2026-03-11T13:50:36-04:00 2025-06-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-07-01 870276435 UINTAH BASIN MEDICAL CENTER UINT 4357224691 250 W 300 N ROOSEVELT UT 84066 BRENT HALES CFO 4357224691 2026-03-09 true true RIKKI PATCH P01472231 5092420874 2026-03-11 2024 2025-03-06 01:10:19Z JAMES MARSHALL 250 W 300 N ROOSEVELT UT 84066 155731448 false X WWW.UBH.ORG X 2001 UT TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES TO RESIDENTS OF THE UINTAH BASIN THROUGH ITS ACUTE CARE AND SPECIALTY CARE OPERATIONS. 9 6 1172 8 0 385992 272814 140281352 152031159 2037995 2284654 1118517 1091280 143823856 155679907 0 0 60044669 67414696 0 0 71588946 79619129 131633615 147033825 12190241 8646082 193969403 200275965 73861673 71522153 120107730 128753812 TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES TO RESIDENTS OF THE UINTAH BASIN THROUGH ITS ACUTE CARE AND SPECIALTY CARE OPERATIONS. false false 121939315 152031159 UINTAH BASIN MEDICAL CENTER (UBMC) IS A 49-BED GENERAL ACUTE CARE HOSPITAL THAT OFFERS HOSPITAL SERVICES, EMERGENCY MEDICAL CARE, INPATIENT AND OUTPATIENT PHARMACEUTICAL SERVICES, LONG-TERM HEALTH CARE, REHABILITATION, AND OTHER ESSENTIAL MEDICAL SERVICES. UBMC PROVIDED APPROXIMATELY 4,300 PATIENT DAYS, 18,400 ER VISITS, AND 3,000 SURGERIES VISITS DURING THE YEAR. THE MEDICAL CENTER PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING THE YEAR WAS 2,310,749 FOR CHARITY CARE, 38,134,351 FOR MEDICARE, 24,905,971 FOR MEDICAID AND 87,766,481 FOR OTHER THIRD-PARTY PAYORS. 121939315 true false false true false false false false false false true false false false false true true false false false false false false false true false true true false false true false false false false false false true false false false false false false false false false false true 154 0 true 1172 true false false false false false false false false false false false false X 9 6 false false false false true false true true true false false true true true true true true true true false X BRENT HALES 4357224691 250 W 300 N ROOSEVELT UT 84066 MICHAEL VAN BIBBER UROLOGY, MD 40.00 X 699358 0 77558 JAMES MARSHALL PRESIDENT/CE 50.00 X 545954 0 71037 MATTHEW MCKEE FAMILY PRACT 40.00 X 512537 0 68528 KERRY BAUM SURGEON 40.00 X 392062 0 71722 BRUCE ARNOLD MEMBER/CHIEF 40.00 X 391761 0 63131 MARK HENDERSON FAMILY PRACT 40.00 X 340293 0 60148 BRENT HALES CFO 50.00 X 320814 0 68308 PENNY PEACOCK PHYSICIAN 40.00 X 304699 0 67925 RANDALL BENNETT VP HUMAN RES 40.00 X 278141 0 60912 ROGER MARETT VP PHYSICIAN 40.00 X 249294 0 56397 GREG GARDINER CNO 40.00 X 236420 0 60869 SHELLEY FENN CHAIR 1.00 X X 5450 0 0 TIMOTHY NEGUS CHAIR 1.00 X X 5000 0 0 SYLVIA WILKINS 1ST VICE CHA 1.00 X X 4958 0 0 IRENE HANSEN MEMBER 1.00 X 4542 0 0 TYLER ALLRED MEMBER 1.00 X 4500 0 0 AARON BROWN 2ND VICE CHA 1.00 X X 4500 0 0 TYLER RASSMUSSEN MEMBER 1.00 X 4500 0 0 JEFF CHUGG MEMBER 1.00 X 0 0 0 4304783 726535 81 false true false JERRY LARSEN CONSTRUCTION LLC 5554 N DRY FORK CYN VERNAL UT 84078 CONSTRUCTION 2703268 SEAN PAULSEN MD 250 W 300 N ROOSEVELT UT 84066 PHYSICIAN 944552 REDI HEALTH ANALYTICS LLC DEPT 590 PO BOX 30015 SALT LAKE CITY UT 84130 ANALYTICS 740534 JOHN NOLTE 250 W 300 N ROOSEVELT UT 84066 PHYSICIAN 710466 JASON LARSON MD PC 250 W 300 N ROOSEVELT UT 84066 PHYSICIAN 