TY 2013 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	3.00 .......................13.00	X	X	289	0
(2) S NEAL BERUBE........................................................................ TRUSTEE	1.00 .......................1.00	X		471	0
(3) DOUGLAS C BLACK........................................................................ TRUSTEE	1.00 .......................10.00	X		420	142
(4) JANE CARLILE........................................................................ TRUSTEE	1.00 .......................1.00	X		713	0
(5) REBECCA CHAVEZ-HOUCK........................................................................ TRUSTEE	1.00 .......................1.00	X		548	0
(6) SPENCER F ECCLES........................................................................ TRUSTEE	1.00 .......................2.00	X		579	0
(7) KAREN W FAIRBANKS........................................................................ TRUSTEE	1.00 .......................1.00	X		733	0
(8) KEM C GARDNER........................................................................ TRUSTEE / EMERITUS CHAIR	3.00 .......................9.00	X	X	1,002	0
(9) DANIEL G GOMEZ........................................................................ TRUSTEE	1.00 .......................4.00	X		40	239
(10) KAREN HALE........................................................................ TRUSTEE	1.00 .......................1.00	X		386	0
(11) RANDY HORIUCHI........................................................................ TRUSTEE	1.00 .......................1.00	X		273	0
(12) STEVE HUEBNER........................................................................ TRUSTEE	1.00 .......................1.00	X		0	0
(13) GAIL MILLER........................................................................ TRUSTEE	1.00 .......................1.00	X		0	0
(14) F ANN MILLNER........................................................................ TRUSTEE	1.00 .......................4.00	X		273	0
(15) ARNOLD MILSTEIN MD PHD........................................................................ TRUSTEE	1.00 .......................1.00	X		273	0
(16) BRUCE T REESE........................................................................ TRUSTEE / VICE CHAIR / SEC	3.00 .......................10.00	X	X	0	0
(17) BRADFORD R RICH........................................................................ TRUSTEE	1.00 .......................3.00	X		40	356

(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) SHAHAB SAEED........................................................................ TRUSTEE	1.00 .......................2.00	X			1,180	0
(19) CHARLES W SORENSON JR........................................................................ TRUSTEE / PRES / CEO	50.00 .......................16.00	X	X		6,428,819	969,904
(20) ROBERT W ALLEN........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		497,909	224,956
(21) TODD E CRAGHEAD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		267,808	104,932
(22) DAVID FLOOD........................................................................ VP / CHIEF DEV. OFFICER	0.00 .......................50.00		X		251,388	56,516
(23) LARRY D HANCOCK........................................................................ VICE PRESIDENT	50.00 .......................4.00		X		904,625	539,969
(24) KIMBERLY HENRICHSEN........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		393,863	178,905
(25) BRENT T JOHNSON........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		467,131	323,759
(26) GREGORY M JOHNSON........................................................................ VICE PRESIDENT	50.00 .......................4.00		X		480,645	232,708
(27) LAURA S KAISER........................................................................ EXEC. VP / COO	50.00 .......................4.00		X		1,332,604	660,302
(28) TERRI L KANE........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		534,200	321,539
(29) LINDA C LECKMAN MD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		814,034	423,747
(30) JACQUE MILLARD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		412,521	182,524
(31) TIMOTHY T PEHRSON........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		664,410	313,465
(32) GREGORY P POULSEN........................................................................ SENIOR VICE PRESIDENT	50.00 .......................1.00		X		812,849	560,496
(33) MARC PROBST........................................................................ VICE PRESIDENT / CIO	50.00 .......................0.00		X		690,326	37,771
(34) STEVEN R SMOOT........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		533,405	200,187
(35) ALBERT R ZIMMERLI........................................................................ EXEC VP/CFO/SEC/TREAS	50.00 .......................15.00		X		1,405,568	1,057,538
(36) DANIEL L ZUHLKE........................................................................ VICE PRESIDENT	50.00 .......................2.00		X		592,691	397,784
(37) WILLIAM GOWSKI........................................................................ MD-ORTHOPEDIC	50.00 .......................0.00			X	1,359,965	116,647
(38) TRAVIS HENDRY........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X	1,239,570	111,488
(39) ERIC HOOLEY MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X	1,451,549	126,873
(40) HOWARD RICHTER MD........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X	1,219,568	92,668
(41) BRENT E WALLACE........................................................................ MEDICAL OFFICER-CHIEF	50.00 .......................0.00			X	3,356,484	477,829

(A) Name and business address	(B) Description of services	(C) Compensation
UTAH EMERGENCY PHYSICIANS PCPO BOX 57117MURRAYUT84157	MEDICAL	33,737,749
ASSOCIATED REGIONAL AND UNIVERSITY500 CHIPETA WAYSALT LAKE CITYUT84108	MEDICAL	15,715,872
ACCRETIVE HEALTH INC401 N MICHIGAN AVE STE 2700CHICAGOIL60611	REVENUE CYCLE MGMT	12,823,228
PRICEWATERHOUSECOOPERS LLPPO BOX 514038LOS ANGELESCA90051	CONSULTING	10,759,364
MICROSOFT LICENSING GPPO BOX 844510DALLASTX75284	COMPUTER/SOFTWARE	8,612,394
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 250

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	26,905,893	26,905,893
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	24,000	24,000
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	23,731,922		23,731,922
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	677,694	677,694
7	Other salaries and wages	1,738,576,604	1,501,109,971	236,041,845	1,424,788
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	158,986,250	146,351,799	12,634,451
9	Other employee benefits .......	124,323,431	82,416,356	41,861,138	45,937
10	Payroll taxes ...........	114,099,607	96,391,980	17,605,416	102,211
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	16,874,335	414,048	16,460,287
c	Accounting ...........	789,490	50,193	735,297	4,000
d	Lobbying ...........	20,406		20,406
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	9,779,795		9,779,795
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	274,618,068	184,748,250	89,815,198	54,620
12	Advertising and promotion ....	14,361,623	6,372,463	7,988,160	1,000
13	Office expenses .......	20,880,833	13,726,119	7,138,947	15,767
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	136,235,857	79,268,990	56,893,252	73,615
17	Travel ............	3,405,184	2,816,582	584,581	4,021
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	12,012,489	8,303,842	3,668,969	39,678
20	Interest ...........	48,809,010	48,808,278	732
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	215,364,181	187,727,636	27,625,209	11,336
23	Insurance ..............	10,735,144	19,676	10,715,468
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	724,353,239	724,353,239
b	BAD DEBT	231,400,263	231,386,063	14,200
c	NON-MEDICAL SUPPLIES	111,178,075	82,677,378	28,047,070	453,627
d	RISK MANAGEMENT	22,917,059		22,917,059
e	All other expenses	39,119,918	30,492,483	8,583,769	43,666
25	Total functional expenses. Add lines 1 through 24e	4,080,180,370	3,455,042,933	622,863,171	2,274,266
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 or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	158,750	1	165,038
2	Savings and temporary cash investments .........	430,030,096	2	551,729,504
3	Pledges and grants receivable, net ...........	3,411,740	3	3,343,170
4	Accounts receivable, net .............	537,838,327	4	569,531,485
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 .............	1,649,678	7	1,273,253
8	Inventories for sale or use ..............	94,778,115	8	99,694,051
9	Prepaid expenses and deferred charges ..........	27,696,665	9	42,001,617
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,896,083,401
b	Less: accumulated depreciation .....	10b	1,747,464,943	2,025,389,119	10c	2,148,618,458
11	Investments—publicly traded securities ..........	3,043,364,343	11	3,436,343,733
12	Investments—other securities. See Part IV, line 11 .....	306,772,099	12	369,770,509
13	Investments—program-related. See Part IV, line 11 .....	29,529,302	13	40,002,861
14	Intangible assets ...............	249,043	14	224,345
15	Other assets. See Part IV, line 11 ...........	222,548,758	15	405,186,685
16	Total assets. Add lines 1 through 15 (must equal line 34)......	6,723,416,035	16	7,667,884,709
	17	Accounts payable and accrued expenses .........	279,219,135	17	281,098,654
18	Grants payable .................	0	18	0
19	Deferred revenue ................	2,234,719	19	1,778,908
20	Tax-exempt bond liabilities .............	1,542,773,712	20	1,514,615,532
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 ..	21,754,868	23	22,173,931
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....................	1,318,155,437	25	858,458,025
26	Total liabilities. Add lines 17 through 25.........	3,164,137,871	26	2,678,125,050
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	3,554,927,282	27	4,989,350,572
28	Temporarily restricted net assets ...........	4,350,882	28	409,087
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 ...........	3,559,278,164	33	4,989,759,659
34	Total liabilities and net assets/fund balances ........	6,723,416,035	34	7,667,884,709

- 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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. 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—2013. 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—2012. 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) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

Supplemental Information. 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) 2013

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 for 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 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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) (2013)

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) .......	20,406	20,406
c	Total lobbying expenditures (add lines 1a and 1b) ...................	20,406	20,406
d	Other exempt purpose expenditures ........................	4,080,159,964	5,588,109,985
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	4,080,180,370	5,588,130,391
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-. ................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................	0	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) 2010	(b) 2011	(c) 2012	(d) 2013	(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	18,844	20,156	21,331	20,406	80,737

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	0	0	0

Schedule C (Form 990 or 990-EZ) 2013

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

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.

Return Reference	Explanation
FORM 990, SCHEDULE C, PART II-A	THE FOLLOWING ORGANIZATIONS WERE PART OF THE AFFILIATED GROUP AS DEFINED IN THE INSTRUCTIONS FOR PURPOSES OF COMPLETING SCHEDULE C: IHC HEALTH SERVICES, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2854057 EXEMPT PURPOSE EXPENDITURES: $4,080,180,370 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $1,374,714 501(H) ELECTION: NO IHC MANAGEMENT, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2860622 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO IHC PROFESSIONAL SERVICES, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2886596 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $4,724,641 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $17,074,046 501(H) ELECTION: NO SELECTHEALTH, INC. 5381 GREEN STREET MURRAY, UTAH 84123 EIN: 87-0409820 EXEMPT PURPOSE EXPENDITURES: $1,476,718,548 501(H) ELECTION: NO INTERMOUNTAIN HEALTH CARE,INC. RETIREE WELFARE BENEFIT TRUST 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 74-2675605 EXEMPT PURPOSE EXPENDITURES: $8,058,072 501(H) ELECTION: NO

Return Reference

Explanation

FORM 990, SCHEDULE C, PART II-A

THE FOLLOWING ORGANIZATIONS WERE PART OF THE AFFILIATED GROUP AS DEFINED IN THE INSTRUCTIONS FOR PURPOSES OF COMPLETING SCHEDULE C: IHC HEALTH SERVICES, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2854057 EXEMPT PURPOSE EXPENDITURES: $4,080,180,370 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $1,374,714 501(H) ELECTION: NO IHC MANAGEMENT, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2860622 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO IHC PROFESSIONAL SERVICES, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2886596 EXEMPT PURPOSE EXPENDITURES: NONE 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $4,724,641 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $17,074,046 501(H) ELECTION: NO SELECTHEALTH, INC. 5381 GREEN STREET MURRAY, UTAH 84123 EIN: 87-0409820 EXEMPT PURPOSE EXPENDITURES: $1,476,718,548 501(H) ELECTION: NO INTERMOUNTAIN HEALTH CARE,INC. RETIREE WELFARE BENEFIT TRUST 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 74-2675605 EXEMPT PURPOSE EXPENDITURES: $8,058,072 501(H) ELECTION: NO

Schedule C (Form 990 or 990EZ) 2013

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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 ....	195,242,262	96,787,154	101,217,194	52,342,055	59,157,657
b	Contributions ........	32,779,950	159,810,561	9,533,404	62,638,026	10,677,665
c	Net investment earnings, gains, and losses	3,272,859	4,910,350	767,953	1,445,298	10,327,590
d	Grants or scholarships .....	1,081,964	50,397,499	247,815	1,302,467
e	Other expenditures for facilities and programs ........	30,754,950	15,857,338	14,479,080	13,905,718	27,820,857
f	Administrative expenses ....		10,966	4,502
g	End of year balance ......	199,458,157	195,242,262	96,787,154	101,217,194	52,342,055

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

15.560 %

Temporarily restricted endowment SchDMd Bullet

84.440 %

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)

(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 .................	35,019,523	238,004,663		273,024,186
b	Buildings ................	31,602,488	1,511,752,086	652,773,116	890,581,458
c	Leasehold improvements ............	1,243,324	78,070,515	40,925,719	38,388,120
d	Equipment ................	67,989	1,701,273,778	1,053,766,108	647,575,659
e	Other .................	514,206	298,534,829		299,049,035
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					2,148,618,458

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) MISC AR				57,412,663
(2) INTEREST RECEIVABLE				3,860,978
(3) MISC OTHER ASSETS				237,066
(4) BOND ISSUANCE				4,120,156
(5) OTHER LT ASSETS				4,567,559
(6) ACCRUED RET. WELFARE BENEFIT				108,247,285
(7) INVESTMENT RECEIVABLE				97,350,941
(8) ACCRUED PENSION BENEFIT				129,390,037

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				405,186,685

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
PAYABLE TO THIRD PARTY PAYORS		103,015,969
MINORITY INT IN JT VENTURES		4,312,599
457 PLAN LIABILITY		56,160,558
ASSET RETIREMENT OBLIGATION		3,691,909
INTEREST RATE SWAP LIABILITIES		101,432,493
OTHER LONG TERM LIABILITIES		192,887,478
INVESTMENT PAYABLE		201,641,738
ACCRUED PAYROLL / LEAVE		195,315,281

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		858,458,025
2. Liability for uncertain tax positions 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) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
PART V, LINE 4:	EXPLANATION: THE REPORTED FUNDS ARE HELD BY BOTH SUPPORTING AND PUBLICLY SUPPORTED ORGANIZATIONS FOR THE BENEFIT OF HEALTH SERVICES. THE INTENDED USES OF THESE FUNDS INCLUDE RESEARCH, CHARITY CARE, PATIENT CARE, CAPITAL PROJECTS AND OTHER SIMILAR PURPOSES.
FORM 990, SCHEDULE D, PART VI, LINE 1E	AMOUNTS REFLECTED ON LINE 1E REPRESENT CONSTRUCTION IN PROGRESS.
FORM 990, SCHEDULE D, PART X, LINE 2	U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO SIGNIFICANT UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) IN THE CONSOLIDATED FINANCIAL STATEMENTS OR DISCLOSURE IN THE ACCOMPANYING NOTES.

Schedule D (Form 990) 2013

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. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 its grants and

other 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 its grants and other assistance outside the United States.

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in 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	489,845,206
	EAST ASIA AND THE PACIFIC			INVESTMENTS	59,502,077
	EUROPE (INCLUDING ICELAND & GREENLAND)			INVESTMENTS	154,347,139
	MIDDLE EAST AND NORTH AFRICA			INVESTMENTS	931,163
	NORTH AMERICA			INVESTMENTS	6,166,060
	SOUTH AMERICA			INVESTMENTS	1,650,154











3a	Sub-total .....	0	0		712,441,799
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		712,441,799

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

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 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) 2013

Schedule F (Form 990) 2013Page 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) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
FORM 990, SCHEDULE F, PART I, LINE 3	AS PART OF A FULLY DIVERSIFIED PORTFOLIO, HEALTH SERVICES INVESTS IN CERTAIN ALTERNATIVE INVESTMENTS THAT ARE HELD BY ADMINISTRATORS IN FOREIGN JURISDICTIONS. WHILE MOST OF THE INVESTMENTS ARE DOMESTIC, THE STRUCTURE OF THE INVESTMENT AND LOCATION OF THE ADMINISTRATOR REQUIRE DISCLOSURE ON SCHEDULE F. THESE ALTERNATIVE INVESTMENTS ACCOUNT FOR APPROXIMATELY 73% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 27% REPRESENTS INTERNATIONAL INVESTMENTS IN EQUITIES AND BONDS IN SEPARATELY MANAGED ACCOUNTS. HEALTH SERVICES USES THESE INTERNATIONAL INVESTMENTS AS AN ADDITIONAL DIVERSIFICATION TOOL. THE INVESTMENTS ARE HELD IN SAFEKEEPING IN THE UNITED STATES BUT ARE REQUIRED TO BE REPORTED BASED UPON THE COUNTRY OF ISSUANCE.

Schedule F (Form 990) 2013

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.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 50000.0000000000 %

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) ..	119,873,059	0	119,873,059	3.110 %
b	Medicaid (from Worksheet 3, column a) ....	508,340,229	459,036,821	49,303,408	1.280 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	628,213,288	459,036,821	169,176,467	4.390 %
Other Benefits		1,305,759	2,952	1,302,807	0.030 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	1,305,759	2,952	1,302,807	0.030 %
f	Health professions education (from Worksheet 5) ..	31,584,300	0	31,584,300	0.820 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	10,995,443	7,223,923	3,771,520	0.100 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	20,633,222	0	20,633,222	0.540 %
j	Total. Other Benefits ..	64,518,724	7,226,875	57,291,849	1.490 %
k	Total. Add lines 7d and 7j .	692,732,012	466,263,696	226,468,316	5.880 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total 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	69,419	0	69,419	0 %
7	Community health improvement advocacy
8	Workforce development	73,475	0	73,475	0 %
9	Other
10	Total	142,894		142,894

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. ......

