TY 2018 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 (PARTIAL YEAR)	3.00 ................. 6.00	X	X	1,923	0
(2) S NEAL BERUBE...................................................................... TRUSTEE	2.00 ................. 1.00	X		2,328	0
(3) JANE L CARLILE...................................................................... TRUSTEE (PARTIAL YEAR)	1.00 ................. 1.00	X		3,344	0
(4) CLAYTON M CHRISTENSEN...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,904	0
(5) SPENCER F ECCLES...................................................................... TRUSTEE	1.00 ................. 2.00	X		1,710	0
(6) KAREN W FAIRBANKS...................................................................... TRUSTEE	1.00 ................. 1.00	X		2,132	0
(7) DANIEL G GOMEZ...................................................................... TRUSTEE	1.00 ................. 8.00	X		3,178	0
(8) KAREN HALE...................................................................... TRUSTEE	2.00 ................. 2.00	X		1,931	0
(9) A MARC HARRISON MD...................................................................... TRUSTEE / PRES / CEO	50.00 ................. 23.00	X	X	2,564,430	1,600,881
(10) STEVEN D HUEBNER...................................................................... TRUSTEE	2.00 ................. 1.00	X		2,334	0
(11) CRYSTAL MAGGELET...................................................................... TRUSTEE	1.00 ................. 1.00	X		1,580	0
(12) GAIL MILLER...................................................................... TRUSTEE / CHAIR (PARTIAL YEAR)	3.00 ................. 3.00	X	X	1,538	0
(13) F ANN MILLNER...................................................................... TRUSTEE/VICE CHAIR/SECRETARY	3.00 ................. 3.00	X	X	0	0
(14) ARNOLD MILSTEIN MD...................................................................... TRUSTEE	1.00 ................. 1.00	X		492	0
(15) MATT C PACKARD...................................................................... TRUSTEE	2.00 ................. 1.00	X		1,692	0
(16) PATRICIA RAVERT...................................................................... TRUSTEE	2.00 ................. 1.00	X		1,256	0
(17) JANICE UGAKI...................................................................... TRUSTEE	1.00 ................. 2.00	X		1,039	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) JAMES WEINSTEIN........................................................................ TRUSTEE	1.00 .......................1.00	X				2,732	0
(19) ROBERT W ALLEN........................................................................ SENIOR VICE PRESIDENT / COO	50.00 .......................6.00		X			1,231,483	724,881
(20) HEATHER BRACE........................................................................ SENIOR VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................0.00		X			324,285	216,426
(21) MARK R BRIESACHER MD........................................................................ SENIOR VICE PRESIDENT	50.00 .......................6.00		X			1,118,080	611,357
(22) MOODY L CHISHOLM........................................................................ VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................0.00		X			1,171,167	10,939
(23) TODD E CRAGHEAD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X			349,523	154,098
(24) DAVID L FLOOD........................................................................ SENIOR VICE PRESIDENT	3.00 .......................50.00		X			708,599	389,474
(25) JOSEPH D FOURNIER........................................................................ SENIOR VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................4.00		X			1,046,116	9,950
(26) DOUGLAS J HAMMER........................................................................ SVP / GENERAL COUNSEL	50.00 .......................3.00		X			832,795	352,005
(27) KIMBERLY HENRICHSEN........................................................................ SENIOR VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................5.00		X			718,260	100,472
(28) GREGORY M JOHNSON........................................................................ VICE PRESIDENT	50.00 .......................10.00		X			598,114	349,769
(29) DAN LILJENQUIST........................................................................ SENIOR VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................0.00		X			472,889	328,093
(30) KEVAN MABBUTT........................................................................ SENIOR VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................3.00		X			715,136	330,165
(31) JACQUELINE MILLARD........................................................................ VICE PRESIDENT	50.00 .......................0.00		X			570,045	328,695
(32) MIKELLE MOORE........................................................................ SENIOR VICE PRESIDENT	50.00 .......................6.00		X			540,493	305,114
(33) TIMOTHY T PEHRSON........................................................................ VICE PRESIDENT (PARTIAL YEAR)	50.00 .......................0.00		X			2,141,600	55,582
(34) GREGORY P POULSEN........................................................................ SENIOR VICE PRESIDENT	50.00 .......................3.00		X			4,901,098	541,392
(35) MARCUS F PROBST........................................................................ VICE PRESIDENT	50.00 .......................0.00		X			798,952	657,172
(36) MARK A RUNYON........................................................................ VICE PRESIDENT	50.00 .......................1.00		X			620,044	297,497
(37) ALBERT R ZIMMERLI........................................................................ EVP / CFO / SEC / TREAS	50.00 .......................21.00		X			3,206,043	681,786
(38) CASEY BACHISON........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X		1,232,692	68,521
(39) BERKELEY BATE........................................................................ MD-NEUROSURGERY	50.00 .......................0.00			X		1,169,429	46,488
(40) BENJAMIN FOX........................................................................ MD-NEUROSURGERY	50.00 .......................0.00			X		1,277,217	70,680
(41) ERIC HOOLEY........................................................................ MD-SURGERY/ORTHOPEDIC	50.00 .......................0.00			X		1,209,806	72,176
(42) JOSEPH MOTT........................................................................ VP COO - SPEC BASED CARE	50.00 .......................0.00			X		3,113,360	667,432
(43) TERRI L KANE........................................................................ FORMER OFFICER	50.00 .......................1.00				X	832,056	371,811
(44) STEVEN R SMOOT........................................................................ FORMER OFFICER	50.00 .......................0.00				X	678,352	22,518
(45) CHARLES W SORENSON JR MD........................................................................ FORMER OFFICER	50.00 .......................0.00				X	508,703	71,081
(46) JOHN WRIGHT........................................................................ FORMER OFFICER	50.00 .......................0.00				X	454,580	150,415

(A) Name and business address	(B) Description of services	(C) Compensation
R1 RCM INC 401 N MICHIGAN AVE STE 2700 CHICAGO,IL60611	REVENUE CYCLE MANAGEMENT	131,902,866
SUMMIT PHYSICIAN SPECIALISTS PC 5444 GREEN STREET MURRAY,UT84123	MEDICAL	43,794,847
UTAH EMERGENCY PHYSICIANS PC PO BOX 57117 MURRAY,UT84157	MEDICAL	39,478,801
UTAH RADIOLOGY ASSOCIATES PLLC 560 WEST 800 NORTH OREM,UT84057	MEDICAL	18,768,676
ASSOCIATED REGIONAL AND UNIVERSITY PO BOX 27964 SALT LAKE CITY,UT84127	MEDICAL	17,832,457
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 244

- 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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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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
		$	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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

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) ...............................	25,460	25,460
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................	25,460	25,460
d	Other exempt purpose expenditures ........................................................................	5,958,060,962	6,004,556,643
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................	5,958,086,422	6,004,582,103
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) 2015	(b) 2016	(c) 2017	(d) 2018	(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	17,588	22,585	23,448	25,460	89,081

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) 2018

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: $5,958,086,422 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $113,383 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $5,000,071 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $41,378,650 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $3,577 501(H) ELECTION: NO
FORM 990, SCHEDULE C, PART II-A	HEALTH SERVICES ALSO INDIRECTLY INCURS LOBBYING EXPENSES THROUGH ASSOCIATION DUES FOR PROFESSIONAL ORGANIZATIONS OF WHICH ITS EMPLOYEES ARE MEMBERS. THE MAJORITY OF THE ASSOCIATION DUES WERE INCURRED THROUGH THE FOLLOWING PROFESSIONAL LICENSING AND MEMBERSHIP ORGANIZATIONS: AMERICAN ACADEMY OF FAMILY PHYSICIANS UTAH MEDICAL ASSOCIATION AMERICAN MEDICAL ASSOCIATION AMERICAN ACADEMY OF PEDIATRICS AMERICAN BOARD OF FAMILY MEDICINE

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: $5,958,086,422 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $113,383 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $5,000,071 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $41,378,650 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $3,577 501(H) ELECTION: NO

FORM 990, SCHEDULE C, PART II-A

HEALTH SERVICES ALSO INDIRECTLY INCURS LOBBYING EXPENSES THROUGH ASSOCIATION DUES FOR PROFESSIONAL ORGANIZATIONS OF WHICH ITS EMPLOYEES ARE MEMBERS. THE MAJORITY OF THE ASSOCIATION DUES WERE INCURRED THROUGH THE FOLLOWING PROFESSIONAL LICENSING AND MEMBERSHIP ORGANIZATIONS: AMERICAN ACADEMY OF FAMILY PHYSICIANS UTAH MEDICAL ASSOCIATION AMERICAN MEDICAL ASSOCIATION AMERICAN ACADEMY OF PEDIATRICS AMERICAN BOARD OF FAMILY MEDICINE

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 7/25/06, 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) 2018

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 ....	272,656,448	240,916,500	212,341,483	188,902,315	199,458,157
b	Contributions ...	88,627,844	56,147,635	53,364,528	43,191,896	26,121,255
c	Net investment earnings, gains, and losses	-2,144,922	4,060,214	2,383,968	-654,103	2,018,991
d	Grants or scholarships ...	1,327,590	3,120,750	2,905,191	3,298,412	4,072,489
e	Other expenditures for facilities and programs ...	39,576,411	25,347,151	24,268,288	15,800,213	34,622,367
f	Administrative expenses ....	50,976				1,232
g	End of year balance ......	318,184,393	272,656,448	240,916,500	212,341,483	188,902,315

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

Board designated or quasi-endowment SchDMd Bullet

16.770 %

Permanent endowment SchDMd Bullet

12.810 %

Temporarily restricted endowment SchDMd Bullet

70.420 %

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 .....	44,704,898	241,562,002		286,266,900
b	Buildings ....	27,721,663	2,177,775,616	1,036,316,775	1,169,180,504
c	Leasehold improvements	532,306	118,554,417	71,569,378	47,517,345
d	Equipment ....	224,458	2,438,417,426	1,448,599,951	990,041,933
e	Other .....	499,245	815,138,790		815,638,035
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					3,308,644,717

Schedule D (Form 990) 2018

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	2,659,052,374	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	2,659,052,374

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	77,985,613
MINORITY INTEREST IN JOINT VENTURES	3,854,660
457 PLAN LIABILITY	105,320,842
ASSET RETIREMENT OBLIGATION	3,308,847
INTEREST RATE SWAP LIABILITIES	146,283,304
OTHER LONG TERM LIABILITIES	76,394,559
INVESTMENT PAYABLE	426,224,994
ACCRUED PAYROLL/LEAVE	320,219,226
ACCRUED PENSION LIABILITY	234,838,315
SELF INSURANCE LIABILITIES	117,314,509
DEFERRED TAX LIABILITIES	15,490,791
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,527,235,660
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) 2018

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 IHC HEALTH SERVICES, INC. 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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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	657,097,419
	EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,			INVESTMENTS	70,193,857
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM			INVESTMENTS	245,776,802
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES			INVESTMENTS	21,633,871
	SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, FRENC			INVESTMENTS	3,265,231












3a	Sub-total .....	0	0		997,967,180
b	Total from continuation sheets to Part I ...				0
c	Totals (add lines 3a and 3b)	0	0		997,967,180

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

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

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

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) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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 76% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 24% 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) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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) . . .	156,676,877	0	156,676,877	2.770 %
b	Medicaid (from Worksheet 3, column a) . . . . .	623,270,776	577,856,882	45,413,894	0.800 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	779,947,653	577,856,882	202,090,771	3.570 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,550,447	0	4,550,447	0.080 %
f	Health professions education (from Worksheet 5) . . .	36,193,608	0	36,193,608	0.640 %
g	Subsidized health services (from Worksheet 6) . . . .	22,070,865	0	22,070,865	0.390 %
h	Research (from Worksheet 7) .	16,415,111	6,495,662	9,919,449	0.180 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	92,129,820	0	92,129,820	1.630 %
j	Total. Other Benefits . .	171,359,851	6,495,662	164,864,189	2.920 %
k	Total. Add lines 7d and 7j .	951,307,504	584,352,544	366,954,960	6.490 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	29,645	0	29,645	0 %
5	Leadership development and training for community members
6	Coalition building	187,694	0	187,694	0 %
7	Community health improvement advocacy
8	Workforce development	1,249	0	1,249	0 %
9	Other
10	Total	218,588		218,588	0 %

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. ......

300,968,992

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. ......

39,125,969

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).....

673,493,924

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

708,313,300

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

-34,819,376

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	77.300 %	22.700 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?22Name, 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	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
3	UTAH VALLEY HOSPITAL 1034 NORTH 500 WEST PROVO,UT84604 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-210	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	PARK CITY HOSPITAL 900 ROUND VALLEY DRIVE PARK CITY,UT84060 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2012-HOSP-90903	X	X					X	A
12	THE ORTHOPEDIC SPECIALTY HOSPITAL 5848 SOUTH FASHION BOULEVARD MURRAY,UT84107 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-394	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	SEVIER VALLEY HOSPITAL 1000 NORTH MAIN RICHFIELD,UT84701 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-205	X	X					X	A
16	OREM COMMUNITY HOSPITAL 331 NORTH 400 WEST OREM,UT84057 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-269	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	LAYTON HOSPITAL 201 WEST LAYTON PARKWAY LAYTON,UT84041 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2019-HOSP-UT000863	X	X					X	B
22	FILLMORE COMMUNITY HOSPITAL 674 SOUTH HIGHWAY 99 FILLMORE,UT84631 HTTP://INTERMOUNTAINHEALTHCARE.ORG 2013-HOSP-25387	X	X			X		X	A

Schedule H (Form 990) 2018

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 B
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?........................

Yes

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

Yes

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

In conducting its most recent CHNA, did the hospital facility take into account input from 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 .................

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

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

Hospital facility’s website (list url):

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

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

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

If "Yes" (list url):

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HOSPITAL REPORTING GROUP B
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 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

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)

Was widely publicized 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):

SEE SECTION C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

Yes

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

Yes

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 16

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

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) 2018

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 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

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

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)

Was widely publicized 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):

