Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
IHC HEALTH SERVICES INC
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
36 S STATE STREET NO 2200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SALT LAKE CITY, UT84111
D Employer identification number

94-2854057
E Telephone number

G Gross receipts $ 15,110,938,763
F Name and address of principal officer:
CHARLES W SORENSON JR MD
36 S STATE ST SUITE 2200
SLC,UT84111
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.INTERMOUNTAINHEALTHCARE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1982
M State of legal domicile: UT
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE - SEE SCHEDULE O.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 36,394
6 Total number of volunteers (estimate if necessary) ............. 6 4,083
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 102,617,725
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -1,269,572
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 22,708,313 42,627,687
9 Program service revenue (Part VIII, line 2g) ......... 4,420,968,577 4,698,234,764
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 211,102,080 84,673,863
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 32,087,786 35,921,932
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,686,866,756 4,861,458,246
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 26,929,893 39,074,948
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) 2,160,395,508 2,263,116,241
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,417,979    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,892,854,969 1,929,931,690
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,080,180,370 4,232,122,879
19 Revenue less expenses. Subtract line 18 from line 12....... 606,686,386 629,335,367
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 7,667,884,709 8,427,638,721
21 Total liabilities (Part X, line 26)............. 2,678,125,050 3,370,287,591
22 Net assets or fund balances. Subtract line 21 from line 20..... 4,989,759,659 5,057,351,130
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,545,434,031 including grants of $ 39,074,948 ) (Revenue $ 4,709,685,364 )
IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,688 LICENSED BEDS) AND MORE THAN 350 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 133,000 INPATIENT ADMISSIONS, 488,000 EMERGENCY ROOM VISITS AND 3.1 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $145.1 MILLION IN CHARITY CARE (AT COST) THROUGH 268,235 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2014, 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 expensesMediumBullet3,545,434,031
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
2,004
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
36,394
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletJA , BR , CJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
18
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDENIS SMITH

36 S STATE STREET SUITE 2200
SALT LAKE CITY,UT84111 (801) 442-3491
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) A SCOTT ANDERSON........................................................................
TRUSTEE / CHAIR
3.00
.......................6.00
X   X       883 0 0
(2) S NEAL BERUBE........................................................................
TRUSTEE
1.00
.......................1.00
X           777 0 0
(3) DOUGLAS C BLACK........................................................................
TRUSTEE
1.00
.......................7.00
X           1,272 483 0
(4) JANE CARLILE........................................................................
TRUSTEE
1.00
.......................1.00
X           1,809 0 0
(5) CLAYTON M CHRISTENSEN........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(6) SPENCER F ECCLES........................................................................
TRUSTEE
1.00
.......................2.00
X           420 0 0
(7) KAREN W FAIRBANKS........................................................................
TRUSTEE
1.00
.......................1.00
X           800 0 0
(8) DANIEL G GOMEZ........................................................................
TRUSTEE
1.00
.......................6.00
X           1,215 515 0
(9) KAREN HALE........................................................................
TRUSTEE
1.00
.......................1.00
X           1,122 0 0
(10) RANDY HORIUCHI........................................................................
TRUSTEE
1.00
.......................1.00
X           412 0 0
(11) STEVE D HUEBNER........................................................................
TRUSTEE
1.00
.......................1.00
X           555 0 0
(12) GAIL MILLER........................................................................
TRUSTEE
1.00
.......................1.00
X           1,013 0 0
(13) F ANN MILLNER........................................................................
TRUSTEE
1.00
.......................1.00
X           429 0 0
(14) ARNOLD MILSTEIN MD PHD........................................................................
TRUSTEE
1.00
.......................1.00
X           429 0 0
(15) BRUCE T REESE........................................................................
TRUSTEE / VICE CHAIR / SEC
3.00
.......................3.00
X   X       1,003 0 0
(16) BRADFORD R RICH........................................................................
TRUSTEE
1.00
.......................1.00
X           1,034 0 0
(17) SHAHAB SAEED........................................................................
TRUSTEE
1.00
.......................2.00
X           1,123 0 0
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHARLES W SORENSON JR MD........................................................................
TRUSTEE / PRES / CEO
50.00
.......................11.00
X   X       1,897,042 0 804,081
(19) ROBERT W ALLEN........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       522,092 0 276,659
(20) TODD CRAGHEAD........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       266,229 0 124,955
(21) DAVID FLOOD........................................................................
CHIEF DEV. OFFICER
3.00
.......................50.00
    X       537,680 0 232,996
(22) LARRY D HANCOCK........................................................................
VICE PRESIDENT
50.00
.......................3.00
    X       905,367 0 1,554,765
(23) KIMBERLY HENRICHSEN........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       438,529 0 258,041
(24) BRENT T JOHNSON........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       1,061,306 0 240,457
(25) GREGORY M JOHNSON........................................................................
VICE PRESIDENT
50.00
.......................3.00
    X       469,996 0 272,118
(26) LAURA S KAISER........................................................................
EXEC. VP / COO
50.00
.......................3.00
    X       1,397,809 0 736,283
(27) TERRI L KANE........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       608,067 0 408,551
(28) LINDA C LECKMAN MD........................................................................
VICE PRESIDENT
50.00
.......................1.00
    X       778,233 0 501,067
(29) JACQUE MILLARD........................................................................
VICE PRES / C INV O
50.00
.......................0.00
    X       418,331 0 224,225
(30) TIMOTHY T PEHRSON........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       671,300 0 372,670
(31) GREGORY P POULSEN........................................................................
SENIOR VICE PRESIDENT
50.00
.......................3.00
    X       776,606 0 636,291
(32) MARC PROBST........................................................................
VICE PRES / CIO
50.00
.......................0.00
    X       681,900 0 503,559
(33) STEVEN R SMOOT........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       613,698 0 300,568
(34) ALBERT R ZIMMERLI........................................................................
EVP / CFO / SEC / TREAS
50.00
.......................14.00
    X       4,435,146 0 678,962
(35) DANIEL L ZUHLKE........................................................................
VICE PRESIDENT
50.00
.......................3.00
    X       589,481 0 282,600
(36) CASEY BACHISON........................................................................
MD-SURGERY/ORTHOPEDIC
50.00
.......................0.00
        X   1,362,000 0 65,800
(37) CHAD COLE........................................................................
MD-NEUROSURGERY
50.00
.......................0.00
        X   1,770,596 0 83,116
(38) BENJAMIN FOX........................................................................
MD-NEUROSURGERY
50.00
.......................0.00
        X   1,355,779 0 38,981
(39) ERIC HOOLEY........................................................................
MD-SURGERY/ORTHOPEDIC
50.00
.......................0.00
        X   1,375,219 0 89,353
(40) BRUCE JENSEN........................................................................
COMMUNICATIONS VP
50.00
.......................0.00
        X   1,488,640 0 72,594
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 24,435,342 998 8,758,692
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet2,776
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UTAH EMERGENCY PHYSICIANS PC

P O BOX 57117
MURRAY,UT84157
MEDICAL 29,646,114
ASSOCIATED REGIONAL AND UNIVERSITY

PO BOX 27964
SALT LAKE CITY,UT84127
MEDICAL 16,535,645
ACCRETIVE HEALTH INC

401 N MICHIGAN AVE STE 2700
CHICAGO,IL60611
REVENUE CYCLE MANAGEMENT 15,371,459
PRICEWATERHOUSECOOPERS LLP

PO BOX 514038
LOS ANGELES,CA90051
CONSULTING 9,145,038
MICROSOFT LICENSING GP

PO BOX 844510
DALLAS,TX75284
COMPUTER/SOFTWARE 8,613,207
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet225
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 33,543,337
e Government grants (contributions)1e 5,422,796
f All other contributions, gifts, grants, and
similar amounts not included above
1f
3,661,554
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 42,627,687
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE 622110 3,993,482,323 3,973,881,713 19,600,610  
b LABORATORY 621511 564,116,177 552,862,405 11,253,772  
c PHARMACY 446110 110,567,590 44,510,733 66,056,857  
d RENTAL (RELATED) 531120 11,067,994 11,067,994    
e LAUNDRY 812320 7,446,293 5,026,477 2,419,816  
f All other program service revenue . 11,554,387 10,026,432 1,527,955  
g Total. Add lines 2a–2f........MediumBullet 4,698,234,764
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 72,643,070   -6,799,938 79,443,008
4 Income from investment of tax-exempt bond proceeds..MediumBullet -268,155     -268,155
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 6,485,736  
b Less: rental expenses 4,508,813  
c Rental income or (loss) 1,976,923  
d Net rental income or (loss).......MediumBullet 1,976,923   577,301 1,399,622
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 10,244,681,852 12,588,800
b Less: cost or other basis and sales expenses 10,236,432,596 8,539,108
c Gain or (loss) 8,249,256 4,049,692
d Net gain or (loss)..........MediumBullet 12,298,948   7,981,352 4,317,596
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA 722514 17,057,262     17,057,262
b CORP CHARGE REVENUE 624100 11,450,600 11,450,600    
c GIFT SHOP / RETAIL 453220 5,437,147     5,437,147
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 33,945,009
12 Total revenue. See Instructions......MediumBullet 4,861,458,246 4,608,826,354 102,617,725 107,386,480
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 39,050,948 39,050,948
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 24,000 24,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 25,492,953   25,492,953  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 999,972 999,972    
7 Other salaries and wages .... 1,872,963,417 1,601,119,531 269,794,789 2,049,097
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 110,308,706 103,705,023 6,603,683  
9 Other employee benefits ....... 132,299,406 86,793,793 45,469,830 35,783
10 Payroll taxes ........... 121,051,787 101,680,769 19,251,719 119,299
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 18,224,597 223,561 18,001,036  
c Accounting ........... 769,262 26,494 702,483 40,285
d Lobbying ........... 19,419   19,419  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 14,390,091   14,390,091  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 268,771,342 192,619,840 75,941,554 209,948
12 Advertising and promotion .... 18,977,888 9,701,207 9,273,127 3,554
13 Office expenses ....... 70,951,539 51,952,249 18,724,543 274,747
14 Information technology ...... 29,115,349 4,440,395 24,654,954 20,000
15 Royalties ..        
16 Occupancy ........... 162,959,646 88,680,889 74,230,133 48,624
17 Travel ............ 15,816,716 10,593,418 5,176,469 46,829
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,286,085 1,000,024 280,567 5,494
20 Interest ........... 50,808,324 50,808,089 235  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 225,437,510 194,980,851 30,449,481 7,178
23 Insurance .............. 11,146,828 9,888 11,136,940  
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 779,072,635 779,072,635    
b BAD DEBTS 152,773,537 152,700,904 72,633  
c NON-MEDICAL SUPPLIES 70,889,357 58,020,847 12,430,925 437,585
d RISK MANAGEMENT 11,965,210 296 11,964,914 0
e All other expenses 26,556,355 17,228,408 9,208,391 119,556
25 Total functional expenses. Add lines 1 through 24e 4,232,122,879 3,545,434,031 683,270,869 3,417,979
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 165,038 1 213,142
2 Savings and temporary cash investments ......... 551,729,504 2 257,143,616
3 Pledges and grants receivable, net ........... 3,343,170 3 2,762,250
4 Accounts receivable, net ............. 569,531,485 4 650,880,085
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
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
  6  
7 Notes and loans receivable, net ............. 1,273,253 7 945,408
8 Inventories for sale or use .............. 99,694,051 8 107,168,318
9 Prepaid expenses and deferred charges .......... 42,001,617 9 40,773,050
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,187,354,112
b Less: accumulated depreciation ..... 10b 1,919,291,237 2,148,618,458 10c 2,268,062,875
11 Investments—publicly traded securities .......... 3,436,343,733 11 4,305,865,411
12 Investments—other securities. See Part IV, line 11 ..... 369,770,509 12 401,857,243
13 Investments—program-related. See Part IV, line 11 ..... 40,002,861 13 36,071,859
14 Intangible assets ............... 224,345 14 199,646
15 Other assets. See Part IV, line 11 ........... 405,186,685 15 355,695,818
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 7,667,884,709 16 8,427,638,721
Liabilities 17 Accounts payable and accrued expenses ......... 281,098,654 17 278,831,975
18 Grants payable .................   18  
19 Deferred revenue ................ 1,778,908 19 8,370,821
20 Tax-exempt bond liabilities ............. 1,514,615,532 20 1,747,999,420
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
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..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 22,173,931 23 7,540,156
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 858,458,025 25 1,327,545,219
26 Total liabilities. Add lines 17 through 25......... 2,678,125,050 26 3,370,287,591
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 4,989,350,572 27 5,056,967,669
28 Temporarily restricted net assets ........... 409,087 28 383,461
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 4,989,759,659 33 5,057,351,130
34 Total liabilities and net assets/fund balances ........ 7,667,884,709 34 8,427,638,721
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,861,458,246
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
4,232,122,879
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
629,335,367
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
4,989,759,659
5
Net unrealized gains (losses) on investments ...............
5
-13,328,615
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-548,415,281
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
5,057,351,130
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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





Form 990-PF




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
Special Rules
......... 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2014)

Additional Data


Software ID:  
Software Version:  
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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

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

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) ....... 19,419 19,419
c Total lobbying expenditures (add lines 1a and 1b) ................... 19,419 19,419
d Other exempt purpose expenditures ........................ 4,232,103,460 4,279,760,590
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 4,232,122,879 4,279,780,009
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? ......................................

