Form990
Click to see attachment
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Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
IHC HEALTH SERVICES INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
36 S STATE STREET SUITE 2200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SALT LAKE CITY, UT84111
D Employer identification number

94-2854057
E Telephone number

G Gross receipts $ 13,633,305,398
F Name and address of principal officer:
LYDIA JUMONVILLE
36 S STATE ST SUITE 2200
SLC,UT84111
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.INTERMOUNTAINHEALTHCARE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1982
M State of legal domicile: UT
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
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 13
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 45,976
6 Total number of volunteers (estimate if necessary) ............. 6 3,173
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 339,068,971
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 289,165,094 55,493,386
9 Program service revenue (Part VIII, line 2g) ......... 6,621,249,930 7,689,216,074
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 147,878,302 1,104,865,840
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 57,514,481 56,402,904
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 7,115,807,807 8,905,978,204
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 94,739,673 303,927,401
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) 3,291,372,811 3,649,863,736
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet4,429,918    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,350,298,059 3,579,088,226
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,736,410,543 7,532,879,363
19 Revenue less expenses. Subtract line 18 from line 12....... 379,397,264 1,373,098,841
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 15,156,658,764 16,642,403,155
21 Total liabilities (Part X, line 26)............. 6,287,260,569 5,404,061,679
22 Net assets or fund balances. Subtract line 21 from line 20..... 8,869,398,195 11,238,341,476
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 6,357,199,883 including grants of $ 303,927,401 ) (Revenue $ 7,721,589,201 )
IHC HEALTH SERVICES, INC. ("HEALTH SERVICES") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 23 HOSPITALS (2,863 LICENSED BEDS) AND 397 CLINICS. IN ADDITION TO THE 137,388 INPATIENT ADMISSIONS, 519,361 EMERGENCY ROOM VISITS AND 3.4 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $115 MILLION IN CHARITY CARE (AT COST) THROUGH MORE THAN 240,000 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2021, 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 expensesMediumBullet6,357,199,883
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
4,124
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
45,976
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBR , AR
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCOLIN QUINCY36 SOUTH STATE STREET SUITE 1600   SALT LAKE CITY,UT84111 (801) 442-3491
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

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

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

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) A MARC HARRISON MD......................................................................
TRUSTEE / PRES / CEO
55.00
.................
11.00
X   X       4,164,346 0 3,066,211
(2) JANICE UGAKI......................................................................
TRUSTEE
1.00
.................
1.00
X           0 0 0
(3) KAREN HALE......................................................................
TRUSTEE
2.00
.................
2.00
X           0 0 0
(4) STEVEN D HUEBNER......................................................................
TRUSTEE
2.00
.................
1.00
X           0 0 0
(5) MATT C PACKARD......................................................................
TRUSTEE
2.00
.................
1.00
X           1,111 0 0
(6) JAMES WEINSTEIN MD......................................................................
TRUSTEE
1.00
.................
1.00
X           0 0 0
(7) A SCOTT ANDERSON......................................................................
TRUSTEE
1.00
.................
4.00
X           0 0 0
(8) ARNOLD MILSTEIN MD......................................................................
TRUSTEE
1.00
.................
1.00
X           0 0 0
(9) CRYSTAL MAGGELET......................................................................
TRUSTEE
1.00
.................
1.00
X           0 0 0
(10) DANIEL G GOMEZ......................................................................
TRUSTEE
1.00
.................
8.00
X           0 0 0
(11) F ANN MILLNER......................................................................
TRUSTEE / VICE CHAIR / SEC.
3.00
.................
3.00
X   X       0 0 0
(12) GAIL MILLER......................................................................
TRUSTEE / CHAIR
3.00
.................
3.00
X   X       0 0 0
(13) KAREN W FAIRBANKS......................................................................
TRUSTEE
1.00
.................
1.00
X           0 0 0
(14) PATRICIA RAVERT......................................................................
TRUSTEE
2.00
.................
1.00
X           1,111 0 0
(15) S NEAL BERUBE......................................................................
TRUSTEE
2.00
.................
2.00
X           0 0 0
(16) SPENCER F ECCLES......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(17) MICHAEL O LEAVITT......................................................................
TRUSTEE (PARTIAL YEAR)
1.00
.................
1.00
X           0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ALBERT R ZIMMERLI........................................................................
EVP / CFO / SEC / TREAS
50.00
.......................15.00
    X       2,530,489 0 917,041
(19) ROBERT W ALLEN........................................................................
SENIOR VICE PRESIDENT/COO
50.00
.......................15.00
    X       2,048,879 0 1,320,841
(20) MARK R BRIESACHER MD........................................................................
SENIOR VICE PRESIDENT
50.00
.......................6.00
    X       1,524,016 0 845,585
(21) DAN LILJENQUIST........................................................................
SENIOR VICE PRESIDENT
50.00
.......................9.00
    X       1,439,486 0 691,958
(22) DAVID L FLOOD........................................................................
SENIOR VICE PRESIDENT
3.00
.......................57.00
    X       1,051,767 0 640,351
(23) DOUGLAS J HAMMER........................................................................
SVP/GENERAL COUNSEL (PARTIAL YEAR)
50.00
.......................3.00
    X       1,426,483 0 57,085
(24) SUSAN M ROBEL........................................................................
SENIOR VICE PRESIDENT
50.00
.......................3.00
    X       985,413 0 580,286
(25) KEVAN MABBUTT........................................................................
SENIOR VICE PRESIDENT
50.00
.......................3.00
    X       979,462 0 508,438
(26) HEATHER BRACE........................................................................
SENIOR VICE PRESIDENT
50.00
.......................3.00
    X       1,092,223 0 555,927
(27) GREGORY M JOHNSON........................................................................
VICE PRESIDENT
50.00
.......................9.00
    X       885,724 0 561,770
(28) MIKELLE MOORE........................................................................
SENIOR VICE PRESIDENT
50.00
.......................7.00
    X       887,018 0 456,430
(29) JACQUELINE MILLARD........................................................................
VICE PRESIDENT (PARTIAL YEAR)
50.00
.......................0.00
    X       934,662 0 16,671
(30) GREGORY P POULSEN........................................................................
SENIOR VICE PRESIDENT
50.00
.......................3.00
    X       870,293 0 511,882
(31) CLAY ASHDOWN........................................................................
VICE PRESIDENT
50.00
.......................0.00
    X       803,666 0 365,170
(32) STACY JENNINGS........................................................................
VICE PRESIDENT (PARTIAL YEAR)
50.00
.......................0.00
    X       565,380 0 280,669
(33) GREG J MATIS........................................................................
SVP/GENERAL COUNSEL (PARTIAL YEAR)
50.00
.......................6.00
    X       838,216 0 525,821
(34) RYAN SMITH........................................................................
VICE PRESIDENT (PARTIAL YEAR)
50.00
.......................0.00
    X       676,492 0 352,451
(35) CASEY BACHISON MD........................................................................
SURGERY/ORTHOPEDIC
50.00
.......................0.00
        X   1,341,369 0 84,641
(36) PAUL KRAKOVITZ........................................................................
REGION PRESIDENT
50.00
.......................3.00
        X   1,437,390 0 557,183
(37) MICHAEL PHILLIPS........................................................................
MANAGING DIRECTOR (PARTIAL YEAR)
50.00
.......................4.00
        X   1,291,908 0 109,298
(38) TIMOTHY YEATMAN MD........................................................................
MEDICAL DIRECTOR (PARTIAL YEAR)
50.00
.......................0.00
        X   1,578,528 0 18,447
(39) KATHERINE WELKIE........................................................................
VICE PRESIDENT
50.00
.......................0.00
        X   1,629,943 0 541,775
(40) CHARLES W SORENSON JR MD........................................................................
FORMER OFFICER
50.00
.......................0.00
          X 308,184 0 74,771
(41) TODD E CRAGHEAD........................................................................
FORMER OFFICER
50.00
.......................0.00
          X 368,843 0 204,397
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 31,662,402 0 13,845,099
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet6,223
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
R1 RCM INC

401 N MICHIGAN AVE STE 2700
CHICAGO,IL60611
REVENUE CYCLE MANAGEMENT 206,724,624
SUMMIT PHYSICIAN SPECIALISTS PC

5444 GREEN STREET
MURRAY,UT84123
MEDICAL 48,674,126
UTAH VALLEY RADIOLOGY ASSOC INC

PO BOX 657
OREM,UT84059
MEDICAL 20,182,350
ASSOCIATED REGIONAL AND UNIVERSITY

PO BOX 27964
SALT LAKE CITY,UT84127
MEDICAL 16,022,060
SOUTHWEST EMERGENCY PHYSICIANS LC

S MEDICAL CENTER DRIVE
ST GEORGE,UT84790
MEDICAL 14,426,978
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet233
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 38,231,339
e Government grants (contributions)1e 17,262,047
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 55,493,386
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE 446199 6,170,431,554 6,138,604,177 31,827,377  
b LABORATORY 621500 1,037,143,996 1,023,149,523 13,994,473  
c PHARMACY 446110 443,614,009 163,936,172 279,677,837  
d RENTAL 531120 13,201,729 13,180,237 21,492  
e LAUNDRY 812300 6,733,418 5,711,028 1,022,390  
f All other program service revenue. 18,091,368 9,308,001 8,783,367  
g Total. Add lines 2a–2f .....MediumBullet 7,689,216,074
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 207,660,355   3,610,458 204,049,897
4 Income from investment of tax-exempt bond proceedsMediumBullet -327,886     -327,886
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   8,442,844 6a
b Less: rental expenses   2,530,302 6b
c Rental income or (loss)   5,912,542 6c
d Net rental income or (loss).......MediumBullet 5,912,542   131,577 5,780,965
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 466,748,545 5,155,581,718 7a
b Less: cost or other basis and sales expenses 150,378,688 4,574,418,204 7b
c Gain or (loss) 316,369,857 581,163,514 7c
d Net gain or (loss).........MediumBullet 897,533,371     897,533,371
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a CORP CHARGE REVENUE 624100 29,612,456 29,612,456    
b CAFETERIA 722514 13,733,021     13,733,021
c GIFT SHOP/RETAIL 453220 4,384,214     4,384,214
d All other revenue .... 2,760,671 2,760,671    
e Total. Add lines 11a–11d ...... MediumBullet 50,490,362
12 Total revenue. See instructions.....MediumBullet 8,905,978,204 7,386,262,265 339,068,971 1,125,153,582
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 303,861,484 303,861,484
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 65,917 65,917
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 36,917,019   36,917,019  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 1,610,980   1,610,980  
7 Other salaries and wages........ 3,003,336,345 2,628,425,008 371,969,901 2,941,436
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 256,569,290 232,178,395 24,390,895  
9 Other employee benefits ....... 162,611,262 98,905,685 63,259,841 445,736
10 Payroll taxes ........... 188,818,840 163,323,201 25,175,771 319,868
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 12,142,336 2,012,196 10,130,140  
c Accounting ........... 1,198,268 418,599 745,286 34,383
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 36,898,143   36,898,143  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 662,116,485 349,588,104 312,236,996 291,385
12 Advertising and promotion .... 17,625,328 6,180,076 11,427,910 17,342
13 Office expenses ....... 81,385,208 52,628,212 28,657,547 99,449
14 Information technology ...... 51,221,393 23,543,023 27,518,844 159,526
15 Royalties ..        
16 Occupancy ........... 163,769,781 93,059,029 70,705,973 4,779
17 Travel ............ 12,120,407 10,106,916 2,005,308 8,183
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 1,880,959 1,528,738 350,448 1,773
20 Interest ........... 73,971,070 73,971,070    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 391,508,499 345,259,138 46,246,258 3,103
23 Insurance ... 24,746,230   24,746,230  
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 1,626,385,241 1,626,377,181 0 8,060
b ADJ FOR UNPAID SERVICES 231,131,524 231,131,524 0 0
c RISK MANAGEMENT 75,821,865 30,588,711 45,233,154 0
d NON-MEDICAL SUPPLIES 49,623,922 45,401,695 4,145,701 76,526
e All other expenses 65,541,567 38,645,981 26,877,217 18,369
25 Total functional expenses. Add lines 1 through 24e 7,532,879,363 6,357,199,883 1,171,249,562 4,429,918
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 149,498 1 140,179
2 Savings and temporary cash investments ......... 316,579,881 2 294,502,936
3 Pledges and grants receivable, net ...... 6,593,229 3 8,390,837
4 Accounts receivable, net ............. 844,706,644 4 1,135,901,615
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 26,177,462 7 24,547,692
8 Inventories for sale or use ............ 193,831,568 8 212,088,881
9 Prepaid expenses and deferred charges ...... 107,908,386 9 98,627,699
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 6,859,828,602
b Less: accumulated depreciation 10b 3,454,424,372 3,355,474,705 10c 3,405,404,230
11 Investments—publicly traded securities . 5,503,294,923 11 5,458,193,053
12 Investments—other securities. See Part IV, line 11 ..... 3,455,462,051 12 4,746,044,316
13 Investments—program-related. See Part IV, line 11 .. 45,941,136 13 53,774,654
14 Intangible assets ............... 454,317,120 14 608,188,179
15 Other assets. See Part IV, line 11 ........... 846,222,161 15 596,598,884
16 Total assets. Add lines 1 through 15 (must equal line 33)... 15,156,658,764 16 16,642,403,155
Liabilities 17 Accounts payable and accrued expenses ..... 604,080,658 17 656,709,134
18 Grants payable ...   18  
19 Deferred revenue ......... 153,419,495 19 204,815,939
20 Tax-exempt bond liabilities ......... 2,709,432,056 20 2,660,563,727
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 2,609,421 23 1,269,450
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 2,817,718,939 25 1,880,703,429
26 Total liabilities. Add lines 17 through 25.. 6,287,260,569 26 5,404,061,679
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 8,860,531,825 27 11,231,001,656
28 Net assets with donor restrictions ........... 8,866,370 28 7,339,820
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 8,869,398,195 32 11,238,341,476
33 Total liabilities and net assets/fund balances ........ 15,156,658,764 33 16,642,403,155
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
8,905,978,204
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
7,532,879,363
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,373,098,841
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
8,869,398,195
5
Net unrealized gains (losses) on investments ...............
5
680,781,208
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-3,815,691
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
318,878,923
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
11,238,341,476
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (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?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
IHC HEALTH SERVICES INC
 
Employer identification number
94-2854057
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


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

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 17,013 17,013
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 17,013 17,013
d Other exempt purpose expenditures ............................................................................... 7,532,862,350 7,583,241,708
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 7,532,879,363 7,583,258,721
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2018 (b) 2019 (c) 2020 (d) 2021 (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 25,460 24,750 21,600 17,013 88,823
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) 2021


Schedule C (Form 990) 2021
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|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
FORM 990, SCHEDULE C, PART II-A: 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: $ 7,532,879,363 501(H) ELECTION: YES INTERMOUNTAIN HEALTH CARE, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 87-0269232 EXEMPT PURPOSE EXPENDITURES: $112,819 501(H) ELECTION: NO INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UTAH 84111 EIN: 94-2853320 EXEMPT PURPOSE EXPENDITURES: $7,566,389 501(H) ELECTION: NO INTERMOUNTAIN HEALTHCARE FOUNDATION, INC. 36 SOUTH STATE, SUITE 2200 SALT LAKE CITY, UT 84111 EIN: 80-0225150 EXEMPT PURPOSE EXPENDITURES: $42,700,151 501(H) ELECTION: NO THE HEART AND LUNG RESEARCH FOUNDATION 5121 SOUTH COTTONWOOD DRIVE MURRAY, UT 84157 EIN: 87-0617606 EXEMPT PURPOSE EXPENDITURES: $0 501(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 COLLEGE OF PHYSICIANS
Schedule C (Form 990) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 instructions and the latest information.
OMB No. 1545-0047
2021
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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB 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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" 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 .... 485,981,427 433,837,673 318,184,393 272,656,448 240,916,500
b Contributions ... 350,948,101 85,601,347 145,736,778 88,627,844 56,147,635
c Net investment earnings, gains, and losses 5,602,660 7,614,622 7,381,170 -2,144,922 4,060,214
d Grants or scholarships ... 3,115,721 3,110,215 3,093,551 1,327,590 3,120,750
e Other expenditures for facilities
and programs ...
40,729,134 37,962,000 34,386,766 39,576,411 25,347,151
f Administrative expenses ....     -15,649 50,976  
g End of year balance ...... 798,687,333 485,981,427 433,837,673 318,184,393 272,656,448
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet49.504 %
b
Permanent endowment SchDMd Bullet7.064 %
c
Term endowment SchDMd Bullet43.432 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" 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 ..... 41,768,462 419,575,868 461,344,330
b Buildings .... 40,763,374 2,588,995,877 1,481,092,750 1,148,666,501
c Leasehold improvements 1,279,573 169,352,759 104,489,554 66,142,778
d Equipment .... 2,877,193 3,309,959,149 1,868,842,067 1,443,994,275
e Other ..... 558,070 284,698,276   285,256,346
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,405,404,230
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other 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) ALTERNATIVE INVESTMENTS
4,746,044,316 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 4,746,044,316
Part VIII
Investments - Program 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.)Small Bullet  
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.)...........Small Bullet  
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  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,880,703,429
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) 2021

Schedule D (Form 990) 2021
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.
PART VI, LINE 1E: AMOUNTS REFLECTED ON LINE 1E REPRESENT CONSTRUCTION IN PROGRESS.
Schedule D (Form 990) 2021


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,     INVESTMENTS   888,577,269
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,     INVESTMENTS   15,721,631
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM     INVESTMENTS   162,160,787
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,     INVESTMENTS   1,580,624
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES     INVESTMENTS   110,715,285
SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR,     INVESTMENTS   3,604,577
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,     INVESTMENTS   8,643,157
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 1,191,003,330
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 1,191,003,330
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to 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). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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
PART III ACCOUNTING METHOD:  
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 92% OF THE TOTAL INTERNATIONAL INVESTMENT VALUES (BY MARKET VALUE). THE REMAINING 8% 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 THE UNITED STATES BUT ARE REQUIRED TO BE REPORTED BASED UPON THE COUNTRY OF ISSUANCE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2021
Open to Public Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    115,536,035 0 115,536,035 1.580 %
b Medicaid (from Worksheet 3, column a) . . . . .     899,311,007 868,080,380 31,230,627 0.430 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,014,847,042 868,080,380 146,766,662 2.010 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     17,375,850 0 17,375,850 0.240 %
f Health professions education (from Worksheet 5) . . .     40,818,390 0 40,818,390 0.560 %
g Subsidized health services (from Worksheet 6) . . . .     112,614,155 0 112,614,155 1.540 %
h Research (from Worksheet 7) .     18,523,430 15,961,664 2,561,766 0.040 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     301,364,448 0 301,364,448 4.130 %
j Total. Other Benefits . .     490,696,273 15,961,664 474,734,609 6.510 %
k Total. Add lines 7d and 7j .     1,505,543,315 884,042,044 621,501,271 8.520 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements     90,488 0 90,488 0 %
5 Leadership development and
training for community members
           
6 Coalition building     12,486 0 12,486 0 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     102,974   102,974 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
231,131,524
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
54,264,980
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
760,340,616
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
744,061,905
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
16,278,711
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 MCKAY DEE SURGICAL CENTER LLC
 
