Intermountain Health 2023 Annual Report

The Power of We

Health. Wellness. Strength. These aims connect individuals and Intermountain Health caregivers in communities across 630,000 square miles in the seven states served by Intermountain hospitals, clinics, and services.

The landscape of the interior west includes vast rural expanses as well as some of the fastest-growing population areas in the nation. Together with you, our communities, we’re on a mission in which your healthy future is our healthy future. That’s The Power of We.

When health issues arise, The Power of We is also a partnership. Intermountain Health doctors, advanced practice providers, and caregivers bring knowledge, resources, clinical excellence, caring, compassion, and innovation to our patients and communities. Patients and their loved ones bring teamwork, optimism, and determination to our partnership. Together, we attain the best possible outcomes.

As a nonprofit health system engaged and invested in our communities, Intermountain partners with other providers, agencies, and organizations to ensure that people have convenient access to health services. We’re working together to move upstream and keep people well by addressing foundational needs such as food insecurity, housing, and transportation. We appreciate the partnership and support from within the communities we serve that allow us to have a greater impact in this important work.

We’re also driving to simplify the healthcare experience for patients, communities, and caregivers. We’re embracing cutting-edge technology and using artificial intelligence to support caregivers as we strive to simplify, streamline, and personalize the patient experience. In all the ways we interact with people across their health journey, we’re reimagining and innovating our work. We’re meeting people where they are to provide care options and resources when and where they need them.

United with you, we’re a force for good, optimism, and hope in each neighborhood, each community. Helping people live the healthiest lives possible is our mission and our driving force, today and into the long-term future. Working together will always yield the best results.

Rob Allen, President and CEO, Intermountain Health

Mike Leavitt, Chair, Intermountain Health Board of Trustees

Section 1: An Overview of Intermountain Health

One Intermountain

At Intermountain Health, we’re a network of more than 66,000 caregivers who are all committed to our mission of Helping people live the healthiest lives possible®. We serve in communities that range from urban to suburban to rural and everything in between across 630,000 square miles. However we remain connected by our mission, vision, and values, and by our commitment to support people in their health and wellness journey with care and compassion.

Our Mission

Helping People Live the Healthiest Lives Possible®

Mission for our Catholic entities:

We reveal and foster God’s healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.

Our Vision

Be a model health system by providing extraordinary care and superior service at an affordable cost

Our Values

In 2023, we established aligned values across Intermountain Health. The values are rooted in the legacies of the healthcare professionals who came before us and guide our decisions and actions. These values highlight what it means to be an Intermountain Health caregiver.

Establishing aligned values meant that we needed to identify shared values that apply to all Intermountain Health caregivers. We partnered with our Catholic entities to ensure that the value statements reflected aspects of our Catholic health ministry, and also established a statement that helps to connect our new and aligned values with the legacy of our Catholic ministry: Our Catholic health Ministry and Mission is entrusted to us to honor the sacred dignity of human life and the inherent worth of every person and are aligned with our common values.

Bringing our new brand to life with The Power of We

In 2022, Intermountain announced the kickoff of a multi-year renaming and rebranding campaign, in which we evolved to our new name – Intermountain Health – and our new brand identity. In 2023, we embarked on that journey, and an early outcome was the creation of The Power of We campaign.

The campaign highlights the strength of partnership between caregivers and patients and the belief that we’re stronger together. It celebrates the heart that each of our caregivers and patients bring to our partnership and spotlights humanity in our quest for health. To put it simply, The Power of We is why we exist. Our mission is only possible when we navigate life together.

As we celebrate The Power of We, we also continue rebranding efforts across the organization. The Intermountain Health name and brand unite us in a look and feel that shows our communities that we’re a health partner focused on personalization,

innovation, and preventive care. The new brand will soon be in place in each and every corner of our service area. Thank you to our caregivers, whose hearts and minds bring the Intermountain Health brand to life each and every day.

The Power of We

The Power of We

The Power of We

Intermountain Fast Facts

Intermountain Health Regions

Desert Nevada, Arizona, and Southwest Region: Utah

Canyons Central and Northern Utah, Idaho, Region: and Western Wyoming

Peaks Colorado, Kansas, Eastern Region: Wyoming, Montana, and New Mexico

Hospitals

Region HQ

Affiliate/Outreach Partnerships

Classic Air Medical Bases

Peaks Region safety net clinics

Intermountain Health by the Numbers

$750 million+ invested in the community within our service area in 2023.

Number of adjusted admissions (or patients admitted to our hospitals): 551,758

Highlights From 2023

Number of emergency department visits: 875,443

At Intermountain Health, we’re proud of the excellent care we provide our communities. While the number of patients we serve each year is large – in 2023, we provided care to more than 1.4 million people in our hospitals –our care teams work to support each individual person in focusing on and achieving their best in health and wellness.

Number of births: 37,477

Number of inpatient surgeries:

52,622

Number of outpatient surgeries: 199,669

2023 Recognition

February 2023

Garfield Memorial Hospital outpatient services (clinical shared services) and St. George Regional Hospital inpatient services received the Pinnacle of Excellence Award from Press Ganey. The award recognizes healthcare organizations that have maintained consistently high levels of excellence over three years in patient experience, employee engagement, physician engagement, or clinical quality performance.

February 2023

Press Ganey recognized ten Intermountain hospitals as Guardians of Excellence for their commitment to quality, safety, patient experience, and caregiver engagement. American Fork Hospital outpatient oncology, Delta Community Hospital emergency department, Garfield Memorial Hospital emergency department and medical group, Heber Valley Hospital emergency department, Orem Community Hospital inpatient, Park City Hospital emergency department, Riverton Hospital outpatient oncology, St. George Regional Hospital emergency department and medical group, Saint Joseph Hospital inpatient and NICU, and Utah Valley Hospital inpatient rehabilitation were all recognized among the top 5% of Press Ganey clients.

May 2023

Newsweek included four Intermountain hospitals as the Best Maternity Hospitals 2023. Saint Joseph Hospital and St. Vincent Healthcare each received five ribbons. Good Samaritan Medical Center and Park City Hospital received four ribbons. The evaluation is based on three data sources: a nationwide online survey in which hospital managers and maternity healthcare professionals were asked to recommend leading maternity hospitals; medical key performance indicator data relevant to maternity care; and patient satisfaction data.

JANUARY

February 2023

Seven Intermountain hospitals were named to the Newsweek World’s Best Hospitals in the U.S. Good Samaritan Medical Center, Intermountain Medical Center, LDS Hospital, Logan Regional Hospital, St. George Regional Hospital, St. Vincent Healthcare, and Utah Valley Hospital, were all listed among the top 250 best hospitals in the United States. Good Samaritan Medical Center, Intermountain Medical Center, Logan Regional Medical Center, St. George Regional Hospital, and St. Vincent Healthcare were also recognized for Infection Prevention at their facilities.

March 2023

Bear River Valley Hospital, Cedar City Hospital, and Park City Hospital were named to the Chartis Top 100 Rural and Community Hospitals for 2023. Garfield Memorial Hospital and Heber Valley Hospital were named to the Chartis Critical Access Top Hospitals.

May 2023

Fourteen Intermountain hospitals received an “A” grade in the spring 2023 Leapfrog Hospital Safety grades. This national distinction recognizes a health system’s commitment to patient safety and achievements in preventing harm. Alta View Hospital, American Fork Hospital, Cedar City Hospital, Good Samaritan Medical Center, Layton Hospital, LDS Hospital, Logan Regional Hospital, Park City Hospital, Platte Valley Medical Center, Saint Joseph Hospital, St. George Regional Hospital, St. Mary’s Hospital and Medical Center, St. Vincent Healthcare, and Utah Valley Hospital were all honored for excellence.

June 2023

Intermountain Primary Children’s Hospital was recognized by U.S. News and World Report with national rankings in clinical subspecialties, including neonatology, diabetes and endocrinology, orthopedics, and urology.

July 2023

Twenty-one Intermountain care sites received A grades from the Lown Institute Hospital Index for Social Responsibility. The sites recognized are: Alta View Hospital, American Fork Hospital, Cassia Regional Hospital, Cedar City Hospital, Delta Community Hospital, Good Samaritan Medical Center, Heber Valley Hospital, Holy Rosary Healthcare, Intermountain Medical Center, Layton Hospital, LDS Hospital, Logan Regional Hospital, Lutheran Medical Center, McKay-Dee Hospital, Saint Joseph Hospital, Sanpete Valley Hospital, Sevier Valley Hospital, St. James Healthcare, St. Mary’s Hospital and Medical Center, St. Vincent Healthcare, and Utah Valley Hospital. LDS Hospital was recognized as the top hospital in Utah for Social Responsibility.

July 2023

Newsweek named LDS Hospital, Intermountain Medical Center, and Utah Valley Hospital to its list of Best Cancer Hospitals. Primary Children’s Hospital was recognized in the specialty of oncology for America’s Best Children’s Hospitals.