231,400,263

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. ......

115,700,132

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).....

503,940,417

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

541,854,334

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

-37,913,917

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 %
11 MCKAY DEE SURGICAL CENTER	OUTPATIENT SURGERY	74.800 %	25.200 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

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, primary website address, and state license number									Facility reporting group
1	INTERMOUNTAIN MEDICAL CENTER 5121 SOUTH COTTONWOOD STREET MURRAY,UT84157 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X		X		X	X	A
2	UTAH VALLEY REGIONAL MEDICAL CENTER 1034 NORTH 500 WEST PROVO,UT84604 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2	X	X		X		X	X	A
3	PRIMARY CHILDREN'S HOSPITAL 100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY,UT84113 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-4	X	X	X	X		X	X	A
4	MCKAY-DEE HOSPITAL 4401 HARRISON BOULEVARD OGDEN,UT84403 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-1	X	X		X		X	X	A
5	DIXIE REGIONAL MEDICAL CENTER 1380 EAST MEDICAL CENTER DRIVE ST GEORGE,UT84790 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X				X	X	A
6	LDS HOSPIAL 8TH AVENUE AND C STREET SALT LAKE CITY,UT84143 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X		X		X	X	A
7	LOGAN REGIONAL HOSPITAL 500 EAST 1400 NORTH LOGAN,UT84341 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X					X	A
8	AMERICAN FORK HOSPITAL 170 NORTH 1100 EAST AMERICAN FORK,UT84003 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-1	X	X					X	A
9	RIVERTON HOSPITAL 3741 WEST 12600 SOUTH RIVERTON,UT84065 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-9	X	X				X	X	A
10	ALTA VIEW HOSPITAL 9660 SOUTH 1300 EAST SANDY,UT84094 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X					X	A
11	THE ORTHOPEDIC SPECIALTY HOSPITAL 5848 SOUTH FASHION BOULEVARD MURRAY,UT84107 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-3	X							A
12	PARK CITY MEDICAL CENTER 900 ROUND VALLEY DRIVE PARK CITY,UT84060 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-9	X	X					X	A
13	VALLEY VIEW MEDICAL CENTER 1303 NORTH MAIN STREET CEDAR CITY,UT84720 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-2	X	X					X	A
14	CASSIA REGIONAL MEDICAL CENTER 1501 HILAND AVENUE BURLEY,ID83318 HTTP://INTERMOUNTAINHEALTHCARE.ORG 20	X	X			X		X	A
15	OREM COMMUNITY HOSPITAL 331 NORTH 400 WEST OREM,UT84057 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2	X	X					X	A
16	SEVIER VALLEY MEDICAL CENTER 100 NORTH MAIN RICHFIELD,UT84701 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2	X	X					X	A
17	HEBER VALLEY MEDICAL CENTER 1485 SOUTH HIGHWAY 40 HEBER CITY,UT84032 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2014-HOSP-2	X	X			X		X	A
18	BEAR RIVER VALLEY HOSPITAL 440 WEST 600 NORTH TREMONTON,UT84337 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X					X	A
19	SANPETE VALLEY HOPSITAL 1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT,UT84647 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-2	X	X			X		X	A
20	GARFIELD MEMORIAL HOSPITAL 200 NORTH 400 EAST PANGUITCH,UT84759 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-1	X	X					X	A
21	DELTA COMMUNITY MEDICAL CENTER 126 WHITE SAGE AVENUE DELTA,UT84624 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2	X	X			X		X	A
22	FILLMORE COMMUNITY MEDICAL CENTER 674 SOUTH HIGHWAY 99 FILLMORE,UT84631 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-2	X	X			X		X	A

Schedule H (Form 990) 2013

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)

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

If reporting on Part V, Section B for a single hospital facility 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....................

Yes

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 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests 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 ....................

Yes

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

Yes

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

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

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 as of the end of the tax year):

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) 2013

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: 150.000000000000% 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: 500.000000000000% 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	Residency
i	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 individual’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 Section C)
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 individual’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 Section C)

Schedule H (Form 990) 2013

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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