OUTPATIENT SURGERY 70.200 %   29.800 %
22 LOGAN SURGERY CENTER LLC
 
OUTPATIENT SURGERY 71.300 %   28.700 %
33 ST GEORGE SURGERY CENTER LLC
 
OUTPATIENT SURGERY 99.200 %   0.800 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?23Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 INTERMOUNTAIN MEDICAL CENTER
5121 SOUTH COTTONWOOD STREET
MURRAY,UT84157
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-188
X X   X   X X     A
2 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 ST GEORGE REGIONAL HOSPITAL
1380 EAST MEDICAL CENTER DRIVE
ST GEORGE,UT84790
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-178
X X       X X     A
4 UTAH VALLEY HOSPITAL
1034 NORTH 500 WEST
PROVO,UT84604
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-210
X 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 LOGAN REGIONAL HOSPITAL
500 EAST 1400 NORTH
LOGAN,UT84341
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-190
X X         X     A
7 LDS HOSPITAL
8TH AVENUE AND C STREET
SALT LAKE CITY,UT84143
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-174
X X   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 CEDAR CITY HOSPITAL
1303 NORTH MAIN STREET
CEDAR CITY,UT84720
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-211
X X         X     A
11 ALTA VIEW HOSPITAL
9660 SOUTH 1300 EAST
SANDY,UT84094
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-162
X X         X     A
12 PARK CITY HOSPITAL
900 ROUND VALLEY DRIVE
PARK CITY,UT84060
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-90903
X X         X     A
13 CASSIA REGIONAL HOSPITAL
1501 HILAND AVENUE
BURLEY,ID83318
HTTP://INTERMOUNTAINHEALTHCARE.ORG
20
X X     X   X     A
14 LAYTON HOSPITAL
201 WEST LAYTON PARKWAY
LAYTON,UT84041
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2019-HOSP-UT000863
X X         X     A
15 THE ORTHOPEDIC SPECIALTY HOSPITAL
5848 SOUTH FASHION BOULEVARD
MURRAY,UT84107
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-394
X                 A
16 SEVIER VALLEY HOSPITAL
1000 NORTH MAIN
RICHFIELD,UT84701
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-205
X X         X     A
17 HEBER VALLEY HOSPITAL
1485 SOUTH HIGHWAY 40
HEBER CITY,UT84032
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2014-HOSP-213
X X     X   X     A
18 SPANISH FORK HOSPITAL
765 EAST MARKET PLACE DRIVE
SPANISH FORK,UT84660
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2022-HOSP-969
X X         X     B
19 BEAR RIVER VALLEY HOSPITAL
440 WEST 600 NORTH
TREMONTON,UT84337
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-166
X X         X     A
20 OREM COMMUNITY HOSPITAL
331 NORTH 400 WEST
OREM,UT84057
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-269
X X         X     A
21 SANPETE VALLEY HOSPITAL
1100 SOUTH MEDICAL DRIVE
MOUNT PLEASANT,UT84647
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2012-HOSP-204
X X     X   X     A
22 DELTA COMMUNITY HOSPITAL
126 WHITE SAGE AVENUE
DELTA,UT84624
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-25384
X X     X   X     A
23 FILLMORE COMMUNITY HOSPITAL
674 SOUTH HIGHWAY 99
FILLMORE,UT84631
HTTP://INTERMOUNTAINHEALTHCARE.ORG
2013-HOSP-25387
X X     X   X     A
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
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.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
HOSPITAL REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3   No
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20  
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5    
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.................................. 6a    
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b    
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7    
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10    
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
HOSPITAL REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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, 20a, 20b, 20c, 20d, 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 CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY DEVELOPING AND LEADING A STATE AND COMMUNITY-WIDE HEALTH NEEDS ASSESSMENT COLLABORATION. THIS COLLABORATION WAS STRUCTURED AS A WORKING COALITION COMPOSED OF REPRESENTATIVES FROM PARTICIPATING AGENCIES, INCLUDING STATE AND LOCAL HEALTH DEPARTMENTS, WHICH INCLUDED BEAR RIVER HEALTH DEPARTMENT, CENTRAL UTAH PUBLIC HEALTH DEPARTMENT, COMAGINE HEALTH, DAVIS BEHAVIORAL HEALTH, DAVIS COUNTY HEALTH DEPARTMENT, GET HEALTHY UTAH, SALT LAKE COUNTY HEALTH DEPARTMENT, SHRINERS HOSPITALS FOR CHILDREN, SOUTHEAST HEALTH DEPARTMENT, SOUTHWEST HEALTH DEPARTMENT, SUMMIT COUNTY HEALTH DEPARTMENT, THE KEM GARDNER POLICY INSTITUTE, TOOELE COUNTY HEALTH DEPARTMENT, TRICOUNTY HEALTH DEPARTMENT, UNIVERSITY OF UTAH HEALTH, UTAH COUNTY HEALTH DEPARTMENT, UTAH DEPARTMENT OF HEALTH, UTAH HEALTH INFORMATION NETWORK, UTAH HOSPITAL ASSOCIATION, WASATCH COUNTY HEALTH DEPARTMENT, WEBER HUMAN SERVICES, WEBER-MORGAN HEALTH DEPARTMENT AND IDAHO DEPARTMENT OF HEALTH AND WELFARE.HEALTH SERVICES ALSO ENGAGED ITS EXISTING COMMUNITY ADVISORY PANEL MADE UP OF REPRESENTATIVES FROM UTAH AND IDAHO LOCAL AND STATE HEALTH DEPARTMENTS AND MENTAL HEALTH AUTHORITIES AS LISTED ABOVE. IN ADDITION, THE PANEL INCLUDED THE ASSOCIATION FOR UTAH COMMUNITY HEALTH, UTAH HOSPITAL ASSOCIATION, AND LEADERSHIP FROM HEALTH SERVICES' COMMUNITY HEALTH TEAM, STRATEGIC RESEARCH DEPARTMENT AND MEDICAL GROUP CLINICS. HEALTH SERVICES ALSO ORGANIZED, CONVENED AND HOSTED LOCAL COMMUNITY INPUT MEETINGS IN EACH OF ITS UTAH AND IDAHO HOSPITAL COMMUNITIES. ATTENDEES INCLUDED FOOD PANTRIES; HEALTH ADVOCATE GROUPS; LOCAL HEALTHCARE PROVIDERS; HUMAN SERVICE AGENCIES; LAW ENFORCEMENT; LOCAL BUSINESS LEADERS; LOCAL GOVERNMENT; REPRESENTATIVES FROM LOW-INCOME, UNINSURED AND UNDERSERVED POPULATIONS; MENTAL HEALTH SERVICE PROVIDERS; MINORITY ORGANIZATIONS; SAFETY NET CLINICS; SCHOOL DISTRICTS AND LOCAL HEALTH DEPARTMENTS. THESE PARTICIPANTS, REPRESENTING A BROAD RANGE OF INTERESTS, INCLUDING THE HEALTH NEEDS OF UNDERSERVED, LOW-INCOME, AND MINORITY PEOPLE, WERE INVITED TO ATTEND THE MEETING TO SHARE THEIR PERSPECTIVES ON HEALTH NEEDS IN EACH HOSPITAL COMMUNITY. STAFF FROM HEALTH SERVICES FACILITATED 90-MINUTE INPUT MEETINGS IN 20 DIFFERENT COMMUNITIES. THESE MEETINGS FOCUSED ON KEY HEALTH ISSUES AND THE BARRIERS THAT CAUSE HEALTH NEEDS TO PERSIST. AN ONLINE SURVEY WAS SENT TO PEOPLE WHO COULD NOT ATTEND THE COMMUNITY INPUT MEETING TO ENCOURAGE MORE REPRESENTATIVE FEEDBACK AND ENGAGE ALL WHO WERE INVITED.BY COMBINING THESE THREE ELEMENTS (CHNA COLLABORATION TEAM, COMMUNITY ADVISORY PANEL, AND LOCAL COMMUNITY EXPERTS), HEALTH SERVICES WAS ABLE TO IDENTIFY, PARTNER AND CONSULT WITH KNOWLEDGEABLE PUBLIC HEALTH EXPERTS.COMMON STRATEGIES OF THE COLLABORATION INCLUDED:(1) DEVELOP RELATIONSHIPS WITH IMPORTANT STAKEHOLDERS;(2) ENGAGE THE EXISTING COMMUNITY ADVISORY PANEL AND ACCOUNTABILITY STRUCTURE CONSISTENT WITH INTERNAL LEADERSHIP, GUIDANCE, AND OVERSIGHT;(3) ORGANIZE AND CONVENE CO-HOSTED COMMUNITY INPUT MEETINGS;(4) DEFINE SHARED HEALTH INDICATORS FOR DATA COLLECTION AND HELP IMPROVE THE STATE QUERY DATABASE;(5) PRIORITIZE HEALTH NEEDS BASED ON DATA; AND(6) INTEGRATE USE OF THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS INTO IMPLEMENTATION STRATEGIES TO SUPPORT STATE, SYSTEM, HOSPITAL AND HOSPITAL-BASED CLINICAL PROGRAM GOALS.HEALTH SERVICES ENGAGED ITS INTERNAL AND EXTERNAL PARTNERS IN A RIGOROUS PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS IN EACH HOSPITAL COMMUNITY. PRIORITIZATION INVOLVED IDENTIFYING THE DIMENSIONS BY WHICH TO PRIORITIZE, DEVELOPING ANALYSIS BASED ON THOSE DIMENSIONS, INVITING KEY STAKEHOLDERS TO EVALUATE KEY HEALTH ISSUES, AND FINALLY, CALCULATING SCORES TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS.HEALTH SERVICES IDENTIFIED DIMENSIONS FOR PRIORITIZATION USING PRACTICES ESTABLISHED BY PUBLIC HEALTH PRACTICES. THE DIMENSIONS REFLECT NEEDS ASSESSMENT BEST PRACTICES, AFFORDABLE CARE ACT REQUIREMENTS, AND HEALTH SERVICES' STRATEGIC GOALS. DIMENSIONS INCLUDED: (1) AFFORDABILITY - THE DEGREE TO WHICH ADDRESSING THIS HEALTH ISSUE CAN RESULT IN MORE AFFORDABLE HEALTHCARE;(2) ALIGNMENT - THE DEGREE TO WHICH THE HEALTH ISSUE ALIGNS WITH HEALTH SERVICES OR STAKEHOLDER ORGANIZATION'S MISSION AND STRATEGIC PRIORITIES; (3) COMMUNITY INPUT - THE DEGREE TO WHICH COMMUNITY INPUT MEETINGS HIGHLIGHTED IT AS A SIGNIFICANT HEALTH ISSUE; (4) FEASIBILITY - THE DEGREE TO WHICH THE HEALTH ISSUE IS FEASIBLE TO CHANGE, CONSIDERING RESOURCES, EVIDENCE-BASED INTERVENTIONS, AND EXISTING GROUPS WORKING ON IT;(5) HEALTH EQUITY - THE DEGREE TO WHICH THE HEALTH ISSUE DISPROPORTIONATELY AFFECTS POPULATION SUBGROUPS BY RACE/ETHNICITY;(6) SERIOUSNESS - THE DEGREE TO WHICH THE HEALTH ISSUE IS ASSOCIATED WITH SEVERE OUTCOMES SUCH AS MORTALITY AND MORBIDITY, SEVERE DISABILITY, OR SIGNIFICANT PAIN AND SUFFERING; (7) SIZE - THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH ISSUE; AND (8) UPSTREAM - THE DEGREE TO WHICH THE HEALTH ISSUE IS UPSTREAM FROM AND A ROOT CAUSE OF OTHER HEALTH ISSUES. BASED ON THAT PRIORITIZATION PROCESS, HEALTH SERVICES IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS THAT WERE ORGANIZED INTO THREE PRIMARY HEALTH AIMS:(1) IMPROVE MENTAL WELLBEING THROUGH DEPRESSION TREATMENT, SUICIDE PREVENTION, AND REDUCTIONS OF SUBSTANCE MISUSE;(2) PREVENT AVOIDABLE DISEASE AND INJURY, INCLUDING PREDIABETES, HIGH BLOOD PRESSURE, AND PEDIATRIC INJURY; AND(3) IMPROVE AIR QUALITY.
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 250% OF THOSE GUIDELINES. HEALTH SERVICES APPLIES AN EVALUATIVE MODEL TO ESTIMATE A REASONABLE AMOUNT A PATIENT COULD PAY WHEN INCOME FALLS BETWEEN 250% 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 & 20E: SPECIFIC INFORMATION REGARDING 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, THAT 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: A COMPREHENSIVE APPROACH WAS USED TO IDENTIFY THE COMMUNITY HEALTH IMPROVEMENT STRATEGIES TO ADDRESS THE CHNA IDENTIFIED HEALTH PRIORITIES AS FOLLOWS:(1) IMPROVE MENTAL WELLBEING THROUGH DEPRESSION TREATMENT, SUICIDE PREVENTION, AND REDUCTIONS OF SUBSTANCE MISUSE;(2) PREVENT AVOIDABLE DISEASE AND INJURY, INCLUDING PREDIABETES, HIGH BLOOD PRESSURE, AND PEDIATRIC INJURY; AND(3) IMPROVE AIR QUALITY THROUGHOUT THE HEALTH SERVICES SYSTEM WITH LOCAL IMPLEMENTATION FOR EACH HOSPITAL.HEALTH SERVICES ALSO IDENTIFIED SIX OVERALL DRIVERS THAT IMPACT ALL THE IDENTIFIED HEALTH PRIORITIES IN AN UPSTREAM OR PREVENTATIVE MANNER AS FOLLOWS: (1) ADVERSE CHILDHOOD EXPERIENCES (ACES);(2) ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH;(3) IMPROVING ACCESS TO TIMELY, QUALITY CARE;(4) INFLUENCING INTERNAL AND PUBLIC POLICY;(5) PROMOTING PROTECTIVE BELIEF AND BEHAVIORS;(6) STRENGTHENING COMMUNITY INFRASTRUCTURE.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/. USING HEALTH SERVICES' OPERATING MODEL (A FULLY INTEGRATED FRAMEWORK TO DRIVE A CULTURE OF CONTINUOUS IMPROVEMENT THAT ALIGNS LEADERS AND CAREGIVERS IN ACHIEVING THE GOALS OF THE ORGANIZATION), INTERNAL OPERATIONAL AND CLINICAL LEADERSHIP COUNCILS, WORKGROUPS AND COMMITTEES, ALONG WITH INPUT FROM EXTERNAL ADVISORY PANELS FORMED THROUGH COMMUNITY INPUT MEETINGS (ALL EXPERTS IN CLINICAL CARE, PUBLIC HEALTH, AND HUMAN SERVICES AND LEADERS IN THEIR LOCAL COMMUNITIES), GUIDED THE IMPLEMENTATION PLANNING PROCESS TO CREATE COMMUNITY HEALTH IMPROVEMENT STRATEGIES FOR THE HEALTH SERVICES SYSTEM AND EACH HOSPITAL'S SERVICE AREA. HEALTH SERVICES PRESENTED THE CHNA RESULTS TO LOCAL STAKEHOLDERS AND WORKED WITH THEM TO CREATE A COMPREHENSIVE INVENTORY OF EXISTING LOCAL PROGRAMS AND INTERVENTIONS TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES THROUGH COMMUNITY INPUT MEETINGS. IN ADDITION, HEALTH SERVICES' COMMUNITY HEALTH IMPLEMENTATION PLANNING TEAM CONDUCTED AN INVENTORY OF ALL ITS PROGRAMS AND INITIATIVES TO IDENTIFY THOSE EVIDENCE-BASED BEST PRACTICES WITH APPLICATION TO COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE COMMUNITY HEALTH IMPLEMENTATION PLANNING TEAM SCORED AND VETTED BOTH INTERNALLY AND EXTERNALLY PROPOSED STRATEGIES AND CONDUCTED A THOROUGH LITERATURE REVIEW ON EVIDENCE-BASED PROGRAMS THAT ADDRESSED THE HEALTH PRIORITIES AND DEMONSTRATED HEALTH IMPROVEMENT. THE ADDITION OF THE SIX OVERALL DRIVERS ALONGSIDE THE HEALTH PRIORITIES ALLOWED PRIORITIZATION OF ALMOST ALL THE SIGNIFICANT NEEDS IDENTIFIED. COMMUNITY PARTICIPANTS INCLUDED: - ASSOCIATION OF UTAH COMMUNITY HEALTH (UTAH'S PRIMARY CARE ASSOCIATION) - COMAGINE HEALTH - COMMUNITY-BASED MENTAL HEALTH PROVIDERS - COMMUNITY LIBRARIES - FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN UTAH AND SOUTHEAST IDAHO - IDAHO DEPARTMENT OF HEALTH AND WELFARE - IDAHO SOUTH CENTRAL PUBLIC HEALTH DISTRICT V - LOCAL CHURCHES - LOCAL COLLEGES AND UNIVERSITIES - LOCAL LAW ENFORCEMENT - LOCAL MENTAL HEALTH AND SUBSTANCE ABUSE AUTHORITIES - LOCAL NONPROFIT ORGANIZATIONS - RESOURCE AND CASE MANAGEMENT PROGRAMS FOR UNINSURED, LOW-INCOME RESIDENTS - SAFETY NET CLINICS - SCHOOL DISTRICTS - SENIOR CENTERS - UTAH DEPARTMENT OF HEALTH - UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH - UTAH LOCAL HEALTH DEPARTMENTS - UTAH SUBSTANCE ABUSE ADVISORY COUNCILTHE INVENTORY OF EVIDENCE-BASED INTERVENTIONS WAS SCORED BY THE HEALTH SERVICES COMMUNITY HEALTH IMPLEMENTATION PLANNING TEAM ACCORDING TO THE FOLLOWING DIMENSIONS: - ABILITY TO IMPLEMENT AND MAINTAIN FIDELITY TO ACHIEVE ANTICIPATED OUTCOMES - EFFECTIVENESS OF IMPROVED HEALTH AS A RESULT OF INTERVENTION - EVIDENCE-BASED PEER REVIEW, PUBLISHED RESEARCH, OR VALIDATED OUTCOMES - EXISTING, OR POTENTIAL TO CREATE, COMMUNITY COLLABORATION - HEALTH IMPROVEMENT - MEASURE OF CHANGE IN A PERSON'S HEALTH STATUS AND HOW IT CAN BE MAINTAINED OVER TIME - POTENTIAL TO INFLUENCE PUBLIC POLICY TO IMPROVE HEALTH - REACH - MEASURE OF PEOPLE IN THE TARGET POPULATION PARTICIPATING IN INTERVENTION - SUSTAINABILITY - MEASURE OF HOW THE INTERVENTION CAN BE SUSTAINED OVER TIME - TOTAL EXPENSE OF THE INTERVENTION (EDUCATION MATERIALS, INSTRUCTOR, SCREENING SUPPLIES, PROMOTIONAL MATERIALS, EVALUATION AND DATA MANAGEMENT)THE HIGHEST SCORING INTERVENTION STRATEGIES WERE SELECTED FOR IMPLEMENTATION TO ADDRESS THE HEALTH PRIORITIES. ALL HOSPITALS WILL ADDRESS THE THREE PRIORITIES THROUGH LOCAL APPLICATION OF STRATEGIES.PRIORITY 1 - IMPROVE MENTAL WELLBEING BY REDUCING MENTAL DISTRESS, DEPRESSION, SUICIDE RATES AND SUBSTANCE MISUSE THROUGH THE FOLLOWING STRATEGIES:PREVENTION - IMPLEMENT POPULATION-ORIENTED STRATEGIES - REDUCE ACCESS TO LETHAL MEANS - HARM REDUCTION EFFORTS, INCLUDING NALOXONE DISTRIBUTION - POTENCY AND AVAILABILITY PRESCRIPTION REDUCTIONS - SUPPORT SOCIAL CARE NEEDS, INCLUDING NUTRITION SECURITY AND STABLE HOUSING - STRENGTHEN COMMUNITY CAPACITY - PEDIATRIC SUPPORT OF COMMUNITY ORGANIZATIONS CAPACITY FOR BEHAVIORAL HEALTHINCREASE ACCESS TO EFFECTIVE AND AFFORDABLE CARE - IMPROVE CONSISTENT AND COORDINATED DELIVERY OF EVIDENCE-BASED CARE - EXPAND TELEHEALTH EFFORTS - PROVIDE CARE FOR UNINSURED - STRENGTHEN CONNECTIONS TO CRISIS SERVICESIMPACT SOCIAL CONNECTION AND SOCIAL NORMS - LAUNCH MEDIA AND EDUCATION CAMPAIGNS - EQUIP STAFF AND COMMUNITY MEMBERS TO PROVIDE PEER SUPPORT - COMMIT TO MENTAL WELLNESS OF STAFF - IMPROVE SOCIAL CONNECTIONS AND PEER SUPPORT FOR THOSE AFFECTED BY ADDICTION - IMPROVE SOCIAL/EMOTIONAL RESILIENCE OF YOUTH AND VULNERABLE POPULATIONSSUPPORT POLICY ENGAGEMENT AND INFLUENCE - PROVIDE SUBJECT MATTER EXPERTISE TO POLICY MAKERS ON KEY LEGISLATION, PROGRAMS AND INVESTMENTS WITH IMPLICATIONS FOR MENTAL WELLBEING - SUPPORT LOCAL AND STATE INITIATIVES WITH PEDIATRIC FOCUSPRIORITY 2 - DECREASE AVOIDABLE DISEASE AND INJURY BY DECREASING RATES OF DIABETES, HIGH BLOOD PRESSURE AND UNINTENTIONAL INJURY AS WELL AS INCREASING IMMUNIZATION RATES THROUGH THE FOLLOWING STRATEGIES:PREVENTION - IMPLEMENT POPULATION-ORIENTED STRATEGIES - ESTABLISH PLACE-BASED COMMUNITY SCREENINGS FOR PREDIABETES, HIGH BLOOD PRESSURE, DEPRESSION AND SOCIAL DETERMINANTS OF HEALTH - LEVERAGE COMMUNITY PARTNERS TO PROVIDE SERVICES AT PLACE-BASED SCREENINGS - DEVELOP STRATEGY FOR FALLS PREVENTION - SUPPORT PEDIATRIC EFFORTS FOR HEALTH WEIGHT MANAGEMENT THROUGH PHYSICAL ACTIVITY AND NATIONAL PROGRAMSINCREASE ACCESS TO EFFECTIVE AND AFFORDABLE CARE - PROVIDE EXPERTISE AND SUPPORT TO COMMUNITY COLLABORATIVES - SUPPORT PEDIATRIC INITIATIVES TO IMPROVE IMMUNIZATION RATES - SUPPORT STATE-WIDE IMMUNIZATION TRACKING SYSTEM - SUPPORT SCHOOL-BASED IMMUNIZATIONS - EVALUATE, CREATE AND IMPLEMENT CLINICAL PROCESSES RELATED TO ADVERSE CHILDHOOD EXPERIENCES AND TRAUMA INFORMED CAREIMPACT SOCIAL CONNECTION AND SOCIAL NORMS - PROVIDE ONLINE AND LIVE PREDIABETES CLASS OPTIONS SUCH AS OMADA HEALTH AND PREDIABETES 101 - PROVIDE AND SUPPORT SHORT AND LONG-TERM CHRONIC DISEASE MANAGEMENT PROGRAMS - ASSESS SOCIAL DETERMINANTS OF HEALTH BARRIERS TO TREATMENT - CREATE PUBLIC MESSAGING AND MEDIA CAMPAIGNS FOR IMMUNIZATIONS - EVALUATE, IMPROVE AND EXPAND "HOLD ON TO DEAR LIFE" (SYSTEM PEDIATRIC INJURY PREVENTION CAMPAIGN) SUPPORT POLICY ENGAGEMENT AND INFLUENCE - PROVIDE EXPERTISE TO POLICYMAKERS ON KEY LEGISLATIVE PROGRAMS, ESPECIALLY THOSE THAT SUPPORT IMMUNIZATIONS AND INJURY PREVENTION INITIATIVES PRIORITY 3 - IMPROVE AIR QUALITY THROUGH THE FOLLOWING STRATEGIES:PREVENTION IMPLEMENTATION OF POPULATION-ORIENTED STRATEGIES - INCREASE ELECTRIC VEHICLES IN FLEET - DECREASE IDLE EMISSIONS OF FLEET AND EMPLOYEE VEHICLES - INCREASE STAFF USE OF PUBLIC TRANSIT - INCREASE USE OF GREEN-BIKES FOR STAFF AND PUBLICIMPACT SOCIAL CONNECTION AND SOCIAL NORMS - PROMOTE USE OF VIRTUAL MEETINGS THROUGHOUT THE SYSTEM - PROMOTE INITIATIVES TO INCREASE PHYSICALLY ACTIVE TRANSPORTATION ACROSS THE AGE CONTINUUM SUPPORT POLICY ENGAGEMENT AND INFLUENCE - PROVIDE EXPERTISE TO POLICYMAKERS ON KEY LEGISLATIVE PROGRAMS TO SUPPORT AIR QUALITY INITIATIVES - CREATE A STANDARD TELEWORK POLICY AND GUIDELINES - ENGAGE WITH THE STATE FOR POLICY AND INFLUENCE