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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 20,156 21,331 20,406 19,419 81,312
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
FORM 990, SCHEDULE C, PART II-A 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: $4,232,122,879 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $112,733 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $5,737,557 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $41,520,544 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $286,296 501(H) ELECTION: NO
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 .... 199,458,157 195,242,262 96,787,154 101,217,194 52,342,055
b Contributions ........ 26,121,255 32,779,950 159,810,561 9,533,404 62,638,026
c Net investment earnings, gains, and losses 2,018,991 3,272,859 4,910,350 767,953 1,445,298
d Grants or scholarships ..... 4,072,489 1,081,964 50,397,499 247,815 1,302,467
e Other expenditures for facilities
and programs ........
34,622,367 30,691,828 15,857,338 14,479,080 13,905,718
f Administrative expenses .... 1,232 66,112 10,966 4,502  
g End of year balance ...... 188,902,315 199,458,157 195,242,262 96,787,154 101,217,194
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet16.490 %
c
Temporarily restricted endowment SchDMd Bullet83.510 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
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 ................. 23,889,118 259,544,625 283,433,743
b Buildings ................ 26,431,772 1,582,521,036 718,287,123 890,665,685
c Leasehold improvements ............ 1,243,324 81,122,329 44,801,646 37,564,007
d Equipment ................ 67,989 1,963,992,302 1,156,202,468 807,857,823
e Other ................. 509,671 248,031,946   248,541,617
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,268,062,875
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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 61,443,325
MINORITY INT IN JT VENTURES 4,319,944
457 PLAN LIABILITY 63,487,280
ASSET RETIREMENT OBLIGATION 3,642,073
INTEREST RATE SWAP LIABILITIES 167,964,431
OTHER LONG TERM LIABILITIES 62,283,607
INVESTMENT PAYABLE 387,222,823
ACCRUED PAYROLL / LEAVE 226,275,982
ACCRUED PENSION LIABILITY 213,549,813
SELF INSURANCE LIABILITIES 137,355,941
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,327,545,219
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) 2014

Schedule D (Form 990) 2014
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 (losses) 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: 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.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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 Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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.
1
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? ...........................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS   477,986,327
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 INVESTMENTS   63,832,116
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS   184,765,514
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 INVESTMENTS   15,880,765
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 742,464,722
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 742,464,722
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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)
(a)(c) Region (b)(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)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 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
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014Page 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) 2014
Schedule F (Form 990) 2014
Page 4
Part IV
Foreign Forms
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)......................................
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; do not file with Form 990)............................
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)..............................
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)...............................................
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)....................................
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; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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) 2014
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
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? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) ..
    145,129,625   145,129,625 3.560 %
b Medicaid (from Worksheet 3,
column a) ....
    531,689,774 491,520,944 40,168,830 0.980 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    676,819,399 491,520,944 185,298,455 4.540 %
Other Benefits
    3,183,655   3,183,655 0.080 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    33,416,243   33,416,243 0.820 %
g Subsidized health services
(from Worksheet 6) ..
    12,281,288   12,281,288 0.300 %
h Research (from Worksheet 7)     10,945,809 4,109,586 6,836,223 0.170 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    39,513,244 1,807 39,511,437 0.970 %
j Total. Other Benefits ..     99,340,239 4,111,393 95,228,846 2.340 %
k Total. Add lines 7d and 7j .     776,159,638 495,632,337 280,527,301 6.880 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (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     104,020 0 104,020 0 %
7 Community health improvement advocacy            
8 Workforce development     121,375 0 121,375 0 %
9 Other            
10 Total     225,395   225,395  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
152,773,537
3
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. ......
3
18,332,824
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
548,424,682
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
569,509,242
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-21,084,560
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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 %
(d) Officers, directors,
trustees, or key
employees' 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) 2014
Schedule H (Form 990) 2014
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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 INTERMOUNTAIN MEDICAL CENTER
5121 SOUTH COTTONWOOD STREET
MURRAY,UT84157
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-188
X X   X   X X     A
2 UTAH VALLEY REGIONAL MEDICAL CENTER
1034 NORTH 500 WEST
PROVO,UT84604
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-210
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-439
X X X X   X X     A
4 MCKAY-DEE HOSPITAL
4401 HARRISON BOULEVARD
OGDEN,UT84403
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-191
X X   X   X X     A
5 DIXIE REGIONAL MEDICAL CENTER
1380 EAST MEDICAL CENTER DRIVE
ST GEORGE,UT84790
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-178
X X       X X     A
6 LDS HOSPIAL
8TH AVENUE AND C STREET
SALT LAKE CITY,UT84143
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-174
X X   X   X X     A
7 LOGAN REGIONAL HOSPITAL
500 EAST 1400 NORTH
LOGAN,UT84341
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-190
X X         X     A
8 AMERICAN FORK HOSPITAL
170 NORTH 1100 EAST
AMERICAN FORK,UT84003
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2014-HOSP-164
X X         X     A
9 RIVERTON HOSPITAL
3741 WEST 12600 SOUTH
RIVERTON,UT84065
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-92024
X X       X X     A
10 ALTA VIEW HOSPITAL
9660 SOUTH 1300 EAST
SANDY,UT84094
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-162
X X         X     A
11 THE ORTHOPEDIC SPECIALTY HOSPITAL
5848 SOUTH FASHION BOULEVARD
MURRAY,UT84107
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-394
X                 A
12 PARK CITY MEDICAL CENTER
900 ROUND VALLEY DRIVE
PARK CITY,UT84060
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-90903
X X         X     A
13 VALLEY VIEW MEDICAL CENTER
1303 NORTH MAIN STREET
CEDAR CITY,UT84720
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-211
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-269
X X         X     A
16 SEVIER VALLEY MEDICAL CENTER
100 NORTH MAIN
RICHFIELD,UT84701
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-205
X X         X     A
17 HEBER VALLEY MEDICAL CENTER
1485 SOUTH HIGHWAY 40
HEBER CITY,UT84032
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2014-HOSP-213
X X     X   X     A
18 BEAR RIVER VALLEY HOSPITAL
440 WEST 600 NORTH
TREMONTON,UT84337
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-166
X X         X     A
19 SANPETE VALLEY HOPSITAL
1100 SOUTH MEDICAL DRIVE
MOUNT PLEASANT,UT84647
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-204
X X     X   X     A
20 GARFIELD MEMORIAL HOSPITAL
200 NORTH 400 EAST
PANGUITCH,UT84759
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-11631
X X         X     A
21 DELTA COMMUNITY MEDICAL CENTER
126 WHITE SAGE AVENUE
DELTA,UT84624
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-25384
X X     X   X     A
22 FILLMORE COMMUNITY MEDICAL CENTER
674 SOUTH HIGHWAY 99
FILLMORE,UT84631
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-25387
X X     X   X     A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): INTERMOUNTAINHEALTHCARE.ORG/ABOUT/PAGES/CHNA-REPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