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 individual 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 individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 3 AND 7	THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), SIGNED INTO LAW IN MARCH 2010, REQUIRES EACH NONPROFIT HOSPITAL TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS AND DEVELOP A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED COMMUNITY NEEDS. HEALTH SERVICES' COMMUNITY BENEFIT DEPARTMENT CREATED A SYSTEM-WIDE PROCESS TO BE USED BY EACH OF ITS 21 HOSPITALS IN CONDUCTING THE FOLLOWING COMPONENTS OF THE CHNA: 1) ASKING FOR COMMUNITY INPUT REGARDING LOCAL HEALTHCARE NEEDS; 2) QUANTITATIVE DATA COLLECTION; 3) DEVELOPING IMPLEMENTATION STRATEGIES; AND 4) MAKING THE CHNA RESULTS PUBLICLY AVAILABLE. LOCAL HOSPITAL LEADERS IMPLEMENTED THE PROCESS IN EACH COMMUNITY SERVED BY A HEALTH SERVICES HOSPITAL. EACH OF HEALTH SERVICES' CHNAS INCLUDED:- DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL- DEMOGRAPHICS OF THE COMMUNITY- EXISTING HEALTHCARE FACILITIES- EXPLANATION OF HOW THE DATA WAS OBTAINED- HEALTH NEEDS OF THE COMMUNITY- PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED, LOW-INCOME AND MINORITIES- DESCRIPTION OF THE PROCESS USED TO IDENTIFY AND PRIORITIZE NEEDS- DESCRIPTION OF THE PROCESS FOR CONSULTING WITH PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY- IDENTIFIED GAPS THAT LIMITED THE ABILITY TO ASSESS COMMUNITY HEALTH NEEDSTHE 2013 CHNA COMBINED A REVIEW OF THE DATA DESCRIBING THE HEALTH NEEDS WITH INPUT FROM MEMBERS OF THE COMMUNITY REPRESENTING BROAD INTERESTS OF THE RESIDENTS, INCLUDING THOSE WITH AN EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE NEEDS OF MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS. COMMUNITY INPUT MEETINGS INCLUDED OPEN-ENDED QUESTIONS ABOUT LOCAL HEALTH NEEDS AS WELL AS DISCUSSION ON SYSTEM-WIDE COMMUNITY HEALTH PRIORITIES. HEALTH SERVICES FIRST ESTABLISHED SYSTEM COMMUNITY HEALTH PRIORITIES IN 2009; CLINICAL STAFF DETERMINED TO USE SIMILAR HEALTH PRIORITIES IDENTIFIED IN A PREVIOUS HEALTH STATUS REPORT FOR THE 2013 QUANTITATIVE DATA COLLECTION TO IDENTIFY ANY CHANGES IN THE HEALTH INDICATORS OVER THE PAST FEW YEARS. THESE FOUR BROAD CATEGORIES REMAIN SIGNIFICANT HEALTH ISSUES FOR COMMUNITIES SERVED BY EACH OF HEALTH SERVICES' HOSPITALS; PEDIATRIC COMMUNITY HEALTH NEEDS ARE ADDRESSED BY PRIMARY CHILDREN'S HOSPITAL ON BEHALF OF HEALTH SERVICES' SYSTEM: 1) IMPROVE THE PREVENTION, DETECTION, AND TREATMENT OF CHRONIC DISEASES ASSOCIATED WITH WEIGHT AND UNHEALTHY BEHAVIORS;2) IMPROVE ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTHCARE SERVICES FOR LOW-INCOME POPULATIONS;3) IMPROVE ACCESS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES FOR LOW-INCOME POPULATIONS; AND4) IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. (PRIMARY CHILDREN'S HOSPITAL ONLY)CHNA PART ONE: COMMUNITY INPUT MEETINGSCOMMUNITY INPUT MEETINGS WERE CONVENED BY EACH HOSPITAL TO ELICIT OBSERVATIONS AND COMMENTS ABOUT HEALTHCARE NEEDS IN THE LOCAL COMMUNITY. PARTICIPANTS WERE IDENTIFIED BY HOSPITAL STAFF WITH CONSULTATION FROM THE CENTRAL OFFICE COMMUNITY BENEFIT DEPARTMENT STAFF. PARTICIPANTS REPRESENTED THE BROAD COMMUNITY INCLUDING:- BEHAVIORAL HEALTH PROVIDER AGENCY STAFF- COUNTY OR STATE HEALTH DEPARTMENT STAFF- HIGHER EDUCATION FACULTY AND/OR STAFF- HOSPITAL GOVERNING BOARD MEMBERS- HOSPITAL STAFF- HUMAN SERVICES AGENCY STAFF- LOCAL SCHOOL DISTRICT STAFF - LOW-INCOME ADVOCATES- RESIDENTS OF THE HOSPITAL NEIGHBORHOOD- RETIRED BUSINESS PEOPLE- SAFETY-NET CLINIC STAFF- SMALL BUSINESS OWNERSCHNA PART TWO: HEALTH INDICATOR DATA COLLECTIONHEALTH SERVICES' CLINICAL LEADERS IDENTIFIED HEALTH INDICATORS FOR EACH OF THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE CHNA. HEALTH SERVICES' PLANNING STAFF PROVIDED THE ZIP CODES THAT DEFINE THE PRIMARY MARKET AREA FOR EACH OF ITS 21 HOSPITALS, WHICH WERE USED TO CLEARLY DELINEATE EACH HOSPITAL'S "COMMUNITY." RESEARCH DEPARTMENT STAFF COLLABORATED WITH THE UTAH DEPARTMENT OF HEALTH AND THE IDAHO DEPARTMENT OF HEALTH AND WELFARE TO ASSEMBLE AVAILABLE DATA FOR HEALTH INDICATORS FOR EACH HOSPITAL'S COMMUNITIES. DATA WERE DRAWN FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL RECORDS STATISTICS, AND STATE HOSPITAL DISCHARGE DATA. TWO OR THREE YEARS OF DATA WERE AGGREGATED TOGETHER FOR EACH INDICATOR TO ACHIEVE A LARGE ENOUGH SAMPLE SIZE TO CREATE HEALTH INDICATORS IN EACH HOSPITAL COMMUNITY. A REPORT CONTAINING SCORES ON EACH HEALTH INDICATOR FOR EACH COMMUNITY AND A SUMMARY OF THE COMMUNITY INPUT MEETINGS WERE PRESENTED TO HOSPITAL ADMINISTRATION AND THEIR COMMUNITY BENEFIT LEADERSHIP, WHICH WERE USED FOR THE NEXT STEP, IMPLEMENTATION PLANNING BASED ON THE CHNA RESULTS.IMPLEMENTATION STRATEGIES AND COMMUNITY HEALTH INITIATIVES RESULTS OF THE TWO-PART CHNA WERE USED TO DEVELOP THREE-YEAR IMPLEMENTATION PLANS WITH COMMUNITY BENEFIT AND HOSPITAL LEADERS, PLANNERS, ADMINISTRATORS, GOVERNING BOARD MEMBERS, AND COMMUNITY MEMBERS WITH AN EXPERTISE IN HEALTH. EACH HOSPITAL TEAM IDENTIFIED LOCAL HEALTH NEEDS THAT ALIGNED WITH HOSPITAL-SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES, AND OPPORTUNITIES TO MAKE MEASURABLE HEALTH IMPROVEMENT IN THE COMMUNITY. EACH PLANNING TEAM IDENTIFIED POTENTIAL COLLABORATIVE PARTNERSHIPS WITH COUNTY AND/OR STATE HEALTH DEPARTMENTS, SCHOOLS, HEALTH COALITIONS, AND OTHER ADVOCACY AGENCIES ENGAGED IN HEALTH INITIATIVES FOCUSED ON ONE OF THE FOUR HEALTH PRIORITIES. THE IMPLEMENTATION PLANS INCLUDE EVIDENCE-BASED STRATEGIES FOR ADDRESSING HEALTH NEEDS; EACH PLAN INCLUDES AN OUTLINE OF STRATEGIES AND OUTCOME MEASURES BEGINNING IN 2013 THROUGH 2015. OF THE 21 IMPLEMENTATION STRATEGIES CREATED BY HEALTH SERVICES, 19 FOCUS ON THE PREVENTION, IDENTIFICATION, AND TREATMENT OF CHRONIC DISEASE IN A WIDE VARIETY OF EVIDENCE-BASED COMMUNITY HEALTH IMPROVEMENT STRATEGIES RANGING FROM PRESCRIBING EXERCISE IN SAFETY-NET CLINICS TO COMPREHENSIVE INTENSIVE BEHAVIOR MODIFICATION TREATMENT FOR FAMILIES AT RISK FOR OBESITY. PARK CITY MEDICAL CENTER IS WORKING TO IMPROVE ACCESS TO COMPREHENSIVE HEALTHCARE THROUGH COMMUNITY INSURANCE ENROLLMENT OUTREACH. PRIMARY CHILDREN'S HOSPITAL IS LEADING SYSTEM-WIDE EFFORTS TO IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. HOSPITAL IMPLEMENTATION PLANS WERE REVIEWED BY THE HOSPITAL GOVERNING BOARD AND SIGNED BY 1) THE EMPLOYEE ACCOUNTABLE FOR THE IMPLEMENTATION PLAN, 2) THE HOSPITAL ADMINISTRATOR (ALSO ACCOUNTABLE FOR ACHIEVING THE GOALS OVER THE NEXT THREE YEARS), AND 3) THE GOVERNING BOARD CHAIR.IN ADDITION TO HEALTHCARE NEEDS ADDRESSED IN EACH IMPLEMENTATION STRATEGY SET BY HEALTH SERVICES' 21 HOSPITALS, SYSTEM-WIDE COMMUNITY BENEFIT INITIATIVES ADDRESS THE HEALTH PRIORITIES OF IMPROVING PREVENTION OF CHRONIC DISEASE, ACCESS TO HIGH QUALITY, COMPREHENSIVE MEDICAL CARE, AND ACCESS TO BEHAVIORAL HEALTH. THESE CENTRALLY-LED EFFORTS IMPACT MANY OF THE 21 HOSPITAL COMMUNITIES AND ENSURE THAT HEALTH SERVICES CONTINUES TO ADDRESS THE HEALTH NEEDS.HEALTH SERVICES' STAFF IDENTIFIED TWO SIGNIFICANT GAPS IN THE QUANTITATIVE ANALYSIS PORTION OF THE CHNA. FIRST, SIGNIFICANT HEALTH INDICATORS WERE NOT AVAILABLE FOR RECENT DEPRESSION AND OTHER BEHAVIORAL HEALTH DIAGNOSTIC CATEGORIES FROM THE UTAH DEPARTMENT OF HEALTH. SECOND, CURRENT MEDICAID ENROLLMENT AND ELIGIBILITY DATA AND INFORMATION ON THE NUMBER OF HEALTHCARE PROVIDERS ACCEPTING MEDICAID IN LOCAL COMMUNITIES WAS UNAVAILABLE TO HEALTH SERVICES.NEEDS IDENTIFIED AND NOT ADDRESSED IN HOSPITAL IMPLEMENTATION PLANS:HEALTH SERVICES IS ADDRESSING THE IDENTIFIED HEALTH PRIORITIES CONCURRENT WITH THE IMPLEMENTATION PLANS (ESTABLISHED BY EACH OF ITS 21 HOSPITALS) AS A SYSTEM. IN ADDITION, HEALTH SERVICES PROVIDES FUNDING THROUGH GRANTS, IN-KIND CONTRIBUTIONS, AND OTHER CASH CONTRIBUTIONS TO HELP SUPPORT ACCESS TO HEALTHCARE. BECAUSE APPROPRIATE ACCESS TO BEHAVIORAL HEALTH SERVICES IS A CHALLENGE TO LOW-INCOME PEOPLE IN MANY GEOGRAPHIC AREAS, HEALTH SERVICES IS PARTNERING WITH COMMUNITY AGENCIES TO CREATE ACCESS TO SERVICES. CURRENTLY, COMMUNITY NETWORKS ARE SERVING OR ARE IN DEVELOPMENT IN FOUR URBAN GEOGRAPHIC AREAS. HEALTH SERVICES IS PILOTING A TELEHEALTH PSYCHIATRIC SERVICE FOR ITS RURAL HOSPITALS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5A	INTERMOUNTAINHEALTHCARE.ORG/ABOUT/PAGES/CHNA-REPORTS
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 12I	CATASTROPHIC ASSISTANCE. HEALTH SERVICES ATTEMPTS TO LIMIT AN INDIVIDUAL'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS HOUSEHOLD ANNUAL INCOME.EXTENUATING CIRCUMSTANCES. SINCE EACH INDIVIDUAL'S PERSONAL CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILTY FOR FINANCIAL ASSISTANCE.ASSISTANCE BASED ON INCOME. HEALTH SERVICES EVALUATES AN INDIVDUAL'S HOUSEHOLD INCOME COMPARED TO THE HHS FEDERAL POVERTY INCOME GUIDELINES AND OFFERS THE MAXIMUM AVAILABLE ASSISTANCE TO QUALIFYING INDIVIDUALS UNDER 150% OF THOSE GUIDELINES. HEALTH SERVICES APPLIES AN EVALUATIVE MODEL TO ESTIMATE A REASONABLE AMOUNT AN INDIVIDUAL COULD PAY WHEN INCOME FALLS BETWEEN 150% AND 500% OF THE POVERTY GUIDELINES AND THEN OFFERS ASSISTANCE TOWARDS MEDICAL BILLS IN EXCESS OF THAT ESTIMATED PAYMENT AMOUNT.
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 14G AND 18E	BY POLICY, HEALTH SERVICES PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY ON THE BASIS OF MEDICAL NEED WITHOUT REGARD TO RACE, RELIGION, GENDER, AGE, OR ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE MEDICALLY NECESSARY AND GENERALLY AVAILABLE AT THE HOSPITALS AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY.ELIGIBILITY COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENTS PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS.SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20D	HEALTH SERVICES PROVIDES AN AUTOMATIC DISCOUNT OF 25% TO UNINSURED PATIENTS, INCLUDING THOSE WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE PROGRAM. THIS DISCOUNT APPROXIMATES THE AVERAGE NEGOTIATED RATES CHARGED TO COMMERCIAL INSURANCE COMPANIES. AN ADDITIONAL 15% DISCOUNT IS AVAILABLE TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE IF PAYMENT IS MADE IN FULL AT THE TIME OF SERVICE. THIS COMBINED DISCOUNT OF 40% IS IN EXCESS OF THE BEST NEGOTIATED RATES FOR INSURED PATIENTS.FINAL AMOUNTS BILLED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE BASED ON THE PATIENTS ABILITY TO PAY AS DETERMINED UNDER HEALTH SERVICES' FINANCIAL ASSISTANCE POLICY. THE FILING ORGANIZATION BELIEVES IT IS IN COMPLIANCE WITH THE LANUGUAGE OF THE APPLICABLE STATUTE AND WILL VERIFY SUCH COMPLIANCE UPON PROMULGATION OF THE FINAL REGULATIONS.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. 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?332
Name and address		Type of Facility (describe)
1	SALT LAKE CLINIC 333 S 900 E SALT LAKE CITY,UT841022310	CLINIC
2	MEMORIAL CLINIC 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
3	AVENUES SPECIALTY CLINIC 324 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
4	BOUNTIFUL CLINIC 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
5	MCKAY DEE RHEUMATOLOGY CLINIC 4403 HARRISON BLVD STE 3650 OGDEN,UT844033288	CLINIC
6	ORTHOPEDIC SPECIALTY GROUP - TOSH 5848 S 300 E STE 120 MURRAY,UT841076121	CLINIC
7	CALTONHARRISON ORTHOPEDIC CLINIC 4403 HARRISON BLVD STE 2400 OGDEN,UT844033297	CLINIC
8	BUDGE CLINIC INTERNAL MEDICINE 1350 N 500 E LOGAN,UT843412400	CLINIC
9	CANYON VIEW ORTHOPEDICS & ASSOCIATES 1300 N 500 E STE 130 LOGAN,UT843412466	CLINIC
10	LAYTON CLINIC 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
11	UTAH HEART 5169 COTTONWOOD ST STE 520 MURRAY,UT841075701	CLINIC
12	REDROCK SPINE & NEUROSURGERY CLINIC 652 S MEDICAL CENTER DR STE 115 ST GEORGE,UT847907017	CLINIC
13	SALT LAKE CLINIC RADIOLOGY 333 S 900 E SALT LAKE CITY,UT841022310	CLINIC
14	HEART RHYTHM SPECIALISTS 5169 COTTONWOOD ST STE 510 MURRAY,UT841075701	CLINIC
15	BUDGE CLINIC OBSTETRICS & GYN 1400 N 500 E LOGAN,UT843412455	CLINIC
16	BUDGE CLINIC SURGICAL SPECIALISTS 1350 N 500 E LOGAN,UT843412400	SURGICAL CENTER
17	SANDY CLINIC 9500 S 1300 E SANDY,UT840943763	CLINIC
18	NORTH OGDEN CLINIC 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
19	INTERMOUNTAIN OBSTETRICS & GYN 5063 COTTONWOOD ST STE 120 MURRAY,UT841076772	CLINIC
20	ALTA VIEW SPECIALTY CLINIC 9450 S 1300 E SANDY,UT840945555	CLINIC
21	UTAH VALLEY NEONATOLOGY 1034 N 500 W PROVO,UT846043380	CLINIC
22	TAYLORSVILLE CLINIC 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
23	MCKAY DEE BEHAVIORAL HEALTH 5030 HARRISON BLVD OGDEN,UT844034311	CLINIC
24	BUDGE CLINIC PEDIATRICS 1350 N 500 E LOGAN,UT843412400	CLINIC
25	INTERMOUNTAIN NEUROSCIENCES INST 5171 COTTONWOOD ST STE 810 MURRAY,UT841075705	CLINIC
26	LEGACY OBGYN 1159 E 200 N STE 250 AMERICAN FORK,UT840032028	CLINIC
27	INTERMOUNTAIN HEART & LUNG SURGICAL 5169 COTTONWOOD ST STE 600 MURRAY,UT841076771	SURGICAL CENTER
28	NORTHERN UTAH SURGEONS 4403 HARRISON BLVD STE 1635 OGDEN,UT844033272	SURGICAL CENTER
29	RIM ROCK ORTHOPAEDICS 652 S MEDICAL CENTER DR STE 120 ST GEORGE,UT847907017	CLINIC
30	CARDIOVASCULAR & THORACIC SURGERY 1380 E MEDICAL CENTER DR STE 2600 ST GEORGE,UT847902134	SURGICAL CENTER
31	INTERMOUNTAIN SURGICAL SPECIALISTS 5169 COTTONWOOD ST STE 410 MURRAY,UT841076769	SURGICAL CENTER
32	TAYLORSVILLE INSTACARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
33	SOUTHRIDGE PEDIATRICS 3723 W 12600 S STE 450 RIVERTON,UT840657296	CLINIC
34	MCKAY DEE CARDIOLOGY CLINIC 4403 HARRISON BLVD STE 3490 OGDEN,UT844033284	CLINIC
35	UTAH VALLEY ORTHOPAEDICS 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
36	SOUTHRIDGE CLINIC 3723 W 12600 S STE 270 RIVERTON,UT840657296	CLINIC
37	REDROCK PEDIATRICS 1380 E MEDICAL CENTER DR STE 3100 ST GEORGE,UT847902135	CLINIC
38	SOUTHWEST CARDIOLOGY 1380 E MEDICAL CENTER DR STE 1500 ST GEORGE,UT847902128	CLINIC
39	UNION PARK PSYCHIATRY & COUNSELING 1225 E FORT UNION BLVD STE 215 COTTONWOOD HEIGHTS,UT840471882	CLINIC
40	MEDICAL CENTER HOSPITALISTS 5121 COTTONWOOD ST MURRAY,UT841075701	CLINIC
41	ORTHOPEDIC SPECIALTY GROUP 324 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
42	CEDAR CITY CLINIC 1303 N MAIN ST STE 3C CEDAR CITY,UT847209746	CLINIC
43	CENTRAL OREM CLINIC 505 W 400 N OREM,UT840571950	CLINIC
44	HOLLADAY PEDIATRICS 2180 E 4500 S STE 210 SALT LAKE CITY,UT841174434	CLINIC
45	MOUNTAIN VIEW PEDIATRICS 9720 S 1300 E STE 100 SANDY,UT840943743	CLINIC
46	AVENUES PSYCHIATRY & COUNSELING 324 10TH AVE STE 178 SALT LAKE CITY,UT841032885	CLINIC
47	LOGAN INSTACARE 412 N 200 E LOGAN,UT843214038	CLINIC
48	RIVER ROAD FAMILY PRACTICE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
49	HEREFORDSHIRE CLINIC 1915 W 5950 S ROY,UT840671454	CLINIC
50	SANDY INSTACARE 9493 S 700 E SANDY,UT840703459	CLINIC
51	CENTRAL OREM OBGYN 505 W 400 N OREM,UT840571950	CLINIC
52	MEDICAL CENTER RADIATION ONCOLOGY 5131 COTTONWOOD ST MURRAY,UT841075701	CLINIC
53	ZION ORTHOPAEDICS & SPORTS MEDICINE 652 S MEDICAL CENTER DR STE 400 ST GEORGE,UT847907017	CLINIC
54	NORTH OGDEN INSTACARE 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
55	INTERMOUNTAIN UROLOGICAL INSTITUTE 5169 COTTONWOOD ST STE 420 MURRAY,UT841076769	CLINIC
56	SOUTH OGDEN CLINIC 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
57	MEMORIAL INSTACARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
58	MCKAY DEE NEONATOLOGY 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
59	AMERICAN FORK INTERNAL MEDICINE 1159 E 200 N STE 150 AMERICAN FORK,UT840032052	CLINIC
60	SOUTH SANDY CLINIC 955 E 11400 S SANDY,UT840946946	CLINIC
61	OGDEN CARDIOVASCULAR ASSOCIATES 4403 HARRISON BLVD STE 3835 OGDEN,UT844033331	CLINIC
62	WASATCH OBGYN 4403 HARRISON BLVD STE 4815 OGDEN,UT844033333	CLINIC
63	BOUNTIFUL INSTACARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
64	WEST JORDAN INSTACARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
65	ROSE CANYON CLINIC 5541 W 13400 S RIVERTON,UT840965640	CLINIC
66	MCKAY DEE DERM & PLASTIC SURGERY 4403 HARRISON BLVD STE 4835 OGDEN,UT844033334	SURGICAL CENTER
67	NORTH OREM INSTACARE 1975 N STATE ST OREM,UT840572028	CLINIC
68	HOLLADAY CLINIC 6272 HIGHLAND DR MURRAY,UT841212126	CLINIC
69	NORTHERN UTAH PEDIATRICS 4403 HARRISON BLVD STE 4875 OGDEN,UT844033335	CLINIC
70	UTAH VALLEY HEART & LUNG SURGICAL 1134 N 500 W STE 100 PROVO,UT846046101	SURGICAL CENTER
71	SEVIER VALLEY CLINIC 70 E 1000 N RICHFIELD,UT847011850	CLINIC
72	SOUTHRIDGE INSTACARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
73	WEST JORDAN CLINIC 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
74	HILLCREST PEDIATRICS 5063 COTTONWOOD ST STE 160 MURRAY,UT841076773	CLINIC
75	RIVER ROAD INTERNAL MEDICINE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
76	HOLLADAY INSTACARE 6272 HIGHLAND DR MURRAY,UT841212126	CLINIC
77	UTAH VALLEY PSYCHIATRY AND COUNSEL 1034 N 500 W PROVO,UT846043380	CLINIC
78	UTAH VALLEY VASCULAR SURGERY 1055 N 300 W STE 205 PROVO,UT846045044	SURGICAL CENTER
79	LAYTON ORTHOPEDICS 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
80	INTERNAL MEDICINE ASSOCIATES 9844 S 1300 E STE 200 SANDY,UT840944689	CLINIC
81	NORTH CANYON FAMILY PRACTICE 3200 N CANYON RD STE D PROVO,UT846044678	CLINIC
82	SUNSET FAMILY PRACTICE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
83	MCKAY DEE INTERNAL MEDICINE CLINIC 4403 HARRISON BLVD STE 3875 OGDEN,UT844033332	CLINIC
84	PARK CITY CLINIC 1665 BONANZA DR PARK CITY,UT840605127	CLINIC
85	UTAH VALLEY PULMONARY 1055 N 300 W STE 500 PROVO,UT846043312	CLINIC
86	LAYTON INSTACARE 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
87	ORTHOPEDIC SPECIALTY GROUP 3723 W 12600 S STE 460 RIVERTON,UT840657295	CLINIC
88	HEREFORDSHIRE INSTACARE 1915 W 5950 S ROY,UT840671454	CLINIC
89	LOGAN CLINIC 412 N 200 E LOGAN,UT843214038	CLINIC
90	MCKAY DEE HOSPITALISTS 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
91	ORTHOPEDIC SPECIALTY GROUP 9450 S 1300 E STE 120 SANDY,UT840945559	CLINIC
92	SOUTH JORDAN CLINIC 11444 S REDWOOD RD SOUTH JORDAN,UT840957803	CLINIC
93	SOUTHRIDGE OB-GYN 3723 W 12600 S STE 360 RIVERTON,UT840657296	CLINIC
94	MCKAY DEE ENT CLINIC 4403 HARRISON BLVD STE 2645 OGDEN,UT844033278	CLINIC
95	INTERMOUNTAIN WOMENS HLTH SPECIALISTS 346 E 600 S ST GEORGE,UT847703949	CLINIC
96	MCKAY DEE HEART SERVICES CLINIC 4403 HARRISON BLVD STE 3450 OGDEN,UT844033282	CLINIC
97	BEAR RIVER FAMILY MEDICINE 935 N 1000 W TREMONTON,UT843379356	CLINIC
98	PARK CITY SPECIALTY 900 ROUND VALLEY DR STE 200 PARK CITY,UT840607532	CLINIC
