, THROUGH MORE THAN 239,195 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $105.2 MILLION IN FINANCIAL ASSISTANCE (AT COST) TO PEOPLE UNABLE TO PAY. THIS AMOUNT DOES NOT INCLUDE BAD DEBTS. BAD DEBTS REFER TO CIRCUMSTANCES WHERE A PERSON HAS THE ABILITY TO PAY BUT DOES NOT PAY FOR THE SERVICES RECEIVED AND THE AMOUNT IS NOT OTHERWISE COLLECTED. IF AN ACCOUNT HAS BEEN INITIALLY IDENTIFIED AS A BAD DEBT BUT THE PATIENT LATER APPLIES FOR AND IS DETERMINED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE AT THE TIME OF TREATMENT, THEN THE BILL IS NO LONGER CONSIDERED A BAD DEBT AND IS CHARGED TO CHARITY CARE. HOWEVER, IF IT IS DETERMINED THAT THE PATIENT HAD THE ABILITY TO PAY AT THE TIME OF SERVICE BUT THE ACCOUNT CANNOT BE COLLECTED LATER, OR THE PATIENT DID NOT COMMUNICATE AN INABILITY TO PAY, IT IS CONSIDERED TO BE A BAD DEBT, WHICH IS NOT COLLECTIBLE. HEALTH SERVICES GENERALLY INCURS SHORTFALLS BETWEEN ITS ESTABLISHED RATES AND AMOUNTS PAID BY MEDICARE (PRINCIPALLY RELATED TO ELDERLY PATIENTS). HEALTH SERVICES PROVIDES A SIGNIFICANT ARRAY OF ADDITIONAL COMMUNITY SERVICES INCLUDING OWNING AND OPERATING SIX COMMUNITY AND SCHOOL-BASED CLINICS TO HELP MEET THE NEEDS OF UNINSURED AND LOW-INCOME PEOPLE IN NEIGHBORHOODS THAT WOULD OTHERWISE LACK CONVENIENT ACCESS TO HEALTHCARE. IN 2012, THESE CLINICS HAD MORE THAN 25,838 PATIENT VISITS. MOST PATIENTS PAY ON A SLIDING FEE SCALE ACCORDING TO THEIR HOUSEHOLD INCOMES, AND MANY QUALIFY FOR HEALTH SERVICES' FINANCIAL ASSISTANCE. AN AFFILIATED FOUNDATION SUPPORTED BY HEALTH SERVICES AWARDS GRANTS AND OTHER CASH CONTRIBUTIONS TO 12 INDEPENDENTLY OWNED CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD MORE THAN 234,979 PATIENT VISITS IN 2012. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2012, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED MORE THAN $55.3 MILLION. SEE SCHEDULE H.
BUSINESS AND/OR FAMILY RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2	CHARLES W. SORENSON JR. MD / GREGORY P. POULSEN - FAMILY RELATIONSHIP ALBERT R. ZIMMERLI / DOUGLAS C. BLACK / CHRIS M. COONS / BRENT T. JOHNSON - BUSINESS RELATIONSHIP (BOARD MEMBERS OF A CORPORATE INVESTMENT THAT IS 50% OWNED BY THE FILING ORGANIZATION) SPENCER F. ECCLES / DOUGLAS J. HAMMER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX EXEMPT ORGANIZAION) A. SCOTT ANDERSON / THOMAS B. MORGAN - BUSINESS RELATIONSHIP (SUPERVISOR/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAXABLE CORPORATION) ALBERT R. ZIMMERLI / BRUCE T. REESE / CHARLES W. SORENSON JR. MD / DOUGLAS C. BLACK / F. ANN MILLNER / KEM C. GARDNER / MERRILL GAPPMAYER / TERESA BECK - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF THE HEALTHCARE CAPTIVE INSURANCE COMPANY, A TAXABLE ORGANIZATION THAT IS WHOLLY-OWNED BY THE FILING ORGANIZATION'S PARENT) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR. MD / THOMAS B. MORGAN / DOUGLAS C. BLACK - BUSINESS RELATIONSHIP (BOARD MEMBERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE CORPORATION THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / BRUCE T. REESE / CHARLES W. SORENSON JR. MD / A. SCOTT ANDERSON / DOUGLAS C. BLACK / F. ANN MILLNER /GREGORY M. JOHNSON / KEM C. GARDNER / MERRILL GAPPMAYER / TERESA BECK - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF IHC AFFILIATED SERVICES, INC., A TAXABLE CORPORATION WITH MINIMAL ACTIVITY THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION)
ORGANIZATION MEMBER	FORM 990, PART VI, SECTION A, LINES 6-7	THE SOLE MEMBER OF HEALTH SERVICES IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE, INCLUDING THE ELECTION OF HEALTH SERVICES' TRUSTEES.
FORM 990 REVIEW BY GOVERNING BODY	FORM 990, PART VI, SECTION B, LINE 11	HEALTH SERVICES' BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE MAILED TO COMMITTEE MEMBERS IN ADVANCE AND DISCUSSED IN DEPTH DURING AN AUDIT COMMITTEE MEETING. PRIOR TO FILING WITH THE IRS, COPIES OF THE FINAL RETURN WERE PROVIDED TO BOARD MEMBERS FOR REVIEW AND WERE DISCUSSED AS PART OF A REGULARLY SCHEDULED BOARD MEETING.
MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12	EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE ALSO BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED, PER POLICY, BY THE VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT, AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH HEALTH SERVICES OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE FULL AUDIT AND COMPLIANCE COMMITTEE. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES.
DETERMINATION OF EXECUTIVE COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"), A SUBSET OF HEALTH SERVICES' GOVERNING BODY, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NON-CASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENTS, INCLUDING THE CFO - SENIOR VICE PRESIDENTS - CERTAIN CORPORATE AND REGIONAL VICE PRESIDENTS PURSUANT TO HEALTH SERVICES' WRITTEN "COMPENSATION PHILOSOPHY," THE COMMITTEE ANUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NOT-FOR-PROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH INDIVIDUAL LISTED ABOVE. DECISIONS BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMMITTEE PRESENTS ALL OF THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. HEALTH SERVICES' PHILOSOPHY IS TO PAY COMPENSATION AT OR AROUND THE 50TH PERCENTILE OF COMPARABLE HEALTHCARE ORGANIZATIONS. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS.
PUBLIC INSPECTION OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STMTS.	FORM 990, PART VI, SECTION C, LINE 19	HEALTH SERVICES DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE, A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9	($235,537,857) - Unrecognized change in funded status of postretirement benefit plans ($145,775) - MISCELLANEOUS CHANGES TO UNRESTRICTED NET ASSETS ($669,720) - BOOK/TAX DIFFERENCE ON THE SALE OF AN LLC INTEREST ($236,353,352) - Total
CHANGES TO GOVERNING DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	THE FOLLOWING AMENDMENTS WERE MADE TO THE FILING ORGANIZATIONS BYLAWS: - THE PRESIDENT MAY APPOINT VICE PRESIDENTS WITHOUT PRIOR BOARD APPROVAL. - AN OUTGOING BOARD CHAIR MAY EXCEED TERM AND AGE LIMITS BY BEING ELECTED BY THE MEMBER OF THE ORGANIZATION AS CHAIR EMERITUS FOR A SINGLE, ONE YEAR TERM. - BYLAW CHANGES CAN BE MADE AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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) Lost Creek-Murray LLC 36 South State Suite 2200 Salt Lake City,UT84111 87-0622176	Apt Rentals	UT	2,319,915	9,261,322	IHC HTH SVS
(2) IHC Utah Valley LLC 36 South State Suite 2200 Salt Lake City,UT84111 94-2854057	MED OFFICES	UT	308,024	2,775,379	IHC HTH SVS
(3) Intermountain Invention Management LLC 36 South State Suite 2200 Salt Lake City,UT84111 94-2854057	Health Tech	UT	100,789	0	IHC HTH SVS
(4) 5300 South Center LLC 36 South State Suite 2200 Salt Lake City,UT84111 20-5881911	Office Rental	UT	3,274,198	17,698,549	IHC HTH SVS
(5) 5245 College LLC 36 South State Suite 2200 Salt Lake City,UT84111 26-0806138	Office Rental	UT	1,125,445	17,750,449	IHC HTH SVS
(6) Pediatric Specialty Services LLC 36 South State Suite 2200 Salt Lake City,UT84111 94-2854057	Pediatric Ser	UT	0	0	IHC HTH SVS
(7) INTERMOUNTAIN INSIGHTS LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	RESEARCH	UT	0	0	IHC HTH SVS