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 OF THE FOLLOWING HOSPITALS 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, UTAHFILLMORE COMMUNITY HOSPITAL IN FILLMORE, UTAHHEBER VALLEY HOSPITAL IN HEBER CITY, UTAHINTERMOUNTAIN MEDICAL CENTER IN MURRAY, UTAHLAYTON HOSPITAL IN LAYTON, 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, UTAHST. GEORGE REGIONAL HOSPITAL IN ST. GEORGE, 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 DEPARTMENTCOMAGINE HEALTHDAVIS BEHAVIORAL HEALTHDAVIS COUNTY HEALTH DEPARTMENTGET HEALTHY UTAHIDAHO DEPARTMENT OF HEALTH AND WELFARESALT LAKE COUNTY HEALTH DEPARTMENTSHRINERS HOSPITALS FOR CHILDRENSOUTHEAST HEALTH DEPARTMENTSOUTHWEST HEALTH DEPARTMENTSUMMIT COUNTY HEALTH DEPARTMENTTHE KEM GARDNER POLICY INSTITUTETOOELE COUNTY HEALTH DEPARTMENTTRICOUNTY HEALTH DEPARTMENTUNIVERSITY OF UTAH HEALTHUTAH COUNTY HEALTH DEPARTMENTUTAH DEPARTMENT OF HEALTHUTAH HEALTH INFORMATION NETWORKUTAH HOSPITAL ASSOCIATIONWASATCH COUNTY HEALTH DEPARTMENTWEBER HUMAN SERVICESWEBER-MORGAN 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 RECENTLY COMPLETED IN 2019. THE 2019 CHNA WAS COMPLETED BY DEVELOPING AND LEADING A STATE AND COMMUNITY-WIDE HEALTH NEEDS ASSESSMENT COLLABORATION. THIS COLLABORATION WAS STRUCTURED AS A WORKING COALITION COMPOSED OF REPRESENTATIVES FROM PARTICIPATING AGENCIES INCLUDING STATE AND LOCAL HEALTH DEPARTMENTS WHICH INCLUDED BEAR RIVER HEALTH DEPARTMENT, CENTRAL UTAH PUBLIC HEALTH DEPARTMENT, COMAGINE HEALTH, DAVIS BEHAVIORAL HEALTH, DAVIS COUNTY HEALTH DEPARTMENT, GET HEALTHY UTAH, IDAHO DEPARTMENT OF HEALTH AND WELFARE, SALT LAKE COUNTY HEALTH DEPARTMENT, SHRINERS HOSPITALS FOR CHILDREN, SOUTHEAST HEALTH DEPARTMENT, SOUTHWEST HEALTH DEPARTMENT, SUMMIT COUNTY HEALTH DEPARTMENT, THE KEM GARDNER POLICY INSTITUTE, TOOELE COUNTY HEALTH DEPARTMENT, TRICOUNTY HEALTH DEPARTMENT, UNIVERSITY OF UTAH HEALTH, UTAH COUNTY HEALTH DEPARTMENT, UTAH DEPARTMENT OF HEALTH, UTAH HEALTH INFORMATION NETWORK, UTAH HOSPITAL ASSOCIATION, WASATCH COUNTY HEALTH DEPARTMENT, WEBER HUMAN SERVICES, AND WEBER-MORGAN HEALTH DEPARTMENT. HEALTH SERVICES ALSO ENGAGED ITS EXISTING COMMUNITY ADVISORY PANEL MADE UP FROM REPRESENTATION OF UTAH AND IDAHO LOCAL AND STATE HEALTH DEPARTMENTS AND MENTAL HEALTH AUTHORITIES, THE ASSOCIATION FOR UTAH COMMUNITY HEALTH, UTAH HOSPITAL ASSOCIATION AND LEADERSHIP FROM HEALTH SERVICES' COMMUNITY HEALTH TEAM, STRATEGIC RESEARCH DEPARTMENT AND MEDICAL GROUP CLINICS. HEALTH SERVICES ALSO ORGANIZED, CONVENED AND HOSTED LOCAL COMMUNITY INPUT MEETINGS IN EACH OF ITS UTAH AND IDAHO HOSPITAL COMMUNITIES INCLUDING FOOD PANTRIES; HEALTH ADVOCATE GROUPS; LOCAL HEALTHCARE PROVIDERS; HUMAN SERVICE AGENCIES; LAW ENFORCEMENT; LOCAL BUSINESS LEADERS; LOCAL GOVERNMENT; REPRESENTATIVES FROM LOW-INCOME, UNINSURED AND UNDERSERVED POPULATIONS; MENTAL HEALTH SERVICE PROVIDERS; MINORITY ORGANIZATIONS; SAFETY NET CLINICS; SCHOOL DISTRICTS AND LOCAL HEALTH DEPARTMENTS. BY COMBINING THESE THREE ELEMENTS (CHNA COLLABORATION TEAM, COMMUNITY ADVISORY PANEL AND LOCAL COMMUNITY EXPERTS), HEALTH SERVICES WAS ABLE TO IDENTIFY, PARTNER AND CONSULT WITH KNOWLEDGEABLE PUBLIC HEALTH EXPERTS.THROUGH THIS PROCESS, HEALTH SERVICES WAS ABLE 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 FOLLOWING PRIORITY HEALTH NEEDS WHICH WERE ORGANIZED INTO THREE PRIMARY HEALTH AIMS:(1) IMPROVE MENTAL WELLBEING THROUGH DEPRESSION TREATMENT, SUICIDE PREVENTION, AND REDUCTIONS OF SUBSTANCE MISUSE;(2) PREVENT AVOIDABLE DISEASE AND INJURY, INCLUDING PREDIABETES, HIGH BLOOD PRESSURE, AND PEDIATRIC INJURY; AND(3) IMPROVE AIR QUALITY.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: SPANISH FORK HOSPITAL IS A NEW FACILITY THAT WAS PLACED IN SERVICE AS A TAX-EXEMPT HOSPITAL ON APRIL 5, 2021.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?397
Name and address Type of Facility (describe)
1 1 - BUDGE CLINIC MEDICAL SPECIALISTS
1350 N 500 E
LOGAN,UT843412400
CLINIC
2 2 - INT HEART INSTITUTE-CARDIOLOGY
5169 S COTTONWOOD ST STE 520
MURRAY,UT841075701
CLINIC
3 3 - LOGAN REGIONAL ORTHOPEDICS
1350 N 500 E
LOGAN,UT843412400
CLINIC
4 4 - MCKAY-DEE RHEUMATOLOGY
4403 HARRISON BLVD STE 3650
OGDEN,UT844033288
CLINIC
5 5 - SOUTHRIDGE CLINIC SURGICAL SPEC
3723 W 12600 S STE 270
RIVERTON,UT840657296
CLINIC
6 6 - SOUTHWEST CARDIOLOGY-ST GEORGE
1380 E MEDICAL CENTER DR
ST GEORGE,UT847902128
CLINIC
7 7 - SALT LAKE CLINIC RADIOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
8 8 - SOUTHWEST ORTHO & SPORTS MED
652 S MEDICAL CENTER DR STE 120
ST GEORGE,UT847907017
CLINIC
9 9 - INTERMOUNTAIN OBGYN SPECIALISTS
5063 S COTTONWOOD ST STE 120
MURRAY,UT841076772
CLINIC
10 10 - ALTA VIEW CLINIC PEDIATRICS
9450 S 1300 E
SANDY,UT840945555
CLINIC
11 11 - PARK CITY SPECIALTY
900 ROUND VALLEY DR STE 200
PARK CITY,UT840607532
CLINIC
12 12 - VASCULAR AND VEIN - MURRAY
5323 S WOODROW ST STE 101
MURRAY,UT841075843
CLINIC
13 13 - SALT LAKE CLINIC-INFUSION
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
14 14 - BUDGE CLINIC OBSTETRICS & GYNECOLOGY
1400 N 500 E
LOGAN,UT843412455
CLINIC
15 15 - BUDGE CLINIC PEDIATRICS
1350 N 500 E
LOGAN,UT843412400
CLINIC
16 16 - CALTON-HARRISON ORTHO & SPORTS MED
4403 HARRISON BLVD STE 2400
OGDEN,UT844033297
CLINIC
17 17 - SOUTHERN UTAH NEURO-CEDAR
1303 N MAIN ST
CEDAR CITY,UT847209746
CLINIC
18 18 - MCKAY-DEE GASTROENTEROLOGY CLINIC
4403 HARRISON BLVD STE 3815
OGDEN,UT844033330
CLINIC
19 19 - SOUTHRIDGE CLINIC PEDIATRICS
3723 W 12600 S STE 330
RIVERTON,UT840657296
CLINIC
20 20 - MCKAY-DEE ORTHO & SPORTS MEDICINE
3895 HARRISON BLVD
OGDEN,UT844038440
CLINIC
21 21 - UTAH VALLEY ORTHOPAEDICS - PROVO
1157 N 300 W STE 201
PROVO,UT846046124
CLINIC
22 22 - REDROCK PEDIATRICS
1380 E MEDICAL CENTER DR STE 3100
ST GEORGE,UT847902135
CLINIC
23 23 - AVENUES WOMENS CENTER
370 9TH AVE STE 205
SALT LAKE CITY,UT841033184
CLINIC
24 24 - BOUNTIFUL FAMILY MEDICINE
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
25 25 - BUDGE CLINIC SURGICAL SPECIALISTS
1350 N 500 E
LOGAN,UT843412400
CLINIC
26 26 - MCKAY-DEE DERMATOLOGY & PLASTIC SURGERY
4403 HARRISON BLVD STE 3680
OGDEN,UT844033289
CLINIC
27 27 - BUDGE CLINIC GI
1350 N 500 E
LOGAN,UT843412400
CLINIC
28 28 - ZION ORTHOPEDICS & SPORTS MEDICINE
652 S MEDICAL CENTER DR STE 400
ST GEORGE,UT847907017
CLINIC
29 29 - HEBER VALLEY CLINIC
454 E MEDICAL WAY
HEBER CITY,UT840321391
CLINIC
30 30 - SALT LAKE CLINIC-FAMILY INTERNAL MEDICINE
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
31 31 - LAYTON CLINIC
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
32 32 - AVENUES GASTROENTEROLOGY
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
33 33 - INTERMOUNTAIN SURGICAL SPECIALISTS
5169 S COTTONWOOD ST STE 410
MURRAY,UT841076769
CLINIC
34 34 - ORTHOPEDIC SPECIALTY GROUP-RIVERTON
3723 W 12600 S STE 460
RIVERTON,UT840657295
CLINIC
35 35 - RIVER ROAD FAMILY MEDICINE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
36 36 - MEMORIAL DERMATOLOGY
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
37 37 - NORTH OGDEN CLINIC
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
38 38 - CEDAR CITY CLINIC
1303 N MAIN ST STE 3C
CEDAR CITY,UT847209746
CLINIC
39 39 - INT HEART CARDIOTHORACIC SURGERY
5169 S COTTONWOOD ST STE 600
MURRAY,UT841076771
CLINIC
40 40 - HOLLADAY ALLERGY AND DERMATOLOGY
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
41 41 - UTAH VALLEY VASCULAR SURGERY
395 W COUGAR BLVD STE 503
PROVO,UT846043323
CLINIC
42 42 - NORTHERN UTAH SURGEONS
4403 HARRISON BLVD STE 2600
OGDEN,UT844033277
CLINIC
43 43 - WASATCH OBGYN
4403 HARRISON BLVD STE 4815
OGDEN,UT844033333
CLINIC
44 44 - MEMORIAL PEDIATRICS
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
45 45 - COTTONWOOD FAMILY MEDICINE
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
46 46 - INTERMOUNTAIN PLASTIC SURGERY CENTER
5169 S COTTONWOOD ST STE 420
MURRAY,UT841076769
CLINIC
47 47 - TAYLORSVILLE INSTACARE
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
48 48 - VASCULAR AND VEIN - MCKAY-DEE
3903 HARRISON BLVD STE 100
OGDEN,UT844032361
CLINIC
49 49 - ORTHOPEDIC SPEC GROUP-ALTA VIEW
9450 S 1300 E STE 120
SANDY,UT840945559
CLINIC
50 50 - AVENUES GENERAL SURGERY
324 E 10TH AVE STE 200
SALT LAKE CITY,UT841032869
CLINIC
51 51 - RIVER ROAD INTERNAL MEDICINE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
52 52 - UTAH VALLEY UROLOGY CLINIC
395 W COUGAR BLVD STE 704
PROVO,UT846043333
CLINIC
53 53 - BEAR RIVER CLINIC
935 N 1000 W
TREMONTON,UT843379356
CLINIC
54 54 - LAYTON PARKWAY INSTACARE
201 W LAYTON PARKWAY STE 1A
LAYTON,UT840413692
CLINIC
55 55 - TAYLORSVILLE CLINIC
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
56 56 - BUDGE CLINIC DERMATOLOGY
1350 N 500 E
LOGAN,UT843412400
CLINIC
57 57 - AMERICAN FORK DERMATOLOGY
98 N 1100 E STE 301
AMERICAN FORK,UT840032947
CLINIC
58 58 - ROSE CANYON CLINIC
5541 W 13400 S
RIVERTON,UT840965640
CLINIC
59 59 - ORTHOPEDIC SPECIALTY GROUP - TOSH
5848 S FASHION BLVD STE 120
MURRAY,UT841076121
CLINIC
60 60 - COTTONWOOD PSYCHIATRY AND COUNSELING
5770 S 250 E STE 300
MURRAY,UT841078100
CLINIC
61 61 - UTAH VALLEY INSTACARE
395 W COUGAR BLVD STE 205
PROVO,UT846043328
CLINIC
62 62 - UROLOGICAL INSTITUTE - ST GEORGE
1380 E MEDICAL CT DR STE 2100
ST GEORGE,UT847902129
CLINIC
63 63 - MCKAY-DEE BEHAVIORAL HEALTH
3903 HARRISON BLVD STE 300
OGDEN,UT844032314
CLINIC
64 64 - NORTH OGDEN INSTACARE
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
65 65 - LOGAN INSTACARE
412 N 200 E
LOGAN,UT843214038
CLINIC
66 66 - LEGACY OBGYN
1159 E 200 N STE 250
AMERICAN FORK,UT840032028
CLINIC
67 67 - BUDGE CLINIC INTERNAL MEDICINE
1350 N 500 E
LOGAN,UT843412400
CLINIC
68 68 - SUNSET FAMILY PRACTICE
1739 W SUNSET BLVD
ST GEORGE,UT847707141
CLINIC
69 69 - ALTA VIEW WOMEN'S SPECIALISTS
9450 S 1300 E
SANDY,UT840945555
CLINIC
70 70 - WOMENS HEALTH SPECIALISTS
1380 E MEDICAL CENTER DR STE N1800
ST GEORGE,UT847902123
CLINIC
71 71 - UTAH VALLEY PSYCHIATRY & COUNSELING
395 W COUGAR BLVD STE 601
PROVO,UT846043331
CLINIC
72 72 - ALTA VIEW CLINIC-ADULT MENTAL HEALTH
9450 S 1300 E
SANDY,UT840945555
CLINIC
73 73 - UTAH VALLEY PULMONARY-CRITICAL CARE
1034 N 500 W
PROVO,UT846043380
CLINIC
74 74 - COTTONWOOD INSTACARE
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
75 75 - NORTHERN UTAH PEDIATRICS
4403 HARRISON BLVD STE 4875
OGDEN,UT844033335
CLINIC
76 76 - HURRICANE VALLEY CLINIC
75 N 2260 W
HURRICANE,UT847372034
CLINIC
77 77 - SOUTHRIDGE INSTACARE
3723 W 12600 S STE 150
RIVERTON,UT840657296
CLINIC
78 78 - REDROCK DIGESTIVE HEALTH
1380 E MEDICAL CTR DR STE 4100
ST GEORGE,UT847902156
CLINIC
79 79 - BOUNTIFUL INSTACARE
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
80 80 - ALTA VIEW INSTACARE
9450 S 1300 E
SANDY,UT840705555
CLINIC
81 81 - SALT LAKE CLINIC-OPHTHALMOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
82 82 - WEST JORDAN CLINIC
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
83 83 - MEMORIAL INTERNAL MEDICINE
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
84 84 - WEST JORDAN INSTACARE
2655 W 9000 S
WEST JORDAN,UT840888542
CLINIC
85 85 - HILLCREST PEDIATRICS
5063 S COTTONWOOD ST STE 160
MURRAY,UT841076773
CLINIC
86 86 - VASCULAR AND VEIN - ST GEORGE
1380 E MEDICAL CTR DR STE 4500
ST GEORGE,UT847902131
CLINIC
87 87 - MEDICAL CENTER RADIATION ONCOLOGY
5121 S COTTONWOOD ST
MURRAY,UT841075701
CLINIC
88 88 - ROY CLINIC
1915 W 5950 S
ROY,UT840671454
CLINIC
89 89 - HOLLADAY PEDIATRICS
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
90 90 - UTAH VALLEY ENT - NORTH VALLEY
98 N 1100 E STE 203
AMERICAN FORK,UT840032941
CLINIC
91 91 - MCKAY-DEE HEART RHYTHM SPECIALISTS
4403 HARRISON BLVD STE 3450
OGDEN,UT844033282
CLINIC
92 92 - ALTA VIEW CLINIC DERMATOLOGY
9450 S 1300 E
SANDY,UT840945555
CLINIC
93 93 - ORTHOPEDIC SPECIALTY GROUP - LDS
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
94 94 - SEVIER VALLEY CLINIC
1000 N MAIN ST STE A
RICHFIELD,UT847012069
CLINIC
95 95 - OGDEN CARDIOVASCULAR ASSOCIATES
4403 HARRISON BLVD STE 3835
OGDEN,UT844033331
CLINIC
96 96 - SEVIER VALLEY ORTHOPEDICS
1000 N MAIN ST STE B
RICHFIELD,UT847012069
CLINIC
97 97 - MCKAY-DEE ENT
4403 HARRISON BLVD STE 2645
OGDEN,UT844033278
CLINIC
98 98 - RIVER ROAD INSTACARE
577 S RIVER RD
ST GEORGE,UT847902097
CLINIC
99 99 - SALT LAKE INSTACARE
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
100 100 - SALT LAKE CLINIC-PEDIATRICS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
101 101 - LOGAN CLINIC
412 N 200 E
LOGAN,UT843214038
CLINIC
102 102 - BOUNTIFUL DERMATOLOGY
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
103 103 - BUDGE CLINIC GENERAL SURGERY
1350 N 500 E
LOGAN,UT843412400
CLINIC
104 104 - SOUTHERN UTAH ORTHO SPORTS MED
166 W 1325 N STE 150
CEDAR CITY,UT847217797
CLINIC
105 105 - HOLLADAY INSTACARE
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
106 106 - SOUTH OGDEN CLINIC
975 CHAMBERS ST
SOUTH OGDEN,UT844034591
CLINIC
107 107 - ROY INSTACARE
1915 W 5950 S
ROY,UT840671454
CLINIC
108 108 - MURRAY GASTROENTEROLOGY
5169 S COTTONWOOD ST STE 610
MURRAY,UT841076771
CLINIC
109 109 - INTERMOUNTAIN UROLOGICAL INSTITUTE
5171 S COTTONWOOD ST STE 720
MURRAY,UT841075741
CLINIC
110 110 - CENTRAL OREM CLINIC
505 W 400 N
OREM,UT840571950
CLINIC
111 111 - ALTA VIEW CLINIC EYE CARE
9450 S 1300 E
SANDY,UT840945555
CLINIC
112 112 - UTAH VALLEY HEART LUNG VEIN
395 W COUGAR BLVD STE 503
PROVO,UT846043323
CLINIC
113 113 - BLOOD & MARROW TRANSPLANTLEUKEMIA
8TH AVE C ST
SALT LAKE CITY,UT841430001
CLINIC
114 114 - LAYTON PARKWAY N UTAH PEDIATRICS
201 W LAYTON PARKWAY STE 1C
LAYTON,UT840413692
CLINIC
115 115 - SARATOGA SPRINGS INSTACARE
354 W STATE RD 73
