Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1: | HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE AND BEING A MODEL HEALTH PLAN BY PROVIDING HIGH-VALUE HEALTH BENEFITS AND SUPERIOR SERVICE AT AN AFFORDABLE COST. |
| FORM 990, PART III, LINE 4A: | SELECTHEALTH, INC. (SELECTHEALTH") PROVIDED FINANCIAL SUPPORT TO IMPROVE THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES IT SERVED. SELECTHEALTH BENEFITED LOW-INCOME MEMBERS OF THE COMMUNITY BY PROVIDING COST-EFFECTIVE INSURANCE COVERAGE FOR INDIVIDUALS AND EMPLOYERS. SELECTHEALTH OFFERED PLANS IN UTAH AND IDAHO IN THE INSURANCE MARKETPLACES RESULTING FROM THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). SELECTHEALTH'S COMMITMENT TO UNDERSERVED COMMUNITIES WAS SUPPORTED BY THE OFFERING OF A MANAGED MEDICAID PLAN IN UTAH AS WELL AS MEDICARE ADVANTAGE PLANS IN UTAH, IDAHO AND NEVADA. THE COMMUNITIES SELECTHEALTH SERVES ALSO BENEFITED FROM A VARIETY OF SPONSORED HEALTH AND WELLNESS ACTIVITIES, INCLUDING ONLINE AND WORKSITE HEALTH PROGRAMS, HEALTH FAIRS AND FLU SHOT CLINICS. SELECTHEALTH ALSO RECOGNIZED A NEED TO OFFER HEALTHCARE REFORM EDUCATION AND ENROLLMENT FORUMS IN LOCATIONS THROUGHOUT UTAH, IDAHO AND NEVADA. ADDITIONALLY, IN RESPONSE TO AN INCREASE IN THE PERCENTAGE OF OVERWEIGHT OR OBESE CHILDREN, SELECTHEALTH DEVELOPED BRAIN, BODY, BOOST (B3), A SCHOOL-BASED OUTREACH PROGRAM TO HELP CHILDREN WORK TOWARD A HEALTHIER LIFESTYLE THROUGH CLASSROOM LESSON PLANS, PHYSICAL ACTIVITY AND NUTRITION. SELECTHEALTH ANNUALLY RECOGNIZES 20 UTAH ORGANIZATIONS THAT SUPPORT HEALTH IMPROVEMENT OR SERVE SPECIAL POPULATIONS THROUGH ITS SELECTHEALTH AWARDS PROGRAM. EACH RECIPIENT ORGANIZATION RECEIVED AN AWARD TO USE TOWARD MAKING A HEALTHY DIFFERENCE IN THEIR COMMUNITIES. AWARD WINNERS REPRESENTED A WIDE VARIETY OF CAUSES, INCLUDING AREA FOOD PANTRIES, MENTAL HEALTH SUPPORT AND EDUCATIONAL RESOURCES FOR THOSE WITH SPECIAL NEEDS. SELECTHEALTH SPONSORED WELLNESS AND TRANSPORTATION INITIATIVES SUCH AS SALT LAKE CITY'S DOWNTOWN FARMERS MARKET AND THE BIKE SHARE PROGRAM KNOWN AS GREENBIKE IN UTAH. PARTICIPATION IN THESE COMMUNITY OUTREACH EVENTS IS GUIDED BY SELECTHEALTH'S COMMUNITY BENEFIT AND CORPORATE CONTRIBUTIONS POLICY. CONSISTENT WITH SELECTHEALTH'S MISSION, THIS POLICY AIMS TO SUPPORT LOCAL ORGANIZATIONS AND INITIATIVES THAT FURTHER WELLNESS, LITERACY, AND ECONOMIC DEVELOPMENT. |
| FORM 990, PART VI, SECTION A, LINE 2 | MARK R. BRIESACHER, MD / A. MARC HARRISON, MD / GREGORY M. JOHNSON / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION) MICHAEL ANGLIN / KARLA BERGESEN / MARK R. BRIESACHER, MD / MICHAEL COTTON / SPENCER P. ECCLES / JERRY R. EDGINGTON / JOSH A. ENGLAND / MARIA GARCIAZ / DANIEL G. GOMEZ / A. MARC HARRISON, MD / GREGORY M. JOHNSON / RUSSEL J. KUZEL, MD / DAVID A. LEMPERLE / LEEANNE LINDERMAN / KRISTIN R. MCCULLAGH / PATRICIA R. RICHARDS / THOMAS J. RISSE / D. BRETT SANFORD / MARIA R. SUMMERS / CYDNI TETRO / TODD TRETTIN / ROBERT L. WHITE / ANDREA P. WOLCOTT / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (BOARD MEMBERS AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE ORGANIZATION THAT IS WHOLLY OWNED BY THE FILING ORGANIZATION) MARK R. BRIESACHER, MD / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF EMPIRIC, INC., A TAXABLE CORPORATION THAT IS WHOLLY OWNED BY AN AFFILIATE OF THE FILING ORGANIZATION) |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SELECTHEALTH, INC. IS INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | PURSUANT TO THE APPROVED BYLAWS, THE FILING ORGANIZATION'S TRUSTEES ARE ELECTED BY THE SOLE MEMBER AT AN ANNUAL MEMBERSHIP MEETING. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE APPROVED BYLAWS, THE MEMBER EXERCISES ALL PROPERTY, VOTING, AND OTHER RIGHTS, INTERESTS AND POWERS CONFERRED UNDER LOCAL STATUTE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE PROVIDED TO THE COMMITTEE IN ADVANCE OF ITS OCTOBER MEETING. THE RETURN WAS DISCUSSED AND QUESTIONS WERE ANSWERED DURING THAT MEETING. PRIOR TO FILING WITH THE IRS, A COPY OF THE FINAL RETURN WAS PROVIDED TO EACH BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE ALSO BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES, INC.'S VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL OF THE SOLE MEMBER, INTERMOUNTAIN HEALTH CARE, INC., AND SELECTHEALTH, INC. 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 BETWEEN THE INDIVIDUAL'S ROLE WITH SELECTHEALTH OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO SELECTHEALTH'S AUDIT AND COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE EXECUTIVE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE") OF INTERMOUNTAIN HEALTH CARE, INC., THE FILING ORGANIZATION'S SOLE MEMBER, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGE FOR THE SELECTHEALTH PRESIDENT / CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF VALID, COMPARABLE 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 NONPROFIT 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 THE SELECTHEALTH PRESIDENT / CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE REVIEWS THE COLLECTED INFORMATION AND THE ASSOCIATED PAY DECISIONS WITH THE ENTIRE INTERMOUNTAIN HEALTH CARE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE OF THE FILING ORGANIZATION IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION PACKAGES FOR THE REMAINING SELECTHEALTH OFFICERS. ADJUSTMENTS IN COMPENSATION ARE BASED ON THE INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS, CURRENT MARKET INFORMATION, AND CHANGES IN JOB RESPONSIBILITIES. COMPENSATION DECISIONS AND DELIBERATIONS BY BOTH COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | SELECTHEALTH DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ON THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' WEBSITE. |
| FORM 990, PART XI, LINE 9: | RETURN OF CAPITAL - IHC HEALTH SERVICES, INC. -292,000,000. |
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