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
(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	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 Management Inc 36 South State Suite 2200 Salt Lake City,UT84111 94-2860622	Comm Health	UT	501(C)(3)	11b TYPE II	INT HTH CARE		No
(3) IHC Professional Services Inc 36 South State Suite 2200 Salt Lake City,UT84111 94-2886596	Comm Health	UT	501(C)(3)	11a TYPE I	INT HTH CARE		No
(4) INTERMOUNTAIN COMMUNITY CARE FOUND INC 36 South State Suite 2200 Salt Lake City,UT84111 94-2853320	Comm Health	UT	501(C)(3)	11a TYPE I	INT HTH CARE		No
(5) SelectHealth Inc 5381 GREEN STREET MURRAY,UT84123 87-0409820	Comm Health	UT	501(C)(4)	N/A	INT HTH CARE		No
(6) Intermountain Health Care Retiree VEBA 36 South State Suite 2200 Salt Lake City,UT84111 74-2675605	Retiree Ben	UT	501(C)(9)	N/A	INT HTH CARE		No
(7) INTERMOUTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 80-0225150	COMM HEALTH	UT	501(C)(3)	LINE 7	IHC HTH SVS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) McKay Dee Surgical Center LLC OGDEN UT EIN 26-0286308 Ogden,UT84403 26-0286308	Outpt Surgery	UT	IHC HTH SVS	RELATED	4,665,369	2,805,854		No	0	Yes		75.800 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) SelectHealth Benefit Assurance Company 5381 GREEN STREET MURRAY,UT84123 87-0497549	Insurance	UT	NA	C				No
(2) IHC Affiliated Services INc 36 South State Suite 2300 Salt Lake City,UT84111 87-0405996	HOSPITAL SVS	UT	NA	C				No
(3) Healthcare Captive Insurance Company 36 South State Suite 2200 Salt Lake City,UT84111 20-1937561	Insurance	AZ	NA	C				No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MCKAY DEE SURGICAL CENTER LLC	A / J	375,907	FMV
(2) MCKAY DEE SURGICAL CENTER LLC	L	813,417	CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC	Q	3,138,786	COST
(4) SELECTHEALTH INC	L	544,861,281	COST
(5) SELECTHEALTH INC	M	13,169,189	COST
(6) SELECTHEALTH INC	Q	72,134,057	COST
(7) SELECTHEALTH INC	C	100,000	COST
(8) SELECTHEALTH INC	S	6,000,000	COST
(9) INTERMOUTAIN HEALTHCARE FOUNDATION INC	B	5,501,035	COST
(10) INTERMOUTAIN HEALTHCARE FOUNDATION INC	C	4,703,795	COST