99	RIVER ROAD INSTACARE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
100	DIXIE HOSPITALISTS 1380 E MEDICAL CENTER DR ST GEORGE,UT847902127	CLINIC
101	MURRAY INSTACARE 196 E WINCHESTER ST MURRAY,UT841077211	CLINIC
102	ORTHOPEDIC SPECIALTY GROUP 5169 COTTONWOOD ST STE 430 MURRAY,UT841076774	CLINIC
103	SOUTHWEST UROLOGY 1380 E MEDICAL CENTER DR STE 2100 ST GEORGE,UT847902129	CLINIC
104	ALTA VIEW PLASTIC SURGERY 9450 S 1300 E SANDY,UT840945555	SURGICAL CENTER
105	UTAH VALLEY HOSPITALISTS 1034 N 500 W PROVO,UT846043380	CLINIC
106	PARK CITY SPECIALTY EAST 750 ROUND VALLEY DR STE 101 PARK CITY,UT840600000	CLINIC
107	SANDY OBGYN 9600 S 1300 E STE 308 SANDY,UT840943764	CLINIC
108	BUDGE CLINIC GI 1300 N 500 E STE 340 LOGAN,UT843412470	CLINIC
109	MCKAY DEE CARDIOLOGY SOUTH 4403 HARRISON BLVD STE 3400 OGDEN,UT844033281	CLINIC
110	MEDICAL TOWER FAMILY PRACTICE 5770 S 250 E STE 170 MURRAY,UT841078107	CLINIC
111	HURRICANE VALLEY CLINIC 75 N 2260 W HURRICANE,UT847372034	CLINIC
112	HEBER VALLEY CLINIC 1473 S HIGHWAY 40 STE E HEBER CITY,UT840323522	CLINIC
113	AMERICAN FORK SURGICAL ASSOCIATES 1159 E 200 N STE 350 AMERICAN FORK,UT840032035	SURGICAL CENTER
114	UTAH VALLEY WOMEN'S CENTER 1034 N 500 W PROVO,UT846043380	CLINIC
115	BLOOD AND MARROW TRANSPLANTLEUKEMIA PRO 8TH AVE AND C ST SALT LAKE CITY,UT841430001	CLINIC
116	COTTONWOOD INTERNAL MEDICINE 5770 S 250 E STE 335 MURRAY,UT841078111	CLINIC
117	CACHE VALLEY HEART CLINIC 1300 N 500 E STE 320 LOGAN,UT843412462	CLINIC
118	SOUTH OGDEN INSTACARE 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
119	TAYLORSVILLE KIDSCARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
120	INTERMOUNTAIN NURSE MIDWIVES 5063 COTTONWOOD ST STE 130 MURRAY,UT841075701	CLINIC
121	SARATOGA SPRINGS FAMILY PRACTICE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
122	SARATOGA SPRINGS INSTACARE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
123	HOLLADAY ALLERGY & DERMATOLOGY 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
124	INT MFM SPECIALISTS DIAGNOSTIC 5121 COTTONWOOD ST STE 100 MURRAY,UT841075701	CLINIC
125	SALT LAKE INSTACARE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
126	SOUTH CACHE VALLEY CLINIC 190 S HIGHWAY 165 PROVIDENCE,UT843329512	CLINIC
127	DIXIE NEONATOLOGY 544 S 400 E ST GEORGE,UT847703705	CLINIC
128	SPRINGVILLE INSTACARE 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
129	UTAH VALLEY EAR NOSE & THROAT 872 N 2000 W STE A PLEASANT GROVE,UT840624047	CLINIC
130	PARK CITY CLINIC - ROUND VALLEY 750 ROUND VALLEY DR PARK CITY,UT840607548	CLINIC
131	COTTONWOOD FAMILY PRACTICE 5872 S 900 E STE 100 MURRAY,UT841211677	CLINIC
132	PROVO INSTACARE 1134 N 500 W STE 102 PROVO,UT846046102	CLINIC
133	MCKAY DEE CRITICAL CARE 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
134	TOOELE INSTACARE 777 N MAIN ST TOOELE,UT840741611	CLINIC
135	ROCK CANYON PEDIATRIC SPECIALISTS 1055 N 300 W STE 110 PROVO,UT846043381	CLINIC
136	MCKAY DEE FOOT & ANKLE CLINIC 4403 HARRISON BLVD STE 2835 OGDEN,UT844033327	CLINIC
137	UTAH VALLEY SPORTS MEDICINE 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
138	NORTH OREM CLINIC 1975 N STATE ST OREM,UT840572028	CLINIC
139	SOUTHRIDGE KIDSCARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
140	HIGHLAND CLINIC 10968 N ALPINE HWY HIGHLAND,UT840038874	CLINIC
141	DIXIE PLASTIC & RECONSTRUCTIVE SGRY 652 S MEDICAL CENTER DR STE 300 ST GEORGE,UT847907017	SURGICAL CENTER
142	NORTH TEMPLE CLINIC 54 N 800 W SALT LAKE CITY,UT841163326	CLINIC
143	MCKAY DEE ENDOCRINE & DIABETES CLNC 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
144	SUNSET INSTACARE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
145	REDROCK DIGESTIVE HEALTH 652 S MEDICAL CENTER DR STE 330 ST GEORGE,UT847907017	CLINIC
146	RICHFIELD FAMILY PRACTICE 460 N MAIN ST RICHFIELD,UT847011836	CLINIC
147	FILLMORE CLINIC 700 S HIGHWAY 99 STE 3 FILLMORE,UT846315137	CLINIC
148	SPRINGVILLE CLINIC 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
149	SPORTS MEDICINE SPECIALISTS 280 N MAIN ST BOUNTIFUL,UT840106136	CLINIC
150	COTTONWOOD ENDOCRINE & DIABETES CNTR 5770 S 250 E STE 310 MURRAY,UT841078110	CLINIC
151	UTAH HEART-LDSH 8TH AVE AND C ST SALT LAKE CITY,UT841430002	CLINIC
152	DIXIE PULMONARY CRITICAL CARE 1380 E MEDICAL CENTER DR ST GEORGE,UT847902123	CLINIC
153	UTAH VALLEY PULMONARY CLINIC 1055 N 300 W STE 500 PROVO,UT846043312	CLINIC
154	SUMMIT CLINIC 502 S MAIN ST SMITHFIELD,UT843352314	CLINIC
155	BOUNTIFUL KIDSCARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
156	SOUTHWEST REGIONAL CANCER CLINIC 544 S 400 E ST GEORGE,UT847703705	CLINIC
157	INTERMOUNTAIN PLASTIC SURGERY CENTER 5169 COTTONWOOD ST STE 410 MURRAY,UT841076769	SURGICAL CENTER
158	KEARNS CLINIC 4946 W 6200 S KEARNS,UT841186703	CLINIC
159	LDS HOSPITAL HOSPITALISTS 8TH AVE AND C ST SALT LAKE CITY,UT841430001	CLINIC
160	NOYES SURGICAL ONCOLOGY 5169 COTTONWOOD ST STE 440 MURRAY,UT841076774	SURGICAL CENTER
161	SOUTHERN UTAH SURGICAL ASSOCIATES 166 W 1325 N STE 350 CEDAR CITY,UT847207796	SURGICAL CENTER
162	NORTH VALLEY PEDIATRICS 212 S 1100 E AMERICAN FORK,UT840032829	CLINIC
163	LDS CAMPUS SLEEP PROGRAM 325 8TH AVE SALT LAKE CITY,UT841430001	CLINIC
164	MCKAY DEE WOUND AND HYPERBARIC CNTR 4401 HARRISON BLVD STE 1885 OGDEN,UT844033325	CLINIC
165	CEDAR CITY INSTACARE 962 SAGE DR CEDAR CITY,UT847201885	CLINIC
166	MCKAY DEE RADIATION ONCOLOGY 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
167	HIGHLAND INSTACARE 10968 N ALPINE HWY HIGHLAND,UT840038874	CLINIC
168	UTAH VALLEY ORTHOPAEDICS 10968 N ALPINE HWY HIGHLAND,UT840038874	CLINIC
169	AMERICAN FORK HOSPITALISTS 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
170	MT PLEASANT CLINIC 1100 S MEDICAL DR MT PLEASANT,UT846472222	CLINIC
171	VALLEY VIEW HEART CLINIC 1303 N MAIN ST STE H CEDAR CITY,UT847209746	CLINIC
172	LDS HOSPITAL RADIATION ONCOLOGY 8TH AVE AND C ST SALT LAKE CITY,UT841430002	CLINIC
173	EPHRAIM CLINIC 525 N MAIN ST EPHRAIM,UT846271155	CLINIC
174	PROVO RADIATION ONCOLOGY 1034 N 500 W PROVO,UT846043380	CLINIC
175	MATERNAL FETAL MEDICINE SPECIALISTS 5121 COTTONWOOD ST STE 100 MURRAY,UT841075701	CLINIC
176	HURRICANE VALLEY INSTACARE 75 N 2260 W HURRICANE,UT847372034	CLINIC
177	VALLEY VIEW FAMILY MEDICINE 1333 N MAIN ST CEDAR CITY,UT847219314	CLINIC
178	SYRACUSE CLINIC 745 S 2000 W SYRACUSE,UT840759621	CLINIC
179	UTAH VALLEY HYPERBARIC AND WOUND 1034 N 500 W PROVO,UT846043380	CLINIC
180	SOUTHWEST NEUROLOGY ASSOCIATES 652 S MEDICAL CENTER DR STE 320 ST GEORGE,UT847907017	CLINIC
181	ORTHOPEDIC SPECIALTY GROUP - TRAUMA 5169 COTTONWOOD ST STE 430 MURRAY,UT841076774	CLINIC
182	HOLLADAY PEDIATRICS NORTH 2160 E 4500 S SALT LAKE CITY,UT841174011	CLINIC
183	DRMC WOUND AND HYPERBARIC 544 S 400 E ST GEORGE,UT847703705	CLINIC
184	DRMC RADIATION ONCOLOGY 544 S 400 E ST GEORGE,UT847703705	CLINIC
185	ISOM PLASTIC SURGERY 1350 N 500 E STE 310 LOGAN,UT843412400	SURGICAL CENTER
186	INTERMOUNTAIN SLEEP PROGRAM TOSH 5770 S 250 E STE 340 MURRAY,UT841078163	CLINIC
187	SUMMIT ORTHOPEDICS 4403 HARRISON BLVD STE 2600 OGDEN,UT844033277	CLINIC
188	MEMORIAL KIDSCARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
189	CALTON-HARRISON CLINIC - TRAUMA 4403 HARRISON BLVD STE 2400 OGDEN,UT844033297	CLINIC
190	UTAH VALLEY MATERNAL FETAL MEDICINE 1034 N 500 W PROVO,UT846043380	CLINIC
191	MANTI FAMILY CLINIC 159 N MAIN ST MANTI,UT846421257	CLINIC
192	WASATCH OBGYN 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
193	WEST JORDAN KIDSCARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
194	AMERICAN FORK PULMONARY CLINIC 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
195	LOGAN HYPERBARIC AND WOUND CARE 1400 N 500 E LOGAN,UT843412455	CLINIC
196	MOUNTAIN VIEW PEDIATRICS KIDSCARE 9720 S 1300 E STE 100 SANDY,UT840943743	CLINIC
197	CENTRAL ENT HEAD-NECK SURGERY 5169 COTTONWOOD ST STE 640 MURRAY,UT841076771	SURGICAL CENTER
198	PHYSICAL MEDICINE & REHAB CLINIC 1055 N 300 W STE 410 PROVO,UT846043354	CLINIC
199	LOGAN HOSPITALISTS 1400 N 500 E LOGAN,UT843412455	CLINIC
200	UTAH HEART 3741 W 12600 S RIVERTON,UT840657215	CLINIC
201	SYRACUSE INSTACARE 745 S 2000 W SYRACUSE,UT840759621	CLINIC
202	INTERMOUNTAIN SENIOR CLINIC 5770 S 250 E STE 210 MURRAY,UT841076163	CLINIC
203	AMERICAN FORK RADIATION ONCOLOGY 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
204	DIXIE SLEEP DISORDERS CENTER 652 S MEDICAL CENTER DR STE 310 ST GEORGE,UT847907017	CLINIC
205	NEIGHBORHOOD CLINIC 855 W CALIFORNIA AVE SALT LAKE CITY,UT841041632	CLINIC
206	SEVIER VALLEY FP SVMC 1000 N MAIN ST RICHFIELD,UT847011857	CLINIC
207	UTAH HEART-AVH 9690 S 1300 E STE 200 SANDY,UT840943740	CLINIC
208	RIVERTON HOSPITALISTS 3723 W 12600 S RIVERTON,UT840657295	CLINIC
209	ALTA VIEW HOSPITALISTS 9660 S 1300 E SANDY,UT840943766	CLINIC
210	UTAH VALLEY SPORTS MEDICINE 1159 E 200 N STE 100 AMERICAN FORK,UT840032053	CLINIC
211	WASATCH OBGYN 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
212	MCKAY DEE MATERNAL FETAL MEDICINE 4401 HARRISON BLVD STE 4600 OGDEN,UT844033293	CLINIC
213	SNOWBIRD CLINIC HIGHWAY 210 LITTLE COTTONWOOD CYN SNOWBIRD,UT840920000	CLINIC
214	NORTH SEVIER MEDICAL CLINIC 530 N 250 W SALINA,UT846545514	CLINIC
215	NORTHERN UTAH KIDSCARE 4403 HARRISON BLVD STE 4875 OGDEN,UT844033335	CLINIC
216	MORONI CLINIC 51 E MAIN ST MORONI,UT846460810	CLINIC
217	LDS MATERNAL FETAL MEDICINE 8TH AVE AND C ST SALT LAKE CITY,UT841430001	CLINIC
218	LOGAN PSYCHIATRY 1300 N 500 E STE 250 LOGAN,UT843412417	CLINIC
219	INT NEUROSCIENCES-INPATIENT 5171 COTTONWOOD ST STE 810 MURRAY,UT841075705	CLINIC
220	SOUTHWEST RHEUMATOLOGY ASSOCIATES 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
221	LOGAN RADIATION ONCOLOGY 500 E 1400 N LOGAN,UT843412455	CLINIC
222	PROVO NEUROLOGICAL CLINIC 1134 N 500 W STE 101 PROVO,UT846045569	CLINIC
223	UTAH VALLEY INTERNAL MEDICINE 1134 N 500 W STE 101 PROVO,UT846045569	CLINIC
224	HEALTH AND FITNESS PROGRAM 440 D ST STE 206 SALT LAKE CITY,UT841032838	CLINIC
225	ST GEORGE PULMONARY CLINIC 1380 E MEDICAL CENTER DR STE 2200 ST GEORGE,UT847902130	CLINIC
226	DIXIE ENDO-DIABETES CLINIC 348 E 600 S ST GEORGE,UT847703949	CLINIC
227	BEAR RIVER SPECIALISTS 935 N 1000 W TREMONTON,UT843379356	CLINIC
228	US SYNTHETIC CLINIC 1260 S 1600 W OREM,UT840584931	CLINIC
229	INT NEUROSCIENCES-ECCLES OP 5121 COTTONWOOD ST MURRAY,UT841075701	CLINIC
230	NORTH CACHE VALLEY INSTACARE 4088 N HIGHWAY 91 HYDE PARK,UT843184108	CLINIC
231	DIXIE HIGH RISK OB 544 S 400 E ST GEORGE,UT847703705	CLINIC
232	IM FLASH 1550 E 3400 N LEHI,UT840439692	CLINIC
233	CANYON VIEW FAMILY PRACTICE 15 E 400 N PAROWAN,UT847610000	CLINIC
234	PARK CITY HOSPITALISTS 900 ROUND VALLEY DR PARK CITY,UT840607552	CLINIC
235	UTAH VALLEY PEDIATRIC HOSPITALISTS 1034 N 500 W PROVO,UT846043380	CLINIC
236	ALTA VIEW SENIOR CLINIC 9720 S 1300 E STE E240 SANDY,UT840943795	CLINIC
237	LDS CAMPUS SLEEP-ST JOSEPH'S VILLA 451 BISHOP FEDERAL LN SALT LAKE CITY,UT841152357	CLINIC
238	LAYTON KIDSCARE 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
239	AVENUES NEUROSURGERY 370 9TH AVE STE 111 SALT LAKE CITY,UT841033180	SURGICAL CENTER
240	DIXIE MATERNAL FETAL MEDICINE 544 S 400 E ST GEORGE,UT847703705	CLINIC
241	SALT LAKE CLINIC-FAMILY INTERNAL MEDICIN 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
242	GORANG FAMILY PRACTICE 9720 S 1300 E STE E230 SANDY,UT840943771	CLINIC
243	DRMC ACUTE REHAB 544 S 400 E ST GEORGE,UT847703705	CLINIC
244	VALLEY VIEW RADIATION ONCOLOGY 1303 N MAIN ST CEDAR CITY,UT847219746	CLINIC
245	PARK CITY CLINIC - CANYONS 4000 CANYONS RESORT DR PARK CITY,UT840986546	CLINIC
246	SOUTHERN UTAH BEHAVIORAL HEALTH 1054 E RIVERSIDE DR STE 202 ST GEORGE,UT847904829	CLINIC
247	SALT LAKE CLINIC-PHYSICAL MEDICINE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
248	MCKAY DEE NEURO-HOSPITALISTS 4403 HARRISON BLVD OGDEN,UT844033271	CLINIC
249	SALT LAKE CLINIC-DERMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
250	SALT LAKE CLINIC-ORTHOPEDICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
251	INTERMOUNTAIN PSYCH & COUNSELING 5169 S COTTONWOOD ST STE 400 MURRAY,UT841076769	CLINIC
252	ALTA VIEW NURSE MIDWIVES 9600 S 1300 E STE 310 SANDY,UT840943766	CLINIC
253	DRMC INPATIENT PSYCHIATRY 544 S 400 E ST GEORGE,UT847703705	CLINIC
254	SOUTH SEVIER CLINIC 539 S MAIN ST MONROE,UT847544623	CLINIC
255	DIXON CLINIC 750 W 200 N PROVO,UT846012606	CLINIC
256	SOUTHWEST REGIONAL CANCER-CEDAR CITY 1303 N MAIN ST CEDAR CITY,UT847209746	CLINIC
257	UTAH VALLEY PEDIATRIC SPECIALTY-UVRMC 1035 N 500 W PROVO,UT846043337	CLINIC
258	PROVO NEUROLOGICAL CLINIC-UVRMC 1034 N 500 W PROVO,UT846043380	CLINIC
259	SALT LAKE CLINIC-ENT 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
260	RIVERTON CAMPUS SLEEP PROGRAM 3723 W 12600 S STE 480 RIVERTON,UT840657296	CLINIC
261	SALT LAKE CLINIC-ALLERGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
262	CENTRAL OREM-NORTH CANYON OB 3200 N CANYON RD STE C PROVO,UT846044682	CLINIC
263	BUDGE SURGICAL SPECIALISTS 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	SURGICAL CENTER
264	SALT LAKE CLINIC-PEDIATRICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
265	MCKAY DEE BH 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
266	MCKAY DEE INFECTIOUS DISEASE 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
267	LINCOLN SCHOOL CLINIC 1090 ROBERTA ST SALT LAKE CITY,UT841114624	CLINIC
268	IMED CAMPUS SLEEP PROGRAM 5121 COTTONWOOD ST MURRAY,UT841075701	CLINIC
269	MCKAY DEE NEUROLOGY 4403 HARRISON BLVD STE 3855 OGDEN,UT844033349	CLINIC
270	INTERMOUNTAIN LIFETIME CLINIC FREEPORT CENTER BLDG D-12 CLEARFIELD,UT840160010	CLINIC
271	SALT LAKE CLINIC-OPHTHALMOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
272	PHYSICAL MED AND REHAB-AMERICAN FORK 1159 E 200 N STE 100 AMERICAN FORK,UT840032053	CLINIC
273	AMERCIAN FORK MATERNAL FETAL MED 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
274	LAYTON ORTHOPEDICS 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
275	UTAH VALLEY ORTHO-NVSARATOGA 250 E STATE RD 73 SARATOGA SPRINGS,UT840432966	CLINIC
276	ROSE PARK ELEMENTARY CLINIC 1105 W 1000 N SALT LAKE CITY,UT841162135	CLINIC
277	CW ENDOCRINE & DIABETES 5169 COTTONWOOD ST STE 640 MURRAY,UT841076771	CLINIC
278	PARK CITY ALLERGY CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT840607549	CLINIC
279	DIXIE INFECTIOUS DISEASE CLINIC 1380 E MEDICAL CENTER DR STE 2300 ST GEORGE,UT847902131	CLINIC
280	UTAH VALLEY SPORTS MED-BYU EXT 87 SMITH FIELD HOUSE PROVO,UT846020002	CLINIC
281	SALT LAKE CLINIC-UROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
282	SALT LAKE CLINIC-ENDOCRINOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
283	LOGAN MATERNAL FETAL MEDICINE 1400 N 500 E LOGAN,UT843412455	CLINIC
284	INTERMOUNTAIN NURSE MIDWIVES 855 CALIFORNIA AVE SALT LAKE CITY,UT841041632	CLINIC
285	SALT LAKE CLINIC-OBGYN 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
286	INTERMOUNTAIN NURSE MIDWIVES 1105 W 1000 N SALT LAKE CITY,UT841162135	CLINIC
287	WHITE SAGE FAMILY MEDICINE CLINIC 130 WHITE SAGE AVE DELTA,UT846248928	CLINIC
288	BUDGE CLINIC RADIOLOGY 1350 N 500 E LOGAN,UT843412400	CLINIC
289	SALT LAKE CLINIC-RHEUMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
290	SALT LAKE CLINIC-CARDIOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
291	LAYTON-OGDEN CLINIC 4650 HARRISON BLVD OGDEN,UT844034303	CLINIC
292	SANDY SLEEP DISORDERS 9600 S 1300 E SANDY,UT840943766	CLINIC
293	REDROCK SPINE & NEUROSURGERY CLINIC 1303 N MAIN ST CEDAR CITY,UT847209746	SURGICAL CENTER
294	HEART RHYTHM SPECIALISTS 1300 N 500 E STE 320 LOGAN,UT843412462	CLINIC
295	HEART RHYTHM SPECIALISTS 1233 E 2ND ST CASPER,WY826012926	CLINIC
296	VALLEY VIEW WOUND CLINIC 1333 N MAIN ST STE 3 CEDAR CITY,UT847219314	CLINIC
297	SALT LAKE CLINIC-SURGICAL SPECIALISTS 389 S 900 E SALT LAKE CITY,UT841022310	SURGICAL CENTER
298	SALT LAKE CLINIC-PODIATRY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
299	UTAH HEART-PARK CITY 900 ROUND VALLEY DR PARK CITY,UT840607552	CLINIC
300	BEAR RIVER SPECIALISTS 150 N 200 W MALAD,ID832521239	CLINIC
301	UTAH VALLEY HEART & LUNG-VEIN 1134 N 500 W STE 100 PROVO,UT846043383	CLINIC
302	SALT LAKE CLINIC-NEUROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
303	SNOWBASIN CLINIC 3925 E SNOWBASIN DR HUNTSVILLE,UT843170000	CLINIC
304	MCKAY DEE PEDS CS SEDATION 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
305	SOUTHWEST CARDIOLOGY-EP 1380 E MEDICAL CENTER DR STE 4100 ST GEORGE,UT847902156	CLINIC
306	VALLEY VIEW HEART-GARFIELD 200 N 400 E PANGUITCH,UT847590389	CLINIC
307	HEART RHYTHM SPECIALISTS IDAHO FALLS 3100 CHANNING WAY IDAHO FALLS,ID834047533	CLINIC
308	PARK CITY SLEEP DISORDERS CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT840607549	CLINIC
309	UTAH VALLEY SPORTS MED-UVSC 800 W UNIVERSITY PKWY OREM,UT840586703	CLINIC
310	INTERMOUNTAIN EMPLOYEE CLINIC 5171 S COTTONWOOD ST STE 130 MURRAY,UT841075704	CLINIC
311	DIXIE HIGH RISK FERTILITY 544 S 400 E ST GEORGE,UT847703705	CLINIC
312	SOUTHWEST CARDIOLOGY 110 W 1325 N STE 100 CEDAR CITY,UT847218101	CLINIC
313	ALTA VIEW SLEEP PROGRAM 9660 S 1300 E SANDY,UT840943762	CLINIC
314	HEART RHYTHM SPECIALISTS 777 HOSPITAL WAY STE 101 POCATELLO,ID832015162	CLINIC
315	SOUTHERN UTAH SURGICAL 224 N 400 E PANGUITCH,UT847598001	SURGICAL CENTER
316	HEART RHYTHM SPECIALISTS 5292 S COLLEGE DR STE 200 MURRAY,UT841232598	CLINIC
317	SALT LAKE CLINIC-MHI 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
318	SOUTHERN UTAH SURGICAL 126 WHITE SAGE AVE DELTA,UT846248937	SURGICAL CENTER
319	MCKAY DEE CARDIO 2001 S WOODRUFF AVE STE 12 IDAHO FALLS,ID834046372	CLINIC
320	UTAH VALLEY MFM-ONCOLOGY 1034 N 500 W PROVO,UT846043380	CLINIC
321	PULMONARY ST GEORGE-CEDAR CITY 110 W 1325 N STE 100 CEDAR CITY,UT847218101	CLINIC
322	INT HEART RHYTHM COTTONWOOD 5979 FASHION BLVD SALT LAKE CITY,UT841077364	CLINIC
323	INT HEART CARDIOLOGY-SL CLINIC 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
324	SALT LAKE CLNC-ANTICOAGULATION CLNC 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
325	DIXIE NEONATOLOGY-GRADUATE 544 S 400 E ST GEORGE,UT847703705	CLINIC
326	RIM ROCK ORTHOPAEDICS-DSC 225 S 700 E ST GEORGE,UT847703875	CLINIC
327	BRYNER CLINIC 525 E 100 S STE 500 SALT LAKE CITY,UT841021956	CLINIC
328	HEART RHYTHM SPECIALISTS 196 E 2000 N TOOELE,UT840749335	CLINIC
329	MCKAY DEE CARDIO-ID HEART INST 2985 CORTEZ AVE IDAHO FALLS,ID834047554	CLINIC
330	INT HEART-IHL-CARDIAC CARE 5121 S COTTONWOOD ST MURRAY,UT841075701	CLINIC
331	AMERICAN FORK PULM CRITICAL CARE 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
332	PRIMARY CHILDREN'S RADIATION ONC 100 N MEDICAL DR SALT LAKE CITY,UT841131103	CLINIC