SARATOGA SPRINGS,UT840432901
CLINIC
116 116 - BOUNTIFUL PEDIATRICS
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
117 117 - UTAH VALLEY PULMONARY CLINIC
395 W COUGAR BLVD STE 504
PROVO,UT846043323
CLINIC
118 118 - AMERICAN FORK INSTACARE
98 N 1100 E STE 101
AMERICAN FORK,UT840032940
CLINIC
119 119 - SALT LAKE CLINIC-DERMATOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
120 120 - SARATOGA SPRINGS FAMILY PRACTICE
354 W STATE RD 73
SARATOGA SPRINGS,UT840432901
CLINIC
121 121 - PARK CITY CLINIC-ROUND VALLEY
750 ROUND VALLEY DR STE 201
PARK CITY,UT840607549
CLINIC
122 122 - MCKAY-DEE INTERNAL MEDICINE
4403 HARRISON BLVD STE 3875
OGDEN,UT844033332
CLINIC
123 123 - UTAH VALLEY SPORTS MEDICINE
1157 N 300 W STE 201
PROVO,UT846046124
CLINIC
124 124 - MEMORIAL SPECIALTY
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
125 125 - NORTH CACHE VALLEY CLINIC
4088 N HIGHWAY 91
HYDE PARK,UT843184108
CLINIC
126 126 - UTAH VALLEY PAIN MANAGEMENT
412 W 800 N
OREM,UT840573728
CLINIC
127 127 - TAYLORSVILLE SPECIALTY CLINIC
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
128 128 - CARDIO & THOR SURGERY-ST GEORGE
1380 E MEDICAL CTR DR STE 2600
ST GEORGE,UT847902134
CLINIC
129 129 - COTTONWOOD INFUSION
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
130 130 - CALTON-HARRISON CLINIC - TRAUMA
4403 HARRISON BLVD STE 2400
OGDEN,UT844033297
CLINIC
131 131 - MCKAY-DEE FOOT & ANKLE
4403 HARRISON BLVD STE 2835
OGDEN,UT844033327
CLINIC
132 132 - SUMMIT OBGYN
505 W 400 N
OREM,UT840571950
CLINIC
133 133 - HEBER INSTACARE
454 E MEDICAL WAY
HEBER CITY,UT840321391
CLINIC
134 134 - WEST VALLEY FAMILY MEDICINE
5373 W LAKE PARK BLVD
WEST VALLEY CITY,UT841208208
CLINIC
135 135 - INTERMOUNTAIN SURGICAL ONCOLOGY
5169 S COTTONWOOD ST STE 440
MURRAY,UT841076774
CLINIC
136 136 - BOUNTIFUL MEDICAL SPECIALTIES
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
137 137 - AMERICAN FORK SURGICAL ASSOCIATES
98 N 1100 E STE 202
AMERICAN FORK,UT840032941
CLINIC
138 138 - SOUTHWEST NEUROLOGY ASSOCIATES
652 S MEDICAL CTR DR STE 320
ST GEORGE,UT847907266
CLINIC
139 139 - UTAH VALLEY ORTHO - NORTH VALLEY
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
140 140 - CACHE VALLEY HEART CLINIC
1300 N 500 E STE 320
LOGAN,UT843412462
CLINIC
141 141 - SOUTHWEST REGIONAL CANCER CLINIC
600 MEDICAL CENTER DR
ST GEORGE,UT847908423
CLINIC
142 142 - DRAPER INSTACARE
12473 S MINUTEMAN DR
DRAPER,UT840207870
CLINIC
143 143 - ST GEORGE RADIATION ONCOLOGY
600 S MEDICAL CENTER DR
ST GEORGE,UT847902123
CLINIC
144 144 - KAYSVILLE CREEKSIDE CLINIC
435 N MAIN ST
KAYSVILLE,UT840371194
CLINIC
145 145 - AVENUES PSYCHIATRY & COUNSELING
324 10TH AVE STE 178
SALT LAKE CITY,UT841032885
CLINIC
146 146 - INTERMOUNTAIN MEDICAL ONCOLOGY-IMC
5171 S COTTONWOOD ST STE 610
MURRAY,UT841076771
CLINIC
147 147 - ST GEORGE PULMONARY CRITICAL CARE
1380 E MEDICAL CENTER DR
ST GEORGE,UT847902123
CLINIC
148 148 - SOUTH CACHE VALLEY CLINIC
190 S HIGHWAY 165
PROVIDENCE,UT843329512
CLINIC
149 149 - SOUTH SANDY CLINIC
955 E 11400 S
SANDY,UT840946946
CLINIC
150 150 - SALT LAKE CLINIC-ENT
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
151 151 - SEVIER VALLEY SPECIALTY CLINIC
1000 N MAIN ST STE B
RICHFIELD,UT847012069
CLINIC
152 152 - SPANISH FORK INSTACARE
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
153 153 - CEDAR CITY INSTACARE
962 SAGE DR
CEDAR CITY,UT847201885
CLINIC
154 154 - SUMMIT WOMEN'S CENTER
395 W COUGAR BLVD STE 203
PROVO,UT846043333
CLINIC
155 155 - LEHI CLINIC
3249 N 1200 W
LEHI,UT840439772
CLINIC
156 156 - COTTONWOOD ENDO & DIABETES CENTER
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
157 157 - SOUTH JORDAN CLINIC
11444 S REDWOOD RD
SOUTH JORDAN,UT840957803
CLINIC
158 158 - VALLEY VIEW FAMILY MEDICINE
1333 N MAIN ST
CEDAR CITY,UT847219314
CLINIC
159 159 - PARK CITY INSTACARE
1750 SIDEWINDER DR
PARK CITY,UT840607570
CLINIC
160 160 - ALTA VIEW CLINIC PLASTIC SURGERY
9450 S 1300 E
SANDY,UT840945555
CLINIC
161 161 - SPANISH FORK ORTHO & SPORTS MEDICINE
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
162 162 - UTAH VALLEY DERMATOLOGY
395 W COUGAR BLVD STE 604
PROVO,UT846043331
CLINIC
163 163 - SALT LAKE CLINIC-PHYSICAL MEDICINE
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
164 164 - UTAH VALLEY ROCK CANYON PED SPEC
395 W COUGAR BLVD STE 702
PROVO,UT846043333
CLINIC
165 165 - INTERMOUNTAIN NURSE MIDWIVES
5121 S COTTONWOOD ST STE 170
MURRAY,UT841075701
CLINIC
166 166 - LEHI INSTACARE
3249 N 1200 W
LEHI,UT840439772
CLINIC
167 167 - WEST VALLEY INSTACARE
5373 W LAKE PARK BLVD
WEST VALLEY CITY,UT841208208
CLINIC
168 168 - MCKAY-DEE HEART FAILURE
4403 HARRISON BLVD STE 3430
OGDEN,UT844033343
CLINIC
169 169 - AVENUES UROLOGY
324 E 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
170 170 - SOUTHRIDGE CLINIC OBGYN
3723 W 12600 S STE 360
RIVERTON,UT840657296
CLINIC
171 171 - MCKAY-DEE CRITICAL CARE
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
172 172 - AVENUES INTERNAL MEDICINE
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
173 173 - UTAH VALLEY RADIATION ONCOLOGY
395 W COUGAR BLVD STE 104
PROVO,UT846043334
CLINIC
174 174 - COTTONWOOD INTERNAL MEDICINE
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
175 175 - DRAPER CLINIC
12473 S MINUTEMAN DR
DRAPER,UT840207870
CLINIC
176 176 - HIGHLAND CLINIC
10968 N ALPINE HWY
HIGHLAND,UT840038874
CLINIC
177 177 - NORTH VALLEY PEDIATRICS
98 N 1100 E STE 201
AMERICAN FORK,UT840032941
CLINIC
178 178 - ST GEORGE INPATIENT PSYCHIATRY
1380 E MEDICAL CENTER DR
ST GEORGE,UT847902123
CLINIC
179 179 - THORACIC LUNG & ESOPHAGEAL SURGERY
5169 S COTTONWOOD ST STE 640
MURRAY,UT841076771
CLINIC
180 180 - ALTA VIEW CLINIC GENERAL SURGERY
9450 S 1300 E
SANDY,UT840945555
CLINIC
181 181 - AVENUES OBSTETRICS AND GYNECOLOGY
324 10TH AVE STE 100
SALT LAKE CITY,UT841032870
CLINIC
182 182 - MT PLEASANT CLINIC
1100 S MEDICAL DR
MT PLEASANT,UT846472222
CLINIC
183 183 - LAYTON PARKWAY WOMENS HEALTH
201 W LAYTON PARKWAY STE 2B
LAYTON,UT840413692
CLINIC
184 184 - NORTH OREM CLINIC
1975 N STATE ST
OREM,UT840572028
CLINIC
185 185 - LAYTON PARKWAY ORTHO AND SPORTS MED
201 W LAYTON PARKWAY STE 1A
LAYTON,UT840413692
CLINIC
186 186 - ALTA VIEW UROLOGY
9450 S 1300 E
SANDY,UT840945555
CLINIC
187 187 - MCKAY-DEE SLEEP CENTER
4403 HARRISON BLVD STE 2600
OGDEN,UT844033277
CLINIC
188 188 - ALTA VIEW CLINIC GASTROENTEROLOGY
9450 S 1300 E
SANDY,UT840945555
CLINIC
189 189 - SOUTHERN UTAH PLASTIC SURGERY
652 S MEDICAL CENTER DR STE 300
ST GEORGE,UT847907266
CLINIC
190 190 - SUNSET INSTACARE
1739 W SUNSET BLVD
ST GEORGE,UT847707141
CLINIC
191 191 - SPORTS MED SPECIALISTS-BOUNTIFUL
280 N MAIN ST
BOUNTIFUL,UT840106136
CLINIC
192 192 - SALT LAKE CLINIC PHYSICAL THERAPY
389 SOUTH 900 EAST
SALT LAKE CITY,UT84102
CLINIC
193 193 - SOUTHRIDGE EYE CARE
3723 W 12600 S STE 420
RIVERTON,UT840657310
CLINIC
194 194 - EPHRAIM CLINIC
525 N MAIN ST
EPHRAIM,UT846271155
CLINIC
195 195 - CENTRAL OREM PEDIATRICS
505 W 400 N
OREM,UT840571950
CLINIC
196 196 - SALT LAKE CLINIC-OBGYN
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
197 197 - INT TRAUMA GENERAL SURGERY
5169 S COTTONWOOD ST STE 400
MURRAY,UT841076769
CLINIC
198 198 - ISOM PLASTIC SURGERY
1350 N 500 E STE 310
LOGAN,UT843412400
CLINIC
199 199 - BOUNTIFUL INTERNAL MEDICINE
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
200 200 - HOLLADAY CLINIC
6272 S HIGHLAND DR
MURRAY,UT841212126
CLINIC
201 201 - UTAH VALLEY WOUND AND HYPERBARIC
395 W COUGAR BLVD STE 101
PROVO,UT846043334
CLINIC
202 202 - NORTH CACHE VALLEY INSTACARE
4088 N HIGHWAY 91
HYDE PARK,UT843184108
CLINIC
203 203 - BOUNTIFUL IMAGING
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
204 204 - HURRICANE VALLEY INSTACARE
75 N 2260 W
HURRICANE,UT847372034
CLINIC
205 205 - UTAH VALLEY FAMILY MEDICINE
395 W COUGAR BLVD STE B
PROVO,UT846044331
CLINIC
206 206 - SALT LAKE WORKMED
1685 W 2200 S
SALT LAKE CITY,UT841191456
CLINIC
207 207 - LOGAN HYPERBARIC AND WOUND CARE
1400 N 500 E
LOGAN,UT843412455
CLINIC
208 208 - SYRACUSE CLINIC
745 S 2000 W
SYRACUSE,UT840759621
CLINIC
209 209 - HEBER VALLEY SPECIALTY CLINIC
380 E 1500 S STE 202
HEBER CITY,UT840323942
CLINIC
210 210 - BUDGE CLINIC FAMILY MEDICINE
1350 N 500 E
LOGAN,UT843412400
CLINIC
211 211 - SPRINGVILLE CLINIC
762 W 400 S
SPRINGVILLE,UT846633096
CLINIC
212 212 - BOUNTIFUL CLINIC PHYSICAL THERAPY
280 NORTH MAIN STREET
BOUNTIFUL,UT84010
CLINIC
213 213 - SALT LAKE CLINIC-SPINE PROGRAM
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
214 214 - MCKAY-DEE ENDO & DIABETES CLINIC
4403 HARRISON BLVD STE 3630
OGDEN,UT844033287
CLINIC
215 215 - TAYLORSVILLE CLINIC
3845 W 4700 S
TAYLORSVILLE,UT841293454
CLINIC
216 216 - AMERICAN FORK NEONATOLOGY
170 N 1100 E
AMERICAN FORK,UT840032096
CLINIC
217 217 - SOUTHRIDGE IM AND SENIOR CARE
3723 W 12600 S STE 430
RIVERTON,UT840657310
CLINIC
218 218 - SALT LAKE CLINIC-ALLERGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
219 219 - ST GEORGE SLEEP DISORDERS CENTER
652 S MEDICAL CENTER DR STE 310
ST GEORGE,UT847907017
CLINIC
220 220 - REDROCK ALLERGY CLINIC
544 S 400 E
ST GEORGE,UT847703705
CLINIC
221 221 - LAYTON PARKWAY PODIATRY
201 W LAYTON PARKWAY STE 1B
LAYTON,UT840413692
CLINIC
222 222 - OREM WORKMED
830 N 980 W
OREM,UT840577709
CLINIC
223 223 - SALT LAKE CLINIC-CARDIOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
224 224 - SALT LAKE CLINIC-NEUROLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
225 225 - SALT LAKE CLINIC-ENDOCRINOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
226 226 - UTAH VALLEY EAR NOSE THROAT
395 W COUGAR BLVD STE 501
PROVO,UT846043323
CLINIC
227 227 - SALT LAKE CLINIC-PODIATRY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
228 228 - MANTI FAMILY CLINIC
159 N MAIN ST
MANTI,UT846421257
CLINIC
229 229 - MORONI CLINIC
51 E MAIN ST
MORONI,UT846460810
CLINIC
230 230 - MOUNTAIN FAMILY HEALTH
2720 HOMESTEAD RD STE 100
PARK CITY,UT840984882
CLINIC
231 231 - MCKAY-DEE SPINE INTERVENTION
3903 HARRISON BLVD STE 100
OGDEN,UT844032361
CLINIC
232 232 - INT CANCER CENTER AT MCKAY-DEE
4403 HARRISON BLVD STE 2855
OGDEN,UT844033323
CLINIC
233 233 - OGDEN WORKMED
1355 W 3400 S
OGDEN,UT844013376
CLINIC
234 234 - FILLMORE CLINIC
700 S HIGHWAY 99 STE 3
FILLMORE,UT846315137
CLINIC
235 235 - KIDNEY SERVICES - IMC
5169 COTTONWOOD ST STE 320
MURRAY,UT841076768
CLINIC
236 236 - AMERICAN FORK INTERNAL MEDICINE
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
237 237 - SGRH ENDO-DIABETES CLINIC
1424 E FOREMASTER DR STE 140
ST GEORGE,UT847905830
CLINIC
238 238 - MCKAY-DEE BH - LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
239 239 - MEMORIAL CLINIC PHYSICAL THERAPY
2000 SOUTH 900 EAST
SALT LAKE CITY,UT84105
CLINIC
240 240 - LAYTON PARKWAY ENT
201 W LAYTON PARKWAY STE 2D
LAYTON,UT840413692
CLINIC
241 241 - WHITE SAGE FAMILY MEDICINE
130 WHITE SAGE AVE
DELTA,UT846248928
CLINIC
242 242 - WEST JORDAN PHYSICAL THERAPY-REHAB
2655 WEST 9000 SOUTH
WEST JORDAN,UT84088
CLINIC
243 243 - COTTONWOOD HEAD & NECK ONCOLOGY ENT
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
244 244 - CEDAR CITY HEART CLINIC
1303 N MAIN ST STE H
CEDAR CITY,UT847219746
CLINIC
245 245 - ALTA VIEW CLINIC - PODIATRY
9450 S 1300 E
SANDY,UT840945555
CLINIC
246 246 - LOGAN CANCER CLINIC
1281 N 600 E
LOGAN,UT843416988
CLINIC
247 247 - LOGAN PSYCHIATRY
1350 N 500 E
LOGAN,UT843412400
CLINIC
248 248 - BOUNTIFUL ALLERGY
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
249 249 - WASATCH OBGYN-NORTH OGDEN
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
250 250 - SOUTHRIDGE ALLERGY
3723 W 12600 S STE 420
RIVERTON,UT840657310
CLINIC
251 251 - HOLLADAY PHYSICAL THERAPY
6272 SOUTH HIGHLAND DRIVE 203
MURRAY,UT84121
CLINIC
252 252 - ALTA VIEW FAMILY MEDICINE
9450 S 1300 E STE 210
SANDY,UT840945555
CLINIC
253 253 - DAYSPRING CLINIC - LOGAN
550 E 1400 N STE T
LOGAN,UT843412407
CLINIC
254 254 - MCKAY-DEE CARDIOLOGY SOUTH
4403 HARRISON BLVD STE 3400
OGDEN,UT844033281
CLINIC
255 255 - ST GEORGE HIGH RISK OB
1380 E MEDICAL CENTER DR STE 1600
ST GEORGE,UT847902123
CLINIC
256 256 - SALT LAKE CLINIC-RHEUMATOLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
257 257 - DRAPER PHYSICAL THERAPY
12473 SOUTH MINUTEMAN DRIVE
DRAPER,UT84020
CLINIC
258 258 - SEVIER VALLEY OBGYN
1000 N MAIN ST STE 2C
RICHFIELD,UT847012061
CLINIC
259 259 - BEAR RIVER SPECIALISTS
935 N 1000 W
TREMONTON,UT843379356
CLINIC
260 260 - AVENUES NEUROLOGY
324 10TH AVE SUITE 200
SALT LAKE CITY,UT841032869
CLINIC
261 261 - LOGAN RADIATION ONCOLOGY
500 E 1400 N
LOGAN,UT843412455
CLINIC
262 262 - AVENUES CLINIC PHYSICAL THERAPY
324 EAST 10TH AVENUE 100
SALT LAKE CITY,UT84103
CLINIC
263 263 - WASATCH OBGYN-LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
264 264 - BUDGE CLINIC RADIOLOGY
1350 N 500 E
LOGAN,UT843412400
CLINIC
265 265 - BOUNTIFUL OBSTETRICS AND GYNECOLOGY
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
266 266 - UROLOGICAL INSTITUTE - CEDAR CITY
166 W 1325 N STE 350
CEDAR CITY,UT847207796
CLINIC
267 267 - UTAH VALLEY NEUROLOGICAL
395 W COUGAR BLVD STE 502
PROVO,UT846043323
CLINIC
268 268 - LDS HOSPITAL RADIATION ONCOLOGY
8TH AVE AND C ST
SALT LAKE CITY,UT841430002
CLINIC
269 269 - LDS PULMONARY CLINIC
324 10TH AVE STE 170
SALT LAKE CITY,UT841032853
CLINIC
270 270 - SOUTHWEST RHEUMATOLOGY ASSOCIATES
544 S 400 E
ST GEORGE,UT847703705
CLINIC
271 271 - SALT LAKE WORKMED PHYSICAL THERAPY
1685 WEST 2200 SOUTH
SALT LAKE CITY,UT84119
CLINIC
272 272 - NORTH TEMPLE URGENT CARE CLINIC
54 N 800 W
SALT LAKE CITY,UT841163326
CLINIC
273 273 - COTTONWOOD RHEUMATOLOGY CLINIC
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
274 274 - ST GEORGE PULMONARY CLINIC
1380 E MEDICAL CENTER DR STE 2200
ST GEORGE,UT847902130
CLINIC
275 275 - SALT LAKE CLINIC-ORTHOPEDICS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
276 276 - SALT LAKE CLINIC-UROLOGY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
277 277 - AMERICAN FORK PULMONARY CLINIC
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
278 278 - UTAH VALLEY SPORTS MED-N VALLEY
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
279 279 - DAYSPRING CLINIC - COTTONWOOD
5770 S 250 E STE 300
MURRAY,UT841078100
CLINIC
280 280 - ALTA VIEW CLINIC ENT
9450 S 1300 E
SANDY,UT840945555
CLINIC
281 281 - WEST VALLEY CLINIC PHYSICAL THERAPY
5373 WEST LAKE PARK BLVD
WEST VALLEY CITY,UT84120
CLINIC
282 282 - PARK CITY PSYCHIATRY AND COUNSELING
750 ROUND VALLEY DR STE 101
PARK CITY,UT840607549
CLINIC
283 283 - HOLLADAY PEDIATRICS NORTH
2160 E 4500 S
SALT LAKE CITY,UT841174011
CLINIC
284 284 - ST GEORGE WORKMED
385 N 3050 E
ST GEORGE,UT847909003
CLINIC
285 285 - ALTA VIEW CLINIC PULMONARY
9450 S 1300 E
SANDY,UT840945555
CLINIC
286 286 - LAYTON CLINIC RADIOLOGY
2075 UNIVERSITY PARK BLVD
LAYTON,UT84041
CLINIC
287 287 - HEART INSTITUTE - UTAH VALLEY
395 W BULLDOG BLVD
PROVO,UT846043311
CLINIC
288 288 - MEMORIAL INSTACARE
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
289 289 - CANYON VIEW CLINIC
15 E 400 N
PAROWAN,UT847610000
CLINIC
290 290 - WEST VALLEY SPECIALTY CLINIC
5373 W LAKE PARK BLVD
WEST VALLEY CITY,UT841208208
CLINIC
291 291 - ORTHOPEDIC SPECIALTY GROUP - MED CTR
5169 S COTTONWOOD ST STE 430
MURRAY,UT841076774
CLINIC
292 292 - UTAH VALLEY SENIOR MEDICINE
395 W COUGAR BLVD STE 602
PROVO,UT846043331
CLINIC
293 293 - UTAH VALLEY PHYSICAL MED & REHAB
395 W COUGAR BLVD STE 502
PROVO,UT846043323
CLINIC
294 294 - ALTA VIEW CLINIC ALLERGY
9450 S 1300 E
SANDY,UT840945555
CLINIC
295 295 - MURRAY WORKMED
201 E 5900 S STE 100
MURRAY,UT841075429
CLINIC
296 296 - SPRINGVILLE WORKMED
385 S 400 E
SPRINGVILLE,UT846631955
CLINIC
297 297 - CEDAR CITY RADIATION ONCOLOGY
1333 N MAIN ST
CEDAR CITY,UT847219314
CLINIC
298 298 - ROSE CANYON PHYSICAL THERAPY
5541 WEST 13400 SOUTH
RIVERTON,UT84096
CLINIC
299 299 - LIVE WELL CENTER-SALT LAKE CITY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