706683 30 265864 6950 272814 NET PATIENT SERVICE REVENUE 621110 151158052 151158052 OTHER PROGRAM SERVICES 621110 873107 873107 152031159 2292182 2292182 302558 302558 302558 302558 1940 9468 -7528 -7528 -7528 39403 42073 -2670 -2670 CAFETERIA REVENUE 722514 646929 646929 REBATES 900099 94171 94171 OTHER REVENUE 900099 50292 50292 791392 155679907 152031159 3375934 X 2155211 955526 1199685 47023440 38169369 8854071 4004810 2288405 1716405 10743195 8056211 2686984 3488040 2785717 702323 290031 290031 192451 192451 25143911 23138745 2005166 347983 35347 312636 1211283 843126 368157 1439276 674740 764536 979034 918897 60137 324672 242831 81841 79975 59348 20627 2493314 1994617 498697 6502276 5934773 567503 862072 304151 557921 MEDICAL SUPPLIES & DRUGS 30844118 30844118 DUES & SUBSCRIPTIONS 5438434 1858066 3580368 REPAIRS & MAINTENANCE 2080317 2027727 52590 DIETARY SUPPLIES 873969 844577 29392 516013 -36976 552989 147033825 121939315 25094510 0 2759983 1065296 10689630 7779398 27448857 29782462 2376634 2791152 765851 1073597 176313987 67619427 107441226 108694560 32973411 39919407 1728522 1303788 7785289 7866305 193969403 200275965 11470000 10378199 62391673 61143954 73861673 71522153 X 120107730 128753812 120107730 128753812 193969403 200275965 X 8646082 X false true X true true true X false false false false false false false false true 11189 11189 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 4657125 4657125 126098551 35095886 91002665 43436791 32523541 10913250 2121520 2121520 108694560 X 155682577 2670 2670 155679907 155679907 147036495 2670 2670 147033825 147033825 SCHEDULE D, PAGE 3, PART X THE MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE MEDICAL CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2025 AND 2024, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D SPECIAL EVENT ACTIVITY 2,670 SCHEDULE D, PAGE 4, PART XII, LINE 2D SPECIAL EVENT ACTIVITY 2,670 GOLF TOURNAMENT 39403 39403 100 1037 15260 150 25526 39403 39403 100 1037 15260 150 25526 42073 -2670 true true X true X true X true true true false true true 901192 901192 0.00610 20224411 20224411 21125603 20224411 901192 0.00610 44811 44811 0.00030 110057 110057 0.00070 23759279 11965014 11794265 0.08020 141149 141149 0.00100 24055296 11965014 12090282 0.08220 45180899 32189425 12991474 0.08840 273043 273043 0.00190 17729 17729 0.00010 290772 290772 0.00200 true 14915848 2684853 13196399 14988542 -1792143 X true true 1 1 UINTAH BASIN MEDICAL CENTER 250 W 300 N ROOSEVELT UT 84066 WWW.UBH.ORG 2008-HOSP-180 X X X UINTAH BASIN MEDICAL CENTER 1 false false true X X X X X X X X X X 23 true false false true X WWW.UBH.ORG X true 23 true WWW.UBH.ORG false true X 150.000000000000 250.000000000000 X X X true true X X X true X WWW.UBH.ORG X WWW.UBH.ORG X WWW.UBH.ORG X X X X X X true X false X X X X true X false false FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 6 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 5 IN CONNECTION WITH ITS MOST RECENT CHNA, UINTAH BASIN MEDICAL CENTER (UBMC) TOOK INTO ACCOUNT INPUT FROM A VARIETY OF PERSONS WHO REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY UBMC. UINTAH BASIN HEALTHCARE CONTRACTED WITH RURAL HEALTH INNOVATIONS (RHI), A SUBSIDIARY OF THE NATIONAL RURAL HEALTH RESOURCE CENTER