SEE SECTION C

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 5	HEALTH SERVICES CREATED A SYSTEM-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS FOR EACH OF ITS HOSPITALS TO IDENTIFY LOCAL AREA HEALTH NEEDS AND UNDERSTAND HOW TO HELP PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. HEALTH SERVICES AND EACH OF ITS HOSPITALS COLLABORATED WITH THEIR LOCAL HEALTH DEPARTMENT, THE UTAH DEPARTMENT OF HEALTH, AND/OR IDAHO DEPARTMENT OF HEALTH AND WELFARE TO IDENTIFY HEALTH INDICATORS, SOLICIT COMMUNITY INPUT, GATHER AND ANALYZE DATA, AND THEN PRIORITIZE INDICATORS TO DETERMINE THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT SEVERAL YEARS. BASED ON THAT PRIORITIZATION PROCESS, THE PRIORITY HEALTH NEEDS WERE IDENTIFIED AS FOLLOWS: PREVENTION OF PREDIABETES, HIGH BLOOD PRESSURE, DEPRESSION, AND PRESCRIPTION OPIOID MISUSE. IN RESPONSE TO COMMUNITY NEED AND INPUT, SUICIDE PREVENTION WAS ADDED AS A HEALTH PRIORITY IN 2018.RESULTS OF EACH HOSPITAL'S CHNA AND THE COMMUNITY HEALTH IMPROVEMENT PLANS (INITIATIVES) THAT WERE CREATED TO ADDRESS THE PRIORITIZED NEEDS ARE DETAILED IN SEPARATE DOCUMENTS FOR EACH HOSPITAL AT HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS/ (A PUBLIC WEBSITE).COMMUNITY INPUT MEETINGS WERE CONVENED BY EACH HOSPITAL IN APRIL THROUGH JUNE OF 2015 TO SOLICIT INPUT ABOUT HEALTHCARE NEEDS IN THE LOCAL COMMUNITY. PARTICIPANTS WERE IDENTIFIED BY HOSPITAL STAFF WITH CONSULTATION FROM THE HEALTH SERVICES' COMMUNITY BENEFIT DEPARTMENT STAFF TO ASSURE REPRESENTATION FROM PEOPLE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITIES SERVED BY THE HOSPITALS. PARTICIPANTS INCLUDED PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. LOCAL HEALTH DEPARTMENTS CO-HOSTED THE COMMUNITY INPUT MEETINGS. PARTICIPANTS INCLUDED REPRESENTATIVES FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AND SAFETY NET CLINICS AND FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS PEOPLE. IN ADDITION, REPRESENTATIVES FROM CHURCHES, FOOD PANTRIES, HEALTH ADVOCATES, HEALTHCARE PROVIDERS, HUMAN SERVICE AGENCIES, LAW ENFORCEMENT, LOCAL CITY GOVERNMENT, LOCAL BUSINESSES, MENTAL HEALTH SERVICE PROVIDERS, AND PUBLIC SCHOOLS PARTICIPATED. IN UTAH, THE UTAH DEPARTMENT OF HEALTH CO-HOSTED AND PARTICIPATED IN 20 MEETINGS. STAFF FROM HEALTH SERVICES FACILITATED THE MEETINGS WHICH WERE MANUALLY AND DIGITALLY RECORDED AND TRANSCRIBED.DISCUSSIONS HIGHLIGHTED SPECIFIC ISSUES IN THE COMMUNITY, CHALLENGES, PERCEPTIONS, AND STRATEGIES FOR ADDRESSING HEALTH NEEDS. AN ONLINE SURVEY WAS SENT TO PEOPLE WHO COULD NOT ATTEND THE COMMUNITY INPUT MEETINGS TO ENCOURAGE MORE REPRESENTATIVE FEEDBACK AND ENGAGE ALL WHO WERE INVITED.
HOSPITAL REPORTING GROUPS A & B, PART V, SECTION B, LINES 13B & 13H	CATASTROPHIC ASSISTANCE. HEALTH SERVICES ATTEMPTS TO LIMIT A PATIENT'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 35% OF THE PATIENT'S GROSS HOUSEHOLD ANNUAL INCOME.EXTENUATING CIRCUMSTANCES. SINCE EACH PATIENT'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 A PATIENT'S GROSS HOUSEHOLD ANNUAL INCOME COMPARED TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY INCOME GUIDELINES AND OFFERS THE MAXIMUM AVAILABLE ASSISTANCE TO QUALIFYING PATIENTS UNDER 200% OF THOSE GUIDELINES. HEALTH SERVICES APPLIES AN EVALUATIVE MODEL TO ESTIMATE A REASONABLE AMOUNT A PATIENT COULD PAY WHEN INCOME FALLS BETWEEN 200% AND 500% OF THE POVERTY GUIDELINES AND THEN OFFERS ASSISTANCE TOWARDS MEDICAL BILLS ACCORDINGLY.
HOSPITAL REPORTING GROUPS A & B, PART V, SCT B, LINES 15E, 16I, 16J AND 20E	SPECIFIC INFORMATION REGARDING AND AN ELECTRONIC APPLICATION TO APPLY FOR 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, A TOLL-FREE 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, 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.
HOSPITAL REPORTING GROUPS A & B, PART V, SECTION B, LINE 22B	HEALTH SERVICES DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT BY CALCULATING THE AMOUNT GENERALLY BILLED USING THE LOOK-BACK METHOD DESCRIBED IN TREASURY REGULATION SECTION 1.501(R)-5(B)(3).
HOSPITAL REPORTING GROUPS A & B, PART V, SECTION B, LINES 16A-C	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE/ OTHER-RESOURCES/HTTPS://INTERMOUNTAINHEALTHCARE.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE/HOW-TO-APPLY/
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 11	HEALTH SERVICES ESTABLISHED A SYSTEM PLAN WITH LOCAL IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES IN EACH HOSPITAL COMMUNITY TO PREVENT PREDIABETES, HIGH BLOOD PRESSURE, DEPRESSION, AND PRESCRIPTION OPIOID MISUSE FOR UNDERSERVED AND LOW-INCOME PEOPLE. INITIATIVES RELATED TO PREDIABETES AND HIGH BLOOD PRESSURE ARE FOR ADULTS; INITIATIVES RELATED TO DEPRESSION AND PRESCRIPTION OPIOID MISUSE INCLUDE AN ADULT AND PEDIATRIC FOCUS. INITIATIVES ARE SUMMARIZED BELOW. DETAILED FRAMEWORKS WITH ANNUAL TARGETS ARE IN SPECIFIC HOSPITAL COMMUNITY HEALTH IMPROVEMENT PLANS (IMPLEMENTATION STRATEGY PLANS) AT HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS/.PREVENTION OF PREDIABETES:HEALTH SERVICES ADOPTED A COMPREHENSIVE APPROACH TO DIAGNOSING AND MANAGING PREDIABETES BY SCREENING UNDERSERVED COMMUNITY MEMBERS AND IMPROVING ACCESS TO PREVENTIVE INTERVENTIONS. COMMUNITY MEMBERS WILL BE SIMULTANEOUSLY SCREENED FOR PREDIABETES, HIGH BLOOD PRESSURE, AND DEPRESSION. PEOPLE WHO SCREEN POSITIVE FOR PREDIABETES WILL PARTICIPATE IN DIABETES PREVENTION PROGRAMS INCLUDING HEALTH SERVICES' PREDIABETES 101 CLASS AND/OR COMMUNITY-BASED PREDIABETES PREVENTION PROGRAMS. PREVENTION OF HIGH BLOOD PRESSURE:HEALTH SERVICES ADOPTED A COMPREHENSIVE APPROACH TO DIAGNOSING AND MANAGING HIGH BLOOD PRESSURE BY SCREENING UNDERSERVED COMMUNITY MEMBERS AND IMPROVING ACCESS TO PREVENTIVE INTERVENTIONS AND TREATMENT. PEOPLE WHO SCREEN POSITIVE FOR HIGH BLOOD PRESSURE WILL RECEIVE RESOURCES FOR TREATMENT, INCLUDING REFERRAL TO COMMUNITY BASED PRIMARY CARE PROVIDERS, AND A CHRONIC DISEASE SELF-MANAGEMENT PROGRAM THAT PROMOTES HEALTHY BEHAVIORS AND SELF-CARE STRATEGIES. PREVENTION OF DEPRESSION:HEALTH SERVICES ADOPTED A COMPREHENSIVE APPROACH TO DIAGNOSING AND MANAGING DEPRESSION BY EXPANDING SCREENING FOR DEPRESSION, IMPROVING ACCESS TO TREATMENT FOR UNDERSERVED COMMUNITY MEMBERS, AND EXPANDING EXPERTISE IN TREATING DEPRESSION IN CHILDREN AND ADOLESCENTS.THIS INITIATIVE EXPANDS HEALTH SERVICES' BEHAVIORAL HEALTH NETWORKS TO ADULTS AND CHILDREN ACROSS THEIR SERVICE AREA, AND EXTENDS THE MENTAL HEALTH INTEGRATION MODEL TO COMMUNITY PARTNERS. HEALTH SERVICES PROVIDES PUBLIC MESSAGING TO IMPROVE AWARENESS OF THE SIGNS AND SYMPTOMS OF DEPRESSION AND SUICIDE IN YOUTH, INCLUDING THE DEVELOPMENT OF "HOLD ON.PERSUADE.EMPOWER" ("HOPE") SQUADS, WHICH HELP INCREASE ACCESS TO TREATMENT FOR CHILDREN AND ADOLESCENTS THROUGH THE NETWORKS.PRIMARY CHILDREN'S HOSPITAL ADOPTED A COMPREHENSIVE APPROACH TO DIAGNOSING AND MANAGING DEPRESSION BY IMPROVING THE EXPERTISE OF THE PROFESSIONAL WORKFORCE (PHYSICIANS, MENTAL HEALTH THERAPISTS, TEACHERS, AND OTHER YOUTH SERVICES PERSONNEL) IN DIAGNOSING AND MANAGING DEPRESSION AND SUICIDAL THOUGHTS IN CHILDREN AND ADOLESCENTS. ACCORDINGLY, A CURRICULUM WAS DEVELOPED WITH TRAININGS OFFERED TO COMMUNITY PARTNERS.PREVENTION OF PRESCRIPTION OPIOID MISUSE:HEALTH SERVICES PROMOTES THE SAFE USE, STORAGE, AND DISPOSAL OF PRESCRIPTION OPIOIDS AND IMPROVED ACCESS TO TREATMENT BY: 1) FUNDING THE INSTALLATION OF MEDICATION DISPOSAL DROP BOXES, 2) MAKING NALOXONE (AN OVERDOSE REVERSAL MEDICATION) WIDELY AVAILABLE, AND 3) DEMONSTRATING THE EFFECTIVENESS OF MEDICATION ASSISTED TREATMENT COMBINED WITH COUNSELING AND PROVIDING COMMUNITY-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS FOR CHRONIC PAIN WORKSHOPS.OTHER NEEDS IDENTIFIED AND REASONS WHY SUCH NEEDS ARE NOT ADDRESSED IN IMPLEMENTATION STRATEGIES:HEALTH SERVICES' CHNA IDENTIFIED "ACCESS TO HEALTHCARE" AMONG THE TOP FIVE NEEDS IN THE ASSESSMENT. ACCESS WAS NOT IDENTIFIED AS A HIGH PRIORITY FOR THE HOSPITALS BECAUSE THE ISSUE IS CURRENTLY PART OF THE HEALTH SERVICES INITIATIVES AS DESCRIBED BELOW.ACCESS TO HEALTHCARE SERVICES:HEALTH SERVICES PROVIDES ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME AND UNINSURED PATIENTS IN COMMUNITIES SERVED BY ITS HOSPITALS AND CLINICS THROUGH ITS FINANCIAL ASSISTANCE PROGRAM AND BY SUPPORTING AND OPERATING CLINICS TO ELIMINATE BARRIERS IN ACCESSING CARE FOR UNDERSERVED PEOPLE IN OUR COMMUNITIES.- PEOPLE PRESENTING IN HEALTH SERVICES' HOSPITALS AND CLINICS ARE ELIGIBLE TO RECEIVE MEDICALLY NECESSARY SERVICES REGARDLESS OF ABILITY TO PAY AND ARE ASSISTED IN APPLYING FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS FOR WHICH THEY ARE ELIGIBLE. IN 2018, HEALTH SERVICES PROVIDED MORE THAN $156 MILLION (COST) IN FINANCIAL ASSISTANCE IN MORE THAN 269,000 CASES. - HEALTH SERVICES OPERATES FOUR COMMUNITY AND SCHOOL CLINICS LOCATED IN GEOGRAPHIC AREAS WHERE THERE ARE NO OTHER HEALTH PROVIDERS; FEES ARE CHARGED ON A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES.- HEALTH SERVICES HAS AGREEMENTS WITH 54 CLINICS SERVING PEOPLE BELOW 200 PERCENT OF FEDERAL POVERTY GUIDELINES TO PROVIDE VOUCHERS FOR DIAGNOSTIC IMAGING, LAB TESTS, AND SPECIALTY CARE SERVICES. IN 2018, MORE THAN 16,500 VOUCHERS VALUED AT OVER $12.9 MILLION WERE PROVIDED TO THESE CLINICS FOR SERVICES IN HEALTH SERVICES' CLINICS AND HOSPITALS.- HEALTH SERVICES PROVIDED GRANTS THROUGH THE INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. TO FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER SAFETY NET CLINICS IN EXCESS OF $2.5 MILLION IN 2018 TO HELP INCREASE ACCESS TO A REGULAR PLACE FOR COMPREHENSIVE MEDICAL CARE FOR LOW-INCOME AND UNINSURED PEOPLE.
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 6A	THE FOLLOWING HOSPITALS WORKED TOGETHER TO COLLECT AND ANALYZE DATA AND TO UNDERSTAND THE NEEDS OF THE COMMUNITIES. HOWEVER, EACH HOSPITAL PRODUCED ITS OWN CHNA: ALTA VIEW HOSPITAL IN SANDY, UTAHAMERICAN FORK HOSPITAL IN AMERICAN FORK, UTAHBEAR RIVER VALLEY HOSPITAL IN TREMONTON, UTAHCASSIA REGIONAL HOSPITAL IN BURLEY, IDAHOCEDAR CITY HOSPITAL IN CEDAR CITY, UTAHDELTA COMMUNITY HOSPITAL IN DELTA, UTAHDIXIE REGIONAL MEDICAL CENTER IN ST. GEORGE, UTAHFILLMORE COMMUNITY HOSPITAL IN FILLMORE, UTAHHEBER VALLEY HOSPITAL IN HEBER CITY, UTAHINTERMOUNTAIN MEDICAL CENTER IN SALT LAKE CITY, UTAHLDS HOSPITAL IN SALT LAKE CITY, UTAHLOGAN REGIONAL HOSPITAL IN LOGAN, UTAHMCKAY-DEE HOSPITAL IN OGDEN, UTAHOREM COMMUNITY HOSPITAL IN OREM, UTAHPARK CITY HOSPITAL IN PARK CITY, UTAHPRIMARY CHILDREN'S HOSPITAL IN SALT LAKE CITY, UTAHRIVERTON HOSPITAL IN RIVERTON, UTAHSANPETE VALLEY HOSPITAL IN MOUNT PLEASANT, UTAHSEVIER VALLEY HOSPITAL IN RICHFIELD, UTAHTHE ORTHOPEDIC SPECIALTY HOSPITAL IN MURRAY, UTAHUTAH VALLEY HOSPITAL IN PROVO, UTAH
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 6B	HEALTH SERVICES' HOSPITALS WORKED WITH THE FOLLOWING ORGANIZATIONS TO COLLECT THE INFORMATION NECESSARY TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS:BEAR RIVER HEALTH DEPARTMENTCENTRAL UTAH PUBLIC HEALTH DEPARTMENTDAVIS COUNTY HEALTH DEPARTMENTSALT LAKE COUNTY HEALTH DEPARTMENTSOUTHWEST UTAH PUBLIC HEALTH DEPARTMENT SUMMIT COUNTY HEALTH DEPARTMENTWASATCH COUNTY HEALTH DEPARTMENTWEBER-MORGAN HEALTH DEPARTMENT UTAH COUNTY HEALTH DEPARTMENTUTAH DEPARTMENT OF HEALTH IDAHO DEPARTMENT OF HEALTH AND WELFARESOUTH CENTRAL HEALTH DEPARTMENT
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 7A AND 10A	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS/
HOSPITAL REPORTING GROUP A, PART V, SECTION B, LINE 3E	HEALTH SERVICES' CHNA IS COMPLETED EVERY THREE YEARS WITH THE MOST RECENT COMPLETED IN 2016. THE 2016 CHNA WAS COMPLETED IN COLLABORATION WITH SALT LAKE COUNTY HEALTH DEPARTMENT AND THE UTAH DEPARTMENT OF HEALTH TO IDENTIFY HEALTH INDICATORS, GATHER AND ANALYZE DATA, AND PRIORITIZE THE INDICATORS TO DETERMINE THE SIGNIFICANT HEALTH NEEDS TO ADDRESS OVER THE NEXT SEVERAL YEARS. BASED ON THAT PRIORITIZATION PROCESS, HEALTH SERVICES IDENTIFIED THE PRIORITY HEALTH NEEDS AS FOLLOWS: PREVENTION OF PREDIABETES, HIGH BLOOD PRESSURE, DEPRESSION AND PRESCRIPTION OPIOID MISUSE, WITH THE ADDITION OF SUICIDE PREVENTION IN 2018 IN RESPONSE TO CURRENT COMMUNITY INPUT AND NEED. ALL INDIVIDUAL HOSPITAL CHNA REPORTS INCLUDE A PRIORITIZED DESCRIPTION OF SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY.
HOSPITAL REPORTING GROUP B, PART V, SECTION B, LINE 2	LAYTON HOSPITAL IS A NEW FACILITY THAT WAS PLACED IN SERVICE AS A TAX-EXEMPT HOSPITAL ON OCTOBER 15, 2018.
HOSPITAL REPORTING GROUP B, PART V, SECTION B, LINE 12A	LAYTON HOSPITAL IS A NEW FACILITY THAT WAS PLACED IN SERVICE AS A TAX-EXEMPT HOSPITAL ON OCTOBER 15, 2018. THE HOSPITAL WILL PARTICIPATE IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE OTHER SYSTEM RELATED HOSPITALS.

