Intermountain officials tell Davis County commission Layton Hospital provided $4.6M in charity care and is planning a Farmington clinic with behavioral services

Intermountain Health representatives, led by Layton Hospital President Kelly Duffin, presented the system's annual community-benefit report to the Davis County Commission on Sept. 16, 2025, outlining local charity-care totals, discounts, capital investments and plans for a Farmington outpatient clinic with behavioral-health services.

Duffin said last year Layton Hospital provided "$4,600,000 in charitable care to members of the community" across 6,870 charity-care cases and estimated that, for those services, tax obligations would have been roughly $2,000,000 if the hospital did not qualify as a 501(c)(3). She also said Intermountain systemwide community benefit in 2023 was $746,000,000 compared with an estimated equivalent tax burden of $469,000,000.

The presentation explained which operations pay taxes and which claim nonprofit exemption: physician-owned joint ventures and many outpatient clinics are taxed, whereas core hospital operations commonly qualify for tax exemption, Duffin said. She described additional community benefit as reduced charges from retail pricing (about $34,000,000 in discounts) and capital reinvestment (approximately $7,000,000 for new equipment and facility expansions at Layton Hospital this year).

Anne Kazzara, community health director for Intermountain, described the system's Community Health Needs Assessment (CHNA), done every three years, which she said guides local programs. "From our 2022 data, these are the significant health needs that were identified here in Davis County," Kazzara said, citing priorities such as improving mental well-being and suicide prevention and giving the example of firearm-lock distribution as an evidence-based intervention.

Commissioners and county staff questioned presenters about operational details and trends. When asked about uncollected debt and whether it is growing, Duffin said bad debt generally increases slowly year over year and "it usually increases year over year by about 5%." County HR and benefits staff raised employer-plan cost concerns; meeting participants said they expect premium pressures in the double digits and noted specialty drug costs (presenters referenced Trikafta for cystic fibrosis at roughly $350,000 per year per patient as an example of an uncontrollable expense).

Duffin discussed service capacity at Layton Hospital, saying the facility has 43 licensed beds, nearly 600 caregivers and is a designated level-3 trauma center. She said Intermountain is investing to place more outpatient services close to where patients live and pointed to an ambulatory surgery center that provides lower-cost procedures (about 40% less than the same surgery in a hospital, she said).

On outpatient expansion, Duffin said Intermountain purchased land near Farmington Station with the intention of building a clinic that will include behavioral-health outpatient services; when commissioners asked about a groundbreaking date she said the system is "actively working towards that" and will announce public timing when ready. She also described a new Primary Children's outpatient behavioral-health campus opened recently and said Intermountain integrates behavioral-health screening into primary-care visits.

Duffin and colleagues emphasized the distinction between charity care (eligibility-based discounts offered before service) and bad debt (post-service write-offs). They described a charity-care eligibility grid: automatic qualification at 150% of the federal poverty level and a graded sliding scale up to 277%.

At the end of the presentation the commission thanked Intermountain for the report and the meeting was adjourned at 09:15.