TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) A SCOTT ANDERSON...................................................................... TRUSTEE / CHAIR	3.00 ................. 6.00	X	X	757	0
(2) S NEAL BERUBE...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,658	0
(3) DOUGLAS C BLACK...................................................................... TRUSTEE	1.00 ................. 9.00	X		1,200	106
(4) JANE L CARLILE...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,734	0
(5) CLAYTON M CHRISTENSEN...................................................................... TRUSTEE	1.00 ................. 1.00	X		4,384	0
(6) SPENCER F ECCLES...................................................................... TRUSTEE	1.00 ................. 2.00	X		342	106
(7) KAREN W FAIRBANKS...................................................................... TRUSTEE	1.00 ................. 1.00	X		2,144	0
(8) DANIEL G GOMEZ...................................................................... TRUSTEE	1.00 ................. 8.00	X		1,791	330
(9) KAREN HALE...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,262	0
(10) RANDY HORIUCHI...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,683	0
(11) STEVE D HUEBNER...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,799	0
(12) GAIL MILLER...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,121	0
(13) F ANN MILLNER...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(14) ARNOLD MILSTEIN MD PHD...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(15) BRUCE T REESE...................................................................... TRUSTEE / VICE CHAIR / SEC	3.00 ................. 3.00	X	X	918	0
(16) BRADFORD R RICH...................................................................... TRUSTEE	1.00 ................. 1.00	X		2,413	0
(17) SHAHAB SAEED...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,317	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) CHARLES W SORENSON JR MD........................................................................ TRUSTEE / PRES / CEO	50.00 .......................11.00	X	X		1,955,437	804,263
(19) ROBERT W ALLEN........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		561,576	286,972
(20) MOODY L CHISHOLM........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		434,495	202,469
(21) TODD CRAGHEAD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		286,337	130,985
(22) DAVID L FLOOD........................................................................ VP/CHIEF DEV. OFFICER	50.00 .......................3.00		X		551,603	263,852
(23) LARRY D HANCOCK........................................................................ VICE PRESIDENT	50.00 .......................3.00		X		3,315,518	62,927
(24) COREY B HELLER........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		272,563	126,027
(25) KIMBERLY HENRICHSEN........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		497,682	273,813
(26) BRENT T JOHNSON........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		356,121	92,658
(27) GREGORY M JOHNSON........................................................................ VICE PRESIDENT	50.00 .......................3.00		X		512,152	287,704
(28) LAURA S KAISER........................................................................ EXEC. VP / COO	50.00 .......................3.00		X		1,458,535	755,113
(29) TERRI L KANE........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		875,729	385,150
(30) LINDA C LECKMAN MD........................................................................ VICE PRESIDENT	50.00 .......................1.00		X		826,415	333,531
(31) JACQUE MILLARD........................................................................ VP / CHIEF INVEST OFCR	50.00 .......................0.00		X		449,172	251,340
(32) TIMOTHY T PEHRSON........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		686,771	379,628
(33) GREGORY P POULSEN........................................................................ SENIOR VICE PRESIDENT	50.00 .......................3.00		X		823,043	662,458
(34) MARC PROBST........................................................................ VICE PRES / CIO	50.00 .......................0.00		X		716,222	537,608
(35) MARK A RUNYON........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		388,270	157,897
(36) STEVEN R SMOOT........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		689,839	285,255
(37) JOSEPH WALSH........................................................................ VICE PRESIDENT	50.00 .......................0.00		X		264,480	109,930
(38) ALBERT R ZIMMERLI........................................................................ EVP / CFO / SEC / TREAS	50.00 .......................11.00		X		1,618,383	674,802
(39) DANIEL L ZUHLKE........................................................................ SR VICE PRESIDENT	50.00 .......................3.00		X		619,692	486,790
(40) CASEY BACHISON........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X	1,781,575	108,933
(41) BENJAMIN FOX........................................................................ MD-NEUROSURGERY	50.00 .......................0.00			X	1,697,921	119,334
(42) BERKELEY BATE........................................................................ MD-NEUROSURGERY	50.00 .......................0.00			X	1,373,769	101,185
(43) TRAVIS HENDRY........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X	1,289,044	44,491
(44) WILLIAM GOWSKI........................................................................ MD-ORTHOPEDICS	50.00 .......................0.00			X	1,276,034	43,460

(A) Name and business address	(B) Description of services	(C) Compensation
UTAH EMERGENCY PHYSICIANS PC P O BOX 57117 MURRAY,UT84157	MEDICAL	37,617,458
ASSOCIATED REGIONAL AND UNIVERSITY PO BOX 27964 SALT LAKE CITY,UT84127	MEDICAL	18,483,713
ACCRETIVE HEALTH INC 401 N MICHIGAN AVE STE 2700 CHICAGO,IL60611	REVENUE CYCLE MANAGEMENT	12,941,581
SOUTHWEST EMERGENCY PHYSICIANS LC PO BOX 910053 ST GEORGE,UT84791	MEDICAL	8,977,517
CENTRAL UTAH CLINIC PC 1055 NORTH 500 WEST PROVO,UT84604	MEDICAL	7,603,646
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 227

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

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

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

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

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

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization IHC HEALTH SERVICES INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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.

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................	17,588	17,588
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	17,588	17,588
d	Other exempt purpose expenditures .........................................................................................	4,704,612,458	4,725,281,929
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	4,704,630,046	4,725,299,517
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................	0	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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	21,331	20,406	19,419	17,588	78,744

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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

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

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

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

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

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

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

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

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

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

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

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

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

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

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

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

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

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

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

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

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

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

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

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

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

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

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, 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	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: $4,704,630,046 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $98,924 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $5,000,377 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $15,520,519 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $49,651 501(H) ELECTION: NO
FORM 990, SCHEDULE C, PART II-B	IHC HEALTH SERVICES, INC. ALSO INDIRECTLY INCURS LOBBYING EXPENSES THROUGH ASSOCIATION DUES FOR PROFESSIONAL ORGANIZATIONS OF WHICH ITS EMPLOYEES ARE MEMBERS.

Return Reference

Explanation

FORM 990, SCHEDULE C, PART II-A

THE FOLLOWING ORGANIZATIONS WERE PART OF THE AFFILIATED GROUP AS DEFINED IN THE INSTRUCTIONS FOR PURPOSES OF COMPLETING SCHEDULE C: IHC HEALTH SERVICES, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2854057 EXEMPT PURPOSE EXPENDITURES: $4,704,630,046 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $98,924 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $5,000,377 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $15,520,519 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $49,651 501(H) ELECTION: NO

FORM 990, SCHEDULE C, PART II-B

IHC HEALTH SERVICES, INC. ALSO INDIRECTLY INCURS LOBBYING EXPENSES THROUGH ASSOCIATION DUES FOR PROFESSIONAL ORGANIZATIONS OF WHICH ITS EMPLOYEES ARE MEMBERS.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

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" on 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 ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

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

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	188,902,315	199,458,157	195,242,262	96,787,154	101,217,194
b	Contributions ...	43,191,896	26,121,255	32,779,950	159,810,561	9,533,404
c	Net investment earnings, gains, and losses	-654,103	2,018,991	3,272,859	4,910,350	767,953
d	Grants or scholarships ...	3,298,412	4,072,489	1,081,964	50,397,499	247,815
e	Other expenditures for facilities and programs ...	15,800,213	34,622,367	30,691,828	15,857,338	14,479,080
f	Administrative expenses ....	0	1,232	66,112	10,966	4,502
g	End of year balance ......	212,341,483	188,902,315	199,458,157	195,242,262	96,787,154

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

Board designated or quasi-endowment SchDMd Bullet

3.330 %

Permanent endowment SchDMd Bullet

15.160 %

Temporarily restricted endowment SchDMd Bullet

81.510 %

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on 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 ...	18,519,755	269,488,113		288,007,868
b	Buildings	24,969,499	1,851,047,247	797,311,252	1,078,705,494
c	Leasehold improvements	1,214,280	87,386,724	48,991,299	39,609,705
d	Equipment ...	63,089	1,984,316,105	1,255,791,280	728,587,914
e	Other ...	493,970	245,168,181		245,662,151
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					2,380,573,132

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other (A) PRIVATE EQUITY FUNDS	586,964,445	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	586,964,445

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PAYABLE TO THIRD PARTY PAYORS	66,662,483
MINORITY INT IN JT VENTURES	12,534,131
457 PLAN LIABILITY	67,565,231
ASSET RETIREMENT OBLIGATION	3,526,853
INTEREST RATE SWAP LIABILITIES	179,133,724
OTHER LONG TERM LIABILITIES	67,333,777
INVESTMENT PAYABLE	353,180,042
ACCRUED PAYROLL/LEAVE	255,159,531
ACCRUED PENSION LIABILITY	239,219,594
SELF INSURANCE LIABILITIES	125,121,468
DEFERRED TAX LIABILITIES	36,474,743
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,405,911,577
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

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

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,			INVESTMENTS	481,818,860
	EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,			INVESTMENTS	66,589,798
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM			INVESTMENTS	298,878,397
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES			INVESTMENTS	16,676,076
	SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, FRENC			INVESTMENTS	4,108,281












3a	Sub-total .....	0	0		868,071,412
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		868,071,412

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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 61% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 39% 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	147,011,423	0	147,011,423	3.270 %
b	Medicaid (from Worksheet 3, column a) . . . . .	532,942,316	552,930,595		0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	679,953,739	552,930,595	147,011,423	3.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,757,507	2,450	3,755,057	0.080 %
f	Health professions education (from Worksheet 5) . . .	34,891,541	0	34,891,541	0.770 %
g	Subsidized health services (from Worksheet 6) . . . .	12,761,749	0	12,761,749	0.280 %
h	Research (from Worksheet 7) .	15,303,796	8,173,676	7,130,120	0.160 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	40,250,770	1,872	40,248,898	0.890 %
j	Total. Other Benefits . .	106,965,363	8,177,998	98,787,365	2.180 %
k	Total. Add lines 7d and 7j .	786,919,102	561,108,593	245,798,788	5.450 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

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

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	112,398	0	112,398	0 %
7	Community health improvement advocacy
8	Workforce development	12,945	0	12,945	0 %
9	Other
10	Total	125,343		125,343

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

215,251,331

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. ......