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)	(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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

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:

1	Briefly describe the organization’s mission or most significant activities: Excellence in the provision of healthcare services to communities in the intermountain region. See Schedule O.
2	Check this box
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	36,984
6	Total number of volunteers (estimate if necessary) .............	6	4,392
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	41,455,767
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-8,688,753

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	32,701,092	38,319,634
9	Program service revenue (Part VIII, line 2g) .........	3,983,670,023	4,185,079,947
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	104,063,060	127,276,563
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	28,037,222	31,058,115
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	4,148,471,397	4,381,734,259
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	14,451,238	10,362,009
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)	1,905,638,344	2,037,819,688
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,426,315
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,700,464,163	1,797,474,457
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,620,553,745	3,845,656,154
19	Revenue less expenses. Subtract line 18 from line 12.......	527,917,652	536,078,105
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,642,207,645	6,723,416,035
21	Total liabilities (Part X, line 26).............	2,534,185,096	3,164,137,871
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,108,022,549	3,559,278,164

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,816,594,091 including grants of $ 10,362,009 ) (Revenue $ 4,214,280,550 )
	IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,798 LICENSED BEDS) AND MORE THAN 300 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 140,000 INPATIENT ADMISSIONS, 482,000 EMERGENCY ROOM VISITS AND 2.72 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $105.2 MILLION IN CHARITY CARE (AT COST) THROUGH 239,195 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2012, SEE SCHEDULE O.

