Form 990 for tax year 2023
Filed by INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC.
Totals
- Total revenue
- $1,238,665,120
- Total expenses
- $1,219,687,675
- Contributions and grants received
- $100,000
- Grants paid
- $229,370
- Program service revenue
- $1,243,123,780
- Investment income
- -$3,910,973
- Other revenue
- -$647,687
- Total assets, end of year
- $607,201,630
- Total liabilities, end of year
- $248,429,595
- Net assets or fund balances, end of year
- $358,772,035
- Program services expenses (Part IX)
- $1,048,963,513
- Management and general expenses
- $170,724,162
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,048,963,513
Program services were 86.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$100,000
-
2a · Program service revenue: CAPITATION REVENUE
total $1,243,123,780 · related or exempt $1,243,123,780
-
3 · Investment income
total $4,112,335 · excluded $4,112,335
-
6a · Gross rents
real property $639,259
-
6b · Less rental expenses
real property $1,286,946
-
6c · Rental income or loss
real property -$647,687
-
6d · Net rental income or loss
total -$647,687 · excluded -$647,687
-
7a · Gross sales of assets other than inventory
securities $142,981,301
-
7b · Less cost or other basis and sales expenses
securities $151,004,609
-
7c · Gain or loss
securities -$8,023,308
-
7d · Net gain or loss
total -$8,023,308 · excluded -$8,023,308
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $229,370 · program services $229,370
-
5 · Compensation of officers, directors and key employees
total $14,270,369 · program services $12,272,517 · management and general $1,997,852
-
7 · Other salaries and wages
total $217,676,458 · program services $187,201,754 · management and general $30,474,704
-
8 · Pension plan contributions
total $6,107,508 · program services $5,252,457 · management and general $855,051
-
9 · Other employee benefits
total $19,204,728 · program services $16,516,066 · management and general $2,688,662
-
10 · Payroll taxes
total $18,365,350 · program services $15,794,201 · management and general $2,571,149
-
11a · Fees: management
total $10,933,680 · program services $9,402,965 · management and general $1,530,715
-
11c · Fees: accounting
total $80,080 · program services $68,869 · management and general $11,211
-
11g · Fees: other
total $17,004,173 · program services $14,623,589 · management and general $2,380,584
-
12 · Advertising and promotion
total $3,171,135 · program services $2,727,176 · management and general $443,959
-
13 · Office expenses
total $8,882,583 · program services $7,639,021 · management and general $1,243,562
-
14 · Information technology
total $13,886,634 · program services $11,942,505 · management and general $1,944,129
-
16 · Occupancy
total $25,343,260 · program services $21,795,204 · management and general $3,548,056
-
17 · Travel
total $1,132,438 · program services $973,897 · management and general $158,541
-
19 · Conferences, conventions and meetings
total $278,401 · program services $239,425 · management and general $38,976
-
20 · Interest
total $666,766 · program services $573,419 · management and general $93,347
-
22 · Depreciation, depletion and amortization
total $15,334,171 · program services $13,187,387 · management and general $2,146,784
-
24a · Other expenses: MEDICAL EXPENSES
total $785,483,319 · program services $675,515,654 · management and general $109,967,665
-
24b · Other expenses: MEDICAL SUPPLIES
total $52,125,724 · program services $44,828,123 · management and general $7,297,601
-
24c · Other expenses: RISK MANAGEMENT
total $4,775,701 · program services $4,107,103 · management and general $668,598
-
24e · All other expenses
total $4,735,827 · program services $4,072,811 · management and general $663,016
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $6,997 · end of year $3,661
-
2 · Savings and temporary cash investments
beginning of year $56,731,910 · end of year $67,086,458
-
4 · Accounts receivable
beginning of year $5,691,232 · end of year $5,523,591
-
8 · Inventories for sale or use
beginning of year $1,120,907 · end of year $1,017,947
-
9 · Prepaid expenses and deferred charges
beginning of year $1,638,056 · end of year $2,344,031
-
10a · Land, buildings and equipment: cost or other basis
$58,126,980
-
10b · Land, buildings and equipment: accumulated depreciation
$20,242,919
-
10c · Land, buildings and equipment, net
beginning of year $28,204,262 · end of year $37,884,061
-
12 · Investments: other securities
beginning of year $73,744,320 · end of year $4,189,658
-
14 · Intangible assets
beginning of year $402,695,155 · end of year $408,937,855
-
15 · Other assets
beginning of year $87,002,737 · end of year $80,214,368
-
17 · Accounts payable and accrued expenses
beginning of year $18,450,280 · end of year $12,310,462
-
19 · Deferred revenue
beginning of year $1,466,850 · end of year $1,010,899
-
25 · Other liabilities
beginning of year $307,790,599 · end of year $235,108,234
-
27 · Net assets without donor restrictions
beginning of year $329,127,847 · end of year $358,772,035
Mission and programs · 2023
Mission
HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.
