2023-11-02T14:20:31-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2022-01-01 870269232 INTERMOUNTAIN HEALTH CARE INC INTE 8014422000 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 ENTERPRISE CFO ENTERPRISE CFO 8014423491 2023-11-02 0 ENTERPRISE CFO 999009999 0 LAUREN E BENNETT P01787029 2154485000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LYDIA JUMONVILLE 36 S STATE STE 2200 SLC UT 84111 1451472 0 X WWW.INTERMOUNTAINHEALTHCARE.ORG X 1975 UT HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. SEE SCHEDULE O. 18 13 0 20 0 0 0 0 0 0 4775338 1175654 0 0 4775338 1175654 0 0 0 0 0 0 0 0 0 112819 16664 112819 16664 4662519 1158990 81409321 5341857464 1223574 4592441017 80185747 749416447 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. SEE SCHEDULE O. 0 0 0 0 0 ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE COMBINED HEALTH SYSTEM EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.(SEE SCHEDULE O FOR CONTINUATION) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 7725 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 13 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 S STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 A MARC HARRISON MD TRUSTEE/PRES/CEO (PARTIAL) 3.00 58.00 X X 0 4755465 1867286 ROBERT W ALLEN TRUSTEE/PRES/CEO/COO/SVP (PARTIAL) 3.00 63.00 X X 0 2553920 2283384 LYDIA JUMONVILLE TRUSTEE/PRESIDENT/CEO (PARTIAL) 3.00 53.00 X X 0 3193207 695330 DANIEL G GOMEZ TRUSTEE 1.00 8.00 X 0 1933 0 JANICE UGAKI TRUSTEE 1.00 2.00 X 0 1639 0 GAIL MILLER TRUSTEE / CHAIR (PARTIAL) 3.00 3.00 X X 0 1411 0 KAREN HALE TRUSTEE (PARTIAL) 1.00 2.00 X 0 1169 0 A SCOTT ANDERSON TRUSTEE 1.00 4.00 X 0 0 0 ELIZABETH P BECKMAN TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 S NEAL BERUBE TRUSTEE 1.00 2.00 X 0 0 0 SPENCER F ECCLES TRUSTEE 1.00 2.00 X 0 0 0 KAREN W FAIRBANKS TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 MICHAEL L FORDYCE TRUSTEE / VICE CHAIR (PARTIAL) 3.00 3.00 X X 0 0 0 C GORDON HOWIE TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 STEVEN D HUEBNER TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL O LEAVITT TRUSTEE / CHAIR (PARTIAL) 3.00 1.00 X X 0 0 0 CRYSTAL MAGGELET TRUSTEE / SECRETARY (PARTIAL) 3.00 1.00 X X 0 0 0 F ANN MILLNER TRUSTEE / VICE CHAIR / SEC (PARTIAL) 3.00 3.00 X X 0 0 0 ARNOLD MILSTEIN MD TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 MATT C PACKARD TRUSTEE 1.00 1.00 X 0 0 0 KATHRYN A PAUL TRUSTEE (PARTIAL) 1.00 3.00 X 0 0 0 PATRICIA RAVERT TRUSTEE (PARTIAL) 1.00 1.00 X 0 0 0 JAMES WEINSTEIN MD TRUSTEE 1.00 1.00 X 0 0 0 ALBERT R ZIMMERLI CFO / SEC / TREAS 2.00 63.00 X 0 4298891 1390538 MARK R BRIESACHER MD SVP / CPO (PARTIAL) 3.00 52.00 X 0 3672392 29210 DAN LILJENQUIST CHIEF STRATEGY OFFICER 3.00 53.00 X 0 1842949 1163901 SUSAN M ROBEL CHIEF NURSING OFFICER 3.00 52.00 X 0 1586126 1096172 DAVID L FLOOD CHIEF DEVELOPMENT OFFICER 3.00 53.00 X 0 1581762 870380 JANIE WADE ENTERPRISE CFO (PARTIAL) 3.00 62.00 X 0 2254921 321825 HEATHER BRACE CHIEF PEOPLE OFFICER 3.00 50.00 X 0 1414941 908365 