Schedule H (Form 990) 2018

Page 9

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?371
Name and address		Type of Facility (describe)
1	1 - BOUNTIFUL CLINIC 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
2	2 - MEMORIAL CLINIC 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
3	3 - INTERMOUNTAIN NEUROSCIENCES INST 5171 S COTTONWOOD ST STE 810 MURRAY,UT841075705	CLINIC
4	4 - MCKAY DEE RHEUMATOLOGY 4403 HARRISON BLVD STE 3650 OGDEN,UT844033288	CLINIC
5	5 - LOGAN REGIONAL ORTHOPEDICS 1350 N 500 E LOGAN,UT843412400	CLINIC
6	6 - INTERMOUNTAIN PEDIATRIC IMAGING 3741 W 12600 S RIVERTON,UT840657215	CLINIC
7	7 - INTERMOUNTAIN HEART INSTITUTE 5169 S COTTONWOOD ST STE 520 MURRAY,UT841075701	CLINIC
8	8 - SALT LAKE CLINIC RADIOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
9	9 - INTERMOUNTAIN HEART RHYTHM 5169 S COTTONWOOD ST STE 510 MURRAY,UT841075701	CLINIC
10	10 - BUDGE CLINIC OBGYN 1400 N 500 E LOGAN,UT843412455	CLINIC
11	11 - INTERMOUNTAIN OBGYN 5063 S COTTONWOOD ST STE 120 MURRAY,UT841076772	CLINIC
12	12 - SOUTHERN UTAH NEURO-CEDAR 1303 N MAIN ST CEDAR CITY,UT847209746	CLINIC
13	13 - SOUTHERN UTAH NEUROSCIENCES INST 652 S MEDICAL CENTER DR STE 420 ST GEORGE,UT847907049	CLINIC
14	14 - SOUTHWEST CARDIOLOGY-ST GEORGE 1380 E MEDICAL CENTER DR STE 1500 ST GEORGE,UT847902128	CLINIC
15	15 - MCKAY DEE ORTHOPEDIC AND SPORTS MED 3895 HARRISON BLVD OGDEN,UT844038440	CLINIC
16	16 - MCKAY DEE ORTHOPEDICS AND SPORTS MED 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
17	17 - SALT LAKE CLINIC-INFUSION 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
18	18 - ALTA VIEW CLINIC PEDIATRICS 9450 S 1300 E SANDY,UT840945555	CLINIC
19	19 - SOUTHWEST ORTHO AND SPORTS MEDICINE 652 S MEDICAL CENTER DR STE 120 ST GEORGE,UT847907017	CLINIC
20	20 - SOUTHRIDGE CLINIC SURGICAL SPEC 3723 W 12600 S STE 270 RIVERTON,UT840657296	CLINIC
21	21 - UTAH VALLEY NEONATOLOGY 1034 N 500 W PROVO,UT846043380	CLINIC
22	22 - CALTON-HARRISON ORTHOPEDIC & SPORTS MED 4403 HARRISON BLVD STE 2400 OGDEN,UT844033297	CLINIC
23	23 - MCKAY DEE BEHAVIORAL HEALTH 3903 HARRISON BLVD STE 300 OGDEN,UT844032314	CLINIC
24	24 - SOUTHRIDGE CLINIC PEDIATRICS 3723 W 12600 S STE 330 RIVERTON,UT840657296	CLINIC
25	25 - MURRAY VASCULAR AND VEIN 5323 S WOODROW ST STE 101 MURRAY,UT841075843	CLINIC
26	26 - BUDGE CLINIC PEDIATRICS 1350 N 500 E LOGAN,UT843412400	CLINIC
27	27 - PARK CITY SPECIALTY 900 ROUND VALLEY DR STE 200 PARK CITY,UT840607532	CLINIC
28	28 - NORTH OGDEN CLINIC 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
29	29 - INTERMOUNTAIN HEART CARDIO SURGERY 5169 S COTTONWOOD ST STE 600 MURRAY,UT841076771	CLINIC
30	30 - REDROCK PEDIATRICS 1380 E MEDICAL CENTER DR STE 3100 ST GEORGE,UT847902135	CLINIC
31	31 - SALT LAKE CLINIC-FAMILY INTERNAL MED 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
32	32 - MCKAY DEE DERMATOLOGY & PLASTIC SURGERY 4403 HARRISON BLVD STE 3680 OGDEN,UT844033289	CLINIC
33	33 - LAYTON CLINIC 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
34	34 - SALT LAKE CLINIC LABORATORY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
35	35 - AVENUES WOMENS CENTER 370 9TH AVE STE 205 SALT LAKE CITY,UT841033184	CLINIC
36	36 - HEBER VALLEY CLINIC 1473 S HIGHWAY 40 STE E HEBER CITY,UT840323522	CLINIC
37	37 - NORTHERN UTAH SURGEONS 4403 HARRISON BLVD STE 1635 OGDEN,UT844033272	CLINIC
38	38 - ORTHOPEDIC SPECIALTY GROUP - TOSH 5848 S FASHION BLVD STE 120 MURRAY,UT841076121	CLINIC
39	39 - CEDAR CITY CLINIC 1303 N MAIN ST STE 3C CEDAR CITY,UT847209746	CLINIC
40	40 - INTERMOUNTAIN SURGICAL SPECIALISTS 5169 S COTTONWOOD ST STE 410 MURRAY,UT841076769	CLINIC
41	41 - RIVER ROAD FAMILY MEDICINE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
42	42 - COTTONWOOD FAMILY MEDICINE 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
43	43 - ALTA VIEW CLINIC - ADULT MENTAL HLTH 9450 S 1300 E SANDY,UT840945555	CLINIC
44	44 - UTAH VALLEY ORTHOPAEDICS 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
45	45 - HOLLADAY ALLERGY AND DERMATOLOGY 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
46	46 - SOUTHRIDGE CLINIC MEDICAL SPEC 3723 W 12600 S RIVERTON,UT840657295	CLINIC
47	47 - UTAH VALLEY PSYCH AND COUNSEL 1157 N 300 W PROVO,UT846046124	CLINIC
48	48 - AVENUES GENERAL SURGERY 324 E 10TH AVE STE 200 SALT LAKE CITY,UT841032853	CLINIC
49	49 - TAYLORSVILLE CLINIC 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
50	50 - ZION ORTHOPEDICS AND SPORTS MEDICINE 652 S MEDICAL CENTER DR STE 400 ST GEORGE,UT847907017	CLINIC
51	51 - WASATCH OBGYN 4403 HARRISON BLVD STE 4815 OGDEN,UT844033333	CLINIC
52	52 - SALT LAKE CLINIC-DERMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
53	53 - SEVIER VALLEY CLINIC 1000 N MAIN ST STE A RICHFIELD,UT847012069	CLINIC
54	54 - MCKAY DEE VASCULAR AND VEIN 1486 E SKYLINE DR SOUTH OGDEN,UT844054877	CLINIC
55	55 - BUDGE CLINIC INTERNAL MEDICINE 1350 N 500 E LOGAN,UT843412400	CLINIC
56	56 - BUDGE CLINIC GI 1350 N 500 E LOGAN,UT843412400	CLINIC
57	57 - UNION PARK PSYCHIATRY AND COUNSELING 1225 E FORT UNION BLVD STE 215 COTTONWOOD HEIGHTS,UT840471882	CLINIC
58	58 - ORTHOPEDIC SPECIALTY GROUP 9450 S 1300 E STE 120 SANDY,UT840945559	CLINIC
59	59 - AVENUES GASTROENTEROLOGY 324 10TH AVE STE 249 SALT LAKE CITY,UT841032853	CLINIC
60	60 - LEGACY OBGYN 1159 E 200 N STE 250 AMERICAN FORK,UT840032028	CLINIC
61	61 - HOLLADAY PEDIATRICS 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
62	62 - LAYTON INSTACARE 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
63	63 - BEAR RIVER 935 N 1000 W TREMONTON,UT843379356	CLINIC
64	64 - SUNSET FAMILY PRACTICE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
65	65 - ALTA VIEW INSTACARE KIDSCARE 9450 S 1300 E SANDY,UT840705555	CLINIC
66	66 - SEVIER VALLEY SPECIALTY CLINIC 1000 N MAIN ST STE B RICHFIELD,UT847012069	CLINIC
67	67 - COTTONWOOD INSTACARE 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
68	68 - BUDGE CLINIC DERMATOLOGY 1350 N 500 E LOGAN,UT843412400	CLINIC
69	69 - NORTH OGDEN INSTACARE 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
70	70 - BUDGE CLINIC SURGICAL SPECIALISTS 1350 N 500 E LOGAN,UT843412400	CLINIC
71	71 - ORTHOPEDIC SPECIALTY GROUP-RIVERTON 3723 W 12600 S STE 460 RIVERTON,UT840657295	CLINIC
72	72 - AMERICAN FORK DERMATOLOGY 98 N 1100 E STE 301 AMERICAN FORK,UT840032947	CLINIC
73	73 - NORTHERN UTAH PEDIATRICS 4403 HARRISON BLVD STE 4875 OGDEN,UT844033335	CLINIC
74	74 - LOGAN INSTACARE 412 N 200 E LOGAN,UT843214038	CLINIC
75	75 - TAYLORSVILLE INSTACARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
76	76 - WOMENS HEALTH SPECIALISTS 346 E 600 S ST GEORGE,UT847703949	CLINIC
77	77 - RIVER ROAD INTERNAL MEDICINE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
78	78 - MCKAY DEE CARDIOLOGY 4403 HARRISON BLVD STE 3490 OGDEN,UT844033284	CLINIC
79	79 - INTERMOUNTAIN UROLOGICAL INSTITUTE 5171 S COTTONWOOD ST STE 720 MURRAY,UT841075705	CLINIC
80	80 - ROSE CANYON CLINIC 5541 W 13400 S RIVERTON,UT840965640	CLINIC
81	81 - CENTRAL OREM CLINIC 505 W 400 N OREM,UT840571950	CLINIC
82	82 - HURRICANE VALLEY CLINIC 75 N 2260 W HURRICANE,UT847372034	CLINIC
83	83 - HOLLADAY INSTACARE 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
84	84 - SOUTH OGDEN CLINIC 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
85	85 - MCKAY DEE NEONATOLOGY 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
86	86 - MCKAY DEE GASTROENTEROLOGY CLINIC 4403 HARRISON BLVD STE 2600 OGDEN,UT844033277	CLINIC
87	87 - INTERMOUNTAIN PLASTIC SURGERY CENTER 5169 S COTTONWOOD ST STE 420 MURRAY,UT841076769	CLINIC
88	88 - SALT LAKE INSTACARE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
89	89 - MCKAY DEE CARDIOLOGY SOUTH 4403 HARRISON BLVD STE 3400 OGDEN,UT844033281	CLINIC
90	90 - HEREFORDSHIRE CLINIC 1915 W 5950 S ROY,UT840671454	CLINIC
91	91 - UTAH VALLEY VASCULAR SURGERY 1055 N 300 W STE 205 PROVO,UT846045044	CLINIC
92	92 - WEST JORDAN INSTACARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
93	93 - MCKAY DEE INTERNAL MEDICINE 4403 HARRISON BLVD STE 3875 OGDEN,UT844033332	CLINIC
94	94 - NORTH CANYON FAMILY PRACTICE 3200 N CANYON RD STE D PROVO,UT846044678	CLINIC
95	95 - BOUNTIFUL INSTACARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
96	96 - UTAH VALLEY ENT - NORTH VALLEY 98 N 1100 E STE 203 AMERICAN FORK,UT840032941	CLINIC
97	97 - UTAH VALLEY ENT-NORTH VALLEY-AF 1159 E 200 N STE 325 AMERICAN FORK,UT840032036	CLINIC
98	98 - WEST JORDAN CLINIC 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
99	99 - SOUTHWEST UROLOGY 1380 E MEDICAL CENTER DR STE 2100 ST GEORGE,UT847902129	CLINIC
100	100 - MEDICAL CENTER RADIATION ONCOLOGY 5121 S COTTONWOOD ST MURRAY,UT841075701	CLINIC
101	101 - SALT LAKE CLINIC-PHYSICAL MEDICINE 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
102	102 - CARDIOVASCULAR AND THORACIC SURGERY 1380 E MEDICAL CENTER DR STE 2600 ST GEORGE,UT847902134	CLINIC
103	103 - RIVER ROAD INSTACARE 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
104	104 - DRAPER INSTACARE 12473 S MINUTEMAN DR DRAPER,UT840207870	CLINIC
105	105 - SALT LAKE CLINIC-PEDIATRICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
106	106 - MEMORIAL INSTACARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
107	107 - MCKAY DEE NEUROLOGY 4403 HARRISON BLVD STE 3855 OGDEN,UT844033349	CLINIC
108	108 - UTAH VALLEY HEART LUNG VEIN 1134 N 500 W STE 100 PROVO,UT846046101	CLINIC
109	109 - ALTA VIEW WOMEN'S SPECIALISTS 9450 S 1300 E SANDY,UT840945555	CLINIC
110	110 - SOUTHRIDGE INSTACARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
111	111 - HILLCREST PEDIATRICS 5063 S COTTONWOOD ST STE 160 MURRAY,UT841076773	CLINIC
112	112 - ORTHOPEDIC SPECIALTY GROUP 324 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
113	113 - LOGAN CLINIC 412 N 200 E LOGAN,UT843214038	CLINIC
114	114 - OGDEN CARDIOVASCULAR ASSOCIATES 4403 HARRISON BLVD STE 3835 OGDEN,UT844033331	CLINIC
115	115 - INTERMOUNTAIN MFM SPECIALISTS DIAG 5121 S COTTONWOOD ST STE 100 MURRAY,UT841075701	CLINIC
116	116 - NORTH CACHE VALLEY CLINIC 4088 N HIGHWAY 91 HYDE PARK,UT843184108	CLINIC
117	117 - NORTH OREM INSTACARE 1975 N STATE ST OREM,UT840572028	CLINIC
118	118 - MCKAY DEE ENT 4403 HARRISON BLVD STE 2645 OGDEN,UT844033278	CLINIC
119	119 - TAYLORSVILLE ALLERGY AND DERMATOLOGY 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
120	120 - SOUTH SANDY CLINIC 955 E 11400 S SANDY,UT840946946	CLINIC
121	121 - KAYSVILLE CREEKSIDE CLINIC 435 N MAIN ST KAYSVILLE,UT840371194	CLINIC
122	122 - UTAH VALLEY INSTACARE 1134 N 500 W STE 102 PROVO,UT846045569	CLINIC
123	123 - AVENUES OB-GYN 324 10TH AVE STE 184 SALT LAKE CITY,UT841032861	CLINIC
124	124 - ALTA VIEW CLINIC DERMATOLOGY 9450 S 1300 E SANDY,UT840955555	CLINIC
125	125 - SALT LAKE CLINIC-ALLERGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
126	126 - HEREFORDSHIRE INSTACARE 1915 W 5950 S ROY,UT840671454	CLINIC
127	127 - MCKAY DEE HEART RHYTHM SPECIALISTS 4403 HARRISON BLVD STE 3450 OGDEN,UT844033282	CLINIC
128	128 - WEST VALLEY INSTACARE 5373 W LAKE PARK BLVD WEST VALLEY CITY,UT841208208	CLINIC
129	129 - SARATOGA SPRINGS FAMILY PRACTICE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
130	130 - UTAH VALLEY ORTHOPAEDICS 98 N 1100 E STE 103 AMERICAN FORK,UT840032940	CLINIC
131	131 - SARATOGA SPRINGS INSTACARE 354 W STATE RD 73 SARATOGA SPRINGS,UT840432901	CLINIC
132	132 - BUDGE CLINIC GENERAL SURGERY 1350 N 500 E LOGAN,UT843412400	CLINIC
133	133 - LAYTON PARKWAY NORTHERN UTAH PEDS 201 W LAYTON PARKWAY STE 1C LAYTON,UT840413692	CLINIC
134	134 - PARK CITY CLINIC-ROUND VALLEY 750 ROUND VALLEY DR PARK CITY,UT840607548	CLINIC
135	135 - SOUTHWEST REGIONAL CANCER CLINIC 544 S 400 E ST GEORGE,UT847703705	CLINIC
136	136 - AMERICAN FORK INSTACARE 98 N 1100 E STE 101 AMERICAN FORK,UT840032940	CLINIC
137	137 - SOUTH CACHE VALLEY CLINIC 190 S HIGHWAY 165 PROVIDENCE,UT843329512	CLINIC
138	138 - UTAH VALLEY PAIN MANAGEMENT 412 W 800 N OREM,UT840573728	CLINIC
139	139 - DIXIE NEONATOLOGY 544 S 400 E ST GEORGE,UT847703705	CLINIC
140	140 - SALT LAKE CLINIC-ENT 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
141	141 - NORTH VALLEY PEDIATRICS 98 N 1100 E STE 201 AMERICAN FORK,UT840032941	CLINIC
142	142 - SALT LAKE CLINIC-OPHTHALMOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
143	143 - SOUTHERN UTAH ORTHO SPORTS MED 166 W 1325 N STE 150 CEDAR CITY,UT847217797	CLINIC
144	144 - SOUTHWEST NEUROLOGY ASSOCIATES 652 S MEDICAL CENTER DR STE 320 ST GEORGE,UT847907266	CLINIC
145	145 - SOUTH JORDAN CLINIC 11444 S REDWOOD RD SOUTH JORDAN,UT840957803	CLINIC
146	146 - PARK CITY INSTACARE 1750 SIDEWINDER DR PARK CITY,UT840607570	CLINIC
147	147 - COTTONWOOD INTERNAL MEDICINE 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
148	148 - SUMMIT WOMEN'S CENTER 1157 N 300 W STE 301 PROVO,UT846046124	CLINIC
149	149 - AMERICAN FORK SURGICAL ASSOCIATES 98 N 1100 E STE 202 AMERICAN FORK,UT840032941	CLINIC
150	150 - SPRINGVILLE INSTACARE 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
151	151 - CACHE VALLEY HEART CLINIC 1300 N 500 E STE 320 LOGAN,UT843412462	CLINIC
152	152 - MT PLEASANT CLINIC 1100 S MEDICAL DR MT PLEASANT,UT846472222	CLINIC
153	153 - SOUTH OGDEN INSTACARE 975 CHAMBERS ST SOUTH OGDEN,UT844034591	CLINIC
154	154 - ALTA VIEW CLINIC EYE CARE 9450 S 1300 E SANDY,UT840945555	CLINIC
155	155 - AMERICAN FORK INTERNAL MEDICINE 98 N 1100 E STE 302 AMERICAN FORK,UT840032947	CLINIC
156	156 - INTERMOUNTAIN NURSE MIDWIVES 5121 S COTTONWOOD ST STE 170 MURRAY,UT841075701	CLINIC
157	157 - SUMMIT OBGYN 505 W 400 N OREM,UT840571950	CLINIC
158	158 - REDROCK DIGESTIVE HEALTH 652 S MEDICAL CENTER DR STE 330 ST GEORGE,UT847907017	CLINIC
159	159 - HIGHLAND CLINIC 10968 N ALPINE HWY HIGHLAND,UT840038874	CLINIC
160	160 - NORTH CACHE VALLEY INSTACARE 4088 N HIGHWAY 91 HYDE PARK,UT843184108	CLINIC
161	161 - AVENUES INTERNAL MEDICINE 324 10TH AVE STE 100 SALT LAKE CITY,UT841032892	CLINIC
162	162 - TOOELE INSTACARE 777 N MAIN ST TOOELE,UT840741611	CLINIC
163	163 - UTAH VALLEY SPORTS MEDICINE 1157 N 300 W STE 201 PROVO,UT846046124	CLINIC
164	164 - SALT LAKE CLINIC-OBGYN 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
165	165 - BLOOD AND MARROW TRANSPLANT 8TH AVE AND C ST SALT LAKE CITY,UT841430001	CLINIC
166	166 - WEST VALLEY FAMILY MEDICINE 5373 W LAKE PARK BLVD WEST VALLEY CITY,UT841208208	CLINIC
167	167 - TAYLORSVILLE KIDSCARE 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
168	168 - ALTA VIEW CLINIC GENERAL SURGERY 9450 S 1300 E SANDY,UT840945555	CLINIC
169	169 - SALT LAKE CLINIC-SPINE PROGRAM 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
170	170 - UTAH VALLEY ROCK CANYON PEDS 1134 N 500 W STE 101 PROVO,UT846045569	CLINIC
171	171 - SYRACUSE CLINIC 745 S 2000 W SYRACUSE,UT840759621	CLINIC
172	172 - UTAH VALLEY PULMONARY CLINIC 1055 N 300 W STE 500 PROVO,UT846043312	CLINIC
173	173 - ORTHOPEDIC SPECIALTY GROUP - MED CTR 5169 S COTTONWOOD ST STE 430 MURRAY,UT841076774	CLINIC
174	174 - SALT LAKE CLINIC-SURGICAL SPEC 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
175	175 - VALLEY VIEW FAMILY MEDICINE 1333 N MAIN ST CEDAR CITY,UT847219314	CLINIC
176	176 - SALT LAKE WORKMED 1685 W 2200 S SALT LAKE CITY,UT841191456	CLINIC
177	177 - CEDAR CITY INSTACARE 962 SAGE DR CEDAR CITY,UT847201885	CLINIC
178	178 - SOUTHERN UTAH PLASTIC SURG & DERM 652 S MEDICAL CENTER DR STE 300 ST GEORGE,UT847907266	CLINIC
179	179 - SUNSET INSTACARE 1739 W SUNSET BLVD ST GEORGE,UT847707141	CLINIC
180	180 - OGDEN WORKMED 1355 W HINCKLEY DR OGDEN,UT84401	CLINIC
181	181 - ALTA VIEW CLINIC PLASTIC SURGERY 9450 S 1300 E SANDY,UT840945555	CLINIC
182	182 - MCKAY DEE SLEEP CENTER 4403 HARRISON BLVD STE 2600 OGDEN,UT844033277	CLINIC
183	183 - SALT LAKE CLINIC-CARDIOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
184	184 - ALTA VIEW CLINIC GASTROENTEROLOGY 9450 S 1300 E SANDY,UT840945555	CLINIC