HOSPITAL REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

HOSPITAL REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINES 5 AND 11 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 OWNED 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 MINORITY POPULATIONS- 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 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. THE FOLLOWING FOUR BROAD CATEGORIES ORIGINALLY IDENTIFIED IN 2009 REMAIN SIGNIFICANT HEALTH ISSUES FOR THE COMMUNITIES SERVED BY EACH OF HEALTH SERVICES' HOSPITALS: 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 SOLICIT 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 HOSPITALS' COMMUNITIES. DATA WERE DRAWN FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL RECORDS STATISTICS, AND STATE HOSPITAL DISCHARGE DATA. TWO OR THREE YEARS OF DATA WERE AGGREGATED TOGETHER FOR EACH INDICATOR TO ACHIEVE A LARGE ENOUGH SAMPLE SIZE TO CREATE HEALTH INDICATORS IN EACH HOSPITAL'S 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 IMPROVEMENTS 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 POPULATIONS IN MANY GEOGRAPHIC AREAS, HEALTH SERVICES PARTNERED WITH COMMUNITIES TO ESTABLISH MENTAL HEALTH NETWORKS THAT SIGNIFICANTLY IMPROVE ACCESS TO DETOXIFICATION, COUNSELING, MEDICATION MANAGEMENT AND PEER SUPPORT SERVICES, THUS REDUCING LONG WAITS AND FREQUENT EMERGENCY DEPARTMENT VISITS AND INPATIENT TREATMENT. CURRENTLY, COMMUNITY NETWORKS ARE SERVING OR ARE IN DEVELOPMENT IN FOUR URBAN GEOGRAPHIC AREAS.
PART V, SECTION B, LINE 7A AND 10A INTERMOUNTAINHEALTHCARE.ORG/ABOUT/PAGES/CHNA-REPORTS
PART V, SECTION B, LINE 13H 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 ELIGIBILITY FOR FINANCIAL ASSISTANCE.ASSISTANCE BASED ON INCOME. HEALTH SERVICES EVALUATES AN INDIVIDUAL'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.
PART V, SECTION B, LINES 15E, 16I AND 20E 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 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 PRE-REGISTRATION OF PATIENTS PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS.SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
PART V, SECTION B, LINE 22D 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. FINAL AMOUNTS BILLED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE BASED ON THE PATIENT'S ABILITY TO PAY AS DETERMINED UNDER HEALTH SERVICES' FINANCIAL ASSISTANCE POLICY. THE FILING ORGANIZATION BELIEVES IT IS IN COMPLIANCE WITH THE LANGUAGE OF IRC SECTION 501(R) AND WILL COMPLY WITH THE FINAL REGULATIONS EFFECTIVE 1/1/2016.
PART V, SECTION B, LINE 16B AND 16C HTTP://INTERMOUNTAINHEALTHCARE.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?358
Name and address Type of Facility (describe)
1 AVENUES SPECIALTY CLINIC
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
2 MEMORIAL CLINIC
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
3 BOUNTIFUL CLINIC
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
4 ORTHOPEDIC SPECIALTY GROUP - TOSH
5848 S 300 E STE 120
MURRAY,UT841076121
CLINIC
5 CALTONHARRISON ORTHOPEDIC
4403 HARRISON BLVD STE 2400
OGDEN,UT844033297
CLINIC
6 MCKAY DEE RHEUMATOLOGY
4403 HARRISON BLVD STE 3650
OGDEN,UT844033288
CLINIC
7 LOGAN REGIONAL ORTHOPEDICS
1300 N 500 E STE 130
LOGAN,UT843412466
CLINIC
8 SOUTHERN UTAH NEUROSCIENCES INSTITUTE
652 S MEDICAL CENTER DR STE 420
ST GEORGE,UT847907049
CLINIC
9 BUDGE CLINIC INTERNAL MEDICINE
1350 N 500 E
LOGAN,UT843412400
CLINIC
10 INT HEART INSTITUTE-CARDIOLOGY
5169 S COTTONWOOD ST STE 520
MURRAY,UT841075701
CLINIC
11 SALT LAKE CLINIC LABORATORY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
12 INT HEART RHYTHM
5169 S COTTONWOOD ST STE 510
MURRAY,UT841075701
CLINIC
13 LAYTON CLINIC
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
14 BUDGE CLINIC OBSTETRICS & GYNECOLOGY
1400 N 500 E
LOGAN,UT843412455
CLINIC
15 INT NEUROSCIENCES INSTITUTE
5171 S COTTONWOOD ST STE 810
MURRAY,UT841075705
CLINIC
16 INT OBSTETRICS & GYNECOLOGY SPECIALISTS
5063 S COTTONWOOD ST STE 120
MURRAY,UT841076772
CLINIC
17 ALTA VIEW SPECIALTY CLINIC
9450 S 1300 E
SANDY,UT840945555
CLINIC
18 BUDGE CLINIC SURGICAL SPECIALISTS
1350 N 500 E
LOGAN,UT843412400
CLINIC
19 SOUTHRIDGE CLINIC
3723 W 12600 S STE 270
RIVERTON,UT840657296
CLINIC
20 TAYLORSVILLE CLINIC
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
21 SANDY CLINIC
9500 S 1300 E
SANDY,UT840943763
CLINIC
22 MCKAY DEE BEHAVIORAL HEALTH
3903 HARRISON BLVD STE 300
OGDEN,UT844032314
CLINIC
23 UTAH VALLEY NEONATOLOGY
1034 N 500 W
PROVO,UT846043380
CLINIC
24 BUDGE CLINIC PEDIATRICS
1350 N 500 E
LOGAN,UT843412400
CLINIC
25 NORTH OGDEN CLINIC
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
26 INT HEART CARDIOTHORACIC SURGERY
5169 S COTTONWOOD ST STE 600
MURRAY,UT841076771
CLINIC
27 LEGACY OBGYN
1159 E 200 N STE 250
AMERICAN FORK,UT840032028
CLINIC
28 SOUTHRIDGE PEDIATRICS
3723 W 12600 S STE 450
RIVERTON,UT840657296
CLINIC
29 RIM ROCK ORTHOPAEDICS
652 S MEDICAL CENTER DR STE 120
ST GEORGE,UT847907017
CLINIC
30 SALT LAKE CLINIC-FAMILY INTERNAL MEDICIN
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
31 INTERMOUNTAIN SURGICAL SPECIALISTS
5169 S COTTONWOOD ST STE 410
MURRAY,UT841076769
CLINIC
32 NORTHERN UTAH SURGEONS
4403 HARRISON BLVD STE 1635
OGDEN,UT844033272
CLINIC
33 CARDIOVASCULAR & THORACIC SURGERY - ST
1380 E MEDICAL CENTER DR STE 2600
ST GEORGE,UT847902134
CLINIC
34 REDROCK PEDIATRICS
1380 E MEDICAL CENTER DR STE 3100
ST GEORGE,UT847902135
CLINIC
35 SOUTHWEST CARDIOLOGY-ST GEORGE
1380 E MEDICAL CENTER DR STE 1500
ST GEORGE,UT847902128
CLINIC
36 TAYLORSVILLE INSTACARE
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
37 MCKAY DEE CARDIOLOGY
4403 HARRISON BLVD STE 3490
OGDEN,UT844033284
CLINIC
38 CEDAR CITY CLINIC
1303 N MAIN ST STE 3C
CEDAR CITY,UT847209746
CLINIC
39 MCKAY DEE DERM & PLASTIC SURGERY
4403 HARRISON BLVD STE 3680
OGDEN,UT844033289
CLINIC
40 UTAH VALLEY ORTHOPAEDICS - PROVO
1157 N 300 W STE 201
PROVO,UT846046124
CLINIC
41 HOLLADAY PEDIATRICS
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
42 ORTHOPEDIC SPECIALTY GROUP -LDS CAMPUS
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
43 RIVER ROAD FAMILY MEDICINE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
44 AVENUES PSYCHIATRY & COUNSELING
324 10TH AVE STE 178
SALT LAKE CITY,UT841032885
CLINIC
45 CENTRAL OREM CLINIC
505 W 400 N
OREM,UT840571950
CLINIC
46 UNION PARK PSYCHIATRY & COUNSELING
1225 E FORT UNION BLVD STE 215
COTTONWOOD HEIGHTS,UT840471882
CLINIC
47 MOUNTAIN VIEW PEDIATRICS
9720 S 1300 E STE 100
SANDY,UT840943743
CLINIC
48 UTAH VALLEY VASCULAR SURGERY
1055 N 300 W STE 205
PROVO,UT846045044
CLINIC
49 SALT LAKE CLINIC-INFUSION
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
50 OREM OBGYN
505 W 400 N
OREM,UT840571950
CLINIC
51 ZION ORTHOPAEDICS & SPORTS MEDICINE
652 S MEDICAL CENTER DR STE 400
ST GEORGE,UT847907017
CLINIC
52 SALT LAKE CLINIC-PHYSICAL MEDICINE
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
53 NORTH OGDEN INSTACARE
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
54 SANDY INSTACARE
9493 S 700 E
SANDY,UT840703459
CLINIC
55 LOGAN INSTACARE
412 N 200 E
LOGAN,UT843214038
CLINIC
56 HEREFORDSHIRE CLINIC
1915 W 5950 S
ROY,UT840671454
CLINIC
57 MEDICAL CENTER RADIATION ONCOLOGY
5121 S COTTONWOOD ST
MURRAY,UT841075701
CLINIC
58 WASATCH OBGYN
4403 HARRISON BLVD STE 4815
OGDEN,UT844033333
CLINIC
59 NORTHERN UTAH PEDIATRICS
4403 HARRISON BLVD STE 4875
OGDEN,UT844033335
CLINIC
60 SALT LAKE CLINIC-DERMATOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
61 ROSE CANYON CLINIC
5541 W 13400 S
RIVERTON,UT840965640
CLINIC
62 MEMORIAL INSTACARE
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
63 RIVER ROAD INTERNAL MEDICINE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
64 MCKAY DEE NEONATOLOGY
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
65 BOUNTIFUL INSTACARE
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
66 SEVIER VALLEY CLINIC
1000 N MAIN ST STE A
RICHFIELD,UT847012069
CLINIC
67 HOLLADAY INSTACARE
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
68 SOUTH OGDEN CLINIC
975 CHAMBERS ST
SOUTH OGDEN,UT844034591
CLINIC
69 SALT LAKE CLINIC-ORTHOPEDICS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
70 WEST JORDAN INSTACARE
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
71 UTAH VALLEY PSYCHIATRY & COUNSELING
1034 N 500 W
PROVO,UT846043380
CLINIC
72 INTERMOUNTAIN UROLOGICAL INSTITUTE
5169 S COTTONWOOD ST STE 420
MURRAY,UT841076769
CLINIC
73 HILLCREST PEDIATRICS
5063 S COTTONWOOD ST STE 160
MURRAY,UT841076773
CLINIC
74 INTERNAL MEDICINE ASSOCIATES
9844 S 1300 E STE 200
SANDY,UT840944689
CLINIC
75 NORTH OREM INSTACARE
1975 N STATE ST
OREM,UT840572028
CLINIC
76 UTAH VALLEY HEART & LUNG SURGICAL ASSOC
1134 N 500 W STE 100
PROVO,UT846046101
CLINIC
77 SOUTHRIDGE INSTACARE
3723 W 12600 S STE 150
RIVERTON,UT840657296
CLINIC
78 SUNSET FAMILY PRACTICE
1739 W SUNSET BLVD
ST GEORGE,UT847707141
CLINIC
79 OGDEN CARDIOVASCULAR ASSOCIATES
4403 HARRISON BLVD STE 3835
OGDEN,UT844033331
CLINIC
80 SOUTH SANDY CLINIC
955 E 11400 S
SANDY,UT840946946
CLINIC
81 UTAH VALLEY PULM-CRITICAL CARE
1055 N 300 W STE 500
PROVO,UT846043312
CLINIC
82 HOLLADAY CLINIC
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
83 MCKAY DEE ENT
4403 HARRISON BLVD STE 2645
OGDEN,UT844033278
CLINIC
84 SALT LAKE CLINIC-PEDIATRICS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
85 WEST JORDAN CLINIC
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
86 SOUTHRIDGE OB-GYN
3723 W 12600 S STE 360
RIVERTON,UT840657296
CLINIC
87 MCKAY DEE INTERNAL MEDICINE
4403 HARRISON BLVD STE 3875
OGDEN,UT844033332
CLINIC
88 WOMENS HEALTH SPECIALISTS
346 E 600 S
ST GEORGE,UT847703949
CLINIC
89 SEVIER VALLEY SPECIALTY CLINIC
1000 N MAIN ST STE B
RICHFIELD,UT847012069
CLINIC
90 LAYTON INSTACARE
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
91 HEREFORDSHIRE INSTACARE
1915 W 5950 S
ROY,UT840671454
CLINIC
92 ORTHOPEDIC SPECIALTY GROUP-ALTA VIEW
9450 S 1300 E STE 120
SANDY,UT840945559
CLINIC
93 ORTHOPEDIC SPECIALTY GROUP - RIVERTON
3723 W 12600 S STE 460
RIVERTON,UT840657295
CLINIC
94 LOGAN CLINIC
412 N 200 E
LOGAN,UT843214038
CLINIC
95 SALT LAKE CLINIC-ENT
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
96 NORTH CANYON FAMILY PRACTICE
3200 N CANYON RD STE D
PROVO,UT846044678
CLINIC
97 BEAR RIVER CLINIC
935 N 1000 W
TREMONTON,UT843379356
CLINIC
98 RIVER ROAD INSTACARE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
99 PARK CITY SPECIALTY
900 ROUND VALLEY DR STE 200
PARK CITY,UT840607532
CLINIC
100 MCKAY DEE CARDIOLOGY SOUTH
4403 HARRISON BLVD STE 3400
OGDEN,UT844033281
CLINIC
101 LAYTON ORTHOPEDICS
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
102 PARK CITY SPECIALTY EAST
750 ROUND VALLEY DR STE 101
PARK CITY,UT840600000
CLINIC
103 PARK CITY BONANZA INSTACARE
1665 BONANZA DR
PARK CITY,UT840605127
CLINIC
104 INTERMOUNTAIN NURSE MIDWIVES
5121 S COTTONWOOD ST STE 170
MURRAY,UT841075701
CLINIC
105 TAYLORSVILLE KIDSCARE
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
106 MURRAY INSTACARE
196 E WINCHESTER ST
MURRAY,UT841077211
CLINIC
107 SARATOGA SPRINGS INSTACARE
354 W STATE RD 73
SARATOGA SPRINGS,UT840432901
CLINIC
108 SOUTHWEST UROLOGY
1380 E MEDICAL CENTER DR STE 2100
ST GEORGE,UT847902129
CLINIC
109 HOLLADAY ALLERGY AND DERMATOLOGY
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
110 SALT LAKE INSTACARE
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
111 AVENUES WOMENS CENTER
370 9TH AVE STE 205
SALT LAKE CITY,UT841033184
CLINIC
112 BUDGE CLINIC GI
1300 N 500 E STE 340
LOGAN,UT843412470
CLINIC
113 SOUTH JORDAN CLINIC
11444 S REDWOOD RD
SOUTH JORDAN,UT840957803
CLINIC
114 UTAH VALLEY WOMENS CENTER
1157 N 300 W STE 301
PROVO,UT846046124
CLINIC
115 MEDICAL TOWER FAMILY PRACTICE
5770 S 250 E STE 170
MURRAY,UT841078107
CLINIC
116 SALT LAKE CLINIC-OPHTHALMOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
117 SALT LAKE CLINIC-ALLERGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
118 HURRICANE VALLEY CLINIC
75 N 2260 W
HURRICANE,UT847372034
CLINIC
119 SOUTH CACHE VALLEY CLINIC
190 S HIGHWAY 165
PROVIDENCE,UT843329512
CLINIC
120 DIXIE NEONATOLOGY
544 S 400 E
ST GEORGE,UT847703705
CLINIC
121 SOUTHERN UTAH SURGICAL ASSOCIATES
166 W 1325 N STE 350
CEDAR CITY,UT847207796
CLINIC
122 SANDY OBGYN
9600 S 1300 E STE 308
SANDY,UT840943764
CLINIC
123 ALTA VIEW PLASTIC SURG SPECIALISTS
9450 S 1300 E
SANDY,UT840945555
CLINIC
124 COTTONWOOD INTERNAL MEDICINE
5770 S 250 E STE 335
MURRAY,UT841078111
CLINIC
125 SOUTH OGDEN INSTACARE
975 CHAMBERS ST
SOUTH OGDEN,UT844034591
CLINIC
126 BLOOD AND MARROW TRANSPLANTLEUKEMIA
8TH AVE AND C ST
SALT LAKE CITY,UT841430001
CLINIC
127 INT MFM SPECIALISTS DIAGNOSTIC
5121 S COTTONWOOD ST STE 100
MURRAY,UT841075701
CLINIC
128 AMERICAN FORK SURGICAL ASSOCIATES
98 N 1100 E STE 202
AMERICAN FORK,UT840032941
CLINIC
129 NORTH VALLEY PEDIATRICS
98 N 1100 E STE 201
AMERICAN FORK,UT840032941
CLINIC
130 AMERICAN FORK INTERNAL MEDICINE
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
131 SARATOGA SPRINGS FAMILY PRACTICE
354 W STATE RD 73
SARATOGA SPRINGS,UT840432901
CLINIC
132 SPRINGVILLE INSTACARE
762 W 400 S
SPRINGVILLE,UT846633096
CLINIC
133 COTTONWOOD FAMILY PRACTICE
5872 S 900 E STE 100
MURRAY,UT841211677
CLINIC
134 ROCK CANYON PEDIATRIC SPECIALISTS
1134 N 500 W STE 101
PROVO,UT846045569
CLINIC
135 CACHE VALLEY HEART CLINIC
1300 N 500 E STE 320
LOGAN,UT843412462
CLINIC
136 ORTHOPEDIC SPECIALTY GROUP - MED CTR
5169 S COTTONWOOD ST STE 430
MURRAY,UT841076774
CLINIC
137 SALT LAKE CLINIC-OBGYN
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
138 PARK CITY CLINIC-ROUND VALLEY
750 ROUND VALLEY DR
PARK CITY,UT840607548
CLINIC
139 HEBER VALLEY CLINIC
1473 S HIGHWAY 40 STE E
HEBER CITY,UT840323522
CLINIC
140 MCKAY DEE HEART SERVICES
4403 HARRISON BLVD STE 3450
OGDEN,UT844033282
CLINIC
141 UTAH VALLEY ENT - NORTH VALLEY
98 N 1100 E STE 203
AMERICAN FORK,UT840032941
CLINIC
142 AMERICAN FORK DERMATOLOGY
98 N 1100 E STE 301
AMERICAN FORK,UT840032947
CLINIC
143 UTAH VALLEY SPORTS MEDICINE
1157 N 300 W STE 201
PROVO,UT846046124
CLINIC
144 PROVO INSTACARE
1134 N 500 W STE 102
PROVO,UT846045569
CLINIC
145 SOUTHRIDGE KIDSCARE
3723 W 12600 S STE 150
RIVERTON,UT840657296
CLINIC
146 TOOELE INSTACARE
777 N MAIN ST
TOOELE,UT840741611
CLINIC
147 MCKAY DEE CRITICAL CARE
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
148 AMERICAN FORK INSTACARE
98 N 1100 E STE 101
AMERICAN FORK,UT840032940
CLINIC
149 MCKAY DEE FOOT & ANKLE
4403 HARRISON BLVD STE 2835
OGDEN,UT844033327
CLINIC
150 NORTH CACHE VALLEY CLINIC
4088 N HIGHWAY 91
HYDE PARK,UT843184108
CLINIC
151 BOUNTIFUL KIDSCARE
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
152 REDROCK DIGESTIVE HEALTH
652 S MEDICAL CENTER DR STE 330
ST GEORGE,UT847907017
CLINIC
153 DIXIE PULMONARY CRITICAL CARE
1380 E MEDICAL CENTER DR
ST GEORGE,UT847902123
CLINIC
154 HIGHLAND CLINIC
10968 N ALPINE HWY
HIGHLAND,UT840038874
CLINIC
155 SOUTHERN UTAH PLASTIC SURGERY & DERM
652 S MEDICAL CENTER DR STE 300
ST GEORGE,UT847907266
CLINIC
156 SOUTHERN UTAH ORTHO SPORTS MED
166 W 1325 N STE 150
CEDAR CITY,UT847217797
CLINIC
157 SUNSET INSTACARE
1739 W SUNSET BLVD
ST GEORGE,UT847707141
CLINIC
158 LOGAN PHYSICAL THERAPY
1300 N 500 E STE 130
LOGAN,UT843412466
CLINIC
159 FILLMORE CLINIC
700 S HIGHWAY 99 STE 3
FILLMORE,UT846315137
CLINIC
160 NORTH OREM CLINIC
1975 N STATE ST
OREM,UT840572028
CLINIC
161 OGDEN WORKMED
1355 W 3400 S
OGDEN,UT844013376
CLINIC
162 UTAH VALLEY RADIATION ONCOLOGY
1034 N 500 W
PROVO,UT846043380
CLINIC
163 MCKAY DEE ENDOCRINE & DIABETES
4403 HARRISON BLVD STE 3630
OGDEN,UT844033287
CLINIC
164 SPORTS MEDICINE SPECIALISTS - BNTFL
280 N MAIN ST
BOUNTIFUL,UT840106136
CLINIC
165 UTAH VALLEY ORTHOPAEDICS - NORTH
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
166 COTTONWOOD ENDOCRINE & DIABETES CNTR
5770 S 250 E STE 310
MURRAY,UT841078110
CLINIC
167 SOUTHWEST REGIONAL CANCER CLINIC
544 S 400 E
ST GEORGE,UT847703705
CLINIC
168 SOUTHWEST NEUROLOGY ASSOCIATES
652 S MEDICAL CENTER DR STE 320
ST GEORGE,UT847907266
CLINIC
169 CEDAR CITY INSTACARE
962 SAGE DR
CEDAR CITY,UT847201885
CLINIC
170 SPRINGVILLE CLINIC
762 W 400 S
SPRINGVILLE,UT846633096
CLINIC
171 NORTH CACHE VALLEY INSTACARE
4088 N HIGHWAY 91
HYDE PARK,UT843184108
CLINIC
172 SALT LAKE WORKMED
1685 W 2200 S
SALT LAKE CITY,UT841191456
CLINIC
173 INTERMOUNTAIN SURGICAL ONCOLOGY
5169 S COTTONWOOD ST STE 440
MURRAY,UT841076774
CLINIC
174 INT HEART CARDIOLOGY-LDSH
8TH AVE AND C ST
SALT LAKE CITY,UT841430002
CLINIC
175 AMERICAN FORK PULMONARY CLINIC
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
176 MT PLEASANT CLINIC
1100 S MEDICAL DR
MT PLEASANT,UT846472222
CLINIC
177 LDS CAMPUS SLEEP PROGRAM
325 8TH AVE
SALT LAKE CITY,UT841430001
CLINIC
178 VALLEY VIEW FAMILY MEDICINE
1333 N MAIN ST
CEDAR CITY,UT847219314
CLINIC
179 NORTH TEMPLE CLINIC
54 N 800 W
SALT LAKE CITY,UT841163326
CLINIC
180 SYRACUSE CLINIC
745 S 2000 W
SYRACUSE,UT840759621
CLINIC
181 KEARNS CLINIC
4946 W 6200 S
KEARNS,UT841186703
CLINIC
182 ISOM PLASTIC SURGERY
1350 N 500 E STE 310
LOGAN,UT843412400
CLINIC
183 SALT LAKE CLINIC-UROLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
184 EPHRAIM CLINIC
525 N MAIN ST
EPHRAIM,UT846271155
CLINIC
185 VALLEY VIEW HEART CLINIC
1303 N MAIN ST STE H
CEDAR CITY,UT847209746
CLINIC
186 DIXIE RADIATION ONCOLOGY
544 S 400 E
