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TIN: 94-2854057
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
IHC HEALTH SERVICES INC
Employer identification number
94-2854057
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
Yes
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
Yes
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
Yes
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021
Schedule J (Form 990) 2021
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
A MARC HARRISON MD
TRUSTEE / PRES / CEO
(i)
(ii)
2,073,015
-------------
0
1,848,331
-------------
0
243,000
-------------
0
3,023,455
-------------
0
42,756
-------------
0
7,230,557
-------------
0
1,537,864
-------------
0
2
ALBERT R ZIMMERLI
EVP / CFO / SEC / TREAS
(i)
(ii)
1,142,332
-------------
0
831,078
-------------
0
557,079
-------------
0
878,180
-------------
0
38,861
-------------
0
3,447,530
-------------
0
685,314
-------------
0
3
ROBERT W ALLEN
SENIOR VICE PRESIDENT/COO
(i)
(ii)
1,079,565
-------------
0
761,341
-------------
0
207,973
-------------
0
1,289,076
-------------
0
31,765
-------------
0
3,369,720
-------------
0
631,739
-------------
0
4
MARK R BRIESACHER MD
SENIOR VICE PRESIDENT
(i)
(ii)
787,370
-------------
0
589,958
-------------
0
146,688
-------------
0
810,872
-------------
0
34,713
-------------
0
2,369,601
-------------
0
485,123
-------------
0
5
KATHERINE WELKIE
VICE PRESIDENT
(i)
(ii)
574,585
-------------
0
315,279
-------------
0
740,079
-------------
0
523,422
-------------
0
18,353
-------------
0
2,171,718
-------------
0
0
-------------
0
6
DAN LILJENQUIST
SENIOR VICE PRESIDENT
(i)
(ii)
796,622
-------------
0
502,833
-------------
0
140,031
-------------
0
659,806
-------------
0
32,152
-------------
0
2,131,444
-------------
0
423,634
-------------
0
7
PAUL KRAKOVITZ
REGION PRESIDENT
(i)
(ii)
672,671
-------------
0
371,543
-------------
0
393,176
-------------
0
525,686
-------------
0
31,497
-------------
0
1,994,573
-------------
0
0
-------------
0
8
DAVID L FLOOD
SENIOR VICE PRESIDENT
(i)
(ii)
543,890
-------------
0
406,060
-------------
0
101,817
-------------
0
606,172
-------------
0
34,179
-------------
0
1,692,118
-------------
0
334,061
-------------
0
9
HEATHER BRACE
SENIOR VICE PRESIDENT
(i)
(ii)
621,416
-------------
0
369,830
-------------
0
100,977
-------------
0
522,775
-------------
0
33,152
-------------
0
1,648,150
-------------
0
309,351
-------------
0
10
TIMOTHY YEATMAN MD
MEDICAL DIRECTOR (PARTIAL YEAR)
(i)
(ii)
325,005
-------------
0
285,769
-------------
0
967,754
-------------
0
10,150
-------------
0
8,297
-------------
0
1,596,975
-------------
0
0
-------------
0
11
SUSAN M ROBEL
SENIOR VICE PRESIDENT
(i)
(ii)
563,966
-------------
0
330,969
-------------
0
90,478
-------------
0
543,421
-------------
0
36,865
-------------
0
1,565,699
-------------
0
260,747
-------------
0
12
KEVAN MABBUTT
SENIOR VICE PRESIDENT
(i)
(ii)
517,400
-------------
0
368,766
-------------
0
93,296
-------------
0
475,063
-------------
0
33,375
-------------
0
1,487,900
-------------
0
304,366
-------------
0
13
DOUGLAS J HAMMER
SVP/GENERAL COUNSEL (PARTIAL YEAR)
(i)
(ii)
231,318
-------------
0
425,522
-------------
0
769,643
-------------
0
40,319
-------------
0
16,766
-------------
0
1,483,568
-------------
0
350,798
-------------
0
14
GREGORY M JOHNSON
VICE PRESIDENT
(i)
(ii)
517,934
-------------
0
274,062
-------------
0
93,728
-------------
0
526,929
-------------
0
34,841
-------------
0
1,447,494
-------------
0
230,629
-------------
0
15
CASEY BACHISON MD
SURGERY/ORTHOPEDIC
(i)
(ii)
1,318,645
-------------
0
20,500
-------------
0
2,224
-------------
0
52,011
-------------
0
32,630
-------------
0
1,426,010
-------------
0
20,000
-------------
0
16
MICHAEL PHILLIPS
MANAGING DIRECTOR (PARTIAL YEAR)
(i)
(ii)
493,388
-------------
0
216,400
-------------
0
582,120
-------------
0
109,256
-------------
0
42
-------------
0
1,401,206
-------------
0
0
-------------
0
17
GREGORY P POULSEN
SENIOR VICE PRESIDENT
(i)
(ii)
860,894
-------------
0
0
-------------
0
9,399
-------------
0
479,374
-------------
0
32,508
-------------
0
1,382,175
-------------
0
0
-------------
0
18
GREG J MATIS
SVP/GENERAL COUNSEL (PARTIAL YEAR)
(i)
(ii)
527,899
-------------
0
227,663
-------------
0
82,654
-------------
0
490,948
-------------
0
34,873
-------------
0
1,364,037
-------------
0
206,087
-------------
0
19
MIKELLE MOORE
SENIOR VICE PRESIDENT
(i)
(ii)
465,069
-------------
