Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $541,743

• 1e · Government grants (contributions)

  $370,126

• 2a · Program service revenue: PATIENT SERVICE REVENU

  total $189,408,781 · related or exempt $189,310,385 · unrelated business $98,396

• 3 · Investment income

  total $1,921,191 · excluded $1,921,191

• 6a · Gross rents

  real property $2,351,182

• 6b · Less rental expenses

  real property $1,349,702

• 6c · Rental income or loss

  real property $1,001,480

• 6d · Net rental income or loss

  total $1,001,480 · excluded $1,001,480

• 7a · Gross sales of assets other than inventory

  other assets $680,550

• 7b · Less cost or other basis and sales expenses

  other assets $637,000

• 7c · Gain or loss

  other assets $43,550

• 7d · Net gain or loss

  total $43,550 · excluded $43,550

• 11a · Other revenue: CAFETERIA REVENUE

  total $475,540 · related or exempt $475,540

• 11b · Other revenue: EDUCATION CLASSES

  total $10,351 · related or exempt $10,351

• 11e · Other revenue, total

  $485,891

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $595,521 · program services $595,521

• 5 · Compensation of officers, directors and key employees

  total $2,326,468 · program services $2,310,319 · management and general $16,149

• 7 · Other salaries and wages

  total $69,211,353 · program services $68,575,361 · management and general $635,992

• 8 · Pension plan contributions

  total $2,315,820 · program services $2,285,903 · management and general $29,917

• 9 · Other employee benefits

  total $7,016,961 · program services $6,963,836 · management and general $53,125

• 10 · Payroll taxes

  total $4,752,578 · program services $4,706,705 · management and general $45,873

• 11b · Fees: legal

  total $81,357 · management and general $81,357

• 11d · Fees: lobbying

  total $2,093 · management and general $2,093

• 11g · Fees: other

  total $9,672,967 · program services $9,379,707 · management and general $293,260

• 12 · Advertising and promotion

  total $1,055,065 · program services $78,112 · management and general $976,953

• 13 · Office expenses

  total $415,351 · program services $391,585 · management and general $23,766

• 14 · Information technology

  total $13,473,825 · program services $1,283,775 · management and general $12,190,050

• 16 · Occupancy

  total $3,503,975 · program services $3,503,975

• 17 · Travel

  total $131,374 · program services $118,747 · management and general $12,627

• 19 · Conferences, conventions and meetings

  total $133,241 · program services $129,666 · management and general $3,575

• 20 · Interest

  total $2,223,352 · program services $2,223,352

• 22 · Depreciation, depletion and amortization

  total $8,129,241 · program services $8,129,241

• 23 · Insurance

  total $1,615,028 · program services $1,615,028

• 24a · Other expenses: MEDICAL SUPPLIES

  total $27,891,106 · program services $27,891,106

• 24b · Other expenses: CONTRACT SERVICES

  total $18,871,659 · program services $17,874,599 · management and general $997,060

• 24c · Other expenses: BAD DEBT EXPENSE

  total $8,976,121 · program services $8,976,121

• 24d · Other expenses: PROVIDER FEE

  total $7,534,957 · program services $7,534,957

• 24e · All other expenses

  total $17,146,456 · program services $2,961,287 · management and general $14,185,169

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $8,024,419 · end of year $10,494,482

• 4 · Accounts receivable

  beginning of year $24,012,528 · end of year $22,246,861

• 7 · Other notes and loans receivable

  beginning of year $593,818 · end of year $414,423

• 8 · Inventories for sale or use

  beginning of year $4,014,412 · end of year $3,699,585

• 9 · Prepaid expenses and deferred charges

  beginning of year $773,031 · end of year $498,459

• 10a · Land, buildings and equipment: cost or other basis

  $133,354,403

• 10b · Land, buildings and equipment: accumulated depreciation

  $5,079,230

• 10c · Land, buildings and equipment, net

  beginning of year $171,013,804 · end of year $128,275,173

• 11 · Investments: publicly traded securities

  beginning of year $21,141,867 · end of year $20,925,953

• 14 · Intangible assets

  beginning of year $10,000,000

• 15 · Other assets

  beginning of year $61,968,396 · end of year $28,183,923

• 17 · Accounts payable and accrued expenses

  beginning of year $23,123,087 · end of year $23,717,288

• 19 · Deferred revenue

  beginning of year $3,952,144 · end of year $242,822

• 23 · Secured mortgages and notes payable

  beginning of year $52,810,916 · end of year $47,929,483

• 25 · Other liabilities

  beginning of year $866,699 · end of year $702,461

• 27 · Net assets without donor restrictions

  beginning of year $220,789,429 · end of year $134,885,581

• 28 · Net assets with donor restrictions

  end of year $7,261,224

The filer's explanations (Part III)

PART I, LINE 1A

TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2022 WERE: PRAKASH KARKI - $8,447, JAIME CAMPBELL - $23,949 PART I, LINE 1B: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.

PART I, LINE 3

COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.

PART I, LINES 4A-B

PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2022 WERE: SEVERANCE SHAWN DUFFORD - $400,522 PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2022. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2022 WERE: SHAWN DUFFORD- $324,506, JOHN HICKS - $93,282, TAJQUAH HUDSON - $164,654, KURT GENSERT 33,768, SEAN FADDEN - $19,816. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.