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 3 AND 7	THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), SIGNED INTO LAW IN MARCH 2010, REQUIRES EACH NONPROFIT HOSPITAL TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS AND DEVELOP A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED COMMUNITY NEEDS. HEALTH SERVICES' COMMUNITY BENEFIT DEPARTMENT CREATED A SYSTEM-WIDE PROCESS TO BE USED BY EACH OF ITS 21 HOSPITALS IN CONDUCTING THE FOLLOWING COMPONENTS OF THE CHNA: 1) ASKING FOR COMMUNITY INPUT REGARDING LOCAL HEALTHCARE NEEDS; 2) QUANTITATIVE DATA COLLECTION; 3) DEVELOPING IMPLEMENTATION STRATEGIES; AND 4) MAKING THE CHNA RESULTS PUBLICLY AVAILABLE. LOCAL HOSPITAL LEADERS IMPLEMENTED THE PROCESS IN EACH COMMUNITY SERVED BY A HEALTH SERVICES HOSPITAL. EACH OF HEALTH SERVICES' CHNAS INCLUDED:- DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL- DEMOGRAPHICS OF THE COMMUNITY- EXISTING HEALTHCARE FACILITIES- EXPLANATION OF HOW THE DATA WAS OBTAINED- HEALTH NEEDS OF THE COMMUNITY- PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED, LOW-INCOME AND MINORITIES- DESCRIPTION OF THE PROCESS USED TO IDENTIFY AND PRIORITIZE NEEDS- DESCRIPTION OF THE PROCESS FOR CONSULTING WITH PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY- IDENTIFIED GAPS THAT LIMITED THE ABILITY TO ASSESS COMMUNITY HEALTH NEEDSTHE 2013 CHNA COMBINED A REVIEW OF THE DATA DESCRIBING THE HEALTH NEEDS WITH INPUT FROM MEMBERS OF THE COMMUNITY REPRESENTING BROAD INTERESTS OF THE RESIDENTS, INCLUDING THOSE WITH AN EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE NEEDS OF MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS. COMMUNITY INPUT MEETINGS INCLUDED OPEN-ENDED QUESTIONS ABOUT LOCAL HEALTH NEEDS AS WELL AS DISCUSSION ON SYSTEM-WIDE COMMUNITY HEALTH PRIORITIES. HEALTH SERVICES FIRST ESTABLISHED SYSTEM COMMUNITY HEALTH PRIORITIES IN 2009; CLINICAL STAFF DETERMINED TO USE SIMILAR HEALTH PRIORITIES IDENTIFIED IN A PREVIOUS HEALTH STATUS REPORT FOR THE 2013 QUANTITATIVE DATA COLLECTION TO IDENTIFY ANY CHANGES IN THE HEALTH INDICATORS OVER THE PAST FEW YEARS. THESE FOUR BROAD CATEGORIES REMAIN SIGNIFICANT HEALTH ISSUES FOR COMMUNITIES SERVED BY EACH OF HEALTH SERVICES' HOSPITALS; PEDIATRIC COMMUNITY HEALTH NEEDS ARE ADDRESSED BY PRIMARY CHILDREN'S HOSPITAL ON BEHALF OF HEALTH SERVICES' SYSTEM: 1) IMPROVE THE PREVENTION, DETECTION, AND TREATMENT OF CHRONIC DISEASES ASSOCIATED WITH WEIGHT AND UNHEALTHY BEHAVIORS;2) IMPROVE ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTHCARE SERVICES FOR LOW-INCOME POPULATIONS;3) IMPROVE ACCESS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES FOR LOW-INCOME POPULATIONS; AND4) IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. (PRIMARY CHILDREN'S HOSPITAL ONLY)CHNA PART ONE: COMMUNITY INPUT MEETINGSCOMMUNITY INPUT MEETINGS WERE CONVENED BY EACH HOSPITAL TO ELICIT OBSERVATIONS AND COMMENTS ABOUT HEALTHCARE NEEDS IN THE LOCAL COMMUNITY. PARTICIPANTS WERE IDENTIFIED BY HOSPITAL STAFF WITH CONSULTATION FROM THE CENTRAL OFFICE COMMUNITY BENEFIT DEPARTMENT STAFF. PARTICIPANTS REPRESENTED THE BROAD COMMUNITY INCLUDING:- BEHAVIORAL HEALTH PROVIDER AGENCY STAFF- COUNTY OR STATE HEALTH DEPARTMENT STAFF- HIGHER EDUCATION FACULTY AND/OR STAFF- HOSPITAL GOVERNING BOARD MEMBERS- HOSPITAL STAFF- HUMAN SERVICES AGENCY STAFF- LOCAL SCHOOL DISTRICT STAFF - LOW-INCOME ADVOCATES- RESIDENTS OF THE HOSPITAL NEIGHBORHOOD- RETIRED BUSINESS PEOPLE- SAFETY-NET CLINIC STAFF- SMALL BUSINESS OWNERSCHNA PART TWO: HEALTH INDICATOR DATA COLLECTIONHEALTH SERVICES' CLINICAL LEADERS IDENTIFIED HEALTH INDICATORS FOR EACH OF THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE CHNA. HEALTH SERVICES' PLANNING STAFF PROVIDED THE ZIP CODES THAT DEFINE THE PRIMARY MARKET AREA FOR EACH OF ITS 21 HOSPITALS, WHICH WERE USED TO CLEARLY DELINEATE EACH HOSPITAL'S "COMMUNITY." RESEARCH DEPARTMENT STAFF COLLABORATED WITH THE UTAH DEPARTMENT OF HEALTH AND THE IDAHO DEPARTMENT OF HEALTH AND WELFARE TO ASSEMBLE AVAILABLE DATA FOR HEALTH INDICATORS FOR EACH HOSPITAL'S COMMUNITIES. DATA WERE DRAWN FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL RECORDS STATISTICS, AND STATE HOSPITAL DISCHARGE DATA. TWO OR THREE YEARS OF DATA WERE AGGREGATED TOGETHER FOR EACH INDICATOR TO ACHIEVE A LARGE ENOUGH SAMPLE SIZE TO CREATE HEALTH INDICATORS IN EACH HOSPITAL COMMUNITY. A REPORT CONTAINING SCORES ON EACH HEALTH INDICATOR FOR EACH COMMUNITY AND A SUMMARY OF THE COMMUNITY INPUT MEETINGS WERE PRESENTED TO HOSPITAL ADMINISTRATION AND THEIR COMMUNITY BENEFIT LEADERSHIP, WHICH WERE USED FOR THE NEXT STEP, IMPLEMENTATION PLANNING BASED ON THE CHNA RESULTS.IMPLEMENTATION STRATEGIES AND COMMUNITY HEALTH INITIATIVES RESULTS OF THE TWO-PART CHNA WERE USED TO DEVELOP THREE-YEAR IMPLEMENTATION PLANS WITH COMMUNITY BENEFIT AND HOSPITAL LEADERS, PLANNERS, ADMINISTRATORS, GOVERNING BOARD MEMBERS, AND COMMUNITY MEMBERS WITH AN EXPERTISE IN HEALTH. EACH HOSPITAL TEAM IDENTIFIED LOCAL HEALTH NEEDS THAT ALIGNED WITH HOSPITAL-SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES, AND OPPORTUNITIES TO MAKE MEASURABLE HEALTH IMPROVEMENT IN THE COMMUNITY. EACH PLANNING TEAM IDENTIFIED POTENTIAL COLLABORATIVE PARTNERSHIPS WITH COUNTY AND/OR STATE HEALTH DEPARTMENTS, SCHOOLS, HEALTH COALITIONS, AND OTHER ADVOCACY AGENCIES ENGAGED IN HEALTH INITIATIVES FOCUSED ON ONE OF THE FOUR HEALTH PRIORITIES. THE IMPLEMENTATION PLANS INCLUDE EVIDENCE-BASED STRATEGIES FOR ADDRESSING HEALTH NEEDS; EACH PLAN INCLUDES AN OUTLINE OF STRATEGIES AND OUTCOME MEASURES BEGINNING IN 2013 THROUGH 2015. OF THE 21 IMPLEMENTATION STRATEGIES CREATED BY HEALTH SERVICES, 19 FOCUS ON THE PREVENTION, IDENTIFICATION, AND TREATMENT OF CHRONIC DISEASE IN A WIDE VARIETY OF EVIDENCE-BASED COMMUNITY HEALTH IMPROVEMENT STRATEGIES RANGING FROM PRESCRIBING EXERCISE IN SAFETY-NET CLINICS TO COMPREHENSIVE INTENSIVE BEHAVIOR MODIFICATION TREATMENT FOR FAMILIES AT RISK FOR OBESITY. PARK CITY MEDICAL CENTER IS WORKING TO IMPROVE ACCESS TO COMPREHENSIVE HEALTHCARE THROUGH COMMUNITY INSURANCE ENROLLMENT OUTREACH. PRIMARY CHILDREN'S HOSPITAL IS LEADING SYSTEM-WIDE EFFORTS TO IMPROVE ACCIDENT AND INJURY PREVENTION FOR CHILDREN AND ADOLESCENTS. HOSPITAL IMPLEMENTATION PLANS WERE REVIEWED BY THE HOSPITAL GOVERNING BOARD AND SIGNED BY 1) THE EMPLOYEE ACCOUNTABLE FOR THE IMPLEMENTATION PLAN, 2) THE HOSPITAL ADMINISTRATOR (ALSO ACCOUNTABLE FOR ACHIEVING THE GOALS OVER THE NEXT THREE YEARS), AND 3) THE GOVERNING BOARD CHAIR.IN ADDITION TO HEALTHCARE NEEDS ADDRESSED IN EACH IMPLEMENTATION STRATEGY SET BY HEALTH SERVICES' 21 HOSPITALS, SYSTEM-WIDE COMMUNITY BENEFIT INITIATIVES ADDRESS THE HEALTH PRIORITIES OF IMPROVING PREVENTION OF CHRONIC DISEASE, ACCESS TO HIGH QUALITY, COMPREHENSIVE MEDICAL CARE, AND ACCESS TO BEHAVIORAL HEALTH. THESE CENTRALLY-LED EFFORTS IMPACT MANY OF THE 21 HOSPITAL COMMUNITIES AND ENSURE THAT HEALTH SERVICES CONTINUES TO ADDRESS THE HEALTH NEEDS.HEALTH SERVICES' STAFF IDENTIFIED TWO SIGNIFICANT GAPS IN THE QUANTITATIVE ANALYSIS PORTION OF THE CHNA. FIRST, SIGNIFICANT HEALTH INDICATORS WERE NOT AVAILABLE FOR RECENT DEPRESSION AND OTHER BEHAVIORAL HEALTH DIAGNOSTIC CATEGORIES FROM THE UTAH DEPARTMENT OF HEALTH. SECOND, CURRENT MEDICAID ENROLLMENT AND ELIGIBILITY DATA AND INFORMATION ON THE NUMBER OF HEALTHCARE PROVIDERS ACCEPTING MEDICAID IN LOCAL COMMUNITIES WAS UNAVAILABLE TO HEALTH SERVICES.NEEDS IDENTIFIED AND NOT ADDRESSED IN HOSPITAL IMPLEMENTATION PLANS:HEALTH SERVICES IS ADDRESSING THE IDENTIFIED HEALTH PRIORITIES CONCURRENT WITH THE IMPLEMENTATION PLANS (ESTABLISHED BY EACH OF ITS 21 HOSPITALS) AS A SYSTEM. IN ADDITION, HEALTH SERVICES PROVIDES FUNDING THROUGH GRANTS, IN-KIND CONTRIBUTIONS, AND OTHER CASH CONTRIBUTIONS TO HELP SUPPORT ACCESS TO HEALTHCARE. BECAUSE APPROPRIATE ACCESS TO BEHAVIORAL HEALTH SERVICES IS A CHALLENGE TO LOW-INCOME PEOPLE IN MANY GEOGRAPHIC AREAS, HEALTH SERVICES IS PARTNERING WITH COMMUNITY AGENCIES TO CREATE ACCESS TO SERVICES. CURRENTLY, COMMUNITY NETWORKS ARE SERVING OR ARE IN DEVELOPMENT IN FOUR URBAN GEOGRAPHIC AREAS. HEALTH SERVICES IS PILOTING A TELEHEALTH PSYCHIATRIC SERVICE FOR ITS RURAL HOSPITALS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5A	INTERMOUNTAINHEALTHCARE.ORG/ABOUT/PAGES/CHNA-REPORTS
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 12I	CATASTROPHIC ASSISTANCE. HEALTH SERVICES ATTEMPTS TO LIMIT AN INDIVIDUAL'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS HOUSEHOLD ANNUAL INCOME.EXTENUATING CIRCUMSTANCES. SINCE EACH INDIVIDUAL'S PERSONAL CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILTY FOR FINANCIAL ASSISTANCE.ASSISTANCE BASED ON INCOME. HEALTH SERVICES EVALUATES AN INDIVDUAL'S HOUSEHOLD INCOME COMPARED TO THE HHS FEDERAL POVERTY INCOME GUIDELINES AND OFFERS THE MAXIMUM AVAILABLE ASSISTANCE TO QUALIFYING INDIVIDUALS UNDER 150% OF THOSE GUIDELINES. HEALTH SERVICES APPLIES AN EVALUATIVE MODEL TO ESTIMATE A REASONABLE AMOUNT AN INDIVIDUAL COULD PAY WHEN INCOME FALLS BETWEEN 150% AND 500% OF THE POVERTY GUIDELINES AND THEN OFFERS ASSISTANCE TOWARDS MEDICAL BILLS IN EXCESS OF THAT ESTIMATED PAYMENT AMOUNT.
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 14G AND 18E	BY POLICY, HEALTH SERVICES PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY ON THE BASIS OF MEDICAL NEED WITHOUT REGARD TO RACE, RELIGION, GENDER, AGE, OR ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE MEDICALLY NECESSARY AND GENERALLY AVAILABLE AT THE HOSPITALS AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF THE HOSPITALS AND THE CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY.ELIGIBILITY COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING, OR AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENTS PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS.SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20D	HEALTH SERVICES PROVIDES AN AUTOMATIC DISCOUNT OF 25% TO UNINSURED PATIENTS, INCLUDING THOSE WHO QUALIFY UNDER THE FINANCIAL ASSISTANCE PROGRAM. THIS DISCOUNT APPROXIMATES THE AVERAGE NEGOTIATED RATES CHARGED TO COMMERCIAL INSURANCE COMPANIES. AN ADDITIONAL 15% DISCOUNT IS AVAILABLE TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE IF PAYMENT IS MADE IN FULL AT THE TIME OF SERVICE. THIS COMBINED DISCOUNT OF 40% IS IN EXCESS OF THE BEST NEGOTIATED RATES FOR INSURED PATIENTS.FINAL AMOUNTS BILLED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE BASED ON THE PATIENTS ABILITY TO PAY AS DETERMINED UNDER HEALTH SERVICES' FINANCIAL ASSISTANCE POLICY. THE FILING ORGANIZATION BELIEVES IT IS IN COMPLIANCE WITH THE LANUGUAGE OF THE APPLICABLE STATUTE AND WILL VERIFY SUCH COMPLIANCE UPON PROMULGATION OF THE FINAL REGULATIONS.

