Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| 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) | |||||
| 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....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| 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. |
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