June 2023

Healthgrades has recognized 7 Intermountain hospitals as recipients of its 2023 Outstanding Patient Experience, representing the top 15% of hospitals in the U.S. for patient experience. The Intermountain hospitals recognized for outstanding patient experience are: Intermountain Medical Center, LDS Hospital, McKay-Dee Hospital, The Orthopedic Specialty Hospital, St. George Regional Hospital, Saint Joseph Hospital, and Utah Valley Hospital.

July 2023

Centers for Medicare and Medicaid Services (CMS) awarded 14 Intermountain care sites with a Five Star Quality Rating. The rating summarizes a variety of measurements across five areas of quality (Mortality, Safety, Readmission, Patient Experience, and Timely and Effective Care) as reported to the CMS. Alta View Hospital, American Fork Hospital, Good Samaritan Medical Center, Holy Rosary Healthcare, Intermountain Medical Center, LDS Hospital, Logan Regional Hospital, McKay-Dee Hospital, Park City Hospital, Riverton Hospital, St. Joseph Hospital, St. George Regional, St. Vincent Healthcare, and Utah Valley Hospital were among only about 10% of hospitals in the U.S. to receive five stars.

August 2023

U.S. News and World Report included four Intermountain Health care sites in its top five list of Best Hospitals rankings in Utah. Intermountain Medical Center, St. George Regional Hospital, McKay-Dee Hospital, and Utah Valley Hospital were recognized as High Performing in specialties and procedures. St. Joseph Healthcare was recognized as the #3 ranked hospital in Colorado and #2 in the Denver metro area.

September 2023

Becker’s Hospital Review honored McKay-Dee Hospital for having the fourth lowest 30-day readmission rate for heart failure in the U.S. CMS collected provider data for the hospital return days, unplanned readmissions and measures of unplanned hospital visits after outpatient procedures.

September 2023

Intermountain Medical Center tied with Mayo Clinic and NYU Langone Hospitals for the lowest death rate for heart attack patients in the U.S. CMS collected provider-level data on complication measures, the CMS Patient Safety Indicators, and 30-day death rates for hospitals across the nation.

October 2023

The PINC AI® Top 100 Hospitals included nine Intermountain care sites. Intermountain Medical Center and McKay-Dee Hospital were named to the top Teaching Hospitals. Logan Regional Medical Center was included in the Medium Community Hospitals. Alta View Hospital, American Fork Hospital, Cedar City Hospital, Layton Hospital, Park City Hospital, and Riverton Hospital were listed as Top Small Community Hospitals. The program leverages publicly reported, non-biased data to identify care sites that provide better outcomes while operating more efficiently and at lower costs.

SEPTEMBER

October 2023

Seven Intermountain care sites received the Bernard A. Birnbaum, MD, Quality Leadership Award, for clinical quality and accountability, supplier diversity, and environmentally preferred sourcing excellence. Intermountain Medical Center was named a Top Performer in the Comprehensive Academic Medical Center cohort. McKay-Dee Hospital, St. George Regional Hospital, and Utah Valley Hospital were named to the Top Performer in the Large, Specialized Complex Medical Care Cohort. Cedar City Hospital, Layton Hospital, and Logan Regional Hospital were all included in the Top Performer in the Community Hospital Cohort.

October 2023

Intermountain Medical Center was named a PINC AI® Everest Award Winner. Using a five-year (2018-2023) trending methodology, recipients have shown the fastest, most consistent improvement rates on the scorecard of performance measures.

October 2023

Intermountain Health and Select Health were named to the 2023 Utah Top Workplaces award list from The Salt Lake Tribune The award is based on feedback gathered through a survey of employees only.

October 2023

For the third consecutive year, Select Health Medicare HMO Plans earned a 5-Star Rating from Centers for Medicare & Medicaid Services (CMS).

OCTOBER

October 2023

Newsweek recognized ten care sites in its Best-In-State Hospitals 2024 list. Good Samaritan Medical Center, Holy Rosary Healthcare, Saint Joseph Hospital, St. James Healthcare, and St. Vincent Healthcare were recognized in Colorado. Intermountain Medical Center, LDS Hospital, Logan Regional Hospital, St. George Regional Hospital, and Utah Valley Hospital were recognized in Utah.

November 2023

Fifteen Intermountain hospitals have received an “A” grade in the fall 2023 Leapfrog Hospital Safety grades. This national distinction recognizes a health system’s commitment to patient safety and achievements in preventing harm. Alta View Hospital, American Fork Hospital, Cedar City Hospital, Good Samaritan Medical Center, Intermountain Medical Center, Layton Hospital, LDS Hospital, Logan Regional, Park City Hospital, Platte Valley Medical Center, Saint Joseph Hospital, St. George Regional Hospital, St. Mary’s Hospital and Medical Center, St. Vincent Healthcare, and Utah Valley Hospital were all honored for excellence.

NOVEMBER

November 2023

Newsweek named McKay Dee Surgery Center and Avenues Surgery Center as the top two America’s Best Ambulatory Surgery Centers 2024 in Utah.

November 2023

For the second consecutive year, the College of Healthcare Information Management Executives (CHIME) awarded Intermountain Health hospitals and clinics with its highest designation, Level 10, recognizing excellence in healthcare technology innovation for patient care. Intermountain received designation for both acute and ambulatory care.

November 2023

Intermountain was recognized by eHealth Leadership Awards 2023 with a platinum award for Healthcare System Best Digital Internal Communications, a gold award for Best Email Content Series, and a silver award for Best Integrated Marketing Campaign.

December 2023

Seventeen Intermountain hospitals were recognized as the 2023-2024 Best Hospitals for Maternity (Uncomplicated) by U.S. News and World Report. American Fork Hospital, Cassia Regional Hospital, Cedar City Hospital, Good Samaritan Medical Center, Holy Rosary Healthcare, Intermountain Medical Center, LDS Hospital, Layton Hospital, Logan Regional Hospital, Lutheran Medical Center, McKay-Dee Hospital, Orem Community Hospital, Platte Valley Medical Center, Saint Joseph Hospital, St. George Regional Hospital, St. Mary’s Hospital and Medical Center, and St. Vincent Healthcare provide high-quality labor & delivery services for uncomplicated pregnancies. Cassia Regional Hospital, Cedar City Hospital, and St. George Regional Hospital also received Maternity Access Hospital designations, for providing quality care in underserved areas.

DECEMBER

December 2023

Intermountain Health was named to the PINC AI® 15 Top Health Systems consistently achieving top performance, setting industry benchmarks, and delivering healthcare value to patients, communities, and payers.

December 2023

Intermountain Health was named to the Gartner Inc. Healthcare Top 25 Masters for its sixth consecutive year for sustaining its demonstrated supply chain leadership.

Section 2: Our

Caregivers

= Our Mission and Values in Action

Caregivers are at the heart of our mission, the soul behind The Power of We, and the manifestation of our values. Intermountain supports caregivers in living their healthiest lives so they can help others do the same.

Clayton Vetter, executive development program manager, shares how the Intermountain community helps him do his best work: “In 1996, I was dubbed ‘the first openly gay teacher in the state of Utah’ after coming out publicly at a press conference, and it was at a time when you weren’t sure you could be yourself. At Intermountain Health, I’ve never felt that being a gay man affects my ability to do my job. I’ve always found that Intermountain cares very deeply about caregivers and their experience. How would we be able to show up and provide great care or do the work that we do without support from the organization to do that work?”

We are a partner in caregivers’ well-being, career growth, and sense of purpose, supporting communities in which everyone feels welcomed

and valued for who they are. By prioritizing a valuesdriven community, we create an environment that helps caregivers feel and give their best.

Partnering for Health

Health and well-being are influenced by a complex network of needs involving not just physical health but also mental and emotional health, financial health, nutrition and housing security, stress management, and connection to others. Intermountain supports programs to help caregivers engage positively in every aspect of their health.

LiVe Well (rebranded as Be Well for 2024) gives caregivers an opportunity to earn up to $300 for making healthy choices and engaging in preventive care. Over 5,000 caregivers hit that milestone and earned $300 in 2023. More significantly, the number of caregivers getting screened for breast cancer, cervical cancer, as well as colorectal cancer, and completing their annual wellness visit, exceeded target goal for the organization and 2022 numbers.

In 2023, more caregivers used the Intermountain Employee Assistance Program for free, short-term counseling than last year (with an 11.2% utilization rate and 6,853 unique cases), and our Compassion Awareness Resilience Education (CARE) sessions had 19,382 attendees. A total of 2,558 caregivers received help from the Caregiver Relief Fund, a fund for caregivers supported by fellow caregivers, which provides programs for housing or nutrition support.

We launched a new volunteer matching program, iAct, to help caregivers connect with each other while giving back to causes they care about. Caregivers volunteered 52,124 hours in 2023, which turned into a matching donation of $285,000 dollars from Intermountain to vetted community organizations.

Caregivers found connection in planting trees, building houses, and donating blood. The Empowered Women caregiver resource group got together in Salt Lake City to build period kits for local girls, doubling their impact using iAct. Michael Snuttjer turned his love of dogs into a volunteer opportunity by working with the Caring Canine project. He and his dog, Berkeley, visited patients at Good Samaritan Medical Center. “Berkeley is a true champ and is in love with his new ‘job.’ I feel lucky he lets me tag along and observe the joy he brings to our patients and caregivers every visit!” said Michael.