ST GEORGE,UT847703705
CLINIC
187 MATERNAL FETAL MEDICINE SPECIALISTS
5121 S COTTONWOOD ST STE 130
MURRAY,UT841075701
CLINIC
188 TAYLORSVILLE PT CLINIC
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
189 SALT LAKE CLINIC-ENDOCRINOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
190 HURRICANE VALLEY INSTACARE
75 N 2260 W
HURRICANE,UT847372034
CLINIC
191 MCKAY DEE RADIATION ONCOLOGY
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
192 INTERMOUNTAIN PLASTIC SURGERY CENTER
5169 S COTTONWOOD ST STE 410
MURRAY,UT841076769
CLINIC
193 INT CARDIOVASCULAR INTENSIVISTS
5169 S COTTONWOOD ST STE 600
MURRAY,UT841076771
CLINIC
194 PHYSICAL MEDICINE & REHAB CLINIC
1055 N 300 W STE 410
PROVO,UT846043354
CLINIC
195 SUMMIT ORTHOPEDICS
4403 HARRISON BLVD STE 2600
OGDEN,UT844033277
CLINIC
196 SALT LAKE CLINIC-RHEUMATOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
197 WASATCH OBGYN-LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
198 WEST JORDAN KIDSCARE
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
199 OREM WORKMED
830 N 980 W
OREM,UT840577709
CLINIC
200 WEST JORDAN PT - REHAB SVCS
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
201 UTAH VALLEY PULMONARY CLINIC
1055 N 300 W STE 500
PROVO,UT846043312
CLINIC
202 MEMORIAL KIDSCARE
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
203 LDS HOSPITAL RADIATION ONCOLOGY
8TH AVE AND C ST
SALT LAKE CITY,UT841430002
CLINIC
204 HOLLADAY PEDIATRICS NORTH
2160 E 4500 S
SALT LAKE CITY,UT841174011
CLINIC
205 CALTON-HARRISON CLINIC - TRAUMA
4403 HARRISON BLVD STE 2400
OGDEN,UT844033297
CLINIC
206 SL CLINIC PHYSICAL THERAPY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
207 CENTRAL ENT HEAD-NECK SURGERY
5169 S COTTONWOOD ST STE 640
MURRAY,UT841076771
CLINIC
208 INTERMOUNTAIN SLEEP PROGRAM TOSH
5770 S 250 E STE 340
MURRAY,UT841078163
CLINIC
209 MANTI FAMILY CLINIC
159 N MAIN ST
MANTI,UT846421257
CLINIC
210 SALT LAKE CLINIC-CARDIOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
211 SYRACUSE INSTACARE
745 S 2000 W
SYRACUSE,UT840759621
CLINIC
212 UTAH VALLEY MATERNAL FETAL MEDICINE
1034 N 500 W
PROVO,UT846043380
CLINIC
213 ORTHOPEDIC SPECIALTY GROUP - TRAUMA
5169 S COTTONWOOD ST STE 430
MURRAY,UT841076774
CLINIC
214 MOUNTAIN VIEW KIDSCARE
9720 S 1300 E STE 100
SANDY,UT840943743
CLINIC
215 BOUNTIFUL CLINIC PT
280 N MAIN ST
BOUNTIFUL,UT84010
CLINIC
216 UTAH VALLEY SPORTS MEDICINE - NORTH VALL
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
217 MURRAY WORKMED
201 E 5900 S STE 100
MURRAY,UT841075429
CLINIC
218 MCKAY DEE DERM & PLASTIC-LAY
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
219 PAYSON INSTACARE
854 TURF FARM RD STE 1
PAYSON,UT846515733
CLINIC
220 INT HEART CARDIOLOGY-RVH
3741 W 12600 S STE 160A
RIVERTON,UT840657215
CLINIC
221 MEMORIAL CLINIC PT
2000 SOUTH 900 EAST
SALT LAKE CITY,UT841053208
CLINIC
222 AVENUES CLINIC PT
324 E 10TH AVE 100
SALT LAKE CITY,UT841032827
CLINIC
223 SALT LAKE CLINIC-PODIATRY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
224 DIXIE SLEEP DISORDERS CENTER
652 S MEDICAL CENTER DR STE 310
ST GEORGE,UT847907017
CLINIC
225 MORONI CLINIC
51 E MAIN ST
MORONI,UT846460810
CLINIC
226 ST GEORGE WORKMED
385 N 3050 E
ST GEORGE,UT847909003
CLINIC
227 LOGAN WORKMED
412 N 200 E
LOGAN,UT843214038
CLINIC
228 AMERICAN FORK RADIATION ONCOLOGY
170 N 1100 E
AMERICAN FORK,UT840032096
CLINIC
229 WASATCH OBGYN-NORTH OGDEN
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
230 INT HEART CARDIOLOGY-AVH
9690 S 1300 E STE 200
SANDY,UT840943740
CLINIC
231 SALT LAKE WORKMED PT
1685 W 2200 S
SALT LAKE CITY,UT841191456
CLINIC
232 MCKAY DEE HRT SRV-HEART FAILURE
4403 HARRISON BLVD STE 3430
OGDEN,UT844033343
CLINIC
233 LOGAN RADIATION ONCOLOGY
500 E 1400 N
LOGAN,UT843412455
CLINIC
234 HOLLADAY PHYSICAL THERAPY
6272 S HIGHLAND DR 203
MURRAY,UT841211677
CLINIC
235 UTAH VALLEY ENT PROVO
1157 N 300 W STE 301
PROVO,UT846046124
CLINIC
236 SALT LAKE CLINIC-NEUROLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
237 INTERMOUNTAIN SENIOR CLINIC
5770 S 250 E STE 210
MURRAY,UT841076163
CLINIC
238 NORTH SEVIER MEDICAL CLINIC
530 N 250 W
SALINA,UT846545514
CLINIC
239 SOUTHERN UTAH NEURO-CEDAR
1303 N MAIN ST
CEDAR CITY,UT847209746
CLINIC
240 SPRINGVILLE WORKMED
385 S 400 E
SPRINGVILLE,UT846631955
CLINIC
241 MCKAY DEE MATERNAL FETAL MEDICINE
4401 HARRISON BLVD STE 4600
OGDEN,UT844033293
CLINIC
242 PROVO NEUROLOGICAL CLINIC NW PLAZA
1157 N 300 W STE 301
PROVO,UT846046124
CLINIC
243 SNOWBIRD CLINIC
HIGHWAY 210 LITTLE COTTONWOOD
CANYON
SNOWBIRD,UT840920000
CLINIC
244 MOUNTAIN FAMILY HEALTH
2720 HOMESTEAD ROAD STE 100
PARK CITY,UT840984882
CLINIC
245 SOUTHWEST RHEUMATOLOGY ASSOCIATES
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
246 LAYTON WORKMED
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
247 NORTHERN UTAH KIDSCARE
4403 HARRISON BLVD STE 4875
OGDEN,UT844033335
CLINIC
248 LOGAN PSYCHIATRY
1300 N 500 E STE 250
LOGAN,UT843412417
CLINIC
249 INT NEUROSCIENCES-INPATIENT
5171 S COTTONWOOD ST STE 810
MURRAY,UT841075705
CLINIC
250 MCKAY DEE NEUROLOGY
4403 HARRISON BLVD STE 3855
OGDEN,UT844033349
CLINIC
251 LIVE WELL CENTER-SALT LAKE CITY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
252 ALTA VIEW HOSPITAL SENIOR CLINIC
9720 S 1300 E STE E240
SANDY,UT840943795
CLINIC
253 DIXIE INPATIENT PSYCHIATRY
544 S 400 E
ST GEORGE,UT847703705
CLINIC
254 KAYSVILLE CREEKSIDE CLINIC
435 N MAIN ST
KAYSVILLE,UT840371194
CLINIC
255 LDS MATERNAL FETAL MEDICINE
8TH AVE AND C ST
SALT LAKE CITY,UT841430001
CLINIC
256 DIXIE HIGH RISK OB
544 S 400 E
ST GEORGE,UT847703705
CLINIC
257 DIXIE ENDO-DIABETES CLINIC
348 E 600 S
ST GEORGE,UT847703949
CLINIC
258 CANYON VIEW
15 E 400 N
PAROWAN,UT847610000
CLINIC
259 SL CLINIC-SURGICAL SPECIALISTS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
260 HYDE PARK PHYSICAL THERAPY
4088 N HIGHWAY 91
HYDE PARK,UT843184125
CLINIC
261 BEAR RIVER SPECIALISTS
935 N 1000 W
TREMONTON,UT843379356
CLINIC
262 US SYNTHETIC CLINIC
1260 S 1600 W
OREM,UT840584931
CLINIC
263 PROVIDENCE PHYSICAL THERAPY
190 S HIGHWAY 165
PROVIDENCE,UT843329512
CLINIC
264 INT PSYCHIATRY & COUNSELING-ST GEORGE
320 E 600 S
ST GEORGE,UT847703949
CLINIC
265 ST GEORGE PULMONARY CLINIC
1380 E MEDICAL CENTER DR STE 2200
ST GEORGE,UT847902130
CLINIC
266 DRAPER INSTACARE
12473 S MINUTEMAN DR
DRAPER,UT840207870
CLINIC
267 ALTA VIEW NURSE MIDWIVES
9600 S 1300 E STE 310
SANDY,UT840943766
CLINIC
268 LDS CAMPUS SLEEP-AVENUES
440 D ST STE 200
SALT LAKE CITY,UT841032827
CLINIC
269 DIXIE MATERNAL FETAL MEDICINE
544 S 400 E
ST GEORGE,UT847703705
CLINIC
270 MCKAY DEE ENT-LAY
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
271 KAYSVILLE CREEKSIDE INSTACARE
435 N MAIN ST
KAYSVILLE,UT840371194
CLINIC
272 LAYTON KIDSCARE
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
273 VALLEY VIEW RADIATION ONCOLOGY
1303 N MAIN ST
CEDAR CITY,UT847219746
CLINIC
274 THE NEIGHBORHOOD CLINIC
1388 S NAVAJO ST
SALT LAKE CITY,UT841043444
CLINIC
275 SO JORDAN CLINIC PT
11444 SOUTH REDWOOD ROAD
SOUTH JORDAN,UT84095
CLINIC
276 DIXIE ACUTE REHAB
544 S 400 E
ST GEORGE,UT847703705
CLINIC
277 SOUTH SEVIER CLINIC
539 S MAIN ST
MONROE,UT847544623
CLINIC
278 CEDAR CITY WORKMED
962 SAGE DR
CEDAR CITY,UT847201885
CLINIC
279 RIVERTON CAMPUS SLEEP PROGRAM
3723 W 12600 S STE 480
RIVERTON,UT840657296
CLINIC
280 IM FLASH
1550 E 3400 N
LEHI,UT840439692
CLINIC
281 INTERMOUNTAIN PSYCH & COUNSELING
5169 S COTTONWOOD ST STE 400
MURRAY,UT841076769
CLINIC
282 PARK CITY CLINIC-CANYONS
4000 CANYONS RESORT DR
PARK CITY,UT840986546
CLINIC
283 DRAPER CLINIC
12473 S MINUTEMAN DR
DRAPER,UT840207870
CLINIC
284 WHITE SAGE FAMILY MEDICINE
130 WHITE SAGE AVE
DELTA,UT846248928
CLINIC
285 MCKAY DEE BH - LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
286 ROSE CANYON PHYSICAL THERAPY
5541 W 13400 S
RIVERTON,UT840965640
CLINIC
287 AMERICAN FORK MATERNAL FETAL MED
98 N 1100 E STE 402
AMERICAN FORK,UT840032951
CLINIC
288 COMPREHENSIVE CARE CLINIC MURRAY
5171 S COTTONWOOD ST STE 350
MURRAY,UT841075704
CLINIC
289 HEBER VALLEY SPECIALTY CLINIC
380 E 1500 S STE 202
HEBER CITY,UT840323942
CLINIC
290 NORTH VALLEY PEDS-DR WISE
1888 W 800 N
PLEASANT GROVE,UT840624097
CLINIC
291 SOUTHWEST REGIONAL CANCER-CEDAR CITY
1303 N MAIN ST
CEDAR CITY,UT847209746
CLINIC
292 MCKAY DEE INFECTIOUS DISEASE
4403 HARRISON BLVD STE 3630
OGDEN,UT844033287
CLINIC
293 PROVO NEUROLOGICAL CLINIC-UVRMC
1034 N 500 W
PROVO,UT846043380
CLINIC
294 LIFETIME
FREEPORT CENTER BLDG D-12
CLEARFIELD,UT840160010
CLINIC
295 PAYSON CLINIC
854 TURF FARM RD STE 1
PAYSON,UT846515733
CLINIC
296 CENTRAL OREM OBGYN-PIC
1134 N 500 W STE 102
PROVO,UT846045569
CLINIC
297 BUDGE SURGICAL SPEC-NORTH OGDEN
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
298 PARK CITY ALLERGY CLINIC
750 ROUND VALLEY DR STE 101A
PARK CITY,UT840607549
CLINIC
299 PHYSICAL MED AND REHAB-AMERICAN FORK
1159 E 200 N STE 100
AMERICAN FORK,UT840032053
CLINIC
300 IMED CAMPUS SLEEP PROGRAM
5121 S COTTONWOOD ST
MURRAY,UT841075701
CLINIC
301 ALTA VIEW UROLOGICAL ASSOCIATES
9720 S 1300 E STE E230
SANDY,UT840943771
CLINIC
302 DRAPER PHYSICAL THERAPY
12473 S MINUTEMAN DR
DRAPER,UT840207870
CLINIC
303 DIXON CLINIC
750 W 200 N
PROVO,UT846012606
CLINIC
304 SALT LAKE CLINIC-MHI
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
305 LAYTON ORTHOPEDICS-NORTH OGDEN
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
306 MCKAY DEE GASTROENTEROLOGY CLINIC
4403 HARRISON BLVD STE 2600
OGDEN,UT844033277
CLINIC
307 LINCOLN SCHOOL CLINIC
1090 ROBERTA ST
SALT LAKE CITY,UT841114624
CLINIC
308 ROSE PARK ELEMENTARY CLINIC
1105 W 1000 N
SALT LAKE CITY,UT841162135
CLINIC
309 SALT LAKE CLINIC-ANTICOAGULATION
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
310 BEAR RIVER SPECIALISTS - MALAD
150 N 200 W
MALAD,ID832521239
CLINIC
311 ALTA VIEW SLEEP PROGRAM
9660 S 1300 E
SANDY,UT840943762
CLINIC
312 DIXIE INFECTIOUS DISEASE CLINIC
1380 E MEDICAL CENTER DR STE 2300
ST GEORGE,UT847902131
CLINIC
313 UTAH VALLEY SPORTS MED-BYU EXT
87 SMITH FIELD HOUSE
PROVO,UT846020002
CLINIC
314 VALLEY VIEW WOUND CLINIC
1333 N MAIN ST STE 3
CEDAR CITY,UT847219314
CLINIC
315 MCKAY DEE ENT-OGDEN CLINIC
4650 HARRISON BLVD
OGDEN,UT844034303
CLINIC
316 AMERICAN FORK WOUND CARE
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
317 LOGAN MATERNAL FETAL MEDICINE
1400 N 500 E
LOGAN,UT843412455
CLINIC
318 INTERMOUNTAIN EMPLOYEE CLINIC
5171 S COTTONWOOD ST STE 130
MURRAY,UT841075731
CLINIC
319 SL COUNTY HEALTHME MEDICAL CLINIC
2001 S STATE ST STE S2-500
SALT LAKE CITY,UT841903100
CLINIC
320 INT HEART CARDIOLOGY-SL CLINIC
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
321 INT HEART RHYTHM LOGAN
1300 N 500 E STE 320
LOGAN,UT843412462
CLINIC
322 SEVIER VALLEY FP SVMC
1000 N MAIN ST
RICHFIELD,UT847011857
CLINIC
323 MCKAY DEE SLEEP MEDICINE CLINIC
4403 HARRISON BLVD STE 2600
OGDEN,UT844033277
CLINIC
324 UTAH VALLEY ORTHO-NVSARATOGA
250 E STATE RD 73
SARATOGA SPRINGS,UT840432966
CLINIC
325 INT HEART CARDIOLOGY-PKMC
900 ROUND VALLEY DR
PARK CITY,UT840607552
CLINIC
326 SNOWBASIN CLINIC
3925 E SNOWBASIN DR
HUNTSVILLE,UT843170000
CLINIC
327 INT HEART RHYTHM CASPER
1233 E 2ND ST
CASPER,WY826012926
CLINIC
328 MCKAY DEE PEDS CS SEDATION
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
329 UTAH VALLEY SPORTS MED-UVSC
800 W UNIVERSITY PKWY
OREM,UT840586703
CLINIC
330 PARK CITY SLEEP DISORDERS CLINIC
750 ROUND VALLEY DR STE 101A
PARK CITY,UT840607549
CLINIC
331 INT HEART RHYTHM POCATELLO
777 HOSPITAL WAY STE 101
POCATELLO,ID832015162
CLINIC
332 UTAH VALLEY HEART & LUNG-VEIN
1134 N 500 W STE 100
PROVO,UT846043383
CLINIC
333 INT HEART RHYTHM IDAHO FALLS
3100 CHANNING WAY
IDAHO FALLS,ID834047533
CLINIC
334 MCKAY DEE PALLIATIVE CARE
4403 HARRISON BLVD STE 3630
OGDEN,UT844033287
CLINIC
335 AMERICAN FORK PHYSICAL MED & REHAB
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
336 INTERMOUNTAIN NURSE MIDWIVES-NCS
1388 S NAVAJO ST
SALT LAKE CITY,UT841043444
CLINIC
337 SOUTHERN UTAH SURGICAL-GARFIELD
224 N 400 E
PANGUITCH,UT847598001
CLINIC
338 VALLEY VIEW HEART-GARFIELD
200 N 400 E
PANGUITCH,UT847590389
CLINIC
339 SOUTHERN UTAH SURGICAL-DELTA
126 WHITE SAGE AVE
DELTA,UT846248937
CLINIC
340 DIXIE HIGH RISK FERTILITY
544 S 400 E
ST GEORGE,UT847703705
CLINIC
341 UTAH VALLEY MFM-ONCOLOGY
1034 N 500 W
PROVO,UT846043380
CLINIC
342 RIM ROCK ORTHOPAEDICS-DSC
225 S 700 E
ST GEORGE,UT847703875
CLINIC
343 INT NURSE MIDWIVES-ROSE PARK
1105 W 1000 N
SALT LAKE CITY,UT841162135
CLINIC
344 INT HEART RHYTHM COTTONWOOD
5979 FASHION BLVD
SALT LAKE CITY,UT841077364
CLINIC
345 DIXIE NEONATOLOGY-GRADUATE
544 S 400 E
ST GEORGE,UT847703705
CLINIC
346 MCKAY DEE CARDIO-EASTERN IDAHO
2001 S WOODRUFF AVE STE 12
IDAHO FALLS,ID834046372
CLINIC
347 ALTA VIEW MATERNAL FETAL MEDICINE
9660 S 1300 E
SANDY,UT840943762
CLINIC
348 MCKAY DEE CARDIO-ID HEART INST
2985 CORTEZ AVE
IDAHO FALLS,ID834047554
CLINIC
349 INT HEALTHCARE FLU SHOT CLINIC
776 N TERMINAL DR
SALT LAKE CITY,UT841227003
CLINIC
350 INT HEART RHYTHM MURRAY
5292 S COLLEGE DR STE 200
MURRAY,UT841232598
CLINIC
351 GORANG FAMILY PRACTICE
9720 S 1300 E STE E230
SANDY,UT840943771
CLINIC
352 PRIMARY CHILDREN'S RADIATION ONCOLOGY
100 N MEDICAL DR
SALT LAKE CITY,UT841131103
CLINIC
353 INT HEART-RHYTHM-GENETIC HEART
5169 S COTTONWOOD ST STE 510A
MURRAY,UT841075701
CLINIC
354 SOUTHWEST CARDIOLOGY-CEDAR CITY
110 W 1325 N STE 100
CEDAR CITY,UT847218101
CLINIC
355 CW ENDOCRINE & DIABETES-MC
5169 S COTTONWOOD ST STE 640
MURRAY,UT841076771
CLINIC
356 INT HEART-IHL-CARDIAC CARE
5121 S COTTONWOOD ST
MURRAY,UT841075701
CLINIC
357 ORTHO SPECIALTY GROUP-DIRECT BILLING
310 E 4500 S STE 215
MURRAY,UT841073221
CLINIC
358 SANDY SLEEP DISORDERS
9600 S 1300 E
SANDY,UT840943766
CLINIC
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
PART I, LINE 3C: MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO INDIVIDUALS AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD ARE RESPONSIBLE FOR ONLY A MINUMUM CO-PAY. EVIDENCE HAS SHOWN THAT PATIENTS WHO PAY SOMETHING, EVEN VERY SMALL AMOUNTS, ARE MORE LIKELY TO FOLLOW THE MEDICAL RECOMMENDATIONS GIVEN TO THEM BY PROVIDERS. PATIENTS WHO ARE NOT ABLE TO CONTRIBUTE ANYTHING ARE NOT REQUIRED TO CONTRIBUTE AND WILL STILL RECEIVE CARE.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 150% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, HEALTH SERVICES USES A VARIETY OF FACTORS, INCLUDING INCOME AND ASSET LEVELS, MEDICAL INDIGENCE, INSURANCE STATUS, AND MEDICARE AND MEDICAID ELIGIBILITY.HEALTH SERVICES ALSO LIMITS CHARGES WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE INDIVIDUAL'S GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH INDIVIDUAL'S CIRCUMSTANCES VARY, HEALTH SERVICES ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7: THE FINANCIAL ASSISTANCE AT COST (LINE 7A) WAS CALCULATED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE UNREIMBURSED MEDICAID (LINE 7B) WAS PRINCIPALLY CALCULATED USING THE FILING ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM. THE EXPENSES REPORTED FOR COMMUNITY HEALTH IMPROVEMENT (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND THE CASH AND IN-KIND CONTRIBUTIONS (LINE 7I) INCLUDE ONLY THE DIRECT EXPENSES ASSOCIATED WITH EACH ACTIVITY. THE INDIRECT EXPENSES ASSOCIATED WITH THESE ACTIVITIES WERE NOT REPORTED. THE EXPENSES ASSOCIATED WITH RESEARCH (LINE 7H) WERE CALCULATED USING THE SAME METHODOLOGY USED FOR GRANT PROGRESS REPORTING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25A, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $152,773,537.
PART II, COMMUNITY BUILDING ACTIVITIES: HEALTH SERVICES' COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. HEALTH SERVICES PARTICIPATES IN STATEWIDE SAFEKIDS COALITIONS TO PROMOTE AWARENESS AND USE OF CHILD SEAT BELTS AND TRAFFIC AND BICYCLE SAFETY, DIABETES-RELATED COALITIONS TO HELP REDUCE THE INCIDENCE OF DIABETES IN CHILDREN AND ADULTS, VARIOUS MENTAL HEALTH/SUICIDE PREVENTION EFFORTS, AND OTHER COALITIONS THAT ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY. HEALTH SERVICES EMPLOYEES UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES. HEALTH SERVICES ALSO RECRUITS PHYSICIANS TO MEDICALLY UNDERSERVED AREAS IN RURAL SETTINGS TO MEET THE HEALTHCARE NEEDS OF RESIDENTS IN RURAL SETTINGS, THEREBY HELPING REDUCE BARRIERS TO ACCESSING CARE. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE CURRICULUM DEVELOPMENT ACTIVITIES FOR HIGH SCHOOL STUDENTS FOR WHICH THEY RECEIVE SCHOOL CREDIT FOR HEALTH CAREERS TRAINING THAT LEADS TO COLLEGE-LEVEL EDUCATION.
PART III, LINE 2: MANAGEMENT ESTIMATES THE PROVISION FOR BAD DEBTS BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENEUS BY CONSIDERING HISTORICAL COLLECTIONS RATES FOR EACH MAJOR PAYOR SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS.