30,135,186

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

Section B. Medicare

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

578,015,738

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

602,094,736

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

-24,078,998

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 MCKAY DEE SURGICAL CENTER	OUTPATIENT SURGERY	76.800 %	23.200 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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?21 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)									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 HOSPITAL 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	DIXIE REGIONAL MEDICAL CENTER 1380 EAST MEDICAL CENTER DRIVE ST GEORGE,UT84790 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-178	X	X				X	X	A
5	MCKAY-DEE HOSPITAL 4401 HARRISON BOULEVARD OGDEN,UT84403 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-191	X	X		X		X	X	A
6	LDS HOSPITAL 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 HOSPITAL 900 ROUND VALLEY DRIVE PARK CITY,UT84060 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-90903	X	X					X	A
13	CEDAR CITY HOSPITAL 1303 NORTH MAIN STREET CEDAR CITY,UT84720 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-211	X	X					X	A
14	CASSIA REGIONAL HOSPITAL 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 HOSPITAL 100 NORTH MAIN RICHFIELD,UT84701 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-205	X	X					X	A
17	HEBER VALLEY HOSPITAL 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 HOSPITAL 1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT,UT84647 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-204	X	X			X		X	A
20	DELTA COMMUNITY HOSPITAL 126 WHITE SAGE AVENUE DELTA,UT84624 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-25384	X	X			X		X	A
21	FILLMORE COMMUNITY HOSPITAL 674 SOUTH HIGHWAY 99 FILLMORE,UT84631 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-25387	X	X			X		X	A

Schedule H (Form 990) 2015

Page 4

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

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

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

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

Yes

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

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

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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. THE 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 MEETINGS (HOW AND OVER WHAT TIME PERIOD)COMMUNITY INPUT MEETINGS WERE CONVENED BY EACH HOSPITAL DURING SPRING/SUMMER IN 2012 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 TO ASSURE REPRESENTATION FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS PEOPLE, WERE INVITED TO PROVIDE INPUT AS WELL AS PEOPLE FROM LOCAL HEALTH DEPARTMENTS, PUBLIC SCHOOLS, AND ADVOCATES RESPRESENTING UNDERSERVED POPULATIONS. PARTICIPANTS REPRESENTED THE BROAD COMMUNITY INCLUDING:- BEHAVIORAL HEALTH PROVIDER AGENCY STAFF- COUNTY OR STATE HEALTH DEPARTMENT STAFF- HIGHER EDUCATION FACULTY AND/OR STAFF- HOSPITAL GOVERNING BOARD MEMBERS- HOSPITAL STAFF- HUMAN SERVICES AGENCY STAFF- LOCAL SCHOOL DISTRICT STAFF - LOW-INCOME ADVOCATES- RESIDENTS OF THE HOSPITAL NEIGHBORHOOD- RETIRED BUSINESS PEOPLE- SAFETY-NET CLINIC STAFF- SMALL BUSINESS OWNERSCHNA PART TWO: HEALTH INDICATOR DATA COLLECTIONHEALTH SERVICES' CLINICAL LEADERS IDENTIFIED HEALTH INDICATORS FOR EACH OF THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE CHNA. HEALTH SERVICES' PLANNING STAFF PROVIDED THE ZIP CODES THAT DEFINE THE PRIMARY MARKET AREA FOR EACH OF ITS 21 HOSPITALS, WHICH WERE USED TO CLEARLY DELINEATE EACH HOSPITAL'S "COMMUNITY." RESEARCH DEPARTMENT STAFF COLLABORATED WITH THE UTAH DEPARTMENT OF HEALTH AND THE IDAHO DEPARTMENT OF HEALTH AND WELFARE TO ASSEMBLE AVAILABLE DATA FOR HEALTH INDICATORS FOR EACH HOSPITAL'S COMMUNITY. 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 HEALTH SERVICES' 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 IDENTIFIED 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 SIX URBAN GEOGRAPHIC AREAS.
PART V, SECTION B, LINES 13B & 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 ACCORDINGLY.
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 DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUAL BY CALCULATING THE AMOUNT GENERALLY BILLED USING THE LOOK-BACK METHOD DESCRIBED IN TREASURY REGULATION SECTION 1.501(R)-5(B)(3).
PART V, SECTION B, LINE 16B AND 16C	HTTP://INTERMOUNTAINHEALTHCARE.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 7A AND 10A	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS/