0
334,985
-------------
0
86,964
-------------
0
424,646
-------------
0
31,784
-------------
0
1,343,448
-------------
0
277,232
-------------
0
20
CLAY ASHDOWN
VICE PRESIDENT
(i)
(ii)
467,697
-------------
0
249,654
-------------
0
86,315
-------------
0
335,383
-------------
0
29,787
-------------
0
1,168,836
-------------
0
165,084
-------------
0
21
RYAN SMITH
VICE PRESIDENT (PARTIAL YEAR)
(i)
(ii)
565,637
-------------
0
86,627
-------------
0
24,228
-------------
0
321,084
-------------
0
31,367
-------------
0
1,028,943
-------------
0
0
-------------
0
22
JACQUELINE MILLARD
VICE PRESIDENT (PARTIAL YEAR)
(i)
(ii)
19,536
-------------
0
261,382
-------------
0
653,744
-------------
0
8,548
-------------
0
8,123
-------------
0
951,333
-------------
0
220,241
-------------
0
23
STACY JENNINGS
VICE PRESIDENT (PARTIAL YEAR)
(i)
(ii)
427,211
-------------
0
85,502
-------------
0
52,667
-------------
0
251,037
-------------
0
29,632
-------------
0
846,049
-------------
0
0
-------------
0
24
TODD E CRAGHEAD
FORMER OFFICER
(i)
(ii)
262,776
-------------
0
85,621
-------------
0
20,446
-------------
0
178,424
-------------
0
25,973
-------------
0
573,240
-------------
0
81,962
-------------
0
25
CHARLES W SORENSON JR MD
FORMER OFFICER
(i)
(ii)
306,342
-------------
0
500
-------------
0
1,342
-------------
0
49,070
-------------
0
25,701
-------------
0
382,955
-------------
0
0
-------------
0
Schedule J (Form 990) 2021
Schedule J (Form 990) 2021
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
PART I, LINE 1A
FIRST-CLASS OR CHARTER TRAVEL - IN ACCORDANCE WITH COMPANY POLICY, FIRST CLASS TRAVEL WAS PROVIDED ON A VERY LIMITED BASIS (ONLY AVAILABLE CLASS OR LESS EXPENSIVE) TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A FOR LONG INTERNATIONAL FLIGHTS AND/OR WHEN PERSONAL PHYSICAL CONDITIONS MADE COMMERCIAL TRAVEL DIFFICULT. THE ADDITIONAL COST OF THE FIRST CLASS TICKETS WAS NOT REPORTED AS TAXABLE COMPENSATION. ALSO, CHARTER TRAVEL WAS PROVIDED ON A LIMITED BASIS TO INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A. THE ADDITIONAL COST OF THE CHARTER TRAVEL WAS NOT REPORTED AS TAXABLE COMPENSATION. A TOTAL OF 2 INDIVIDUALS RECEIVED THESE BENEFITS. TRAVEL FOR COMPANIONS - PURSUANT TO COMPANY POLICY, COMPANION TRAVEL EXPENSES ARE AVAILABLE TO ANYONE IF APPROVED BY SENIOR MANAGEMENT IN ADVANCE. IF APPROVED, THE REIMBURSED EXPENSES ARE REPORTED AS TAXABLE TO THE EMPLOYEE ON A FORM W-2 OR 1099. TAX GROSS-UP PAYMENTS - PURSUANT TO COMPANY POLICY, A LIMITED NUMBER OF BENEFITS AND PERQUISITES WERE GROSSED UP FOR TAX PURPOSES FOR CERTAIN OFFICERS AND BOARD MEMBERS. A TOTAL OF 15 INDIVIDUALS RECEIVED THIS BENEFIT. THE PAYMENTS WERE INCLUDED ON EITHER A FORM W-2 OR 1099. HEALTH CLUB DUES - THE FILING ORGANIZATION PAID A PORTION OF THE MONTHLY FEE FOR EMPLOYEES OF ITS CENTRAL OFFICE WHO SIGN UP AT A LOCAL HEALTH CLUB. THIS PROGRAM WAS AVAILABLE TO ALL CENTRAL OFFICE EMPLOYEES. THE EXPENSES WERE NOT REPORTED AS TAXABLE TO THESE INDIVIDUALS ON FORM W-2.
PART I, LINE 3
HEALTH SERVICES IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. HEALTH SERVICES' POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE COMPENSATION COMMITTEE OF THE BOARD RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID.
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN 2021: - DOUGLAS J. HAMMER - $660,602 - JACQUELINE MILLARD - $561,725 - TIMOTHY YEATMAN, MD - $872,972 - MICHAEL PHILLIPS - $582,000 THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2021: - ALBERT R. ZIMMERLI - $337,817 - KATHERINE WELKIE - $634,101 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES HIRED ON OR BEFORE APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY ALSO PARTICIPATE IN THE FILING ORGANIZATION'S 457(F) PLAN. THIS PLAN IS CLOSED TO NEW PARTICIPANTS AND PARTICIPANT CONTRIBUTIONS. PHYSICIANS AND CERTAIN MANAGEMENT LEVEL EMPLOYEES HIRED AFTER APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY PARTICIPATE IN THE INTERMOUNTAIN HEALTHCARE SUPPLEMENTAL ACCOUNT BALANCE BASED EXECUTIVE RETIREMENT PLAN. PARTICIPANTS ARE NOT ALLOWED TO CONTRIBUTE TO THIS PLAN, AS IT IS AN EMPLOYER FUNDED BENEFIT.
PART II, COLUMN (C):
DURING 2021, A BENEFIT WAS INCLUDED IN PART II, COLUMN (C) FOR MR. ALBERT R. ZIMMERLI, AS PART OF THE FOURTH YEAR OF A FIVE-YEAR DEFERRED COMPENSATION PACKAGE. DURING 2021, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE.
Schedule J (Form 990) 2021
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