185	185 - OREM WORKMED 830 N 980 W OREM,UT840577709	CLINIC
186	186 - KEARNS CLINIC 4946 W 6200 S KEARNS,UT841186703	CLINIC
187	187 - INTERMOUNTAIN HEART CARDIOLOGY-LDSH 8TH AVE AND C ST SALT LAKE CITY,UT841430002	CLINIC
188	188 - NORTH OREM CLINIC 1975 N STATE ST OREM,UT840572028	CLINIC
189	189 - SALT LAKE CLINIC PHYSICAL THERAPY 389 SOUTH 900 EAST SALT LAKE CITY,UT84102	CLINIC
190	190 - DIXIE RADIATION ONCOLOGY 544 S 400 E ST GEORGE,UT847703705	CLINIC
191	191 - AVENUES UROLOGY 324 E 10TH AVE STE 100 SALT LAKE CITY,UT841032870	CLINIC
192	192 - COTTONWOOD ENDOCRINE & DIABETES CTR 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
193	193 - BOX ELDER INSTACARE 1050 S 500 W BRIGHAM CITY,UT843024715	CLINIC
194	194 - INTERMOUNTAIN PSYCHIATRY AND COUNSEL 320 E 600 S ST GEORGE,UT847703949	CLINIC
195	195 - MOUNTAIN FAMILY HEALTH 2720 HOMESTEAD ROAD STE 100 PARK CITY,UT840984882	CLINIC
196	196 - MCKAY DEE FOOT AND ANKLE 4403 HARRISON BLVD STE 2835 OGDEN,UT844033327	CLINIC
197	197 - SALT LAKE CLINIC-ORTHOPEDICS 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
198	198 - UTAH VALLEY UROLOGY CLINIC 1157 N 300 W STE 301 PROVO,UT846046124	CLINIC
199	199 - SPRINGVILLE CLINIC 762 W 400 S SPRINGVILLE,UT846633096	CLINIC
200	200 - SOUTHRIDGE CLINIC OBGYN 3723 W 12600 S STE 360 RIVERTON,UT840657296	CLINIC
201	201 - HOLLADAY CLINIC 6272 S HIGHLAND DR MURRAY,UT841212126	CLINIC
202	202 - SOUTHRIDGE KIDSCARE 3723 W 12600 S STE 150 RIVERTON,UT840657296	CLINIC
203	203 - BOUNTIFUL KIDSCARE 390 N MAIN ST BOUNTIFUL,UT840106046	CLINIC
204	204 - SPORTS MEDICINE SPECIALISTS 280 N MAIN ST BOUNTIFUL,UT840106136	CLINIC
205	205 - TAYLORSVILLE PHYSICAL THERAPY CLINIC 3845 W 4700 S TAYLORSVILLE,UT841293454	CLINIC
206	206 - INTERMOUNTAIN HEART CARDIOLOGY-RVH 3741 W 12600 S STE 160A RIVERTON,UT840657215	CLINIC
207	207 - INTERMOUNTAIN CANCER CENTER AT MCKAY DEE 4403 HARRISON BLVD STE 2855 OGDEN,UT844032855	CLINIC
208	208 - UTAH VALLEY DERMATOLOGY 395 WEST BULLDOG BLVD SUITE 604 PROVO,UT84604	CLINIC
209	209 - UTAH VALLEY NEUROLOGICAL 3685 N 100 E PROVO,UT846044594	CLINIC
210	210 - IMED CAMPUS SLEEP PROGRAM 5121 S COTTONWOOD ST MURRAY,UT841075701	CLINIC
211	211 - HURRICANE VALLEY INSTACARE 75 N 2260 W HURRICANE,UT847372034	CLINIC
212	212 - BUDGE CLINIC FAMILY MEDICINE 1350 N 500 E LOGAN,UT843412400	CLINIC
213	213 - PAYSON INSTACARE 854 TURF FARM RD STE 1 PAYSON,UT846515733	CLINIC
214	214 - LDS HOSPITAL RADIATION ONCOLOGY 8TH AVE AND C ST SALT LAKE CITY,UT841430002	CLINIC
215	215 - FILLMORE CLINIC 700 S HIGHWAY 99 STE 3 FILLMORE,UT846315137	CLINIC
216	216 - SALT LAKE CLINIC-ENDOCRINOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
217	217 - WEST JORDAN PHYSICAL THERAPY-REHAB 2655 WEST 9000 SOUTH WEST JORDAN,UT84088	CLINIC
218	218 - ISOM PLASTIC SURGERY 1350 N 500 E STE 310 LOGAN,UT843412400	CLINIC
219	219 - MCKAY DEE CRITICAL CARE 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
220	220 - INTERMOUNTAIN SURGICAL ONCOLOGY 5169 S COTTONWOOD ST STE 440 MURRAY,UT841076774	CLINIC
221	221 - SALT LAKE CLINIC-NEUROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
222	222 - UTAH VALLEY RADIATION ONCOLOGY 1034 N 500 W PROVO,UT846043380	CLINIC
223	223 - UTAH VALLEY ENT 1157 N 300 W STE 302 PROVO,UT846046124	CLINIC
224	224 - SALT LAKE CLINIC-PODIATRY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
225	225 - BOUNTIFUL CLINIC PHYSICAL THERAPY 280 NORTH MAIN STREET BOUNTIFUL,UT84010	CLINIC
226	226 - SOUTHERN UTAH SURGICAL ASSOCIATES 166 W 1325 N STE 350 CEDAR CITY,UT847207796	CLINIC
227	227 - ST GEORGE WORKMED 385 N 3050 E ST GEORGE,UT847909003	CLINIC
228	228 - ALTA VIEW UROLOGY 9450 S 1300 E SANDY,UT840945555	CLINIC
229	229 - DRAPER CLINIC 12473 S MINUTEMAN DR DRAPER,UT840207870	CLINIC
230	230 - LOGAN PSYCHIATRY 1350 N 500 E LOGAN,UT843412400	CLINIC
231	231 - MURRAY GASTROENTEROLOGY 181 E MEDICAL TOWER DR 3RD FLOOR MURRAY,UT841074872	CLINIC
232	232 - LDS CAMPUS SLEEP-AVENUES 440 D ST STE 200 SALT LAKE CITY,UT841032827	CLINIC
233	233 - LDS CAMPUS SLEEP PROGRAM 325 8TH AVE SALT LAKE CITY,UT841430001	CLINIC
234	234 - MEMORIAL CLINIC PHYSICAL THERAPY 2000 SOUTH 900 EAST SALT LAKE CITY,UT84105	CLINIC
235	235 - WASATCH OBGYN-LAYTON 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
236	236 - INTERMOUNTAIN CANCER CENTER 201 W LAYTON PARKWAY STE 2A LAYTON,UT840413692	CLINIC
237	237 - DRAPER PHYSICAL THERAPY 12473 SOUTH MINUTEMAN DRIVE DRAPER,UT84020	CLINIC
238	238 - MORONI CLINIC 51 E MAIN ST MORONI,UT846460810	CLINIC
239	239 - REDROCK ALLERGY CLINIC 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
240	240 - SALT LAKE CLINIC-UROLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
241	241 - EPHRAIM CLINIC 525 N MAIN ST EPHRAIM,UT846271155	CLINIC
242	242 - INTERMOUNTAIN THORACIC & LUNG SURG 5169 SOUTH COTTONWOOD ST STE 640 MURRAY,UT84107	CLINIC
243	243 - COTTONWOOD HEAD & NECK ONCOLOGY ENT 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
244	244 - MANTI FAMILY CLINIC 159 N MAIN ST MANTI,UT846421257	CLINIC
245	245 - UTAH VALLEY SPORTS MEDICINE 98 N 1100 E STE 103 AMERICAN FORK,UT840032940	CLINIC
246	246 - INTERMOUNTAIN CARDIOVASCULAR 5169 S COTTONWOOD ST STE 600 MURRAY,UT841076771	CLINIC
247	247 - INTERMOUNTAIN HEART CARDIOLOGY 9690 S 1300 E STE 200 SANDY,UT840943740	CLINIC
248	248 - BEAR RIVER SPECIALISTS 935 N 1000 W TREMONTON,UT843379356	CLINIC
249	249 - KAYSVILLE CREEKSIDE INSTACARE 435 N MAIN ST KAYSVILLE,UT840371194	CLINIC
250	250 - MURRAY WORKMED 201 E 5900 S STE 100 MURRAY,UT841075429	CLINIC
251	251 - MCKAY DEE END & DIABETES CLINIC 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
252	252 - MCKAY DEE RADIATION ONCOLOGY 4401 HARRISON BLVD OGDEN,UT844033195	CLINIC
253	253 - HEBER INSTACARE 1485 S HIGHWAY 40 SUITE E HEBER CITY,UT84032	CLINIC
254	254 - AMERICAN FORK PULMONARY CLINIC 98 N 1100 E STE 302 AMERICAN FORK,UT840032947	CLINIC
255	255 - SALT LAKE CLINIC-RHEUMATOLOGY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
256	256 - SPRINGVILLE WORKMED 385 S 400 E SPRINGVILLE,UT846631955	CLINIC
257	257 - NORTH TEMPLE URGENT CARE CLINIC 54 N 800 W SALT LAKE CITY,UT841163326	CLINIC
258	258 - INTERMOUNTAIN SENIOR CLINIC 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
259	259 - INTERMOUNTAIN TRAUMA GENERAL SURGERY 5169 S COTTONWOOD ST STE 400 MURRAY,UT841076769	CLINIC
260	260 - CEDAR CITY HEART CLINIC 1303 N MAIN ST STE H CEDAR CITY,UT847209746	CLINIC
261	261 - WASATCH OBGYN-NORTH OGDEN 2400 N WASHINGTON BLVD NORTH OGDEN,UT844147233	CLINIC
262	262 - DIXIE SLEEP DISORDERS CENTER 652 S MEDICAL CENTER DR STE 310 ST GEORGE,UT847907017	CLINIC
263	263 - AVENUES CLINIC PHYSICAL THERAPY 324 EAST 10TH AVENUE 100 SALT LAKE CITY,UT84103	CLINIC
264	264 - HOLLADAY PHYSICAL THERAPY 6272 SOUTH HIGHLAND DRIVE 203 MURRAY,UT84121	CLINIC
265	265 - DIXIE MFM HIGH RISK OB 544 S 400 E ST GEORGE,UT847703705	CLINIC
266	266 - AMERICAN FORK RADIATION ONCOLOGY 170 N 1100 E AMERICAN FORK,UT840032096	CLINIC
267	267 - WHITE SAGE FAMILY MEDICINE 130 WHITE SAGE AVE DELTA,UT846248928	CLINIC
268	268 - MCKAY DEE HEART FAILURE 4403 HARRISON BLVD STE 3430 OGDEN,UT844033343	CLINIC
269	269 - ALTA VIEW PODIATRY 9450 S 1300 E SANDY,UT840945555	CLINIC
270	270 - ALTA VIEW FAMILY MEDICINE 9450 S 1300 E STE 210 SANDY,UT840945555	CLINIC
271	271 - COTTONWOOD PODIATRY 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
272	272 - LAYTON WORKMED 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
273	273 - SALT LAKE WORKMED PHYSICAL THERAPY 1685 WEST 2200 SOUTH SALT LAKE CITY,UT84119	CLINIC
274	274 - ROSE CANYON PHYSICAL THERAPY 5541 WEST 13400 SOUTH RIVERTON,UT84096	CLINIC
275	275 - HEBER VALLEY SPECIALTY CLINIC 380 E 1500 S STE 202 HEBER CITY,UT840323942	CLINIC
276	276 - MEMORIAL KIDSCARE 2000 S 900 E SALT LAKE CITY,UT841053208	CLINIC
277	277 - ALTA VIEW CLINIC ENT 9450 S 1300 E SANDY,UT840945555	CLINIC
278	278 - BUDGE CLINIC RADIOLOGY 1350 N 500 E LOGAN,UT843412400	CLINIC
279	279 - LEHI INSTACARE 3200 N 1200 W LEHI,UT84043	CLINIC
280	280 - LOGAN WORKMED 412 N 200 E LOGAN,UT843214038	CLINIC
281	281 - ALTA VIEW CLINIC ALLERGY 9450 S 1300 E SANDY,UT840945555	CLINIC
282	282 - LIVE WELL CENTER-SALT LAKE CITY 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
283	283 - INTERMOUNTAIN MEDICAL ONCOLOGY 5121 S COTTONWOOD ST STE 610 MURRAY,UT841075701	CLINIC
284	284 - UTAH VALLEY SENIOR MEDICINE 380 WEST 1230 NORTH SUITE 602 PROVO,UT84604	CLINIC
285	285 - COTTONWOOD RHEUMATOLOGY CLINIC 181 E MEDICAL TOWER DR MURRAY,UT841074872	CLINIC
286	286 - ALTA VIEW CLINIC SENIOR CLINIC 9450 S 1300 E SANDY,UT840945555	CLINIC
287	287 - CANYON VIEW 15 E 400 N PAROWAN,UT847610000	CLINIC
288	288 - ALTA VIEW CLINIC PULMONARY 9450 S 1300 E SANDY,UT840945555	CLINIC
289	289 - WEST JORDAN KIDSCARE 2655 W 9000 S WEST JORDAN,UT840888542	CLINIC
290	290 - SOUTH SEVIER CLINIC 539 S MAIN ST MONROE,UT847544623	CLINIC
291	291 - SOUTH JORDAN WORKMED 1067 W SOUTH JORDAN PARKWAY STE 500 SOUTH JORDAN,UT840958809	CLINIC
292	292 - LAYTON PARKWAY ENT 201 W LAYTON PARKWAY STE 2D LAYTON,UT840413692	CLINIC
293	293 - DIXIE ENDO-DIABETES CLINIC 1424 E FOREMASTER DR STE 140 ST GEORGE,UT847905830	CLINIC
294	294 - INTERMOUNTAIN HEART CARDIOLOGY 900 ROUND VALLEY DR STE 200 PARK CITY,UT840607552	CLINIC
295	295 - LEHI CLINIC 3200 N 1200 W LEHI,UT84043	CLINIC
296	296 - SALT LAKE COUNTY HEALTHMED 2001 S STATE ST STE S2-500 SALT LAKE CITY,UT841903100	CLINIC
297	297 - DIXIE ACUTE REHAB 544 S 400 E ST GEORGE,UT847703705	CLINIC
298	298 - WEST VALLEY CLINIC PHYSICAL THERAPY 5373 WEST LAKE PARK BLVD WEST VALLEY CITY,UT84120	CLINIC
299	299 - US SYNTHETIC CLINIC 1378 S 1600 W OREM,UT840584931	CLINIC
300	300 - AMERICAN FORK NEONATOLOGY 170 NORTH 1100 EAST AMERICAN FORK,UT84003	CLINIC
301	301 - LIBERTY ELEMENTARY 1078 SOUTH 300 EAST SALT LAKE CITY,UT841114638	CLINIC
302	302 - PAYSON CLINIC 854 TURF FARM RD STE 1 PAYSON,UT846515733	CLINIC
303	303 - CEDAR CITY WORKMED 962 SAGE DR CEDAR CITY,UT847201885	CLINIC
304	304 - ST GEORGE PULMONARY CLINIC 1380 E MEDICAL CENTER DR STE 2200 ST GEORGE,UT847902130	CLINIC
305	305 - UTAH VALLEY STROKE CENTER 1055 N 300 W STE 501 PROVO,UT846043312	CLINIC
306	306 - RIVERTON RADIATION ONCOLOGY 3741 W 12600 S RIVERTON,UT840657215	CLINIC
307	307 - LAYTON PARKWAY PODIATRY 201 W LAYTON PARKWAY STE 1A LAYTON,UT840413692	CLINIC
308	308 - CHRONIC PAIN MANAGEMENT 2075 N UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
309	309 - PARK CITY MOUNTAIN MEDICAL CLINIC 1493 LOWELL AVE PARK CITY,UT840605116	CLINIC
310	310 - INTERMOUNTAIN LIFETIME CLINIC FREEPORT CENTER BLDG D-12 CLEARFIELD,UT840160010	CLINIC
311	311 - NORTH SEVIER MEDICAL CLINIC 530 N 250 W SALINA,UT846545514	CLINIC
312	312 - SOUTH JORDAN WORKMED PHYS THERAPY 1091 WEST SOUTH JORDAN PKWY 500 SOUTH JORDAN,UT84095	CLINIC
313	313 - INTERMOUNTAIN PSYCHIATRY AND COUNSELING 5169 S COTTONWOOD ST STE 400 MURRAY,UT841076769	CLINIC
314	314 - MCKAY DEE ENT 2075 UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
315	315 - INTERMOUNTAIN EMPLOYEE CLINIC 5171 S COTTONWOOD ST STE 130 MURRAY,UT841075731	CLINIC
316	316 - MCKAY DEE INFECTIOUS DISEASE 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
317	317 - SNOWBIRD CLINIC 9385 S SNOWBIRD CENTER DR SNOWBIRD,UT840926249	CLINIC
318	318 - MCKAY DEE PALLIATIVE CARE 4403 HARRISON BLVD STE 3630 OGDEN,UT844033287	CLINIC
319	319 - AVENUES SPECIALTY CLINIC 324 10TH AVE STE 200 SALT LAKE CITY,UT841032870	CLINIC
320	320 - CANYONS VILLAGE MEDICAL CLINIC 3850 CANYONS RESORT DR PARK CITY,UT840986546	CLINIC
321	321 - WASATCH GYN 2075 N UNIVERSITY PARK BLVD LAYTON,UT840411611	CLINIC
322	322 - SOUTHWEST RHEUMATOLOGY ASSOC 577 SOUTH RIVER ROAD ST GEORGE,UT84790	CLINIC
323	323 - PARK CITY WORKMED 1665 BONANZA DR PARK CITY,UT840605127	CLINIC
324	324 - INTERMOUNTAIN 2200 W WORKMED 420 N 2200 W SALT LAKE CITY,UT841162923	CLINIC
325	325 - HOMECARE & HOSPICE AMB INFUSION 11520 SOUTH REDWOOD ROAD SOUTH JORDAN,UT84095	CLINIC
326	326 - UTAH VALLEY PALLIATIVE CARE CLINIC 1034 W 500 N PROVO,UT846012537	CLINIC
327	327 - DIXIE INFECTIOUS DISEASE CLINIC 1380 E MEDICAL CENTER DR STE 2300 ST GEORGE,UT847902131	CLINIC
328	328 - SALT LAKE CLINIC-MHI 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
329	329 - DIXON CLINIC 750 W 200 N PROVO,UT846012606	CLINIC
330	330 - PARK CITY SLEEP DISORDERS CLINIC 900 ROUND VALLEY DR STE 200 PARK CITY,UT840607532	CLINIC
331	331 - ALTA VIEW CLINIC ENDOCRINOLOGY 9450 S 1300 E SANDY,UT840945555	CLINIC
332	332 - BUDGE ANTICOAGULATION CLINIC 1350 NORTH 500 EAST LOGAN,UT84341	CLINIC
333	333 - SEVIER VALLEY SPECIALTY CLINIC 65 E 100 N GUNNISON,UT846340119	CLINIC
334	334 - WEST VALLEY SPECIALTY CLINIC 5373 W LAKE PARK BLVD WEST VALLEY CITY,UT841208208	CLINIC
335	335 - SALT LAKE CLINIC-ANTICOAGULATION 389 S 900 E SALT LAKE CITY,UT841022310	CLINIC
336	336 - ROSE PARK ELEMENTARY CLINIC 1105 W 1000 N SALT LAKE CITY,UT841162135	CLINIC
337	337 - INTERMOUNTAIN HEART RHYTHM LOGAN 1300 N 500 E STE 320 LOGAN,UT843412462	CLINIC
338	338 - INTERMOUNTAIN LEHI IM FLASH CLINIC 4000 N FLASH DR LEHI,UT840435148	CLINIC
339	339 - UTAH VALLEY PAIN MANAGEMENT 48 W 1500 N NEPHI,UT846488900	CLINIC
340	340 - UTAH VALLEY SPORTS MED-BYU EXT 87 SMITH FIELD HOUSE PROVO,UT846020002	CLINIC
341	341 - RIVER ROAD COGNITIVE CARE CLINIC 577 S RIVER RD ST GEORGE,UT847902097	CLINIC
342	342 - CENTRAL OREM OBGYN 1157 N 300 W STE 301 PROVO,UT846046124	CLINIC
343	343 - LAYTON PARKWAY SLEEP 201 W LAYTON PARKWAY STE 2E LAYTON,UT840413692	CLINIC
344	344 - SOUTHWEST CARDIOLOGY-CEDAR CITY 110 W 1325 N STE 100 CEDAR CITY,UT847218101	CLINIC
345	345 - INTERMOUNTAIN HEART RHYTHM CASPER 1233 E 2ND ST CASPER,WY826012926	CLINIC
346	346 - LAYTON PARKWAY GASTROENTEROLOGY 201 W LAYTON PARKWAY LAYTON,UT840413692	CLINIC
347	347 - WASATCH GYN-MCKAY 4403 HARRISON BLVD STE 4815 OGDEN,UT844033333	CLINIC
348	348 - PARK CITY-ROUND VALLEY MHI 750 ROUND VALLEY DR STE 201 PARK CITY,UT840607549	CLINIC
349	349 - UTAH VALLEY INTERNAL MEDICINE CLINIC 380 WEST 1230 NORTH SUITE 602 PROVO,UT84604	CLINIC
350	350 - BOX ELDER CLINIC 1050 S 500 W BRIGHAM CITY,UT843024715	CLINIC
351	351 - SNOWBASIN CLINIC 3925 E SNOWBASIN DR HUNTSVILLE,UT84317	CLINIC
352	352 - INTERMOUNTAIN HEART CARDIOLOGY 1485 S HIGHWAY 40 STE D HEBER,UT840323522	CLINIC
353	353 - UTAH VALLEY SPORTS MED-UVSC 800 W UNIVERSITY PKWY OREM,UT840586703	CLINIC
354	354 - LAYTON PARKWAY NEONATOLOGY 201 WEST LAYTON PARKWAY LAYTON,UT84041	CLINIC
355	355 - UTAH VALLEY PEDIATRICS 380 W 1230 N STE 703 PROVO,UT84604	CLINIC
356	356 - SOUTHWEST ORTHO AND SPORTS MED 225 S 700 E ST GEORGE,UT847703875	CLINIC
357	357 - SOUTHWEST ORTHO AND SPORTS MED 75 N 2260 W HURRICANE,UT847372034	CLINIC
358	358 - MCKAY-DEE CARDIOLOGY 201 W LAYTON PARKWAY STE 2A LAYTON,UT840413692	CLINIC
359	359 - INTERMOUNTAIN HEART RHYTHM 5979 FASHION BLVD SALT LAKE CITY,UT841077364	CLINIC
360	360 - INTEGRATED COMM CARE TEAM - UV 1134 N 500 W STE 102 PROVO,UT846045569	CLINIC
361	361 - AMERICAN FORK SPECIALTY 98 N 1100 E STE 402 AMERICAN FORK,UT840032951	CLINIC
362	362 - SOUTHERN UTAH ORTHO SPORTS MED 200 N 400 E PANGUITCH,UT847590389	CLINIC
363	363 - VALLEY VIEW HEART-GARFIELD 200 N 400 E PANGUITCH,UT847590389	CLINIC
364	364 - BMT LEUKEMIA PROGRAM SWR 544 S 400 E ST GEORGE,UT847703705	CLINIC
365	365 - PRECISION GENOMICS CANCER RESEARCH 5169 S COTTONWOOD ST STE 610 MURRAY,UT841076771	CLINIC
366	366 - DAYSPRING CLINIC - LOGAN 550 E 1400 N STE T LOGAN,UT84341	CLINIC
367	367 - UTAH VALLEY ORTHO-NVSARATOGA 250 E STATE RD 73 SARATOGA SPRINGS,UT840432966	CLINIC
368	368 - COMPREHENSIVE CARE MURRAY 5171 S COTTONWOOD ST STE 350 MURRAY,UT841075704	CLINIC
369	369 - CACHE VALLEY HEART-FRANKLIN COUNTY 44 N 1ST E PRESTON,ID832631326	CLINIC
370	370 - SANDY CLINIC 9500 S 1300 E SANDY,UT840943763	CLINIC
371	371 - ALTA VIEW SPECIALTY CLINIC 9450 S 1300 E SANDY,UT840945555	CLINIC