KEVAN MABBUTT SVP / CCO (PARTIAL) 3.00 50.00 X 0 2293622 17323 JAMES P VALIN MD CHIEF CLINICAL OFFICER (PARTIAL) 3.00 53.00 X 0 1799242 167793 GREG J MATIS CLO / ASST SEC (PARTIAL) 3.00 62.00 X 0 1380583 561819 GREGORY M JOHNSON VP FINANCE SERVICES 3.00 56.00 X 0 1607457 281279 MIKELLE D MOORE CHIEF COMMUNITY HEALTH OFFICER 3.00 54.00 X 0 1085580 723124 CLAY ASHDOWN SVP FINANCE OPERATIONS (PARTIAL) 3.00 59.00 X 0 1012822 436297 CRAIG RICHARDVILLE CHIEF INFORMATION OFFICER (PARTIAL) 3.00 50.00 X 0 1089369 109338 SUZANNE DRAPER CHIEF COMPLIANCE OFFICER (PARTIAL) 3.00 56.00 X 0 585787 439552 MEGAN MAHNCKE CHIEF MARKETING OFFICER (PARTIAL) 3.00 54.00 X 0 896080 95483 GREGORY P POULSEN SVP / POLICY (PARTIAL) 3.00 50.00 X 0 876225 93999 STACY JENNINGS VP / CIO (PARTIAL) 3.00 56.00 X 0 638012 322933 DOUGLAS J HAMMER FORMER OFFICER 0.00 0.00 X 0 234172 23742 0 40659677 13899073 0 1 1 0 0 9265137 9265137 -8093034 -8093034 279369 275818 3551 3551 3551 1175654 0 0 1175654 16664 16664 16664 0 16664 0 113078 37645726 0 0 79994733 618606569 1300921 4593247520 589 92357649 81409321 5341857464 59900 34469526 0 4537594143 1163674 20377348 1223574 4592441017 X 80185747 652306111 0 97110336 80185747 749416447 81409321 5341857464 X 1158990 -21414653 689486363 X 0 1 X 1 0 X X 1 IHC HEALTH SERVICES INC 942854057 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 FORM 990, SCHEDULE A, PART I, LINE 12G, COLUMN (VI) INTERMOUNTAIN HEALTH CARE, INC. HELPED COORDINATE THE ACTIVITIES OF IHC HEALTH SERVICES, INC., A RELATED ORGANIZATION THAT IS EXEMPT UNDER IRC SECTIONS 501(C)(3) AND 170(B)(1)(A)(III). FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1 SUPPORTED ORGANIZATIONS OF THE FILING ENTITY ARE DESIGNATED BY CLASS IN ACCORDANCE WITH ITS ARTICLES OF INCORPORATION. THE ARTICLES OF INCORPORATION STATE THAT THE PURPOSE OF THE ORGANIZATION IS "CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF OR TO CARRY OUT THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF QUALIFIED ORGANIZATIONS. AN ORGANIZATION IS A 'QUALIFIED ORGANIZATION' FOR PURPOSES OF THESE ARTICLES ONLY IF IT IS DESCRIBED IN SECTION 501(C)(3) AND SECTION 509(A)(1) OR (A)(2)." THE FILING ENTITY HAS EXHIBITED A LONGSTANDING RELATIONSHIP WITH IHC HEALTH SERVICES, INC. BY ACTING AS ITS PARENT ENTITY SINCE 1983. 0 INVESTMENT IN CAPTIVE INSURANCE COMPANY 1300921 C INVESTMENT IN SCL HEALTH SYSTEM 4174924137 C INVESTMENT IN INTERMOUNTAIN MEDICAL HOLDINGS NEVADA 417022462 C 4593247520 INTEREST RATE SWAP LIABILITY 20377348 20377348 1 1 0 0 0 0 0 0 0 A MARC HARRISON MD TRUSTEE/PRES/CEO (PARTIAL) 0 2137760 0 2604254 0 13451 0 1857710 0 9576 0 6622751 0 1862265 ALBERT R ZIMMERLI CFO / SEC / TREAS 0 1206132 0 888226 0 2204533 0 1380079 0 10459 0 5689429 0 759188 ROBERT W ALLEN TRUSTEE/PRES/CEO/COO/SVP (PARTIAL) 0 1190385 0 806124 0 557411 0 2267020 0 16364 0 4837304 0 693309 LYDIA JUMONVILLE TRUSTEE/PRESIDENT/CEO (PARTIAL) 0 1457019 0 1300392 0 435796 0 675533 0 19797 0 3888537 0 382586 MARK R BRIESACHER MD SVP / CPO (PARTIAL) 0 152262 0 617848 0 2902282 0 