300 300 - INTERMOUNTAIN SENIOR CLINIC
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
301 301 - COTTONWOOD PODIATRY
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
302 302 - SOUTH SEVIER CLINIC
539 S MAIN ST
MONROE,UT847544623
CLINIC
303 303 - INT HEART CARDIOLOGY-AVH
9450 S 1300 E
SANDY,UT840943740
CLINIC
304 304 - UTAH VALLEY INPATIENT REHAB
1034 N 500 W
PROVO,UT846043380
CLINIC
305 305 - LAYTON WORKMED
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
306 306 - ST GEORGE ACUTE REHAB
544 S 400 E
ST GEORGE,UT847703705
CLINIC
307 307 - SOUTH JORDAN WORKMED
1091 W SOUTH JORDAN PARKWAY STE 500
SOUTH JORDAN,UT840958809
CLINIC
308 308 - UTAH VALLEY TIASTROKE CLINIC
395 W COUGAR BLVD STE 502
PROVO,UT846043323
CLINIC
309 309 - LOGAN WORKMED
412 N 200 E
LOGAN,UT843214038
CLINIC
310 310 - SOUTH JORDAN WORKMED PHYS THERAPY
1091 WEST SOUTH JORDAN PKWY 500
SOUTH JORDAN,UT84095
CLINIC
311 311 - INT HEART CARDIOLOGY-RVH
3741 W 12600 S STE 120
RIVERTON,UT840657215
CLINIC
312 312 - INT HEART CARDIOLOGY-PKMC
900 ROUND VALLEY DR STE 200
PARK CITY,UT840607552
CLINIC
313 313 - NORTH OREM INSTACARE
1975 N STATE ST
OREM,UT840572028
CLINIC
314 314 - POST ACUTE CARE-CLINICAL
11520 S REDWOOD RD
SOUTH JORDAN,UT840957805
CLINIC
315 315 - SOUTH OGDEN INSTACARE
975 CHAMBERS ST
SOUTH OGDEN,UT844034591
CLINIC
316 316 - UTAH VALLEY INTERNAL MEDICINE
395 W COUGAR BLVD STE 602
PROVO,UT846043331
CLINIC
317 317 - LIBERTY ELEMENTARY CLINIC
1078 S 300 E
SALT LAKE CITY,UT841114638
CLINIC
318 318 - SOUTHWEST REGIONAL CANCER-CEDAR CITY
1303 N MAIN ST
CEDAR CITY,UT847209746
CLINIC
319 319 - CHRONIC PAIN MANAGEMENT-LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
320 320 - INT HEART CARDIOLOGY-LDSH
8TH AVE C ST
SALT LAKE CITY,UT841430001
CLINIC
321 321 - ALTA VIEW SLEEP PROGRAM
9660 S 1300 E
SANDY,UT840943762
CLINIC
322 322 - NORTH SEVIER MEDICAL CLINIC
530 N 250 W
SALINA,UT846545514
CLINIC
323 323 - SALT LAKE CLINIC-SURGICAL SPECIALISTS
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
324 324 - LOGAN INPATIENT PSYCHIATRY
1400 N 500 E
LOGAN,UT843412455
CLINIC
325 325 - US SYNTHETIC CLINIC
1378 S 1600 W
OREM,UT840584931
CLINIC
326 326 - AMERICAN FORK WOUND CARE
98 N 1100 E STE 302
AMERICAN FORK,UT840032947
CLINIC
327 327 - NORTH OGDEN CLINIC
2400 N WASHINGTON BLVD
NORTH OGDEN,UT844147233
CLINIC
328 328 - PARK CITY MOUNTAIN MEDICAL CLINIC
1493 LOWELL AVE
PARK CITY,UT840605116
CLINIC
329 329 - HEART INSTITUTE - AMERICAN FORK
98 N 1100 E STE 302
AMERICAN FORK,UT840032941
CLINIC
330 330 - SPANISH FORK FAMILY MEDICINE
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
331 331 - AMER FORK PHYSICAL MEDICINE & REHAB
98 N 1100 E STE 103
AMERICAN FORK,UT840032940
CLINIC
332 332 - MCKAY-DEE INFECTIOUS DISEASE
4403 HARRISON BLVD STE 3630
OGDEN,UT844033287
CLINIC
333 333 - INTERMOUNTAIN PSYCH & COUNSELING
5169 S COTTONWOOD ST STE 400
MURRAY,UT841076769
CLINIC
334 334 - TOOELE INSTACARE
777 N MAIN ST
TOOELE,UT840741611
CLINIC
335 335 - UTAH VALLEY PAIN MGMT-AMER FORK
98 N 1100 E
AMERICAN FORK,UT840032935
CLINIC
336 336 - LIFETIME
FREEPORT CENTER BLDG D12
CLEARFIELD,UT840160010
CLINIC
337 337 - UTAH VALLEY INFECTIOUS DISEASE
395 W COUGAR BLVD STE 603
PROVO,UT846043331
CLINIC
338 338 - SALT LAKE COUNTY HEALTHMED
2001 S STATE ST STE S2-500
SALT LAKE CITY,UT841903100
CLINIC
339 339 - HOMECARE & HOSPICE AMB INFUSION
11520 SOUTH REDWOOD ROAD
SOUTH JORDAN,UT84095
CLINIC
340 340 - SPANISH FORK PSYCH & COUNSELING
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
341 341 - MCKAY-DEE BEHAVIORAL HEALTH-SYRACUSE
745 S 2000 W
SYRACUSE,UT840759621
CLINIC
342 342 - PAYSON INSTACARE
854 TURF FARM RD STE 1
PAYSON,UT846515733
CLINIC
343 343 - CEDAR CITY WORKMED
962 SAGE DR
CEDAR CITY,UT847201885
CLINIC
344 344 - LAYTON PARKWAY GASTROENTEROLOGY
201 W LAYTON PARKWAY STE 2A
LAYTON,UT840413692
CLINIC
345 345 - SALT LAKE CLINIC-ANTICOAG CLINIC
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
346 346 - BOUNTIFUL PSYCHIATRY AND COUNSELING
390 N MAIN ST
BOUNTIFUL,UT840106046
CLINIC
347 347 - CANYONS VILLAGE MEDICAL CLINIC
3850 CANYONS RESORT DR
PARK CITY,UT840986546
CLINIC
348 348 - SALT LAKE CLINIC-MHI
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
349 349 - PARK CITY SLEEP DISORDERS CLINIC
900 ROUND VALLEY DR STE 200
PARK CITY,UT840607532
CLINIC
350 350 - PARK CITY WORKMED
1750 SIDEWINDER DR
PARK CITY,UT840607570
CLINIC
351 351 - ST GEORGE INFECTIOUS DISEASE CLINIC
1380 E MEDICAL CENTER DR STE 2300
ST GEORGE,UT847902131
CLINIC
352 352 - PAYSON CLINIC
854 TURF FARM RD STE 1
PAYSON,UT846515733
CLINIC
353 353 - WASATCH OBGYN
2075 N UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
354 354 - BUDGE CLINIC ANTICOAGULATION
1350 N 500 E
LOGAN,UT843412400
CLINIC
355 355 - KIDNEY SERVICES - MCKAY-DEE
4403 HARRISON BLVD STE 3875
OGDEN,UT844033332
CLINIC
356 356 - INTERMOUNTAIN EMPLOYEE CLINIC
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
357 357 - SEVIER VALLEY SPEC CLINIC-GUNNISON
65 E 100 N
GUNNISON,UT846340119
CLINIC
358 358 - SOUTHWEST ORTHO AND SPORTS MED-DSC
225 S 700 E
ST GEORGE,UT847703875
CLINIC
359 359 - LAYTON PARKWAY SLEEP
201 W LAYTON PARKWAY STE 1A
LAYTON,UT840413692
CLINIC
360 360 - BEHAVIORAL HEALTH ACCESS - MKDH
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
361 361 - BEAR RIVER SPECIALISTS - MALAD
150 N 200 W
MALAD,ID832521239
CLINIC
362 362 - INT CANCER CENTER AT LAYTON PARKWAY
201 W LAYTON PARKWAY STE 2A
LAYTON,UT840413692
CLINIC
363 363 - MCKAY-DEE ENT-OGDEN CLINIC
4650 HARRISON BLVD
OGDEN,UT844034303
CLINIC
364 364 - ROSE PARK ELEMENTARY CLINIC
1105 W 1000 N
SALT LAKE CITY,UT841162135
CLINIC
365 365 - ORTHOPEDIC SPECIALTY GROUP - TOSH
181 E MEDICAL TOWER DR
MURRAY,UT841074872
CLINIC
366 366 - MCKAY-DEE CARDIOLOGY-LAYTON PKWY
201 W LAYTON PARKWAY STE 2A
LAYTON,UT840413692
CLINIC
367 367 - SPANISH FORK DERMATOLOGY
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
368 368 - UTAH VALLEY PAIN MANAGEMENT-NEPHI
48 W 1500 N
NEPHI,UT846488900
CLINIC
369 369 - SOUTHWEST SPINE AND PAIN CENTER
1303 N MAIN ST
CEDAR CITY,UT847209746
CLINIC
370 370 - UTAH VALLEY SPORTS MED-BYU EXT
87 SMITH FIELD HOUSE
PROVO,UT846020002
CLINIC
371 371 - INTERMOUNTAIN HEART RHYTHM CASPER
1233 E 2ND ST
CASPER,WY826012926
CLINIC
372 372 - MEMORIAL RADIOLOGY
2000 S 900 E
SALT LAKE CITY,UT841053208
CLINIC
373 373 - SPANISH FORK PHYS MED & REHAB
819 E MARKET PLACE DR
SPANISH FORK,UT846605669
CLINIC
374 374 - SNOWBASIN CLINIC
3925 E SNOWBASIN DR
HUNTSVILLE,UT843179415
CLINIC
375 375 - MCKAY-DEE BEHAV HEALTH-N OGDEN
2400 N 400 E
NORTH OGDEN,UT844147233
CLINIC
376 376 - SOUTHWEST CARDIOLOGY-CEDAR CITY
110 W 1325 N STE 100
CEDAR CITY,UT847218101
CLINIC
377 377 - UTAH VALLEY SPORTS MED-UVSC
800 W UNIVERSITY PKWY
OREM,UT840586703
CLINIC
378 378 - TOOELE FAMILY MEDICINE
2326 N 400 E BLDG B
TOOELE,UT840743430
CLINIC
379 379 - KEARNS CLINIC
4946 W 6200 S
KEARNS,UT841186703
CLINIC
380 380 - SEVIER VALLEY ORTHOPEDICS - BEAVER
1059 N 100 W
BEAVER,UT847137758
CLINIC
381 381 - ALTA VIEW RADIOLOGY
9450 S 1300 E
SANDY,UT840945555
CLINIC
382 382 - SEVIER VALLEY ORTHOPEDICS - WAYNE
130 S 300 W
BICKNELL,UT847150303
CLINIC
383 383 - SOUTHWEST ORTHOSPORTS MED-HURRICANE
75 N 2260 W
HURRICANE,UT847372034
CLINIC
384 384 - LIVE WELL CENTER - OGDEN
4421 HARRISON BLVD STE A6
OGDEN,UT844033174
CLINIC
385 385 - VALLEY VIEW HEART-GARFIELD
200 N 400 E
PANGUITCH,UT847590389
CLINIC
386 386 - INT CANCER CENTER - AMERICAN FORK
170 N 1100 E
AMERICAN FORK,UT840032096
CLINIC
387 387 - INTERMOUNTAIN CANCER CENTER
1034 N 500 W
PROVO,UT846043380
CLINIC
388 388 - WASATCH OBGYN-MCKAY
4403 HARRISON BLVD STE 4815
OGDEN,UT844033333
CLINIC
389 389 - INT HEART RHYTHM COTTONWOOD
5979 FASHION BLVD
SALT LAKE CITY,UT841077364
CLINIC
390 390 - S UTAH ORTHO SPORTS MED-GARFIELD
200 N 400 E
PANGUITCH,UT847590389
CLINIC
391 391 - SALT LAKE CLINIC LABORATORY
389 S 900 E
SALT LAKE CITY,UT841022310
CLINIC
392 392 - MCKAY-DEE PHYSICAL MEDICINE & REHAB
4401 HARRISON BLVD
OGDEN,UT844033195
CLINIC
393 393 - MCKAY-DEE DENTISTRY
4403 HARRISON BLVD STE 3875
OGDEN,UT844033332
CLINIC
394 394 - MCKAY-DEE ENT-LAYTON
2075 UNIVERSITY PARK BLVD
LAYTON,UT840411611
CLINIC
395 395 - UTAH VALLEY PEDIATRICS
395 W COUGAR BLVD STE 703
PROVO,UT846043333
CLINIC
396 396 - PALLIATIVE CARE-HOME BASED
11520 S REDWOOD RD
SOUTH JORDAN,UT840957805
CLINIC
397 397 - INTERMOUNTAIN HEART RHYTHM LOGAN
1300 N 500 E STE 320
LOGAN,UT843412462
CLINIC
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 250% 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. HOWEVER, PATIENTS UNABLE TO PAY THE MINIMUM CO-PAY WILL STILL RECEIVE CARE.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% 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 INCLUDES 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 $38,959,150 FROM 33 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 ADJUSTMENTS FOR UNPAID SERVICES INCLUDED ON FORM 990, PART IX, LINE 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $231,131,524.
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 THE FOLLOWING STATE AND LOCAL COALITIONS:(1) SAFE KIDS COALITIONS TO PROMOTE AWARENESS AND USE OF CHILD SEAT BELTS AND BICYCLE SAFETY;(2) STATEWIDE IMMUNIZATION COLLABORATIVE;(3) ALLIANCE FOR THE DETERMINANTS OF HEALTH; (4) OPIOID COMMUNITY COLLABORATIVE;(5) LIVING WELL WITH CHRONIC CONDITIONS STATEWIDE PROGRAM WITH THE UTAH DEPARTMENT OF HEALTH; (6) DIABETES-RELATED COALITIONS TO HELP REDUCE THE INCIDENCE OF DIABETES IN CHILDREN AND ADULTS;(7) MULTIPLE MENTAL HEALTH COLLABORATIONS AND SUICIDE PREVENTION EFFORTS; AND(8) OTHER COALITIONS THAT ADDRESS HEALTHCARE ISSUES IN THE COMMUNITY.TWO OF 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 AND MID-LEVEL PROVIDERS 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 ADJUSTMENTS FOR UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, 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 MAY BE WRITTEN OFF AS AN ADJUSTMENT FOR UNPAID SERVICES. HEALTH SERVICES UTILIZES DATA SOURCES TO IDENTIFY NONRESPONDING PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFIED PATIENTS ARE ADJUSTED TO CHARITY CARE RATHER THAN ADJUSTMENTS FOR UNPAID SERVICES 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 WERE AVAILABLE OR PROVIDED BY THE PATIENT.THE CHARITY CARE AMOUNTS INCLUDED IN THE FINANCIAL STATEMENTS ARE SEPARATE AND DISTINCT FROM ADJUSTMENTS FOR UNPAID SERVICES, 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. ADJUSTMENTS FOR UNPAID SERVICES ARE REFLECTED AS REDUCTIONS TO PATIENT SERVICES REVENUES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND WERE $268 MILLION AND $231 MILLION FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2021, 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 ADJUSTMENTS TO PATIENT SERVICES REVENUES IN THE PERIOD SERVICES ARE RENDERED FOR AMOUNTS NOT EXPECTED TO BE PAID.MANAGEMENT ESTIMATES THE ADJUSTMENTS RECORDED FOR THESE UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, 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 THE ADJUSTMENTS FOR UNPAID SERVICES BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS.PART III, LINES 5-7:THE 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 $311 MILLION, A DIFFERENCE OF $326 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, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, VETERAN STATUS 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, THAT 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 WEB ADDRESS 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: HEALTH SERVICES PRIMARILY PROVIDES SERVICES IN UTAH AND SOUTHEASTERN IDAHO. HEALTH SERVICES DEFINES ITS COMMUNITY BY GEOGRAPHY AND INCLUDES UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. USING ZIP CODES SPECIFIC TO EACH HOSPITAL COMMUNITY, HEALTH SERVICES CAN UNDERSTAND THE HEALTH NEEDS OF COMMUNITIES EACH HOSPITAL SERVES BY NEIGHBORHOOD, COUNTY AND LOCAL HEALTH DISTRICT IN ADDITION TO THE STATES AS A WHOLE. DATA FOR SPECIFIC SERVICE AREAS IS UTILIZED AS PART OF THE ASSESSMENT, INCLUDING REVIEW OF STATEWIDE BENCHMARKS THAT PROVIDE INSIGHTS INTO POLICY OPPORTUNITIES AND MARKET INTELLIGENCE. THIS ANALYSIS ALLOWS AN UNDERSTANDING THAT MANY HEALTH INDICATORS ARE INFLUENCED BY FACTORS BEYOND GEOGRAPHIC BOUNDARIES.HOSPITALS IN THE HEALTH SERVICES AREA ARE AS FOLLOWS:BRIGHAM CITY COMMUNITY HOSPITALCACHE VALLEY HOSPITALDAVIS HOSPITALGARFIELD MEMORIAL HOSPITALINTERMOUNTAIN ALTA VIEW HOSPITALINTERMOUNTAIN AMERICAN FORK HOSPITALINTERMOUNTAIN BEAR RIVER VALLEY HOSPITALINTERMOUNTAIN CASSIA REGIONAL HOSPITALINTERMOUNTAIN CEDAR CITY HOSPITALINTERMOUNTAIN DELTA COMMUNITY HOSPITALINTERMOUNTAIN FILLMORE COMMUNITY HOSPITALINTERMOUNTAIN HEBER VALLEY HOSPITALINTERMOUNTAIN LAYTON HOSPITALINTERMOUNTAIN LDS HOSPITALINTERMOUNTAIN LOGAN REGIONAL HOSPITALINTERMOUNTAIN MCKAY-DEE HOSPITALINTERMOUNTAIN MEDICAL CENTERINTERMOUNTAIN OREM COMMUNITY HOSPITALINTERMOUNTAIN ORTHOPEDIC SPECIALTY HOSPITAL (TOSH)INTERMOUNTAIN PARK CITY HOSPITALINTERMOUNTAIN PRIMARY CHILDREN'S HOSPITALINTERMOUNTAIN RIVERTON HOSPITALINTERMOUNTAIN SANPETE VALLEY HOSPITALINTERMOUNTAIN SEVIER VALLEY HOSPITALINTERMOUNTAIN SPANISH FORK HOSPITALINTERMOUNTAIN ST. GEORGE REGIONAL HOSPITALINTERMOUNTAIN UTAH VALLEY REGIONAL HOSPITALJORDAN VALLEY MEDICAL CENTERLAKEVIEW HOSPITALLONE PEAK HOSPITALMINIDOKA MEMORIAL HOSPITAL (RUPERT, IDAHO)MOUNTAIN POINT MEDICAL CENTERMOUNTAIN VIEW HOSPITALOGDEN REGIONAL HOSPITALPIONEER VALLEY HOSPITALSALT LAKE REGIONAL MEDICAL CENTERSHRINERS HOSPITALS FOR CHILDRENST. MARK'S HOSPITALTIMPANOGOS REGIONAL HOSPITALUNIVERSITY OF UTAH HOSPITALVETERANS ADMINISTRATION SALT LAKE CITY HEALTHCARE SYSTEM SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) PROVIDE HEALTHCARE SERVICES TO UNDERSERVED POPULATIONS INCLUDING, BUT NOT LIMITED TO, UNINSURED, LOW-INCOME AND HOMELESS PEOPLE WITHIN THE HEALTH SERVICES AREA. HEALTH SERVICES' COMMUNITY AND SCHOOL CLINICS FOR UNINSURED/LOW-INCOME PEOPLE ARE AS FOLLOWS: NORTH TEMPLE CLINIC, PAMELA ATKINSON LINCOLN ELEMENTARY SCHOOL CLINIC AND ROSE PARK ELEMENTARY SCHOOL CLINIC.THE CHNA IS UPDATED EVERY THREE YEARS. AT THE TIME OF PUBLICATION OF THE MOST RECENT CHNA IN 2019, 2018 STATISTICAL DATA WAS THE MOST RECENT AVAILABLE. DATA IS UPDATED ANNUALLY FOR INTERNAL REVIEW THROUGH AMERICA'S HEALTH RANKINGS. THE FOLLOWING FIGURES DESCRIBE UTAH AND IDAHO AS OF 2018: POPULATION: UT 3,161,105, ID 1,754,208 POPULATION PER SQUARE MILE: UT 33.6, ID 19.0LAND AREA IN SQUARE MILES: UT 82,169.62, ID 82,643.12 PERSONS UNDER 18: UT 29.5%, ID 25.5%PERSONS 65 YEARS AND OVER: UT 11.1%, ID 15.9%PERCENT OF PERSONS AGE 5 AND YOUNGER: UT 14.8%, ID 10.7%HIGH SCHOOL GRADUATE OR HIGHER (AGE 25 YEARS+): UT 91.8%, ID 90.2%BACHELOR'S DEGREE OR HIGHER (AGE 25+): UT 32.5%, ID 26.8%PERSONS IN POVERTY: UT 9.0%, ID 11.8%PERSONS WITHOUT HEALTH INSURANCE, UNDER 65 YEARS: UT 10.5%, ID 13.2%RACE AND HISPANIC ORIGIN INFORMATION - WHITE: UT 78.0%, ID 81.7%; HISPANIC OR LATINO: UT 14.2%, ID 12.7%; BLACK OR AFRICAN AMERICAN: UT 1.4%, ID 0.9%; AMERICAN INDIAN AND ALASKA NATIVE: UT 1.5%, ID 1.7%; ASIAN: UT 2.7%, ID 1.6%; NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER: UT 1.1%, ID 0.2%.