Schedule H (Form 990) 2018

Page 10

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 PATIENTS AT OR BELOW 200% 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 STILL RECEIVE CARE.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 200% 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 PATIENT'S GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'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 $21,533,041 FROM 29 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 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $300,968,992.
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 SAFE KIDS 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, MULTIPLE MENTAL HEALTH COLLABORATIONS AND SUICIDE PREVENTION EFFORTS, A STATEWIDE COALITION TO ADDRESS PRESCRIPTION OPIOID MISUSE, AND OTHER COALITIONS THAT ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY.TWO HEALTH SERVICES' HOSPITALS PROVIDE SPACE AND MAINTENANCE FOR COMMUNITY GARDENS MADE AVAILABLE TO COMMUNITY MEMBERS TO PROVIDE ACCESS TO FRESH, HEALTHY FOOD. 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 TO MEET HEALTHCARE NEEDS OF RESIDENTS, THEREBY HELPING REDUCE BARRIERS TO ACCESSING CARE.
PART III, LINE 2:	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.
PART III, LINE 3:	WHEN A PATIENT OR RESPONSIBLE PARTY IS UNINSURED OR UNDERINSURED 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, THE ACCOUNT WILL BE WRITTEN OFF AS A BAD DEBT. HEALTH SERVICES UTILIZES DATA SOURCES TO IDENTIFY UNRESPONSIVE PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFIED PATIENTS ARE ADJUSTED TO CHARITY CARE RATHER THAN BAD DEBTS AT THE END OF THE INTERNAL COLLECTIONS CYCLE. HEALTH SERVICES ALSO ANALYZES THIS DATA TO ESTIMATE THE NUMBER OF PATIENTS THAT COULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE IF ADDITIONAL INFORMATION IS AVAILABLE OR PROVIDED BY THE PATIENT.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 $279 MILLION AND $301 MILLION FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2018, 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 A PROVISION FOR UNPAID SERVICES (OR PROVISION FOR BAD DEBTS PRIOR TO ADOPTION OF ASU NO. 2014-09) IN THE PERIOD SERVICES ARE RENDERED.MANAGEMENT ESTIMATES THE PROVISION FOR UNPAID SERVICES 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 THIS PROVISION 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 $456 MILLION, A DIFFERENCE OF $421 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 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 MAY PURSUE 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, OR UNDERINSURED, 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. SPECIFIC INFORMATION REGARDING AND AN ELECTRONIC APPLICATION TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HEALTH SERVICES' WEBSITE IN BOTH ENGLISH AND SPANISH. DETAILS INCLUDE A PLAIN LANGUAGE EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE 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, CHILDREN'S HEALTH INSURANCE PROGRAM, 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." COMMUNICATION ASSISTANCE, SUCH AS ADDITIONAL TRANSLATION SERVICES AND AMERICAN SIGN-LANGUAGE, IS ALSO AVAILABLE TO PATIENTS AS NEEDED. A BILLING STATEMENT INSERT INCLUDES A PLAIN LANGUAGE SUMMARY IN ENGLISH AND SPANISH THAT PROVIDES SIMPLIFIED INSTRUCTIONS ON HOW TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM, AS WELL AS LANGUAGE THAT STATES "WHEN THOSE WHO LIVE IN OUR COMMUNITIES NEED CARE, FINANCIAL CONCERNS SHOULD NOT PREVENT THEM FROM RECEIVING TREATMENT. INTERMOUNTAIN HEALTHCARE IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO INDIVIDUALS THAT QUALIFY. PEOPLE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNTS GENERALLY BILLED TO INSURED PEOPLE." A TOLL-FREE NUMBER AND A PHYSICAL ADDRESS WHERE PATIENTS CAN RECEIVE HELP APPLYING FOR ASSISTANCE ARE ALSO INCLUDED WITH THE BILLING STATEMENT INSERT. THIS INSERT IS INCLUDED WITH THE FIRST SELF-PAY STATEMENT. EVERY BILLING STATEMENT STATES THE FOLLOWING: "FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE WHO QUALIFY. VISIT OUR WEBSITE OR CONTACT US AT OUR OFFICE FOR MORE INFORMATION." A URL IS PROVIDED WHICH WILL DIRECT THE PATIENT TO THE FINANCIAL ASSISTANCE LANDING PAGE ON THE PUBLIC WEBSITE. THIS STATEMENT IS PROVIDED ON THE FRONT OF EACH STATEMENT IN CONSPICUOUS FONT. A PRE-RECORDED HOLD-MESSAGE STATES THE FOLLOWING: "INTERMOUNTAIN HEALTHCARE OFFERS FINANCIAL ASSISTANCE TO THOSE WHO CANNOT PAY THEIR BILL, AND WHO QUALIFY FOR ASSISTANCE. FOR MORE INFORMATION ASK YOUR REPRESENTATIVE." BILLING ENVELOPES ALSO INCLUDE A STATEMENT ON THE BACK THAT STATES THE FOLLOWING 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:	UTAH HAS 37 HOSPITALS THROUGHOUT THE STATE. HEALTH SERVICES OWNS 22 HOSPITALS AND 371 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 2018 ESTIMATES, HEALTH SERVICES SERVES A POPULATION OF APPROXIMATELY 3.2 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 (30% OF THE POPULATION IS UNDER 18 YEARS OLD, WHILE ONLY 11% IS 65 YEARS AND OLDER). EDUCATION LEVELS ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE (92% OF THE POPULATION ARE HIGH SCHOOL GRADUATES AND 33% HAVE A BACHELOR'S DEGREE OR HIGHER).THE 2017 MEDIAN HOUSEHOLD INCOME FOR THE AREA WAS APPROXIMATELY $65,000. IN 2018 ABOUT 9.7% OF THE POPULATION LIVED AT OR BELOW THE FEDERAL POVERTY LEVEL AND ABOUT 10.1% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE (U.S. CENSUS QUICK FACTS).
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. EMPLOYEES PARTICIPATE IN MULTIPLE HEALTH-RELATED BOARDS AND COALITIONS TO ADVOCATE FOR HEALTH IMPROVEMENTS AND INCREASED ACCESS TO HEALTHCARE SERVICES FOR UNINSURED, LOW-INCOME, AND UNDERSERVED POPULATIONS.THE MAJORITY OF HEALTH SERVICES' GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN ITS SERVICE AREA AND REPRESENT BROAD COMMUNITY PERSPECTIVES. HEALTH SERVICES DIRECTLY OWNS AND OPERATES 4 COMMUNITY AND SCHOOL CLINICS AND HELPS SUPPORT 50 INDEPENDENTLY OWNED COMMUNITY SAFETY NET CLINICS SERVING LOW-INCOME AND AT-RISK PEOPLE IN MEDICALLY UNDERSERVED COMMUNITIES THROUGH GRANTS, CASH, AND IN-KIND CONTRIBUTIONS. SUCH SUPPORT INCREASES ACCESS TO HEATHCARE SERVICES. ADDITIONALLY, HEALTH SERVICES' STAFF PROVIDES ONGOING CONSULTATIONS TO IMPROVE LOCAL OPERATIONS.HEALTH SERVICES EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS FOR ITS DEPARTMENTS AND SPECIALTIES IN THE COMMUNITIES SERVED.AS AN ORGANIZATION EXEMPT UNDER IRC SECTION 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 THE 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.INTALERE, INC. IS A GROUP PURCHASING COMPANY THAT ALLOWS SMALLER ORGANIZATIONS TO UTILIZE THE POWER OF GROUP PURCHASING TO REDUCE THE COSTS OF MEDICAL AND OTHER SUPPLIES.NAVICAN GENOMICS, INC. IS HELPING BOTH ONCOLOGISTS AND PATIENTS HARNESS THE POWER OF PRECISION GENOMICS, CLINICAL ANALYTICS, AND PATIENT SERVICES FOR OPTIMAL CANCER TREATMENT AND MANAGEMENT. BY MATCHING PATIENTS WITH PRIORITIZED TREATMENT OPTIONS AND APPROPRIATE CLINICAL TRIALS, THE ORGANIZATION IS HELPING TO DELIVER BETTER OUTCOMES, REDUCE COSTS, AND PROVIDE AN ESSENTIAL BRIDGE FOR EVERYONE TO ACCESS PRECISION CANCER THERAPY.EMPIRIC HEALTH, INC. IS A TECHNOLOGY-ENABLED SERVICE COMPANY THAT HELPS HEALTH SYSTEMS LOWER COSTS AND IMPROVE OUTCOMES THROUGH DATA-DRIVEN PHYSICIAN PRACTICE ENHANCEMENTS. THE ORGANIZATION POSSESSES A PROPRIETARY COMPARATIVE ANALYTICS METHODOLOGY THAT ENABLES CARE PROVIDERS TO UNDERSTAND VARIATIONS IN PROCESSES AND OPTIMIZE RESOURCE UTILIZATION FOR HIGH VALUE, EPISODIC CARE.CULMINATION BIO, INC. (FKA MATTERHORN BIO, INC.) IS A DATA AND ANALYTICS BIOREPOSITORY ORGANIZATION THAT USES DATA FROM ARCHIVAL SAMPLES TO INFORM THE DEVELOPMENT OF NOVEL DISCOVERIES FOR BIOTECH AND PHARMACEUTICAL CUSTOMERS.ALLUCEO, INC. OFFERS PROVEN, TEAM-BASED MENTAL HEALTH INTEGRATION SERVICES AND TECHNOLOGY. IT AIMS TO SIMPLIFY THE PROCESS FOR CONNECTING PEOPLE IN NEED OF MENTAL HEALTH SERVICES WITH A TEAM OF SKILLED CAREGIVERS. THE DIGITAL PLATFORM MAKES THE SCIENCE OF MENTAL HEALTH INTEGRATION ACCESSIBLE, POWERS TEAM-BASED CARE PROTOCOLS, AND ENABLES A PATIENT'S FULL CARE TEAM TO COMMUNICATE REMOTELY AND SEAMLESSLY, ASSESS RISK AND COMPLEXITY, AND DELIVER HIGH-QUALITY CONNECTED CARE.
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 1 HOSPITAL IN IDAHO, CASSIA REGIONAL HOSPITAL. IDAHO CURRENTLY DOES NOT HAVE STATE NOT-FOR-PROFIT HOSPITAL COMMUNITY BENEFIT REPORTING REQUIREMENTS.
PART VI, LINE 2	HEALTH SERVICES CONTINUES TO ASSESS HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY SEEKING INPUT FROM LOCAL RESIDENTS SERVING ON HOSPITAL ADVISORY COMMITTEES AND FROM ITS VOLUNTEER HOSPITAL GOVERNING BOARDS. HEALTH SERVICES' RESEARCH AND PLANNING DEPARTMENT CONDUCTS TARGETED RESEARCH TO IDENTIFY NEEDS OF SPECIFIC POPULATIONS REGARDING ACCESS TO CARE, BARRIERS, QUALITY, AND OTHER ISSUES.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	(h) Purpose of grant or assistance
(1) ALLIANCE COMMUNITY SERVICES 5282 SOUTH COMMERCE DRIVE SUITE D232 SALT LAKE CITY,UT84107	30-0087376	501(C)(3)	6,479	SUPPORT COMMUNITY HEALTH
(2) ALLIANCE HOUSE INC 1724 SOUTH MAIN STREET SALT LAKE CITY,UT84115	74-2440617	501(C)(3)	6,000	SUPPORT COMMUNITY HEALTH
(3) ALPINE SCHOOL DISTRICT FOUNDATION 575 NORTH 100 EAST AMERICAN FORK,UT84003	74-2368936	501(C)(3)	5,700	PROMOTE COMMUNITY HEALTH
(4) AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES 1567 HIDDEN SPRINGS PARKWAY FRUIT HEIGHTS,UT84037	37-1483342	501(C)(3)	6,000	SUPPORT COMMUNITY HEALTH
(5) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	153,000	SUPPORT COMMUNITY HEALTH
(6) ASSOCIATION FOR UTAH COMMUNITY HEALTH 860 EAST 4500 SOUTH SUITE 206 SALT LAKE CITY,UT84107	87-0430946	501(C)(3)	485,000	SUPPORT COMMUNITY HEALTH
(7) BALLET WEST 52 WEST 200 SOUTH SALT LAKE CITY,UT84101	87-0264274	501(C)(3)	25,000	SUPPORT LOCAL COMMUNITY
(8) BEAR RIVER HEALTH DEPARTMENT 655 EAST 1300 NORTH LOGAN,UT84341	87-0109001	GOVT.	12,700	SUPPORT COMMUNITY HEALTH
(9) BRIDGERLAND APPLIED TECHNOLOGY COLLEGE FOUNDATION INC 1474 EAST 1140 NORTH LOGAN,UT84341	87-0577312	501(C)(3)	50,000	HEALTH EDUCATION
(10) BRIGHAM YOUNG UNIVERSITY PO BOX 45654 SALT LAKE CITY,UT84145	87-0217280	501(C)(3)	61,500	HEALTH EDUCATION
(11) BROOKSEE FOUNDATION 11968 NORTH ITHICA DRIVE HIGHLAND,UT84003	81-1378327	501(C)(3)	13,000	SUPPORT COMMUNITY HEALTH
(12) CANYONS SCHOOL DISTRICT 9150 SOUTH 500 WEST SANDY,UT84070		GOVT.	7,769	SUPPORT COMMUNITY HEALTH
(13) CATHOLIC COMMUNITY SERVICES 745 EAST 300 SOUTH SALT LAKE CITY,UT84102	87-0212450	501(C)(3)	5,500	SUPPORT COMMUNITY HEALTH
(14) CENTRAL UTAH COUNSELING CENTER 152 NORTH 400 WEST EPHRAIM,UT84627	87-0502481	GOVT.	229,600	PROMOTE COMMUNITY HEALTH
(15) CHABAD LUBAVITCH OF UTAH INC 1760 SOUTH 1100 EAST SUITE 2A SALT LAKE CITY,UT84105	87-0500798	501(C)(3)	6,750	SUPPORT COMMUNITY HEALTH
(16) CHRISTIAN CENTER OF PARK CITY PO BOX 683480 PARK CITY,UT84068	87-0643778	501(C)(3)	10,000	SUPPORT COMMUNITY HEALTH
(17) COLUMBUS COMMUNITY CENTER 3495 SOUTH WEST TEMPLE SALT LAKE CITY,UT84115	87-6130042	501(C)(3)	15,000	SUPPORT COMMUNITY HEALTH
(18) COMMUNITY HEALTH CENTERS INC 220 WEST 7200 SOUTH SUITE A MIDVALE,UT84047	74-2412898	501(C)(3)	110,000	SUPPORT COMMUNITY HEALTH
(19) COMUNIDADES UNIDAS 1750 WEST RESEARCH WAY SUITE 102 WEST VALLEY CITY,UT84119	13-4257724	501(C)(3)	6,250	SUPPORT COMMUNITY HEALTH
(20) DAVIS ARTS COUNCIL INC 445 WASATCH DRIVE LAYTON,UT84041	87-0484833	501(C)(3)	10,000	SUPPORT LOCAL COMMUNITY
(21) DAVIS BEHAVIORAL HEALTH INC 934 SOUTH MAIN STREET LAYTON,UT84041	87-0430116	501(C)(3)	37,974	SUPPORT COMMUNITY HEALTH
(22) DAVIS COUNTY 220 SOUTH STATE STREET CLEARFIELD,UT84015	87-6000297	GOVT.	10,064	SUPPORT COMMUNITY HEALTH
(23) DAVIS PERFORMING ARTS ASSOCIATION DBA CENTERPOINT LEGACY THEATRE PO BOX 62 CENTERVILLE,UT84014	27-0197644	501(C)(3)	11,000	SUPPORT LOCAL COMMUNITY
(24) DESERET INDUSTRIES 2140 800 EAST SALT LAKE CITY,UT84106	87-0234341	501(C)(3)	6,476	SUPPORT COMMUNITY HEALTH
(25) DIXIE STATE UNIVERSITY 225 SOUTH 700 EAST ST GEORGE,UT84770	20-5588266	GOVT.	65,000	HEALTH EDUCATION
(26) DOVE CENTER INC 1040 EAST 100 SOUTH SUITE 221 ST GEORGE,UT84790	87-0529095	501(C)(3)	5,500	SUPPORT COMMUNITY HEALTH
(27) ENVISION UTAH 254 SOUTH 600 EAST 201 SALT LAKE CITY,UT84102	87-0462205	501(C)(3)	30,600	SUPPORT COMMUNITY HEALTH
(28) FAMILY COUNSELING CENTER 650 EAST 4500 SOUTH SUITE 300 MURRAY,UT84107	87-0212455	501(C)(3)	45,000	PROMOTE COMMUNITY HEALTH
(29) FAMILY HEALTHCARE 25 NORTH 100 EAST SUITE 102 ST GEORGE,UT84770	35-2163112	501(C)(3)	5,500	SUPPORT COMMUNITY HEALTH
(30) FAMILY INSTITUTE OF NORTHERN UTAH 190 EAST CENTER STREET LOGAN,UT84321	87-0576153	501(C)(3)	6,500	SUPPORT COMMUNITY HEALTH
(31) FOURTH STREET CLINIC 409 WEST 400 SOUTH SALT LAKE CITY,UT84101	87-0569356	501(C)(3)	15,000	SUPPORT COMMUNITY CLINIC
(32) FRIENDS OF SWITCHPOINT INC 948 NORTH 1300 WEST ST GEORGE,UT84770	76-0740457	501(C)(3)	40,000	SUPPORT COMMUNITY HEALTH
(33) FRIENDS OF THE WASHINGTON COUNTY CHILDRENS JUSTICE CENTER 463 EAST 500 SOUTH ST GEORGE,UT84770	87-0560725	501(C)(3)	40,000	SUPPORT COMMUNITY HEALTH
(34) FRIENDS OF WASATCH MENTAL HEALTH FOUNDATION 750 NORTH FREEDOM BOULEVARD PROVO,UT84601	45-0531249	501(C)(3)	32,000	SUPPORT COMMUNITY HEALTH
(35) GIRL SCOUTS OF UTAH 445 EAST 4500 SOUTH SUITE 125 SALT LAKE CITY,UT84107	87-0221612	501(C)(3)	8,000	SUPPORT COMMUNITY HEALTH
(36) HEALTH RESEARCH AND EDUCATIONAL TRUST 155 NORTH WACKER SUITE 400 CHICAGO,IL60606	36-2203931	501(C)(3)	75,000	SUPPORT COMMUNITY HEALTH
(37) HOPE4UTAH 5545 NORTH RIVER RUN DRIVE PROVO,UT84604	90-0969731	501(C)(3)	62,500	PROMOTE COMMUNITY HEALTH
(38) HUNTSMAN CANCER FOUNDATION 500 SOUTH HUNTSMAN WAY SALT LAKE CITY,UT84108	87-0541293	501(C)(3)	25,003,000	SUPPORT COMMUNITY HEALTH
(39) IRON COUNTY 474 WEST 200 NORTH ST GEORGE,UT84770	27-3321637	GOVT.	10,000	SUPPORT COMMUNITY HEALTH
(40) INTERMOUNTAIN COMMUNITY CARE FOUNDATION 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY,UT84111	94-2853320	501(C)(3)	40,000,000	SUPPORT COMMUNITY HEALTH
(41) INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY,UT84111	80-0225150	501(C)(3)	4,917,646	SUPPORT COMMUNITY HEALTH
(42) JORDAN SCHOOL DISTRICT 901 WEST BAXTER DRIVE SOUTH JORDAN,UT84095	87-6000497	GOVT.	13,246	HEALTH EDUCATION
(43) JUNIOR LEAGUE OF SALT LAKE CITY INC 526 EAST 300 SOUTH SALT LAKE CITY,UT84102	87-0401142	501(C)(3)	7,500	SUPPORT COMMUNITY HEALTH
(44) LUPUS FOUNDATION OF AMERICA INC UTAH CHAPTER 352 SOUTH DENVER STREET SUITE 101 SALT LAKE CITY,UT84111	87-0408822	501(C)(3)	13,500	SUPPORT COMMUNITY HEALTH
(45) MOUNTAIN WEST MOTHERS MILK BANK 740 EAST 3900 SOUTH SUITE 100 SALT LAKE CITY,UT84107	46-2190063	501(C)(3)	250,000	SUPPORT COMMUNITY HEALTH
(46) OGDEN PIONEER HERITAGE FOUNDATION INC PO BOX 150092 OGDEN,UT84415	42-1573321	501(C)(3)	7,000	SUPPORT COMMUNITY HEALTH
(47) ORRIN G HATCH FOUNDATION 411 EAST SOUTH TEMPLE SALT LAKE CITY,UT84111	47-4823732	501(C)(3)	2,020,000	SUPPORT COMMUNITY HEALTH
(48) PEOPLES HEALTH CLINIC INC 650 ROUND VALLEY DRIVE PO BOX 681558 PARK CITY,UT84068	87-0638042	501(C)(3)	41,000	SUPPORT COMMUNITY HEALTH
(49) POLIZZI FOUNDATION 515 EAST 4500 SOUTH SALT LAKE CITY,UT84107	57-1241243	501(C)(3)	47,500	SUPPORT COMMUNITY HEALTH
(50) REACH OUT AND READ INC 89 SOUTH STREET SUITE 201 BOSTON,MA02111	04-3481253	501(C)(3)	6,284	SUPPORT COMMUNITY HEALTH
(51) RIVERTON CITY 12830 SOUTH REDWOOD ROAD RIVERTON,UT84065	87-0344045	GOVT.	5,600	SUPPORT COMMUNITY HEALTH
(52) RON MCBRIDE FOUNDATION INC 9448 SOUTH 1210 EAST SANDY,UT84094	81-5060359	501(C)(3)	10,000	SUPPORT COMMUNITY HEALTH
(53) RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC 935 EAST SOUTH TEMPLE SALT LAKE CITY,UT84102	74-2386043	501(C)(3)	115,000	SUPPORT COMMUNITY HEALTH
(54) SALT LAKE AREA CHAMBER OF COMMERCE 175 E 400 S STE 600 SALT LAKE CITY,UT84111	87-0121901	501(C)(6)	25,000	SUPPORT COMMUNITY HEALTH
(55) SALT LAKE COMMUNITY ACTION PROGRAM 764 SOUTH 200 WEST SALT LAKE CITY,UT84101	87-0269683	501(C)(3)	35,000	SUPPORT COMMUNITY HEALTH
(56) SALT LAKE COUNTY HEALTH DEPARTMENT 2001 SOUTH STATE STREET SUITE S2-600 SALT LAKE CITY,UT84114	87-6000316	GOVT.	189,663	SUPPORT COMMUNITY HEALTH
(57) SHELTER THE HOMELESS INC 2001 SOUTH STATE STREET SUITE N4930 N4930 SALT LAKE CITY,UT84114	74-2548948	501(C)(3)	1,000,000	SUPPORT COMMUNITY HEALTH
(58) SOUTHERN UTAH UNIVERSITY 351 WEST UNIVERSITY BOULEVARD CEDAR CITY,UT84720	87-6000481	GOVT.	60,000	HEALTH EDUCATION
(59) STANFORD UNIVERSITY 291 CAMPUS DRIVE STANFORD,CA94305	94-1156365	501(C)(3)	380,000	HEALTH EDUCATION
(60) STATE OF UTAH 168 NORTH 1950 WEST 201 SALT LAKE CITY,UT84116		GOVT.	305,800	SUPPORT COMMUNITY HEALTH
(61) SUMMIT COMMUNITY INSTITUTE 650 ROUND VALLEY PARK CITY,UT84060	87-6000295	GOVT.	8,000	SUPPORT COMMUNITY HEALTH
(62) THE CHILDREN'S CENTER 350 SOUTH 400 EAST SALT LAKE CITY,UT84111	87-6114073	501(C)(3)	25,000	SUPPORT CHILDREN'S HEALTH
(63) THE INN BETWEEN 1216 EAST 1300 SOUTH SALT LAKE CITY,UT84105	47-2329595	501(C)(3)	385,000	SUPPORT COMMUNITY HEALTH
(64) THE LEUKEMIA AND LYMPHOMA SOCIETY INC 3 INTERNATIONAL DRIVE SUITE 200 RYE BROOK,NY10573	13-5644916	501(C)(3)	12,500	SUPPORT COMMUNITY HEALTH
(65) THE UTAH ANTI BULLYING COALITION 35 EAST 9270 SOUTH SANDY,UT84070	80-0945601	501(C)(3)	15,000	SUPPORT COMMUNITY HEALTH
(66) THE UTAH REFUGEE CONNECTION 6440 SOUTH WASATCH BOULEVARD SUITE 100 SALT LAKE CITY,UT84121	26-3952217	501(C)(3)	25,000	SUPPORT COMMUNITY HEALTH
(67) UNITED WAY OF SALT LAKE 257 EAST 200 SOUTH SUITE 300 SALT LAKE CITY,UT84111	87-0227091	501(C)(3)	194,000	SUPPORT COMMUNITY HEALTH
(68) UNITED WAY OF NORTHERN UTAH 2955 HARRISON BOULEVARD SUITE 201 OGDEN,UT84403	87-0224251	501(C)(3)	12,000,000	SUPPORT COMMUNITY HEALTH
(69) UNITED WAY OF UTAH COUNTY 148 NORTH 100 WEST PROVO,UT84603	94-2851681	501(C)(3)	10,000	SUPPORT COMMUNITY HEALTH
(70) UNIVERSITY OF UTAH 301 WALKER WAY SALT LAKE CITY,UT84106	87-6000525	GOVT.	1,147,500	HEALTH EDUCATION
(71) UTAH CLEAN AIR PARTNERSHIP INC 195 NORTH 1950 WEST SALT LAKE CITY,UT84116	46-1224589	501(C)(3)	15,000	SUPPORT COMMUNITY HEALTH
(72) UTAH COUNTY HEALTH DEPARTMENT 151 SOUTH UNIVERSITY AVENUE PROVO,UT84601	87-6000312	GOVT.	9,100	SUPPORT COMMUNITY HEALTH
(73) UTAH HEALTH POLICY PROJECT 1832 WEST RESEARCH WAY 60 SALT LAKE CITY,UT84119	87-0684606	501(C)(3)	62,500	HEALTH EDUCATION
(74) UTAH NONPROFITS ASSOCIATION 231 EAST 400 SOUTH SUITE 345 SALT LAKE CITY,UT84111	87-0481455	501(C)(3)	15,600	SUPPORT COMMUNITY HEALTH
(75) UTAH STATE UNIVERSITY FOUNDATION 1590 OLD MAIN HILL LOGAN,UT84322	87-0627128	GOVT.	51,000	HEALTH EDUCATION
(76) UTAH TAXPAYERS ASSOCIATION 656 EAST 11400 SOUTH SUITE R DRAPER,UT84020	87-0189230	501(C)(3)	9,100	SUPPORT COMMUNITY HEALTH
(77) UTAH VALLEY UNIVERSITY FOUNDATION INC 800 WEST UNIVERSITY PARKWAY OREM,UT84058	87-0036944	501(C)(3)	50,500	HEALTH EDUCATION
(78) WEBER HUMAN SERVICES FOUNDATION 237 26TH STREET OGDEN,UT84401	87-0528187	501(C)(3)	21,000	SUPPORT COMMUNITY HEALTH
(79) WEBER STATE UNIVERSITY 3850 DIXON PARKWAY DEPARTMENT 1021 OGDEN,UT84408	87-6000535	GOVT.	121,700	HEALTH EDUCATION
(80) WESTMINSTER COLLEGE 1840 SOUTH 1300 EAST SALT LAKE CITY,UT84105	87-0212470	501(C)(3)	50,000	HEALTH EDUCATION