Schedule H (Form 990) 2013

Additional Data

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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
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	(h) Purpose of grant or assistance
(1) HUNTSMAN CANCER FOUNDATION 500 HUNTSMAN WAY SALT LAKE CITY,UT84108	87-0541293	501 (C) (3)	20,000,000	CONSTRUCTION OF CANCER RESEARCH CENTER
(2) INTERMOUNTAIN HEALTHCARE FOUNDATION 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY,UT84111	80-0225150	501 (C) (3)	5,636,629	SUPPORT FOUNDATION
(3) UNITED WAY 257 EAST 200 SOUTH SUITE 300 SALT LAKE CITY,UT84111	87-0227091	501 (C) (3)	295,443	SUPPORT HEALTHCARE
(4) NAMI 1600 WEST 2200 SOUTH SUITE 202 WEST VALLEY CITY,UT84119	87-0432972	501 (C) (3)	107,575	SUPPORT COMMUNITY HEALTH
(5) UHA UTAH HOSPITALS HEALTH SYSTEMS 2180 SOUTH 1300 EAST SUITE 440 SALT LAKE CITY,UT84106	87-6119772	501 (C) (3)	96,504	SUPPORT HEALTHCARE
(6) ST ANNE CENTER 137 WEST BINFORD OGDEN,UT84401	87-0368808	501 (C) (3)	25,000	SUPPORT COMMUNITY HEALTH
(7) UNIVERSITY OF UTAH 301 WALKER WAY SALT LAKE CITY,UT84106	87-6000525	501 (C) (3)	25,000	SUPPORT COMMUNITY EMERGENCY PREPAREDNESS
(8) COMMUNITY HEALTH CONNECT 591 S STATE ST PROVO,UT84606	65-1260998	501 (C) (3)	23,000	CLINIC CASE MNGT, VOLUNTEER PROVIDER NETWORK
(9) POLIZZI FOUNDATION 1208 E 3300 S SALT LAKE CITY,UT84116	57-1241243	501 (C) (3)	20,000	EXPANSION OF MENTAL HEALTH SERVICES FOR CHILDREN
(10) UTAH FAMILIES FOUNDATION 9160 SOUTH 300 WEST 21 SANDY,UT84070	87-0509416	501 (C) (3)	20,000	SUPPORT COMMUNITY HEALTH
(11) THE CHILDREN'S CENTER 350 S 400 E SALT LAKE CITY,UT84111	87-6114073	501 (C) (3)	12,500	MENTAL HEALTH; AUTISM
(12) VOLUNTEER CARE CLINIC 151 S UNIVERSITY AVE PROVO,UT84601	20-1567171	501 (C) (3)	12,343	DONATION FOR COMPUTER MIGRATION TO ELECTRONIC MEDICAL RECORDS
(13) CANCER WELLNESS HOUSE 59 S 1100 E SALT LAKE CITY,UT84102	87-0568405	501 (C) (3)	10,000	MENTAL HEALTH ISSUES FOR LOW INCOME
(14) COMMUNITY ACTION PROGRAM 1307 SOUTH 900 WEST SALT LAKE CITY,UT84104	87-0269683	501 (C) (3)	10,000	SUPPORT COMMUNITY HEALTH
(15) JUNIOR ACHIEVEMENT OF UTAH 515 EAST 100 SOUTH 200 SALT LAKE CITY,UT84102	87-0225875	501 (C) (3)	10,000	MONROE ELEMENTARY SPONSORSHIP
(16) RONALD MCDONALD HOUSE 935 EAST SOUTH TEMPLE SALT LAKE CITY,UT84102	74-2386043	501 (C) (3)	10,000	SUPPORT FAMILIES IN NEED
(17) UTAH NON PROFITS ASSOCIATION 231 E 400 S STE345 SALT LAKE CITY,UT84111	84-0481455	501 (C) (3)	10,000	CLASS AT CONFERENCE FOR SMALL NON PROFIT BUSINESS/AGENCY
(18) UTAH HISPANIC CHAMBER OF COMMERCE 1635 S REDWOOD RD WEST JORDAN,UT84104	87-0501979	501 (C) (3)	7,500	UHCC PLATINUM MEMBERSHIP/ SOMOS SCHOLARSHIP FUND FOR STUDENTS PURSUING HEALTHCARE FIELDS
(19) SAMS FOUNDATION PO BOX 1015 CANFIELD,OH44406	13-1717058	501 (C) (3)	20,000	SUPPORT MEDICAL SERVICES IN UNDERSERVED AREAS.

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) 2013

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
(1) PHARMACY VOUCHERS	730	24,000	0	CASH	PHARMACY DRUG ASSISTANCE

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

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) 2013

Additional Data

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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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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
directors, trustees, officers, including 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) 2013

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)CHARLES W SORENSON JRTRUSTEE / PRES / CEO	(i) (ii)	941,185 0	703,560 0	4,784,074 0	930,113 0	39,791 0	7,398,723 0	5,281,544 0
(2)ROBERT W ALLENVICE PRESIDENT	(i) (ii)	315,959 0	160,069 0	21,881 0	202,075 0	22,881 0	722,865 0	126,978 0
(3)TODD E CRAGHEADVICE PRESIDENT	(i) (ii)	203,818 0	62,172 0	1,818 0	85,465 0	19,467 0	372,740 0	50,138 0
(4)DAVID FLOODVP / CHIEF DEV. OFFICER	(i) (ii)	162,523 0	50,000 0	38,865 0	46,875 0	9,641 0	307,904 0	0 0
(5)LARRY D HANCOCKVICE PRESIDENT	(i) (ii)	605,890 0	293,554 0	5,181 0	516,952 0	23,017 0	1,444,594 0	234,977 0
(6)KIMBERLY HENRICHSENVICE PRESIDENT	(i) (ii)	295,903 0	83,458 0	14,502 0	155,334 0	23,571 0	572,768 0	70,132 0
(7)BRENT T JOHNSONVICE PRESIDENT	(i) (ii)	276,278 0	159,370 0	31,483 0	303,362 0	20,397 0	790,890 0	118,683 0
(8)GREGORY M JOHNSONVICE PRESIDENT	(i) (ii)	293,685 0	167,397 0	19,563 0	208,662 0	24,046 0	713,353 0	126,094 0
(9)LAURA S KAISEREXEC. VP / COO	(i) (ii)	807,048 0	500,003 0	25,553 0	638,573 0	21,729 0	1,992,906 0	264,618 0
(10)TERRI L KANEVICE PRESIDENT	(i) (ii)	401,717 0	112,906 0	19,577 0	303,206 0	18,333 0	855,739 0	116,880 0
(11)LINDA C LECKMAN MDVICE PRESIDENT	(i) (ii)	493,559 0	272,516 0	47,959 0	404,200 0	19,547 0	1,237,781 0	207,345 0
(12)JACQUE MILLARDVICE PRESIDENT	(i) (ii)	242,829 0	139,830 0	29,862 0	160,164 0	22,360 0	595,045 0	106,831 0
(13)TIMOTHY T PEHRSONVICE PRESIDENT	(i) (ii)	419,969 0	222,205 0	22,236 0	289,348 0	24,117 0	977,875 0	180,877 0
(14)GREGORY P POULSENSENIOR VICE PRESIDENT	(i) (ii)	429,606 0	332,642 0	50,601 0	534,854 0	25,642 0	1,373,345 0	256,526 0
(15)MARC PROBSTVICE PRESIDENT / CIO	(i) (ii)	434,740 0	243,929 0	11,657 0	13,660 0	24,111 0	728,097 0	187,625 0
(16)STEVEN R SMOOTVICE PRESIDENT	(i) (ii)	411,140 0	102,863 0	19,402 0	177,448 0	22,739 0	733,592 0	97,500 0
(17)ALBERT R ZIMMERLIEXEC VP/CFO/SEC/TREAS	(i) (ii)	802,579 0	569,617 0	33,372 0	1,025,850 0	31,688 0	2,463,106 0	441,156 0
(18)DANIEL L ZUHLKEVICE PRESIDENT	(i) (ii)	369,724 0	203,290 0	19,677 0	375,516 0	22,268 0	990,475 0	160,970 0
(19)WILLIAM GOWSKIMD-ORTHOPEDIC	(i) (ii)	1,181,723 0	159,413 0	18,829 0	96,889 0	19,758 0	1,476,612 0	0 0
(20)TRAVIS HENDRYMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,047,875 0	154,776 0	36,919 0	89,128 0	22,360 0	1,351,058 0	0 0
(21)ERIC HOOLEY MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,248,007 0	184,563 0	18,979 0	107,472 0	19,401 0	1,578,422 0	134,038 0
(22)HOWARD RICHTER MDMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,063,855 0	153,007 0	2,706 0	73,512 0	19,156 0	1,312,236 0	130,010 0
(23)BRENT E WALLACEMEDICAL OFFICER-CHIEF	(i) (ii)	500,636 0	258,319 0	2,597,529 0	454,581 0	23,248 0	3,834,313 0	1,697,663 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
PART I, LINE 1A	TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES WILL NOT BE REIMBURSED BY THE ORGANIZATION UNLESS APPROVED BY SENIOR MANAGEMENT. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE INDIVIDUAL ON A FORM W-2 OR 1099. TAX GROSS-UP PAYMENTS - PURSUANT TO COMPANY POLICY, A LIMITED NUMBER OF BENEFITS AND PERQUISITES TO THE GOVERNING BODY ARE GROSSED UP FOR TAX PURPOSES.
PART I, LINE 3	HEALTH SERVICES IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. HEALTH SERVICES' POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT OR AROUND THE 50TH PERCENTILE OF THE HEALTHCARE LABOR MARKETS FOR SIMILAR POSITIONS AND ORGANIZATIONS (I.E., SIMILAR SIZE AND NONPROFIT STATUS). THE COMPENSATION COMMITTEE OF THE BOARD RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO ACHIEVE A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS AUDIT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2013: - CHARLES W. SORENSON JR MD $4,738,970 - BRENT E. WALLACE $2,568,988 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO SELECT MEMBERS OF ITS ADVISORY COUNCIL. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN.
PART I, LINE 6	CERTAIN PHYSICIAN CONTRACTS PROVIDE FOR ANY EXCESS OF COLLECTED REVENUE OVER ANNUAL EXPENSES TO BE PAID TO THE PHYSICIAN ON A PHYSICIAN PRACTICE BASIS.

Schedule J (Form 990) 2013

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.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 . . . . . . . . . . . . . .	32,000,000		32,000,000		10,000,000		16,400,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	314,823,712		273,598,644		253,629,646		63,362,310
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	1,597,895		379,776		1,597,895
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,561,803		1,339,946				50,000
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	313,261,909		272,258,698		252,031,751
11 Other spent proceeds . . . . . . . . . . . . . .	63,312,310						63,312,310
12 Other unspent proceeds . . . . . . . . . . . . . .	111,224,502		111,224,502
13 Year of substantial completion . . . . . . . . . . . .	2007		2007				2011
	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) 2013

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 . .	0.100 %		0.100 %		0.100 %
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 . . . . . . .	0.100 %		0.100 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.200 %		0.200 %		0.100 %
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? . . . . . . . . . . . . .
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		X	X
c No rebate due? . . . . . . . .	X			X		X		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
c Term of hedge . . . . . . . . . .	29.300000000000		31.600000000000
d Was the hedge superintegrated? . . . .		X		X
e Was the hedge terminated? . . . . . .		X		X

Schedule K (Form 990) 2013

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 . . . . . . . . .
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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3, COLUMNS A, B, C, D	AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I COLUMN E DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFOMRED ON DECEMBER 17, 2008.
FORM 990, SCHEDULE K, PART IV, LINE 6, COLUMN C	DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED SLIGHTLY BEYOND THE THREE-YEAR TEMPORARY PERIODS. HOWEVER, THE YIELD RESTRICTION RULES WERE FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD.
FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN D	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011. ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN A	THE 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS.