FOR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SERVICES. THE CHNA INCLUDED BOTH SECONDARY DATA ANALYSIS (PRE- EXISTING DATA) AND PRIMARY DATA ANALYSIS (COMMUNITY PERCEPTION). PRIMARY DATA ANALYSIS WAS CONDUCTED THROUGH A SERIES OF FOCUS GROUPS AS WELL AS KEY STAKEHOLDER INTERVIEWS. BOTH DUCHESNE & UINTAH COUNTY WERE INCLUDED IN THE DATA. RHI REACHED OUT TO 52 INDIVIDUALS WITH AN INVITATION TO PARTICIPATE IN FOCUS GROUPS, AND 11 SIGNED UP FOR AND COMPLETED THE FOCUS GROUP SERIES. THE FOCUS GROUPS CONSISTED OF 2 MALES AND 9 FEMALES WITHIN AGE GROUPS RANGING FROM 25-74. THE FOCUS GROUPS WERE CAUSCASIAN DOMINANT, WHICH IS CONSISTENT WITH THE POPULATION OF THE COMMUNITY, WHICH IS APPROXIMATELY 85% CAUCASIAN. ATTENDEES INCLUDED REPRESENTATIVES FROM LOCAL BUSINESSES, HEALTH CARE CONSUMERS, PARENTS, SCHOOL REPRESENTATIVES, AND LIFELONG RESIDENTS. RHI WAS CONTRACTED BY UBH TO CONDUCT EIGHT KEY STAKEHOLDER INTERVIEWS TO PROVIDE QUALITATIVE DATA ON THE STRENGTHS AND NEEDS OF LOCAL HEALTH CARE SERVICES. EIGHT KEY STAKEHOLDER INTERVIEWS WERE SCHEDULED TO OCCUR OVER THE COURSE OF TWO WEEKS IN NOVEMBER 2022. RHI REACHED OUT TO 12 INDIVIDUALS WITH AN INVITATION TO PARTICIPATE, AND 8 SIGNED UP FOR AND COMPLETED THE KEY STAKEHOLDER INTERVIEWS. THE INTERVIEWS CONSISTED OF 2 MALES AND 6 FEMALES WITH AGE GROUPS RANGING FROM 35-64. EACH INTERVIEW WAS APPROXIMATELY TWO HOURS IN LENGTH AND INCLUDED AN OVERVIEW OF THE CHNA PURPOSE, DISCUSSION OF SURVEY QUESTIONS, AND A REVIEW OF THE SECONDARY DATA. ATTENDEES INCLUDED GOVERNMENT OFFICIALS, EDUCATORS, HEALTH PROFESSIONALS, AND HEALTH-RELATED COMMUNITY COLLABORATORS. FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 11 AS OUTLINED BELOW, ALL IDENTIFIED PRIORITY NEEDS WERE ADDRESSED BY THE HOSPITAL. THE OTHER CONCERNS ARE ALSO BEING ADDRESSED THROUGH COMMUNITY COLLABORATIONS AND PUBLIC EDUCATION. THE TOP THREE PRIORITY AREAS WERE MENTAL HEALTH, SUBSTANCE ABUSE, AND OBESITY/DIABETES/EXERCISE. THE HOSPITAL IS ADDRESSING THESE NEEDS USING THE FOLLOWING STRATEGIES: 1. MENTAL HEALTH: UBH IS TARGETING ALL AGES THROUGH THE FOLLOWING INITIATIVES: - EXPAND SUICIDE PREVENTION TRAINING (TCH QPR) - EXPAND MENTAL HEALTH FIRST AID TRAINING (UBTECH/USU/NECC) - MAINTAIN BEHAVIORAL HEALTH RESOURCES ON CAMPUS - ADVANCE INVOLVEMENT IN PREVENTION ADVISORY COALITION (PAC) UBH IS TARGETING YOUTH THROUGH THE FOLLOWING INITIATIVES: - SOCIAL MEDIA CAMPAIGN - SUICIDE AWARENESS EVENT IN SEPTEMBER (IN CONJUNCTION WITH YOU GOT THIS) UBH IS TARGETING ADULTS IN THE FARM AND OILFIELD INDUSTRY THROUGH THE FOLLOWING INITIATIVES: - PARTNER WITH NECC, USU TO TARGET FARM/OILFIELD INDUSTRY - PARTNER WITH LOCAL AGENCIES OFFERING EDUCATION 2. SUBSTANCE ABUSE: UBH IS WORKING WITH DCSD/UCSD & LAW ENFORCEMENT TO RAISE AWARENESS TARGETING YOUTH INCLUDING: - HIGH SCHOOL EXAMPLE: AHS RESILIENCY WEEK (EDUCATIONAL BOOTH RE: DANGERS OF SUDS) - ELEMENTARY EXAMPLE: RED RIBBON WEEK / DARE SPONSOR UBH IS WORKING WITH LOCAL SUD PREVENTION RESOURCES (NECC, USU/TRIBE, LAW ENFORCEMENT) TO RAISE AWARENESS TARGETING ADULTS INCLUDING: - PARTNER WITH NECC TO TARGET FARM/OILFIELD INDUSTRY - WORK WITH USU ON LOCAL TROI-R CENTER (TRIBAL AND RURAL OPIOID INITIATIVE RESOURCE) - WORK WITH LAW ENFORCEMENT TO MAINTAIN DRUG DROP BOX LOCATIONS. ALSO, CONTINUE TO WORK WITH NECC TO PROVIDE RX