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) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) PHARMACY VOUCHERS	18	8,604	CASH	PHARMACY DRUG ASSISTANCE
(2) SCHOLARSHIP	1	1,000	CASH	SCHOLARSHIP - ALEXIS JAUSSI
(3) SCHOLARSHIP	1	1,000	CASH	SCHOLARSHIP - BARLOW W. PACE
(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 ORGANIZATION MONITORS ITS GRANTS TO ENSURE THAT THEY ARE USED FOR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE BY REQUIRING ORGANIZATIONS THAT RECEIVE FUNDS GREATER THAN $5,000 TO SIGN A LETTER OF INTENT COMMITTING TO THE SPECIFIC USE OF THE FUNDS AND REGULARLY SUBMITTING OUTCOME REPORTS RELATED TO THE USE OF FUNDS.

FORM 990, SCHEDULE I, PART III

HEALTH SERVICES' PROVIDES SCHOLARSHIPS TO HIGH SCHOOL SENIORS PURSUING A CAREER IN HEALTHCARE TO FURTHER ONGOING EFFORTS TO SUPPORT STUDENTS IN ITS COMMUNITIES. APPLICANTS ARE REVIEWED AND MUST SUBMIT PROOF OF COLLEGE REGISTRATION. ONCE SELECTED, HEALTH SERVICES WILL MAKE THE DONATION DIRECTLY TO THE STUDENT'S TUITION OR OTHER SCHOOLING EXPENSES, IN ORDER TO ENSURE THAT THE FUNDS ARE BEING SPENT FOR THEIR INTENDED PURPOSE.

Schedule I (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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

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 nonfixed
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) 2018

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)
1A MARC HARRISON MD TRUSTEE / PRES / CEO	(i) (ii)	1,587,816 ------------- 0	963,647 ------------- 0	12,967 ------------- 0	1,567,750 ------------- 0	33,131 ------------- 0	4,165,311 ------------- 0	844,769 ------------- 0
2ROBERT W ALLEN SENIOR VICE PRESIDENT / COO	(i) (ii)	850,261 ------------- 0	339,096 ------------- 0	42,126 ------------- 0	694,344 ------------- 0	30,537 ------------- 0	1,956,364 ------------- 0	289,794 ------------- 0
3HEATHER BRACE SENIOR VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	264,410 ------------- 0	41,620 ------------- 0	18,255 ------------- 0	190,075 ------------- 0	26,351 ------------- 0	540,711 ------------- 0	0 ------------- 0
4MARK R BRIESACHER MD SENIOR VICE PRESIDENT	(i) (ii)	711,166 ------------- 0	371,701 ------------- 0	35,213 ------------- 0	580,876 ------------- 0	30,481 ------------- 0	1,729,437 ------------- 0	288,901 ------------- 0
5MOODY L CHISHOLM VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	41,509 ------------- 0	0 ------------- 0	1,129,658 ------------- 0	2,466 ------------- 0	8,473 ------------- 0	1,182,106 ------------- 0	0 ------------- 0
6TODD E CRAGHEAD VICE PRESIDENT	(i) (ii)	264,581 ------------- 0	74,283 ------------- 0	10,659 ------------- 0	130,322 ------------- 0	23,776 ------------- 0	503,621 ------------- 0	65,035 ------------- 0
7DAVID L FLOOD SENIOR VICE PRESIDENT	(i) (ii)	463,182 ------------- 0	238,770 ------------- 0	6,647 ------------- 0	361,653 ------------- 0	27,821 ------------- 0	1,098,073 ------------- 0	193,627 ------------- 0
8JOSEPH D FOURNIER SENIOR VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	169,749 ------------- 0	205,116 ------------- 0	671,251 ------------- 0	0 ------------- 0	9,950 ------------- 0	1,056,066 ------------- 0	190,737 ------------- 0
9DOUGLAS J HAMMER SVP / GENERAL COUNSEL	(i) (ii)	528,118 ------------- 0	260,311 ------------- 0	44,366 ------------- 0	313,789 ------------- 0	38,216 ------------- 0	1,184,800 ------------- 0	224,946 ------------- 0
10KIMBERLY HENRICHSEN SENIOR VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	381,179 ------------- 0	215,672 ------------- 0	121,409 ------------- 0	70,878 ------------- 0	29,594 ------------- 0	818,732 ------------- 0	193,518 ------------- 0
11GREGORY M JOHNSON VICE PRESIDENT	(i) (ii)	382,688 ------------- 0	194,626 ------------- 0	20,800 ------------- 0	320,934 ------------- 0	28,835 ------------- 0	947,883 ------------- 0	171,562 ------------- 0
12DAN LILJENQUIST SENIOR VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	386,354 ------------- 0	83,742 ------------- 0	2,793 ------------- 0	300,666 ------------- 0	27,427 ------------- 0	800,982 ------------- 0	0 ------------- 0
13KEVAN MABBUTT SENIOR VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	437,804 ------------- 0	211,937 ------------- 0	65,395 ------------- 0	303,508 ------------- 0	26,657 ------------- 0	1,045,301 ------------- 0	0 ------------- 0
14JACQUELINE MILLARD VICE PRESIDENT	(i) (ii)	375,349 ------------- 0	178,369 ------------- 0	16,327 ------------- 0	301,481 ------------- 0	27,214 ------------- 0	898,740 ------------- 0	159,582 ------------- 0
15MIKELLE MOORE SENIOR VICE PRESIDENT	(i) (ii)	365,866 ------------- 0	170,093 ------------- 0	4,534 ------------- 0	277,845 ------------- 0	27,269 ------------- 0	845,607 ------------- 0	153,305 ------------- 0
16TIMOTHY T PEHRSON VICE PRESIDENT (PARTIAL YEAR)	(i) (ii)	34,973 ------------- 0	1,466,948 ------------- 0	639,679 ------------- 0	46,850 ------------- 0	8,732 ------------- 0	2,197,182 ------------- 0	873,214 ------------- 0
17GREGORY P POULSEN SENIOR VICE PRESIDENT	(i) (ii)	1,165,471 ------------- 0	350 ------------- 0	3,735,277 ------------- 0	510,907 ------------- 0	30,485 ------------- 0	5,442,490 ------------- 0	1,784,252 ------------- 0
18MARCUS F PROBST VICE PRESIDENT	(i) (ii)	517,512 ------------- 0	258,738 ------------- 0	22,702 ------------- 0	631,488 ------------- 0	25,684 ------------- 0	1,456,124 ------------- 0	232,617 ------------- 0
19MARK A RUNYON VICE PRESIDENT	(i) (ii)	407,066 ------------- 0	207,496 ------------- 0	5,482 ------------- 0	271,260 ------------- 0	26,237 ------------- 0	917,541 ------------- 0	182,787 ------------- 0
20ALBERT R ZIMMERLI EVP / CFO / SEC / TREAS	(i) (ii)	2,271,147 ------------- 0	639,528 ------------- 0	295,368 ------------- 0	645,626 ------------- 0	36,160 ------------- 0	3,887,829 ------------- 0	916,224 ------------- 0
21CASEY BACHISON MD-SURGERY/ORTHOPEDIC	(i) (ii)	1,162,236 ------------- 0	68,989 ------------- 0	1,467 ------------- 0	45,406 ------------- 0	23,115 ------------- 0	1,301,213 ------------- 0	0 ------------- 0
22BERKELEY BATE MD-NEUROSURGERY	(i) (ii)	1,123,911 ------------- 0	43,449 ------------- 0	2,069 ------------- 0	20,507 ------------- 0	25,981 ------------- 0	1,215,917 ------------- 0	0 ------------- 0
23BENJAMIN FOX MD-NEUROSURGERY	(i) (ii)	1,227,500 ------------- 0	48,997 ------------- 0	720 ------------- 0	44,436 ------------- 0	26,244 ------------- 0	1,347,897 ------------- 0	0 ------------- 0
24ERIC HOOLEY MD-SURGERY/ORTHOPEDIC	(i) (ii)	1,141,719 ------------- 0	66,038 ------------- 0	2,049 ------------- 0	49,524 ------------- 0	22,652 ------------- 0	1,281,982 ------------- 0	0 ------------- 0
25JOSEPH MOTT VP COO - SPEC BASED CARE	(i) (ii)	595,664 ------------- 0	214,227 ------------- 0	2,303,469 ------------- 0	640,513 ------------- 0	26,919 ------------- 0	3,780,792 ------------- 0	0 ------------- 0
26TERRI L KANE FORMER OFFICER	(i) (ii)	566,770 ------------- 0	258,005 ------------- 0	7,281 ------------- 0	345,436 ------------- 0	26,375 ------------- 0	1,203,867 ------------- 0	239,462 ------------- 0
27STEVEN R SMOOT FORMER OFFICER	(i) (ii)	268,586 ------------- 0	291,393 ------------- 0	118,373 ------------- 0	11,000 ------------- 0	11,518 ------------- 0	700,870 ------------- 0	271,535 ------------- 0
28CHARLES W SORENSON JR MD FORMER OFFICER	(i) (ii)	257,067 ------------- 0	250,495 ------------- 0	1,141 ------------- 0	48,463 ------------- 0	22,618 ------------- 0	579,784 ------------- 0	206,041 ------------- 0
29JOHN WRIGHT FORMER OFFICER	(i) (ii)	315,175 ------------- 0	0 ------------- 0	139,405 ------------- 0	124,154 ------------- 0	26,261 ------------- 0	604,995 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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	FIRST-CLASS OR CHARTER TRAVEL - IN ACCORDANCE WITH COMPANY POLICY, FIRST CLASS TRAVEL WAS PROVIDED ON A LIMITED BASIS TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A FOR LONG INTERNATIONAL FLIGHTS AND/OR WHEN PERSONAL PHYSICAL CONDITIONS MADE IT DIFFICULT TO TRAVEL. THE ADDITIONAL COST OF THE FIRST CLASS TICKETS WAS NOT REPORTED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES MUST BE APPROVED BY SENIOR MANAGEMENT. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE EMPLOYEE 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 WERE GROSSED UP FOR TAX PURPOSES. HOUSING ALLOWANCE - PURSUANT TO COMPANY POLICY, JOHN WRIGHT RECEIVED REIMBURSEMENT FOR TEMPORARY HOUSING EXPENSES. THE REIMBURSED EXPENSES WERE REPORTED AS TAXABLE TO THIS INDIVIDUAL ON FORM W-2. HEALTH CLUB DUES - THE FILING ORGANIZATION PAID A PORTION OF THE MONTHLY FEE FOR EMPLOYEES OF ITS CENTRAL OFFICE WHO SIGN UP AT A LOCAL HEALTH CLUB. THIS PROGRAM WAS AVAILABLE TO ALL CENTRAL OFFICE EMPLOYEES. THE EXPENSES WERE NOT REPORTED AS TAXABLE TO THIS INDIVIDUAL ON FORM W-2. SOCIAL CLUB DUES - THE FILING ORGANIZATION PAID SOCIAL CLUB FEES ON BEHALF OF THE CEO, WHICH WAS USED EXCLUSIVELY FOR BUSINESS PURPOSES. THE ACCOUNT HAS SINCE BEEN UPDATED AND WILL BE PAID DIRECTLY BY THE ORGANIZATION GOING FORWARD. THE EXPENSES WERE NOT REPORTED AS TAXABLE TO THIS 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 INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS IN 2018: - TIMOTHY P. PEHRSON - $569,137 - MOODY L. CHISHOLM - $1,105,137 - JOSEPH D. FOURNIER - $616,000 THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2018: - GREGORY P. POULSEN - $3,595,073 - ALBERT R. ZIMMERLI - $216,483 - JOSEPH MOTT - $2,296,472 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.

