4A (Expenses $ 6357199883 including grants of $ 303927401) (Revenue $ 7721589201)
"IHC HEALTH SERVICES, INC. (""HEALTH SERVICES"") PROVIDED HIGH QUALITY HEALTHCARE THROUGH ITS SYSTEM OF 23 HOSPITALS (2,863 LICENSED BEDS) AND 397 CLINICS. IN ADDITION TO THE 137,388 INPATIENT ADMISSIONS, 519,361 EMERGENCY ROOM VISITS AND 3.4 MILLION CLINIC VISITS, HEALTH SERVICES PROVIDED MORE THAN $115 MILLION IN CHARITY CARE (AT COST) THROUGH MORE THAN 240,000 CASES. FOR A MORE DETAILED EXPLANATION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2021, SEE SCHEDULE O."

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.

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 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.

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 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 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 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."