-
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC. IS A MEDICAL GROUP THAT OPERATES 80 PRACTICE MEDICAL OFFICES IN 6 CITIES IN NEVADA. THERE ARE 270 HEALTH PROVIDERS SPECIALIZING IN INTERNAL MEDICINE, FAMILY PRACTICE, CARDIOVASCULAR DISEASE (CARDIOLOGY), GENERAL PRACTICE, HEMATOLOGY/ONCOLOGY, CARDIAC ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE AND MORE. THE MAJORITY OF SERVICES PROVIDED BY THE ORGANIZATION ARE THROUGH CAPITATION ARRANGEMENTS.
Expenses $1,048,963,513 · Grants $229,370 · Revenue $1,243,123,780
As filed on the 2023 return.
Listed in Part VII
-
Elizabeth P BeckmanELIZABETH P BECKMAN
TRUSTEE
- Total calculated
- $1,044
- From this org
- $0
- From related orgs
- $1,044
- Other
- $0
- Hours/week
- 2 + 2 related
-
S Neal BerubeS NEAL BERUBE
CHAIR/TRUSTEE
- Total calculated
- $1,110
- From this org
- $0
- From related orgs
- $1,110
- Other
- $0
- Hours/week
- 2 + 4 related
-
Chip ChildsCHIP CHILDS
TRUSTEE/VICE-CHAIR (PARTIAL)
- Total calculated
- $0
- Hours/week
- 2
-
Mitchell ClowardMITCHELL CLOWARD
TRUSTEE/SEC/REGION PRES/COO(PARTIAL)
- Total calculated
- $1,471,752
- From this org
- $1,081,825
- From related orgs
- $0
- Other
- $389,927
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $711,538
- Bonus
- $292,762
- Other
- $77,525
- Deferred
- $357,490
- Nontaxable benefits
- $32,437
- Filer's total
- $1,471,752
-
Cyndi Woodbury GilbertCYNDI WOODBURY GILBERT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Derrick Haslem MDDERRICK HASLEM MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Paul KrakovitzPAUL KRAKOVITZ
TRUSTEE/SEC/REGION PRES(PARTIAL)
- Total calculated
- $3,167,432
- From this org
- $0
- From related orgs
- $3,075,283
- Other
- $92,149
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $443,737 related
- Bonus
- $0 + $499,986 related
- Other
- $0 + $2,131,560 related
- Deferred
- $0 + $71,913 related
- Nontaxable benefits
- $0 + $20,236 related
- Filer's total
- $0 + $3,167,432 related
-
Nicole MouskondisNICOLE MOUSKONDIS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Dan ShawDAN SHAW
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Evan VickersEVAN VICKERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Keith WhitefieldKEITH WHITEFIELD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Natalie AshbyNATALIE ASHBY
MARKET PRESIDENT (PARTIAL)
- Total calculated
- $562,235
- From this org
- $388,585
- From related orgs
- $0
- Other
- $173,650
- Hours/week
- 2 + 51 related
Schedule J breakdown matched by us
- Base
- $327,582
- Bonus
- $59,431
- Other
- $1,572
- Deferred
- $138,790
- Nontaxable benefits
- $34,860
- Filer's total
- $562,235
-
Clay L AshdownCLAY L ASHDOWN
SENIOR VP/ TREASURER (PARTIAL)
- Total calculated
- $1,563,867
- From this org
- $0
- From related orgs
- $1,122,424
- Other
- $441,443
- Hours/week
- 2 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $671,465 related
- Bonus
- $0 + $329,198 related
- Other
- $0 + $121,761 related
- Deferred
- $0 + $406,292 related
- Nontaxable benefits
- $0 + $35,151 related
- Filer's total
- $0 + $1,563,867 related
-
Justin BollenbackJUSTIN BOLLENBACK
SENIOR VICE PRESIDENT (PARTIAL)
- Total calculated
- $602,227
- From this org
- $452,742
- From related orgs
- $0
- Other
- $149,485
