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Commissioners Ask Intermountain for More Local Detail After Denying Tax‑exempt Status; Land‑under‑care‑center Transfer Also Raised
Summary
Millard County commissioners reviewed Intermountain Healthcares 2024 charity report, questioned whether the hospitals claimed community benefits are targeted to local residents, and declined to withdraw an appeal of the county’s denial of continued tax‑exempt status for some hospital parcels.
Millard County commissioners said they would continue discussions with Intermountain Healthcare after reviewing the systems 2024 charity report and after the county issued a denial of continuation for tax‑exempt status for some hospital parcels. Intermountain filed an appeal with the state tax commission; the hospital requested county reconsideration and asked the commission to hold the appeal while the parties clarify local impacts.
Commissioners voiced concern about whether Intermountains reported charitable contributions and community benefits were sufficiently focused on Millard County. Commissioners questioned a 2024 figure—Intermountain reported roughly $1.7 million in charity care for services in Millard County—and asked for clearer, county‑level detail: how many patients, the types of services and how those write‑offs or allocations directly reduced county residents’ costs. Commissioners said many of the organizations named in Intermountains broader charity list operate outside Millard County and that county residents see limited direct cash contributions; commissioners asked Intermountain to tailor its reporting to show the local benefit more clearly.
The county also raised a separate but related property issue: the parcel(s) beneath Millard Care & Rehab and the associated ground lease. The commission had earlier requested Intermountain subdivide the parcel on which the care center sits and transfer the subdivided title to Millard County via quit‑claim deed so the county could control the land beneath the care center. Intermountain representatives said they have no present plan to abandon the existing ground‑lease structure, noted the site is tied into broader campus planning and explained that Intermountain typically seeks to retain control over land immediately adjacent to hospitals to protect campus function. Intermountain said it is open to discussing alternative structures, including rights of first refusal, use restrictions, or a limited deed under terms that protect hospital campus operations.
Both sides signaled interest in continued negotiations: Intermountain offered to return with revised, county‑specific documentation and asked for time to work through options for deed or restriction language. Commissioners said they want an outcome that leaves the county able to use the care center site for county needs (for example, assisted living) and to avoid a long‑term arrangement that leaves taxpayersdollars invested in a building on land they do not control. The commission declined to withdraw the appeal and asked staff to forward the existing appeal to the state tax commission while continuing local discussions.
No final transfer was made; commissioners requested additional written detail on Intermountain’s local allocations and asked Intermountain to propose specific deed/condition language or alternative measures within a near term email exchange and follow‑up meeting.