BAGS WITH SUBSTANCE ABUSE EDUCATION. - SPEAK WITH LOCAL LIQUOR STORE AGENCIES / BARS - POSSIBLY PROVIDE BOTTLE OPENERS WITH SUD/SUICIDE INFO UBH IS COLLABORATING WITH LOCAL RECOVERY RESOURCES (THOMPSEN HOUSE OF HOPE, ADDICTS TO ATHLETES, BE THE LIGHT) TARGETING ADULTS INCLUDING: - CONTINUE PARTNERSHIP WITH THOMPSEN HOUSE OF HOPE (MARKETING ASSISTANCE) - PARTNER WITH OTHER RECOVERY RESOURCES (MARKETING ASSISTANCE) - SUPPORT EFFORT TO ESTABLISH TRANSITIONAL HOUSING (SPONSORSHIP) 3. OBESITY/DIABETES/EXERCISE: UBH IS PARTNERING WITH LOCAL RESOURCES INCLUDING: - UBTECH & USU (LOCAL GARDENS, NUTRITION CLASSES, COOKING CLASSES) - SCHOOL DISTRICTS (HEALTHY FUNDRAISERS; IE: MOVE-A-THON) - TCH/IHS/USU/UBH DIABETES PROGRAM COORDINATION TO GROW DIABETES EDUCATION PROGRAM AND EDUCATION UBH IS SPONSORING RUNS, SPORTS, & ACTIVE EVENTS INCLUDING: - RUNS (NEOLA RUN (UBH TAKING OVER 2023), 1K AND 5K FUN COLOR RUN, DINO HALF, TOWER ROCK RUN, UBIC TRIATHLON, TURKEY TROT, ELEMENTARY MOVE-A-THONS - HIGH SCHOOL ATHLETICS - YOUTH REC SPORT LEAGUES UBH IS GROWING ACCESS TO PHYSICAL ACTIVITY ACCESS IN DUCHESNE COUNTY INCLUDING: - UFITNESS GYM OPENED 3/1/23 (FREE ACCESS TO UBH STAFF & DISCOUNTED COMMUNITY RATES) - NATURE PARK (TRAIL SYSTEM (INCLUDING ADA TRAILS), FISHING POND) 1 BASIN CARE & REHABILITATION 260 W 200 N ROOSEVELT UT 84066 LONG-TERM CARE & REHABILITATION CENTER SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 23,759,279 IN COLUMN C AND 11,965,014 IN COLUMN D. SCHEDULE H, PART I, LINE 7 UBMC APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). SCHEDULE H, PART II DUCHESNE COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA BY HRSA. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART III, LINE 2 UBMC REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. UBMC PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. SCHEDULE H, PART III, LINE 3 UBMC ANALYZED BAD DEBT ACCOUNTS AND ESTIMATED BAD DEBT EXPENSE THAT IS REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY BUT FOR WHOM INSUFFICIENT INFORMATION WAS OBTAINED TO DETERMINE THEIR ELIGIBILITY. UBMC CALCULATED THE PRIOR YEAR CHARITY CARE AS A PERCENTAGE OF SELF PAY A/R AND APPLIED THAT PERCENTAGE TO THE SELF PAY A/R. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IN INCLUDED IN FOOTNOTE 8 STARTING ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B THE ACCOUNTS OF UNINSURED OR UNDER-INSURED PATIENTS WHO HAVE APPLIED FOR MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE ARE HELD WITHOUT FURTHER COLLECTION ACTION, UNTIL THE APPLICATION PROCESS HAS BEEN COMPLETE. SCHEDULE H, PART VI, LINE 2 SERVICES USES LOCAL AND STATE BASED DATA TO ASSIST ITS MEDICAL STAFF IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AND PROVIDES BASIC FAMILY BASED PRIMARY CARE. WE ARE CONTINUALLY TAKING IN INFORMATION AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT UBH.ORG UNDER "ABOUT US- AND SELECTING "CHNA." THE URL TO ACCESS THE CHNA UPLOADED TO THE HOSPTIAL'S WEBSITE IS: HTTPS://DOCS.GOOGLE.COM/PRESENTATION/D/1P3YNLODD8U4EV6L- 1F4NTIIQTX2CDSX2VNNMNMWZUFG/EDIT?USP=SHARING SCHEDULE H, PART VI, LINE 3 ALL PATIENTS PRESENTING TO OUR FACILITY WHO ARE UNINSURED/UNDER-INSURED ARE PRESENTED WITH THE OPPORTUNITY FOR FINANCIAL ASSISTANCE APPLICATION. A PATIENT FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE FULL TIME FOR INQUIRIES AND CONSULTING REGARDING ALL AVAILABLE FINANCIAL AID PROGRAMS. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL PROVIDES SERVICES TO RESIDENTS OF THE UINTAH BASIN LOCATED IN ROOSEVELT, UT WHICH IS LOCATED IN DUCHESNE AND UINTAH COUNTIES. DUCHESNE COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA BY HRSA. THE COUNTY POPULATION IS APPROXIMATELY 20,000 WITH A MEDIAN HOUSEHOLD INCOME OF 59,000. 13.9% OF DUCHESNE COUNTY FAMILIES LIVE IN POVERTY. THE UNEMPLOYMENT RATE WAS 3.9% IN 2022. UINTAH COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL AND MEDICALLY UNDERSERVED PROVIDER SHORTAGE AREA BY HRSA. THE COUNTY POPULATION IS APPROXIMATELY 37,000 WITH A MEDIAN HOUSEHOLD INCOME OF 63,000. 13.2% OF UINTAH COUNTY FAMILIES LIVE IN POVERTY. THE UNEMPLOYMENT RATE WAS 4.2% IN 2022. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE HOSPITAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA AND DEDICATE TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS AND ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. THE HOSPITAL HOLDS NUMEROUS COMMUNITY ACTIVITIES SUCH AS HEALTH FAIRS, FREE FLU SHOT CLINICS, PROMOTES SCHOOL PROGRAMS, AND PROVIDES NUMEROUS HEALTH, WELLNESS, AND EDUCATION ACTIVITIES TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS CONTINUALLY COLLABORATING WITH OTHER FACILITIES AND ORGANIZATIONS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED. X X X X false false false false false false false false false MICHAEL VAN BIBBER UROLOGY, MD 699358 34500 43058 776916 JAMES MARSHALL PRESIDENT/CEO 462742 83212 33522 37515 616991 MATTHEW MCKEE FAMILY PRACTICE, DO 512537 32347 36181 581065 KERRY BAUM SURGEON 392062 34794 36928 463784 BRUCE ARNOLD MEMBER/CHIEFOF STAFF 391761 31755 31376 454892 MARK HENDERSON FAMILY PRACTICE, DO 340293 24144 36004 400441 BRENT HALES CFO 302619 18195 31497 36811 389122 PENNY PEACOCK PHYSICIAN 304699 26765 41160 372624 RANDALL BENNETT VP HUMAN RESOURCES 262796 15345 26967 33945 339053 ROGER MARETT VP PHYSICIAN SVS 235450 13844 25230 31167 305691 GREG GARDINER CNO 223190 13230 24406 36463 297289 PRESTON MARX FAMILY 293670 EMPLOYMENT false NANCY CHUGG FAMILY 33765 EMPLOYMENT false FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF UBMC IS UINTAH BASIN HEALTHCARE (UBH). FORM 990, PAGE 6, PART VI, LINE 7B UBMC SHALL NOT SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION OR OTHERWISE MERGE WITH A THIRD PARTY OR TO BE ACQUIRED BY A THIRD PARTY WITHOUT THE APPROVAL OF UBH. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND REALTED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. THE 990 IS ALSO REVIEWED BY THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT QUESTIONNAIRES ARE COMPLETED ANNUALLY. IF CONFLICTS ARE PRESENT, ROBERTS RULES OF ORDER (RRO) ARE FOLLOWED AND THEY ARE RECUSED FROM VOTING. IF IT IS DETERMINED THAT THERE WAS A CONFLICT NOT REPORTED, THEY ARE SUBJECT TO DISCIPLINARY ACTION. FORM 990, PAGE 6, PART VI, LINE 15A AN INDEPENDENT COMPENSATION CONSULTANT IS HIRED WHO USES A SURVEY FOR BOTH CEO AND CFO COMPENSATION. THOSE RESULTS ARE REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 23,138,745 2,005,166 0 FORM 990, PART XI, LINE 9 SPECIAL EVENT ACTIVITY 2,670 SPECIAL EVENT ACTIVITY -2,670