Schedule H (Form 990) 2015

Page 8

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?281
Name and address		Type of Facility (describe)
1	1 - MEMORIAL CLINIC 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
2	2 - BOUNTIFUL CLINIC 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
3	3 - AVENUES SPECIALTY CLINIC 324 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
4	4 - INT HEART INSTITUTE-CARDIOLOGY 5169 S COTTONWOOD ST STE 520 MURRAY,UT841075701	CLINIC
5	5 - ORTHOPEDIC SPECIALTY GROUP - TOSH 5848 S FASHION BLVD STE 120 MURRAY,UT841076121	CLINIC
6	6 - MCKAY DEE RHEUMATOLOGY 4403 HARRISON BLVD STE 3650 OGDEN,UT844033288	CLINIC
7	7 - LOGAN REGIONAL ORTHOPEDICS 1350 N 500 E LOGAN,UT843412400	CLINIC
8	8 - INT NEUROSCIENCES INSTITUTE 5171 S COTTONWOOD ST STE 810 MURRAY,UT841075705	CLINIC
9	9 - SALT LAKE CLINIC RADIOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
10	10 - INT HEART RHYTHM 5169 S COTTONWOOD ST STE 510 MURRAY,UT841075701	CLINIC
11	11 - SOUTHERN UT NEUROSCIENCES INSTITUTE 652 S MEDICAL CENTER DR STE 420 ST GEORGE,UT847907049	CLINIC
12	12 - ALTA VIEW SPECIALTY CLINIC 9450 S 1300 E SANDY,UT840945555	CLINIC
13	13 - INTERMOUNTAIN OBSTETRICS & GYN 5063 S COTTONWOOD ST STE 120 MURRAY,UT841076772	CLINIC
14	14 - SOUTHRIDGE CLINIC 3723 W 12600 S STE 270 RIVERTON,UT840657296	CLINIC
15	15 - LAYTON CLINIC 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
16	16 - BUDGE CLINIC OBSTETRICS & GYNECOLOGY 1400 N 500 E LOGAN,UT843412455	CLINIC
17	17 - CALTON-HARRISON ORTHOPEDIC & SPORTS MEDI 4403 HARRISON BLVD STE 2400 OGDEN,UT844033297	CLINIC
18	18 - MCKAY DEE CARDIOLOGY 2400 N WASHINGTON BLVD OGDEN,UT844033284	CLINIC
19	19 - NORTH OGDEN CLINIC 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
20	20 - SOUTHWEST ORTHO & SPORTS MED 652 S MEDICAL CENTER DR STE 120 ST GEORGE,UT847907017	CLINIC
21	21 - INT HEART CARDIOTHORACIC SURGERY 5169 S COTTONWOOD ST STE 600 MURRAY,UT841076771	CLINIC
22	22 - SANDY CLINIC 9500 S 1300 E SANDY,UT840943763	CLINIC
23	23 - SALT LAKE CLINIC-FAMILY INTERNAL MEDICIN 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
24	24 - SOUTHRIDGE PEDIATRICS 3723 W 12600 S STE 450 RIVERTON,UT840657296	CLINIC
25	25 - BUDGE CLINIC MEDICAL SPECIALISTS 1350 N 500 E LOGAN,UT843412400	CLINIC
26	26 - BUDGE CLINIC PEDIATRICS 1350 N 500 E LOGAN,UT843412400	CLINIC
27	27 - SOUTHWEST CARDIOLOGY-ST GEORGE 1380 E MEDICAL CENTER DR STE 1500 ST GEORGE,UT847902128	CLINIC
28	28 - LEGACY OBGYN 1159 E 200 N STE 250 AMERICAN FORK,UT840032028	CLINIC
29	29 - REDROCK PEDIATRICS 1380 E MEDICAL CENTER DR STE 3100 ST GEORGE,UT847902135	CLINIC
30	30 - INTERMOUNTAIN SURGICAL SPECIALISTS 5169 S COTTONWOOD ST STE 410 MURRAY,UT841076769	CLINIC
31	31 - CALTON-HARRISON ORTHOPEDIC & SPORTS MEDI 4403 HARRISON BLVD STE 2455 OGDEN,UT844033297	CLINIC
32	32 - NORTHERN UTAH SURGEONS 4403 HARRISON BLVD STE 1635 OGDEN,UT844033272	CLINIC
33	33 - AVENUES PSYCHIATRY & COUNSELING 324 10TH AVE STE 178 SALT LAKE CITY,UT841032885	CLINIC
34	34 - AVENUES WOMENS CENTER 370 9TH AVE STE 205 SALT LAKE CITY,UT841033184	CLINIC
35	35 - TAYLORSVILLE INSTACARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
36	36 - WASATCH OBGYN 4403 HARRISON BLVD STE 4815 OGDEN,UT844033333	CLINIC
37	37 - MCKAY DEE DERMATOLOGY & PLASTIC SURGERY 4403 HARRISON BLVD STE 3680 OGDEN,UT844033289	CLINIC
38	38 - HOLLADAY PEDIATRICS 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
39	39 - TAYLORSVILLE CLINIC 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
40	40 - CEDAR CITY CLINIC 1303 N MAIN ST STE 3C CEDAR CITY,UT847209746	CLINIC
41	41 - RIVER ROAD FAMILY MEDICINE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
42	42 - SALT LAKE CLINIC-INFUSION 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
43	43 - CENTRAL OREM CLINIC 505 W 400 N OREM,UT840571950	CLINIC
44	44 - CARDIOVASCULAR & THORACIC SURGERY 1380 E MEDICAL CENTER DR STE 2600 ST GEORGE,UT847902134	CLINIC
45	45 - UTAH VALLEY ORTHOPAEDICS - PROVO 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
46	46 - OREM OBGYN 505 W 400 N OREM,UT840571950	CLINIC
47	47 - UNION PARK PSYCHIATRY & COUNSELING 1225 E FORT UNION BLVD STE 215 COTTONWOOD HEIGHTS,UT840471882	CLINIC
48	48 - RIVER ROAD INTERNAL MEDICINE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
49	49 - MOUNTAIN VIEW PEDIATRICS 9720 S 1300 E STE 100 SANDY,UT840943743	CLINIC
50	50 - NORTH OGDEN INSTACARE 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
51	51 - LOGAN INSTACARE 412 N 200 E LOGAN,UT843214038	CLINIC
52	52 - ORTHOPEDIC SPECIALTY GROUP - LDS 324 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
53	53 - BUDGE CLINIC INTERNAL MEDICINE 1350 N 500 E LOGAN,UT843412400	CLINIC
54	54 - AMERICAN FORK DERMATOLOGY 98 N 1100 E STE 301 AMERICAN FORK,UT840032947	CLINIC
55	55 - UTAH VALLEY VASCULAR SURGERY 1055 N 300 W STE 205 PROVO,UT846045044	CLINIC
56	56 - INTERMOUNTAIN UROLOGICAL INSTITUTE 5171 S COTTONWOOD ST STE 720 MURRAY,UT841075705	CLINIC
57	57 - HEBER VALLEY CLINIC 1473 S HIGHWAY 40 STE E HEBER CITY,UT840323522	CLINIC
58	58 - NORTHERN UTAH PEDIATRICS 4403 HARRISON BLVD STE 4875 OGDEN,UT844033335	CLINIC
59	59 - HOLLADAY INSTACARE 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
60	60 - MEMORIAL INSTACARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
61	61 - BOUNTIFUL INSTACARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
62	62 - SANDY INSTACARE 9493 S 700 E SANDY,UT840703459	CLINIC
63	63 - BUDGE CLINIC DERMATOLOGY 1350 N 500 E LOGAN,UT843412400	CLINIC
64	64 - UTAH VALLEY PSYCHIATRY & COUNSELING 1157 N 300 W PROVO,UT846046124	CLINIC
65	65 - MCKAY DEE EAR NOSE & THROAT 4403 HARRISON BLVD STE 2645 OGDEN,UT844033278	CLINIC
66	66 - SALT LAKE CLINIC-PHYSICAL MEDICINE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
67	67 - ROSE CANYON CLINIC 5541 W 13400 S RIVERTON,UT840965640	CLINIC
68	68 - SALT LAKE CLINIC-DERMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
69	69 - MURRAY INSTACARE 196 E WINCHESTER ST MURRAY,UT841077211	CLINIC
70	70 - SEVIER VALLEY CLINIC 1000 N MAIN ST STE A RICHFIELD,UT847012069	CLINIC
71	71 - INTERNAL MEDICINE ASSOCIATES 9844 S 1300 E STE 200 SANDY,UT840944689	CLINIC
72	72 - ZION ORTHOPAEDICS & SPORTS MEDICINE 652 S MEDICAL CENTER DR STE 400 ST GEORGE,UT847907017	CLINIC
73	73 - BUDGE CLINIC SURGICAL SPECIALISTS 1350 N 500 E LOGAN,UT843412400	CLINIC
74	74 - SOUTH OGDEN CLINIC 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
75	75 - WEST JORDAN INSTACARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
76	76 - SOUTHRIDGE INSTACARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
77	77 - NORTH OREM INSTACARE 1975 N STATE ST OREM,UT840572028	CLINIC
78	78 - HURRICANE VALLEY CLINIC 75 N 2260 W HURRICANE,UT847372034	CLINIC
79	79 - TAYLORSVILLE ALLERGY AND DERMATOLOGY 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
80	80 - SUNSET FAMILY PRACTICE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
81	81 - BUDGE CLINIC GI 1350 N 500 E LOGAN,UT843412400	CLINIC
82	82 - SALT LAKE CLINIC-PEDIATRICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
83	83 - HEREFORDSHIRE CLINIC 1915 W 5950 S ROY,UT840671454	CLINIC
84	84 - HOLLADAY ALLERGY AND DERMATOLOGY 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
85	85 - HILLCREST PEDIATRICS 5063 S COTTONWOOD ST STE 160 MURRAY,UT841076773	CLINIC
86	86 - OGDEN CARDIOVASCULAR ASSOCIATES 4403 HARRISON BLVD STE 3835 OGDEN,UT844033331	CLINIC
87	87 - RIVER ROAD INSTACARE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
88	88 - BEAR RIVER CLINIC 935 N 1000 W TREMONTON,UT843379356	CLINIC
89	89 - WEST JORDAN CLINIC 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
90	90 - LAYTON INSTACARE 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
91	91 - WOMENS HEALTH SPECIALISTS 346 E 600 S ST GEORGE,UT847703949	CLINIC
92	92 - UTAH VALLEY WOMENS CENTER 1157 N 300 W STE 301 PROVO,UT846046124	CLINIC
93	93 - SOUTHRIDGE OB-GYN 3723 W 12600 S STE 360 RIVERTON,UT840657296	CLINIC
94	94 - SALT LAKE INSTACARE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
95	95 - UTAH VALLEY HEART & LUNG SURG ASSOC 1134 N 500 W STE 100 PROVO,UT846046101	CLINIC
96	96 - ORTHOPEDIC SPEC GROUP-ALTA VIEW 9450 S 1300 E STE 120 SANDY,UT840945559	CLINIC
97	97 - HEREFORDSHIRE INSTACARE 1915 W 5950 S ROY,UT840671454	CLINIC
98	98 - SEVIER VALLEY SPECIALTY CLINIC 1000 N MAIN ST STE B RICHFIELD,UT847012069	CLINIC
99	99 - ORTHOPEDIC SPEC GROUP-RIVERTON 3723 W 12600 S STE 460 RIVERTON,UT840657295	CLINIC
100	100 - SARATOGA SPRINGS INSTACARE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
101	101 - HOLLADAY CLINIC 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
102	102 - MCKAY DEE INTERNAL MEDICINE 4403 HARRISON BLVD STE 3875 OGDEN,UT844033332	CLINIC
103	103 - LOGAN CLINIC 412 N 200 E LOGAN,UT843214038	CLINIC
104	104 - PARK CITY SPECIALTY 900 ROUND VALLEY DR STE 200 PARK CITY,UT840607532	CLINIC
105	105 - SOUTH SANDY CLINIC 955 E 11400 S SANDY,UT840946946	CLINIC
106	106 - NORTH CANYON FAMILY PRACTICE 3200 N CANYON RD STE D PROVO,UT846044678	CLINIC
107	107 - SALT LAKE CLINIC EAR NOSE & THROAT 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
108	108 - PARK CITY BONANZA INSTACARE 1665 BONANZA DR PARK CITY,UT840605127	CLINIC
109	109 - INTERMOUNTAIN NURSE MIDWIVES 5121 S COTTONWOOD ST STE 170 MURRAY,UT841075701	CLINIC
110	110 - MCKAY DEE HEART RHYTHM SPECIALISTS 4403 HARRISON BLVD STE 3450 OGDEN,UT844033282	CLINIC
111	111 - SOUTH CACHE VALLEY CLINIC 190 S HIGHWAY 165 PROVIDENCE,UT843329512	CLINIC
112	112 - TAYLORSVILLE KIDSCARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
113	113 - SOUTHWEST UROLOGY 1380 E MEDICAL CENTER DR STE 2100 ST GEORGE,UT847902129	CLINIC
114	114 - SOUTHERN UTAH SURGICAL ASSOCIATES 166 W 1325 N STE 350 CEDAR CITY,UT847207796	CLINIC
115	115 - PARK CITY SPECIALTY EAST 750 ROUND VALLEY DR STE 101 PARK CITY,UT840600000	CLINIC
116	116 - SALT LAKE CLINIC-ALLERGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
117	117 - SUMMIT ORTHOPEDICS 4403 HARRISON BLVD STE 2600 OGDEN,UT844033277	CLINIC
118	118 - SOUTH JORDAN CLINIC 11444 S REDWOOD RD SOUTH JORDAN,UT840957803	CLINIC
119	119 - PARK CITY CLINIC-ROUND VALLEY 750 ROUND VALLEY DR PARK CITY,UT840607548	CLINIC
120	120 - SOUTH OGDEN INSTACARE 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
121	121 - SALT LAKE CLINIC-OPHTHALMOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
122	122 - NORTH VALLEY PEDIATRICS 98 N 1100 E STE 201 AMERICAN FORK,UT840032941	CLINIC
123	123 - DRAPER INSTACARE 12473 S MINUTEMAN DR DRAPER,UT840207870	CLINIC
124	124 - COTTONWOOD FAMILY PRACTICE 5872 S 900 E STE 100 MURRAY,UT841211677	CLINIC
125	125 - MEDICAL TOWER FAMILY PRACTICE 5770 S 250 E STE 170 MURRAY,UT841078107	CLINIC
126	126 - SANDY OBGYN 9600 S 1300 E STE 308 SANDY,UT840943764	CLINIC
127	127 - SARATOGA SPRINGS FAMILY PRACTICE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
128	128 - SPRINGVILLE INSTACARE 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
129	129 - UTAH VALLEY SPORTS MEDICINE 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
130	130 - UTAH VALLEY EAR NOSE & THROAT 98 N 1100 E STE 203 AMERICAN FORK,UT840032941	CLINIC
131	131 - AMERICAN FORK INSTACARE 98 N 1100 E STE 101 AMERICAN FORK,UT840032940	CLINIC
132	132 - AMERICAN FORK SURGICAL ASSOCIATES 98 N 1100 E STE 202 AMERICAN FORK,UT840032941	CLINIC
133	133 - KAYSVILLE CREEKSIDE CLINIC 435 N MAIN ST KAYSVILLE,UT840371194	CLINIC
134	134 - ROCK CANYON PEDIATRIC SPECIALISTS 1134 N 500 W STE 101 PROVO,UT846045569	CLINIC
135	135 - BUDGE CLINIC GENERAL SURGERY 1350 N 500 E LOGAN,UT843412400	CLINIC
136	136 - SOUTHERN UTAH ORTHO SPORTS MED 166 W 1325 N STE 150 CEDAR CITY,UT847217797	CLINIC
137	137 - TOOELE INSTACARE 777 N MAIN ST TOOELE,UT840741611	CLINIC
138	138 - MT PLEASANT CLINIC 1100 S MEDICAL DR MT PLEASANT,UT846472222	CLINIC
139	139 - ALTA VIEW PLASTIC SURGERY SPECIALISTS 9450 S 1300 E SANDY,UT840945555	CLINIC
140	140 - COTTONWOOD INTERNAL MEDICINE 5770 S 250 E STE 335 MURRAY,UT841078111	CLINIC
