var app = angular.module('plunker', []);

app.controller('MainCtrl', function($scope) {

  $scope.providers = {
    "provider1": {
      "name": "The Whittington Hospital"
    },
    "provider2": {
      "name": "Homerton Hospital"
    },
    "provider3": {
      "name": "MSFT"
    },
    "provider4": {
      "name": "King's Hospital"
    }
  };

  $scope.services = {};

  $scope.selection = {}


});
<!DOCTYPE html>
<html ng-app="plunker">

<head>
  <meta charset="utf-8" />
  <title>AngularJS Plunker</title>
  <script>
    document.write('<base href="' + document.location + '" />');
  </script>
  <link rel="stylesheet" href="style.css" />
  <script data-require="angular.js@1.3.x" src="https://code.angularjs.org/1.3.15/angular.js" data-semver="1.3.15"></script>
  <script src="app.js"></script>
</head>

<body ng-controller="MainCtrl">

  <form ng-submit="">
    <input type="text" name="name" ng-model="service.name">
    <label for="{{ provider }}" ng-repeat="provider in providers">
      <input type="checkbox" name="provider" id="{{ provider }}" value={{provider.name}}
                  ng-model="selection[provider.name]">{{ provider.name }}
    </label>
    <button type="submit">Submit</button>
  </form>
  
  Selection: 
  <ol>
    <li ng-repeat="(k,v) in selection">
       {{k}}: {{v}}
    </li>
  </ol>


</body>

</html>
/* Put your css in here */