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $376,153
- Bonus
- $75,267
- Other
- $1,322
- Deferred
- $118,605
- Nontaxable benefits
- $30,880
- Filer's total
- $602,227
-
Cara Camiolo MDCARA CAMIOLO MD
CHIEF MEDICAL OFFICER
- Total calculated
- $1,061,750
- From this org
- $789,946
- From related orgs
- $0
- Other
- $271,804
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $566,134
- Bonus
- $188,786
- Other
- $35,026
- Deferred
- $243,374
- Nontaxable benefits
- $28,430
- Filer's total
- $1,061,750
-
Ryan ChristensenRYAN CHRISTENSEN
VICE PRESIDENT (PARTIAL)
- Total calculated
- $688,274
- From this org
- $545,652
- From related orgs
- $0
- Other
- $142,622
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $441,764
- Bonus
- $102,491
- Other
- $1,397
- Deferred
- $135,856
- Nontaxable benefits
- $6,766
- Filer's total
- $688,274
-
Mike ChristophersonMIKE CHRISTOPHERSON
ASSISTANT SECRETARY
- Total calculated
- $595,626
- From this org
- $438,719
- From related orgs
- $0
- Other
- $156,907
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $304,429
- Bonus
- $85,633
- Other
- $48,657
- Deferred
- $121,860
- Nontaxable benefits
- $35,047
- Filer's total
- $595,626
-
Amy ChurchAMY CHURCH
VICE PRESIDENT (PARTIAL)
- Total calculated
- $1,021,602
- From this org
- $0
- From related orgs
- $759,558
- Other
- $262,044
- Hours/week
- 2 + 56 related
Schedule J breakdown matched by us
- Base
- $0 + $551,333 related
- Bonus
- $0 + $108,199 related
- Other
- $0 + $100,026 related
- Deferred
- $0 + $260,261 related
- Nontaxable benefits
- $0 + $1,783 related
- Filer's total
- $0 + $1,021,602 related
-
Keyona ColeKEYONA COLE
CHIEF NURSING OFFICER (PARTIAL)
- Total calculated
- $563,246
- From this org
- $469,194
- From related orgs
- $0
- Other
- $94,052
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $397,643
- Bonus
- $70,004
- Other
- $1,547
- Deferred
- $81,790
- Nontaxable benefits
- $12,262
- Filer's total
- $563,246
-
Suzanne DraperSUZANNE DRAPER
VICE PRESIDENT (PARTIAL)
- Total calculated
- $694,678
- From this org
- $0
- From related orgs
- $603,752
- Other
- $90,926
- Hours/week
- 2 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $336,147 related
- Bonus
- $0 + $194,894 related
- Other
- $0 + $72,711 related
- Deferred
- $0 + $58,568 related
- Nontaxable benefits
- $0 + $32,358 related
- Filer's total
- $0 + $694,678 related
-
Beau HarrisonBEAU HARRISON
VICE PRESIDENT (PARTIAL)
- Total calculated
- $407,229
- From this org
- $302,733
- From related orgs
- $0
- Other
- $104,496
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $228,002
- Bonus
- $30,178
- Other
- $44,553
- Deferred
- $71,912
- Nontaxable benefits
- $32,584
- Filer's total
- $407,229
-
Stacy JenningsSTACY JENNINGS
VICE PRESIDENT
- Total calculated
- $1,083,236
- From this org
- $0
- From related orgs
- $805,712
- Other
- $277,524
- Hours/week
- 2 + 52 related
Schedule J breakdown matched by us
- Base
- $0 + $554,542 related
- Bonus
- $0 + $250,940 related
- Other
- $0 + $230 related
- Deferred
- $0 + $242,066 related
- Nontaxable benefits
- $0 + $35,458 related
- Filer's total
- $0 + $1,083,236 related
-
Gregory M JohnsonGREGORY M JOHNSON
VICE PRESIDENT (PARTIAL)
- Total calculated
- $2,117,139
- From this org
- $0
- From related orgs
- $2,061,569