PART III, LINE 3: WHEN A PATIENT OR RESPONSIBLE PARTY IS UNINSURED OR UNDER-INSURED AND EXPRESSES EITHER CONCERN ABOUT THEIR ABILITY TO PAY OR INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE, HEALTH SERVICES' STAFF ARE EDUCATED TO GIVE THE PATIENT AN APPLICATION FOR FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR COMPLETING AND RETURNING THE APPLICATION. IN SITUATIONS WHERE THE PATIENT FAILS TO RETURN THE APPLICATION AND THE ACCOUNT PROGRESSES THROUGH THE COLLECTION CYCLE TO BAD DEBT, THE ACCOUNT WILL BE WRITTEN OFF AS A BAD DEBT. HEALTH SERVICES ALSO UTILIZES DATA SOURCES TO IDENTIFY UNRESPONSIVE INDIVIDUALS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFYING INDIVIDUALS ARE ADJUSTED TO CHARITY CARE RATHER THAN BAD DEBTS AT THE END OF THE COLLECTIONS CYCLE. THE CHARITY CARE AMOUNTS INCLUDED IN THE FINANCIAL STATEMENTS ARE SEPARATE AND DISTINCT FROM BAD DEBT EXPENSE, WHICH GENERALLY REPRESENTS PATIENT SERVICES REVENUES THAT ARE NOT COLLECTIBLE DUE TO EITHER AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, OR AN INABILITY BY HEALTH SERVICES TO OBTAIN DOCUMENTATION FROM THOSE RESPONSIBLE FOR PAYMENT THAT WOULD SUBSTANTIATE THE PATIENT'S QUALIFICATION FOR CHARITY CONSIDERATION. BAD DEBT EXPENSE IS REFLECTED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND WAS $231.4 MILLION AND $152.8 MILLION FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2014, RESPECTIVELY.PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES.
PART III, LINE 4: BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE COMPANY'S UNINSURED AND UNDERINSURED PATIENTS ARE UNWILLING TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, THE COMPANY RECORDS AN ESTIMATED PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE RENDERED.MANAGEMENT ESTIMATES THE PROVISION FOR BAD DEBTS BY ASSESSING THE COLLECTABILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF ALLOWANCES FOR BAD DEBTS BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS.PART III, LINES 5-7THE MEDICARE ALLOWABLE COSTS ON PART III, LINE 6 ARE BASED ON THE ORGANIZATION'S MEDICARE COST REPORTS, WHICH ARE SIGNIFICANTLY DIFFERENT FROM TOTAL FINANCIAL STATEMENT EXPENSES. MEDICARE'S "ALLOWABLE COSTS" EXCLUDE COMMONLY INCURRED BUSINESS EXPENSES SUCH AS INTEREST, RESEARCH, PUBLIC RELATIONS, ETC. IN ADDITION, THE AMOUNTS DO NOT FULLY REFLECT THE FILING ORGANIZATION'S PARTICIPATION IN MEDICARE PROGRAMS. FOR EXAMPLE, THE FOLLOWING IS A PARTIAL LIST OF ACTIVITIES THAT ARE NOT CURRENTLY INCLUDED IN THE SCHEDULE H CALCULATION: - PHYSICIAN SERVICES BILLED BY THE FILING ORGANIZATION - MEDICARE PARTS C AND D (MEDICARE ADVANTAGE AND PRESCRIPTION DRUG COVERAGE)- FEE SCHEDULE SERVICES (E.G., OUTPATIENT CLINICAL LABORATORY AND THERAPY SERVICES) - DURABLE MEDICAL EQUIPMENT AND HOME IV THERAPY SERVICES INCLUSION OF ALL EXPENSES ASSOCIATED WITH MEDICARE ACTIVITIES WOULD MAKE A SIGNIFICANT DIFFERENCE IN THE FILING ORGANIZATION'S CALCULATION. IF THE ADDITIONAL ACTIVITIES WERE REPORTABLE ON SCHEDULE H, IT IS ESTIMATED THAT THE FILING ORGANIZATION'S MEDICARE SHORTFALL WOULD TOTAL APPROXIMATELY $106.9 MILLION, A DIFFERENCE OF $85.8 MILLION FROM THE AMOUNT DISCLOSED ON PART III OF THE SCHEDULE H.
PART III, LINE 8: TOTAL DIRECT AND OVERHEAD COSTS FOR EACH COST CENTER ARE DIVIDED BY THE CORRESPONDING TOTAL PATIENT REVENUE TO DETERMINE COST/CHARGE RATIOS. THE COST/CHARGE RATIOS ARE MULTIPLIED BY THE APPLICABLE MEDICARE CHARGES TO DETERMINE MEDICARE COSTS. ALLOWABLE COSTS FOR ROUTINE AREAS ARE CALCULATED BASED ON PER DIEM COSTS (I.E., (TOTAL COSTS / TOTAL DAYS) X MEDICARE DAYS). THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL OF THE ASSOCIATED COSTS INCURRED BY HEALTH SERVICES' HOSPITALS FOR THE SERVICES PROVIDED AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT PROVIDED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B IS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORTS (USING THE MEDICARE COST REPORT STEP-DOWN METHODOLOGY). MEDICARE SHORTFALLS SHOULD BE TREATED AND REPORTED ON SCHEDULE H AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED; (3) A SIGNIFICANT POSSIBILITY EXISTS THAT CONTINUED REDUCTION IN MEDICARE REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE REPORTED MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: HEALTH SERVICES RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. HEALTH SERVICES ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT HEALTH SERVICES AFFORDS ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS TO PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED TO LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL BY HEALTH SERVICES. STRONGER MEASURES SUCH AS THE COURTS ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY.
PART VI, LINE 3: BY POLICY, HEALTH SERVICES PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY ON THE BASIS OF MEDICAL NEED WITHOUT REGARD TO RACE, RELIGION, GENDER, AGE, OR ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE MEDICALLY NECESSARY AND GENERALLY AVAILABLE AT THE HOSPITALS AND CLINICS AND THE PERSON REQUIRES THAT SERVICE. SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, AN "800" NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH AND SPANISH, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES, AND HOW TO APPLY.ELIGIBILITY COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING AND AFTER THE TIME OF SERVICE. THE PROCESS OFTEN BEGINS WITH THE PATIENT'S PRE-REGISTRATION PRIOR TO SERVICE. HEALTH SERVICES ALSO CONTRIBUTES TO THE SALARIES OF UTAH STATE DEPARTMENT OF WORKFORCE SERVICES STAFF WHO WORK ONSITE IN SEVERAL HOSPITALS TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CHIP, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS.SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH, WHICH STATE THE FOLLOWING: "WE BELIEVE MEDICALLY NECESSARY HEALTHCARE SERVICES SHOULD BE ACCESSIBLE TO RESIDENTS IN THE COMMUNITIES WE SERVE REGARDLESS OF ABILITY TO PAY. IF YOU DON'T HAVE INSURANCE OR IF YOU NEED HELP IN PAYING FOR CARE, ASK TO SPEAK WITH ONE OF OUR ELIGIBILITY COUNSELORS ABOUT [HEALTH SERVICES'] FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES IN BOTH ENGLISH AND SPANISH: "NEED HELP IN PAYING YOUR BILL? CONTACT THIS FACILITY, OR FOR GENERAL QUESTIONS, CALL OUR FINANCIAL ASSISTANCE HOTLINE." A TOLL-FREE NUMBER IS INCLUDED.
PART VI, LINE 4: HEALTH SERVICES OPERATES 22 HOSPITALS (21 OWNED AND ONE, GARFIELD MEMORIAL HOSPITAL, MANAGED BY HEALTH SERVICES) AND MORE THAN 350 CLINICS THROUGHOUT UTAH AND SOUTHERN IDAHO. THE HOSPITALS AND CLINICS VARY IN SIZE AND SERVICES BASED ON THE INDIVIDUAL NEEDS OF EACH COMMUNITY RANGING FROM URBAN SETTINGS TO RURAL AREAS IN UTAH AND SOUTHERN IDAHO. FIVE HOSPITALS ARE CRITICAL ACCESS HOSPITALS: CASSIA REGIONAL MEDICAL CENTER IN BURLEY, IDAHO; DELTA COMMUNITY MEDICAL CENTER IN DELTA, UTAH; FILLMORE COMMUNITY MEDICAL CENTER IN FILLMORE, UTAH; HEBER VALLEY MEDICAL CENTER IN HEBER, UTAH; AND SANPETE VALLEY HOSPITAL IN MOUNT PLEASANT, UTAH.BASED ON 2013 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 2.9 MILLION INDIVIDUALS, 2.1 MILLION OF WHICH LIVE ALONG THE WASATCH FRONT ENCOMPASSING THE OGDEN TO PROVO METROPOLITAN AREA. THE AREA REPRESENTS A RELATIVELY YOUNGER POPULATION THAN THE NATIONAL AVERAGE (31% OF THE POPULATION IS UNDER 18 YEARS OLD WHILE ONLY 9.5% IS 65 YEARS AND OLDER). EDUCATION LEVELS ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE (90% OF THE POPULATION ARE HIGH SCHOOL GRADUATES AND 30% HAVE A BACHELOR'S DEGREE OR HIGHER). THE 2013 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $58,821. IN 2013 ABOUT 13% OF THE POPULATION LIVED AT OR BELOW THE FEDERAL POVERTY LEVEL; ABOUT 10% OF THE POPULATION WAS ENROLLED IN MEDICAID (OVER HALF OF WHICH WERE CHILDREN); 9% WAS ENROLLED IN MEDICARE; AND 58% WAS ENROLLED IN EMPLOYER-SPONSORED HEALTH INSURANCE. ABOUT 14% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE.AS OF JULY 2012, FOUR OF UTAH'S COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED POPULATIONS. NINE COUNTIES WERE DESIGNATED AS FULL COUNTY MEDICALLY UNDERSERVED AREAS. AN ADDITIONAL SIX COUNTIES WERE LISTED AS PARTIAL COUNTY MEDICALLY UNDERSERVED AREAS OR POPULATIONS. NINE OF THE COUNTIES WERE DESIGNATED AS FULL OR PARTIAL COUNTY HEALTH PROFESSIONAL SHORTAGE AREAS. THERE ARE 47 HOSPITALS IN THE SERVICE AREA.
PART VI, LINE 5: HEALTH SERVICES PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COALITIONS AND SERVICES THAT ADDRESS DOCUMENTED HEALTH NEEDS TO IMPROVE HEALTH. THE MAJORITY OF HEALTH SERVICES' GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN ITS SERVICE AREA, REPRESENTING BROAD COMMUNITY PERSPECTIVES. HEALTH SERVICES DIRECTLY OPERATES FIVE CLINICS AND HELPS FINANCIALLY SUPPORT 29 INDEPENDENTLY OWNED COMMUNITY CLINICS SERVING AS A SAFETY NET FOR LOW-INCOME PEOPLE IN MEDICALLY UNDERSERVED COMMUNITIES. SUCH SUPPORT INCREASES ACCESS TO HEALTHCARE SERVICES BY PROVIDING ONGOING CONSULTATIONS TO IMPROVE OPERATIONS AND BY MAKING GRANTS AND CASH AND IN-KIND CONTRIBUTIONS.HEALTH SERVICES EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITIES SERVED.AS AN ORGANIZATION EXEMPT UNDER IRS SEC 501(C)(3), SURPLUS FUNDS OF HEALTH SERVICES ARE REINVESTED BACK INTO THE COMMUNITY TO IMPROVE PATIENT CARE BY UPGRADING FACILITIES AND EQUIPMENT AND BY PROVIDING FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT ACTIVITIES THAT IMPROVE THE HEALTH OF THE PEOPLE IN COMMUNITIES SERVED.
PART VI, LINE 6: THE PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., IS A SECTION 501(C)(3) ORGANIZATION THAT PROMOTES COMMUNITY HEALTHCARE THROUGH COORDINATING THE ACTIVITIES OF AND PROVIDING SUPPORT TO HEALTH SERVICES AND ITS OTHER AFFILIATED SUBSIDIARIES. MEDICAL SERVICES FOR THE COMMUNITIES SERVED ARE PROVIDED THROUGH THE HOSPITALS AND CLINICS OF HEALTH SERVICES. ITS MISSION IS "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." A MORE DETAILED ACCOUNT OF HEALTH SERVICES' ACTIVITIES IS AVAILABLE ON FORM 990, PART III AND SCHEDULE O. INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. SUPPORTS THE HEALTHCARE ACTIVITIES OF IHC HEALTH SERVICES, INC. BY ENHANCING AND STRENGTHENING RELATIONSHIPS WITH COMMUNITY LEADERS AND BY DEVELOPING FINANCIAL AND CHARITABLE SUPPORT.INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. MAKES GRANTS TO LOCAL NONPROFIT AGENCIES THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES FOR LOW-INCOME, UNINSURED OR MEDICALLY-UNDERSERVED POPULATIONS. HEALTH SERVICES HAS PARTNERED WITH QUALIFIED PHYSICIANS TO FORM THE MCKAY-DEE SURGICAL CENTER, LLC, AN ORGANIZATION THAT PROVIDES SURGICAL SERVICES ON AN OUTPATIENT BASIS IN THE OGDEN, UTAH AREA.SELECTHEALTH, INC. HAS AS ITS PURPOSE THE DEVELOPMENT AND OPERATION OF ALTERNATIVE HEALTHCARE DELIVERY PLANS AND FINANCING SYSTEMS TO PROVIDE COST EFFECTIVE AND HIGH QUALITY CARE TO PARTICIPATING EMPLOYER GROUPS AND INDIVIDUALS AS WELL AS CONDUCTING RESEARCH AND EDUCATIONAL DEMONSTRATION PROJECTS. THE HEALTHCARE CAPTIVE INSURANCE COMPANY IS ENGAGED IN UNDERWRITING THE LIABILITIES OF INTERMOUNTAIN HEALTH CARE, INC. AND CERTAIN AFFILIATES IN EXCESS OF THEIR SELF-INSURED LIMITS.
PART VI, LINE 7 HEALTH SERVICES FILES COMMUNITY BENEFIT REPORTS (OR "CHARITY PLANS") WITH EACH COUNTY IN UTAH WHERE HOSPITALS ARE LOCATED AS REQUIRED BY THE UTAH NONPROFIT HOSPITAL AND NURSING HOME PROPERTY TAX EXEMPTION STANDARDS. HEALTH SERVICES HAS ONE HOSPITAL IN IDAHO, CASSIA REGIONAL MEDICAL CENTER; IDAHO CURRENTLY DOES NOT HAVE STATE NONPROFIT HOSPITAL COMMUNITY BENEFIT REPORTING REQUIREMENTS.
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. 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 section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
36 S STATE STREET STE 2200
SALT LAKE CITY,UT84111
94-2853320 501 (C) (3) 28,000,000       FUND AUCH PROJECT
(2) INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 S STATE STREET STE 2200
SALT LAKE CITY,UT84111
80-0225150 501 (C) (3) 4,015,331       FOUNDATION SUPPORT
(3) DAVIS BEHAVIORAL HEALTH
934 S MAIN STREET
LAYTON,UT84041
87-0430116 501 (C) (3) 2,000,000       SUPPORT COMMUNITY HEALTH
(4) MIDTOWN COMMUNITY HEALTH CENTER
2240 ADAMS
OGDEN,UT84401
87-0540039 501 (C) (3) 1,040,000       SUPPORT COMMUNITY HEALTH
(5) UNIVERSITY OF UTAH
301 WALKER WAY
SALT LAKE CITY,UT84106
87-6000525 GOV 761,000       SUPPORT COMMUNITY EMERGENCY PREPAREDNESS
(6) FAMILY HEALTHCARE
25 NORTH 100 EAST SUITE 102
ST GEORGE,UT84770
GOV 660,000       SUPPORT COMMUNITY HEALTH
(7) UNITED WAY OF SALT LAKE
257 EAST 200 SOUTH SUITE 300
SALT LAKE CITY,UT84111
87-0227091 501 (C) (3) 439,638       SUUPORT HEALTHCARE
(8) GARFIELD MEMORIAL HOSPITAL
200 N 400 E ST
PANGUITCH,UT84759
87-6000309 GOV 230,000       SUPPORT COMMUNITY HEALTH
(9) DOCTOR'S VOLUNTEER CLINIC
1036 E RIVERSIDE DRIVE
ST GEORGE,UT84790
87-0645898 501 (C) (3) 140,000       SUPPORT COMMUNITY HEALTH
(10) CENTRAL UTAH COUNSELING CENTER
390 WEST 100 NORTH
EPHRAIM,UT84627
87-0502481 501 (C) (3) 134,750       SUPPORT MENTAL HEALTH
(11) DIXIE STATE UNIVERSITY
225 SOUTH 700 EAST
ST GEORGE,UT84770
87-6000488 GOV 115,000       PROMOTE COMMUNITY HEALTH
(12) FAMILY INSTITUTE OF NORTHERN UTAH
190 EAST CENTER ST
LOGAN,UT84321
87-0576153 501 (C) (3) 112,780       SOCIAL DETOXIFICATION TO LOW-INCOME POPULATIONS
(13) UTAH VALLEY UNIVERSITY
800 W UNIVERSITY PARKWAY
OREM,UT84058
87-0280648 GOV 107,500       HEALTH EDUCATION
(14) SALT LAKE COMMUNITY COLLEGE
4600 S REDWOOD RD
SALT LAKE CITY,UT84123
87-6000448 GOV 100,000       SUPPORT COMMUNITY HEALTH EDUCATION
(15) COMMUNITY HEALTH CONNECT
591 S STATE ST
PROVO,UT84606
65-1260998 501 (C) (3) 85,000       SUPPORT HEALTHCARE
(16) RONALD MCDONALD HOUSE CHARITY
935 E SOUTH TEMPLE
SALT LAKE CITY,UT84102
74-2386043 501 (C) (3) 80,000       SUPPORT COMMUNITY HEALTH
(17) WEBER STATE UNIVERSITY
3850 DIXON PKWY
OGDEN,UT84408
87-6000535 GOV 75,000       SUPPORT COMMUNITY HEALTH EDUCATION
(18) COMMUNITY ACTION PROGRAM
1307 SOUTH 900 WEST
SALT LAKE CITY,UT84104
87-0269683 501 (C) (3) 60,000       SALT LAKE CAP HEADSTART PROGRAM
(19) PLAYWORKS UTAH
445 EAST 4500 SOUTH STE200
SALT LAKE CITY,UT84107
94-3251867 501 (C) (3) 55,000       SUPPORT CHILDRENS HEALTH
(20) UCAIR
195 NORTH 1950 WEST
SALT LAKE CITY,UT84114
46-1224589 501 (C) (3) 40,000       CLEAN AIR
(21) SALT LAKE CHAMBER
175 EAST UNIVERSITY BLVD STE600
SALT LAKE CITY,UT84111
501 (C) (6) 25,000       SUPPORT COMMUNITY HEALTH
(22) YMCA OF NORTHERN UTAH
3098 SOUTH HIGHLAND DR STE400
SALT LAKE CITY,UT84106
87-0212472 501 (C) (3) 25,000       HEALTHY LIFESTYLE
(23) CITY OF SAINT GEORGE
175 E 200 N
ST GEORGE,UT84770
GOV 25,000       SUPPORT COMMUNITY HEALTH
(24) GOAL FOUNDATION
2491 WASHINGTON BLVD
OGDEN,UT84401
87-0673086 501 (C) (3) 25,000       SUPPORT COMMUNITY HEALTH
(25) DAVIS APPLIED TECHNOLOGY COLLEGE
550 E 300 S
KAYSVILLE,UT84037
87-0623859 GOV 25,000       SUPPORT COMMUNITY HEALTH EDUCATION
(26) WASATCH MENTAL HEALTH
750 N FREEDOM BLVD
PROVO,UT84601
45-0531249 501 (C) (3) 25,000       SUPPORT COMMUNITY HEALTH
(27) ARTHRITIS FOUNDATION
4424 S 700 E STE 180
SALT LAKE CITY,UT84107
38-3826066 501 (C) (3) 20,000       SUPPORT HEALTHCARE
(28) UTAH FAMILIES FOUNDATION
9160 SOUTH 300 WEST 21
SANDY,UT84070
87-0509416 501 (C) (3) 20,000       SUPPORT LOW INCOME
(29) HEALTH RESOURCES AND SERVICES ADMIN
5600 FISHERS LANE
ROCKVILLE,MD20857
GOV 19,082       RADIATION EXPOSURE SCREENING
(30) UTAH NON PROFITS ASSOCIATION
231 E 400 S STE345
SALT LAKE CITY,UT84111
84-0481455 501 (C) (3) 17,500       SUPPORT LOCAL NONPROFITS
(31) INTERMOUNTAIN HEALTH CARE INC
36 S STATE STREET STE 2200
SALT LAKE CITY,UT84111
87-0269232 501 (C) (3) 14,000       SUPPORT COMMUNITY HEALTH
(32) SPLORE
774 E 3300 S NO 105
SALT LAKE CITY,UT84106
94-2725250 501 (C) (3) 12,000       SUPPORT COMMUNITY HEALTH
(33) AMERICAN DIABETES ASSOCIATION
4424 S 700 E STE 100
SALT LAKE CITY,UT84107
13-1623888 501 (C) (3) 10,000       SUPPORT COMMUNITY HEALTH
(34) CHILDREN'S SERVICE SOCIETY
655 EAST 4500 SOUTH STE200
SALT LAKE CITY,UT84107
87-0212451 501 (C) (3) 10,000       SUPPORT CHILDRENS HEALTH
(35) DIVE ALLIANCE
546 SOUTH 330 WEST
OREM,UT84058
80-0851306 501 (C) (3) 10,000       SUPPORT VETERANS
(36) FAMILY SUPPORT CENTER
1760 WEST 4805 SOUTH
TAYLORSVILLE,UT84129
87-0359719 501 (C) (3) 10,000       CRISIS NURSERIES
(37) FOURTH STREET CLINIC
409 WEST 400 SOUTH
SALT LAKE CITY,UT84101
87-0678393 501 (C) (3) 10,000       SUPPORT COMMUNITY CLINIC
(38) HOUSE OF HOPE
857 EAST 200 SOUTH
SALT LAKE CITY,UT84102
87-0255206 501 (C) (3) 10,000       SUPPORT MENTAL HEALTH
(39) JUNIOR ACHIEVEMENT OF UTAH
515 EAST 100 SOUTH STE 200
SALT LAKE CITY,UT84102
87-0225875 501 (C) (3) 10,000       SUPPORT ELEMENTARY EDUCATION
(40) SENIOR CHARITY CARE FOUNDATION
PO BOX 744
KAYSVILLE,UT84037
45-2102291 501 (C) (3) 10,000       SENIOR ASSISTANCE
(41) BYU MANAGEMENT SOCIETY
881 WEST STATE ST140-258
PLEASANT GROVE,UT84062
87-0217280 501 (C) (3) 7,500       SUPPORT HEALTH EDUCATION
(42) THE CHILDREN'S CENTER
350 SOUTH 400 EAST
SALT LAKE CITY,UT84111
87-6114073 501 (C) (3) 7,500       COMMUNITY CONTRIBUTION
(43) AMERICAN LUNG ASSOCIATION
1930 S 1100 E
SALT LAKE CITY,UT84104
86-0111676 501 (C) (3) 7,000       SUPPORT ASTHMA PROGRAM
(44) BEAR RIVER HEALTH DEPARTMENT
655 EAST 1300 NORTH
LOGAN,UT84341
87-0109001 GOV 5,200       COMMUNITY PARTNER FUND
(45) THE ROAD HOME
210 RIO GRANDE STREET
SALT LAKE CITY,UT84101
87-0212465 501 (C) (3) 5,000 11,450 COST EXCESS INVENTORY SUPPORT COMMUNITY
(46) CARMEL OF THE IMMACULATE HEART OF MARY
5714 HOLLADAY BLVD
SALT LAKE CITY,UT84121
87-6122093 501 (C) (3)   5,409 COST EXCESS INVENTORY COMMUNITY SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
34
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
12
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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 727 24,000   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 EXCEEDING $25,000.
Schedule I (Form 990) 2014