Schedule J (Form 990) 2018

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
D	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
	UTAH COUNTY UTAH	87-6000312	917393BJ8	07-13-2016	67,500,234	REFUND PORTION OF 2002B & 2002C		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CE8	07-13-2016	406,502,765	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	03-22-2017	200,000,000	REFUND PRIOR ISSUE 2012A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CY4	07-17-2018	382,751,441	BLDG CONSTRUCTION & EQUIPMENT		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,500,000		104,540,000		51,800,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	314,823,712		273,598,644		63,362,310		250,681,736
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,031,729				1,783,571		679,959
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		406,502,765		250,001,777
11 Other spent proceeds .............			67,500,234		63,312,310		200,000,000
12 Other unspent proceeds .............	54,569,608
13 Year of substantial completion .............	2007		2007		2004		2015
	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) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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) 2018

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, SCHEDULE K, PART IV, LINE 4E, COLUMN A (CUSIP 626853CE3)	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. ON AUGUST 1, 2016, ONE OF THE REMAINING QUALIFIED HEDGES, WITH $65,000,000 IN NOTIONAL MATURED. ON SEPTEMBER 29, 2016 AND OCTOBER 6, 2016, THE REMAINING QUALIFIED HEDGES CONSISTING OF $82,276,000 AND $40,524,000 IN NOTIONAL WERE NOVATED FROM JP MORGAN TO WELLS FARGO, CITI, AND KEYBANK. THESE SWAPS WERE RESTRUCTURED AND ARE NO LONGER CONSIDERED QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2003 BONDS. SINCE DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE 2003 BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN B (CUSIP 626853CJ2)	$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, SCH K, PART II, LINE 11, PART III, COL C & PART IV, LINE 2C COL C	(CUSIP 795677BM4) - THE SERIES 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. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2011 BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, PART III, COL B, & PART IV, L2C, COL B	(CUSIP 917393BJ8) - THE SERIES 2016A BONDS REFUNDED A PORTION OF THE SERIES 2002B&C BONDS. ALL PROCEEDS WERE USED TO REFUND A PORTION OF THE 2002B&C BONDS ON JULY 13, 2016. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2016A BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, COLUMN D & PART IV, LINE 2C, COLUMN D	(CUSIP 769369AM1) - THE SERIES 2012A BONDS WERE REISSUED ON MARCH 22, 2017. ALL 2017 PROCEEDS WERE DEEMED TO BE USED TO REFUND THE 2012A BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A (CUSIP 626853CE3)	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN C (CUSIP 795677BM4)	THE REBATE COMPUTATION FOR THE SERIES 2011 BONDS WAS PERFORMED INTERNALLY ON MAY 20, 2016, AND BY A THIRD PARTY ON AUGUST 3, 2016.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN D (CUSIP 917393AV2)	THE REBATE COMPUTATION FOR THE SERIES 2012 BONDS WAS PERFORMED ON JUNE 16, 2017.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN A (CUSIP 917393AY6)	$80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,117) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN C (CUSIP 917393CE8)	$200,000,000 OF THE TOTAL ISSUE PRICE ($406,502,765) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCH K, PART IV, LINE 3, COLUMN A (CUSIP 917393CY4)	$50,000,000 OF THE TOTAL ISSUE PRICE ($382,751,441) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
D	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
	UTAH COUNTY UTAH	87-6000312	917393BJ8	07-13-2016	67,500,234	REFUND PORTION OF 2002B & 2002C		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CE8	07-13-2016	406,502,765	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	03-22-2017	200,000,000	REFUND PRIOR ISSUE 2012A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CY4	07-17-2018	382,751,441	BLDG CONSTRUCTION & EQUIPMENT		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,500,000		104,540,000		51,800,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	314,823,712		273,598,644		63,362,310		250,681,736
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,031,729				1,783,571		679,959
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		406,502,765		250,001,777
11 Other spent proceeds .............			67,500,234		63,312,310		200,000,000
12 Other unspent proceeds .............	54,569,608
13 Year of substantial completion .............	2007		2007		2004		2015
	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) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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) 2018

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, SCHEDULE K, PART IV, LINE 4E, COLUMN A (CUSIP 626853CE3)	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. ON AUGUST 1, 2016, ONE OF THE REMAINING QUALIFIED HEDGES, WITH $65,000,000 IN NOTIONAL MATURED. ON SEPTEMBER 29, 2016 AND OCTOBER 6, 2016, THE REMAINING QUALIFIED HEDGES CONSISTING OF $82,276,000 AND $40,524,000 IN NOTIONAL WERE NOVATED FROM JP MORGAN TO WELLS FARGO, CITI, AND KEYBANK. THESE SWAPS WERE RESTRUCTURED AND ARE NO LONGER CONSIDERED QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2003 BONDS. SINCE DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE 2003 BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN B (CUSIP 626853CJ2)	$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, SCH K, PART II, LINE 11, PART III, COL C & PART IV, LINE 2C COL C	(CUSIP 795677BM4) - THE SERIES 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. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2011 BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, PART III, COL B, & PART IV, L2C, COL B	(CUSIP 917393BJ8) - THE SERIES 2016A BONDS REFUNDED A PORTION OF THE SERIES 2002B&C BONDS. ALL PROCEEDS WERE USED TO REFUND A PORTION OF THE 2002B&C BONDS ON JULY 13, 2016. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2016A BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, COLUMN D & PART IV, LINE 2C, COLUMN D	(CUSIP 769369AM1) - THE SERIES 2012A BONDS WERE REISSUED ON MARCH 22, 2017. ALL 2017 PROCEEDS WERE DEEMED TO BE USED TO REFUND THE 2012A BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A (CUSIP 626853CE3)	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN C (CUSIP 795677BM4)	THE REBATE COMPUTATION FOR THE SERIES 2011 BONDS WAS PERFORMED INTERNALLY ON MAY 20, 2016, AND BY A THIRD PARTY ON AUGUST 3, 2016.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN D (CUSIP 917393AV2)	THE REBATE COMPUTATION FOR THE SERIES 2012 BONDS WAS PERFORMED ON JUNE 16, 2017.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN A (CUSIP 917393AY6)	$80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,117) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN C (CUSIP 917393CE8)	$200,000,000 OF THE TOTAL ISSUE PRICE ($406,502,765) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCH K, PART IV, LINE 3, COLUMN A (CUSIP 917393CY4)	$50,000,000 OF THE TOTAL ISSUE PRICE ($382,751,441) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.

Schedule K (Form 990) 2018

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	SALT LAKE COUNTY UTAH	87-6000316	795677BM4	03-21-2011	63,362,310	REFUND PRIOR ISSUE 2001B		X		X		X
D	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
	UTAH COUNTY UTAH	87-6000312	917393BJ8	07-13-2016	67,500,234	REFUND PORTION OF 2002B & 2002C		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CE8	07-13-2016	406,502,765	BLDG CONSTRUCTION & EQUIPMENT		X		X		X
	CITY OF RIVERTON UTAH	87-0344045	769369AM1	03-22-2017	200,000,000	REFUND PRIOR ISSUE 2012A		X		X		X
	UTAH COUNTY UTAH	87-6000312	917393CY4	07-17-2018	382,751,441	BLDG CONSTRUCTION & EQUIPMENT		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,500,000		104,540,000		51,800,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	314,823,712		273,598,644		63,362,310		250,681,736
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,031,729				1,783,571		679,959
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		406,502,765		250,001,777
11 Other spent proceeds .............			67,500,234		63,312,310		200,000,000
12 Other unspent proceeds .............	54,569,608
13 Year of substantial completion .............	2007		2007		2004		2015
	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) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
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 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
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) 2018

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, SCHEDULE K, PART IV, LINE 4E, COLUMN A (CUSIP 626853CE3)	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. ON AUGUST 1, 2016, ONE OF THE REMAINING QUALIFIED HEDGES, WITH $65,000,000 IN NOTIONAL MATURED. ON SEPTEMBER 29, 2016 AND OCTOBER 6, 2016, THE REMAINING QUALIFIED HEDGES CONSISTING OF $82,276,000 AND $40,524,000 IN NOTIONAL WERE NOVATED FROM JP MORGAN TO WELLS FARGO, CITI, AND KEYBANK. THESE SWAPS WERE RESTRUCTURED AND ARE NO LONGER CONSIDERED QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2003 BONDS. SINCE DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE 2003 BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 4E, COLUMN B (CUSIP 626853CJ2)	$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, SCH K, PART II, LINE 11, PART III, COL C & PART IV, LINE 2C COL C	(CUSIP 795677BM4) - THE SERIES 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. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2011 BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, PART III, COL B, & PART IV, L2C, COL B	(CUSIP 917393BJ8) - THE SERIES 2016A BONDS REFUNDED A PORTION OF THE SERIES 2002B&C BONDS. ALL PROCEEDS WERE USED TO REFUND A PORTION OF THE 2002B&C BONDS ON JULY 13, 2016. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2016A BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003.
FORM 990, SCH K, PART II, LINE 11, COLUMN D & PART IV, LINE 2C, COLUMN D	(CUSIP 769369AM1) - THE SERIES 2012A BONDS WERE REISSUED ON MARCH 22, 2017. ALL 2017 PROCEEDS WERE DEEMED TO BE USED TO REFUND THE 2012A BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN A (CUSIP 626853CE3)	THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN C (CUSIP 795677BM4)	THE REBATE COMPUTATION FOR THE SERIES 2011 BONDS WAS PERFORMED INTERNALLY ON MAY 20, 2016, AND BY A THIRD PARTY ON AUGUST 3, 2016.
FORM 990, SCHEDULE K, PART IV, LINE 2C, COLUMN D (CUSIP 917393AV2)	THE REBATE COMPUTATION FOR THE SERIES 2012 BONDS WAS PERFORMED ON JUNE 16, 2017.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN A (CUSIP 917393AY6)	$80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,117) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCHEDULE K, PART IV, LINE 3, COLUMN C (CUSIP 917393CE8)	$200,000,000 OF THE TOTAL ISSUE PRICE ($406,502,765) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.
FORM 990, SCH K, PART IV, LINE 3, COLUMN A (CUSIP 917393CY4)	$50,000,000 OF THE TOTAL ISSUE PRICE ($382,751,441) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS.

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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) 2018

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	395,084	WAGES		No
(2) JEFFERY T CRAGHEAD	OFFICER FAMILY	36,403	WAGES		No
(3) GRANT L ZIMMERLI	OFFICER FAMILY	63,421	WAGES		No
(4) KRISTINA HOLLISTER	OFFICER FAMILY	38,875	WAGES		No
(5) HOLLY H YOUNG	OFFICER FAMILY	53,752	WAGES		No
(6) GRAHAM H BURDETT	OFFICER FAMILY	134,315	WAGES		No
(7) RICHARD B STEVENSON	OFFICER FAMILY	208,212	WAGES		No
(8) SCOTT L HAMMER	OFFICER FAMILY	94,800	WAGES		No
(9) JASON R HAACKE	OFFICER FAMILY	33,537	WAGES		No
(10) TERI J ADAMS	OFFICER FAMILY	54,798	WAGES		No
(11) TYLER HARGRAVES	OFFICER FAMILY	19,736	WAGES		No
(12) MATTHEW T BRACE	OFFICER FAMILY	125,710	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) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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. THE FUNDAMENTALS OF EXTRAORDINARY CARE INCLUDE: - SAFETY: PATIENTS AND CAREGIVERS EXPERIENCE ZERO HARM. - QUALITY: ALWAYS DELIVER EVIDENCE-BASED CARE THAT MEETS EACH INDIVIDUAL'S HEALTHCARE GOALS AND LEADS TO TOP PERFORMANCE NATIONALLY. - PATIENT EXPERIENCE: PATIENTS AND CUSTOMERS HAVE AN INTERMOUNTAIN EXPERIENCE THAT LEADS TO LASTING LOYALTY. - ACCESS: ALL CUSTOMERS RECEIVE THE CARE AND INFORMATION WHERE, WHEN, AND HOW THEY WANT IT, WITH SEAMLESS COORDINATION ACROSS THE SYSTEM. - STEWARDSHIP: BE AN INDISPENSABLE COMMUNITY PARTNER, ACHIEVING THE HEALTHIEST COMMUNITIES WITH THE LOWEST COST PER PERSON IN THE NATION. BE RECOGNIZED GLOBALLY AS A FINANCIALLY SOUND, FOREVER ORGANIZATION. - ENGAGED CAREGIVERS: CAREGIVERS HAVE AN UNPARALLELED WORK EXPERIENCE THAT SUPPORTS THEM IN DELIVERING THE FUNDAMENTALS OF EXTRAORDINARY CARE. 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	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 PATIENT WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE AT ITS HOSPITALS AND CLINICS FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S INABILITY 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 2018, THROUGH 269,106 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $156 MILLION IN FINANCIAL ASSISTANCE (AT COST) TO PATIENTS UNABLE TO PAY. THIS AMOUNT DOES NOT INCLUDE BAD DEBTS. BAD DEBTS OCCUR IN CIRCUMSTANCES WHERE A PATIENT 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 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, IN SOME CASES, 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 FOUR 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. 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 50 INDEPENDENTLY OWNED COMMUNITY CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME, AND HOMELESS POPULATIONS. THESE CLINICS, LOCATED THROUGHOUT UTAH, HAD OVER 527,000 PATIENT VISITS IN 2018. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES INCLUDING HEALTH EDUCATION, HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, AND MEDICAL RESEARCH. DURING 2018, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED $73 MILLION. SEE SCHEDULE H. TOWARD THE END OF 2017, HEALTH SERVICES STARTED A REORGANIZATION PROCESS IN ORDER TO BETTER SERVE OUR PATIENTS AND COMMUNITIES AS "ONE INTERMOUNTAIN". THIS REPLACED GEOGRAPHICALLY DEFINED ADMINISTRATIVE REGIONS WITH A SYSTEM-WIDE STRUCTURE MADE UP OF COMMUNITY CARE AND SPECIALTY CARE DIVISIONS. THIS ONGOING CHANGE WILL ALLOW THE ORGANIZATION TO PROVIDE EXTRAORDINARY CARE TO EVERY PATIENT CONSISTENTLY ACROSS THE ENTIRE ORGANIZATION, AND PROVIDE THE SAME HIGH QUALITY AND COST-EFFECTIVE CARE EVERYWHERE. THE ORGANIZATION IS NOW STRUCTURED IN TWO PRIMARY GROUPS, WHICH REFLECTS THE TWO MOST COMMON WAYS PEOPLE ACCESS HEALTH AND CARE SERVICES. THE COMMUNITY CARE GROUP FOCUSES ON THINGS LIKE PRIMARY CARE, HOMECARE, SENIOR SERVICES, AND COMMUNITY HEALTH. THIS GROUP WORKS TO KEEP PEOPLE WELL THROUGH PREVENTATIVE SERVICES LIKE HEALTH SCREENINGS AND PRIMARY CARE, INCLUDING REGULAR OUTPATIENT TREATMENTS FOR MANAGING CHRONIC DISEASES. THE SPECIALTY CARE GROUP FOCUSES ON SPECIALTY AND HOSPITAL INPATIENT CARE. THIS IS THE EPISODIC CARE PEOPLE NEED WHEN THEY SUFFER A SERIOUS ILLNESS OR INJURY. THIS GROUP AIMS TO DELIVER THE PROPER CARE AT THE RIGHT TIME THROUGH SPECIALIST AND HOSPITAL INPATIENT SETTINGS.
FORM 990, PART III, LINE 4A	INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) WAS ORGANIZED IN 1975 TO OWN AND OPERATE THE 15 HOSPITALS FORMERLY OWNED BY THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS. IN 1982, INTERMOUNTAIN FORMED IHC HEALTH SERVICES, INC. (FORMERLY IHC HOSPITALS, INC.) AS A UTAH NONPROFIT SUBSIDIARY AND TRANSFERRED TO HEALTH SERVICES ITS HEALTHCARE FACILITIES. HEALTH SERVICES CURRENTLY CONSISTS OF THE HOSPITAL DIVISION, COMPRISED OF 22 HOSPITALS WITH 2,866 LICENSED BEDS IN UTAH AND SOUTHERN IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS THAT LEAD CAREGIVER TEAMS IN HOSPITALS AND 371 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 2018: - ACUTE ADMISSIONS - 135,717 - INSTACARE VISITS - 606,930 - BIRTHS - 29,252 - INPATIENT SURGERIES - 38,436 - OUTPATIENT SURGERIES - 122,417 - EMERGENCY ROOM VISITS - 494,923 - PHYSICIAN CLINIC VISITS - 3,300,074 - HOMECARE PATIENTS SERVED - 148,794 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 NINE 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 NINE CLINICAL PROGRAMS ARE ORGANIZED AND OPERATED BY HEALTH SERVICES TO DEVELOP AND IMPLEMENT EVIDENCE-BASED BEST PRACTICES IN OUR HOSPITAL AND COMMUNITY-BASED SETTINGS, IMPROVE THE PATIENT'S "JOURNEY" THROUGHOUT THE CONTINUUM OF CARE, BE THE PROFESSIONAL HOME FOR MEDICAL AND SURGICAL SPECIALISTS, AND IMPROVE PERFORMANCE IN THE FUNDAMENTALS OF CARE - SAFETY, QUALITY, PATIENT EXPERIENCE, ACCESS, STEWARDSHIP, ENGAGED CAREGIVERS AND GROWTH. 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. THE TEAMS HAVE EXPANDED MENTAL HEALTH INTEGRATION INTO THE MAJORITY OF INTERMOUNTAIN'S PRIMARY CARE CLINICS AND HAVE DEVELOPED TELE-PSYCHIATRY AND TELE-CRISIS SERVICES ACROSS THE SYSTEM AND INTO RURAL SETTINGS. 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. THEY HAVE BEGUN TO IMPLEMENT "ACCESS CENTERS" TO INCREASE CAPABILITIES TO CARE FOR PATIENTS WITH MENTAL HEALTH ILLNESS. CURRENTLY, THE TEAMS ARE WORKING TO IMPROVE EARLY IDENTIFICATION AND TREATMENT OF DEPRESSION AND CRISIS INTERVENTIONS FOR EMERGENT/URGENT BEHAVIORAL HEALTH PATIENTS AND DEVELOPING A PLAN TO REDUCE SUICIDE. THE BEHAVIORAL HEALTH CLINICAL PROGRAM ALSO HAS OPERATIONS RESPONSIBILITY FOR HOSPITAL-BASED BEHAVIORAL HEALTH INPATIENT UNITS, ACCESS CENTERS AND CRISIS-SERVICE. HEALTH SERVICES' CLINICAL INTEGRATION STRATEGY OVER THE LAST 20 YEARS HAS BEEN WELL VALIDATED BY THE SUCCESS OF THE NATIONALLY-RESPECTED CARDIOVASCULAR CLINICAL PROGRAM. THROUGH HIGHLY-EVOLVED TEAMWORK AND ALIGNMENT, CARDIOLOGISTS, CARDIOVASCULAR (CV) SURGEONS, THORACIC SURGEONS, AND VASCULAR SURGEONS ALONG WITH NURSES AND ADMINISTRATIVE SUPPORT HAVE ACHIEVED OUTSTANDING CLINICAL QUALITY, SERVICE QUALITY AND VALUE. USING EXTENSIVE EVIDENCE-BASED GUIDELINES SUPPORTED BY MEANINGFUL MEASUREMENTS AND REPORTS, THE CV PROGRAM HAS ACHIEVED EXCEPTIONAL OUTCOMES IN SUCH AREAS AS CV SURGERY, ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, CARDIAC RISK MANAGEMENT AND RHYTHM MANAGEMENT. CURRENTLY, THE TEAMS ARE WORKING TO REDUCE ACUTE MYOCARDIAL INFARCTION, CORONARY ARTERY BYPASS GRAFT, AND HEART FAILURE MORTALITY AND READMISSIONS, AS WELL AS REDUCING MEDICAL SUPPLY COSTS RELATED TO CARDIOVASCULAR PROCEDURES. THE CARDIOVASCULAR CLINICAL PROGRAM ALSO HAS OPERATIONS RESPONSIBILITY FOR HOSPITAL-BASED CARDIAC CATH LAB, ECHOCARDIOGRAPHY/VASCULAR LABS, EKG AND CARDIAC REHABILITATION. THE MEDICAL SPECIALTIES CLINICAL PROGRAM IS NEW TO INTERMOUNTAIN AND LAUNCHED IN 2018. MEDICAL SPECIALTIES CLINICAL PROGRAM IS FOCUSED ON PATIENT POPULATIONS BASED ON DISEASE CONDITIONS AND TREATMENTS INCLUDING ALLERGY & IMMUNOLOGY, ANTICOAGULATION & THROMBOSIS, DERMATOLOGY, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEPHROLOGY (KIDNEY DISEASE), PAIN MEDICINE, PULMONOLOGY, RHEUMATOLOGY, AND SLEEP MEDICINE. SPECIALTY TEAMS WITHIN THE MEDICAL SPECIALTIES CREATE AND IMPLEMENT INNOVATIVE CARE MODELS AND DESIGN CLINICAL AND OPERATIONAL BEST PRACTICES. THE TEAMS ENGAGE PROVIDERS AND ASSOCIATED CAREGIVERS WITHIN EACH SPECIALTY, ALONG WITH THE ALLIED SHARED CLINICAL SERVICES. THE TEAMS WORK TO DEPLOY THESE MEANINGFULLY ACROSS THE ENTIRE INTERMOUNTAIN SYSTEM, WHICH IS DONE BY IMPROVING PERFORMANCE IN ALL OF THE FUNDAMENTALS - SAFETY, QUALITY, EXPERIENCE, STEWARDSHIP, ACCESS, GROWTH, AND ENGAGED CAREGIVERS. MSCP LEVERAGES THE COLLECTIVE TALENTS AND TRAINING OF INTERMOUNTAIN'S INTEGRATED CARE NETWORK TO ACHIEVE A COMPREHENSIVE, HIGH QUALITY SYSTEM TO SUPPORT PATIENTS ACROSS THE CARE CONTINUUM FROM COMMUNITY TO SPECIALTY-BASED CARE. THE GOAL IS TO MEET PATIENTS WHERE THEY NEED AND WANT HEALTHCARE. THE MUSCULOSKELETAL CLINICAL PROGRAM IS A CLINICAL PROGRAM ESTABLISHED IN THE SUMMER OF 2014. THIS TEAM WORKS IN CLOSE COLLABORATION WITH THE REHABILITATION CLINICAL SERVICE AND IS FOCUSED ON DEVELOPING CARE PROCESSES FOR THE TREATMENT OF TOTAL JOINTS AND FRACTURES. THE MUSCULOSKELETAL CLINICAL PROGRAM COMPLETED THE DEVELOPMENT OF A CARE PROCESS MODEL FOR TOTAL JOINT REPLACEMENTS AND IS IN THE PROCESS OF IMPLEMENTING CARE STANDARDS FOR THESE CONDITIONS ACROSS THE INTERMOUNTAIN SYSTEM. CURRENTLY, THE TEAMS ARE WORKING TO REDUCE COMPLICATIONS AND READMISSIONS FOR TOTAL JOINT REPLACEMENT PATIENTS, IMPROVE PATIENT SELECTION FOR ELECTIVE TOTAL JOINT PROCEDURES, REDUCE MEDICAL SUPPLY COSTS FOR ORTHOPEDIC PROCEDURES, AND REDUCE OPIOID PRESCRIPTIONS FOR ORTHOPEDIC PATIENTS. THE NEUROSCIENCES CLINICAL PROGRAM IS A CLINICAL PROGRAM THAT BEGAN IN THE FALL OF 2014. THE PRIMARY FOCUSES OF THE NEUROSCIENCES CLINICAL PROGRAM ARE ENHANCING CARE FOR PATIENTS WITH SYMPTOMS OF STROKE, EXPANDING THE USE OF TELE-HEALTH FOR STROKE CARE, DEVELOPING MODELS OF CARE FOR PATIENTS WITH LOW BACK PAIN FROM CONSERVATIVE THERAPY TO SURGICAL INTERVENTION, AND MANAGEMENT OF PATIENTS WITH CONCUSSION, DEMENTIA, AND EPILEPSY. THE NEUROSCIENCES TEAM HAS DEVELOPED AND IMPLEMENTED A ROBUST TELE-STROKE SERVICE THAT BENEFITS COMMUNITIES AND PATIENTS BY PROVIDING TIMELY AND EFFECTIVE STROKE CARE ACROSS THE SYSTEM. CURRENTLY, THE TEAMS ARE WORKING TO REDUCE STROKE MORTALITY, IMPROVE PATIENT SELECTION FOR ELECTIVE SPINAL-FUSION SURGERIES, REDUCE MEDICAL SUPPLY COSTS FOR SPINE SURGERY PROCEDURES, AND REDUCE OPIOID PRESCRIPTIONS FOR NEUROSCIENCES PATIENTS.
FORM 990, PART III, LINE 4A	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. THE ONCOLOGY CLINICAL PROGRAM HAS OPERATIONS RESPONSIBILITIES FOR BOTH INTERMOUNTAIN CLINICS AND HOSPITAL UNITS DEDICATED TO CANCER CARE. 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 PEDIATRIC SPECIALTIES CLINICAL PROGRAM WORKS TO IMPROVE CARE FOR CHILDREN UP TO 17 YEARS OF AGE, INCLUDING CARE BY PEDIATRIC SUBSPECIALTY PROVIDERS. THE PEDIATRIC SPECIALTIES CLINICAL PROGRAM IS PART OF THE BROADER "ONE INTERMOUNTAIN" PEDIATRICS PROGRAM TO IMPROVE ON THE FUNDAMENTALS OF CARE FOR CHILDREN IN THE COMMUNITIES AND GEOGRAPHIES WE SERVE. 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 WOMEN AND NEWBORNS CLINICAL PROGRAM FOCUSES ATTENTION ON WOMEN'S HEALTHCARE AND THE CARE OF THE NEWBORN IN THE NEONATAL PERIOD, WHICH INCLUDES CARE RELATED TO PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH, AND THE POSTPARTUM PERIOD. GUIDELINES ADOPTED FROM NATIONAL SPECIALTY SOCIETIES AND PEER REVIEW STUDIES HAVE BEEN USED TO ESTABLISH BEST PRACTICE MODELS AND DRIVE CONSISTENCY IN ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL PROCESSES. THE NEONATAL INTENSIVE CARE UNIT TEAM HAS DEVELOPED A ROBUST TELE-NEWBORN INTENSIVE CARE UNIT SERVICE THAT BENEFITS NEWBORNS AND FAMILIES THROUGH IMPROVED CRITICAL CARE IN COMMUNITY AND RURAL SETTINGS AND FEWER NEWBORNS TRANSFERRED TO TERTIARY HOSPITALS FOR CARE. CURRENTLY, THE TEAMS ARE WORKING TO DEVELOP AND IMPLEMENT A HIGHLY RELIABLE AND SAFER BABY-DELIVERY CARE MODEL, EARLY IDENTIFICATION AND TREATMENT FOR POSTPARTUM DEPRESSION, AND IMPROVE PATIENT SELECTION FOR ELECTIVE HYSTERECTOMY PROCEDURES.
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, HAS AND MAY EXERCISE THE POWERS OF THE BOARD OF TRUSTEES IN MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION AND REPORTS REGULARLY AT EACH MEETING OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE ALSO HAS 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	MARK R. BRIESACHER, MD / DANIEL G. GOMEZ / A. MARC HARRISON, MD / GREGORY M. JOHNSON / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, A TAXABLE CORPORATION THAT IS WHOLLY-OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) MARK R. BRIESACHER, MD / JOSEPH D. FOURNIER / KIMBERLY HENRICHSEN / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF EMPIRIC HEALTH, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) MARK A. RUNYON / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF INTALERE, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) JANICE UGAKI / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF CULMINATION BIO, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) TERRI L. KANE / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF ALLUCEO, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) KIMBERLY HENRICHSEN / ROBERT W. ALLEN - BUSINESS RELATIONSHIP (TRUSTEES OF HOMESPIRE, LLC, A RELATED PARTNERSHIP OF THE FILING ORGANIZATION) A. SCOTT ANDERSON / GAIL MILLER / F. ANN MILLNER - BUSINESS RELATIONSHIP (BOARD MEMBERS AND OFFICER OF AN UNRELATED CORPORATION) A. SCOTT ANDERSON / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEES OF AN UNRELATED CORPORATION) KAREN W. FAIRBANKS / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX-EXEMPT ORGANIZATION) SPENCER F. ECCLES / DOUGLAS J. HAMMER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE 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 11B	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 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 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 ("COMPENSATION 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 PRESIDENT / CFO - SENIOR VICE PRESIDENTS - VICE PRESIDENTS THE COMPENSATION 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 COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH INDIVIDUAL LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION 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 WEBSITE (HTTPS://EMMA.MSRB.ORG/), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD.
FORM 990, PART XI, LINE 9:	UNRECOGNIZED CHANGE IN FUNDED STATUS OF POSTRETIREMENT BENEFIT PLANS 90,457,140. ADJUSTMENT TO BALANCE OF INVESTMENT IN AFFILIATE -20,639,491. OTHER MISCELLANEOUS FUND BALANCE ADJUSTMENTS 207,897.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