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 expenses3,816,594,091

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	28,698,034	622	10,250,708

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		6,008,311
e	Government grants (contributions)1e		6,652,931

f	All other contributions, gifts, grants, and similar amounts not included above1f		25,658,392

g	Noncash contributions included in lines 1a-1f:$		14,525
h	Total. Add lines 1a-1f.......			38,319,634
			Business Code
2a	PATIENT SERVICE REVENUE		621110	3,555,494,960	3,555,494,960
b	PHARMACY SALES		446110	71,863,164	40,144,178	31,718,986
c	LABORATORY REVENUE		621500	531,255,758	521,231,354	10,024,404
d	RENTAL REVENUE (RELATED)		531120	10,284,117	10,284,117
e	LAUNDRY		812300	7,094,513	5,181,052	1,913,461
f	All other program service revenue .			9,087,435	7,908,199	1,179,236
g	Total. Add lines 2a–2f........			4,185,079,947
3	Investment income (including dividends, interest, and other similar amounts).......			57,126,069		-4,011,859	61,137,928
4	Income from investment of tax-exempt bond proceeds..			-415,215			-415,215
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	7,086,469
b	Less: rental expenses	5,228,957
c	Rental income or (loss)	1,857,512	0
d	Net rental income or (loss).......			1,857,512		619,136	1,238,376
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	4,263,436,737	7,195,664
b	Less: cost or other basis and sales expenses	4,176,181,212	23,885,479
c	Gain or (loss)	87,255,525	-16,689,815
d	Net gain or (loss)..........			70,565,709		12,403	70,553,306
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..			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...			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..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722514	15,918,269			15,918,269
b	GIFT SHOP / RETAIL		453220	4,837,418			4,837,418
c	OTHER RELATED REVENUE		624100	8,444,916	8,444,916
d	All other revenue ....
e	Total. Add lines 11a–11d ......			29,200,603
12	Total revenue. See Instructions......			4,381,734,259	4,148,688,776	41,455,767	153,270,082


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			172,206	1	158,750
2	Savings and temporary cash investments .........			185,411,781	2	430,030,096
3	Pledges and grants receivable, net ...........			3,808,420	3	3,411,740
4	Accounts receivable, net .............			490,360,411	4	537,838,327
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			1,919,654	7	1,649,678
8	Inventories for sale or use ..............			92,094,752	8	94,778,115
9	Prepaid expenses and deferred charges ..........			23,056,234	9	27,696,665
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,712,101,216
b	Less: accumulated depreciation .....	10b	1,686,712,097	1,997,146,648	10c	2,025,389,119
11	Investments—publicly traded securities ..........			2,528,532,754	11	3,043,364,343
12	Investments—other securities. See Part IV, line 11 .....			167,889,394	12	306,772,099
13	Investments—program-related. See Part IV, line 11 .....			19,896,422	13	29,529,302
14	Intangible assets ...............			273,742	14	249,043
15	Other assets. See Part IV, line 11 ...........			131,645,227	15	222,548,758
16	Total assets. Add lines 1 through 15 (must equal line 34)......			5,642,207,645	16	6,723,416,035
17	Accounts payable and accrued expenses .........			433,141,770	17	279,219,135
18	Grants payable .................			0	18	0
19	Deferred revenue ................			2,631,194	19	2,234,719
20	Tax-exempt bond liabilities .............			1,306,533,753	20	1,542,773,712
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other 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 ..			23,682,512	23	21,754,868
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....................			768,195,867	25	1,318,155,437
26	Total liabilities. Add lines 17 through 25.........			2,534,185,096	26	3,164,137,871
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			3,105,008,029	27	3,554,927,282
28	Temporarily restricted net assets ...........			3,014,520	28	4,350,882
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			3,108,022,549	33	3,559,278,164
34	Total liabilities and net assets/fund balances ........			5,642,207,645	34	6,723,416,035

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No