141	141 - PROVO INSTACARE 1134 N 500 W STE 102 PROVO,UT846045569	CLINIC
142	142 - SALT LAKE CLINIC-ORTHOPEDICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
143	143 - SOUTHWEST REGIONAL CANCER CLINIC 544 S 400 E ST GEORGE,UT847703705	CLINIC
144	144 - SOUTHERN UTAH PLASTIC SURGERY & DERMATOL 652 S MEDICAL CENTER DR STE 300 ST GEORGE,UT847907266	CLINIC
145	145 - SOUTHRIDGE KIDSCARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
146	146 - SALT LAKE CLINIC-OBGYN 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
147	147 - CACHE VALLEY HEART CLINIC 1300 N 500 E STE 320 LOGAN,UT843412462	CLINIC
148	148 - SUNSET INSTACARE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
149	149 - NORTH CACHE VALLEY CLINIC 4088 N HIGHWAY 91 HYDE PARK,UT843184108	CLINIC
150	150 - BOUNTIFUL KIDSCARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
151	151 - UTAH VALLEY ORTHOPAEDICS-N VALLEY 98 N 1100 E STE 103 AMERICAN FORK,UT840032940	CLINIC
152	152 - ORTHOPEDIC SPECIALTY GROUP - MED CTR 5169 S COTTONWOOD ST STE 430 MURRAY,UT841076774	CLINIC
153	153 - FILLMORE CLINIC 700 S HIGHWAY 99 STE 3 FILLMORE,UT846315137	CLINIC
154	154 - KAYSVILLE CREEKSIDE INSTACARE 435 N MAIN ST KAYSVILLE,UT840371194	CLINIC
155	155 - SALT LAKE CLINIC-SURGICAL SPECIALISTS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
156	156 - NORTH CACHE VALLEY INSTACARE 4088 N HIGHWAY 91 HYDE PARK,UT843184108	CLINIC
157	157 - CEDAR CITY INSTACARE 962 SAGE DR CEDAR CITY,UT847201885	CLINIC
158	158 - NORTH OREM CLINIC 1975 N STATE ST OREM,UT840572028	CLINIC
159	159 - DRAPER CLINIC 12473 S MINUTEMAN DR DRAPER,UT840207870	CLINIC
160	160 - REDROCK DIGESTIVE HEALTH 652 S MEDICAL CENTER DR STE 330 ST GEORGE,UT847907017	CLINIC
161	161 - OGDEN WORKMED 1355 W HINCKLEY DRIVE OGDEN,UT844010000	CLINIC
162	162 - VALLEY VIEW FAMILY MEDICINE 1333 N MAIN ST CEDAR CITY,UT847219314	CLINIC
163	163 - SPORTS MEDICINE SPEC-BOUNTIFUL 280 N MAIN ST BOUNTIFUL,UT840106136	CLINIC
164	164 - HIGHLAND CLINIC 10968 N ALPINE HWY HIGHLAND,UT840038874	CLINIC
165	165 - EPHRAIM CLINIC 525 N MAIN ST EPHRAIM,UT846271155	CLINIC
166	166 - MCKAY DEE FOOT & ANKLE 4403 HARRISON BLVD STE 2835 OGDEN,UT844033327	CLINIC
167	167 - AMERICAN FORK PULMONARY CLINIC 98 N 1100 E STE 302 AMERICAN FORK,UT840032947	CLINIC
168	168 - SYRACUSE CLINIC 745 S 2000 W SYRACUSE,UT840759621	CLINIC
169	169 - KEARNS CLINIC 4946 W 6200 S KEARNS,UT841186703	CLINIC
170	170 - SOUTHWEST NEUROLOGY ASSOCIATES 652 S MEDICAL CENTER DR STE 320 ST GEORGE,UT847907266	CLINIC
171	171 - COTTONWOOD ENDOCRINE & DIABETES CTR 5770 S 250 E STE 310 MURRAY,UT841078110	CLINIC
172	172 - INTERMOUNTAIN PLASTIC SURGERY CENTER 5169 S COTTONWOOD ST STE 410 MURRAY,UT841076769	CLINIC
173	173 - MCKAY DEE GASTROENTEROLOGY CLINIC 4403 HARRISON BLVD STE 2600 OGDEN,UT844033277	CLINIC
174	174 - MCKAY DEE ENDOCRINE & DIABETES 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
175	175 - SALT LAKE WORKMED CLINIC 1685 W 2200 S SALT LAKE CITY,UT841191456	CLINIC
176	176 - SPRINGVILLE CLINIC 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
177	177 - SYRACUSE INSTACARE 745 S 2000 W SYRACUSE,UT840759621	CLINIC
178	178 - HURRICANE VALLEY INSTACARE 75 N 2260 W HURRICANE,UT847372034	CLINIC
179	179 - MOUNTAIN FAMILY HEALTH 2720 HOMESTEAD ROAD STE 100 PARK CITY,UT840984882	CLINIC
180	180 - TAYLORSVILLE PT CLINIC 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
181	181 - OREM WORKMED CLINIC 830 N 980 W OREM,UT840577709	CLINIC
182	182 - SALT LAKE CLINIC-ENDOCRINOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
183	183 - SALT LAKE CLINIC-SPINE PROGRAM 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
184	184 - NORTH TEMPLE URGENT CARE CLINIC 54 N 800 W SALT LAKE CITY,UT841163326	CLINIC
185	185 - UTAH VALLEY SPORTS MEDICINE - NORTH VALL 98 N 1100 E STE 103 AMERICAN FORK,UT840032940	CLINIC
186	186 - VALLEY VIEW HEART CLINIC 1303 N MAIN ST STE H CEDAR CITY,UT847209746	CLINIC
187	187 - INTERMOUNTAIN SURGICAL ONCOLOGY 5169 S COTTONWOOD ST STE 440 MURRAY,UT841076774	CLINIC
188	188 - UTAH VALLEY PULMONARY CLINIC 1055 N 300 W STE 500 PROVO,UT846043312	CLINIC
189	189 - SL CLINIC PHYSICAL THERAPY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
190	190 - SALT LAKE CLINIC-UROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
191	191 - WEST JORDAN PT - REHAB SERVICES 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
192	192 - HOLLADAY PEDIATRICS NORTH 2160 E 4500 S SALT LAKE CITY,UT841174011	CLINIC
193	193 - SALT LAKE CLINIC-RHEUMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
194	194 - MEMORIAL KIDSCARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
195	195 - WEST JORDAN KIDSCARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
196	196 - SALT LAKE CLINIC-CARDIOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
197	197 - ISOM PLASTIC SURGERY 1350 N 500 E STE 310 LOGAN,UT843412400	CLINIC
198	198 - SOUTHWEST RHEUMATOLOGY ASSOCIATES 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
199	199 - PAYSON INSTACARE 854 TURF FARM RD STE 1 PAYSON,UT846515733	CLINIC
200	200 - MANTI FAMILY CLINIC 159 N MAIN ST MANTI,UT846421257	CLINIC
201	201 - MOUNTAIN VIEW KIDSCARE 9720 S 1300 E STE 100 SANDY,UT840943743	CLINIC
202	202 - BOUNTIFUL CLINIC PT 280 N MAIN ST BOUNTIFUL,UT84010	CLINIC
203	203 - UTAH VALLEY EAR NOSE & THROAT 1157 N 300 W STE 301 PROVO,UT846046124	CLINIC
204	204 - MEMORIAL CLINIC PT 2000 SOUTH 900 EAST SALT LAKE CITY,UT841053208	CLINIC
205	205 - MCKAY DEE NEUROLOGY 4403 HARRISON BLVD STE 3855 OGDEN,UT844033349	CLINIC
206	206 - MCKAY DEE HEART FAILURE 4403 HARRISON BLVD STE 3430 OGDEN,UT844033343	CLINIC
207	207 - SALT LAKE CLINIC-NEUROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
208	208 - PHYSICAL MEDICINE & REHAB CLINIC 1055 N 300 W STE 410 PROVO,UT846043354	CLINIC
209	209 - HOLLADAY PHYSICAL THERAPY 6272 S HIGHLAND DR 203 MURRAY,UT841211677	CLINIC
210	210 - AVENUES CLINIC PT 324 10TH AVE STE 100 SALT LAKE CITY,UT841032827	CLINIC
211	211 - MURRAY WORKMED CLINIC 201 E 5900 S STE 100 MURRAY,UT841075429	CLINIC
212	212 - BEAR RIVER SPECIALISTS 935 N 1000 W TREMONTON,UT843379356	CLINIC
213	213 - MORONI CLINIC 51 E MAIN ST MORONI,UT846460810	CLINIC
214	214 - SALT LAKE CLINIC-PODIATRY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
215	215 - SPRINGVILLE WORKMED CLINIC 385 S 400 E SPRINGVILLE,UT846631955	CLINIC
216	216 - LOGAN WORKMED CLINIC 412 N 200 E LOGAN,UT843214038	CLINIC
217	217 - ST GEORGE WORKMED CLINIC 385 N 3050 E ST GEORGE,UT847909003	CLINIC
218	218 - LAYTON ORTHOPEDICS 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
219	219 - HEBER VALLEY SPECIALTY CLINIC 380 E 1500 S STE 202 HEBER CITY,UT840323942	CLINIC
220	220 - SALT LAKE WORKMED PT 1685 W 2200 S SALT LAKE CITY,UT841191456	CLINIC
221	221 - INT PSYCHIATRY & COUNSELING 320 E 600 S ST GEORGE,UT847703949	CLINIC
222	222 - CENTRAL EAR NOSE & THROAT 5169 S COTTONWOOD ST STE 640 MURRAY,UT841076771	CLINIC
223	223 - LIVE WELL CENTER-SALT LAKE CITY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
224	224 - DIXIE INPATIENT PSYCHIATRY 544 S 400 E ST GEORGE,UT847703705	CLINIC
225	225 - LAYTON WORKMED CLINIC 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
226	226 - DIXIE HIGH RISK OB 544 S 400 E ST GEORGE,UT847703705	CLINIC
227	227 - DRAPER PHYSICAL THERAPY 12473 S MINUTEMAN DR DRAPER,UT840207870	CLINIC
228	228 - NORTHERN UTAH KIDSCARE 4403 HARRISON BLVD STE 4875 OGDEN,UT844033335	CLINIC
229	229 - SNOWBIRD CLINIC HIGHWAY 210 LITTLE COTTONWOOD CYN SNOWBIRD,UT840920000	CLINIC
230	230 - WHITE SAGE FAMILY MEDICINE 130 WHITE SAGE AVE DELTA,UT846248928	CLINIC
231	231 - ROSE CANYON PHYSICAL THERAPY 5541 W 13400 S RIVERTON,UT840965640	CLINIC
232	232 - CANYON VIEW FAMILY PRACTICE 15 E 400 N PAROWAN,UT847610000	CLINIC
233	233 - AMERICAN FORK PHYSICAL MED & REHAB 98 N 1100 E STE 103 AMERICAN FORK,UT840032940	CLINIC
234	234 - SOUTH SEVIER CLINIC 539 S MAIN ST MONROE,UT847544623	CLINIC
235	235 - BUDGE CLINIC RADIOLOGY 1350 N 500 E LOGAN,UT843412400	CLINIC
236	236 - AMERICAN FORK INTERNAL MEDICINE 98 N 1100 E STE 302 AMERICAN FORK,UT840032947	CLINIC
237	237 - ALTA VIEW UROLOGICAL ASSOCIATES 9720 S 1300 E STE E230 SANDY,UT840943771	CLINIC
238	238 - US SYNTHETIC CLINIC 1260 S 1600 W OREM,UT840584931	CLINIC
239	239 - MCKAY-DEE ORTHO & SPORTS MEDICINE 4401 HARRISON BLVD STE 2600 OGDEN,UT844033195	CLINIC
240	240 - UTAH VALLEY NEUROLOGICAL 3685 N 100 E PROVO,UT846044594	CLINIC
241	241 - ALTA VIEW NURSE MIDWIVES 9600 S 1300 E STE 310 SANDY,UT840943766	CLINIC
242	242 - WASATCH GYN 2075 N UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
243	243 - COMPREHENSIVE CARE MURRAY 5171 S COTTONWOOD ST STE 350 MURRAY,UT841075704	CLINIC
244	244 - IM FLASH TECHNOLOGY CLINIC 1550 E 3400 N LEHI,UT840439692	CLINIC
245	245 - DIXIE ACUTE REHAB 544 S 400 E ST GEORGE,UT847703705	CLINIC
246	246 - NORTH SEVIER MEDICAL CLINIC 530 N 250 W SALINA,UT846545514	CLINIC
247	247 - LAYTON KIDSCARE 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
248	248 - ST GEORGE PULMONARY CLINIC 1380 E MEDICAL CENTER DR STE 2200 ST GEORGE,UT847902130	CLINIC
249	249 - CEDAR CITY WORKMED CLINIC 962 SAGE DR CEDAR CITY,UT847201885	CLINIC
250	250 - LOGAN PSYCHIATRY 1350 N 500 E LOGAN,UT843412400	CLINIC
251	251 - INTERMOUNTAIN PSYCH & COUNSELING 5169 S COTTONWOOD ST STE 400 MURRAY,UT841076769	CLINIC
252	252 - PARK CITY CLINIC-CANYONS 4000 CANYONS RESORT DR PARK CITY,UT840986546	CLINIC
253	253 - MCKAY DEE INFECTIOUS DISEASE 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
254	254 - INTERMOUNTAIN LIFETIME CLINIC FREEPORT CENTER BLDG D-12 CLEARFIELD,UT840160010	CLINIC
255	255 - PAYSON CLINIC 854 TURF FARM RD STE 1 PAYSON,UT846515733	CLINIC
256	256 - LINCOLN SCHOOL CLINIC 1090 ROBERTA ST SALT LAKE CITY,UT841114624	CLINIC
257	257 - PROVO NEUROLOGICAL CLINIC-UVRMC 1055 N 300 W STE 501 PROVO,UT846043312	CLINIC
258	258 - PARK CITY ALLERGY CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT840607549	CLINIC
259	259 - SALT LAKE CLINIC-MHI 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
260	260 - INT TRAUMA GENERAL SURGERY 5169 S COTTONWOOD ST STE 400 MURRAY,UT841076769	CLINIC
261	261 - DIXON CLINIC 750 W 200 N PROVO,UT846012606	CLINIC
262	262 - ROSE PARK ELEMENTARY CLINIC 1105 W 1000 N SALT LAKE CITY,UT841162135	CLINIC
263	263 - SALT LAKE CLINIC - ANTICOAGULATION 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
264	264 - SOUTH JORDAN WORKMED CLINIC 1067 W SOUTH JORDAN PARKWAY STE 500 SOUTH JORDAN,UT840958809	CLINIC
265	265 - DIXIE INFECTIOUS DISEASE CLINIC 1380 E MEDICAL CENTER DR STE 2300 ST GEORGE,UT847902131	CLINIC
266	266 - SO JORDAN CLINIC PT 11444 S REDWOOD RD SOUTH JORDAN,UT84095	CLINIC
267	267 - INTERMOUNTAIN EMPLOYEE CLINIC 5171 S COTTONWOOD ST STE 130 MURRAY,UT841075731	CLINIC
268	268 - MCKAY DEE PALLIATIVE CARE 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
269	269 - SALT LAKE COUNTY HEALTHMED 2001 S STATE ST STE S2-500 SALT LAKE CITY,UT841903100	CLINIC
270	270 - PARK CITY SLEEP DISORDERS CLINIC 750 ROUND VALLEY DR STE 101A PARK CITY,UT840607549	CLINIC
271	271 - SNOWBASIN CLINIC 3925 E SNOWBASIN DR HUNTSVILLE,UT843170000	CLINIC
272	272 - UTAH VALLEY PALLIATIVE CARE CLINIC 1034 W 500 N PROVO,UT846012537	CLINIC
273	273 - AMERICAN FORK SPECIALTY 98 N 1100 E STE 402 AMERICAN FORK,UT840032951	CLINIC
274	274 - THE NEIGHBORHOOD CLINIC 1388 S NAVAJO ST SALT LAKE CITY,UT841043444	CLINIC
275	275 - INTERMOUNTAIN PULMONOLOGY CLINIC 5169 COTTONWOOD ST STE 640 MURRAY,UT841076766	CLINIC
276	276 - BOUNTIFUL WORKMED CLINIC 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
277	277 - INTERMOUNTAIN HC FLU SHOT CLINIC 776 N TERMINAL DR SALT LAKE CITY,UT841227003	CLINIC
278	278 - AVENUES NEUROSURGERY 370 9TH AVE STE 111 SALT LAKE CITY,UT841033180	CLINIC
279	279 - UTAH VALLEY ORTHOPAEDICS - OREM 163 NORTH 400 WEST 1A OREM,UT840571909	CLINIC
280	280 - HYDE PARK PHYSICAL THERAPY 4088 N HIGHWAY 91 HYDE PARK,UT843184125	CLINIC
281	281 - PROVIDENCE PHYSICAL THERAPY 190 S HIGHWAY 165 PROVIDENCE,UT843329512	CLINIC