Environment of Purpose

At Intermountain, every one of our more than 66,000 caregivers are understood to be whole, resourceful, capable, and creative individuals. This fundamental mindset inspires us to enable each caregiver to identify their goals and aspirations and to pursue them through highly relevant, accessible growth opportunities.

Intermountain’s learning and development program was recognized with a prestigious BEST Award from the Association for Talent Development, which is given to a select few organizations from a pool of global applicants who “demonstrate enterprise-wide success as a result of employee talent development.”

“We view learning as vital to our organization’s health, our caregivers’ health and well-being, and the community’s vitality,” said Marguerite Samms, chief learning officer. “Our attention to innovation focuses on “Outside In, Inside Up” career opportunities and supporting our caregivers in driving their own careers through multiple pathways.”

We continued our partnership with InStride, offering caregivers $5,250 of upfront tuition through the Pathway to Education, Advancement, and Knowledge (PEAK) program. In 2023, 12,975 caregivers signed up with PEAK, and 439 earned a degree or certification, saving caregivers over $2.3 million in student loan debt. Alexis Burress earned a degree this year using PEAK. “After 11 years, I was finally able to complete my degree and move closer to my goal of becoming a physician assistant,” said Alexis. “My graduation opens many doors for my future and sets a good example for my son that anything can be achieved, even if it’s not the way you originally planned.”

Caregivers across the organization can still use $5,250 of tuition reimbursement to offset the cost of education at an eligible learning institution, but they now have an additional opportunity to make it stretch even further. In 2023, Intermountain entered into a partnership with Colorado Technical University to couple caregivers’ tuition reimbursement benefit with a grant from the school, creating debt-free pathways to associate’s, bachelor’s, and master’s degrees.

Across the organization, teams are collaborating to remove unnecessary barriers to familysustaining careers, development, and fulfillment.

Michael Snuttjer, Intermountain Health project manager and volunteer, with his dog, Berkeley

This collaboration has opened more doors for talented people to join the organization and access resources to help them grow.

90-Day MA Program

One of the most successful examples of learning and acting with purpose is the 90-Day Medical Assistant (MA) Program, which graduated its sixth cohort this past year. Piloted first in Nevada, this apprenticeship program partners with local organizations to offer unemployed or underemployed community members the education and clinical rotation hours they need to qualify as a medical assistant. The students attend classes and complete 1,200 clinical rotation hours under the supervision of an Intermountain Health medical assistant at one of our care sites.

This program is unique in that every student is paid as a full-time employee with benefits from their first day in the program. For Tahesha McGowan, who is currently doing her clinical rotation at Wynn InstaCare in Nevada, immediate access to a stable salary and benefits made all the difference.

Prior to joining the 90-Day MA program, Tahesha worked as a patient care assistant for another healthcare organization. She also started a nonprofit to teach homebound patients computer skills, recognizing her patients’ need to stay connected to their care team. When the COVID-19

pandemic arrived, it made it difficult to provide in-home care. Tahesha’s hours were cut, and she needed to pause her nonprofit work. Her husband also lost his job, and the couple could no longer afford their home. While living in their car, Tahesha lost a pregnancy. She didn’t have medical coverage and couldn’t afford to see a provider. “I got really depressed,” she said. “It was a hard time. A really hard time.”

Tahesha started the 90-Day MA program in April, and she says that the program completely changed her life.

“It gave me a stable and secure income. I have a career. I have educational opportunities. I’m seeking mental health services I’ve gained a lot of skills, but more importantly I gained a family. I have a sisterhood with my classmates, and a circle of family with Intermountain. I just feel appreciated, needed, and cared for.”

Tahesha and her husband are once again in stable housing. While working as a medical assistant apprentice, she’s seeking out opportunities to advance Intermountain through her passion for community outreach and care continuity. “When people see me now, they say ‘Tahesha, you got your fire back.’ I’m optimistic, very optimistic. My future looks bright.”

Intermountain was awarded a $750,000 grant from the Genentech Innovation Fund to expand the 90Day MA program to Denver and Billings, establish a Certified Nursing Assistant (CNA) apprentice program in Denver, and continue operations in Nevada. An anonymous donation in the amount of $300,000 was gifted to establish and support the 90-Day MA program in Salt Lake City for three years. These funds will support 191 new medicalassistant apprentices and 26 new CNA apprentices.

Tahesha McGowan, 90-Day MA Graduate

Developing Leaders

“It has never been a more difficult time to be a leader, nor have the opportunities ever been greater,” says Heather Brace, chief people officer. In 2023, Intermountain continued to develop leaders to meet the current challenges and set the course for the future.

Intermountain expanded leadership development opportunities to the Peaks Region, so every leader has the opportunity to grow. This year, 5,848 leaders attended at least one of our award-winning development classes or programs.

“I am beyond grateful for a program and platform that inspires me.”

Mary Bauter-Peterson, a clinical education consultant, recently completed the Women in Leadership program. “I am beyond grateful for a program and platform that inspires me,” said Mary. “I’m empowered to keep working on myself and do work that helps me fulfill my why and mission.”

Building Our Community

We are intentionally building a community and culture centered on listening, connecting, and belonging. Despite ongoing economic headwinds, labor shortages, and rapid change, our caregivers continue to report higher than average engagement in our quarterly employee engagement surveys, with a score of 4.03 on our fourth-quarter employee engagement survey.

We introduced new first-day orientation and firstyear journey programs to help new caregivers know from day one that they are valued, welcomed, and supported at Intermountain. The simplified new first day, called Intermountain Welcome, is consistent no matter where you work or what your role is. It prepares caregivers for their first day with their new team and sets a foundation of shared understanding, identity, and community that every new caregiver will take with them as they learn their new role over the course of their first year with the organization.

New caregiver Staci Hardy said that her experience with Intermountain Welcome made her feel more excited to be part of the organization. She described the experience as “like visiting with a friend.”

In addition to new caregiver welcome programs, our student programs team is working with learning institutions to recruit new talent to the organization. By facilitating a positive, safe experience for students and teachers, the team is connecting the next generation of healthcare providers with Intermountain Health. This year, they placed over 15,000 students into rotations, and 53% of nursing students who worked with student programs joined Intermountain as caregivers after graduation.

Intermountain was also recognized by Cigna with a bronze-level Health Workforce Designation for our thriving culture, and we are one of Newsweek’ s “America’s Greatest Workplaces for Diversity,” thanks to our commitment to keeping caregivers at the heart of our mission.

It is our goal for all caregivers to feel like Clayton, Tahesha, Michael, Mary, and Staci. When we support caregivers by creating a working environment driven by our shared values and mission, every caregiver can feel welcomed for who they are and capable of showing up as their best selves, doing their best work, every day.

Staci Hardy, newly onboarded Intermountain Health caregiver

Section 3: Strategy, Innovation, Clinical Care, and Simplification Focused on People

WeSimplify

Share your ideas on how we can simplify caregiver work and the patient experience. And learn how your colleagues are simplifying healthcare.

WeSimplify is a systemwide initiative empowering frontline caregivers to share and implement ideas to simplify and enhance the work and patient experience in their unique locations and roles. As a dedicated virtual hub, WeSimplify seamlessly integrates caregiver ideas into our broader digital platform focused on continuous improvement. This fosters innovation throughout the enterprise, creating greater efficiency and effectiveness in patient care and caregiver workflows. In 2023 alone, caregivers shared and completed more than 2,500 simplification ideas, resulting in an impressive, estimated cost savings of $10 million. This platform exemplifies our commitment to cultivate a culture of collaboration, support, and innovation, thereby contributing significantly to our overarching goal of simplification and delivering exceptional healthcare services.

Throughout 2023, Intermountain Health focused on our system initiatives – expanding value-based care and simplifying the caregiver and patient experience – while coordinating with our overall strategy:

• Taking full clinical and financial accountability for the health of more people

• Partnering to keep people well

• Coordinating and providing the best possible care

Within this section, you’ll find ways that we simplified the caregiver and patient experience, our clinical highlights, and how we have furthered our strategy and technology advancements.

Simplifying the Healthcare Experience for Caregivers, Patients, and Communities

A top Intermountain Health priority is to simplify for caregivers, patients, members, and communities. This includes embracing cutting-edge technology and streamlining and personalizing the patient experience. Intermountain doctors, advanced practice providers, and caregivers are reimagining and innovating their work. We’re striving to meet people where they are in their health journey and to provide care options and resources when and where they’re needed.

Intermountain Health’s 66,000 caregivers are in the best position to identify and share ideas to simplify and improve their work in the

hospitals, clinics, and other areas where they serve. Intermountain encourages and empowers frontline caregivers to share and implement their ideas. In addition, Intermountain has dozens of robust systemwide projects focused on simplifying work across hospitals, clinics, regions, and service areas.