- Other
- $55,570
- Hours/week
- 2 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $80,048 related
- Bonus
- $0 + $314,641 related
- Other
- $0 + $1,666,880 related
- Deferred
- $0 + $43,451 related
- Nontaxable benefits
- $0 + $12,119 related
- Filer's total
- $0 + $2,117,139 related
-
Nadia KhanNADIA KHAN
VICE PRESIDENT (PARTIAL)
- Total calculated
- $510,619
- From this org
- $409,220
- From related orgs
- $0
- Other
- $101,399
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $310,440
- Bonus
- $97,488
- Other
- $1,292
- Deferred
- $98,712
- Nontaxable benefits
- $2,687
- Filer's total
- $510,619
-
Karim KaissiKARIM KAISSI
COO, AMBULATORY (PARTIAL)
- Total calculated
- $968,434
- From this org
- $948,476
- From related orgs
- $0
- Other
- $19,958
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $162,658
- Bonus
- $204,340
- Other
- $581,478
- Deferred
- $17,669
- Nontaxable benefits
- $2,289
- Filer's total
- $968,434
-
David LiuDAVID LIU
COO, MEDICAL GROUP (PARTIAL)
- Total calculated
- $608,737
- From this org
- $594,714
- From related orgs
- $0
- Other
- $14,023
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $125,209
- Bonus
- $52,538
- Other
- $416,967
- Deferred
- $3,666
- Nontaxable benefits
- $10,357
- Filer's total
- $608,737
-
Greg J MatisGREG J MATIS
SECRETARY
- Total calculated
- $2,300,619
- From this org
- $0
- From related orgs
- $1,467,943
- Other
- $832,676
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $767,063 related
- Bonus
- $0 + $391,369 related
- Other
- $0 + $309,511 related
- Deferred
- $0 + $800,888 related
- Nontaxable benefits
- $0 + $31,788 related
- Filer's total
- $0 + $2,300,619 related
-
Melinda MendozaMELINDA MENDOZA
VICE PRESIDENT (PARTIAL)
- Total calculated
- $74,833
- From this org
- $0
- From related orgs
- $73,366
- Other
- $1,467
- Hours/week
- 2 + 54 related
-
Tracy StanfordTRACY STANFORD
VICE PRESIDENT (PARTIAL)
- Total calculated
- $451,193
- From this org
- $324,321
- From related orgs
- $0
- Other
- $126,872
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $322,644
- Bonus
- $0
- Other
- $1,677
- Deferred
- $96,233
- Nontaxable benefits
- $30,639
- Filer's total
- $451,193
-
Janie WadeJANIE WADE
TREASURER (PARTIAL)
- Total calculated
- $5,698,171
- From this org
- $0
- From related orgs
- $5,604,292
- Other
- $93,879
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $819,609 related
- Bonus
- $0 + $278,696 related
- Other
- $0 + $4,505,987 related
- Deferred
- $0 + $71,363 related
- Nontaxable benefits
- $0 + $22,516 related
- Filer's total
- $0 + $5,698,171 related
-
Daejoon Anh MDDAEJOON ANH MD
CARDIO/INVASIVE
- Total calculated
- $1,016,042
- From this org
- $825,246
- From related orgs
- $0
- Other
- $190,796
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $708,609
- Bonus
- $558
- Other
- $116,079
- Deferred
- $181,800
- Nontaxable benefits
- $8,996
- Filer's total
- $1,016,042
-
Prashant Bharucha MDPRASHANT BHARUCHA MD
MEDICAL DIRECTOR
- Total calculated
- $1,114,205
- From this org
- $1,044,951
- From related orgs
- $0
- Other
- $69,254
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $999,564
- Bonus
- $44,058
- Other
- $1,329
- Deferred
- $62,072
- Nontaxable benefits
- $7,182
- Filer's total
- $1,114,205
-
Howard Broder MDHOWARD BRODER MD