Schedule H (Form 990) 2015

Page 9

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. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS. 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 SUBSIDIZED HEALTH SERVICES TOTAL (LINE 7G) INCLUDES $8,026,953 FROM 22 RURAL PHYSICIAN CLINICS.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 $215,251,331.
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 REVENUES BY CONSIDERING HISTORICAL COLLECTION 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 QUALIFIED 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 $153 MILLION AND $215 MILLION FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2015, 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 $335 MILLION, A DIFFERENCE OF $311 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 REDUCTIONS TO MEDICARE PAYMENTS 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 ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR 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 PARTICIPATES IN AN OUTREACH PROGRAM OFFERED BY THE UTAH DEPARTMENT OF WORKFORCE SERVICES THAT ALLOWS HOSPITALS TO PLACE STATE ASSISTANCE ELIGIBILITY REPRESENTATIVES AT PARTICIPATING HOSPITALS. THESE REPRESENTATIVES MEET WITH PATIENTS AND THEIR FAMILIES AND ASSIST IN QUALIFYING THOSE ELIGIBLE FOR VARIOUS PROGRAMS SUCH AS MEDICAID, CHIP, DISABILITY, OR OTHER GOVERNMENT ASSISTANCE PROGRAMS. HEALTH SERVICES CONTRIBUTES TO THE SALARIES OF THESE REPRESENTATIVES IN ORDER TO PARTICIPATE IN THIS OUTREACH PROGRAM.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 21 HOSPITALS AND 281 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 HOSPITAL IN BURLEY, IDAHO; DELTA COMMUNITY HOSPITAL IN DELTA, UTAH; FILLMORE COMMUNITY HOSPITAL IN FILLMORE, UTAH; HEBER VALLEY HOSPITAL IN HEBER, UTAH; AND SANPETE VALLEY HOSPITAL IN MOUNT PLEASANT, UTAH.BASED ON 2015 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 3 MILLION PEOPLE, 2 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 10% 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 2014 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $59,846. IN 2014 ABOUT 12% OF THE POPULATION LIVED AT OR BELOW THE FEDERAL POVERTY LEVEL; ABOUT 11% OF THE POPULATION WAS ENROLLED IN MEDICAID (60% OF WHICH WERE CHILDREN, 0-18); 10% WAS ENROLLED IN MEDICARE; 39% WAS ENROLLED IN EMPLOYER-SPONSORED HEALTH INSURANCE, 27% HAD COMMERCIAL HEALTH PLANS, AND ABOUT 13% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE.AS OF JULY 2015, THREE OF UTAH'S 29 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 HAS PROVIDED CONTRIBUTIONS TO FOUNDATIONS THAT HELP FINANCIALLY SUPPORT 32 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on 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

2015

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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) ABILITY FOUND CORPORATION 2324 S CONSTITUTION BLVD WEST VALLEY CITY,UT84119	87-0504354	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(2) ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION 855 EAST 4800 SOUTH STE 100 SALT LAKE CITY,UT84107	13-3039601	501(C)(3)	40,000		SUPPORT COMMUNITY HEALTH
(3) AMERICAN CANCER SOCIETY INC 941 E 3300 S SALT LAKE CITY,UT84106	13-1788491	501(C)(3)	31,000		SUPPORT COMMUNITY HEALTH
(4) AMERICAN DIABETES ASSOCIATION INC 4424 S 700 E STE 100 SALT LAKE CITY,UT84107	13-1623888	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(5) AMERICAN LUNG ASSOCIATION OF THE SOUTHWEST INC 1930 S 1100 E SALT LAKE CITY,UT84106	86-0111676	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(6) ASSOCIATION FOR UTAH COMMUNITY HEALTH 860 E 4500 S STE 206 SALT LAKE CITY,UT84107	87-0430946	501(C)(3)	1,250,000		SUPPORT COMMUNITY HEALTH
(7) BOYS AND GIRLS CLUB OF GREATER SALT LAKE 669 SOUTH 200 EAST STE 100 SALT LAKE CITY,UT84111	87-0278627	501(C)(3)	25,000		SUPPORT CHILDREN'S HEALTH
(8) BRAIN INJURY ASSOCIATION OF UTAH INC 5280 S COMMERCE DRIVE MURRAY,UT84107	87-0435214	501(C)(3)	20,000		SUPPORT COMMUNITY HEALTH
(9) CANYON CREEK WOMENS CRISIS CENTER PO BOX 2081 CEDAR CITY,UT84721	87-0540825	501(C)(3)	50,000		SUPPORT COMMUNITY HEALTH
(10) CENTER FOR WOMEN AND CHILDREN IN CRISIS INC 1433 E 840 N OREM,UT84097	87-0405229	501(C)(3)	40,000		SUPPORT COMMUNITY HEALTH
(11) CENTRAL UTAH COUNSELING CENTER 390 WEST 100 NORTH EPHRAIM,UT84627	87-0502481	GOV	210,000		SUPPORT COMMUNITY HEALTH
(12) CHILDREN'S CENTER 350 S 400 E SALT LAKE CITY,UT84111	87-6114073	501(C)(3)	10,000		SUPPORT CHILDREN'S HEALTH
(13) SALT LAKE COMMUNITY ACTION PROGRAM 1307 WEST 900 SOUTH SALT LAKE CITY,UT84104	87-0269683	501(C)(3)	35,000		SUPPORT COMMUNITY HEALTH
(14) CYSTIC FIBROSIS FOUNDATION 6931 ARLINGTON ROAD BETHESDA,MD20814	13-1930701	501(C)(3)	5,000		SUPPORT COMMUNITY HEALTH
(15) DAVIS BEHAVIORAL HEALTH INC 934 S MAIN STREET LAYTON,UT84041	87-0430116	501(C)(3)	1,500,000		SUPPORT COMMUNITY HEALTH
(16) DIXIE STATE UNIVERSITY 225 SOUTH 700 EAST ST GEORGE,UT84770	87-6000488	GOV	15,000		PROMOTE COMMUNITY HEALTH
(17) DOVE CENTER INC 1240 E 100 S BLDG 22 STE 221 ST GEORGE,UT84790	87-0529095	501(C)(3)	5,000		SUPPORT COMMUNITY HEALTH
(18) EASTER SEALS - GOODWILL NORTHERN ROCKY MOUNTAIN INC 350 S 400 E SALT LAKE CITY,UT84111	81-0232125	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(19) ENVISION UTAH 254 SOUTH 600 EAST STE 201 SALT LAKE CITY,UT84112	87-0462205	501(C)(3)	5,000		SUPPORT COMMUNITY HEALTH
(20) FAMILY COUNSELING CENTER 5250 COMMERCE DR 250 MURRAY,UT84107	87-0212455	501(C)(3)	6,000		PROMOTE COMMUNITY HEALTH
(21) FAMILY INSTITUTE OF NORTHERN UTAH 190 EAST CENTER LOGAN,UT84321	87-0576153	501(C)(3)	90,000		SUPPORT COMMUNITY HEALTH
(22) FAMILY SUPPORT CENTER 1760 W 4805 S TAYLORSVILLE,UT84129	87-0359719	501(C)(3)	20,000		PROMOTE COMMUNITY HEALTH
(23) FAMILY SUPPORT CENTER OF WASHINGTON COUNTY UTAH INC 310 WEST 200 NORTH ST GEORGE,UT84770	26-2827156	501(C)(3)	10,000		PROMOTE COMMUNITY HEALTH
(24) FOREVER YOUNG FOUNDATION FOR CHILDREN C/O 550 WEST 500 SOUTH BOUNTIFUL,UT84010	87-0509354	501(C)(3)	10,000		SUPPORT CHILDREN'S HEALTH
(25) FOURTH STREET CLINIC 409 W 4TH S SALT LAKE CITY,UT84101	87-0678393	501(C)(3)	70,000		SUPPORT COMMUNITY CLINIC
(26) HOLY CROSS MINISTRIES 860 E 4500 S STE 204 SALT LAKE CITY,UT84107	87-0359324	501(C)(3)	15,000		PROMOTE COMMUNITY HEALTH
(27) HOPE4UTAH 5455 N RIVER RUN DRIVE PROVO,UT84604	90-0969731	501(C)(3)	120,000		PROMOTE COMMUNITY HEALTH
(28) HOUSE OF HOPE 857 E 200 S SALT LAKE CITY,UT84102	87-0255206	501(C)(3)	25,000		PROMOTE COMMUNITY HEALTH
(29) HUNTSMAN CANCER FOUNDATION 2000 CIR OF HOPE DR SALT LAKE CITY,UT84112	87-0541293	501(C)(3)	9,000,000		PROMOTE COMMUNITY HEALTH
(30) INTERMOUNTAIN COMMUNITY CARE FOUNDATION 36 S STATE STREET STE 2200 SALT LAKE CITY,UT84111	94-2853320	501(C)(3)	5,000,000		SUPPORT COMMUNITY HEALTH
(31) INTERMOUNTAIN HEALTHCARE FOUNDATION INC 5121 SOUTH COTTONWOOD ST MURRAY,UT84107	80-0225150	501(C)(3)	3,613,349		SUPPORT COMMUNITY HEALTH
(32) FOUNDATION FOR THE PROVO-JORDAN RIVER PARKWAY 872 S WOODRUFF WAY SALT LAKE CITY,UT84108	94-2674996	501(C)(3)	50,000		PROMOTE COMMUNITY HEALTH
(33) JUNIOR ACHIEVEMENT OF UTAH 515 E 100 S STE 200 SALT LAKE CITY,UT84102	87-0225875	501(C)(3)	10,000		SUPPORT ELEMENTARY EDUCATION
(34) JDRF INTERNATIONAL 26 BROADWAY 14TH FLOOR NEW YORK,NY10004	23-1907729	501(C)(3)	25,000		PROMOTE COMMUNITY HEALTH
(35) MIDTOWN COMMUNITY HEALTH CENTER INC 2240 ADAMS AVE OGDEN,UT84401	87-0540039	501(C)(3)	65,000		PROMOTE COMMUNITY HEALTH
(36) MUSCULAR DYSTROPHY ASSOCIATION 3300 EAST SUNRISE DRIVE TUCSON,AZ85718	79-7575339	501(C)(3)	10,000		PROMOTE COMMUNITY HEALTH
(37) NATIONAL ABILITY CENTER PO BOX 682799 PARK CITY,UT84068	94-3025807	501(C)(3)	175,000		SUPPORT COMMUNITY HEALTH
(38) NEIGHBORHOOD HOUSE ASSOCIATION 1050 W 5TH S SALT LAKE CITY,UT84104	87-0212462	501(C)(3)	10,000		PROMOTE COMMUNITY HEALTH
(39) THE DR DALE B HULL FOUNDATION FOR NEUROLOGICAL REHABILITATION INC 90 W ALBION VILLAGE WAY SANDY,UT84070	20-0291769	501(C)(3)	255,000		PROMOTE COMMUNITY HEALTH
(40) PEACE HOUSE INC 1960 SIDEWINDER DR SUITE 208 PARK CITY,UT84060	87-0500067	501(C)(3)	25,000		PROMOTE COMMUNITY HEALTH
(41) PEOPLE HELPING PEOPLE INC 205 N 400 W SALT LAKE CITY,UT84103	84-1373515	501(C)(3)	10,000		PROMOTE COMMUNITY HEALTH
(42) PEOPLE'S HEALTH CLINIC INC 650 ROUND VALLEY DRIVE PARK CITY,UT84068	87-0638042	501(C)(3)	200,000		PROMOTE COMMUNITY HEALTH
(43) PREVENT CHILD ABUSE UTAH 2955 HARRISON BLVD OGDEN,UT84403	74-2434274	501(C)(3)	10,000		SUPPORT CHILDREN'S HEALTH
(44) RACE SWAMI 2571 S 2700 E SALT LAKE CITY,UT84109	27-4648408	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(45) RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC 935 E SOUTH TEMPLE SALT LAKE CITY,UT84102	74-2386043	501(C)(3)	22,500		SUPPORT COMMUNITY HEALTH
(46) SAFE KIDS UTAH 288 N 1460 W SALT LAKE CITY,UT84116	02-0798812	501(C)(3)	120,000		SUPPORT CHILDREN'S HEALTH
(47) SALT LAKE AREA CHAMBER OF COMMERCE 175 E 400 S STE 600 SALT LAKE CITY,UT84111	87-0121901	501(C)(3)	15,000		SUPPORT COMMUNITY HEALTH
(48) THE COMMUNITY FOUNDATION OF UTAH 423 WEST 800 SOUTH SUITE A101 SALT LAKE CITY,UT84101	74-3211770	501(C)(3)	1,000,000		SUPPORT COMMUNITY HEALTH
(49) SEALANTS FOR SMILES 5373 GREEN ST STE 400 SALT LAKE CITY,UT84123	20-8857514	501(C)(3)	25,000		SUPPORT COMMUNITY HEALTH
(50) SOUTHERN UTAH UNIVERSITY FOUNDATION 351 W UNIVERSITY BLVD CEDAR CITY,UT84720	87-0564444	501(C)(3)	100,000		SUPPORT COMMUNITY HEALTH
(51) SOUTHWEST UTAH COMMUNITY HEALTH CENTER 25 NORTH 100 EAST SUITE 102 ST GEORGE,UT84770	35-2163112	501(C)(3)	295,000		SUPPORT COMMUNITY HEALTH
(52) ST ANNES CENTER INC 269 W 3300 S OGDEN,UT84401	87-0368808	501(C)(3)	25,000		SUPPORT COMMUNITY HEALTH
(53) STANFORD UNIVERSITY 326 GALVEZ STREET STANFORD,CA94305	94-1156365	501(C)(3)	1,250,000		HEALTH RESEARCH
(54) STEM EDUCATION SOLUTIONS INC 1193 E BELL CASTLE CIR SANDY,UT84094	47-5441582	501(C)(3)	200,000		SUPPORT COMMUNITY HEALTH
(55) SWATC FOUNDATION 510 W 800 SOUTH CEDAR CITY,UT84720	46-1233025	501(C)(3)	25,000		SUPPORT COMMUNITY HEALTH
(56) THANKSGIVING POINT INSTITUTE INC 3003 THANKSGIVING WAY LEHI,UT84043	84-1416158	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(57) THE ROAD HOME 210 RIO GRANDE STREET SALT LAKE CITY,UT84101	87-0212465	501(C)(3)	15,000		SUPPORT COMMUNITY HEALTH
(58) TREMONTON CITY CORPORATION 102 S TREMONT ST TREMONTON,UT84337	05-0830520	GOV	50,000		SUPPORT COMMUNITY HEALTH
(59) TURN COMMUNITY SERVICES INC 423 W 800 S SALT LAKE CITY,UT84110	87-0303448	501(C)(3)	60,000		SUPPORT COMMUNITY HEALTH
(60) UHA UTAH HOSPITALS AND HEALTH SYSTEMS ASSOCIATION 2180 S 1300 E STE 440 SALT LAKE CITY,UT84106	87-6119772	501(C)(3)	70,000		SUPPORT COMMUNITY HEALTH
(61) UNITED WAY OF SALT LAKE 257 E 200 S STE 300 SALT LAKE CITY,UT84111	87-0227091	501(C)(3)	632,178		SUPPORT COMMUNITY HEALTH
(62) UNIVERSITY OF UTAH 301 WALKER WAY SALT LAKE CITY,UT84106	87-6000525	GOV	15,061,072		HEALTH EDUCATION
(63) ANTI-BULLYING COALITION 9150 S 150 E ROOM 580 SANDY,UT84070	80-0945601	501(C)(3)	50,000		SUPPORT CHILDREN'S HEALTH
(64) UTAH CLEAN AIR PARTNERSHIP UCAIR INC 165 NORTH 1950 WEST SALT LAKE CITY,UT84116	46-1224589	501(C)(3)	25,000		SUPPORT COMMUNITY HEALTH
(65) UTAH FAMILIES FOUNDATION 1110 E EAGLEWOOD DR STE 4 N SALT LAKE CITY,UT84054	87-0509416	501(C)(3)	20,000		SUPPORT LOW INCOME
(66) UTAH FILM CENTER 122 SOUTH MAIN STREET SALT LAKE CITY,UT84101	75-3077559	501(C)(3)	30,000		SUPPORT COMMUNITY HEALTH
(67) UTAH FOOD BANK 3150 S 900 W SALT LAKE CITY,UT84119	87-0212453	501(C)(3)	10,000	32,500	SUPPORT COMMUNITY HEALTH
(68) UTAH FOUNDATION 10 W BROADWAY SUITE 307 SALT LAKE CITY,UT84101	87-1099245	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(69) UTAH HEALTH POLICY PROJECT 1832 W RESEARCH WAY 60 SALT LAKE CITY,UT84119	87-0684606	501(C)(3)	12,500		SUPPORT COMMUNITY HEALTH
(70) UTAH LEAGUE OF CITIES & TOWNS 50 SOUTH 600 EAST SUITE 150 SALT LAKE CITY,UT84102		GOV	900,000		SUPPORT COMMUNITY HEALTH
(71) UTAH NONPROFITS ASSOCIATION INC 231 E 400 S STE 345 SALT LAKE CITY,UT84111	87-0481455	501(C)(3)	18,100		SUPPORT LOCAL NONPROFITS
(72) UTAH STATE UNIVERSITY FOUNDATION 1490 OLD MAIN HILL LOGAN,UT84322	87-6000528	501(C)(3)	125,000		HEALTH EDUCATION
(73) UTAH VALLEY UNIVERSITY FOUNDATION INC 800 W UNIVERSITY PKWY STE MS111 OREM,UT84058	87-0036944	501(C)(3)	20,000		HEALTH EDUCATION
(74) UTAH YOUTH VILLAGE 5800 S HIGHLAND DR SALT LAKE CITY,UT84121	87-0301014	501(C)(3)	10,000		SUPPORT CHILDREN'S HEALTH
(75) VOLUNTEER CARE CLINIC 148 N 100 W PROVO,UT84601	20-1567171	501(C)(3)	16,000		SUPPORT COMMUNITY HEALTH
(76) WASATCH COMMUNITY GARDENS 824 E 400 W SUITE 127 SALT LAKE CITY,UT84101	74-2550359	501(C)(3)	17,500		PROMOTE COMMUNITY HEALTH
(77) WASHINGTON CITY 111 N 100 E WASHINGTON,UT84780		GOV	68,000		SUPPORT COMMUNITY HEALTH
(78) WESTMINSTER COLLEGE 1840 S 1300 E SALT LAKE CITY,UT84105	87-0212470	501(C)(3)	135,000		HEALTH EDUCATION
(79) WOMENS LEADERSHIP INSTITUTE OF UTAH 175 E UNIVERSITY BLVD STE 600 SALT LAKE CITY,UT84111	47-2963429	501(C)(3)	25,000		SUPPORT COMMUNITY HEALTH
(80) WORLD PEACE PARENTS PO BOX 71501 COTTONWOOD,UT84171	02-2343798	501(C)(3)	10,000		SUPPORT COMMUNITY HEALTH
(81) YMCA OF NORHTERN UTAH 3098 HIGHLAND DR STE 440 SALT LAKE CITY,UT84106	87-0212472	501(C)(3)	20,000		HEALTHY LIFESTYLE