26281 0 2929 0 3701602 0 1229981 DAN LILJENQUIST CHIEF STRATEGY OFFICER 0 863466 0 563867 0 415616 0 1152416 0 11485 0 3006850 0 490611 SUSAN M ROBEL CHIEF NURSING OFFICER 0 853545 0 430947 0 301634 0 1086138 0 10034 0 2682298 0 354016 JANIE WADE ENTERPRISE CFO (PARTIAL) 0 911292 0 757353 0 586276 0 296475 0 25350 0 2576746 0 581138 DAVID L FLOOD CHIEF DEVELOPMENT OFFICER 0 565994 0 428417 0 587351 0 858576 0 11804 0 2452142 0 665898 HEATHER BRACE CHIEF PEOPLE OFFICER 0 654556 0 440545 0 319840 0 894898 0 13467 0 2323306 0 389865 KEVAN MABBUTT SVP / CCO (PARTIAL) 0 183794 0 395235 0 1714593 0 16128 0 1195 0 2310945 0 590792 JAMES P VALIN MD CHIEF CLINICAL OFFICER (PARTIAL) 0 1018982 0 675622 0 104638 0 137560 0 30233 0 1967035 0 98880 GREG J MATIS CLO / ASST SEC (PARTIAL) 0 672534 0 398107 0 309942 0 551190 0 10629 0 1942402 0 0 GREGORY M JOHNSON VP FINANCE SERVICES 0 546031 0 305661 0 755765 0 260012 0 21267 0 1888736 0 655717 MIKELLE D MOORE CHIEF COMMUNITY HEALTH OFFICER 0 486463 0 355168 0 243949 0 712728 0 10396 0 1808704 0 304929 CLAY ASHDOWN SVP FINANCE OPERATIONS (PARTIAL) 0 584531 0 306360 0 121931 0 418066 0 18231 0 1449119 0 201728 CRAIG RICHARDVILLE CHIEF INFORMATION OFFICER (PARTIAL) 0 591087 0 485833 0 12449 0 87091 0 22247 0 1198707 0 0 SUZANNE DRAPER CHIEF COMPLIANCE OFFICER (PARTIAL) 0 329217 0 193297 0 63273 0 413722 0 25830 0 1025339 0 0 MEGAN MAHNCKE CHIEF MARKETING OFFICER (PARTIAL) 0 473771 0 391051 0 31258 0 67033 0 28450 0 991563 0 29019 GREGORY P POULSEN SVP / POLICY (PARTIAL) 0 866871 0 0 0 9354 0 71368 0 22631 0 970224 0 0 STACY JENNINGS VP / CIO (PARTIAL) 0 494818 0 142904 0 290 0 300529 0 22404 0 960945 0 133242 DOUGLAS J HAMMER FORMER OFFICER 0 38981 0 173861 0 21330 0 23742 0 0 0 257914 0 0 PART I, LINE 3 THE OFFICERS LISTED IN PART II OF SCHEDULE J WERE COMPENSATED BY IHC HEALTH SERVICES, INC. OR SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., RELATED TAX-EXEMPT ORGANIZATIONS. SEE THE NARRATIVE ON SCHEDULE O RELATED TO FORM 990, PART VI, SECTION B, LINE 15. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2022: - MARK R. BRIESACHER, MD $2,141,477 - KEVAN MABBUTT $1,438,014 IHC HEALTH SERVICES, INC. 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. AMOUNTS DEFERRED DURING 2022 FOR THE INDIVIDUALS REPORTED ON PART VII OF THE FORM 990 HAVE BEEN INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C) TOTAL. THE FOLLOWING INDIVIDUAL RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2022: - MARK R. BRIESACHER, MD $750,631 - DAVID L. FLOOD $300,000 - GREGORY M. JOHNSON $655,717 - KEVAN MABBUTT $274,052 - ALBERT R. ZIMMERLI $360,375 PART II, COLUMN (C): DURING 2022, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE. A MURRAY CITY UTAH 876000254 626853CE3 2003-11-19 308000000 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 B MURRAY CITY UTAH 876000254 626853CJ2 2005-10-04 262000000 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 C UTAH COUNTY UTAH 876000312 917393AY6 2014-08-07 250004117 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 D COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5S0 2016-05-12 221970000 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 A 105665000 314823712 1561803 313261909 2007 0 0 1 1 B 127220000 273598644 1339946 272258698 2007 0 0 1 1 C 251035846 1031729 250004117 2018 0 0 1 1 D 110990000 221976622 1908538 220068084 2016 0 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 JP MORGAN 29.300000000000 0 1 0 0 1 B 1 1 1 JP MORGAN 31.600000000000 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCH K, SCHEDULES 1,2,3,4, PART I: ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC. EFFECTIVE AUGUST 1, 2022, ALL OF THE TAX-EXEMPT BONDS OF THE ORGANIZATION WERE COMBINED UNDER THE INTERMOUNTAIN HEALTH CARE, INC. MASTER TRUST INDENTURE AND RECORDED ON THE PARENT ORGANIZATION'S (EIN 87-0269232) BALANCE SHEET. IN PRIOR YEARS' 990 SCHEDULE K FILINGS, THE FOLLOWING CUSIPS WERE REPORTED UNDER IHC HEALTH SERVICES, INC. (EIN 94-2854057): 626853CE3, 626853CJ2, 917393AY6, 917393BJ8, 917393CE8, 769369AM1, 917393CY4, AND 917393DF4. ALSO IN PRIOR YEARS, THE FOLLOWING CUSIPS WERE REPORTED UNDER SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (EIN 23-7379161): 19648A5S0, 19648FLQ5, 61204KMZ1, AND 19648FMB7. FORM 990, SCH K, SCHEDULES 1,2,3,4, PART II, LINE 3: AMOUNTS ON LINE 3 DIFFER FROM AMOUNTS REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS RECEIVED DURING THE PROJECT PERIOD. FORM 990, SCH K, SCH 2, PART II, LINE 11, COL A; PART III, COL A; AND PART IV, LINE 2C, COL A (CUSIP 917393BJ8): THE SERIES 2016A BONDS REFUNDED A PORTION OF THE SERIES 2002B&C BONDS. ALL PROCEEDS WERE USED TO REFUND A PORTION OF THE 2002B&C BONDS ON JULY 13, 2016. PER THE SCHEDULE K INSTRUCTIONS, PART III WAS NOT COMPLETED BECAUSE THE SERIES 2016A BONDS REFUNDED BONDS WHICH WERE ISSUED BEFORE JANUARY 1, 2003. FORM 990, SCH K, SCH 2, PART II, LINE 11, COL C AND PART IV, LINE 2C, COLUMN C (CUSIP 769369AM1): THE SERIES 2012A BONDS WERE REISSUED ON MARCH 22, 2017. ALL 2017 PROCEEDS WERE DEEMED TO BE USED TO REFUND THE 2012A BONDS. FORM 990, SCH K, SCH 1, PART IV, LINE 2C, COL A (CUSIP 626853CE3): THE REBATE COMPUTATION FOR THE SERIES 2003 BONDS WAS PERFORMED ON DECEMBER 17, 2008. FORM 990, SCH K, SCH 1, PART IV, LINE 2C, COL C (CUSIP 917393AY6): THE REBATE COMPUTATION FOR THE SERIES 2014 BONDS WAS PERFORMED ON AUGUST 19, 2019. FORM 990, SCH K, SCH 1, PART IV, LINE 2C, COL D (CUSIP 19648A5S0): THE REBATE COMPUTATION FOR THE SERIES 2016B&D BONDS WAS PERFORMED ON MAY 12, 2021. FORM 990, SCH K, SCH 2, PART IV, LINE 2C, COL A (CUSIP 917393BJ8): THE REBATE COMPUTATION FOR THE SERIES 2016A BONDS WAS PERFORMED ON MAY 28, 2019. FORM 990, SCH K, SCH 2, PART IV, LINE 2C, COL B (CUSIP 917393CE8): THE REBATE COMPUTATION FOR THE SERIES 2016BCDE BONDS WAS PERFORMED ON MAY 28, 2019. FORM 990, SCH K, SCH 1, PART IV, LINE 3, COL C (CUSIP 917393AY6): $80,000,000 OF THE TOTAL ISSUE PRICE ($250,004,117) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS. FORM 990, SCH K, SCH 2, PART IV, LINE 3, COL B (CUSIP 917393CE8): $200,000,000 