PART VI, LINE 5: HEALTH SERVICES PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COALITIONS AND SERVICES THAT 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 3 COMMUNITY AND SCHOOL CLINICS AND HELPS SUPPORT 59 INDEPENDENTLY OWNED COMMUNITY SAFETY NET CLINICS SERVING LOW-INCOME AND AT-RISK PEOPLE IN MEDICALLY UNDERSERVED COMMUNITIES THROUGH 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 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 HEALTH SERVICES 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 MCKAY-DEE SURGICAL CENTER, LLC, AN ORGANIZATION THAT PROVIDES SURGICAL SERVICES ON AN OUTPATIENT BASIS IN THE OGDEN, UTAH AREA.HEALTH SERVICES HAS PARTNERED WITH QUALIFIED PHYSICIANS TO INVEST IN LOGAN SURGERY CENTER, LLC, AN ORGANIZATION THAT PROVIDES SURGICAL SERVICES ON AN OUTPATIENT BASIS IN THE LOGAN, UTAH AREA.HEALTH SERVICES HAS PARTNERED WITH QUALIFIED PHYSICIANS TO INVEST IN ST. GEORGE SURGERY CENTER, LLC, AN ORGANIZATION THAT PROVIDES SURGICAL SERVICES ON AN OUTPATIENT BASIS IN THE ST. GEORGE, UTAH AREA.HEALTH SERVICES HAS PARTNERED WITH QUALIFIED PHYSICIANS TO INVEST IN NORTHPOINTE SURGICAL CENTER, LLC, AN ORGANIZATION THAT PROVIDES SURGICAL SERVICES ON AN OUTPATIENT BASIS IN THE TOOELE, UTAH AREA.SELECTHEALTH, INC.'S PURPOSE IS 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.THE HEALTHCARE CAPTIVE INSURANCE COMPANY IS ENGAGED IN UNDERWRITING CERTAIN LIABILITIES OF INTERMOUNTAIN HEALTH CARE, INC. AND CERTAIN AFFILIATES IN EXCESS OF THEIR SELF-INSURED LIMITS.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.INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC. PROMOTES HEALTHCARE BY PROVIDING LEADERSHIP, MANAGEMENT AND DIRECTION TO RELATED HEALTHCARE ENTITIES THAT MAINTAIN RISK MANAGEMENT AGREEMENTS WITH HEALTH MAINTENANCE ORGANIZATIONS AND AFFILIATED PROVIDERS AS WELL AS AGREEMENTS WITH HEALTH PLANS (INCLUDING RISK ARRANGEMENTS).HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. PROVIDES HEALTHCARE WITHIN ITS SERVICE AREA BY EMPLOYING 300 PRIMARY CARE PROVIDERS AND 1,500 SPECIALISTS.SALTZER MEDICAL, INC. IS A FAST-GROWING, DYNAMIC HEALTHCARE ORGANIZATION WITH CLINICS AND URGENT CARE LOCATIONS IN NAMPA, CALDWELL, MERIDIAN, AND BOISE, IDAHO.THE BUSINESS PURPOSE OF BVA SM GROUP, LLC IS TO OWN AND HOLD MEMBERSHIP INTERESTS IN ORDER TO COOPERATE IN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY.THE BUSINESS PURPOSE OF CLASSIC MEDICAL, INC. AND CLASSIC HELICOPTERS, INC. IS TO PROVIDE MEDICAL AIR TRANSPORTATION SERVICES TO THE COMMUNITY.
PART VI, LINE 7: HEALTH SERVICES FILES COMMUNITY BENEFIT REPORTS (OR "CHARITY CARE PLANS") WITH EACH COUNTY IN UTAH WHERE HOSPITALS ARE LOCATED, AS REQUIRED BY THE UTAH NONPROFIT HOSPITAL AND NURSING HOME PROPERTY TAX EXEMPTION STANDARDS. HEALTH SERVICES HAS ONE HOSPITAL IN IDAHO, CASSIA REGIONAL HOSPITAL. IDAHO CURRENTLY DOES NOT HAVE STATE NONPROFIT 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) 2021
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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
2021
Open to Public
Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number
94-2854057
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ALLIANCE HOUSE INC
1724 SOUTH MAIN STREET
SALT LAKE CITY,UT84115
74-2440617 501(C)(3) 6,000 0     SUPPORT COMMUNITY HEALTH
(2) AMERICAN FOUNDATION FOR SUICIDE PREVENTION
199 WATER STREET 11TH FLOOR
NEW YORK,NY10038
13-3393329 501(C)(3) 10,000 0     PROMOTE COMMUNITY HEALTH
(3) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE
DALLAS,TX75231
13-5613797 501(C)(3) 200,000 0     SUPPORT COMMUNITY HEALTH
(4) AMERICAN NATIONAL RED CROSS
431 18TH STREET NW
WASHINGTON,DC20006
53-0196605 501(C)(3) 25,000 0     SUPPORT COMMUNITY HEALTH
(5) ASSOCIATION FOR UTAH COMMUNITY HEALTH
860 EAST 4500 SOUTH SUITE 206
SALT LAKE CITY,UT84107
87-0430946 501(C)(3) 300,000 0     SUPPORT COMMUNITY HEALTH
(6) BEAR RIVER MENTAL HEALTH SERVICES INC
90 EAST 200 NORTH
LOGAN,UT84321
87-0401386 501(C)(3) 10,000 0     SUPPORT COMMUNITY HEALTH
(7) BOYS & GIRLS CLUB OF NAMPA INC
316 STAMPEDE DRIVE
NAMPA,ID83687
82-0504332 501(C)(3) 50,000 0     SUPPORT COMMUNITY HEALTH
(8) BRIDGERLAND APPLIED TECHNOLOGY COLLEGE FOUNDATION INC
1474 EAST 1140 NORTH
LOGAN,UT84341
87-0577312 501(C)(3) 50,000 0     HEALTH EDUCATION
(9) BRIGHAM YOUNG UNIVERSITY
PO BOX 45654
SALT LAKE CITY,UT84145
87-0217280 501(C)(3) 50,000 0     HEALTH EDUCATION
(10) CANYONS SCHOOL DISTRICT EDUCATION FOUNDATION
9361 SOUTH 300 EAST
SANDY,UT84070
45-2603900 501(C)(3) 7,000 0     SUPPORT COMMUNITY HEALTH
(11) CATHOLIC COMMUNITY SERVICES
745 EAST 300 SOUTH
SALT LAKE CITY,UT84102
87-0212450 501(C)(3) 6,750 0     SUPPORT COMMUNITY HEALTH
(12) CENTRAL UTAH COUNSELING CENTER
152 NORTH 400 WEST
EPHRAIM,UT84627
87-0502481 GOVT. 359,000 0     PROMOTE COMMUNITY HEALTH
(13) CENTRO HISPANO
817 SOUTH FREEDOM BOULEVARD
PROVO,UT84601
97-0676172 501(C)(3) 9,000 0     SUPPORT COMMUNITY HEALTH
(14) CHERISH FAMILIES
13504 SOUTH 7530 WEST
HERRIMAN,UT84096
38-3924073 501(C)(3) 45,000 0     SUPPORT COMMUNITY HEALTH
(15) CHRISTIAN CENTER OF PARK CITY
PO BOX 683480
PARK CITY,UT84068
87-0643778 501(C)(3) 59,500 0     SUPPORT COMMUNITY HEALTH
(16) CIVICA FOUNDATION INC
2912 WEST EXECUTIVE PARKWAY SUITE
325
LEHI,UT84043
84-4514428 501(C)(3) 10,000,000 0     SUPPORT COMMUNITY HEALTH
(17) COLLEGE OF SOUTHERN IDAHO FOUNDATION INC
PO BOX 1238
TWIN FALLS,ID83301
82-0388193 501(C)(3) 30,000 0     HEALTH EDUCATION
(18) COMAGINE HEALTH
756 WINCHESTER STREET
SALT LAKE CITY,UT84107
91-1072875 501(C)(3) 24,000 0     SUPPORT COMMUNITY HEALTH
(19) COMMUNITY HEALTH CLINICS INC
PO BOX 9
NAMPA,ID83653
82-0300537 501(C)(3) 250,000 0     SUPPORT COMMUNITY HEALTH
(20) COMMUNITY NURSING SERVICES
2830 SOUTH REDWOOD ROAD NO A
WEST VALLEY CITY,UT84119
87-0212459 501(C)(3) 9,000 0     SUPPORT CHILDREN'S HEALTH
(21) DAVIS BEHAVIORAL HEALTH INC
934 SOUTH MAIN STREET
LAYTON,UT84041
87-0430116 501(C)(3) 50,000 0     SUPPORT COMMUNITY HEALTH
(22) DAVIS CITIZENS COALITION AGAINST VIOLENCE
PO BOX 772
KAYSVILLE,UT84037
87-0516562 501(C)(3) 6,000 0     SUPPORT COMMUNITY HEALTH
(23) DIXIE STATE UNIVERSITY
225 SOUTH 700 EAST
ST GEORGE,UT84770
20-5588266 GOVT. 20,000 0     HEALTH EDUCATION
(24) DOCTORS VOLUNTEER CLINIC
1036 EAST RIVERSIDE DRIVE
ST GEORGE,UT84790
87-0645898 501(C)(3) 75,500 0     SUPPORT COMMUNITY HEALTH
(25) ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER
331 SOUTH 600 EAST
SALT LAKE CITY,UT84102
81-2983209 501(C)(3) 130,000 0     SUPPORT COMMUNITY HEALTH
(26) ENVISION UTAH
254 SOUTH 600 EAST
SALT LAKE CITY,UT84102
87-0462205 501(C)(3) 10,000 0     SUPPORT COMMUNITY HEALTH
(27) FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC
3518 WASHINGTON BOULEVARD
OGDEN,UT84403
87-0271413 501(C)(3) 75,500 0     PROMOTE COMMUNITY HEALTH
(28) FAMILY HEALTH SERVICES CORPORATION
794 EASTLAND DRIVE
TWIN FALLS,ID83301
82-0371093 501(C)(3) 159,500 0     SUPPORT COMMUNITY HEALTH
(29) FAMILY INSTITUTE OF NORTHERN UTAH
190 EAST CENTER STREET
LOGAN,UT84321
87-0576153 501(C)(3) 96,000 0     SUPPORT COMMUNITY HEALTH
(30) FOURTH STREET CLINIC
409 WEST 400 SOUTH
SALT LAKE CITY,UT84101
87-0569356 501(C)(3) 10,000 0     SUPPORT COMMUNITY HEALTH
(31) FRIENDS OF THE CHILDREN - UTAH
5361 SOUTH 4220 WEST SUITE B
KEARNS,UT84118
84-4890857 501(C)(3) 22,500 0     SUPPORT CHILDREN'S HEALTH
(32) FRIENDS OF SWITCHPOINT INC
948 NORTH 1300 WEST
ST GEORGE,UT84770
76-0740457 501(C)(3) 500,000 0     SUPPORT COMMUNITY HEALTH
(33) FRIENDS OF WASATCH MENTAL HEALTH FOUNDATION
750 NORTH FREEDOM BOULEVARD
PROVO,UT84601
45-0531249 501(C)(3) 47,000 0     SUPPORT COMMUNITY HEALTH
(34) FRIENDS OF THE WEBER MORGAN CHILDREN'S JUSTICE CENTER
2408 VAN BUREN AVENUE
OGDEN,UT84401
87-0515105 501(C)(3) 10,000 0     SUPPORT CHILDREN'S HEALTH
(35) GUADALUPE CENTER EDUCATIONAL PROGRAMS INC
1385 NORTH 1200 WEST
SALT LAKE CITY,UT84116
87-0299521 501(C)(3) 17,500 0     SUPPORT COMMUNITY HEALTH
(36) HEALTH ANCHOR NETWORK INC
1669 COLUMBIA ROAD NW APT T1
WASHINGTON,DC20009
86-2147253 501(C)(3) 400,000 0     SUPPORT COMMUNITY HEALTH
(37) HEBER CITY CORPORATION
75 NORTH MAIN STREET
HEBER CITY,UT84032
87-6000232 GOVT. 20,000 0     SUPPORT COMMUNITY HEALTH
(38) HOLY CROSS MINISTRIES OF UTAH
860 EAST 4500 SOUTH
SALT LAKE CITY,UT84107
87-0359324 501(C)(3) 37,000 0     SUPPORT COMMUNITY HEALTH
(39) HOPE4UTAH
5545 NORTH RIVER RUN DRIVE
PROVO,UT84604
90-0969731 501(C)(3) 30,000 0     PROMOTE COMMUNITY HEALTH
(40) INTERMOUNTAIN COMMUNITY CARE FOUNDATION
36 SOUTH STATE STREET SUITE 2200
SALT LAKE CITY,UT84111
94-2853320 501(C)(3) 275,000,000 0     SUPPORT COMMUNITY HEALTH
(41) INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 SOUTH STATE STREET SUITE 2200
SALT LAKE CITY,UT84111
80-0225150 501(C)(3) 6,068,023 0     SUPPORT COMMUNITY HEALTH
(42) IMPACT MENTAL HEALTH
515 EAST 4500 SOUTH
SALT LAKE CITY,UT84107
57-1241243 501(C)(3) 67,500 0     SUPPORT COMMUNITY HEALTH
(43) LATINO BEHAVIORAL HEALTH SERVICES
3471 SOUTH WEST TEMPLE
SALT LAKE CITY,UT84115
46-5038499 501(C)(3) 150,000 0     SUPPORT COMMUNITY HEALTH
(44) LATINOS IN ACTION INC
PO BOX 790
SANDY,UT84091
26-4304427 501(C)(3) 40,750 0     SUPPORT COMMUNITY HEALTH
(45) MIDTOWN COMMUNITY HEALTH CENTER INC
2240 ADAMS AVENUE
OGDEN,UT84401
87-0540039 501(C)(3) 119,300 0     SUPPORT COMMUNITY HEALTH
(46) MOAB FREE HEALTH CLINIC
380 NORTH 500 WEST
MOAB,UT84532
26-2082745 501(C)(3) 425,000 0     SUPPORT COMMUNITY HEALTH
(47) MOUNTAINLAND TECHNICAL COLLEGE
2301 W ASHTON BLVD
LEHI,UT84043
41-2126821 GOVT. 50,000 0     HEALTH EDUCATION
(48) NATIONAL ABILITY CENTER
PO BOX 682799
PARK CITY,UT84068
94-3025807 501(C)(3) 10,000 0     SUPPORT COMMUNITY HEALTH
(49) NONPROFIT LEGAL SERVICES OF UTAH
623 EAST 2100 SOUTH
SALT LAKE CITY,UT84106
47-4827863 501(C)(3) 10,000 0     PROMOTE COMMUNITY HEALTH
(50) NORTHERN NEVADA EMS CONSORTIUM
PO BOX 2288
ELKO,NV89801
81-4875093 501(C)(3) 60,000 0     SUPPORT COMMUNITY HEALTH
(51) PARK CITY AREA CHAMBER OF COMMERCE - CONVENTION AND VISITORS BUREAU INC
PO BOX 1630
PARK CITY,UT84060
87-0380257 501(C)(6) 57,000 0     SUPPORT COMMUNITY HEALTH
(52) PARK CITY COMMUNITY FOUNDATION
1918 PROSPECTOR AVENUE
PARK CITY,UT84060
30-0171971 501(C)(3) 25,000 0     PROMOTE COMMUNITY HEALTH
(53) PEOPLES HEALTH CLINIC INC
650 ROUND VALLEY DRIVE PO BOX
681558
PARK CITY,UT84068
87-0638042 501(C)(3) 91,000 0     SUPPORT COMMUNITY HEALTH
(54) POLIZZI FOUNDATION
515 EAST 4500 SOUTH
SALT LAKE CITY,UT84107
57-1241243 501(C)(3) 5,073 0     SUPPORT COMMUNITY HEALTH
(55) RED ROCK CENTER FOR INDEPENDENCE
168 NORTH 100 EAST SUITE 1
ST GEORGE,UT84770
84-1419008 501(C)(3) 15,000 0     SUPPORT COMMUNITY HEALTH
(56) RONALD MCDONALD HOUSE CHARITIES OF THE INTERMOUNTAIN AREA INC
935 EAST SOUTH TEMPLE
SALT LAKE CITY,UT84102
74-2386043 501(C)(3) 15,000 0     SUPPORT COMMUNITY HEALTH
(57) SALT LAKE COMMUNITY ACTION PROGRAM
764 SOUTH 200 WEST
SALT LAKE CITY,UT84101
87-0269683 501(C)(3) 15,000 0     SUPPORT COMMUNITY HEALTH
(58) SALT LAKE COMMUNITY COLLEGE
4600 SOUTH REDWOOD ROAD
SALT LAKE CITY,UT84123
87-6000448 501(C)(3) 65,000 0     HEALTH EDUCATION
(59) SALT LAKE COUNTY HEALTH DEPARTMENT
2001 SOUTH STATE STREET SUITE
S2-600
SALT LAKE CITY,UT84114
87-6000316 GOVT. 12,500 0     SUPPORT COMMUNITY HEALTH
(60) SALT LAKE EDUCATION FOUNDATION
440 EAST 100 SOUTH
SALT LAKE CITY,UT84111
74-2563849 501(C)(3) 20,000 0     SUPPORT COMMUNITY HEALTH
(61) SHARING PLACE INC
1695 EAST 3300 SOUTH
SALT LAKE CITY,UT84106
87-0514353 501(C)(3) 6,000 0     SUPPORT COMMUNITY HEALTH
(62) SOUTH DAVIS SEWER DISTRICT
1800 WEST 1200 NORTH
WEST BOUNTIFUL,UT84047
GOVT. 20,000 0     SUPPORT COMMUNITY HEALTH
(63) SOUTH VALLEY SANCTUARY INC
PO BOX 1028
WEST JORDAN,UT84084
87-0543219 501(C)(3) 15,000 0     SUPPORT COMMUNITY HEALTH
(64) SOUTHERN UTAH UNIVERSITY
351 WEST UNIVERSITY BOULEVARD
CEDAR CITY,UT84720
87-6000481 501(C)(3) 215,000 0     HEALTH EDUCATION
(65) SOUTHWEST TECH FOUNDATION
757 WEST 800 SOUTH
CEDAR CITY,UT84720
46-1233025 501(C)(3) 30,000 0     HEALTH EDUCATION
(66) ST ANNE'S CENTER INC
269 WEST 3300 SOUTH
OGDEN,UT84401
87-0368808 501(C)(3) 20,000 0     SUPPORT COMMUNITY HEALTH
(67) STATE OF UTAH
168 NORTH 1950 WEST 201
SALT LAKE CITY,UT84116
GOVT. 15,000 0     SUPPORT COMMUNITY HEALTH
(68) THE COMMUNITY FOUNDATION OF UTAH
2257 SOUTH 1100 EAST SUITE 205
SALT LAKE CITY,UT84106
74-3211770 501(C)(3) 2,539,500 0     SUPPORT COMMUNITY HEALTH
(69) TREEUTAH
824 SOUTH 400 WEST SUITE B121
SALT LAKE CITY,UT84101
87-0474797 501(C)(3) 170,000 0     SUPPORT COMMUNITY HEALTH
(70) UNITED WAY OF NORTHERN UTAH
2955 HARRISON BOULEVARD SUITE 201
OGDEN,UT84403
87-0224251 501(C)(3) 315,000 0     SUPPORT COMMUNITY HEALTH
(71) UNITED WAY OF CENTRAL AND SOUTHERN UTAH
148 NORTH 100 WEST
PROVO,UT84603
94-2851681 501(C)(3) 30,000 0     SUPPORT COMMUNITY HEALTH
(72) UNITED WAY OF SALT LAKE
257 EAST 200 SOUTH 300
SALT LAKE CITY,UT84111
87-0227091 501(C)(3) 175,000 0     SUPPORT COMMUNITY HEALTH
(73) UNIVERSITY OF UTAH
301 WALKER WAY
SALT LAKE CITY,UT84106
87-6000525 GOVT. 48,929 0     HEALTH EDUCATION
(74) UTAH AIDS FOUNDATION
1408 SOUTH 1100 EAST
SALT LAKE CITY,UT84105
87-0455172 501(C)(3) 55,000 0     SUPPORT COMMUNITY HEALTH
(75) UTAH CLEAN ENERGY ALLIANCE INC
1014 2ND AVENUE
SALT LAKE CITY,UT84103
37-1438788 501(C)(3) 20,000 0     SUPPORT COMMUNITY HEALTH
(76) UTAH COMMUNITY BUILDERS
201 SOUTH MAIN STREET SUITE 2300
SALT LAKE CITY,UT84111
83-1237117 501(C)(3) 10,000 0     SUPPORT COMMUNITY HEALTH
(77) UTAH DOMESTIC VIOLENCE ADVISORY COUNCIL
124 SOUTH 400 EAST SUITE 430
SALT LAKE CITY,UT84111
87-0524312 501(C)(3) 540,000 0     SUPPORT COMMUNITY HEALTH
(78) UTAH FOOD BANK
3150 SOUTH 900 WEST
SALT LAKE CITY,UT84119
87-0212453 501(C)(3) 0 46,513 COST HAND SANITIZER SUPPORT COMMUNITY HEALTH
(79) UTAH LEAGUE OF CITIES AND TOWNS
50 SOUTH 600 EAST SUITE 150
SALT LAKE CITY,UT84102
87-6000393 GOVT. 500,000 0     SUPPORT COMMUNITY HEALTH
(80) UTAH NONPROFITS ASSOCIATION
231 EAST 400 SOUTH SUITE 345
SALT LAKE CITY,UT84111
87-0481455 501(C)(3) 15,000 0     SUPPORT COMMUNITY HEALTH
(81) UTAH PRIDE CENTER INC
PO BOX 1078
SALT LAKE CITY,UT84110
87-0504077 501(C)(3) 230,000 0     SUPPORT COMMUNITY HEALTH
(82) UTAH STATE UNIVERSITY
1400 OLD MAIN HILL
LOGAN,UT84322
87-6000528 GOVT. 303,000 0     HEALTH EDUCATION
(83) UTAH STEM FOUNDATION INC
60 EAST SOUTH TEMPLE SUITE 850
SALT LAKE CITY,UT84111
81-3451795 501(C)(3) 6,750 0     SUPPORT COMMUNITY HEALTH
(84) UTAH VALLEY UNIVERSITY
800 WEST UNIVERSITY PARKWAY
OREM,UT84058
87-0280648 501(C)(3) 75,000 0     HEALTH EDUCATION
(85) VALLEY REGIONAL TRANSIT
700 NE 2ND STREET
MERIDIAN,ID83642
GOVT. 20,000 0     PROMOTE COMMUNITY HEALTH
(86) WASATCH COMMUNITY FOUNDATION
322 GATEWAY DRIVE SUITE 201
HEBER CITY,UT84032
87-0650772 501(C)(3) 20,000 0     PROMOTE COMMUNITY HEALTH
(87) WASATCH FRONT REGIONAL COUNCIL
41 NORTH RIO GRANDE STREET SUITE
103
SALT LAKE CITY,UT84101
87-0285777 GOVT. 500,000 0     SUPPORT COMMUNITY HEALTH
(88) WAYNE COMMUNITY HEALTH CENTER INC
PO BOX 303
BICKNELL,UT84715
87-0342259 501(C)(3) 45,000 0     SUPPORT COMMUNITY HEALTH
(89) WEBER STATE UNIVERSITY
3850 DIXON PARKWAY DEPARTMENT 1021
OGDEN,UT84408
87-6000535 GOVT. 325,500 0     HEALTH EDUCATION
(90) WESTMINSTER COLLEGE
1840 SOUTH 1300 EAST
SALT LAKE CITY,UT84105
87-0212470 501(C)(3) 285,000 0     HEALTH EDUCATION
(91) YOUTH FUTURES
PO BOX 160301
CLEARFIELD,UT84016
45-3245622 501(C)(3) 404,000 0     SUPPORT COMMUNITY HEALTH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
90
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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 380 57,917   CASH PHARMACY DRUG ASSISTANCE
(2) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - ABBY R. STEVENS
(3) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - LEAH M. TORGERSEN
(4) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - MCKENZIE MALISE SUDWEEKS
(5) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - HALEE MASON
(6) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - DAWSON B. REES
(7) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - PARKER LYN RAPPLEYE
(8) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - LIBBY SIMONS
(9) SCHOLARSHIP 1 1,000   CASH SCHOLARSHIP - KAMRYN LEANN PACK
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 TO ENSURE THAT THE FUNDS ARE BEING SPENT FOR THEIR INTENDED PURPOSE.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" 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
2021
Open to Public Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number