These initiatives support our providers, patients, and caregivers in a wide range of areas. For example, we’re exploring artificial intelligence and virtual options to support nurses and clinicians

Meeting the Needs of Our Communities

Intermountain Health is proud to play a part in ensuring that everyone – whether they’re close to one of our care sites or far away – can find convenient access to high-quality healthcare services. As part of this commitment, Intermountain is continuously looking for ways to improve access to care. Some 2023 highlights include:

Bringing Comprehensive Services Under One Roof

The Intermountain Health West End Clinic brought family and internal medicine, walk-in services, and a full-time gynecologic oncology practice together when it opened its doors in the fall in Billings. The clinic will eventually have the capacity to serve

caring for patients at the bedside. Intermountain also recently personalized its website for patients, which provides easier-to-access information and tools to simplify in areas such as scheduling appointments and finding personalized health resources. We also launched a personalized internal benefits website that offers each caregiver a simplified process for seeing their benefit information and for navigating the process for considering and selecting benefits.

1,600 patients a week, bringing critical treatments closer to those who need them.

More Healthcare Options from Home

At the end of August, Intermountain acquired Advent Home Health, an award-winning home health company based in Las Vegas that brings expertise in nursing, therapy and rehabilitation, medical social work, and more to the place where people need it most: at home. The expansion of our home-care capabilities, especially for patients recently discharged from a hospital or living with chronic conditions, will contribute to improved outcomes, fewer hospital readmissions, and better continuity of care throughout the area.

Addressing Healthcare Shortages

The Intermountain Health Amber Creek Clinic’s opening in December helped address a shortage of healthcare options in Thornton and the surrounding areas in this north Denver suburb. The clinic includes eight full-time providers offering primary care and OB-GYN services, as well as orthopedics, cardiology, and podiatry on a rotating basis – all much-needed services in this growing region.

On-Site Care for Workers and Families

Intermountain launched a unique partnership with Station Casinos in southern Nevada to operate on-site care centers at Sunset Station, Red Rock, and Boulder Station, enabling employees and their families to access needed care more conveniently. Intermountain providers and staff offer wellness visits, preventive care, immunizations, and diagnostic-related services, such as on-site labs, providing easier access to these life-saving services.

Improving Access to Rehabilitation Services

Outpatient rehabilitation practices were streamlined throughout our network of outpatient clinics in 2023, improving patient access to rehab services outside the hospital. This allowed for a wider range of options for patients, including virtual visits and at-home care.

Partnering to Increase Access to Behavioral Health Services

Intermountain further expanded behavioral health services through a partnership with Acadia Healthcare Company. Together, we broke ground for West Pines Behavioral Hospital, a new 144-bed inpatient behavioral health hospital serving Denverarea residents. The freestanding behavioral-health hospital will expand comprehensive inpatient and intensive outpatient services to address the growing need for accessible, high-quality behavioral health services in the Denver metro area.

Increasing Access to Emergency Care

Intermountain introduced satellite emergency departments in Hurricane and Saratoga Springs, Utah, to increase access to 24/7 emergency care, imaging, lab, and other services. Both located in communities that have experienced tremendous growth, these neighborhood campuses are designed and staffed as satellites of the nearest hospitals, which allows for the easy addition of new services as these communities continue to grow.

Enhancing Outpatient Surgery Options

Intermountain added more convenient and lowercost options – all while maintaining high quality and positive patient outcomes – by adding new ambulatory surgery centers in Park City, Murray,

Saratoga Springs, and Provo, Utah. These jointventure centers with physicians offer many types of outpatient surgery previously unavailable to patients in these areas.

Removing Barriers for More Convenient Care

Virtual care is a crucial part of providing patients with access to the care they need no matter where they’re located. Intermountain continues to expand these options, providing more than 300,000 virtual visits in 2023. Patients accessed care for over 120 services from Alaska, Montana, Idaho, Wyoming, Utah, Nevada, Arizona, and Colorado. This integrated approach to virtual care removes traditional barriers to deliver a seamless experience for patients and providers.

Simplifying and Enhancing the Patient and Caregiver Experience

Intermountain took a major step to simplify and improve the patient and provider experience with the announcement to unify our electronic health record (EHR) platform with Epic by the end of 2025. Epic was selected as Intermountain’s sole EHR after receiving input from thousands of physicians, advanced practice providers, nurses, and EHR users across our organization. This expansion of Epic will eliminate fragmentation of clinical records, promote patient safety, and enhance the caregiver experience.

Leaders in Clinical Excellence

Intermountain’s Clinical Programs provide a primary mechanism by which our experts in medical science, data analysis, and care delivery collaborate to advance clinical care consistently across our healthcare system. In 2023, Intermountain expanded these programs as an enterprise function and resource. Clinical Programs works closely with our region teams to help identify and deploy clinical best practices across the system.

These programs will continue to help us optimize quality and further our ability to offer exceptional and affordable care. This effort will focus on bringing experts from the system together to identify, define, and implement clinical best practices, including valuebased care, in partnership with local and regional operations leaders. Intermountain’s nine Clinical Programs are Behavioral Health, Cardiovascular, Acute and Ambulatory Medical Specialties, Musculoskeletal, Neurosciences, Oncology, Surgical Specialties and Digestive Health, Women’s Health and Neonatal, and Primary and Preventive Care.

Shaping the Future of Healthcare

The Intermountain Healthcare Delivery Institute is a pioneer in healthcare innovation, dedicated to setting new standards of excellence in the medical field. This forward-thinking institute is devoted to reshaping healthcare delivery and, in 2023, introduced the Clinical Best Practice Integration

(cBPI) model at the enterprise level to advance new approaches to integrating the best of care throughout our communities.

Central to the Institute’s mission is a profound commitment to enhancing patient care, improving clinical outcomes, and fostering efficiency in the broader healthcare system. Through an unwavering pursuit of data-driven strategies, state-of-theart research, and collaborative partnerships, the institute serves as an exemplary model for transformative healthcare practices, both within Intermountain and on the international stage.

Health Equity

Communicating with patients and their loved ones in their preferred language is vital to ensuring every person the opportunity to attain their highest level of health and achieve great health outcomes.

That’s why Intermountain Health began tracking –and making necessary improvements to – its Language Services Offered (LSO) rate back in 2020. In two years, the LSO rate jumped from 84% to 98% in inpatient units in Utah. In the first year with Intermountain, the Peaks Region built out new workflows and training, enhanced internal capacity for interpreter services, and embedded priority data in an EPIC dashboard.

Across our emergency departments (EDs), the LSO rate improved in every region, going from 48% to 85.5% in central and northern Utah and Idaho. Nevada and southern Utah increased from 48% to 87%. Facilities in Colorado, Montana, and Wyoming started tracking this data in April and improved from 23% to 44%. Overall performance for EDs throughout the system is 74%.

In fact, our ED patients with access to language services had a 3.8% lower ED readmission rate compared to those who did not have access to language services.

The Institute develops and implements solutions that address the most critical challenges facing healthcare today. Whether optimizing care-delivery pathways or implementing life-saving stroke protocols, the Institute stands at the forefront of shaping the future of healthcare.

The Institute’s Advanced Training Program (ATP) attracts graduates from various parts of the U.S. and around the world. In 2023, the Institute graduated 118 clinical and professional healthcare leaders. These graduates are equipped with best practices and tools for applying the cBPI model to bring positive changes to their respective organizations.

Communication Is Key

It was a typical workday for Eric Raynor, RN, at St. Mary’s Hospital and Medical Center in Grand Junction, Colorado, when a language barrier influenced his ability to care for a patient. Although Eric’s patient could understand some English, he did not speak it. He only spoke Navajo.

When reviewing the surgery preparation notes, Eric learned that his fellow caregivers were uncomfortable performing a much-needed surgery without absolute confidence in the patient’s understanding of the situation, which involved the amputation of his foot.

Eric was determined to find an interpreter so that he and the surgical care team could have a fully informed conversation with his patient and provide the care he desperately needed.

“After doing some digging into the translation iPad, I was able to locate a number and find a translator,” said Eric. Once Eric connected his patient and the translator, the patient stated he absolutely did not want to leave until his foot issue was resolved.

Eric immediately called vascular surgery. The surgical-care team promptly returned, got the informed consent needed, and scheduled the procedure for the very next morning.

“Fortunately, our unit is now well educated on the steps to take with our interpreter program to find someone who speaks Navajo,” said Daniell Lovett, Eric’s supervisor. “We are sharing that knowledge with the rest of the hospital to improve communication with patients who have similar needs going forward.”

2023 Place Based Investing

Intermountain Health has a place based investing portfolio, which is dedicated to addressing the social determinants of health for low-income people in our communities, who experience disparate health outcomes. Investments are made in partners who are improving housing quality and affordability, creating jobs, and providing financial inclusion for people in the communities we serve.

In 2023, we expanded the geographic footprint of the investment portfolio to include all Intermountain Health regions, and made initial investments in Colorado, Montana, and Nevada. We provided a low-cost loan to a domestic-violence service provider in Las Vegas, which helped the organization purchase a new property that will double the services it can provide to the community. In Colorado, we provided a low-cost loan to a land trust to purchase additional properties that will provide affordable homeownership opportunities to people earning less than 80% of the area median income.

