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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research 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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