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1CHARLES W SORENSON JR MDTRUSTEE / PRES / CEO (i)
(ii)
972,622
...............................
0
591,342
...............................
0
333,078
...............................
0
764,127
...............................
0
39,954
...............................
0
2,701,123
...............................
0
644,137
...............................
0
2ROBERT W ALLENVICE PRESIDENT (i)
(ii)
344,815
...............................
0
154,811
...............................
0
22,466
...............................
0
252,947
...............................
0
23,712
...............................
0
798,751
...............................
0
143,796
...............................
0
3TODD CRAGHEADVICE PRESIDENT (i)
(ii)
209,815
...............................
0
54,724
...............................
0
1,690
...............................
0
105,420
...............................
0
19,535
...............................
0
391,184
...............................
0
51,896
...............................
0
4DAVID FLOODCHIEF DEV. OFFICER (i)
(ii)
343,080
...............................
0
128,860
...............................
0
65,740
...............................
0
225,813
...............................
0
7,183
...............................
0
770,676
...............................
0
46,875
...............................
0
5LARRY D HANCOCKVICE PRESIDENT (i)
(ii)
603,953
...............................
0
276,605
...............................
0
24,809
...............................
0
1,530,275
...............................
0
24,490
...............................
0
2,460,132
...............................
0
253,766
...............................
0
6KIMBERLY HENRICHSENVICE PRESIDENT (i)
(ii)
286,946
...............................
0
117,765
...............................
0
33,818
...............................
0
234,454
...............................
0
23,587
...............................
0
696,570
...............................
0
93,743
...............................
0
7BRENT T JOHNSONVICE PRESIDENT (i)
(ii)
283,954
...............................
0
142,111
...............................
0
635,241
...............................
0
219,011
...............................
0
21,446
...............................
0
1,301,763
...............................
0
597,379
...............................
0
8GREGORY M JOHNSONVICE PRESIDENT (i)
(ii)
307,953
...............................
0
145,307
...............................
0
16,736
...............................
0
248,000
...............................
0
24,118
...............................
0
742,114
...............................
0
131,666
...............................
0
9LAURA S KAISEREXEC. VP / COO (i)
(ii)
852,819
...............................
0
535,478
...............................
0
9,512
...............................
0
731,104
...............................
0
5,179
...............................
0
2,134,092
...............................
0
408,402
...............................
0
10TERRI L KANEVICE PRESIDENT (i)
(ii)
409,774
...............................
0
159,956
...............................
0
38,337
...............................
0
385,011
...............................
0
23,540
...............................
0
1,016,618
...............................
0
148,371
...............................
0
11LINDA C LECKMAN MDVICE PRESIDENT (i)
(ii)
509,590
...............................
0
240,018
...............................
0
28,625
...............................
0
481,141
...............................
0
19,926
...............................
0
1,279,300
...............................
0
219,712
...............................
0
12JACQUE MILLARDVICE PRES / C INV O (i)
(ii)
263,450
...............................
0
124,497
...............................
0
30,384
...............................
0
202,793
...............................
0
21,432
...............................
0
642,556
...............................
0
114,159
...............................
0
13TIMOTHY T PEHRSONVICE PRESIDENT (i)
(ii)
430,687
...............................
0
201,793
...............................
0
38,820
...............................
0
347,507
...............................
0
25,163
...............................
0
1,043,970
...............................
0
189,054
...............................
0
14GREGORY P POULSENSENIOR VICE PRESIDENT (i)
(ii)
449,078
...............................
0
279,557
...............................
0
47,971
...............................
0
610,587
...............................
0
25,704
...............................
0
1,412,897
...............................
0
264,612
...............................
0
15MARC PROBSTVICE PRES / CIO (i)
(ii)
429,999
...............................
0
212,946
...............................
0
38,955
...............................
0
477,968
...............................
0
25,591
...............................
0
1,185,459
...............................
0
193,139
...............................
0
16STEVEN R SMOOTVICE PRESIDENT (i)
(ii)
426,220
...............................
0
164,987
...............................
0
22,491
...............................
0
277,662
...............................
0
22,906
...............................
0
914,266
...............................
0
156,328
...............................
0
17ALBERT R ZIMMERLIEVP / CFO / SEC / TREAS (i)
(ii)
829,136
...............................
0
482,178
...............................
0
3,123,832
...............................
0
647,103
...............................
0
31,859
...............................
0
5,114,108
...............................
0
3,544,742
...............................
0
18DANIEL L ZUHLKEVICE PRESIDENT (i)
(ii)
377,182
...............................
0
188,200
...............................
0
24,099
...............................
0
259,476
...............................
0
23,124
...............................
0
872,081
...............................
0
168,268
...............................
0
19CASEY BACHISONMD-SURGERY/ORTHOPEDIC (i)
(ii)
1,255,049
...............................
0
105,622
...............................
0
1,329
...............................
0
62,012
...............................
0
3,788
...............................
0
1,427,800
...............................
0
0
...............................
0
20CHAD COLEMD-NEUROSURGERY (i)
(ii)
1,694,766
...............................
0
73,669
...............................
0
2,161
...............................
0
79,455
...............................
0
3,661
...............................
0
1,853,712
...............................
0
0
...............................
0
21BENJAMIN FOXMD-NEUROSURGERY (i)
(ii)
1,306,315
...............................
0
48,634
...............................
0
830
...............................
0
32,645
...............................
0
6,336
...............................
0
1,394,760
...............................
0
0
...............................
0
22ERIC HOOLEYMD-SURGERY/ORTHOPEDIC (i)
(ii)
1,209,836
...............................
0
146,504
...............................
0
18,879
...............................
0
86,029
...............................
0
3,324
...............................
0
1,464,572
...............................
0
86,895
...............................
0
23BRUCE JENSENCOMMUNICATIONS VP (i)
(ii)
330,501
...............................
0
169,133
...............................
0
989,006
...............................
0
64,837
...............................
0
7,757
...............................
0
1,561,234
...............................
0
505,792
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 2014: - CHARLES W. SORENSON JR MD $84,408 - ALBERT R. ZIMMERLI $3,089,640 - BRUCE JENSEN $962,256 - BRENT T. JOHNSON $603,498 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ITS VICE PRESIDENTS AND TO MEMBERS OF ITS ADVISORY COUNCIL. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN. THE FOLLOWING INDIVIDUAL RECEIVED A PAYMENT FROM THIS PLAN IN 2014: - CHARLES W. SORENSON JR MD $163,690
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) 2014