2023 Impact Summary

Strategy & Tech Advancements

Select Health Moves Upstream to Lower Prescription Drug Costs

Leading the charge to revolutionize the prescription drug industry, Select Health, an Intermountain Health company, and its Pharmacy Benefits Manager, Scripius, announced that it is one of the first health plans in the United States to provide member access to Mark Cuban Cost Plus Drug Company. This landmark collaboration grants Select Health members direct access to Cuban’s groundbreaking prescription drug service.

Select Health, Scripius, and Cost Plus Drugs share the common goal of helping consumers understand the true cost of their prescriptions and secure the best pricing. Together, the organizations are committed to providing a simple, seamless, and transparent process to ensure access to the prescriptions people need to stay healthy. This collaboration encompasses medications for many common conditions, including high blood pressure, certain cancers, dementia, asthma, diabetes, and more.

Through this innovative relationship, Select Health members will have access to more than 1,000 prescription products at potentially lower prices than traditional pharmacy locations.

Intermountain announces NewWest Community Capital as impact investing partner to help finance socialdeterminant initiatives

Intermountain Health and NewWest Community Capital partnered to address affordable housing and community development in Intermountain’s seven-state footprint. This partnership will provide capital to projects that specifically target the social determinants of health – the non-medical factors that when negatively impacted can have a profound effect on families and communities – to achieve health equity.

NewWest Community Capital is a nonprofit community development financial institution whose core loan products are real-estate loans to support affordable-housing projects and other community facilities, all intended to support low- and moderate-income populations.

Transcending Traditional Growth by Partnering With UCHealth to Improve Health Outcomes and Reduce Costs

Intermountain Health and UCHealth formed a partnership to develop a clinically integrated network (CIN) with comprehensive patient resources. The venture, called Trinsic, brings together over 900 primary care physicians and hundreds of clinics and hospitals across Colorado, with support from specialists throughout the state.

Trinsic aims to accelerate the transition to value-based care in the state by improving care coordination and providing higher-quality healthcare at a lower cost for Coloradans. The partnership also supports health insurance products and programs offered through Select Health, an Intermountain Health subsidiary providing Medicare Advantage and Individual ACA (Affordable Care Act) plans.

Though UCHealth and Intermountain Health are creating a new CIN partnership, the two health systems remain separate and independent, and the CIN will be operated as an independent company. The two organizations expect their current contracts and relationships with insurance plans to continue as they work with all providers to improve quality and reduce costs.

New Partnership Coordinates Digital and In-Person Care on a National Level

As part of its strategy to partner to keep people well, Intermountain Health is collaborating with

Transcarent in its creation of the first National Independent Provider Ecosystem. This means employees who work for large employers that are Transcarent members can access an affordable, seamless, virtual care network that can be delivered in tandem with trusted local health systems, including Intermountain and nine other health systems across the country.

Intermountain and its subsidiaries, including insurance company Select Health and healthcare transformation company Castell, will work directly with Transcarent and participating employers to coordinate and provide the best possible care to the company’s employees. We anticipate increased demand for virtual and aligned in-person primary-care services, which will lead to an overall healthier population.

Embracing Cutting-Edge Artificial Intelligence Technology

Intermountain is piloting a computerized vision monitoring tool that leverages artificial intelligence to analyze patient behavior and provide real-time insights to caregivers when activities are detected that could lead to patient harm, such as falls.

While the pilot focused on fall risks and providing connections to virtual nurses for support, this technology also has the potential to passively capture and automatically document other activities, such as patient repositioning, helping nurses to work more efficiently. Initial feedback from bedside nurses at LDS Hospital and Alta View Hospital has been positive, with 100% of survey responses expressing confidence in its safety benefits and providing a 4.5 out of 5 average rating in overall experience. Several great catches have also stemmed from its use, such as the detection of a medically vulnerable patient attempting to leave the facility unsupervised.

Intermountain has also piloted new artificial intelligence tools, including cutting-edge technology that utilizes voice recognition and natural language processing to assist our providers with ambulatory clinical documentation. This allows providers to focus on their patient rather than the computer during the visit. Technology based on ChatGPT and developed by Epic, Intermountain’s Electronic Health Record, has also been introduced to physicians and advanced practice providers to help draft patient message responses, which reduced the time required to complete a response by up to 90%. Providers have resoundingly appreciated the mental bandwidth they get back in visits and are reporting decreased burnout and increased joy in practice.

How We’re Enriching Consumer Experience

Intermountain Health has been finding new ways to enrich the digital experience for our consumers. With Kyruus, our provider search and scheduling platform, we were able to allow patients and consumers in Utah to schedule easily online without any portal account sign-up. Kyruus was already being used at Intermountain in Colorado, Kansas, Montana, and Wyoming, where nearly 22,000 appointments were booked online across 310 providers in 2023.

Intermountain Health’s patient portal, formerly known as MyHealth+, was improved to enable patients’ access to their medical information through their smartphones, tablets, or computers.

Intermountain’s patient portal makes managing health information easier and more convenient. It provides a simple way to access health records, message a provider or healthcare team, schedule an appointment, request prescription renewals, pay bills, view lab or other test results, and so much more. Consumers are also able to request proxy access to view the account of someone for whom they are legally responsible. The portal is available as a mobile app and web experience. There are two versions of the mobile app, including one for patients in Utah and Idaho, and one for those in Colorado, Montana, and Wyoming.

Reimagining our Work by Launching Culmination Bio

Intermountain Health launched Culmination Bio (Culmination), a biotech company developing an exclusive, anonymized, and de-identified intelligence platform that creates value for patients by developing novel clinical insights, discoveries, and care processes.

The Culmination Intelligence Platform includes millions of data points and represents a robust environment for sophisticated queries of data to identify new diagnostic tests and treatments that will result in better care for patients. Culmination research efforts seek to transform healthcare by providing comprehensive information on patient predisposition to disease, disease prevention and personalized intervention, and treatments.

“Our focus is to discover better health for patients everywhere.”

“Culmination combines clinical and biospecimen data to accelerate discoveries in healthcare,” said Culmination CEO Lincoln Nadauld, MD, PhD. “Our partnership with Intermountain Health has helped us build the largest database of biological and clinical data of its kind, which allows us to aggregate information for designing more effective tests and treatments.”

Castell Achieves Great Performance Within ACO

Castell, a population health management company and wholly owned subsidiary of Intermountain Health, supports Intermountain’s Utah-based Medical Group in their participation in value-based programs – often referred to as Accountable Care Organizations or ACOs – through the Centers for Medicare and Medicaid Services (CMS).

In 2022, Castell switched programs to participate in the ACO REACH program, which includes two

important changes: first, an update to the benchmark number that Castell was responsible for; and second, the ACO now kept 100% of savings generated.

Castell previously participated in a Medicare Shared Savings Program (MSSP) which included receiving shared savings payments equal to 50% of any savings generated.

Because of this program change, Castell saw a significant jump in total performance and payments received. This jump was the result of accurately coding the acuity of the population, consistent provider efforts, Castell teams helping patients manage their health, and supporting patients in a more appropriate utilization of services.

The statements contained in this topic are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

Tellica Provides Accessibility and Accelerates Value-Based Care

Since launching Tellica Imaging, an outpatient imaging service center in 2021, Intermountain has opened seven locations, four of which began operation in 2023. This has allowed Intermountain patients and other members in these communities to receive imaging services in a flat-rate, transparent manner at a significantly reduced price, compared to imaging services patients would receive in a hospital or outpatient location.

Tellica has saved $6.2 million to date in imaging costs

Additionally, Tellica is contracted with Select Health, Medicare, Medicaid, TRICARE, Samera Health, Deseret Mutual Benefit Administrators, Post Employment Health Plan, EMI Health in

Utah and Blue Cross of Idaho (all without prior authorization). Since 2021, Tellica has saved Intermountain Health $6.2 million in imaging costs, and patients have directly benefitted from more than $5.7 million in savings. Better yet, patients and community members have greater accessibility to imaging services. Tellica has more than 1,800 Google reviews, with an average rating of 4.9/5.0.

Section 4:

We are Better Together –

Intermountain Health & Community Health

2023 Contributions to Our Communities

Improving the health and well-being of our communities includes making charitable contributions and investments that collectively address priority health needs identified through Community Health Needs Assessments (CHNAs). The funds we allocate through place-based

investing, and that we give back to the community through contributions, support the improvement of health priorities we identified in collaboration with our communities: mental well-being, chronic disease and injury prevention, access to healthcare, and social determinants of health (SDOH).

Local investments in nonmedical programs that impact health

• $45 million committed to SDOH investments

• 512 housing units constructed or preserved

• Supported 252 people in improving their financial wellness

Vouchers provided to community clinics for uninsured and lowincome individuals

• $25.2 million worth of diagnostic vouchers provided

• 22,754 diagnostic services provided

• 58 community organizations provided vouchers to patients

Volunteerism with matching financial donations made to nonprofits

• $285,000 earned for community causes

• 52,124 recorded caregiver volunteer hours

Cash contributions and grants to local nonprofits that address health priorities

• $34.8 million total

• $4.6 million for mental well-being

• $2.6 million to address chronic disease and prevent injury

• $19 million to provide access to care

• $8.6 million to address social determinants of health

Social Determinants of Health Investments

Diagnostic Vouchers

iAct Program

Community Contributions

Commonly Identified Priority Health Needs

At Intermountain Health, we believe in The Power of We, acknowledging that we are better together. Our Community Health team is committed to addressing community-identified health needs, and we recognize that we can best serve our communities by understanding their most significant health needs as they define them. To achieve this, we conduct Community Health Needs Assessments every three years, engaging community members, healthcare providers, and other stakeholders to identify critical health needs. Once we have identified the unique needs of an individual community we serve, we prioritize our work to align with those needs.