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

Any related organization?

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Yes

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHARLES W SORENSON JR MDTRUSTEE / PRES / CEO	(i) (ii)	1,013,075 ------------- 0	655,106 ------------- 0	287,256 ------------- 0	763,362 ------------- 0	40,901 ------------- 0	2,759,700 ------------- 0	824,897 ------------- 0
2ROBERT W ALLENVICE PRESIDENT	(i) (ii)	338,847 ------------- 0	178,086 ------------- 0	44,643 ------------- 0	262,369 ------------- 0	24,603 ------------- 0	848,548 ------------- 0	153,272 ------------- 0
3MOODY L CHISHOLMVICE PRESIDENT	(i) (ii)	391,236 ------------- 0	0 ------------- 0	43,259 ------------- 0	187,222 ------------- 0	15,247 ------------- 0	636,964 ------------- 0	0 ------------- 0
4TODD CRAGHEADVICE PRESIDENT	(i) (ii)	217,458 ------------- 0	67,221 ------------- 0	1,658 ------------- 0	110,659 ------------- 0	20,326 ------------- 0	417,322 ------------- 0	53,971 ------------- 0
5DAVID L FLOODVP/CHIEF DEV. OFFICER	(i) (ii)	353,896 ------------- 0	158,288 ------------- 0	39,419 ------------- 0	239,590 ------------- 0	24,262 ------------- 0	815,455 ------------- 0	134,532 ------------- 0
6LARRY D HANCOCKVICE PRESIDENT	(i) (ii)	210,580 ------------- 0	304,888 ------------- 0	2,800,050 ------------- 0	51,337 ------------- 0	11,590 ------------- 0	3,378,445 ------------- 0	2,069,212 ------------- 0
7COREY B HELLERVICE PRESIDENT	(i) (ii)	206,284 ------------- 0	0 ------------- 0	66,279 ------------- 0	111,285 ------------- 0	14,742 ------------- 0	398,590 ------------- 0	0 ------------- 0
8KIMBERLY HENRICHSENVICE PRESIDENT	(i) (ii)	306,219 ------------- 0	149,577 ------------- 0	41,886 ------------- 0	249,448 ------------- 0	24,365 ------------- 0	771,495 ------------- 0	135,255 ------------- 0
9BRENT T JOHNSONVICE PRESIDENT	(i) (ii)	146,424 ------------- 0	151,751 ------------- 0	57,946 ------------- 0	80,261 ------------- 0	12,397 ------------- 0	448,779 ------------- 0	131,919 ------------- 0
10GREGORY M JOHNSONVICE PRESIDENT	(i) (ii)	317,672 ------------- 0	158,768 ------------- 0	35,712 ------------- 0	263,151 ------------- 0	24,553 ------------- 0	799,856 ------------- 0	138,250 ------------- 0
11LAURA S KAISEREXEC. VP / COO	(i) (ii)	871,686 ------------- 0	561,157 ------------- 0	25,692 ------------- 0	743,487 ------------- 0	11,626 ------------- 0	2,213,648 ------------- 0	499,578 ------------- 0
12TERRI L KANEVICE PRESIDENT	(i) (ii)	428,361 ------------- 0	213,209 ------------- 0	234,159 ------------- 0	360,880 ------------- 0	24,270 ------------- 0	1,260,879 ------------- 0	354,767 ------------- 0
13LINDA C LECKMAN MDVICE PRESIDENT	(i) (ii)	533,648 ------------- 0	264,006 ------------- 0	28,761 ------------- 0	315,659 ------------- 0	17,872 ------------- 0	1,159,946 ------------- 0	229,052 ------------- 0
14JACQUE MILLARDVP / CHIEF INVEST OFCR	(i) (ii)	278,531 ------------- 0	140,197 ------------- 0	30,444 ------------- 0	228,217 ------------- 0	23,123 ------------- 0	700,512 ------------- 0	122,270 ------------- 0
15TIMOTHY T PEHRSONVICE PRESIDENT	(i) (ii)	443,759 ------------- 0	221,186 ------------- 0	21,826 ------------- 0	353,073 ------------- 0	26,555 ------------- 0	1,066,399 ------------- 0	200,728 ------------- 0
16GREGORY P POULSENSENIOR VICE PRESIDENT	(i) (ii)	465,439 ------------- 0	308,931 ------------- 0	48,673 ------------- 0	635,762 ------------- 0	26,696 ------------- 0	1,485,501 ------------- 0	275,072 ------------- 0
17MARC PROBSTVICE PRES / CIO	(i) (ii)	459,257 ------------- 0	230,042 ------------- 0	26,923 ------------- 0	511,522 ------------- 0	26,086 ------------- 0	1,253,830 ------------- 0	200,454 ------------- 0
18MARK A RUNYONVICE PRESIDENT	(i) (ii)	309,807 ------------- 0	40,000 ------------- 0	38,463 ------------- 0	141,846 ------------- 0	16,051 ------------- 0	546,167 ------------- 0	0 ------------- 0
19STEVEN R SMOOTVICE PRESIDENT	(i) (ii)	430,334 ------------- 0	219,979 ------------- 0	39,526 ------------- 0	258,577 ------------- 0	26,678 ------------- 0	975,094 ------------- 0	187,543 ------------- 0
20JOSEPH WALSHVICE PRESIDENT	(i) (ii)	197,116 ------------- 0	47,781 ------------- 0	19,583 ------------- 0	99,672 ------------- 0	10,258 ------------- 0	374,410 ------------- 0	47,781 ------------- 0
21ALBERT R ZIMMERLIEVP / CFO / SEC / TREAS	(i) (ii)	863,743 ------------- 0	561,160 ------------- 0	193,480 ------------- 0	641,995 ------------- 0	32,807 ------------- 0	2,293,185 ------------- 0	624,437 ------------- 0
22DANIEL L ZUHLKESR VICE PRESIDENT	(i) (ii)	394,607 ------------- 0	199,004 ------------- 0	26,081 ------------- 0	462,400 ------------- 0	24,390 ------------- 0	1,106,482 ------------- 0	175,414 ------------- 0
23CASEY BACHISONMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,637,549 ------------- 0	142,697 ------------- 0	1,329 ------------- 0	88,066 ------------- 0	20,867 ------------- 0	1,890,508 ------------- 0	0 ------------- 0
24BENJAMIN FOXMD-NEUROSURGERY	(i) (ii)	1,527,071 ------------- 0	143,936 ------------- 0	26,914 ------------- 0	96,297 ------------- 0	23,037 ------------- 0	1,817,255 ------------- 0	0 ------------- 0
25BERKELEY BATEMD-NEUROSURGERY	(i) (ii)	1,259,555 ------------- 0	66,237 ------------- 0	47,977 ------------- 0	78,332 ------------- 0	22,853 ------------- 0	1,474,954 ------------- 0	0 ------------- 0
26TRAVIS HENDRYMD-SURGERY/ORTHOPEDIC	(i) (ii)	1,203,011 ------------- 0	48,164 ------------- 0	37,869 ------------- 0	21,124 ------------- 0	23,367 ------------- 0	1,333,535 ------------- 0	47,664 ------------- 0
27WILLIAM GOWSKIMD-ORTHOPEDICS	(i) (ii)	1,204,152 ------------- 0	52,553 ------------- 0	19,329 ------------- 0	22,695 ------------- 0	20,765 ------------- 0	1,319,494 ------------- 0	52,053 ------------- 0