Schedule K (Form 990) 2013

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.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 . . . . . . . . . . . . . .	32,000,000		32,000,000		10,000,000		16,400,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	314,823,712		273,598,644		253,629,646		63,362,310
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	1,597,895		379,776		1,597,895
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,561,803		1,339,946				50,000
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	313,261,909		272,258,698		252,031,751
11 Other spent proceeds . . . . . . . . . . . . . .	63,312,310						63,312,310
12 Other unspent proceeds . . . . . . . . . . . . . .	111,224,502		111,224,502
13 Year of substantial completion . . . . . . . . . . . .	2007		2007				2011
	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) 2013

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 . .	0.100 %		0.100 %		0.100 %
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 . . . . . . .	0.100 %		0.100 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.200 %		0.200 %		0.100 %
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? . . . . . . . . . . . . .
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		X	X
c No rebate due? . . . . . . . .	X			X		X		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
c Term of hedge . . . . . . . . . .	29.300000000000		31.600000000000
d Was the hedge superintegrated? . . . .		X		X
e Was the hedge terminated? . . . . . .		X		X

Schedule K (Form 990) 2013

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 . . . . . . . . .
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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3, COLUMNS A, B, C, D	AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I COLUMN E DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFOMRED ON DECEMBER 17, 2008.
FORM 990, SCHEDULE K, PART IV, LINE 6, COLUMN C	DUE TO UNEXPECTED DELAYS IN SEVERAL LARGE CONSTRUCTION PROJECTS, LESS THAN 10% OF THE SERIES 2009 BOND PROCEEDS WERE INVESTED SLIGHTLY BEYOND THE THREE-YEAR TEMPORARY PERIODS. HOWEVER, THE YIELD RESTRICTION RULES WERE FOLLOWED FOR ANY PROCEEDS INVESTED BEYOND THE TEMPORARY PERIOD.
FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN D	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011. ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 1, COLUMN A	THE 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS.

Schedule K (Form 990) 2013

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.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) ZIONS BANK	VENDOR	128,620	BANKING		No
(2) MERIT MEDICAL SYSTEM	VENDOR	1,950,858	SUPPLIES		No
(3) JEFFREY L ANDERSON	TRUSTEE FAMILY	355,972	WAGES		No
(4) JEFFREY T CRAGHEAD	OFFICER FAMILY	73,241	WAGES		No
(5) RICHARD B STEVENSON	OFFICER FAMILY	92,090	WAGES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE L, PART IV	ZIONS BANKA. SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO AN OFFICER OF ZIONS BANK.MERIT MEDICAL SYSTEMSA. SCOTT ANDERSON, A TRUSTEE OF THE FILING ORGANIZATION, WAS ALSO A DIRECTOR OF MERIT MEDICAL SYSTEMS.

Schedule L (Form 990 or 990-EZ) 2013

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Return Reference	Explanation
FORM 990, PART I, LINE 1	EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. OUR VISION: OUR VISION IS TO BE A MODEL HEALTHCARE SYSTEM BY CONTINUALLY LEARNING AND PROVIDING EXTRAORDINARY CARE IN ALL ITS DIMENSIONS: - CLINICAL EXCELLENCE: WE WILL DELIVER THE BEST CLINICAL CARE IN A CONSISTENT, INTEGRATED WAY, ALWAYS IMPROVING THROUGH INNOVATION AND EVIDENCE-BASED PRACTICE. - PATIENT ENGAGEMENT: WE WILL PROVIDE A COMPASSIONATE HEALING EXPERIENCE THAT REFLECTS THE CARING AND NOBLE NATURE OF OUR WORK IN EVERY ENCOUNTER WITH OUR PATIENTS, MEMBERS, AND GUESTS. WE WILL HELP PATIENTS OPTIMIZE THEIR HEALTH AND PARTICIPATE IN DECISIONS ABOUT THEIR CARE. - PHYSICIAN ENGAGEMENT: WE HONOR THE ESSENTIAL ROLE OF OUR PHYSICIAN COLLEAGUES AND WILL CREATE SYSTEMS AND PROCESSES THAT HELP THEM BEST SERVE THEIR PATIENTS. - OPERATIONAL EFFECTIVENESS: WE WILL BE WISE AND CAREFUL STEWARDS OF OUR RESOURCES TO ENABLE EXTRAORDINARY CARE. WE WILL MAINTAIN THE FINANCIAL STRENGTH WE NEED TO MEET OUR HIGH STANDARDS OF QUALITY WHILE PROVIDING THE LOWEST SUSTAINABLE COST TO RESIDENTS IN OUR COMMUNITIES. - EMPLOYEE ENGAGEMENT: WE VALUE OUR EMPLOYEES AS OUR MOST IMPORTANT RESOURCE AND WILL CREATE A WORKPLACE THAT ATTRACTS AND REWARDS CARING AND TALENTED INDIVIDUALS. - COMMUNITY STEWARDSHIP: WE ARE COMMITTED TO SERVING THE DIVERSE NEEDS OF THE YOUNG AND OLD, RICH AND POOR, AND THOSE LIVING IN URBAN AND RURAL COMMUNITIES IN THE INTERMOUNTAIN REGION, WITH SENSITIVITY TO CULTURAL DIFFERENCES. WE WORK INDEPENDENTLY AND WITH COMMUNITY PARTNERS TO CARE FOR THE UNDERSERVED, AND WE PROVIDE GENERALLY AVAILABLE MEDICAL SERVICES TO ALL RESIDENTS REGARDLESS OF ABILITY TO PAY. OUR VALUES: - MUTUAL RESPECT. "WE TREAT OTHERS THE WAY WE WANT TO BE TREATED." - ACCOUNTABILITY. "WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND MISTAKES." - TRUST. "WE ACT WITH INTEGRITY AND CAN COUNT ON EACH OTHER." - EXCELLENCE. "WE DO OUR BEST AT ALL TIMES AND LOOK FOR WAYS TO IMPROVE." FORM 990, PART III, LINE 1: EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION.
FORM 990, PART III, LINE 4A	INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) WAS ORGANIZED IN 1975 TO OWN AND OPERATE THE 15 HOSPITALS FORMERLY OWNED BY THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS. IN 1982, INTERMOUNTAIN FORMED IHC HEALTH SERVICES, INC. (FORMALLY IHC HOSPITALS, INC.) AS A UTAH NONPROFIT SUBSIDIARY AND TRANSFERRED TO HEALTH SERVICES ITS HEALTHCARE FACILITIES. HEALTH SERVICES CURRENTLY CONSISTS OF THE HOSPITAL DIVISION, COMPRISED OF 22 HOSPITALS (21 OWNED AND ONE - GARFIELD MEMORIAL - MANAGED BY HEALTH SERVICES) WITH 2,663 LICENSED BEDS IN UTAH AND SOUTHEAST IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,050 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND MORE THAN 300 CLINIC SITES. TWENTY OF HEALTH SERVICES' HOSPITALS ARE GENERAL ACUTE CARE FACILITIES WHICH PROVIDE INPATIENT AND OUTPATIENT MEDICAL SERVICES BASED ON SPECIFIC NEEDS IN EACH COMMUNITY. TWO HOSPITALS PROVIDE SPECIALTY CARE IN THE FOLLOWING AREAS: - PRIMARY CHILDREN'S HOSPITAL - PEDIATRIC CARE - THE ORTHOPEDIC SPECIALTY HOSPITAL - ORTHOPEDIC CARE HEALTH SERVICES' CLINICAL STATISTICS FOR 2013: - ACUTE ADMISSIONS 133,973 - ACUTE PATIENT DAYS 504,384 - BIRTHS 30,792 - INPATIENT SURGERIES 39,552 - AMBULATORY SURGERIES 109,442 - EMERGENCY ROOM VISITS 474,450 - PHYSICIAN CLINIC VISITS 2,911,110 - HOMECARE PATIENTS SERVED 87,998 HEALTH SERVICES' CORE BUSINESS IS MANAGING COMMON CLINICAL PROCESSES OF CARE TO ACHIEVE THE HIGHEST CLINICAL QUALITY, SERVICE QUALITY, AND COST OUTCOMES. EACH YEAR, HEALTH SERVICES SETS GOALS FOR CLINICAL QUALITY IMPROVEMENT IN EIGHT CLINICAL PROGRAMS AND OTHER AREAS. PHYSICIANS, NURSES, AND OTHER CLINICAL PROFESSIONALS MEASURE THEIR PROGRESS TOWARD THESE GOALS AND EVALUATE RESULTS. THIS LEADS TO THE SYSTEMATIC IMPLEMENTATION OF BEST PRACTICES - A PROCESS THAT YIELDS BETTER CARE FOR PATIENTS. HEALTH SERVICES AND ITS AFFILIATES (COLLECTIVELY RECOGNIZED AS INTERMOUNTAIN HEALTHCARE) IS RECOGNIZED WORLDWIDE AS AN ORGANIZATION FOCUSED ON PROVIDING CARE BASED ON PROVEN RESULTS. THE FOLLOWING EIGHT CLINICAL PROGRAMS ARE ORGANIZED AND OPERATED BY HEALTH SERVICES TO DEVELOP AND IMPLEMENT EVIDENCED-BASED BEST PRACTICES IN OUR HOSPITAL AND COMMUNITY-BASED SETTINGS: THE BEHAVIORAL HEALTH CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, BEHAVIORAL THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS. THESE TEAMS WORK TO IMPROVE THERAPEUTIC ALLIANCE SCORES FOR THEIR PATIENTS WITH THE UNDERSTANDING OF THE POSITIVE CORRELATION TO CLINICAL OUTCOME MEASUREMENTS. THEY SCREEN FOR COMMON MEDICAL CONDITIONS IN PATIENTS IN THE BEHAVIORAL HEALTH TREATMENT SETTINGS. CURRENTLY, THE TEAMS ARE WORKING TO IMPROVE POST DISCHARGE CARE PLANNING FOR PATIENTS ADMITTED TO INPATIENT BEHAVIORAL HEALTH FACILITIES. THE TEAMS ARE CURRENTLY PART OF EXPANSION EFFORTS TO HAVE MENTAL HEALTH INTEGRATION INTO ALL PRIMARY CARE CLINICS AND TELEPSYCHIATRY INTO RURAL FACILITIES. CARE PROCESS MODELS ARE IN PLACE FOR THE MANAGEMENT OF DEPRESSION, BIPOLAR DISORDER, EATING DISORDERS, AND ATTENTION DEFICIT DISORDER. CARE PROCESS MODELS ARE IN DEVELOPMENT FOR SUBSTANCE USE DISORDERS AND SUICIDE ASSESSMENT AND PREVENTION. HEALTH SERVICES' CLINICAL INTEGRATION STRATEGY OVER THE LAST 17 YEARS HAS BEEN WELL-VALIDATED BY THE SUCCESS OF THE NATIONALLY RESPECTED CARDIOVASCULAR CLINICAL PROGRAM. THROUGH HIGHLY EVOLVED TEAMWORK AND ALIGNMENT, CARDIOLOGISTS, CARDIOVASCULAR (CV) SURGEONS, THORACIC SURGEONS, AND VASCULAR SURGEONS ALONG WITH NURSES AND ADMINISTRATIVE SUPPORT HAVE ACHIEVED OUTSTANDING CLINICAL QUALITY, SERVICE QUALITY AND VALUE. USING EXTENSIVE EVIDENCE-BASED GUIDELINES SUPPORTED BY MEANINGFUL MEASUREMENTS AND REPORTS, THE CV PROGRAM HAS ACHIEVED WELL-PUBLISHED EXCEPTIONAL OUTCOMES IN SUCH AREAS AS CV SURGERY, ACUTE MYOCARDIAL INFARCTION (MI), HEART FAILURE, CARDIAC RISK MANAGEMENT AND RHYTHM MANAGEMENT. THE INTENSIVE MEDICINE CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF EMERGENCY CARE, CRITICAL CARE, TRAUMA CARE, TRANSPORT (AIR AND GROUND AMBULANCE), HOSPITALISTS, STROKE CARE, AND TELEMEDICINE. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCED-BASED BEST PRACTICES, WHICH HAVE THE POTENTIAL OF POSITIVELY IMPACTING PATIENT OUTCOMES. THE TEAM HAS WORKED TO REDUCE VENTILATOR ASSOCIATED PNEUMONIA, CONTROL GLUCOSE LEVELS IN THE CRITICAL CARE POPULATION, IMPLEMENT RAPID RESPONSE TEAMS IN EACH HOSPITAL, AND IMPLEMENT THE SEPSIS, VENTILATOR, AND CENTRAL LINE BUNDLES. FUTURE INITIATIVES INCLUDE THE IMPLEMENTATION OF TELESTROKE AND TELECRITICAL CARE SERVICES. THE PEDIATRIC SPECIALTIES CLINICAL PROGRAM WORKS TO IMPROVE CARE FOR CHILDREN, INCLUDING CARE BY PEDIATRIC SUBSPECIALTY PROVIDERS. BEST PRACTICE GUIDELINES HAVE BEEN DEVELOPED FOR TREATMENT OF BRONCHIOLITIS, THE FEBRILE INFANT, TYPE I DIABETES, AND TORTICOLLIS. PEDIATRIC TEAMS HAVE ALSO TAKEN STEPS TO PREVENT PEDIATRIC MEDICATION ERRORS, IMPROVE EDUCATION FOR ASTHMA PATIENTS, AND IMPROVE EARLY RECOGNITION OF SHOCK IN CHILDREN. THE PRIMARY CARE CLINICAL PROGRAM ADDRESSES THE NEEDS OF AMBULATORY PATIENTS CARED FOR BY FAMILY PRACTITIONERS, INTERNISTS AND PEDIATRICIANS. MAJOR EFFORTS HAVE BEEN DIRECTED TOWARD IMPROVING QUALITY OUTCOMES FOR CHRONIC DISEASES SUCH AS DIABETES AND ASTHMA. ADDITIONALLY, WE HAVE LAUNCHED A "CHOOSING WISELY" CAMPAIGN TO EVALUATE OVERUSE OF MEDICAL TESTS AND PROCEDURES, AS WELL AS TO PROVIDE ADVICE ON UNDERUTILIZED AND PREVENTATIVE CARE. TO GET UPSTREAM OF CHRONIC DISEASE, WE HAVE CREATED A NEW CARE PROCESS MODEL "LIFESTYLE AND WEIGHT MANAGEMENT: HELPING PATIENTS FIND THEIR WAY TO LIVE WELL" TO PROMOTE AN EVIDENCE-BASED APPROACH TO LIFESTYLE AND WEIGHT MANAGEMENT, AND TO FACILITATE IMPLEMENTATION IN ROUTINE PRIMARY CARE. ADDITIONALLY WE HAVE CREATED A DIABETES PREVENTION PROGRAM TO DELAY OR PREVENT DIABETES FOR THE PATIENTS WE SERVE. THE ONCOLOGY CLINICAL PROGRAM INVOLVES A NETWORK OF CANCER SPECIALISTS IN SURGERY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, INFUSION, NURSING, PATHOLOGY, RADIOLOGY, GENETICS, AND SUPPORTIVE CARE TO IMPROVE THE PROCESS OF CANCER DIAGNOSIS, TREATMENT, AND DELIVERY OF CARE ACROSS THE CONTINUUM. CONSIDERABLE EFFORTS HAVE BEEN MADE TO DEVELOP AND STANDARDIZE BEST PRACTICES IN SURGICAL ONCOLOGY, PATHOLOGY, MAMMOGRAPHY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY BY ENGAGING THE PROVIDER NETWORK AND UTILIZING MEANINGFUL CLINICAL DATA LOCATED IN HEALTH SERVICES' CANCER REGISTRY AND ELECTRONIC MEDICAL RECORD. THE ONCOLOGY PROGRAM ADDITIONALLY SUPPORTS THE HUNTSMAN-INTERMOUNTAIN CANCER CARE PROGRAM, A COLLABORATIVE EFFORT BETWEEN HEALTH SERVICES' AND HUNTSMAN CANCER INSTITUTE TO IMPROVE PROVIDER COLLABORATION AND ENHANCE CANCER OUTCOMES, RESEARCH, QUALITY IMPROVEMENT, CLINICAL TRIALS RESEARCH, BIO-TISSUE RESEARCH, AND PATIENT EDUCATION. THE SURGICAL SERVICES CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, ADMINISTRATORS, AND OTHER CARE PROVIDERS IN THE AREAS OF PRE-SCREENING, SAME DAY SURGERY, OPERATING ROOMS, POST ANESTHESIA CARE UNITS, ANESTHESIA, CENTRAL PROCESSING, AND SEDATION SERVICES. EACH TEAM IDENTIFIES AND IMPLEMENTS VERY FOCUSED GOALS OF EVIDENCE-BASED BEST PRACTICES, WHICH POSITIVELY AFFECT PATIENT OUTCOMES. THE SURGICAL SERVICES TEAMS HAVE HAD SEVERAL AREAS OF FOCUS INCLUDING THE IMPLEMENTATION OF A CARE PROCESS MODEL FOR COLON RESECTION PATIENTS, DECREASING UTILIZATION OF BLOOD PRODUCTS, ESTABLISHING PHYSICIAN CREDENTIALING AND CLINICAL CRITERIA FOR ROBOTICS SURGERY, DEVELOPING CARE PROCESSES FOR ORTHOPEDIC SURGERY PATIENTS, DEVELOPMENT OF CLINICAL PATHWAY FOR BARIATRIC SURGERY PATIENTS, AND DEVELOPMENT AND IMPLEMENTATION OF TOOLS TO REDUCE SUPPLY COSTS AND CREATION OF A PAIN MANAGEMENT DATA MART. THE WOMEN AND NEWBORNS CLINICAL PROGRAM FOCUSES ATTENTION ON NON-ONCOLOGY RELATED WOMEN'S CARE AND THE CARE OF THE NEWBORN IN THE NEONATAL PERIOD. THIS INCLUDES CARE RELATED TO PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH, AND THE POSTPARTUM PERIOD. GUIDELINES ADOPTED FROM NATIONAL SPECIALTY SOCIETIES AND PEER REVIEW STUDIES HAVE BEEN USED TO ESTABLISH BEST PRACTICE MODELS AND DRIVE CONSISTENCY IN ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL PROCESSES. THE MISSION OF HEALTH SERVICES IS EXCELLENCE IN THE PROVISION OF HEALTHCARE SERVICES TO COMMUNITIES IN THE INTERMOUNTAIN REGION. PROVIDING THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST POSSIBLE COST TO OUR PATIENTS AND CUSTOMERS IS ONE OF OUR MOST IMPORTANT CONSIDERATIONS.
FORM 990, PART III, LINE 4A	HEALTH SERVICES PROVIDES SERVICES ON THE BASIS OF MEDICAL NEED, WITHOUT REGARD OF ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE AT ITS HOSPITALS AND CLINICS FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE AVAILABLE AT THE HOSPITAL AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WILL CONTINUE TO BE COMMUNICATED THROUGH ALL REASONABLE MEANS. HEALTH SERVICES HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY FOR THE UNINSURED AND THE UNDERINSURED, WHICH OFFERS DISCOUNTS UP TO 100 PERCENT OF CHARGES ON A SLIDING SCALE. FINANCIAL ASSISTANCE IS BASED ON BOTH INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL GUIDELINES AND THE CHARGES FOR SERVICES RENDERED. HEALTH SERVICES' FINANCIAL ASSISTANCE GUIDELINES INCLUDE PROVISIONS THAT ARE RESPONSIVE TO THOSE PATIENTS SUBJECT TO CATASTROPHIC HEALTHCARE EXPENSES. DURING 2013, THROUGH MORE THAN 276,674 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $119.8 MILLION IN FINANCIAL ASSISTANCE (AT COST) TO PEOPLE UNABLE TO PAY. THIS AMOUNT DOES NOT INCLUDE BAD DEBTS. BAD DEBTS REFER TO CIRCUMSTANCES WHERE A PERSON HAS THE ABILITY TO PAY BUT DOES NOT PAY FOR THE SERVICES RECEIVED AND THE AMOUNT IS NOT OTHERWISE COLLECTED. IF AN ACCOUNT HAS BEEN INITIALLY IDENTIFIED AS A BAD DEBT BUT THE PATIENT LATER APPLIES FOR AND IS DETERMINED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE AT THE TIME OF TREATMENT, THEN THE BILL IS NO LONGER CONSIDERED A BAD DEBT AND IS CHARGED TO CHARITY CARE. HOWEVER, IF IT IS DETERMINED THAT THE PATIENT HAD THE ABILITY TO PAY AT THE TIME OF SERVICE BUT THE ACCOUNT CANNOT BE COLLECTED LATER, OR THE PATIENT DID NOT COMMUNICATE AN INABILITY TO PAY, IT IS CONSIDERED TO BE A BAD DEBT, WHICH IS NOT COLLECTIBLE. HEALTH SERVICES GENERALLY INCURS SHORTFALLS BETWEEN ITS ESTABLISHED RATES AND AMOUNTS PAID BY MEDICARE (PRINCIPALLY RELATED TO ELDERLY PATIENTS). HEALTH SERVICES PROVIDES A SIGNIFICANT ARRAY OF ADDITIONAL COMMUNITY SERVICES, INCLUDING OWNING AND OPERATING SIX COMMUNITY AND SCHOOL-BASED CLINICS TO HELP MEET THE NEEDS OF UNINSURED AND LOW-INCOME PEOPLE IN NEIGHBORHOODS THAT WOULD OTHERWISE LACK CONVENIENT ACCESS TO HEALTHCARE. IN 2013, THESE CLINICS HAD MORE THAN 23,439 PATIENT VISITS. MOST PATIENTS PAY ON A SLIDING FEE SCALE ACCORDING TO THEIR HOUSEHOLD INCOMES, AND MANY QUALIFY FOR HEALTH SERVICES' FINANCIAL ASSISTANCE. THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION, AN AFFILIATE SUPPORTED BY HEALTH SERVICES, AWARDS GRANTS AND OTHER CASH CONTRIBUTIONS TO 19 INDEPENDENTLY OWNED CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD MORE THAN 302,136 PATIENT VISITS IN 2013. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2013, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED MORE THAN $57.3 MILLION. SEE SCHEDULE H.
FORM 990, PART VI, SECTION A, LINE 2	CHARLES W. SORENSON JR. MD / GREGORY P. POULSEN - FAMILY RELATIONSHIP ALBERT R. ZIMMERLI / DOUGLAS C. BLACK / BRENT T. JOHNSON - BUSINESS RELATIONSHIP (BOARD MEMBERS OF A CORPORATE INVESTMENT THAT IS 50% OWNED BY THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / CHARLES W. SORENSON JR. MD / DOUGLAS C. BLACK / DANIEL G. GOMEZ / BRADFORD R. RICH - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE CORPORATION THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) ALBERT R. ZIMMERLI / BRUCE T. REESE / CHARLES W. SORENSON JR. MD / A. SCOTT ANDERSON / DOUGLAS C. BLACK / F. ANN MILLNER / GREGORY M. JOHNSON / KEM C. GARDNER / LAURA S. KAISER - BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF IHC AFFILIATED SERVICES, INC., A TAXABLE CORPORATION WITH MINIMAL ACTIVITY THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION)
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF HEALTH SERVICES IS INTERMOUNTAIN HEALTH CARE INC., A UTAH NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	PURSUANT TO THE APPROVED BYLAWS, THE FILING ORGANIZATION'S TRUSTEES ARE ELECTED BY THE SOLE MEMBER AT AN ANNUAL MEMBERSHIP MEETING.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO THE ARTICLES OF INCORPORATION, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE.
FORM 990, PART VI, SECTION B, LINE 11	HEALTH SERVICES' BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE MAILED TO COMMITTEE MEMBERS IN ADVANCE AND DISCUSSED IN DEPTH DURING AN AUDIT AND COMPLIANCE COMMITTEE MEETING. PRIOR TO FILING WITH THE IRS, COPIES OF THE FINAL RETURN WERE PROVIDED TO THE HEALTH SERVICES' BOARD OF TRUSTEES FOR REVIEW AND WERE DISCUSSED AS PART OF A REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE ALSO BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED, PER POLICY, BY THE VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT, AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH HEALTH SERVICES OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE FULL AUDIT AND COMPLIANCE COMMITTEE. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"), A SUBSET OF HEALTH SERVICES' GOVERNING BODY, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NON-CASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENTS, INCLUDING THE CFO - SENIOR VICE PRESIDENT - CERTAIN CORPORATE AND REGIONAL VICE PRESIDENTS PURSUANT TO HEALTH SERVICES' WRITTEN "COMPENSATION PHILOSOPHY," THE COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NOT-FOR-PROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH INDIVIDUAL LISTED ABOVE. DECISIONS BY THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMMITTEE PRESENTS ALL OF THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. HEALTH SERVICES' PHILOSOPHY IS TO PAY COMPENSATION AT OR AROUND THE 50TH PERCENTILE OF COMPARABLE HEALTHCARE ORGANIZATIONS. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS.
FORM 990, PART VI, SECTION C, LINE 19	HEALTH SERVICES DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE, A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD.
FORM 990, PART XI, LINE 9:	UNRECOGNIZED CHANGE IN FUNDED STATUS OF POSTRETIREMENT BENEFIT PLANS 534,644,153. MISCELLANEOUS CHANGES TO UNRESTRICTED NET ASSETS -20,000. BOOK/TAX DIFFERENCE ON THE SALE OF AN LLC INTEREST -139,191.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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" on 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	APARTMENT RENTALS	UT	2,378,450	9,273,300	IHC HEALTH SERVICES INC
(2) IHC UTAH VALLEY LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	MEDICAL OFFICES	UT	288,070	2,917,079	IHC HEALTH SERVICES INC
(3) INTERMOUNTAIN INVENTION MANAGEMENT LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	IP MANAGEMENT	UT	111,892	0	IHC HEALTH SERVICES INC
(4) 5300 SOUTH CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-5881911	OFFICE RENTAL	UT	2,035,474	16,502,260	IHC HEALTH SERVICES INC
(5) 5245 COLLEGE LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 26-0806138	OFFICE RENTAL	UT	1,852,983	16,311,033	IHC HEALTH SERVICES INC
(6) PEDIATRIC SPECIALTY SERVICES LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	PEDIATRIC SERVICES	UT	0	0	IHC HEALTH SERVICES INC
(7) INTERMOUNTAIN INSIGHTS LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	RESEARCH	UT	112,310	90,151	IHC HEALTH SERVICES INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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 COMPANY	UT	501(C)(3)	LINE 11A, I	N/A		No
(2) IHC MANAGEMENT INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2860622	COMMUNITY HEALTH	UT	501(C)(3)	LINE 11B, II	INTERMOUNTAIN HEALTH CARE INC		No
(3) IHC PROFESSIONAL SERVICES INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2886596	COMMUNITY HEALTH	UT	501(C)(3)	LINE 11A, I	INTERMOUNTAIN HEALTH CARE INC		No
(4) INTERMOUNTAIN COMMUNITY CARE FOUND INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2853320	COMMUNITY HEALTH	UT	501(C)(3)	LINE 11A, I	INTERMOUNTAIN HEALTH CARE INC		No
(5) SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	COMMUNITY HEALTH	UT	501(C)(4)	N/A	INTERMOUNTAIN HEALTH CARE INC		No
(6) INTERMOUNTAIN HEALTH CARE RETIREE VEBA 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 74-2675605	RETIREE BENEFIT	UT	501(C)(9)	N/A	INTERMOUNTAIN HEALTH CARE INC		No
(7) INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 80-0225150	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	IHC HEALTH SERVICES INC	Yes
(8) HEART & LUNG RESEARCH FOUNDATION 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0617606	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	INTERMOUNTAIN HEALTHCARE FOUNDATION INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MCKAY DEE SURGICAL CENTER LLC 3903 HARRISON BLVD OGDEN,UT84403 26-0286308	OUTPATIENT SURGERY	UT	IHC HEALTH SERVICES INC	RELATED	5,357,614	2,639,742		No		Yes		74.800 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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	N/A	C				No
(2) IHC AFFILIATED SERVICES INC 36 SOUTH STATE SUITE 2300 SALT LAKE CITY,UT84111 87-0405996	HOSPITAL SERVICES	UT	N/A	C				No
(3) HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-1937561	INSURANCE	AZ	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MCKAY DEE SURGICAL CENTER LLC	A	415,295	FMV
(2) MCKAY DEE SURGICAL CENTER LLC	L	897,871	CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC	Q	3,214,063	COST
(4) MCKAY DEE SURGICAL CENTER LLC	J	415,295	FMV
(5) SELECTHEALTH INC	L	702,188,612	COST
(6) SELECTHEALTH INC	M	13,766,361	COST
(7) SELECTHEALTH INC	Q	88,323,284	COST
(8) SELECTHEALTH INC	S	3,000,000	COST
(9) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	B	5,636,629	COST
(10) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	C	11,596,305	COST
(11) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	Q	4,661,814	COST