94-2854057
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1A MARC HARRISON MD
TRUSTEE / PRES / CEO
(i)

(ii)
2,073,015
-------------
0
1,848,331
-------------
0
243,000
-------------
0
3,023,455
-------------
0
42,756
-------------
0
7,230,557
-------------
0
1,537,864
-------------
0
2ALBERT R ZIMMERLI
EVP / CFO / SEC / TREAS
(i)

(ii)
1,142,332
-------------
0
831,078
-------------
0
557,079
-------------
0
878,180
-------------
0
38,861
-------------
0
3,447,530
-------------
0
685,314
-------------
0
3ROBERT W ALLEN
SENIOR VICE PRESIDENT/COO
(i)

(ii)
1,079,565
-------------
0
761,341
-------------
0
207,973
-------------
0
1,289,076
-------------
0
31,765
-------------
0
3,369,720
-------------
0
631,739
-------------
0
4MARK R BRIESACHER MD
SENIOR VICE PRESIDENT
(i)

(ii)
787,370
-------------
0
589,958
-------------
0
146,688
-------------
0
810,872
-------------
0
34,713
-------------
0
2,369,601
-------------
0
485,123
-------------
0
5KATHERINE WELKIE
VICE PRESIDENT
(i)

(ii)
574,585
-------------
0
315,279
-------------
0
740,079
-------------
0
523,422
-------------
0
18,353
-------------
0
2,171,718
-------------
0
0
-------------
0
6DAN LILJENQUIST
SENIOR VICE PRESIDENT
(i)

(ii)
796,622
-------------
0
502,833
-------------
0
140,031
-------------
0
659,806
-------------
0
32,152
-------------
0
2,131,444
-------------
0
423,634
-------------
0
7PAUL KRAKOVITZ
REGION PRESIDENT
(i)

(ii)
672,671
-------------
0
371,543
-------------
0
393,176
-------------
0
525,686
-------------
0
31,497
-------------
0
1,994,573
-------------
0
0
-------------
0
8DAVID L FLOOD
SENIOR VICE PRESIDENT
(i)

(ii)
543,890
-------------
0
406,060
-------------
0
101,817
-------------
0
606,172
-------------
0
34,179
-------------
0
1,692,118
-------------
0
334,061
-------------
0
9HEATHER BRACE
SENIOR VICE PRESIDENT
(i)

(ii)
621,416
-------------
0
369,830
-------------
0
100,977
-------------
0
522,775
-------------
0
33,152
-------------
0
1,648,150
-------------
0
309,351
-------------
0
10TIMOTHY YEATMAN MD
MEDICAL DIRECTOR (PARTIAL YEAR)
(i)

(ii)
325,005
-------------
0
285,769
-------------
0
967,754
-------------
0
10,150
-------------
0
8,297
-------------
0
1,596,975
-------------
0
0
-------------
0
11SUSAN M ROBEL
SENIOR VICE PRESIDENT
(i)

(ii)
563,966
-------------
0
330,969
-------------
0
90,478
-------------
0
543,421
-------------
0
36,865
-------------
0
1,565,699
-------------
0
260,747
-------------
0
12KEVAN MABBUTT
SENIOR VICE PRESIDENT
(i)

(ii)
517,400
-------------
0
368,766
-------------
0
93,296
-------------
0
475,063
-------------
0
33,375
-------------
0
1,487,900
-------------
0
304,366
-------------
0
13DOUGLAS J HAMMER
SVP/GENERAL COUNSEL (PARTIAL YEAR)
(i)

(ii)
231,318
-------------
0
425,522
-------------
0
769,643
-------------
0
40,319
-------------
0
16,766
-------------
0
1,483,568
-------------
0
350,798
-------------
0
14GREGORY M JOHNSON
VICE PRESIDENT
(i)

(ii)
517,934
-------------
0
274,062
-------------
0
93,728
-------------
0
526,929
-------------
0
34,841
-------------
0
1,447,494
-------------
0
230,629
-------------
0
15CASEY BACHISON MD
SURGERY/ORTHOPEDIC
(i)

(ii)
1,318,645
-------------
0
20,500
-------------
0
2,224
-------------
0
52,011
-------------
0
32,630
-------------
0
1,426,010
-------------
0
20,000
-------------
0
16MICHAEL PHILLIPS
MANAGING DIRECTOR (PARTIAL YEAR)
(i)

(ii)
493,388
-------------
0
216,400
-------------
0
582,120
-------------
0
109,256
-------------
0
42
-------------
0
1,401,206
-------------
0
0
-------------
0
17GREGORY P POULSEN
SENIOR VICE PRESIDENT
(i)

(ii)
860,894
-------------
0
0
-------------
0
9,399
-------------
0
479,374
-------------
0
32,508
-------------
0
1,382,175
-------------
0
0
-------------
0
18GREG J MATIS
SVP/GENERAL COUNSEL (PARTIAL YEAR)
(i)

(ii)
527,899
-------------
0
227,663
-------------
0
82,654
-------------
0
490,948
-------------
0
34,873
-------------
0
1,364,037
-------------
0
206,087
-------------
0
19MIKELLE MOORE
SENIOR VICE PRESIDENT
(i)

(ii)
465,069
-------------
0
334,985
-------------
0
86,964
-------------
0
424,646
-------------
0
31,784
-------------
0
1,343,448
-------------
0
277,232
-------------
0
20CLAY ASHDOWN
VICE PRESIDENT
(i)

(ii)
467,697
-------------
0
249,654
-------------
0
86,315
-------------
0
335,383
-------------
0
29,787
-------------
0
1,168,836
-------------
0
165,084
-------------
0
21RYAN SMITH
VICE PRESIDENT (PARTIAL YEAR)
(i)

(ii)
565,637
-------------
0
86,627
-------------
0
24,228
-------------
0
321,084
-------------
0
31,367
-------------
0
1,028,943
-------------
0
0
-------------
0
22JACQUELINE MILLARD
VICE PRESIDENT (PARTIAL YEAR)
(i)

(ii)
19,536
-------------
0
261,382
-------------
0
653,744
-------------
0
8,548
-------------
0
8,123
-------------
0
951,333
-------------
0
220,241
-------------
0
23STACY JENNINGS
VICE PRESIDENT (PARTIAL YEAR)
(i)

(ii)
427,211
-------------
0
85,502
-------------
0
52,667
-------------
0
251,037
-------------
0
29,632
-------------
0
846,049
-------------
0
0
-------------
0
24TODD E CRAGHEAD
FORMER OFFICER
(i)

(ii)
262,776
-------------
0
85,621
-------------
0
20,446
-------------
0
178,424
-------------
0
25,973
-------------
0
573,240
-------------
0
81,962
-------------
0
25CHARLES W SORENSON JR MD
FORMER OFFICER
(i)

(ii)
306,342
-------------
0
500
-------------
0
1,342
-------------
0
49,070
-------------
0
25,701
-------------
0
382,955
-------------
0
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 VERY LIMITED BASIS (ONLY AVAILABLE CLASS OR LESS EXPENSIVE) TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A FOR LONG INTERNATIONAL FLIGHTS AND/OR WHEN PERSONAL PHYSICAL CONDITIONS MADE COMMERCIAL TRAVEL DIFFICULT. THE ADDITIONAL COST OF THE FIRST CLASS TICKETS WAS NOT REPORTED AS TAXABLE COMPENSATION. ALSO, CHARTER TRAVEL WAS PROVIDED ON A LIMITED BASIS TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A. THE ADDITIONAL COST OF THE CHARTER TRAVEL WAS NOT REPORTED AS TAXABLE COMPENSATION. A TOTAL OF 2 INDIVIDUALS RECEIVED THESE BENEFITS. TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES ARE AVAILABLE TO ANYONE IF APPROVED BY SENIOR MANAGEMENT IN ADVANCE. 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 WERE GROSSED UP FOR TAX PURPOSES FOR CERTAIN OFFICERS AND BOARD MEMBERS. A TOTAL OF 15 INDIVIDUALS RECEIVED THIS BENEFIT. THE PAYMENTS WERE INCLUDED ON EITHER A FORM W-2 OR 1099. 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 THESE INDIVIDUALS 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 BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. 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 PAYMENTS IN 2021: - DOUGLAS J. HAMMER - $660,602 - JACQUELINE MILLARD - $561,725 - TIMOTHY YEATMAN, MD - $872,972 - MICHAEL PHILLIPS - $582,000 THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2021: - ALBERT R. ZIMMERLI - $337,817 - KATHERINE WELKIE - $634,101 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 HIRED ON OR BEFORE APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN. THIS PLAN IS CLOSED TO NEW PARTICIPANTS AND PARTICIPANT CONTRIBUTIONS. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES HIRED AFTER APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY PARTICIPATE IN THE INTERMOUNTAIN HEALTHCARE SUPPLEMENTAL ACCOUNT BALANCE BASED EXECUTIVE RETIREMENT PLAN. PARTICIPANTS ARE NOT ALLOWED TO CONTRIBUTE TO THIS PLAN, AS IT IS AN EMPLOYER FUNDED BENEFIT.
PART II, COLUMN (C): DURING 2021, A BENEFIT WAS INCLUDED IN PART II, COLUMN (C) FOR MR. ALBERT R. ZIMMERLI, AS PART OF THE FOURTH YEAR OF A FIVE-YEAR DEFERRED COMPENSATION PACKAGE. DURING 2021, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE.
Schedule J (Form 990) 2021

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number
94-2854057
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MURRAY CITY UTAH
 
87-6000254 626853CE3 11-19-2003 308,000,000 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
B MURRAY CITY UTAH
 
87-6000254 626853CJ2 10-04-2005 262,000,000 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
C UTAH COUNTY UTAH
 
87-6000312 917393AY6 08-07-2014 250,004,117 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
D 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
UTAH COUNTY UTAH
 
87-6000312 917393DF4 07-09-2020 424,149,130 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 36,220,000 118,520,000 19,175,000 17,385,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 314,823,712 273,598,644 251,035,846 67,500,234
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds ............. 1,783,571   1,031,729 1,330,496
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,561,803 1,339,946    
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 313,261,909 272,258,698 250,004,117 329,832,679
11 Other spent proceeds .............   200,000,000   67,500,234
12 Other unspent proceeds .............       93,755,586
13 Year of substantial completion ............. 2007 2007 2018 2003
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   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   X
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   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   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   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   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   X  
Part
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X     X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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        
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
FORM 990, SCH K, PART II, LINE 11, PART III, COL D & PART IV, LINE 2C COL D (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, SCHEDULE K, PART IV, LINE 3, COLUMN C (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 II, LINE 3 AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCH K, PART II, LINE 11, COLUMN B & PART IV, LINE 2C, COLUMN B (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 3, COLUMN A (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, 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, SCH K, PART IV, LINE 2C, COLUMN C (CUSIP 917393AY6) THE REBATE COMPUTATION FOR THE SERIES 2014 BONDS WAS PERFORMED ON AUGUST 19, 2019.
FORM 990, SCH K, PART IV, LINE 2C, COLUMN D (CUSIP 917393BJ8) THE REBATE COMPUTATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON MAY 28, 2019.
FORM 990, SCH K, PART IV, LINE 2C, COLUMN A (CUSIP 917393CE8) THE REBATE COMPUTATION FOR THE SERIES 2016BCDE BONDS WAS PERFORMED ON MAY 28, 2019.
FORM 990, SCH K, PART IV, LINE 3, COLUMN C (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.
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. AS OF DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE SERIES 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 III, LINES 3B AND 3D THE ORGANIZATION FOLLOWS ESTABLISHED POLICIES AND PROCEDURES TO REVIEW MANAGEMENT/SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY. BOND COUNSEL AND OTHER OUTSIDE COUNSEL ARE ENGAGED AS NEEDED FOR CERTAIN REVIEWS. ADDITIONALLY, THE ORGANIZATION CONDUCTS PERIODIC EDUCATION SESSIONS ON THESE TAX-EXEMPT BOND COMPLIANCE TOPICS TO ENSURE EXISTING POLICIES AND PROCEDURES ARE UNDERSTOOD AND BEING FOLLOWED.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


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

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
IHC HEALTH SERVICES INC
 
Employer identification number
94-2854057
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MURRAY CITY UTAH
 
87-6000254 626853CE3 11-19-2003 308,000,000 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
B MURRAY CITY UTAH
 
87-6000254 626853CJ2 10-04-2005 262,000,000 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
C UTAH COUNTY UTAH
 
87-6000312 917393AY6 08-07-2014 250,004,117 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
D 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
UTAH COUNTY UTAH
 
87-6000312 917393DF4 07-09-2020 424,149,130 BLDG CONSTRUCTION & EQUIPMENT   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 36,220,000 118,520,000 19,175,000 17,385,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 314,823,712 273,598,644 251,035,846 67,500,234
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds ............. 1,783,571   1,031,729 1,330,496
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,561,803 1,339,946    
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 313,261,909 272,258,698 250,004,117 329,832,679
11 Other spent proceeds .............   200,000,000   67,500,234
12 Other unspent proceeds .............       93,755,586
13 Year of substantial completion ............. 2007 2007 2018 2003
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   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   X
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   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   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   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   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   X  
Part
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X     X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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        
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
FORM 990, SCH K, PART II, LINE 11, PART III, COL D & PART IV, LINE 2C COL D (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, SCHEDULE K, PART IV, LINE 3, COLUMN C (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 II, LINE 3 AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD.
FORM 990, SCH K, PART II, LINE 11, COLUMN B & PART IV, LINE 2C, COLUMN B (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 3, COLUMN A (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, 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, SCH K, PART IV, LINE 2C, COLUMN C (CUSIP 917393AY6) THE REBATE COMPUTATION FOR THE SERIES 2014 BONDS WAS PERFORMED ON AUGUST 19, 2019.
FORM 990, SCH K, PART IV, LINE 2C, COLUMN D (CUSIP 917393BJ8) THE REBATE COMPUTATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON MAY 28, 2019.
FORM 990, SCH K, PART IV, LINE 2C, COLUMN A (CUSIP 917393CE8) THE REBATE COMPUTATION FOR THE SERIES 2016BCDE BONDS WAS PERFORMED ON MAY 28, 2019.
FORM 990, SCH K, PART IV, LINE 3, COLUMN C (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.
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. AS OF DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE SERIES 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 III, LINES 3B AND 3D THE ORGANIZATION FOLLOWS ESTABLISHED POLICIES AND PROCEDURES TO REVIEW MANAGEMENT/SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY. BOND COUNSEL AND OTHER OUTSIDE COUNSEL ARE ENGAGED AS NEEDED FOR CERTAIN REVIEWS. ADDITIONALLY, THE ORGANIZATION CONDUCTS PERIODIC EDUCATION SESSIONS ON THESE TAX-EXEMPT BOND COMPLIANCE TOPICS TO ENSURE EXISTING POLICIES AND PROCEDURES ARE UNDERSTOOD AND BEING FOLLOWED.
Schedule K (Form 990) 2021

Additional Data


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Software Version:  

Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) JEFFREY L ANDERSON TRUSTEE FAMILY 432,608 WAGES   No
(2) SCOTT L HAMMER OFFICER FAMILY 105,852 WAGES   No
(3) TERI J ADAMS OFFICER FAMILY 75,944 WAGES   No
(4) MATTHEW T BRACE OFFICER FAMILY 143,930 WAGES   No
(5) ELISE JOHNSON OFFICER FAMILY 37,934 WAGES   No
(6) TYLER HARGRAVES FORMER OFCR FAMILY 67,970 WAGES   No
(7) MARGARET HARRISON OFFICER FAMILY 10,134 WAGES   No
(8) EMILY MATIS OFFICER FAMILY 63,478 WAGES   No
(9) ROBERT DOUGLAS GREALLY TRUSTEE FAMILY 301,367 WAGES   No
(10) LEAVITT EQUITY PARTNERS
 
TRUSTEE CONTROLS 712,310 FEES PAID   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


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Software Version:  




SCHEDULE O
(Form 990)