Schedule J (Form 990) 2015

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. HOUSING ALLOWANCE - PURSUANT TO COMPANY POLICY, MOODY CHISHOLM RECEIVED REIMBURSEMENT FOR TEMPORARY HOUSING EXPENSES. THE REIMBURSED EXPENSES WERE REPORTED AS TAXABLE TO THE INDIVIDUAL ON FORM W-2.
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 MARKET COMPETITIVE RATES. 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, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING 2015: - LARRY HANCOCK $912,767 THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2015: - CHARLES W. SORENSON JR MD $241,675 - ALBERT R. ZIMMERLI $124,856 - LARRY D. HANCOCK $1,800,000 - TERRI L. KANE $194,582 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN.
PART I, LINE 6	CERTAIN PHYSICIAN CONTRACTS PROVIDE FOR ANY EXCESS OF COLLECTED REVENUE OVER ANNUAL EXPENSES TO BE PAID TO THE PHYSICIAN ON A PHYSICIAN PRACTICE BASIS.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MURRAY CITY UTAH	87-6000254	626853CE3	11-19-2003	308,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
B	MURRAY CITY UTAH	87-6000254	626853CJ2	10-04-2005	262,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
C	CITY OF RIVERTON UTAH	87-0344045	769369AL3	11-05-2009	252,199,400	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
D	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	05-15-2012	200,000,000	REFUND PRIOR ISSUE 2007A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393AV2	10-25-2012	250,001,777	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
	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 ..................			47,100,000		25,000,000		30,500,000
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 .............			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 .............	200,000,000						63,312,310
12 Other unspent proceeds .............					115,264,056
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) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0.100 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.100 %		0.100 %		0 %
6 Total of lines 4 and 5 .............	0.200 %		0.200 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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 .........	2930.0000000000 %		3160.0000000000 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3	AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I COLUMN E, DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCH K, PART II, LINE 11, COLUMN A & PART IV, LINE 2C	THE SERIES 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS.
FORM 990, SCH K, PART II, LINE 11, PART III, COL D & PART IV, LINE 2C COL D	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011. ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008.
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. AT THAT TIME, THREE OTHER QUALIFIED HEDGES (IN CONNECTION WITH THE SERIES 2003 BONDS) TOTALING $187,800,000 IN NOTIONAL, REMAINED WITH JP MORGAN, MAINTAINING 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 REMAINED WITH JP MORGAN, MAINTAINING THE ORIGINAL MATURITY DATE OF 5/15/2037. AT THAT TIME, ONE ADDITIONAL QUALIFIED HEDGE (IN CONNECTION WITH THE SERIES 2005 BONDS), TOTALING $68,000,000 IN NOTIONAL, ALSO REMAINED WITH JP MORGAN, MAINTAINING 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
IHC HEALTH SERVICES INC

Employer identification number
94-2854057

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MURRAY CITY UTAH	87-6000254	626853CE3	11-19-2003	308,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
B	MURRAY CITY UTAH	87-6000254	626853CJ2	10-04-2005	262,000,000	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
C	CITY OF RIVERTON UTAH	87-0344045	769369AL3	11-05-2009	252,199,400	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
D	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	05-15-2012	200,000,000	REFUND PRIOR ISSUE 2007A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393AV2	10-25-2012	250,001,777	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
	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 ..................			47,100,000		25,000,000		30,500,000
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 .............			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 .............	200,000,000						63,312,310
12 Other unspent proceeds .............					115,264,056
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) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0.100 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.100 %		0.100 %		0 %
6 Total of lines 4 and 5 .............	0.200 %		0.200 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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 .........	2930.0000000000 %		3160.0000000000 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
FORM 990, SCHEDULE K, PART II, LINE 3	AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I COLUMN E, DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCH K, PART II, LINE 11, COLUMN A & PART IV, LINE 2C	THE SERIES 2012A BONDS REFUNDED THE SERIES 2007A BONDS. THE 2007A BONDS WERE CALLED ON MAY 15, 2012. ALL PROCEEDS WERE USED TO REFUND THE 2007A BONDS.
FORM 990, SCH K, PART II, LINE 11, PART III, COL D & PART IV, LINE 2C COL D	THE 2011 BONDS REFUNDED THE SERIES 2001B BONDS. THE 2001B BONDS WERE CALLED ON MAY 15, 2011. ALL PROCEEDS LESS ISSUANCE COSTS WERE USED TO REFUND THE 2001B BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008.
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. AT THAT TIME, THREE OTHER QUALIFIED HEDGES (IN CONNECTION WITH THE SERIES 2003 BONDS) TOTALING $187,800,000 IN NOTIONAL, REMAINED WITH JP MORGAN, MAINTAINING 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 REMAINED WITH JP MORGAN, MAINTAINING THE ORIGINAL MATURITY DATE OF 5/15/2037. AT THAT TIME, ONE ADDITIONAL QUALIFIED HEDGE (IN CONNECTION WITH THE SERIES 2005 BONDS), TOTALING $68,000,000 IN NOTIONAL, ALSO REMAINED WITH JP MORGAN, MAINTAINING 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2015

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

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

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

Part II

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

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










Total ............... $

Part III

Grants or Assistance 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) 2015

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JEFFREY L ANDERSON	TRUSTEE FAMILY	202,921	WAGES		No
(2) JEFFREY T CRAGHEAD	OFFICER FAMILY	87,232	WAGES		No
(3) ALEXA COOPER	TRUSTEE FAMILY	11,763	WAGES		No
(4) GRANT L ZIMMERLI	OFFICER FAMILY	22,892	WAGES		No
(5) KRISTINA HOLLISTER	OFFICER FAMILY	20,863	WAGES		No
(6) HOLLY H YOUNG	OFFICER FAMILY	43,548	WAGES		No
(7) JACOB L HENRICHSEN	OFFICER FAMILY	14,798	WAGES		No
(8) GRAHAM H BURDETT	OFFICER FAMILY	108,671	WAGES		No
(9) ZACHARY L REESE	TRUSTEE FAMILY	163,262	WAGES		No
(10) RICHARD B STEVENSON	OFFICER FAMILY	145,314	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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2015

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 21 HOSPITALS WITH 2,682 LICENSED BEDS IN UTAH AND SOUTHERN IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,500 PRIMARY AND SECONDARY CARE PHYSICIANS IN HOSPITALS AND 281 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 2015: - ACUTE ADMISSIONS - 136,546 - INSTACARE VISITS - 626,688 - BIRTHS - 30,955 - INPATIENT SURGERIES - 39,598 - OUTPATIENT SURGERIES - 117,125 - EMERGENCY ROOM VISITS - 501,838 - PHYSICIAN CLINIC VISITS - 3,244,990 - HOMECARE PATIENTS SERVED - 101,205 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 HAVE WORKED TO EXPAND 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, ATTENTION DEFICIT DISORDER, 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, 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, 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. TELECRITICAL CARE HAS BEEN IMPLEMENTED IN ALL INTENSIVE CARE UNITS ACROSS THE SYSTEM IMPROVING OVERSIGHT OF PATIENTS IN ICUS WITH LIMITED INTENSIVIST COVERAGE. 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, EARLY RECOGNITION AND TREATMENT OF SHOCK, AND ASTHMA. PEDIATRIC TEAMS ARE WORKING WITH OTHER DISCIPLINES TO EVALUATE AND IMPROVE THE TRANSITION OF ADOLESCENT PATIENTS WITH CHRONIC ILLNESS TO ADULT CARE PROVIDERS AS THEY GRADUATE FROM HIGH SCHOOL AND MOVE AWAY FROM THEIR TRADITIONAL SUPPORT SYSTEMS. 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, DEVELOPMENT OF A CLINICAL PATHWAY FOR BARIATRIC SURGERY PATIENTS, AND DEVELOPMENT AND IMPLEMENTATION OF TOOLS TO REDUCE SUPPLY COSTS. 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. MUCH OF THE WORK THIS PAST YEAR HAS FOCUSED ON CREATING ADDITIONAL STANDARDS OF CARE FOR BABIES IN THE NEONATAL INTENSIVE CARE NURSERY RESULTING IN IMPROVED OUTCOMES. THE MUSCULOSKELETAL CLINICAL PROGRAM WAS 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 COMPLETED DEVELOPMENT OF A CARE PROCESS MODEL FOR TOTAL JOINT REPLACEMENT AND IS IN THE PROCESS OF IMPLEMENTATION OF CARE STANDARDS FOR THESE CONDITIONS ACROSS THE SYSTEM.
FORM 990, PART III, LINE 4A	THE NEUROSCIENCES CLINICAL PROGRAM 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 TELEHEALTH FOR STROKE CARE, DEVELOPING MODELS OF CARE FOR PATIENTS WITH LOW BACK PAIN FROM CONSERVATIVE THERAPY TO SURGICAL INTERVENTION, AND MANAGING PATIENTS WITH CONCUSSION, DEMENTIA, 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 2015, THROUGH 245,081 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $147 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. 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 2015, THESE CLINICS HAD 15,601 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, AWARDED GRANTS AND OTHER CASH CONTRIBUTIONS TO 34 INDEPENDENTLY OWNED COMMUNITY CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD 386,536 PATIENT VISITS IN 2015. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING: HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2015, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED $98 MILLION. SEE SCHEDULE H.
FORM 990, PART VI, SECTION A, LINE 1	IHC HEALTH SERVICES, INC. DELEGATES BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY. AS A RESULT, THE EXECUTIVE COMMITTEE, WHEN SO APPOINTED BY THE BOARD OF TRUSTEES, SHALL HAVE AND MAY EXERCISE THE POWERS OF THE BOARD OF TRUSTEES IN MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION AND SHALL REPORT REGULARLY AT EACH MEETING OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO AUTHORIZE EXECUTION OF DOCUMENTS IN THE NAME OF AND UNDER THE SEAL OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 2	CHARLES W. SORENSON JR. MD / GREGORY P. POULSEN - FAMILY RELATIONSHIP. 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). ALBERT R. ZIMMERLI / DOUGLAS C. BLACK / BRENT T. JOHNSON - BUSINESS RELATIONSHIP (BOARD MEMBERS OF INTERMOUNTAIN SUPPLY SERVICES, INC. AND AMERINET, INC., TAXABLE CORPORATIONS THAT ARE 90% AND 95% OWNED BY THE FILING ORGANIZATION, RESPECTIVELY). A. SCOTT ANDERSON / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEES IN AN UNRELATED TAXABLE CORPORATION). KAREN W. FAIRBANKS / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX-EXEMPT ORGANIZATION).
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF HEALTH SERVICES IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	UNDER THE APPROVED BYLAWS, HEALTH SERVICES' SOLE MEMBER ELECTS HEALTH SERVICES' TRUSTEES AT THE ANNUAL MEMBER MEETING.
FORM 990, PART VI, SECTION A, LINE 7B	UNDER THE ARTICLES OF INCORPORATION, THE SOLE 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 AND/OR PROVIDED ELECTRONICALLY 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 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. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING, IF THEY ARE AWARE OF ANY NEW CONFLICTS. 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 PRESIDENTS - 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 THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. HEALTH SERVICES' PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. 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 CONSOLIDATED 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 -7,847,586. ADJUSTMENT TO BALANCE OF INVESTMENT IN AFFILIATE -1,494,647. CAPITAL TRANSFER TO AN AFFILIATE -250,003,334. MISCELLANEOUS CHANGES TO RESTRICTED NET ASSETS -71,119.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	41,862
6	Total number of volunteers (estimate if necessary) .............	6	4,035
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	144,128,253
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-6,024,419