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
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
UTAH COUNTY UTAH
 
87-6000312 917393AY6 08-07-2014 250,004,117 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 39,500,000 39,500,000 10,000,000 23,100,000
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 . . . . . . . . . . . 1,597,895 679,959 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 . . . . . . . . . . . . . . 223,073,034   223,073,034  
13 Year of substantial completion . . . . . . . . . . . . 2007 2007 2014 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X   X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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 . . SchKMediumBullet 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 . . . . . . . SchKMediumBullet 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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF RIVERTON, UTAH DATE THE REBATE COMPUTATION WAS PERFORMED: 12/17/2008
FORM 990, SCHEDULE K, PART II, LINE 3 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 III, COLUMN D AND PART IV, COLUMN D, LINE 2C 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 2C, COLUMN C THE REBATE COMPUTATION FOR THE SERIES 2009 BONDS WAS PERFORMED ON DECEMBER 2, 2014.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN C $80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,177) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN A ONE QUALIFIED HEDGE CONSISTING OF $106,380,000 NOTIONAL WITH AN ORIGINAL MATURITY DATE OF 8/1/2026 WAS NOVATED FROM JP MORGAN TO WELLS FARGO ON DECEMBER 1, 2014. THE SWAP WAS RESTRUCTURED WITH WELLS FARGO AND IS NO LONGER CONSIDERED A QUALIFIED HEDGE WITH RESPECT TO THE SERIES 2003 BONDS. THREE OTHER QUALIFIED HEDGES (IN CONNECTION WITH THE SERIES 2003 BONDS) REMAIN WITH JP MORGAN, TOTALING $187,800,000 IN NOTIONAL AS OF DECEMBER 31, 2014, WITH FINAL MATURITY DATES THROUGH 2/1/2033.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN B $75,720,000 OF ONE QUALIFIED HEDGE WITH JP MORGAN WAS TERMINATED ON DECEMBER 17, 2014 - THE REMAINING $78,780,000 OF THE HEDGE WILL REMAIN WITH JP MORGAN, MAINTAINING THE ORIGINAL MATURITY DATE OF 5/15/2037. ONE ADDITIONAL QUALIFIED HEDGE (IN CONNECTION WITH THE SERIES 2005 BONDS) REMAINS WITH JP MORGAN, TOTALING $68,000,000 IN NOTIONAL AS OF DECEMBER 31, 2014, WITH A FINAL MATURITY DATE OF 5/15/2037.
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.
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
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
UTAH COUNTY UTAH
 