MEDICAL DIRECTOR
- Total calculated
- $1,166,737
- From this org
- $950,516
- From related orgs
- $0
- Other
- $216,221
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $808,379
- Bonus
- $558
- Other
- $141,579
- Deferred
- $181,800
- Nontaxable benefits
- $34,421
- Filer's total
- $1,166,737
-
William Chu MDWILLIAM CHU MD
CARDIO INTERVENTION
- Total calculated
- $1,059,313
- From this org
- $851,147
- From related orgs
- $0
- Other
- $208,166
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $759,160
- Bonus
- $558
- Other
- $91,429
- Deferred
- $181,800
- Nontaxable benefits
- $26,366
- Filer's total
- $1,059,313
-
Cuong Ngyun MDCUONG NGYUN MD
CARDIO/NONINVASIVE
- Total calculated
- $1,012,379
- From this org
- $806,429
- From related orgs
- $0
- Other
- $205,950
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $727,242
- Bonus
- $558
- Other
- $78,629
- Deferred
- $181,800
- Nontaxable benefits
- $24,150
- Filer's total
- $1,012,379
-
Trevor SmithTREVOR SMITH
FORMER OFFICER
- Total calculated
- $410,375
- From this org
- $283,742
- From related orgs
- $0
- Other
- $126,633
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $283,632
- Bonus
- $0
- Other
- $110
- Deferred
- $91,724
- Nontaxable benefits
- $34,909
- Filer's total
- $410,375
-
Albert R ZimmerliALBERT R ZIMMERLI
FORMER OFFICER
- Total calculated
- $8,297,635
- From this org
- $0
- From related orgs
- $8,266,670
- Other
- $30,965
- Hours/week
- 0 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $256,243 related
- Bonus
- $0 + $1,019,415 related
- Other
- $0 + $6,991,012 related
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $17,765 related
- Filer's total
- $0 + $8,297,635 related
-
Robert W AllenROBERT W ALLEN
FORMER OFFICER
- Total calculated
- $6,294,132
- From this org
- $0
- From related orgs
- $3,669,634
- Other
- $2,624,498
- Hours/week
- 0 + 61 related
Schedule J breakdown matched by us
- Base
- $0 + $2,031,471 related
- Bonus
- $0 + $851,892 related
- Other
- $0 + $786,271 related
- Deferred
- $0 + $2,586,333 related
- Nontaxable benefits
- $0 + $38,165 related
- Filer's total
- $0 + $6,294,132 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Housing allowance or residence for personal use
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 1A
- THE INCOMING REGION PRESIDENT, MITCHELL CLOWARD, WAS PROVIDED HOUSING ON A TEMPORARY BASIS AS PART OF A RELOCATION PACKAGE.
- PART I, LINE 3
- THE COMPENSATION COMMITTEE OF THE INTERMOUNTAIN HEALTH CARE, INC. BOARD (A RELATED NONPROFIT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTH SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID.
- PART I, LINES 4A-B
- THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN 2023: - GERGORY M. JOHNSON - $1,655,170 - KARIM KAISSI - $580,256 - PAUL KRAKOVITZ - $2,130,545 - DAVID LIU - $416,105 - CUONG NGYUN, MD - $77,250 - JANIE WADE - $3,903,603 - ALBERT R. ZIMMERLI - $6,640,096 THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENTS IN 2023: - AMY CHURCH - $24,440 - JANIE WADE - $552,445 - ALBERT R. ZIMMERLI - $339,021 THE FILING ORGANIZATION OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE 2023 SUPPLEMENTAL EMPLOYER RETIREMENT PAYMENT REPORTED ABOVE IS INCLUDED IN THE PART II, COLUMN (B)(III) TOTALS.