OF THE TOTAL ISSUE PRICE ($406,502,765) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS. FORM 990, SCH K, SCH 2, PART IV, LINE 3, COL D (CUSIP 917393CY4): $50,000,000 OF THE TOTAL ISSUE PRICE ($382,751,441) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS. FORM 990, SCH K, SCH 4, PART IV, LINE 3, COL A (CUSIP 19648FVL5): $125,000,000 OF THE TOTAL ISSUE PRICE ($1,148,280,938) WAS ISSUED AS VARIABLE RATE BONDS. THE REMAINDER WAS ISSUED AS FIXED RATE BONDS. FORM 990, SCH K, SCH 1, PART IV, LINE 4E, COL A (CUSIP 626853CE3): ONE QUALIFIED HEDGE CONSISTING OF $106,380,000 NOTIONAL WITH AN ORIGINAL MATURITY DATE OF 8/1/2026 WAS NOVATED FROM JP MORGAN TO WELLS FARGO ON DECEMBER 1, 2014. THE SWAP WAS RESTRUCTURED WITH WELLS FARGO AND IS NO LONGER CONSIDERED A QUALIFIED HEDGE WITH RESPECT TO THE SERIES 2003 BONDS. AT THAT TIME, THREE OTHER QUALIFIED HEDGES (IN CONNECTION WITH THE SERIES 2003 BONDS), TOTALING $187,800,000 IN NOTIONAL, REMAINED WITH JP MORGAN, MAINTAINING FINAL MATURITY DATES THROUGH 2/1/2033. ON AUGUST 1, 2016, ONE OF THE REMAINING QUALIFIED HEDGES, WITH $65,000,000 IN NOTIONAL MATURED. ON SEPTEMBER 29, 2016 AND OCTOBER 6, 2016, THE REMAINING QUALIFIED HEDGES CONSISTING OF $82,276,000 AND $40,524,000 IN NOTIONAL WERE NOVATED FROM JP MORGAN TO WELLS FARGO, CITI, AND KEYBANK. THESE SWAPS WERE RESTRUCTURED AND ARE NO LONGER CONSIDERED QUALIFIED HEDGES WITH RESPECT TO THE SERIES 2003 BONDS. AS OF DECEMBER 31, 2016, NO QUALIFIED HEDGES REMAINED WITH RESPECT TO THE SERIES 2003 BONDS. FORM 990, SCH K, SCH 1, PART IV, LINE 4E, COL B (CUSIP 626853CJ2): $75,720,000 OF ONE QUALIFIED HEDGE WITH JP MORGAN WAS TERMINATED ON DECEMBER 17, 2014--THE REMAINING $78,780,000 OF THE HEDGE REMAINED WITH JP MORGAN, MAINTAINING THE ORIGINAL MATURITY DATE OF 5/15/2037. AT THAT TIME, ONE ADDITIONAL QUALIFIED HEDGE (IN CONNECTION WITH THE SERIES 2005 BONDS), TOTALING $68,000,000 IN NOTIONAL, ALSO REMAINED WITH JP MORGAN, MAINTAINING A FINAL MATURITY DATE OF 5/15/2037. A UTAH COUNTY UTAH 876000312 917393BJ8 2016-07-13 67500234 REFUND PORTION OF 2002B&C 0 0 0 B UTAH COUNTY UTAH 876000312 917393CE8 2016-07-13 406502765 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 C CITY OF RIVERTON UTAH 870344045 769369AM1 2017-03-22 200000000 REFUND PRIOR ISSUE 2012A 0 0 0 D UTAH COUNTY UTAH 876000312 917393CY4 2018-07-17 382751441 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 A 26185000 67500234 67500234 2003 1 0 1 1 B 23770000 408286336 1783571 406502765 2018 0 0 1 1 C 200000000 200000000 2009 1 0 1 1 D 69175000 384103721 1352280 382751441 2019 0 0 1 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 0 1 1 0 0 0 0 1 D 0 1 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FLQ5 2019-10-03 481924656 REFUND PRIOR ISSUES 2010A&B 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 810302402 61204KMZ1 2019-10-03 151631944 REFUND PRIOR ISSUES 2010A&B 0 0 0 C COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FMB7 2019-10-03 111860603 REFUND PRIOR ISSUES 2016A&C 0 0 0 D UTAH COUNTY UTAH 876000312 