87-6000312 917393AY6 08-07-2014 250,004,117 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 39,500,000 39,500,000 10,000,000 23,100,000
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 . . . . . . . . . . . 1,597,895 679,959 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 . . . . . . . . . . . . . . 223,073,034   223,073,034  
13 Year of substantial completion . . . . . . . . . . . . 2007 2007 2014 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X   X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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 . . SchKMediumBullet 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 . . . . . . . SchKMediumBullet 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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF RIVERTON, UTAH DATE THE REBATE COMPUTATION WAS PERFORMED: 12/17/2008
FORM 990, SCHEDULE K, PART II, LINE 3 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 III, COLUMN D AND PART IV, COLUMN D, LINE 2C 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 2C, COLUMN C THE REBATE COMPUTATION FOR THE SERIES 2009 BONDS WAS PERFORMED ON DECEMBER 2, 2014.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN C $80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,177) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN A ONE QUALIFIED HEDGE CONSISTING OF $106,380,000 NOTIONAL WITH AN ORIGINAL MATURITY DATE OF 8/1/2026 WAS NOVATED FROM JP MORGAN TO WELLS FARGO ON DECEMBER 1, 2014. THE SWAP WAS RESTRUCTURED WITH WELLS FARGO AND IS NO LONGER CONSIDERED A QUALIFIED HEDGE WITH RESPECT TO THE SERIES 2003 BONDS. THREE OTHER QUALIFIED HEDGES (IN CONNECTION WITH THE SERIES 2003 BONDS) REMAIN WITH JP MORGAN, TOTALING $187,800,000 IN NOTIONAL AS OF DECEMBER 31, 2014, WITH FINAL MATURITY DATES THROUGH 2/1/2033.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN B $75,720,000 OF ONE QUALIFIED HEDGE WITH JP MORGAN WAS TERMINATED ON DECEMBER 17, 2014 - THE REMAINING $78,780,000 OF THE HEDGE WILL REMAIN WITH JP MORGAN, MAINTAINING THE ORIGINAL MATURITY DATE OF 5/15/2037. ONE ADDITIONAL QUALIFIED HEDGE (IN CONNECTION WITH THE SERIES 2005 BONDS) REMAINS WITH JP MORGAN, TOTALING $68,000,000 IN NOTIONAL AS OF DECEMBER 31, 2014, WITH A FINAL MATURITY DATE OF 5/15/2037.
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.
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), section 501(c)(4), and 501(c)(29) 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting 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) 2014
Schedule L (Form 990 or 990-EZ) 2014
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?
Yes No
(1) JEFFREY L ANDERSON TRUSTEE FAMILY 363,789 WAGES   No
(2) JEFFREY T CRAGHEAD OFFICER FAMILY 77,794 WAGES   No
(3) RICHARD B STEVENSON OFFICER FAMILY 107,890 WAGES   No
(4) ALEXA COOPER TRUSTEE FAMILY 13,267 WAGES   No
(5) GRANT L ZIMMERLI OFFICER FAMILY 10,184 WAGES   No
(6) KRISTINA HENRICHSEN OFFICER FAMILY 18,093 WAGES   No
(7) HOLLY H YOUNG OFFICER FAMILY 40,112 WAGES   No
(8) JACOB L HENRICHSEN OFFICER FAMILY 33,535 WAGES   No
(9) GRAHAM H BURDETT OFFICER FAMILY 104,546 WAGES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ 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
2014
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 HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. OUR VISION: BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. DIMENSIONS OF CARE: - CLINICAL EXCELLENCE: WE DELIVER OUTSTANDING CLINICAL CARE IN A CONSISTENT, COORDINATED WAY - ALWAYS IMPROVING THROUGH EVIDENCE-BASED PRACTICE. - PATIENT ENGAGEMENT: WE PROVIDE A COMPASSIONATE HEALING EXPERIENCE FULLY INVOLVING PATIENTS IN CLINICAL AND FINANCIAL DECISIONS ABOUT THEIR HEALTHCARE AND ENCOURAGING THEM TO TAKE RESPONSIBILITY FOR HEALTHY LIFE CHOICES. - OPERATIONAL EFFECTIVENESS: WE ARE WISE AND INNOVATIVE STEWARDS OF OUR RESOURCES AND MAINTAIN THE FINANCIAL STABILITY NECESSARY TO MEET OUR HIGH STANDARDS OF QUALITY AND AFFORDABILITY. - PHYSICIAN ENGAGEMENT: WE RESPECT THE PROFESSIONAL AND CLINICAL SKILLS OF OUR PHYSICIAN COLLEAGUES AND ENGAGE THEM IN TEAMS THAT HELP US DELIVER OPTIMAL OUTCOMES AND BEST SERVE OUR PATIENTS. - COMMUNITY STEWARDSHIP: WE HELP MEET THE DIVERSE HEALTHCARE NEEDS OF OUR COMMUNITIES BY PROVIDING EXCELLENT CARE AT THE LOWEST APPROPRIATE COST, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THIS IS AN IMPORTANT PART OF OUR STRONG NOT-FOR-PROFIT HERITAGE. - EMPLOYEE ENGAGEMENT: WE HONOR THE NOBLE CAUSE THAT INSPIRES US AS COLLEAGUES. TOGETHER, WE CREATE A WORKPLACE THAT IS BUILT ON OUR VALUES, ATTRACTS AND REWARDS CARING AND TALENTED INDIVIDUALS, AND ENGAGES US TO LIVE LIVES THAT ARE CONNECTED, BALANCED, SECURE, AND HEALTHY. OUR VALUES: - INTEGRITY: WE ARE PRINCIPLED, HONEST, AND ETHICAL, AND WE DO THE RIGHT THING FOR THOSE WE SERVE. - TRUST: WE COUNT ON AND SUPPORT ONE ANOTHER INDIVIDUALLY AND AS TEAM MEMBERS, - EXCELLENCE: WE PERFORM AT THE HIGHEST LEVEL, ALWAYS LEARNING AND LOOKING FOR WAYS TO IMPROVE. - ACCOUNTABILITY: WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND HEALTH. - MUTUAL RESPECT: WE EMBRACE DIVERSITY AND TREAT ONE ANOTHER WITH DIGNITY AND EMPATHY.
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. (FORMERLY 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 2,688 LICENSED BEDS IN UTAH AND SOUTHERN IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,400 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND MORE THAN 350 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 2014: - ACUTE ADMISSIONS - 132,523 - ACUTE PATIENT DAYS - 506,454 - BIRTHS - 30,941 - INPATIENT SURGERIES - 39,406 - AMBULATORY SURGERIES - 110,134 - EMERGENCY ROOM VISITS - 487,645 - PHYSICIAN CLINIC VISITS - 3,088,897 - HOMECARE PATIENTS SERVED - 97,263 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 TEN 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 TEN 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 EVIDENCED-BASED GUIDELINES SUPPORTED BY MEANINGFUL MEASUREMENTS AND REPORTS, THE CV PROGRAM HAS ACHIEVED 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, 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 THE 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 MUSCULOSKELETAL CLINICAL PROGRAM IS A NEWLY ORGANIZED CLINICAL PROGRAM, ESTABLISHED IN THE SUMMER OF 2014. THIS TEAM WORKS IN CLOSE COLLABORATION WITH THE REHABILITATION CLINICAL SERVICE AND IS FOCUSED ON DEVELOPING CARE PROCESSES FOR TREATMENT OF TOTAL JOINTS AND FRACTURES. IN 2015, THE MUSCULOSKELETAL CLINICAL PROGRAM WILL DEVELOP A CARE PROCESS MODEL FOR TOTAL HIP ARTHROPLASTY AND BEGIN EXPLORATION OF A NEW MODEL OF CARE FOR DIAGNOSING AND TREATING PATIENTS WITH CONDITIONS OF THE KNEE.
FORM 990, PART III, LINE 4A THE NEUROSCIENCES CLINICAL PROGRAM IS A NEWLY ESTABLISHED CLINICAL PROGRAM THAT BEGAN IN THE FALL OF 2014. THE PRIMARY FOCUSES OF THE NEUROSCIENCES CLINICAL PROGRAM ARE ENHANCING CARE FOR PATIENTS WITH SYMPTOMS OF STROKE, EXPANDING THE USE OF THE TELEHEALTH FOR STROKE CARE, DEVELOPING MODELS OF CARE FOR PATIENTS WITH LOW BACK PAIN FROM CONSERVATIVE THERAPY TO SURGICAL INTERVENTION, MANAGEMENT OF PATIENTS WITH CONCUSSION, AND EPILEPSY. THE MISSION OF HEALTH SERVICES IS HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. PROVIDING THE HIGHEST QUALITY HEALTHCARE AT THE LOWEST POSSIBLE COST TO OUR PATIENTS AND CUSTOMERS IS ONE OF OUR MOST IMPORTANT CONSIDERATIONS. HEALTH SERVICES PROVIDES SERVICES ON THE BASIS OF MEDICAL NEED, WITHOUT REGARD OF ABILITY TO PAY. AN UNINSURED, LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE AT ITS HOSPITALS AND CLINICS FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY, IF IN THE JUDGMENT OF THE ADMITTING PHYSICIAN THE SERVICES ARE GENERALLY 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 WHO HAVE CATASTROPHIC HEALTHCARE EXPENSES. DURING 2014, THROUGH MORE THAN 268,235 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $145.1 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 AND MEDICAID. HEALTH SERVICES PROVIDES A SIGNIFICANT ARRAY OF ADDITIONAL COMMUNITY SERVICES, INCLUDING OWNING AND OPERATING FIVE 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 2014, THESE CLINICS HAD 16,302 PATIENT VISITS. MOST PATIENTS PAY ON A SLIDING FEE SCALE ACCORDING TO THEIR HOUSEHOLD INCOMES, AND MANY QUALIFY FOR HEALTH SERVICES' FINANCIAL ASSISTANCE. INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC., AN AFFILIATE SUPPORTED BY HEALTH SERVICES, AWARDS GRANTS AND OTHER CASH CONTRIBUTIONS TO 30 INDEPENDENTLY OWNED CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD MORE THAN 366,010 PATIENT VISITS IN 2014. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2014, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED $95.2 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 - 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) A. SCOTT ANDERSON / GAIL MILLER - BUSINESS RELATIONSHIP (BOARD MEMBER AND OFFICER OF AN UNRELATED CORPORATION)
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. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED 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 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 -548,354,647. MISCELLANEOUS CHANGES TO UNRESTRICTED NET ASSETS -60,634.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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 2,453,007 9,873,747 IHC HEALTH SERVICES INC
 
(2) IHC UTAH VALLEY LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
94-2854057
MEDICAL OFFICES UT 313,198 2,830,375 IHC HEALTH SERVICES INC
 
(3) INTERMOUNTAIN INVENTION MANAGEMENT LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
94-2854057
IP MANAGEMENT UT 64,835 0 IHC HEALTH SERVICES INC
 
(4) 5300 SOUTH CENTER LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
20-5881911
OFFICE RENTAL UT 2,784,043 15,626,258 IHC HEALTH SERVICES INC
 
(5) 5245 COLLEGE DRIVE LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
26-0806138
OFFICE RENTAL UT 1,522,335 15,124,401 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
47-2067137
RESEARCH UT 297,879 208,516 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?
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 11B, II N/A
 
No
(2) INTERMOUNTAIN COMMUNITY CARE FOUND INC
36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
94-2853320
COMMUNITY HEALTH UT 501(C)(3) LINE 11B, II INTERMOUNTAIN HEALTH CARE INC
 
 
No
(3) SELECTHEALTH INC
5381 GREEN STREET

MURRAY,UT84123
87-0409820
COMMUNITY HEALTH UT 501(C)(4) N/A INTERMOUNTAIN HEALTH CARE INC
 
 
No
(4) 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
(5) 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
 
(6) HEART & LUNG RESEARCH FOUNDATION
5121 S COTTONWOOD DR

MURRAY,UT84157
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) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) MCKAY DEE SURGICAL CENTER LLC

3903 HARRISON BLVD
OGDEN,UT84403
26-0286308
OUTPATIENT SURGERY UT IHC HEALTH SERVICES INC
 
RELATED 5,569,709 2,858,341   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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SELECTHEALTH BENEFIT ASSURANCE COMPANY

5381 GREEN STREET
MURRAY,UT84123
87-0497549
INSURANCE UT N/A
C         No
(2) 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) 2014
Schedule R (Form 990) 2014
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) MCKAY DEE SURGICAL CENTER LLC

A 442,281 FMV
(2) MCKAY DEE SURGICAL CENTER LLC

L 810,328 CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC

Q 3,170,173 COST
(4) MCKAY DEE SURGICAL CENTER LLC

J 442,281 FMV
(5) SELECTHEALTH INC

L 855,411,029 COST
(6) SELECTHEALTH INC

M 14,541,488 COST
(7) SELECTHEALTH INC

Q 97,437,348 COST
(8) SELECTHEALTH INC

S 6,600,000 COST
(9) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

B 4,315,331 COST
(10) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

C 31,400,398 COST
(11) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

Q 5,542,158 COST
(12) INTERMOUNTAIN COMMUNITY CARE FOUNDATION

C 2,142,939 COST
(13) INTERMOUNTAIN COMMUNITY CARE FOUNDATION

B 28,000,000 COST
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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) 2014
Additional Data


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