- PART II, COLUMN C
- DURING 2023, BENEFITS FOR SEVERAL INDIVIDUALS WERE INCLUDED IN PART II, COLUMN (C) AS PART OF A RETENTION AGREEMENT PACKAGE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$72,820
SUPPORT COMMUNITY HEALTH
-
$50,000
SUPPORT COMMUNITY HEALTH
-
SHRINERS HOSPITALS FOR CHILDREN
$25,000
SUPPORT COMMUNITY HEALTH
-
$17,500
SUPPORT COMMUNITY HEALTH
-
GRANT A GIFT AUTISM FOUNDATION
$15,000
SUPPORT COMMUNITY HEALTH
-
$10,000
SUPPORT COMMUNITY HEALTH
-
$7,500
SUPPORT COMMUNITY HEALTH
-
$6,000
SUPPORT COMMUNITY HEALTH
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOLDING COMPANY · UT
-
501(C)(3) · HEALTHCARE · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
501(C)(3) · COMMUNITY HEALTH · UT · controlled entity
Directly controlled by IHC HEALTH SERVICES INC
-
INTERMOUNTAIN HEALTH CARE RETIREE VEBA
501(C)(9) · RETIREMENT BENEFITS · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
501(C)(4) · DELIVERY OF HEALTH BENEFITS · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
501(C)(3) · COMMUNITY HEALTH · UT · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
-
501(C)(3) · SUPPORT RELATED TAX EXEMPT ORGANIZATIONS · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
SCL HEALTH RESEARCH INSTITUTE INC
501(C)(3) · MEDICAL RESEARCH · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by INTEGRITY HEALTH
-
PLATTE VALLEY MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
-
501(C)(3) · RESIDENT CARE · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
SAINT JOSEPH HOSPITAL FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by SAINT JOSEPH HOSPITAL INC
-
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by SCL HEALTH - FRONT RANGE INC
-
LUTHERAN MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by SCL HEALTH - FRONT RANGE INC
-
ST MARY'S HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HOSPITAL SERVICES · CO · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · SUPPORTING ORGANIZATION · CO · controlled entity
Directly controlled by ST MARY'S HOSPITAL & MEDICAL CENTER INC
-
501(C)(3) · CLINIC SERVICES · KS · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
HOLY ROSARY HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORTING ORGANIZATION · MT · controlled entity
Directly controlled by HOLY ROSARY HEALTHCARE
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
ST JAMES HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORTING ORGANIZATION · MT · controlled entity
Directly controlled by ST JAMES HEALTHCARE
-
501(C)(3) · HOSPITAL SERVICES · MT · controlled entity
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
ST VINCENT HEALTHCARE FOUNDATION INC
501(C)(3) · SUPPORTING ORGANIZATION · MT · controlled entity
Directly controlled by SCL HEALTH - MONTANA
-
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
501(C)(3) · MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES · KS · controlled entity
Directly controlled by INTERMOUNTAIN HEALTH CARE INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
INTERMOUNTAIN DC NV LLC
MEDICARE ADVANTAGE · NV · income $1,189,216,525 · assets $61,817,389
Directly controlled by INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
-
INTERMOUNTAIN MS NV LLC
NON-MEDICAL ADMINISTRATION · NV · income $562,485,142 · assets $740,353,382
Directly controlled by INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
-
INTERMOUNTAIN IPA LLC
MEDICAL ADMINISTRATION · NV · income -$107,390 · assets $967