IHC HEALTH SERVICES INC

Employer identification number

94-2854057

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) LOST CREEK-MURRAY LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0622176	APARTMENT RENTALS	UT	3,023,705	6,924,871	IHC HEALTH SERVICES INC
(2) IHC UTAH VALLEY LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	MEDICAL OFFICES	UT	82,525	-8,047	IHC HEALTH SERVICES INC
(3) INTERMOUNTAIN INTELLECTUAL ASSET MANAGEMENT LLC (FKA INVENTION MGMT LLC) 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	IP MANAGEMENT	UT	183,467	0	IHC HEALTH SERVICES INC
(4) 5300 SOUTH CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-5581911	OFFICE RENTAL	UT	2,509,386	12,677,897	IHC HEALTH SERVICES INC
(5) PEDIATRIC SPECIALTY SERVICES LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	PEDIATRIC SERVICES	UT	0	0	IHC HEALTH SERVICES INC
(6) INTERMOUNTAIN VENTURES LLC (FKA INTERMOUNTAIN INSIGHTS LLC) 36 S STATE STE 2200 SALT LAKE CITY,UT84111 47-2067137	INNOVATION	UT	402,486	42,884,821	IHC HEALTH SERVICES INC
(7) INTERMOUNTAIN ALTA VIEW LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	OFFICE RENTAL	UT	71,644	0	IHC HEALTH SERVICES INC
(8) INTERMOUNTAIN EAST BAY LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 81-3640554	PROPERTY ACQUISITION/OPERATION	UT	801,504	7,015,535	IHC HEALTH SERVICES INC
(9) ICENTRA SOLUTIONS LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-0641101	TECHNOLOGY MARKETING	UT	0	0	IHC HEALTH SERVICES INC
(10) INTERMOUNTAIN ACCOUNTABLE CARE LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-2226534	MEDICARE ACO	UT	0	0	IHC HEALTH SERVICES INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0269232	HOLDING COMPANY	UT	501(C)(3)	LINE 12B, 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 12B, II	INTERMOUNTAIN HEALTH CARE INC	Yes
(3)SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	DELIVERY OF HEALTH BENEFITS	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

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD STE 200 OGDEN,UT84403 26-0286308	OUTPATIENT SURGERY	UT	IHC HEALTH SERVICES INC	RELATED	6,567,533	5,441,840		No		Yes		77.300 %
(2) HEART LUNG INSTITUTE LLC 5121 SOUTH COTTONWOOD DRIVE MURRAY,UT84157	RESEARCH AND DEVELOPMENT	UT	N/A	N/A				No		Yes
(3) GRANDEUR PEAK INTERNATIONAL STALWARTS LP 136 S MAIN STREET STE 720 SALT LAKE CITY,UT84101 47-5468723	INVESTMENTS	DE	IHC HEALTH SERVICES INC	EXCLUDED	5,493,361	79,703,618		No			No	58.840 %
(4) INNOVATION FUND HOLDINGS COMPANY LLC (FKA INTMTN HC INNOVATION FUND I LP) 1000 W FULTON STREET STE 213 CHICAGO,IL60607 47-1525723	INNOVATION	DE	IHC HEALTH SERVICES INC	EXCLUDED	436,694	12,178,767		No			No	100.000 %
(5) HEALTHBOX SALT LAKE CITY I LLC 1000 W FULTON MARKET STE 213 CHICAGO,IL60607 46-5338772	INNOVATION	DE	IHC HEALTH SERVICES INC	EXCLUDED	372,080	573,856		No			No	78.040 %
(6) HOMESPIRE LLC (FKA IMLS SERVICES LLC) 36 S STATE STE 2200 SALT LAKE CITY,UT84111 82-3121436	HOMECARE ASSISTANCE	UT	IHC HEALTH SERVICES INC	RELATED	-980,909	243,814		No		Yes		87.500 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) SELECTHEALTH BENEFIT ASSURANCE COMPANY INC 5381 GREEN STREET MURRAY,UT84123 87-0497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C				Yes
(2) HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-1937561	INSURANCE	AZ	N/A	C				Yes
(3) INTERMOUNTAIN SUPPLY SERVICES INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 47-4576955	HOLDING COMPANY	DE	IHC HEALTH SERVICES INC	C		85,750,000	100.000 %	Yes
(4) INTALERE INC TWO CITY PLACE DRIVE SUITE 400 ST LOUIS,MO63141 43-1415071	GROUP PURCHASING	DE	IHC HEALTH SERVICES INC	C	80,851,322	193,443,816	100.000 %	Yes
(5) NAVICAN GENOMICS INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 81-4153832	CANCER TREATMENT	DE	IHC HEALTH SERVICES INC	C	353,653	11,113,727	100.000 %	Yes
(6) EMPIRIC HEALTH INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 38-4026200	HEALTH SERVICES TECHNOLOGY	DE	IHC HEALTH SERVICES INC	C	6,170,278	3,094,825	84.810 %	Yes
(7) CULMINATION BIO INC (FKA MATTERHORN BIO INC) 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-3542894	BIOREPOSITORY	DE	IHC HEALTH SERVICES INC	C		16,000,244	100.000 %	Yes
(8) ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-4614934	MENTAL HEALTH INTEGRATION SVCS	DE	IHC HEALTH SERVICES INC	C		5,000,291	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

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

Yes

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

Yes

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

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

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

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

Yes

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MCKAY DEE SURGICAL CENTER LLC	A	829,315	CONTRACT
(2) MCKAY DEE SURGICAL CENTER LLC	L	1,114,209	CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC	Q	4,579,602	CONTRACT
(4) MCKAY DEE SURGICAL CENTER LLC	J	829,315	CONTRACT
(5) SELECTHEALTH INC	L	1,507,565,690	CONTRACT
(6) SELECTHEALTH INC	M	15,465,682	CONTRACT
(7) SELECTHEALTH INC	Q	138,803,128	CONTRACT
(8) SELECTHEALTH INC	P	3,856,053	COST
(9) SELECTHEALTH INC	J	2,095,901	CONTRACT
(10) SELECTHEALTH INC	A	2,095,901	CONTRACT
(11) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	Q	1,406,523	COST
(12) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	C	35,417,889	COST
(13) INTERMOUNTAIN HEALTHCARE FOUNDATION INC	B	4,917,646	COST
(14) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC	C	1,101,000	COST
(15) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC	B	40,000,000	COST
(16) INTALERE INC	L	1,748,150	CONTRACT
(17) INTALERE INC	A	28,444	CONTRACT
(18) HEALTHCARE CAPTIVE INSURANCE COMPANY	M	1,332,418	CONTRACT
(19) INTERMOUNTAIN HEALTH CARE INC	Q	65,042	COST
(20) CULMINATION BIO INC	R	1,000,000	CASH
(21) NAVICAN GENOMICS INC	R	15,570,000	CASH
(22) EMPIRIC HEALTH INC	A	6,902	CONTRACT
(23) EMPIRIC HEALTH INC	R	1,499,991	CASH
(24) ALLUCEO INC	R	5,000,000	CASH

Schedule R (Form 990) 2018

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2018

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	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	45,114
6	Total number of volunteers (estimate if necessary) .............	6	2,971
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	236,718,173
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	23,848,237	39,688,068
9	Program service revenue (Part VIII, line 2g) .........	5,684,757,437	6,259,152,533
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	202,924,750	241,233,010
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	46,516,145	51,693,199
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,958,046,569	6,591,766,810
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,885,719	92,131,258
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)	2,831,669,307	2,920,745,207
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 6,075,731
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,642,476,910	2,945,209,957
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,493,031,936	5,958,086,422
19	Revenue less expenses. Subtract line 18 from line 12.......	465,014,633	633,680,388
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	10,526,359,661	11,156,105,364
21	Total liabilities (Part X, line 26).............	4,062,309,205	4,357,459,517
22	Net assets or fund balances. Subtract line 21 from line 20.....	6,464,050,456	6,798,645,847

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 5,142,953,697 including grants of $ 92,131,258 ) (Revenue $ 6,280,675,057 )
	IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 22 HOSPITALS (2,866 LICENSED BEDS) AND 371 CLINICS. IN ADDITION TO THE 136,000 INPATIENT ADMISSIONS, 495,000 EMERGENCY ROOM VISITS AND 3.3 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $156 MILLION IN CHARITY CARE (AT COST) THROUGH MORE THAN 269,000 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2018, 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 expenses5,142,953,697

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	35,136,460	0	9,586,870

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	36,518,889
e	Government grants (contributions)		1e	3,169,179

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

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		39,688,068

		Business Code
2a	PATIENT SERVICE	446199	5,150,297,447	5,120,897,454	29,399,993
b	LABORATORY	621500	757,337,579	745,257,372	12,080,207
c	PHARMACY	446110	318,006,057	103,451,377	214,554,680
d	RENTAL (RELATED)	531120	13,424,333	13,424,333	0
e	LAUNDRY	812300	8,419,097	5,592,030	2,827,067
f	All other program service revenue.		11,668,020	8,828,851	2,839,169
g	Total. Add lines 2a–2f ....		6,259,152,533

3 Investment income (including dividends, interest, and othersimilar amounts) ......			100,878,265		-38,260,028	139,138,293
4 Income from investment of tax-exempt bond proceeds			-805,131			-805,131
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		8,983,472
b	Less: rental expenses		2,863,680
c	Rental income or (loss)		6,119,792
d	Net rental income or (loss)......			6,119,792		53,500	6,066,292
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,042,996	6,048,335,163
b	Less: cost or other basis and sales expenses	3,339,963	5,905,878,320
c	Gain or (loss)	-1,296,967	142,456,843
d	Net gain or (loss).....			141,159,876		13,223,585	127,936,291
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	CORP CHARGE REVENUE		624100	21,095,783	21,095,783		0
b	CAFETERIA		722514	18,455,331	0		18,455,331
c	GIFT SHOP/RETAIL		453220	5,595,552	0		5,595,552
d	All other revenue ....			426,741	426,741
e	Total. Add lines 11a–11d ......			45,573,407
12	Total revenue. See Instructions......			6,591,766,810	6,018,973,941	236,718,173	296,386,628

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	92,120,654	92,120,654
2	Grants and other assistance to domestic individuals. See Part IV, line 22	10,604	10,604
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	35,215,745		35,215,745
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,636,236		1,636,236
7	Other salaries and wages	2,414,625,428	2,164,707,815	245,688,274	4,229,339
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	169,503,700	160,851,448	8,652,252
9	Other employee benefits .......	144,088,322	96,868,530	46,589,475	630,317
10	Payroll taxes ...........	155,675,776	137,946,801	17,463,451	265,524
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	13,050,285	228,969	12,821,316
c	Accounting ...........	822,477	16,732	771,102	34,643
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	25,505,719		25,505,719
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	543,632,785	341,348,314	202,083,557	200,914
12	Advertising and promotion ....	22,863,630	12,966,951	9,867,799	28,880
13	Office expenses .......	78,884,636	63,530,804	15,182,665	171,167
14	Information technology ......	43,327,724	15,276,507	28,026,165	25,052
15	Royalties ..
16	Occupancy ...........	156,354,680	110,208,842	46,140,407	5,431
17	Travel ............	18,899,684	14,420,704	4,419,349	59,631
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,021,004	1,353,582	653,398	14,024
20	Interest ...........	62,288,633	62,288,633
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	311,788,093	274,124,516	37,657,315	6,262
23	Insurance ...	12,100,046		12,100,046
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	1,215,972,435	1,212,852,113	3,115,195	5,127
b	BAD DEBTS	300,968,992	300,968,992	0	0
c	NON-MEDICAL SUPPLIES	42,123,070	35,986,598	5,809,819	326,653
d	RISK MANAGEMENT	40,844,523	10,022,938	30,821,585	0
e	All other expenses	53,761,541	34,852,650	18,836,124	72,767
25	Total functional expenses. Add lines 1 through 24e	5,958,086,422	5,142,953,697	809,056,994	6,075,731
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 ........			440,441	1	176,664
2	Savings and temporary cash investments .........			136,943,644	2	629,604,824
3	Pledges and grants receivable, net ......			3,860,423	3	4,517,932
4	Accounts receivable, net .............			799,620,416	4	779,501,285
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			1,523,233	7	6,526,168
8	Inventories for sale or use ........			150,112,331	8	176,132,434
9	Prepaid expenses and deferred charges ......			54,632,537	9	55,330,499
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,865,130,821
b	Less: accumulated depreciation	10b	2,556,486,104	3,104,239,769	10c	3,308,644,717
11	Investments—publicly traded securities .			3,181,878,649	11	3,069,468,237
12	Investments—other securities. See Part IV, line 11 .....			2,608,849,632	12	2,659,052,374
13	Investments—program-related. See Part IV, line 11 ..			67,670,435	13	57,716,186
14	Intangible assets ...............			49,975,296	14	49,069,741
15	Other assets. See Part IV, line 11 ...........			366,612,855	15	360,364,303
16	Total assets. Add lines 1 through 15 (must equal line 34)...			10,526,359,661	16	11,156,105,364

17	Accounts payable and accrued expenses .....	394,763,040	17	441,318,981
18	Grants payable ...		18
19	Deferred revenue .........	7,418,725	19	7,505,731
20	Tax-exempt bond liabilities .........	2,013,359,141	20	2,378,514,238
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 ..	3,008,513	23	2,884,907
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	1,643,759,786	25	1,527,235,660
26	Total liabilities. Add lines 17 through 25..	4,062,309,205	26	4,357,459,517

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	6,463,741,305	27	6,794,017,048
28	Temporarily restricted net assets ...........	309,151	28	4,628,799
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 ...........	6,464,050,456	33	6,798,645,847
34	Total liabilities and net assets/fund balances ........	10,526,359,661	34	11,156,105,364

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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No