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
2021
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, DESCRIPTION OF ORGANIZATION MISSION: 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. OUR VALUES INCLUDE: - 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. - EQUITY: WE ELIMINATE DISPARITIES AND CREATE OPPORTUNITIES FOR CAREGIVERS, PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE. - 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. OUR FUNDAMENTALS OF CARE INCLUDE: - SAFETY: ENSURE PATIENTS, MEMBERS, AND CAREGIVERS ARE ALWAYS SAFE. - QUALITY: DELIVER EVIDENCE-BASED CARE THAT MEETS EACH INDIVIDUAL'S HEALTH GOALS AND LEADS TO TOP PERFORMANCE. - EXPERIENCE: DELIVER THE BEST CONSUMER EXPERIENCE. - EQUITY: ELIMINATE DISPARITY AND CREATE OPPORTUNITIES FOR CAREGIVERS, PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE. - ACCESS: PROVIDE CARE AND INFORMATION WHERE, WHEN, AND HOW OUR CONSUMERS PREFER, WITH SEAMLESS COORDINATION ACROSS THE SYSTEM. - STEWARDSHIP: BE AN INDISPENSABLE COMMUNITY PARTNER, ACHIEVING THE HEALTHIEST COMMUNITIES WITH COST PER PERSON AMONG THE LOWEST IN THE NATION. BE A FINANCIALLY SOUND, FOREVER ORGANIZATION. - ENGAGED CAREGIVERS: CREATE AN UNPARALLELED CAREGIVER EXPERIENCE THAT SUPPORTS US IN DELIVERING ON THE FUNDAMENTALS OF EXTRAORDINARY CARE AND SERVICE. - GROWTH: ACHIEVE PURPOSEFUL GROWTH AND INNOVATE TO ENSURE OUR ABILITY TO BE A MODEL HEALTH SYSTEM.
FORM 990, PART III, LINE 4A (CONTINUED): 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 SERVICES 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 THE SERVICES. 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 2021, THROUGH 239,997 CASES, HEALTH SERVICES' FACILITIES AND PHYSICIANS PROVIDED MORE THAN $116 MILLION IN FINANCIAL ASSISTANCE (AT COST) TO PATIENTS UNABLE TO PAY. THIS AMOUNT DOES NOT INCLUDE ADJUSTMENTS FOR UNPAID SERVICES. ADJUSTMENTS FOR UNPAID SERVICES 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 AN ADJUSTMENT FOR UNPAID SERVICES, 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 AN ADJUSTMENT FOR UNPAID SERVICES, 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 AN ADJUSTMENT FOR UNPAID SERVICES. 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 THREE 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 59 INDEPENDENTLY OWNED COMMUNITY SAFETY NET CLINICS THAT PROVIDE PRIMARY HEALTHCARE SERVICES TO UNINSURED, LOW-INCOME AND HOMELESS POPULATIONS. HEALTH SERVICES PROVIDES COMMUNITY BENEFIT ACTIVITIES, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, INTERN AND RESIDENT TRAINING, SUBSIDIZED HEALTH SERVICES, MEDICAL RESEARCH, AND CASH AND IN-KIND COMMUNITY BENEFIT CONTRIBUTIONS. DURING 2021, THESE COMMUNITY SERVICES AND CONTRIBUTIONS TOTALED OVER $474 MILLION. SEE SCHEDULE H. THE ORGANIZATION IS STRUCTURED IN TWO PRIMARY GROUPS, WHICH REFLECTS THE TWO MOST COMMON WAYS PEOPLE ACCESS HEALTH AND CARE SERVICES. THE COMMUNITY-BASED 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-BASED 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 23 HOSPITALS WITH 2,863 LICENSED BEDS IN UTAH AND SOUTHERN IDAHO, AND THE INTERMOUNTAIN MEDICAL GROUP, WHICH EMPLOYS MORE THAN 1,074 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS THAT LEAD CAREGIVER TEAMS IN HOSPITALS AND 397 CLINIC SITES. TWENTY-ONE OF HEALTH SERVICES' HOSPITALS ARE GENERAL ACUTE CARE FACILITIES THAT 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 2021: - ACUTE ADMISSIONS - 137,388 - BIRTHS - 27,883 - INPATIENT SURGERIES - 29,446 - OUTPATIENT SURGERIES - 128,546 - EMERGENCY ROOM VISITS - 519,361 - PHYSICIAN CLINIC VISITS - 3,409,400 - HOMECARE PATIENTS SERVED - 200,857 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 PROCESS 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) ARE 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, EQUITY, EXPERIENCE, ACCESS, STEWARDSHIP, ENGAGED CAREGIVERS AND GROWTH. THE BEHAVIORAL HEALTH CLINICAL PROGRAM IS COMPRISED OF TEAMS OF PHYSICIANS, NURSES, BEHAVIORAL HEALTH THERAPISTS, ADMINISTRATORS AND OTHER CARE PROVIDERS. THESE TEAMS WORK TO PROVIDE STRATEGIC ALIGNMENT ACROSS THE BEHAVIORAL HEALTH SERVICE LINE. THE TEAMS HAVE EXPANDED MENTAL HEALTH INTEGRATION INTO MOST OF HEALTH SERVICES' PRIMARY CARE CLINICS AND HAVE DEVELOPED TELE-PSYCHIATRY AND TELE-CRISIS SERVICES ACROSS THE SYSTEM INCLUDING 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. WE HAVE IMPLEMENTED MULTIPLE "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 IMPLEMENTING A PLAN TO REDUCE SUICIDE. HEALTH SERVICES' CLINICAL INTEGRATION STRATEGY OVER THE LAST 20 YEARS HAS BEEN WELL VALIDATED BY THE SUCCESS OF THE NATIONALLY RESPECTED CARDIOVASCULAR CLINICAL PROGRAM. THE CARDIOVASCULAR CLINICAL PROGRAM WAS ESTABLISHED IN 1997 AND HAS GROWN TO BE A NATIONALLY RESPECTED 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 EVIDENCE-BASED GUIDELINES SUPPORTED BY MEANINGFUL MEASUREMENTS AND MULTIPLE REGISTRIES, THE CV PROGRAM HAS ACHIEVED EXCEPTIONAL OUTCOMES IN SUCH AREAS AS CV SURGERY, ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, CARDIAC RISK MANAGEMENT AND RHYTHM MANAGEMENT. THE TEAMS CONTINUE TO WORK CONSISTENTLY ON SAFETY AND QUALITY ACROSS THE ENTERPRISE. THE TEAMS HAVE A STRATEGIC PLAN FOCUSED ON VALUE AND QUALITY WITH A FOCUS ON THE VALUE EQUATION, AND AN EQUITY STRATEGY IN PLACE THAT EMPHASIZES BOTH CAREGIVERS AND PATIENTS. THE TEAMS ARE ALSO BUILDING INNOVATIVE CARE MODELS OF THE FUTURE. THE MEDICAL SPECIALTIES CLINICAL PROGRAM (MSCP) IS FOCUSED ON PATIENT POPULATIONS BASED ON DISEASE CONDITIONS AND TREATMENTS INCLUDING ALLERGY AND IMMUNOLOGY, ANTICOAGULATION AND THROMBOSIS, DERMATOLOGY, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEPHROLOGY (KIDNEY DISEASE), 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 HEALTH SERVICES SYSTEM, WHICH IS DONE BY IMPROVING PERFORMANCE IN ALL THE FUNDAMENTALS - SAFETY, QUALITY, EXPERIENCE, EQUITY, ACCESS, STEWARDSHIP, ENGAGED CAREGIVERS AND GROWTH. MSCP LEVERAGES THE COLLECTIVE TALENTS AND TRAINING OF HEALTH SERVICES' 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 FOCUSED ON ORTHOPEDIC SURGERY, PODIATRY AND SPORTS MEDICINE INCLUDING THE TREATMENT OF TOTAL JOINTS AND FRACTURES. THE MUSCULOSKELETAL CLINICAL PROGRAM FACILITATES A WEEKLY CONTINUING EDUCATION PROGRAM FOR EACH MUSCULOSKELETAL SUBSPECIALTY. THE TEAMS HAVE DEVELOPED AND IMPLEMENTED A SAME-DAY TOTAL JOINT REPLACEMENT WORKFLOW TO ALLOW FOR THE SAFE PERFORMANCE OF TOTAL JOINT REPLACEMENT SURGERY DURING TIMES OF HIGH COVID-19 CENSUS WHEN ELECTIVE PROCEDURES MUST HAVE A SAME-DAY DISCHARGE. CURRENTLY, THE TEAMS ARE WORKING TO IMPLEMENT A PATIENT-REPORTED OUTCOMES MEASUREMENT PROGRAM, DEVELOP A COMPREHENSIVE KNEE OSTEOARTHRITIS CARE PATHWAY, IMPLEMENT A NATIONAL TOTAL JOINT CENTER OF EXCELLENCE DESTINATION MEDICINE CONTRACT, REDUCE MEDICAL SUPPLY COSTS FOR ORTHOPEDIC PROCEDURES, AND ESTABLISH EFFECTIVE MEASURES TO DEFINE A HIGH VALUE NETWORK FOR ORTHOPEDIC SURGERY. THE NEUROSCIENCES CLINICAL PROGRAM FOCUSES ON WORKING TOGETHER WITH PATIENTS TO CONTINUALLY DEFINE EXTRAORDINARY CARE ACROSS THE CONTINUUM IN SPINE CARE, HOSPITAL NEUROLOGY, STROKE CARE, AND COMMUNITY GENERAL NEUROLOGY AND SUBSPECIALTIES INCLUDING MOVEMENT DISORDERS, DEMENTIA, HEADACHE, MULTIPLE SCLEROSIS, NEUROMUSCULAR DISORDERS, 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 HEALTH SERVICES SYSTEM AND IS EXPANDING TELEHEALTH NEUROSCIENCES OFFERINGS TO PROVIDE INPATIENT NEUROLOGY CONSULTS AND URGENT NEUROLOGY CONSULTS BEYOND TELESTROKE IN THE EMERGENCY DEPARTMENT. CURRENTLY, THE TEAMS ARE WORKING TO REDUCE STROKE MORTALITY, DEFINE AND DEVELOP A HIGH VALUE SPINE SURGEON NETWORK, REDUCE SURGICAL SUPPLY COSTS FOR SPINE SURGERY PROCEDURES, REDUCE MEDICAL EXPENSE IN HIGH COST MEDICATIONS FOR MULTIPLE SCLEROSIS, AND REDUCE INEQUITY IN STROKE CARE BY ADDRESSING CARE GAPS RELATED TO LANGUAGE AND HEALTH LITERACY.
FORM 990, PART III, LINE 4A (CONTINUED): 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 OF 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 ALSO 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" CHILDREN'S HEALTH 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 SURGICAL SPECIALTIES AND DIGESTIVE HEALTH CLINICAL PROGRAM WAS ESTABLISHED IN 2004. THE TEAM ANALYZES, DEVELOPS, AND IMPLEMENTS THE BEST SURGICAL CARE BASED ON EVIDENCE. THE TEAM HAS BEEN SUCCESSFUL IN ENGAGING SURGEONS ACROSS HEALTH SERVICES IN WORK THAT HAS IMPROVED PATIENT OUTCOMES AND REDUCED HEALTHCARE COSTS. THE SURGICAL SPECIALTIES AND DIGESTIVE HEALTH CLINICAL PROGRAM INCLUDES 11 SUB-SPECIALTIES: BARIATRICS, BREAST, DIGESTIVE HEALTH, GENERAL SURGERY, HEAD & NECK, ONCOLOGY, OPHTHALMOLOGY, PLASTICS, ROBOTICS, SOLID ORGAN TRANSPLANT SERVICES, AND UROLOGY. CURRENTLY, THE TEAMS ARE WORKING ON EVALUATING QUALITY AND COST METRICS TO TRANSITION PROCEDURES TO THE LOWEST COST SETTINGS; DETERMINE PHYSICIAN AND FACILITY VOLUME STANDARDS TO DRIVE OPTIMAL VALUE; UNDERSTAND AND DETERMINE TACTICS TO OPTIMIZE HIGH-VOLUME, ESTABLISH HIGH VALUE NETWORK FOR MEDICAL GROUP AND AFFILIATED PHYSICIANS; MOVE APPROPRIATE CASE TYPES TO ASC'S AS THEY ARE COMPLETED; APPROPRIATELY REDUCE ACUTE OPIOID PRESCRIBING; PARTNER WITH PRIMARY CARE ON PREOPERATIVE SCREENING STANDARDS; AND ALIGN WITH PARTNERS TO CREATE SEAMLESS, STANDARDIZED DISEASE-BASED PATIENT JOURNEYS THAT DELIVER VALUE-BASED CARE WHEN AND WHERE APPROPRIATE. THE WOMEN'S HEALTH CLINICAL PROGRAM FOCUSES ATTENTION ON WOMEN'S HEALTHCARE INCLUDING CARE RELATED TO GYNECOLOGY, PREGNANCY (INCLUDING HIGH-RISK PREGNANCY), CHILDBIRTH AND THE PATIENT CARE JOURNEY FROM ADOLESCENCE THROUGH THE GERIATRIC YEARS. GUIDELINES ADOPTED FROM NATIONAL SPECIALTY SOCIETIES AND PEER REVIEW STUDIES HAVE BEEN USED TO ESTABLISH BEST PRACTICE MODELS AND DRIVE CONSISTENCY IN ANTEPARTUM, INTRAPARTUM AND POSTPARTUM CARE. IN 2021, SPECIFIC PROVIDER AND HOSPITAL BENCHMARKING, INCLUDING VIZIENT, US NEWS AND WORLD REPORT, AND INTERMOUNTAIN HIGH VALUE NETWORK, HAVE BEEN A FOCUS FOR IMPROVEMENT. DURING 2021, A FETAL HEART MONITORING CATEGORY ACTION PLAN FOR THE CATEGORY II TRACING WAS PUT IN PLACE TO LEAD TO BETTER HEALTH OUTCOMES FOR NEONATES. CURRENTLY, THE TEAMS ARE WORKING TO DEVELOP AND IMPLEMENT A HIGHLY RELIABLE AND A SAFER WOMEN'S DELIVERY CARE MODEL, EARLY IDENTIFICATION AND TREATMENT FOR POSTPARTUM DEPRESSION, METHODS TO DECREASE LENGTH OF STAY FOR MINIMALLY INVASIVE HYSTERECTOMIES AND IMPROVE PATIENT SELECTION FOR ELECTIVE HYSTERECTOMY PROCEDURES.
FORM 990, PART VI, SECTION A, LINE 1A HEALTH SERVICES 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 / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF EMPIRIC HEALTH, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) ROBERT W. ALLEN / S. NEAL BERUBE / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) ROBERT W. ALLEN / DAN LILJENQUIST / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF SALTZER MEDICAL GROUP, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) CLAY ASHDOWN / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEE AND/OR OFFICER OF NAVICAN GENOMICS, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) ROBERT W. ALLEN / DAN LILJENQUIST / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF BVA SM GROUP, LLC, A PARTNERSHIP SUBSIDIARY OF THE FILING ORGANIZATION) A. SCOTT ANDERSON / GAIL MILLER / F. ANN MILLNER / CRYSTAL MAGGELET / JANICE UGAKI - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAXABLE CORPORATION) A. SCOTT ANDERSON / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEES IN AN UNRELATED TAXABLE CORPORATION) KAREN W. FAIRBANKS / F. ANN MILLNER - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX-EXEMPT ORGANIZATION) SPENCER F. ECCLES / DOUGLAS J. HAMMER / CRYSTAL MAGGELET - BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE IN AN UNRELATED TAX-EXEMPT ORGANIZATION) MICHAEL O. LEAVITT / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEE/OWNER IN AN UNRELATED PRIVATE EQUITY FUND) MIKELLE MOORE / ALBERT R. ZIMMERLI - BUSINESS RELATIONSHIP (TRUSTEES OF ALLUCEO, INC., A TAXABLE SUBSIDIARY OF THE FILING 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 NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENT / CFO - SENIOR VICE PRESIDENTS - CERTAIN 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 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 EACH OFFICER 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 415,588,988. ADJUSTMENT FOR NET INCOME OF AFFILIATES -97,465,284. OTHER MISCELLANEOUS FUND BALANCE ADJUSTMENTS 755,219.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
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 3,552,928 8,980,632 IHC HEALTH SERVICES INC
 
(2) IHC UTAH VALLEY LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
94-2854057
MEDICAL OFFICES UT 0 0 IHC HEALTH SERVICES INC
 
(3) INTERMOUNTAIN INTELLECTUAL ASSET MANAGEMENT LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
94-2854057
IP MANAGEMENT UT 523,024 20,170 IHC HEALTH SERVICES INC
 
(4) 5300 SOUTH CENTER LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
20-5581911
OFFICE RENTAL UT 543,164 10,934,914 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
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
47-2067137
INNOVATION UT 85,814,549 163,513,370 IHC HEALTH SERVICES INC
 
(7) INTERMOUNTAIN ALTA VIEW LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
94-2854057
OFFICE RENTAL UT 0 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 256,973 6,216,184 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) CASTELL ACCOUNTABLE CARE LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
82-2226534
MEDICARE ACO UT 4,290,700 0 CASTELL LLC
 
(11) CASTELL LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
84-2218160
POPULATION HEALTH MANAGEMENT UT 23,831,881 9,367,831 IHC HEALTH SERVICES INC
 
(12) CULMINATION BIO LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
82-3542894
BIOREPOSITORY DE 11,293,431 15,706,180 INTERMOUNTAIN VENTURES LLC
 
(13) PARK CITY SURGERY CENTER LLC
900 ROUND VALLEY DRIVE
PARK CITY,UT84060
84-4898736
OUTPATIENT SURGERY UT 0 0 IHC HEALTH SERVICES INC
 
(14) CASTELL DIRECT LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
86-2339199
POPULATION HEALTH MANAGEMENT UT 12,983,338 9,367,831 CASTELL LLC
 
(15) PARK CITY SURGICAL CENTER REAL ESTATE LLC
900 ROUND VALLEY DRIVE
PARK CITY,UT84060
86-2568233
OUTPATIENT SURGERY UT 0 0 IHC HEALTH SERVICES INC
 
(16) CLASSIC AVIATION HOLDINGS LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1603162
HOLDING COMPANY UT 0 229,111,289 IHC HEALTH SERVICES INC
 
(17) TELLICA IMAGING LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
86-3165381
IMAGING UT 24,100 3,097,365 IHC HEALTH SERVICES INC
 
(18) MURRAY SURGERY CENTER LLC
5848 SOUTH FASHION BOULEVARD
MURRAY,UT84107
87-3940183
OUTPATIENT SURGERY UT 0 0 IHC HEALTH SERVICES INC
 
(19) PROVO SURGERY CENTER LLC
1157 NORTH 300 WEST
PROVO,UT84604
87-3623664
OUTPATIENT SURGERY UT 0 0 IHC HEALTH SERVICES INC
 
(20) SARATOGA SPRINGS SURGERY CENTER LLC
36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
87-3875864
OUTPATIENT SURGERY UT 0 0 IHC HEALTH SERVICES INC
 
(21) CLASSIC AIR CARE LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1633333
AIR MEDICAL TRANSPORT DE 42,199,570 38,256,721 CLASSIC AVIATION HOLDINGS LLC
 
(22) CLASSIC HELICOPTER GROUP LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1676243
AVIATION CONTRACT HOLDING COMPANY UT 944,710 566,144 CLASSIC AVIATION HOLDINGS LLC
 
(23) CLASSIC CHARTER LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1633192
VEHICLE HOLDING COMPANY DE 0 474,246 CLASSIC AVIATION HOLDINGS LLC
 
(24) CLASSIC SERVICE CENTER LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1688188
AIR MEDICAL HELICOPTER MAINTENANCE DE 1,075,608 3,734,601 CLASSIC AVIATION HOLDINGS LLC
 
(25) MEDX AIRONE CLASSIC LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
85-1137448
AIR MEDICAL TRANSPORT DE 12,857,711 9,644,030 CLASSIC AVIATION HOLDINGS LLC
 
(26) CLASSIC AVIATION SERVICES LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1676179
AVIATION CONTRACT HOLDING COMPANY UT 1,591,699 217,160 CLASSIC AVIATION HOLDINGS LLC
 
(27) CLASSIC NA LLC
1010 NORTH 500 EAST SUITE 200
NORTH SALT LAKE,UT84054
46-1687717
AIRCRAFT HOLDING COMPANY DE 0 25,400,935 CLASSIC AVIATION HOLDINGS LLC
 
(28) SALTZER GASTROENTEROLOGY CENTER LLC
875 S VANGUARD WAY SUITE 300
MERIDIAN,ID83642
86-3650359
GASTROENTEROLOGY ID 366,876 4,925,206 IHC HEALTH SERVICES INC
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)INTERMOUNTAIN HEALTH CARE INC
36 SOUTH STATE SUITE 2200

SALT LAKE CITY,UT84111
87-0269232
HOLDING COMPANY UT 501(C)(3) LINE 12B, II N/A
 
No
(2)INTERMOUNTAIN COMMUNITY CARE FOUNDATION 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) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


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

3895 HARRISON BLVD STE 200
OGDEN,UT84403
26-0286308
OUTPATIENT SURGERY UT IHC HEALTH SERVICES INC
 
RELATED 6,649,481 14,876,669   No   Yes   70.200 %
(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 20,538,187 104,244,282   No     No 60.120 %
(4) INNOVATION FUND HOLDINGS COMPANY LLC

1000 W FULTON STREET STE 213
CHICAGO,IL60607
47-1525723
INNOVATION DE N/A
N/A       No     No  
(5) HEALTHBOX SALT LAKE CITY I LLC

33 WEST MONROE STREET STE 1700
CHICAGO,IL60603
46-5338772
INNOVATION DE IHC HEALTH SERVICES INC
 
EXCLUDED   559,896   No     No 78.040 %
(6) HOMESPIRE LLC

36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
82-3121436
HOMECARE ASSISTANCE UT IHC HEALTH SERVICES INC
 
UNRELATED 1,841,965 85,175   No   Yes    
(7) INTERMOUNTAIN VENTURES FUND LLC

36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
84-4037085
INVESTMENTS DE IHC HEALTH SERVICES INC
 
EXCLUDED 36,951,204 86,773,981   No   Yes   92.010 %
(8) PELION OPPORTUNITY FUND III LLC

2750 E COTTONWOOD PARKWAY STE 600
SALT LAKE CITY,UT84121
84-2757193
INVESTMENTS DE IHC HEALTH SERVICES INC
 
EXCLUDED   5,002,424   No     No 100.000 %
(9) AACP KOREA BUYOUT INVESTORS II LP

ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO,CA94111
82-4971663
INVESTMENTS CJ IHC HEALTH SERVICES INC
 
EXCLUDED 20,853 535,428   No     No 99.010 %
(10) AACP SPECIAL SITUATIONS II LP

ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO,CA94111
83-2883726
INVESTMENTS CJ IHC HEALTH SERVICES INC
 
EXCLUDED 10,819 1,033,697   No     No 99.500 %
(11) BVA SM GROUP LLC

PO BOX 51298
IDAHO FALLS,ID83405
83-4516988
HOLDING COMPANY ID IHC HEALTH SERVICES INC
 
EXCLUDED   4,840,000   No   Yes   95.000 %
(12) AACP KOREA BUYOUT INVESTORS IV LP

ONE EMBARCADERO 16TH FLOOR
SAN FRANCISCO,CA94111
98-1549044
INVESTMENTS CJ IHC HEALTH SERVICES INC
 
EXCLUDED -9 4,983,421   No     No 99.800 %
(13) LOGAN SURGERY CENTER LLC

1300 NORTH 500 EAST
LOGAN,UT84341
86-1965725
OUTPATIENT SURGERY UT IHC HEALTH SERVICES INC
 
RELATED -921,713 3,908,604   No   Yes   71.300 %
(14) ST GEORGE SURGERY CENTER LLC

652 SOUTH MEDICAL CENTER DRIVE
ST GEORGE,UT84790
85-3880188
OUTPATIENT SURGERY UT IHC HEALTH SERVICES INC
 
RELATED -82,964     No   Yes   99.200 %
(15) SALTZER ASC TEN MILE LLC

875 S VANGUARD WAY STE 120
MERIDIAN,ID83642
84-5119941
OUTPATIENT SURGERY ID N/A
N/A       No     No  
(16) NORTHPOINTE SURGICAL CENTER LLC

2326 NORTH 400 EAST STE 100
TOOELE,UT84074
46-1487986
OUTPATIENT SURGERY UT IHC HEALTH SERVICES INC
 
RELATED -235,590 2,881,125   No     No 95.070 %
(17) HW AE CO-INVESTMENT PARTNERS LP

2500 N MILITARY TRAIL 470
BOCA RATON,FL33431
87-3405511
INVESTMENTS DE IHC HEALTH SERVICES INC
 
EXCLUDED   4,967,057   No     No 58.820 %
(18) PERFORMANCE EQUITY GROWTH OPPORTUNITIES

5 GREENWICH OFFICE PARK THIRD FLOOR
GREENWICH,CT06831
85-3942801
INVESTMENTS DE IHC HEALTH SERVICES INC
 
EXCLUDED 95 16,581,938   No     No 67.010 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SELECTHEALTH BENEFIT ASSURANCE COMPANY 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 87,262   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 13,968,047   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     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 3,150,659     Yes  
(7) ALLUCEO INC

36 SOUTH STATE SUITE 2200
SALT LAKE CITY,UT84111
82-4614934
MENTAL HEALTH INTEGRATION SVCS DE IHC HEALTH SERVICES INC
 
C 577,129 604,310 100.000 % Yes  
(8) INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC

6355 SOUTH BUFFALO
LAS VEGAS,NV89113
20-0160881
HOLDING COMPANY DE IHC HEALTH SERVICES INC
 
C 3,002,448   100.000 % Yes  
(9) HEALTHCARE PARTNERS MEDICAL GROUP (COATS) LTD

6355 SOUTH BUFFALO
LAS VEGAS,NV89113
88-0213519
HEALTHCARE NV N/A
C       Yes  
(10) SALTZER MEDICAL GROUP INC

215 EAST HAWAII AVENUE
NAMPA,ID83686
82-0299231
MEDICAL SERVICES ID IHC HEALTH SERVICES INC
 
C 28,940,661 80,453,421 100.000 % Yes  
(11) CLASSIC MEDICAL INC

1021 SOUTH DOUGLAS STREET
SALT LAKE CITY,UT84105
46-1141912
AIRCRAFT HOLDING COMPANY UT IHC HEALTH SERVICES INC
 
C   4,465,000 100.000 % Yes  
(12) CLASSIC HELICOPTERS INC

1021 SOUTH DOUGLAS STREET
SALT LAKE CITY,UT84105
46-1153642
AIRCRAFT HOLDING COMPANY UT IHC HEALTH SERVICES INC
 
C   2,992,500 100.000 % Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
Yes
 
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) MCKAY DEE SURGICAL CENTER LLC

A 890,348 CONTRACT
(2) MCKAY DEE SURGICAL CENTER LLC

J 890,348 CONTRACT
(3) MCKAY DEE SURGICAL CENTER LLC

L 1,221,400 CONTRACT
(4) MCKAY DEE SURGICAL CENTER LLC

Q 5,121,241 CONTRACT
(5) SELECTHEALTH INC

A 2,234,896 CONTRACT
(6) SELECTHEALTH INC

J 2,234,896 CONTRACT
(7) SELECTHEALTH INC

L 1,626,174,487 CONTRACT
(8) SELECTHEALTH INC

M 18,235,944 CONTRACT
(9) SELECTHEALTH INC

P 3,459,561 COST
(10) SELECTHEALTH INC

Q 186,788,761 CONTRACT
(11) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

B 6,068,023 COST
(12) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

C 37,130,339 COST
(13) INTERMOUNTAIN HEALTHCARE FOUNDATION INC

Q 1,021,139 COST
(14) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC

B 275,000,000 COST
(15) INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC

C 1,101,000 COST
(16) ALLUCEO INC

S 381,129 PROPERTY
(17) EMPIRIC HEALTH INC

A 153,973 CONTRACT
(18) EMPIRIC HEALTH INC

D 1,000,000 NOTE
(19) HEALTHCARE CAPTIVE INSURANCE COMPANY

M 4,674,176 CONTRACT
(20) HOMESPIRE LLC

A 110,416 CONTRACT
(21) INTERMOUNTAIN HEALTH CARE INC

Q 83,498 COST
(22) MCKAY DEE SURGICAL CENTER LLC

C 5,988,867 CASH
(23) MCKAY DEE SURGICAL CENTER LLC

B 160,691 CASH
(24) LOGAN SURGERY CENTER LLC

B 4,626,251 CASH
(25) NORTHPOINTE SURGICAL CENTER LLC

B 2,971,396 CASH
(26) HW AE CO-INVESTMENT PARTNERS LP

B 5,000,000 CASH
(27) INNOVATION FUND HOLDINGS COMPANY LLC

C 17,844 CASH
(28) INNOVATION FUND HOLDINGS COMPANY LLC

B 499,993 CASH
(29) INTERMOUNTAIN VENTURES FUND LLC

C 66,594,084 CASH
(30) INTERMOUNTAIN VENTURES FUND LLC

B 37,579,462 CASH
(31) AACP KOREA BUYOUT INVESTORS II LP

B 499,145 CASH
(32) AACP KOREA BUYOUT INVESTORS II LP

C 169,857 CASH
(33) PELION OPPORTUNITY FUND III LLC

B 87,183 CASH
(34) AACP SPECIAL SITUATIONS II LP

B 1,128,066 CASH
(35) PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP

B 17,037,528 CASH
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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