Directly controlled by INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
MCKAY DEE SURGICAL CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
GRANDEUR PEAK INTERNATIONAL STALWARTS LP
N/A · INVESTMENTS · DE
-
INNOVATION FUND HOLDINGS COMPANY LLC
N/A · INNOVATION · DE
-
HEALTHBOX SALT LAKE CITY I LLC
N/A · INNOVATION · DE
-
INTERMOUNTAIN VENTURES FUND LLC
N/A · INVESTMENTS · DE
-
PELION OPPORTUNITY FUND III LLC
N/A · INVESTMENTS · DE
-
AACP KOREA BUYOUT INVESTORS II LP
N/A · INVESTMENTS · CJ
-
AACP SPECIAL SITUATIONS II LP
N/A · INVESTMENTS · CJ
-
AACP KOREA BUYOUT INVESTORS IV LP
N/A · INVESTMENTS · CJ
-
LOGAN SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
ST GEORGE SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
SALTZER ASC TEN MILE LLC
N/A · OUTPATIENT SURGERY · ID
-
NORTHPOINTE SURGICAL CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
PERFORMANCE EQUITY GROWTH OPPORTUNITIES
N/A · INVESTMENTS · DE
-
MURRAY SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
PROVO SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
SARATOGA SPRINGS SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
PARK CITY SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT
-
PARK CITY SURGICAL CENTER REAL ESTATE LLC
N/A · LEASES LAND · UT
-
SCLH-GI ENDOSCOPY HOLDINGS LLC
N/A · OUTPATIENT ENDOSCOPY · CO
-
SCLTDI JV LLC
N/A · RADIOLOGY · DE
-
ATHLETIC MEDICINE & PERFORMANCE LLC
N/A · PHYSICAL THERAPY · MT
-
SUMMIT SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · MT
-
GRAND VALLEY SURGICAL CENTER LLC
N/A · OUTPATIENT SURGERY · CO
-
HEALTHCARE MANAGEMENT LLC
N/A · MANAGEMENT SERVICES · CO
-
PAVILION IMAGING LLC
N/A · RADIOLOGY · CO
-
SAN JUAN CANCER CENTER LLC
N/A · OUTPATIENT CANCER · CO
-
CAREFLIGHT OF THE ROCKIES LLC
N/A · MEDICAL AIR TRANSPORT · CO
-
MED-MAP LLC
N/A · RENTAL REAL ESTATE · MT
-
YELLOWSTONE SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · MT
-
GALLATIN VALLEY SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · MT
-
FIRST FLIGHT OF WYOMING LLC
N/A · MEDICAL AIR TRANSPORT · CO
-
CDHC 3 LLC
N/A · INVESTMENTS · UT
-
ARK GLOBAL EMERGING COMPANIES LP
N/A · INVESTMENTS · UT
-
MONUMENT HEALTH LLC
N/A · HEALTH CARE NETWORK · CO
-
PELION OPPORTUNITY FUND IV LLC
N/A · INVESTMENTS · DE
-
LAYTON SURGERY CENTER LLC
N/A · OUTPATIENT SURGERY · UT · 51.4% owned · general or managing partner
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HEALTHCARE CAPTIVE INSURANCE COMPANY
C · INSURANCE · AZ
-
SELECTHEALTH BENEFIT ASSURANCE COMPANY INC
C · DELIVERY OF HEALTH BENEFITS · UT
-
ALLUCEO INC
C · MENTAL HEALTH INTEGRATION SERVICES · DE
-
SALTZER MEDICAL GROUP INC
C · HEALTHCARE · ID
-
CLASSIC MEDICAL INC
C · MEDICAL AIR TRANSPORTATION · UT
-
CLASSIC HELICOPTERS INC
C · AIR TRANSPORT SUPPORT · UT
-
CARITAS INC AND SUBSIDIARIES
C · HEALTHCARE · KS
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
WEST END ASSOCIATION INC
C · REAL ESTATE MANAGEMENT · MT
Directly controlled by SCL HEALTH - MONTANA
-
LEAVEN INSURANCE COMPANY LTD
C · INSURANCE · CJ
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
C · HEALTHCARE · MT
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
-
CULMINATION BIO INC
C · BIOREPOSITORY · DE
-
CAN YOU PLAY INC
C · SOFTWARE DEVELOPMENT · UT
-
CARENT LABORATORY SOLUTIONS LLC
C · MEDICAL LABORATORY · CO
Directly controlled by SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 5 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433109349303833
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.