PART I, LINE 7

THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING EBIDA (EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION), STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY, AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.

SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES

ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED 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 ORGANIZATION 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. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• PLATTE VALLEY AMBULANCE SERVICE LLC

  AMBULANCE SERVICES · CO · income $15,875,629 · assets $0

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

• PLATTE VALLEY MEDICAL GROUP LLC

  PHYSICIAN SERVICES · CO · income $29,067,750 · assets $1,361,457

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

• PLATTE VALLEY MEDICAL IMAGING LLC

  IMAGING SERVICES · CO · income $0 · assets $0

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

• SPECTRUM MEDICAL IMAGING LLC

  IMAGING SERVICES · CO · income $10,866,586 · assets $0

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

• PLATTE VALLEY MEDICAL PLAZA 1 LLC

  RENTAL REAL ESTATE · CO · income $646,168 · assets $0

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

• PLATTE VALLEY MEDICAL PLAZA 2 LLC

  RENTAL REAL ESTATE · CO · income $1,226,540 · assets $0

  Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• SCLH-GI ENDOSCOPY HOLDINGS LLC

  OP ENDOSCOPY · CO

• SCLTDI JV LLC

  RADIOLOGY · DE

• ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER)

  PHYSICAL THERAPY · MT

• SUMMIT SURGERY CENTER LLC

  OP SURGERY · MT

• GRAND VALLEY SURGICAL CENTER LLC

  OP SURGERY · CO

• HEALTHCARE MANAGEMENT LLC

  MANAGEMENT SERVICES · CO

• MONUMENT HEALTH LLC

  HEALTH CARE NETWORK · CO

• PAVILION IMAGING LLC

  RADIOLOGY · CO

• SAN JUAN CANCER CENTER LLC

  OP CANCER · CO

• CAREFLIGHT OF THE ROCKIES LLC

  MEDICAL AIR TRANSPORT · CO

• MED-MAP LLC

  RENTAL REAL ESTATE · MT

• YELLOWSTONE SURGERY CENTER LLC

  OP SURGERY · MT

• GALLATIN VALLEY SURGERY CENTER LLC

  OP SURGERY · MT

• FIRST FLIGHT OF WYOMING LLC

  MEDICAL AIR TRANSPORT · CO

• MCKAY DEE SURGICAL CENTER LLC

  OP SURGERY · UT

• GRANDEUR PEAK INTERNATIONAL STALWARTS LP

  INVESTMENTS · DE

• INNOVATION FUND HOLDINGS COMPANY LLC

  INNOVATION · DE

• HEALTHBOX SALT LAKE CITY I LLC

  INNOVATION · DE

• INTERMOUNTAIN VENTURES FUND LLC

  INVESTMENTS · DE

• PELION OPPORTUNITY FUND III LLC

  INVESTMENTS · DE

• AACP KOREA BUYOUT INVESTORS II LP

  INVESTMENTS · CJ

• AACP SPECIAL SITUATIONS II LP

  INVESTMENTS · CJ

• AACP KOREA BUYOUT INVESTORS IV LP

  INVESTMENTS · CJ

• LOGAN SURGERY CENTER LLC

  OP SURGERY · UT

• ST GEORGE SURGERY CENTER LLC

  OP SURGERY · UT

• SALTZER ASC TEN MILE LLC

  OP SURGERY · ID

• NORTHPOINTE SURGICAL CENTER LLC

  OP SURGERY · UT

• HW AE CO-INVESTMENT PARTNERS LP

  INVESTMENTS · DE

• PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP

  INVESTMENTS · DE

• MURRAY SURGERY CENTER LLC

  OP SURGERY · UT

• PROVO SURGERY CENTER LLC

  OP SURGERY · UT

• SARATOGA SPRINGS SURGERY CENTER LLC

  OP SURGERY · UT

• PARK CITY SURGERY CENTER LLC

  OP SURGERY · UT

• PARK CITY SURGICAL CENTER REAL ESTATE LLC

  OP SURGERY · UT

• CDHC 3 LLC

  INVESTMENTS · UT

• ARK GLOBAL EMERGING COMPANIES LP

  INVESTMENTS · UT

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CARITAS INC AND SUBSIDIARIES

  C · HEALTHCARE · KS

• WEST END ASSOCIATION INC

  C · REAL ESTATE MANAGEMENT · MT

• LEAVEN INSURANCE COMPANY LTD

  C · INSURANCE · CJ

• ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC

  C · HEALTHCARE · MT

• SELECTHEALTH BENEFIT ASSURANCE COMPANY

  C · DELIVERY OF HEALTH BENEFITS · UT

• HEALTHCARE CAPTIVE INSURANCE COMPANY

  C · INSURANCE · AZ

• NAVICAN GENOMICS INC

  C · CANCER TREATMENT · DE

• ALLUCEO INC

  C · MENTAL HEALTH INTEGRATION SERVICES · DE

• SALTZER MEDICAL GROUP INC

  C · MEDICAL SERVICES · ID

• CLASSIC MEDICAL INC

  C · AIRCRAFT HOLDING COMPANY · UT

• CLASSIC HELICOPTERS INC

  C · AIRCRAFT HOLDING COMPANY · UT

• CULMINATION BIO INC

  C · BIOREPOSITORY · DE