1. Mental Well-Being

Mental well-being – also identified as mental health, behavioral health, and substance use – has a significant impact on individuals and communities. We are committed to addressing this need by providing high-quality mental-health services, developing education and prevention resources, and connecting people to community services. In addition to traditional services, Community Health is leveraging technology to innovate access to mentalhealth resources for patients, caregivers, and communities.

Suicide Prevention

Suicide continues to be a leading cause of death in our service area. The seven states in our footprint rank in the top 18 for suicide rates in the United States, and Wyoming and Montana rank first and second in the nation (The Centers for Disease Control and Prevention). Suicides by firearm account for half to two-thirds of suicide deaths nationally, and the numbers are particularly high in rural communities. As a result, we are investing in education for healthcare providers and community members and collaborating with community partners ranging from Future Farmers of America

Below are the most common health priorities we identified through Community Health Needs Assessments, which determined the main focus areas of our work in 2023. 1 Mental well-being

Chronic disease and injury prevention 4 Social determinants of health (SDOH)

to shooting sports councils to get the word out about safe gun storage. In addition to initiatives supporting mental-health services and training, we provided 5,400 free gun locks and safe-storage education to the community in 2023, with plans to expand in 2024. These precautions can mean the difference between life and death when someone is in crisis. To download safe-storage education materials or to order free gun locks, please visit Intermountain’s website.

Digital Assets

We provide digital assets to individuals to support them in their health, wellness, and safety journeys. For example, we provide access to online resources such as Talk to Tweens, MyStrength, and Counseling on Access to Lethal Means (CALM), which provide free and readily shared digital tools and training to support emotional and social health communication, early intervention, ongoing treatment, and crisis/recovery support for a spectrum of mental-health issues. These resources align with our Behavioral Health Clinical Programs to improve reach and utilization, and we are dedicated to expanding our digital offerings to better serve our communities.

Talk to Tweens: Focuses on emotional/social health communication between children and adults. Offerings include a website, videos, workbook, scripting guides, and teacher curriculum. “Talk to Tots” and “Talk to Teens” are in development for 2024.

MyStrength: An app that can be used as early intervention, ongoing treatment, and crisis/recovery support for a spectrum of mental-health issues. Community Health partners with Behavioral Health Clinical Programs to increase the reach and impact of MyStrength in the community.

2. Access to Healthcare

The communities we serve have high rates of uninsured individuals, many of whom are impacted by changes in Medicaid eligibility and disparities in access to equitable care. We aim to improve access to care through collaborative efforts that support the medically underserved communities we serve.

Access Equity

Equitable Insurance Collaborative (EIC): Community Health formed the EIC in Utah with state and local health authorities, insurance providers, health systems, and nonprofit agencies. The collaboration supported our multi-year goal to increase insurance enrollment by 10%. Enrollment increased by an impressive 22% (21,000 people) by the end of 2023. Intermountain also provided charitable contributions to the Association for Utah Community Health, the Urban Indian Center, and the Utah Health Policy Project to support enrollment. Other milestones included a proposal for Division of Workforce Services process improvements; advisement on the One Utah Roadmap led by the Governor’s Office; and, most notably, advocating for insurance for all Utah children, which passed in the 2023 legislative session, taking effect in January 2024. Our collaboration with EIC continues.

Maternal Home Visitation

Evidence-based models produce dramatically improved parent and newborn health outcomes, particularly among our vulnerable communities.

Maternal Health Connection: Community Health was awarded a $3.9 million Health Resources and Services Administration (HRSA) grant to serve rural southwest Montana residents, 70% of whom report no access to maternal services. The

Counseling

on Access to

Lethal Means

(CALM): Online training developed in partnership with the Means Matter program at the T.H. Chan School of Public Health, Harvard University, that addresses the “how” of suicide. Training materials are available to caregivers and are used by state universities to train employees, students, and faculty. More than 1,500 people were trained enterprise-wide with CALM in 2023.

program provides a hybrid telehealth and in-person care model with a cross-sector collaboration of community agencies.

Nurse-Family Partnership (NFP): NFP is a national model available in Salt Lake City and surrounding areas through a joint effort with Children’s Health. NFP provides in-home care for at-risk and first-time mothers. It is operated by local maternal and public health agencies with consultation from advocacy groups.

Federally Qualified Health Center (FQHC) Collaborations

FQHCs are medical homes and valued community collaborators essential in improving access to whole-person care.

In-Kind Services: Community Health provides resources for FQHC providers across Colorado and Montana. These clinics serve an at-risk population, including a high percentage of people of color. Support may include financial contributions providing specialty care for FQHC patients in need of hospitalization or acute care, and support from Graduate Medical Education resident physicians who provide clinical services at FQHCs as part of their training.

Diagnostic Services Vouchers: Community Health assists FQHCs and community clinics in Idaho, Nevada, and Utah in accessing diagnostic services. From mammography to CTs, vouchers are offered at a low-cost flat fee. In Colorado, the Hospital Discount Care Program ensures access to all diagnostic services regardless of ability to pay.

3. Chronic Disease and Injury Prevention

Chronic disease and injury are among the costliest, most deadly, and most preventable health issues. Pursuing opportunities to prevent specific issues, such as obesity, heart disease, diabetes, and childhood injury, was identified by local communities as a primary need. There is significant correlation between chronic disease and injury and other health priorities identified through community-needs assessments, such as mental well-being, access to care, and social determinants of health. For example, a person lacking sufficient food and access to care may become hopeless about managing their type 2 diabetes. These health issues are interdependent and require a wholeperson approach to ensure physical, mental, and social support and well-being.

Prevention through patient empowerment

Omada is a personalized program that helps members prevent type 2 diabetes and create healthier habits through one-on-one personal coaching and the tools needed to make long-lasting lifestyle changes. If someone is at risk for type 2 diabetes and clinically eligible for the program, the cost of the Omada program is covered 100% through Community Health. Community Health has funded 200 slots for community members and has plans to expand.

PROGRAM OUTCOMES

Omada participants who completed health goals:

• 2.5 times more likely to lose weight

• 91% satisfaction rate

Hearts in the Mountains has consistently reduced readmissions for heart failure:

• 30% readmission rate at St . James prior to program

• 0% readmission in the fall of 2023

Hearts in the Mountains (St. James Healthcare in Butte, Montana) and Project REACH (Cassia Regional Hospital in Burley, Idaho) are two grantfunded, patient-centric programs that allow rural providers to monitor chronic disease in patients to

prevent worsening outcomes. Using virtual care, self-monitoring, and at-home visits for cardiac or pulmonary patients, these care options provide a lifeline during a critical time of rehabilitation or a disease turning point. Patients are given tools, such as blood pressure cuffs, coached on medications and appropriate interventions, and held accountable to care plans during routine check-ins.

Injury Prevention

2023 CAR SEAT TOTALS

• 458 car seats distributed

• 7,829 car seats checked

• 60-85% car seats checked were being used incorrectly

The Car Seat Technicians program makes certified car seat specialists available, an essential resource given that motor vehicle crashes are the leading cause of death for children. Our team is developing a simplified, standard approach that will address unique local needs in the communities we serve while providing great education and service to families.

We also plan to monitor our program to capture meaningful data for funding, grant writing, and CHNA outcome reporting. Through this work, we will standardize workforce development and training to support the expansion and diversification of these services.

4. Address and Invest in the

Social Determinants of Health

From the food we eat to our opportunities for education, social determinants of health (SDOH) are the nonmedical factors that profoundly impact our overall well-being. The communities we serve identified SDOH and specific needs around food insecurity, housing, education, and community wealth building as health priorities.

Addressing SDOH

Connection to Resources: Recognizing that SDOH have a greater impact on our health than genetics or access to medical care, healthcare regulators are requiring increased screening for SDOH. However, screening alone does not improve health outcomes. Other elements of success include connecting patients, caregivers, and community members to resources and supporting community organizations that provide these vital services. Community Health worked closely with our Intermountain clinical partners in Utah, Colorado, and Montana to launch pilots for SDOH screening and exchanged learnings and resources with community organizations as they implemented their own screenings or supported the individuals in our communities with needs. We also continue to build local resource capacity, strengthen relationships with community service providers, and implement shared technology to securely connect people to resources outside healthcare.

Anchor Institutions

Anchor institutions are place-based, mission-driven, forever organizations such as hospitals, universities, and government agencies that can leverage their economic power to improve the long-term health and welfare of their communities.