917393DF4 2020-07-09 424149130 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 A 32710000 481924656 2884023 479040633 2010 1 0 1 1 B 11135000 151631944 990619 150641325 2010 1 0 1 1 C 111860603 870603 110990000 2016 1 0 1 1 D 425097640 948510 424149130 2022 0 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00100 0.00100 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FVL5 2022-08-01 1148280938 BLDG CONSTRUCTION & EQUIPMENT; REFUND PRIOR 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FVP6 2022-08-01 300000000 BLDG CONSTRUCTION & EQUIPMENT 0 0 0 A 1148869456 588518 309343123 198718485 242967778 397251552 1 1 0 1 B 300001709 1709 150000000 150000000 0 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART I, LINE 1, AND PART III, LINE 1 OUR VISION: BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. OUR VALUES INCLUDE: - INTEGRITY: WE ARE PRINCIPLED, HONEST, AND ETHICAL, AND WE DO THE RIGHT THING FOR THOSE WE SERVE. - TRUST: WE COUNT ON AND SUPPORT ONE ANOTHER INDIVIDUALLY AND AS TEAM MEMBERS. - EQUITY: WE ELIMINATE DISPARITIES AND CREATE OPPORTUNITIES FOR CAREGIVERS, PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE. - EXCELLENCE: WE PERFORM AT THE HIGHEST LEVEL, ALWAYS LEARNING AND LOOKING FOR WAYS TO IMPROVE. - ACCOUNTABILITY: WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND HEALTH. - MUTUAL RESPECT: WE EMBRACE DIVERSITY AND TREAT ONE ANOTHER WITH DIGNITY AND EMPATHY. OUR FUNDAMENTALS OF CARE INCLUDE: - SAFETY: ENSURE PATIENTS, MEMBERS, AND CAREGIVERS ARE ALWAYS SAFE. - QUALITY: DELIVER EVIDENCE-BASED CARE THAT MEETS EACH INDIVIDUAL'S HEALTH GOALS AND LEADS TO TOP PERFORMANCE. - EXPERIENCE: DELIVER THE BEST CONSUMER EXPERIENCE. - EQUITY: ELIMINATE DISPARITY AND CREATE OPPORTUNITIES FOR CAREGIVERS, PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE. - ACCESS: PROVIDE CARE AND INFORMATION WHERE, WHEN, AND HOW OUR CONSUMERS PREFER, WITH SEAMLESS COORDINATION ACROSS THE SYSTEM. - STEWARDSHIP: BE AN INDISPENSABLE COMMUNITY PARTNER, ACHIEVING THE HEALTHIEST COMMUNITIES WITH COST PER PERSON AMONG THE LOWEST IN THE NATION. BE A FINANCIALLY SOUND, FOREVER ORGANIZATION. - ENGAGED CAREGIVERS: CREATE AN UNPARALLELED CAREGIVER EXPERIENCE THAT SUPPORTS US IN DELIVERING ON THE FUNDAMENTALS OF EXTRAORDINARY CARE AND SERVICE. - GROWTH: ACHIEVE PURPOSEFUL GROWTH AND INNOVATE TO ENSURE OUR ABILITY TO BE A MODEL HEALTH SYSTEM. FORM 990, PART V, LINE 1A AS THE PLAN SPONSOR, INTERMOUNTAIN HEALTH CARE, INC. FILES 1099'S FOR THE RETIREMENT PLANS OF ITS AFFILIATES. FORM 990, PART III, LINE 4A: INTERMOUNTAIN HEALTH CARE, INC. PROMOTED COMMUNITY HEALTHCARE BY COORDINATING THE ACTIVITIES OF IHC HEALTH SERVICES, INC.; SELECTHEALTH, INC.; SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.; INTERMOUNTAIN HEALTHCARE FOUNDATION, INC.; INTERMOUNTAIN COMMUNITY CARE FOUNDATION, INC.; INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC.; SALTZER MEDICAL GROUP, INC.; AND OTHER AFFILIATED SUBSIDIARIES. FORM 990, PART VI, SECTION A, LINE 1A INTERMOUNTAIN HEALTH CARE, INC. DELEGATES BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY. AS A RESULT, THE EXECUTIVE COMMITTEE, WHEN SO APPOINTED BY THE BOARD OF TRUSTEES, SHALL HAVE AND MAY EXERCISE THE POWERS OF THE BOARD OF TRUSTEES IN MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION AND SHALL REPORT REGULARLY AT EACH MEETING OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO AUTHORIZE EXECUTION OF DOCUMENTS IN THE NAME OF AND UNDER THE SEAL OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 2 ROBERT W. ALLEN / CLAY M. ASHDOWN / HEATHER BRACE / MARK R. BRIESACHER, MD / SUZANNE DRAPER / DAVID L. FLOOD / A. MARC HARRISON, MD / STACY JENNINGS / GREGORY M. JOHNSON / DAN LILJENQUIST / KEVAN MABBUTT / GREG J. MATIS / MIKELLE D. MOORE / GREGORY P. POULSEN / SUSAN M. ROBEL / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A TAX-EXEMPT SUBSIDIARY OF THE FILING ORGANIZATION) LYDIA W. JUMONVILLE / MEGAN MAHNCKE / CRAIG RICHARDVILLE / JAMES P. VALIN, MD / JANIE WADE- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION) ROBERT W. ALLEN / MARK R. BRIESACHER, MD / DANIEL G. GOMEZ / A. MARC HARRISON, MD / JAMES P. VALIN, MD / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) ROBERT W. ALLEN / DAN LILJENQUIST / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF SALTZER MEDICAL GROUP, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) JANICE UGAKI / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF CULMINATION BIO, INC., A RELATED TAXABLE ENTITY) CLAY M. ASHDOWN / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF NAVICAN GENOMICS, INC., A RELATED TAXABLE ENTITY) MIKELLE D. MOORE / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF ALLUCEO, INC., A TAXABLE SUBSIDIARY OF THE FILING ORGANIZATION) SPENCER F. ECCLES / DOUGLAS J. HAMMER- BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX-EXEMPT ORGANIZATION) A. SCOTT ANDERSON / CRYSTAL MAGGELET / GAIL MILLER / F. ANN MILLNER / JANICE UGAKI- BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAXABLE CORPORATION) A. SCOTT ANDERSON / F. ANN MILLNER- BUSINESS RELATIONSHIP (TRUSTEES IN AN UNRELATED TAXABLE CORPORATION) KAREN W. FAIRBANKS / F. ANN MILLNER- BUSINESS RELATIONSHIP (TRUSTEE/EMPLOYEE RELATIONSHIP IN AN UNRELATED TAX-EXEMPT ORGANIZATION) FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING CHANGES, UPDATES, AND/OR CLARIFICATIONS WERE MADE TO THE FILING ORGANIZATION'S BYLAWS IN 2022: - CLARIFIED THAT THE FILING ORGANIZATION IS THE PARENT OF AN AFFILIATED HEALTH SYSTEM AND RETAINS A VARIETY OF POWERS, INCLUDING ESTABLISHING THE MISSION, VISION, AND VALUES FOR THE SYSTEM; DEVELOPING GOALS, OBJECTIVES, POLICIES AND STANDARDS; ADOPTING, AMENDING, OR REPEALING GOVERNING DOCUMENTS OF ANY CONTROLLED ENTITY; APPOINTING AND REMOVING TRUSTEES OR OFFICERS OF ANY CONTROLLED ENTITY; PROVIDING OVERALL MANAGEMENT OF THE SYSTEM; OVERSIGHT OF AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, AND INVESTMENT; APPROVALS OF ANY MERGERS, CHANGE OF CONTROL, DISSOLUTION OR RESTRUCTURING; AND THE DIRECTING OF FINANCE AND INVESTMENTS. - MEMORIALIZED THE