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	42,627,687	18,726,606
9	Program service revenue (Part VIII, line 2g) .........	4,698,234,764	5,031,034,971
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	84,673,863	263,894,132
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	35,921,932	42,735,018
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,861,458,246	5,356,390,727
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	39,074,948	44,017,506
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)	2,263,116,241	2,492,531,075
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,152,023
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,929,931,690	2,168,081,465
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,232,122,879	4,704,630,046
19	Revenue less expenses. Subtract line 18 from line 12.......	629,335,367	651,760,681
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,427,638,721	8,597,806,340
21	Total liabilities (Part X, line 26).............	3,370,287,591	3,478,457,909
22	Net assets or fund balances. Subtract line 21 from line 20.....	5,057,351,130	5,119,348,431

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	Type or print name and title


4a	(Code: ) (Expenses $ 3,929,251,302 including grants of $ 44,017,506 ) (Revenue $ 5,045,832,476 )
	IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 21 HOSPITALS (2,682 LICENSED BEDS) AND 281 CLINICS LOCATED IN UTAH AND IDAHO. IN ADDITION TO THE 136,000 INPATIENT ADMISSIONS, 501,000 EMERGENCY ROOM VISITS AND 3.2 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $147 MILLION IN CHARITY CARE (AT COST) THROUGH 245,081 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2015, SEE SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses3,929,251,302

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	25,602,901	542	7,968,575

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	11,564,621
e	Government grants (contributions)		1e	5,658,471

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,503,514

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		18,726,606

		Business Code
2a	PATIENT SERVICE	622110	4,201,865,338	4,179,052,772	22,812,566
b	LABORATORY	621511	621,288,595	610,560,961	10,727,634
c	PHARMACY	446110	172,271,488	58,400,385	113,871,103
d	RENTAL (RELATED)	531120	16,751,433	16,751,433	0
e	LAUNDRY	812320	7,632,735	5,345,741	2,286,994
f	All other program service revenue.			11,225,382	9,455,422	1,769,960
g Total.Add lines 2a–2f.....			5,031,034,971

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			103,739,431		-13,111,568	116,850,999
4 Income from investment of tax-exempt bond proceeds			-542,199			-542,199
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		6,377,386
b	Less: rental expenses		3,504,734
c	Rental income or (loss)		2,872,652
d	Net rental income or (loss)......			2,872,652			2,872,652
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	4,670,925	8,731,817,433
b	Less: cost or other basis and sales expenses	9,813,560	8,565,977,898
c	Gain or (loss)	-5,142,635	165,839,535
d	Net gain or (loss).....			160,696,900		5,771,564	154,925,336
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	18,899,652	0		18,899,652
b	CORP CHARGE REVENUE		624100	14,797,505	14,797,505
c	GIFT SHOP/RETAIL		453220	6,165,209	0		6,165,209
d	All other revenue ....
e	Total. Add lines 11a–11d ......			39,862,366
12	Total revenue. See Instructions......			5,356,390,727	4,894,364,219	144,128,253	299,171,649

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	44,017,506	44,017,506
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	25,078,023		25,078,023
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,067,643		1,067,643
7	Other salaries and wages	2,033,329,303	1,733,459,849	297,193,664	2,675,790
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	165,420,564	152,294,666	13,125,898
9	Other employee benefits .......	136,595,005	85,006,935	51,237,820	350,250
10	Payroll taxes ...........	131,040,537	109,611,372	21,270,788	158,377
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	15,468,704	241,278	15,227,426
c	Accounting ...........	693,592		657,437	36,155
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	15,501,917		15,501,917
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	300,587,611	203,814,375	96,581,414	191,822
12	Advertising and promotion ....	18,426,123	9,854,752	8,571,371
13	Office expenses .......	86,713,429	56,781,843	29,785,361	146,225
14	Information technology ......	36,766,580	5,179,123	31,481,109	106,348
15	Royalties ..
16	Occupancy ...........	157,631,319	89,338,688	68,290,890	1,741
17	Travel ............	20,879,030	13,995,582	6,831,007	52,441
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,861,820	1,368,921	485,579	7,320
20	Interest ...........	48,345,106	48,345,106
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	258,582,623	216,924,086	41,644,363	14,174
23	Insurance ...	11,329,125		11,329,125
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	869,240,415	869,240,415	0	0
b	BAD DEBTS	215,251,331	215,251,331	0	0
c	NON-MEDICAL SUPPLIES	66,586,137	48,362,754	17,841,333	382,050
d	RISK MANAGEMENT	14,621,054	499	14,620,555	0
e	All other expenses	29,595,549	26,162,221	3,403,998	29,330
25	Total functional expenses. Add lines 1 through 24e	4,704,630,046	3,929,251,302	771,226,721	4,152,023
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			213,142	1	170,249
2	Savings and temporary cash investments .........			257,143,616	2	147,688,415
3	Pledges and grants receivable, net ......			2,762,250	3	3,094,445
4	Accounts receivable, net .............			650,880,085	4	738,790,137
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 ....			945,408	7	1,455,833
8	Inventories for sale or use ........			107,168,318	8	116,034,322
9	Prepaid expenses and deferred charges ......			40,773,050	9	40,768,931
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,482,666,963
b	Less: accumulated depreciation	10b	2,102,093,831	2,268,062,875	10c	2,380,573,132
11	Investments—publicly traded securities .			4,305,865,411	11	4,150,703,975
12	Investments—other securities. See Part IV, line 11 .....			401,857,243	12	586,964,445
13	Investments—program-related. See Part IV, line 11 ..			36,071,859	13	80,588,964
14	Intangible assets ...............			199,646	14	65,880,246
15	Other assets. See Part IV, line 11 ...........			355,695,818	15	285,093,246
16	Total assets. Add lines 1 through 15 (must equal line 34)...			8,427,638,721	16	8,597,806,340

17	Accounts payable and accrued expenses .....	278,831,975	17	316,295,131
18	Grants payable ...		18
19	Deferred revenue .........	8,370,821	19	12,327,656
20	Tax-exempt bond liabilities .........	1,747,999,420	20	1,715,544,204
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 ..	7,540,156	23	28,379,341
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	1,327,545,219	25	1,405,911,577
26	Total liabilities. Add lines 17 through 25..	3,370,287,591	26	3,478,457,909

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	5,056,967,669	27	5,119,036,089
28	Temporarily restricted net assets ...........	383,461	28	312,342
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	5,057,351,130	33	5,119,348,431
34	Total liabilities and net assets/fund balances ........	8,427,638,721	34	8,597,806,340

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

(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	2,500,104	8,667,822	IHC HEALTH SERVICES INC
(2) IHC UTAH VALLEY LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	MEDICAL OFFICES	UT	345,563	2,973,184	IHC HEALTH SERVICES INC
(3) INTERMOUNTAIN INVENTION MANAGEMENT LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	IP MANAGEMENT	UT	108,462	0	IHC HEALTH SERVICES INC
(4) 5300 SOUTH CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-5881911	OFFICE RENTAL	UT	2,612,842	14,658,652	IHC HEALTH SERVICES INC
(5) 5245 COLLEGE DRIVE LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 26-0806138	OFFICE RENTAL	UT	1,746,238	13,845,542	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	499,402	890,702	IHC HEALTH SERVICES INC
(8) 2000 WEST DEVELOPMENT LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	PROPERTY ACQUISITION/OPERATION	UT	0	2,830,362	IHC HEALTH SERVICES INC

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0269232	HOLDING COMPANY	UT	501(C)(3)	LINE 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	Yes
(3)SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	COMMUNITY HEALTH	UT	501(C)(4)	N/A	INTERMOUNTAIN HEALTH CARE INC	Yes
(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	Yes
(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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MCKAY DEE SURGICAL CENTER LLC 3903 HARRISON BLVD OGDEN,UT84403 26-0286308	OUTPATIENT SURGERY	UT	IHC HEALTH SERVICES INC	RELATED	4,740,271	3,760,364		No		Yes		76.800 %
(2) HEART LUNG INSTITUTE LLC 5121 SOUTH COTTONWOOD STREET MURRAY,UT84157	RESEARCH AND DEVELOPMENT	UT						No			No

(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	433,608	CONTRACT
(2) MCKAY DEE SURGICAL CENTER LLC	L	805,997	CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC	Q	3,194,456	COST
(4) MCKAY DEE SURGICAL CENTER LLC	J	433,608	CONTRACT
(5) SELECTHEALTH INC	L	962,970,065	COST
(6) SELECTHEALTH INC	M	15,414,907	COST
(7) SELECTHEALTH INC	Q	111,061,029	COST
(8) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	Q	5,980,337	COST
(9) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	B	3,613,349	COST
(10) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	C	10,146,541	COST
(11) INTERMOUNTAIN COMMUNITY CARE FOUNDATIONINC	C	1,418,080	COST
(12) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC	B	5,000,000	COST
(13) SELECTHEALTH INC	R	250,000,000	COST
(14) SELECTHEALTH INC	J	1,615,856	CONTRACT
(15) INTERMOUNTAIN SUPPLY SERVICES INC	B	86,000,000	CASH/NOTE VALUE
(16) AMERINET INC	M	674,852	CONTRACT
(17) HEALTHCARE CAPTIVE INSURANCE COMPANY	M	1,340,322	CONTRACT

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