Healthcare Anchor Network (HAN): Our membership in the Healthcare Anchor Network (HAN) is a national commitment along with over 65 other health systems to incubate and scale anchor strategies. Because of size, resources, and longevity, Intermountain Health can be intentional in how we use our influence to improve community health through initiatives such as place based investing, local and diverse hiring and sourcing, and environmental leadership. These anchor strategies are integral to creating stronger, healthier, and more inclusive communities. It also helps to define a role for Intermountain Health as a trusted leader in building equitable and sustainable local economies in collaboration with community stakeholders.

Place Based Investing: Our anchor commitment includes housing stability and financial wellness, such as education innovation, job creation, and down payment assistance. We are committed to investing up to 2% of our investment portfolio in these opportunities, which have generational impact. An example of this includes investment in affordable housing loans that support the creation or preservation of affordable housing units and progressive initiatives, such as shared equity rental housing, which gives renters the benefits of property appreciation without the typical barriers to ownership. In 2023, Intermountain made its first investment outside of Utah or Idaho with a $2 million low-cost loan to Elevation Community Land Trust in Colorado, which benefits people earning less than 80% of the median income.

Volunteerism: iAct is our employee volunteer program that empowers caregivers to support causes that matter to them through volunteer hours. Intermountain then doubles the impact by making cash contributions equal to the volunteer hours to qualified nonprofit organizations of the caregiver’s choice. iAct allows caregivers to invest in their communities.

BUILDING COMMUNITIES WITH OUR OWN HANDS

In 2023, caregivers traded their scrubs for hard hats to volunteer with Habitat for Humanity . Projects ranged from Nevada to Colorado and included home improvements, repairs, and hammering nails alongside future homeowners . These projects were among the 52,124 iAct volunteer hours our caregivers donated during their time off from work .

Section 5: Children’s Health

How Intermountain Children’s Health is Helping the Communities We Serve:

• Locally – Helping Families Protect Active Kids from Traumatic Injury – Riding bikes, waving good-bye from a window, addressing food insecurity, or while backing cars out of driveways.

• Nationally – Primary Children’s surgeons are first to successfully implant new brain device to help kids with hydrocephalus

• Globally – Baby monitor image leads to cancer diagnosis, genetic discovery, and innovative treatments.

Primary Children’s Hospital Ranked as One of Nation’s Best Children’s Hospitals by U.S. News & World Report

Primary Children’s Hospital, in partnership with University of Utah Health, has been ranked by U.S. News & World Report as one of the nation’s best children’s hospitals in seven pediatric specialties, including cancer care, cardiology and heart surgery, gastroenterology and gastrointestinal surgery, nephrology, neurology and neurosurgery, pulmonology, and urology.

Primary Children’s Hospital Earns Prestigious Magnet Nursing Award

Primary Children’s has been named a Magnet Facility by the American Nurses Credentialing Center – the nation’s highest honor for nursing excellence. Fewer than 10% of the nation’s hospitals have achieved this designation. “Our nurses are among the most skilled, empowered, and supportive in the profession,” shared Angie Scartezina, RN, chief nursing officer, Primary Children’s Hospital.

Primary Children’s Hospital Celebrates First-Ever Two-Time Living Organ Donor

Two-year-old Eva has shown her liver transplant scar to many grownups, but none as special as Kate, the living donor who saved her life. Kate is the first person in Utah to become a two-time living organ donor.

The 37-year-old mother is among 155 people nationwide who have donated both a kidney and part of their liver to save the lives of others.

Ryan Seacrest Foundation partners with Primary Children’s Hospital to open New State-of-the-Art Broadcast Studio to Help Children Heal

Ryan Seacrest and his family were on hand to celebrate the opening of a new state-of-the-art broadcast studio for patients at Primary Children’s Hospital. Top Gun: Maverick star Miles Teller; singer, songwriter Andy Grammer; and actor, director, and producer Zachary Levi were also on hand to celebrate with patients and their families.

“It’s incredibly rewarding to know that more kids will have access to the wonders of media during their stay, and I look forward to seeing how they use these new skills in the years to come,” said Ryan Seacrest, chairman and founder of the Ryan Seacrest Foundation.

The new Seacrest Studio will allow thousands of patients to explore the creative realms of radio, television, and new media as they receive treatment.

Section 6: Our Foundation

Foundation Highlights: Utah

Intermountain Primary Children’s Hospital, Larry H. & Gail Miller Family Campus in Lehi Achieves Major Construction Milestone

Primary Children’s Hospital’s second campus in Lehi, Utah, celebrated a major construction milestone: substantial completion of the Outpatient Center, where patients will receive expert therapies, cancer infusions, behavioral health services, and other specialty care.

“None of this would have been possible without generous community support of Primary Promise, which forwards our work to keep ‘The Child First and Always’ and to bring specialty care closer to home for many families,” said Katy

Welkie, chief executive officer of Intermountain Primary Children’s Hospital and vice president of Intermountain Children’s Health.

Intermountain’s Primary Promise campaign – a multifaceted investment of $600 million or more in children’s health – is now in the hands of the community to vault over the top. “We’re setting the bar for what’s possible in children’s health, here and across the nation, by building a model health system that meets the needs of children today and for generations to come,” said Katy Welkie. “The Larry H. & Gail Miller Family Campus is a key part of this unprecedented endeavor to support healthier children.”

“The Larry H. & Gail Miller Family Campus and its state-of-the-art facilities are on target to open to patients in the first quarter of 2024,” said Lisa Paletta, RN, president of the Miller Family Campus. Learn more at PrimaryPromise.org.

Intermountain Philanthropy Recognized for World-Class Success

Honored with the SABRE Award

Alongside health industry-peers, such as St. Jude Children’s Research Hospital, Intermountain Health’s Primary Promise campaign was honored with a prestigious SABRE Award (Superior Achievement in Branding, Reputation, and Engagement) in New York City.

AHP High Performer

For the eleventh consecutive year, Intermountain Foundation was named a “High Performer” by the Association for Healthcare Philanthropy for fundraising excellence. Honorees represent the top 25% of performers supporting people’s health needs while maintaining low costs. Intermountain is proud to be one of only 17 health systems in North America – and one of four in the Western U.S. – to receive High Performer status.

Sorenson Legacy Foundation’s $18 Million Gift to Primary Promise Transforms Cancer Treatment, Experience for Children at Primary Children’s Hospital

Children being treated for cancer and blood disorders have new, private, kid-friendly infusion, outpatient, and inpatient rooms at Primary Children’s Hospital. Patients like Miller (see right) can enjoy areas to rest, play, and hang out with friends at the Sorenson Center for Cancer & Blood Disorders.

$10 Million Gift Propels Intermountain Health’s Historic Vision to Create the Nation’s Model Health System for Children

Thanks to the Blake and Sandy Modersitzki family’s gift to Primary Promise, children will have better access to expert care at the Primary Children’s Miller Family Campus. Caregiver and community members will learn and grow in the new Blake and Sandy Modersitzki Family Education & Conference Center.

$5 Million Gift from Jim and Carol Laub Family Enhances Children’s Health in Utah and Beyond

The Laub Family’s gift will support an expansive region of neighborhoods and families who rely on Intermountain Children’s Health in times of need or crisis for generations. “Primary Children’s is a gem of the Intermountain West … We’re honored to join so many others in the community who have stepped up to help, and invite others to do the same,” said donor Jim Laub. “Caring for all children is the right thing to do, regardless of where you live.”

101 Years of Grassroots Fundraising

2023 marked 101 years of Pennies by the Inch, the oldest grassroots fundraising campaign in the nation. Thousands of volunteers across Utah and Idaho lead mini fundraising campaigns in their communities, schools, and congregations, raising on average more than $650,000 each year for Primary Children’s Hospital.

Community members in Kamas, Utah, harnessed their annual Fiesta Days celebration to raise $32,000 – record-breaking funds – for Pennies by the Inch. “Primary Children’s has helped so many in our community, it was time to help them,” said event volunteer Diana Atkinson.

Foundation Highlights: Colorado & Montana

Momentum! The Legacy Continues Comprehensive Campaign

In 2021, the Lutheran Foundation introduced a five-year comprehensive fundraising campaign, The Legacy Continues, to support the new Lutheran replacement hospital with a goal of raising $12 million. Through the immense generosity of the community, the Lutheran Foundation exceeded the campaign goal in December 2023.

“It is exciting to announce that the five-year goal of $12 million was surpassed in three years. The momentum is continuing, and our work is not complete,” Executive Director of the Lutheran Medical Center Foundation Kathie Repola shared. “The campaign was scheduled for five years and will continue, as there is much more to do and community interest continues to be strong!”

Saint Joseph Hospital Celebration – 150 Years

Saint Joseph Hospital has been a lifesaving resource to its region and Colorado’s communities for 150 years, having celebrated that anniversary on September 25, 2023. Over the 150 years, community support has allowed the hospital to deliver on its steadfast commitment to excellence while providing high-quality care.

In 2021, the Saint Joseph Foundation began the five-year $20 million Campaign for Caring. The campaign is designed to ensure the hospital’s strong presence well into the 21st century and beyond. The Campaign for Caring centers around five priorities: cardiovascular, respiratory, women and infants, medical education, and spiritual care.