RESERVED POWERS RETAINED BY LEAVEN MINISTRIES RELATED TO THE SCL HEALTH SYSTEM CATHOLIC ENTITIES. - ALL TRUSTEES ARE VOLUNTEERS, VOTING, AND LIMITED TO THREE TERMS. - THE VICE CHAIR AND SECRETARY ARE NOW SUBJECT TO A LIMIT OF 5 ONE-YEAR TERMS. - THE PRESIDENT'S RESPONSIBILITIES AND DUTIES WERE UPDATED AND INCLUDE, BUT ARE NOT LIMITED TO, GENERAL MANAGEMENT, SUPERVISION AND CONTROL OF THE BUSINESS; DEVELOPING AND RECOMMENDING STRATEGIC GOALS AND OBJECTIVES; MONITORING THE EFFECTIVENESS OF POLICIES STANDARDS AND GUIDELINES; REVIEWING AND RECOMMENDING ANNUAL OPERATING AND CAPITAL BUDGETS; APPOINTING AND REMOVING OTHER OFFICERS; AND OVERSEEING EMPLOYMENT AND THE DETERMINATION OF COMPENSATION AND BENEFITS. - THE DUTIES OF THE SECRETARY AND TREASURER WERE ALSO ADDED. - SIGNING AUTHORITY OF THE PRESIDENT/CEO AND THE EXECUTIVE AND SENIOR VICE PRESIDENTS WERE SPECIFIED. FORM 990, PART VI, SECTION B, LINE 11B INTERMOUNTAIN HEALTH CARE, INC.'S BOARD OF TRUSTEES DELEGATED THE INITIAL DETAILED REVIEW OF THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE. DRAFT COPIES OF THE RETURN WERE MAILED AND/OR PROVIDED ELECTRONICALLY TO COMMITTEE MEMBERS IN ADVANCE AND DISCUSSED DURING AN AUDIT AND COMPLIANCE COMMITTEE MEETING. PRIOR TO FILING WITH THE IRS, COPIES OF THE FINAL RETURN WERE PROVIDED TO BOARD MEMBERS FOR REVIEW AND WERE DISCUSSED AS PART OF A REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY IHC HEALTH SERVICES, INC.'S VICE PRESIDENT OF BUSINESS ETHICS AND COMPLIANCE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT OF IHC HEALTH SERVICES, INC. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE OF THE INDIVIDUAL'S ROLE WITH THE FILING ORGANIZATION OR THE OUTSIDE ENTITY). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. THE MINUTES FROM THAT REPORT ARE SUBMITTED TO THE BOARD OF TRUSTEES OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 INTERMOUNTAIN HEALTH CARE, INC. DID NOT COMPENSATE ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE. COMPENSATION BY IHC HEALTH SERVICES, INC., OF WHICH INTERMOUNTAIN HEALTH CARE, INC. IS THE SOLE MEMBER, WAS DETERMINED AS DESCRIBED BELOW. THE EXECUTIVE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY, IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NON-CASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER - SENIOR VICE PRESIDENTS - CERTAIN VICE PRESIDENTS THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH INDIVIDUAL LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 INTERMOUNTAIN HEALTH CARE, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. FORM 990, PART XI, LINE 9: AFFILIATION WITH SCL HEALTH SYSTEM 4,174,924,137. NET CAPITALIZED INTEREST INCOME/EXPENSE ADJUSTMENT -3,910,169. MEMBER SUBSTITUTION OF INTERMOUNTAIN MEDICAL HOLDINGS NEVADA 417,022,462. DEBT TRANSFER FROM SCL HEALTH SYSTEM -1,087,728,935. DEFEASED BOND LOSS ADJUSTMENT 8,504,018. OTHER MISCELLANEOUS RECONCILING ADJUSTMENTS -495,809. NET DEBT TRANSFER FROM IHC HEALTH SERVICES -2,818,829,341. 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