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(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 V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	38,067
6	Total number of volunteers (estimate if necessary) .............	6	4,236
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	41,323,750
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-4,157,536

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	38,319,634	22,708,313
9	Program service revenue (Part VIII, line 2g) .........	4,185,079,947	4,420,968,577
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	127,276,563	211,102,080
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	31,058,115	32,087,786
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	4,381,734,259	4,686,866,756
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,362,009	26,929,893
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)	2,037,819,688	2,160,395,508
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,274,266
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,797,474,457	1,892,854,969
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,845,656,154	4,080,180,370
19	Revenue less expenses. Subtract line 18 from line 12.......	536,078,105	606,686,386
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,723,416,035	7,667,884,709
21	Total liabilities (Part X, line 26).............	3,164,137,871	2,678,125,050
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,559,278,164	4,989,759,659

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,455,042,933 including grants of $ 26,929,893 ) (Revenue $ 4,430,604,690 )
	IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,663 LICENSED BEDS) AND MORE THAN 300 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 134,000 INPATIENT ADMISSIONS, 474,000 EMERGENCY ROOM VISITS AND 2.91 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $122.5 MILLION IN CHARITY CARE (AT COST) THROUGH 276,674 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2013, SEE SCHEDULE O.

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 expenses3,455,042,933

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	26,119,152	737	7,712,507

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		12,915,684
e	Government grants (contributions)1e		7,497,583

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,295,046

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			22,708,313
			Business Code
2a	PATIENT SERVICE		622110	3,850,986,521	3,850,986,521
b	LABORATORY		621511	472,237,537	461,740,682	10,496,855
c	PHARMACY		446110	70,459,184	37,555,366	32,903,818
d	RENTAL (RELATED)		531120	10,408,685	10,408,685	0
e	LAUNDRY		812320	7,081,795	5,073,481	2,008,314
f	All other program service revenue .			9,794,855	8,597,020	1,197,835
g	Total. Add lines 2a–2f........			4,420,968,577
3	Investment income (including dividends, interest, and other similar amounts).......			64,340,054		-5,345,107	69,685,161
4	Income from investment of tax-exempt bond proceeds..			202,656			202,656
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	6,041,840
b	Less: rental expenses	5,037,133
c	Rental income or (loss)	1,004,707
d	Net rental income or (loss).......			1,004,707		60,112	944,595
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	4,298,031,322	8,232,500
b	Less: cost or other basis and sales expenses	4,114,084,569	45,619,883
c	Gain or (loss)	183,946,753	-37,387,383
d	Net gain or (loss)..........			146,559,370		1,923	146,557,447
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722514	16,437,544			16,437,544
b	CORP CHARGE REVENUE		624100	9,636,113	9,636,113
c	GIFT SHOP / RETAIL		453220	5,009,422			5,009,422
d	All other revenue ....
e	Total. Add lines 11a–11d ......			31,083,079
12	Total revenue. See Instructions......			4,686,866,756	4,383,997,868	41,323,750	238,836,825


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			158,750	1	165,038
2	Savings and temporary cash investments .........			430,030,096	2	551,729,504
3	Pledges and grants receivable, net ...........			3,411,740	3	3,343,170
4	Accounts receivable, net .............			537,838,327	4	569,531,485
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 .............			1,649,678	7	1,273,253
8	Inventories for sale or use ..............			94,778,115	8	99,694,051
9	Prepaid expenses and deferred charges ..........			27,696,665	9	42,001,617
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,896,083,401
b	Less: accumulated depreciation .....	10b	1,747,464,943	2,025,389,119	10c	2,148,618,458
11	Investments—publicly traded securities ..........			3,043,364,343	11	3,436,343,733
12	Investments—other securities. See Part IV, line 11 .....			306,772,099	12	369,770,509
13	Investments—program-related. See Part IV, line 11 .....			29,529,302	13	40,002,861
14	Intangible assets ...............			249,043	14	224,345
15	Other assets. See Part IV, line 11 ...........			222,548,758	15	405,186,685
16	Total assets. Add lines 1 through 15 (must equal line 34)......			6,723,416,035	16	7,667,884,709
17	Accounts payable and accrued expenses .........			279,219,135	17	281,098,654
18	Grants payable .................			0	18	0
19	Deferred revenue ................			2,234,719	19	1,778,908
20	Tax-exempt bond liabilities .............			1,542,773,712	20	1,514,615,532
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 ..			21,754,868	23	22,173,931
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....................			1,318,155,437	25	858,458,025
26	Total liabilities. Add lines 17 through 25.........			3,164,137,871	26	2,678,125,050
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			3,554,927,282	27	4,989,350,572
28	Temporarily restricted net assets ...........			4,350,882	28	409,087
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 ...........			3,559,278,164	33	4,989,759,659
34	Total liabilities and net assets/fund balances ........			6,723,416,035	34	7,667,884,709

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 organization may 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, Information 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