In Saint Joseph’s 150th year, 2023 also marked the mid-point for the campaign. It was a remarkable

Donor Gifts

The Leona M. and Harry B. Helmsley Charitable Trust’s $6 Million Grant to Holy Rosary Healthcare Foundation Brings New Comprehensive Cancer Center to Rural Eastern Montana

Cancer patients will now be able to receive leading cancer treatments close to home. The new cancer center will eliminate distance and barriers to care for people in eastern Montana. This will be the only comprehensive cancer center within a 125-mile radius.

year with nearly 1,000 individuals, organizations and foundations contributing $3.2 million to Saint Joseph Hospital Foundation. With this generosity, the foundation is poised to surpass its $20 million campaign goal. As of December 2023, the campaign had raised 75% of that goal.

A major contributor to Saint Joseph Foundation’s 2023 success can be seen with the Saint Joseph Hospital 150th Anniversary Gala. The evening raised $1.2 million for the foundation. Executive Director Leslie McKay noted, “In the hospital’s 150th year, we continue to honor the mission of Saint Joseph Hospital through our dedication to the health of our communities, especially those who are poor and vulnerable. We are part of the mission of the hospital, now and well into the future.”

Ritzman Family $1 Million Gift Names Education Center at the New Lutheran Hospital

Dr. Vernon Ritzman understands the significance of continuing education opportunities for caregivers and has created an endowment to support medical education programs in perpetuity. The Lutheran community is grateful that Dr. Ritzman chose to enrich it with his unwavering dedication, enthusiasm, and support, passing it on for generations to come.

Section 7: Select Health Insurance

Select Health, Intermountain Health’s nonprofit health insurance company, offers medical and dental health plans and pharmacy-benefits management to all members of the community, from individuals and families to employers. Select Health is a wholly owned subsidiary of Intermountain and has been in business for more than 40 years. Our member base has grown from 12,000 in 1983 to more than one million members today in Utah, Idaho, Nevada, and Colorado. Select Health celebrated its 40th anniversary in 2023, with moving stories of the positive impact Select Health employees have had on members over the years.

Strategic Priorities

Select Health has identified top strategic priorities for the organization in service of our members.

Advance the Culture and Talent. We care about being a place of work where people are proud to be part of the team and we are committed to creating an intentional onboarding experience for new caregivers.

Value-Based Network & Provider Development. We will expand our networks throughout our regions and develop the infrastructure needed for value-based care contracts, supporting providers’ ownership of risk that rewards them for managing costs.

Deliver Health Value. We will benchmark, analyze, and manage cost and utilization trends across all lines of business. We will develop processes to better manage approvals for hospital admissions and surgeries and appropriately shift delivery of care to quality, lower-cost settings.

Path to Growth and Success

As Select Health continues to grow and expand into new geographies, such as Colorado (see CIN story on pg. 22), we remain committed to excellence in service to our members.

Select Health is actively engaged in increasing value-based care in the communities we serve. The value-based care model focuses on the patient and provides higher-quality care at a lower cost. As a health plan, our efforts to move to valuebased care will result in stable premiums, improved medical management, and most important, healthier members.

Select Health is participating in initiatives to increase knowledge of value-based care, formalize relationships and responsibilities, and develop and implement contracting models and consistent reporting for providers.

Select Health by the Numbers

Innovate for Differentiation. We will offer innovative solutions that give us a competitive advantage. This means scaling and serving up personalized recommendations for our members. We will continue to improve our products and services for employers who want to self-fund. By innovating for a better experience, we will be the health plan of choice.

Provide Products to the Communities We Serve. We work to improve the health of the communities we serve, including the most vulnerable populations. We are committed to all markets and offer options to all within our communities.

• Annual revenue of $4.6 billion

• Six lines of business: Small Employer, Large Employer, Individual, Medicare, Medicaid, and Self-funded

• 1.1 million lives covered (Select Health members)

• 164,000+ members enrolled in dental plan

• In 2023, Select Health processed more than 13 million medical and dental claims

• Scripius, Select Health’s pharmacy-benefits manager, has more than 1.6 million lives under management

Community Benefit

Select Health is always striving to improve the communities we serve, and we’re able to do that through programs like the Select Health Awards and Select Health Scholarship.

Each year, the Select Health Awards are offered to organizations that improve health and well-being, serve those with special needs, and support the underserved. The Select Health Awards program was launched in 2008 in observance of Select Health’s 25th anniversary. Now in its fifteenth year, Select Health has donated more than $1 million through the Select Health Awards to community organizations. For more information about the award and annual awardees, visit selecthealthawards.org.

Select Health also invests in the community through education. The Select Health Scholarship is a twoyear full scholarship to Salt Lake Community College for freshman Hispanic and Latinx students with

demonstrated financial need who are interested in a career in healthcare. Students who earn this scholarship have the opportunity to participate in mentoring, complete a paid summer internship, and be considered for full-time employment at Select Health upon graduation.

Accolades

• Select Health has received recognition as one of the state’s “Best Companies to Work For” by Utah Business magazine sixteen times, and the “Top Workplaces” award nine times from The Salt Lake Tribune.

• Select Health Medicare HMO plans have achieved an overall Five out of Five-Star Rating from the Centers for Medicare and Medicaid Services (CMS) –for the third year in a row –which places Select Health in the 96th percentile of all health plans rated.

Section 8: Financial Summary & Senior Leadership Overview

Our financial performance in 2023 reflects Intermountain Health’s unwavering commitment to creating a sustainable and thriving organization that meets the changing healthcare needs of our communities – all while extending the sound financial stewardship we have demonstrated for nearly 50 years.

In 2023, we continued to partner with generous donors to make significant capital investments that, when complete, will further strengthen patient care and clinical excellence. For example, the construction of the Intermountain Lutheran Medical Center Replacement Hospital in Wheat Ridge, Colorado, progressed on schedule and on budget. This state-of-the-art $752 million facility will expand access to emergency, inpatient, and outpatient care for families in the region, and continue to provide outstanding healthcare in the Jefferson County community for decades, opening in late 2024.

Additionally, construction of the Intermountain Primary Children’s Hospital Miller Family Campus in Lehi, Utah, made significant progress this year. This new $335 million campus, which opens in February 2024, will feature a three-story outpatient center and a five-story hospital tower for children and their families.

Our caregivers are the backbone of our organization, and we are committed to investing in them throughout their Intermountain careers. In 2023, we continued prioritizing competitive salaries, benefits, and patient care to empower our staff to provide the best possible services to our patients.

Vibrant communities are also essential to our mission, and we are proud to invest in their longterm health. In 2023, we continued to provide direct care, financial assistance to patients, support for critical programs and services, professional health education, capital infrastructure, and other services. Combined 2023 Financial Performance

We believe in what we do, and remain dedicated to investing in a healthier future for all. In 2023, we invested more than $750 million to support health improvements in the communities we serve.

Enterprise Leadership Team

Rob Allen* President and Chief Executive Officer

Heather Brace* Chief People Officer

as of May 1, 2024

Clay Ashdown* Chief Financial Officer

Nannette Berensen* Chief Operating Officer

Mitch Cloward Desert Region President

David Flood Chief Development Officer

Rob Hitchcock President & Chief Executive Officer, Select Health

Dan Liljenquist* Chief Strategy Officer

Megan Mahncke* Chief Marketing & Communications Officer

Greg Matis* Chief Legal Officer

Mandy Richards, RN* Chief Nursing Executive

Craig Richardville Chief Digital & Information Officer

Sue Robel, RN Canyons Region President

* President’s Leadership Council

Jim Sheets Peaks Region President

Click HERE for more information on our executive team

JP Valin, MD* Chief Clinical Officer

Board of Trustees

as of May 1, 2024

Robert W. Allen President and CEO, Intermountain Health

S. Neal Berube Mayor, North Ogden City, Utah; former President and CEO, Associated Food Stores

Daniel G. Gomez President, Gomez Corp., Financial Advisors and Insurance

A. Scott Anderson President and CEO, Zions Bank

Spencer F. Eccles Chairman Emeritus, Wells Fargo, Intermountain Banking Region

C. Gordon Howie Independent Healthcare Financial Consultant

Michael O. Leavitt Founder, Leavitt Partners; former Utah Governor, Environmental Protection Agency Secretary, and Health and Human Services Secretary

Kathryn A. Paul Former President and CEO, Delta Dental of Colorado

F. Ann Millner, EdD Utah State Senator; Regents Professor; former President, Weber State University

Janice Ugaki Cofounder and President, Firmseek, Inc.

Click HERE for more information on our board members

Beth P. Beckman, DNSc Former Chief Nursing Executive, Yale New Haven Health

Michael L. Fordyce Former President and CEO, Craig Hospital, Denver

Steven D. Huebner President, Huebner Advisory, LLC; former KPMG Audit Partner

Matt C. Packard Mayor, Springville, Utah; former President and CEO, Central Bank Utah

James N. Weinstein, DO Senior Vice President, Microsoft Healthcare; Former President and CEO, DartmouthHitchcock Health