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BARTON HEALTHCARE SYSTEM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BARTON HEALTHCARE SYSTEM (EIN 94-6050274)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202213119349302396
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T12:36:33-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946050274EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARTON HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBARTBusinessNameControlTxt
Phone5305413420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9578AddressLine1Txt
CitySOUTH LAKE TAHOECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96158ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKELLY NEIGERPersonNm
Person TitleCFOPersonTitleTxt
Phone5305413420PhoneNum
Signature2022-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKELLYPersonFirstNm
Person LastNEIGERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2022-10-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCLINTON PURVANCE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9578AddressLine1Txt
CitySOUTH LAKE TAHOECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$291,865,433GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BARTONHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionMISSION: BARTON HEALTH DELIVERS SAFE, HIGH QUALITY CARE AND ENGAGES THE COMMUNITY IN THE IMPROVEMENT OF HEALTH AND WELLNESS. VISION: BARTON HEALTH IS THE COMMUNITY HEALTH LEADER KNOWN FOR COMPASSION AND CHOSEN FOR QUALITY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1085TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,714,384PYContributionsGrantsAmt
CY Contributions Grants$5,987,100CYContributionsGrantsAmt
PY Program Service Revenue$178,394,162PYProgramServiceRevenueAmt
CY Program Service Revenue$207,155,820CYProgramServiceRevenueAmt
PY Investment Income$3,144,409PYInvestmentIncomeAmt
CY Investment Income$12,220,345CYInvestmentIncomeAmt
PY Other Revenue$211,261PYOtherRevenueAmt
CY Other Revenue$3,234,847CYOtherRevenueAmt
PY Total Revenue$193,464,216PYTotalRevenueAmt
CY Total Revenue$228,598,112CYTotalRevenueAmt
PY Grants And Similar Paid$657,723PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$483,618CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,281,222PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$94,143,685CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$90,165,419PYOtherExpensesAmt
CY Other Expenses$111,822,938CYOtherExpensesAmt
PY Total Expenses$180,104,364PYTotalExpensesAmt
CY Total Expenses$206,450,241CYTotalExpensesAmt
PY Revenues Less Expenses$13,359,852PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,147,871CYRevenuesLessExpensesAmt
Total Assets BOY$331,957,060TotalAssetsBOYAmt
Total Assets EOY$350,905,731TotalAssetsEOYAmt
Total Liabilities BOY$57,686,920TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,119,233TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$274,270,140NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$293,786,498NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: BARTON HEALTH DELIVERS SAFE, HIGH QUALITY CARE AND ENGAGES THE COMMUNITY IN THE IMPROVEMENT OF HEALTH AND WELLNESS. VISION: BARTON HEALTH IS THE COMMUNITY HEALTH LEADER KNOWN FOR COMPASSION AND CHOSEN FOR QUALITY.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$148,210,780ExpenseAmt
Grant$483,618GrantAmt
Revenue$198,042,584RevenueAmt
DescBARTON HEALTHCARE SYSTEM (BARTON HEALTH) IS A 501( C)(3) COMMUNITY HEALTH SYSTEM THAT INCLUDES A LICENSED 63-BED FULL-SERVICE, GENERAL ACUTE CARE HOSPITAL WITH A 24-HOUR EMERGENCY ROOM; 48 BED SKILLED NURSING AND LONG TERM CARE FACILITY; AND 23 AMBULATORY OUTPATIENT CLINICS. BARTON HEALTH IS A BI-STATE HEALTH SYSTEM SERVING THE GREATER LAKE TAHOE REGION IN ADDITION TO TRANSIENT-BASED PATIENTS. NINE VENTILATORS AND EIGHT EMERGENCY RESCUE VENTILATORS WERE ALSO ON-HAND.BARTON HEALTH PROVIDES EXCEPTIONAL MEDICAL CARE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY.THE FOLLOWING PROGRAMS ARE COMMUNITY OUTREACH PROGRAMS THAT BENEFIT THE HEALTH OF BARTON HEALTH LAKE TAHOE SOUTH SHORE COMMUNITY.COMMUNITY HEALTH EVENTS: BARTON HEALTH PROVIDES FREE OR DISCOUNTED SERVICES AT COMMUNITY HEALTH EVENTS INCLUDING COMMUNITY HEALTH FAIRS, LAB DRAWS, MAMMOGRAMS, EKG TESTS, VACCINATION CLINICS, CANCER WELLNESS PROGRAM, AND COMMUNITY EVENT MEDICAL SERVICES. YOUTH PROGRAMS: BARTON HEALTH PROMOTES HEALTH WITHIN YOUTH POPULATIONS THROUGH PROGRAMS THAT EDUCATE ABOUT THE RAMIFICATIONS OF DRUG AND ALCOHOL USE; DRUNK DRIVING; THE SPONSORSHIP OF YOUTH ACTIVITIES THAT PROMOTE HEALTH; FREE SPORTS PHYSICALS; SPORTS INJURY PREVENTION; AND HEALTH CAREER PROMOTION ACTIVITIES. COMMUNITY HEALTH EDUCATION PROGRAMS: MAILED COMMUNITY NEWSLETTER; MAILED COMMUNITY BENEFIT REPORT, FREE ONLINE E-NEWSLETTERS AND HEALTH LIBRARY; CHILDBIRTH EDUCATION CLASSES; CHILD/INFANT CPR AND FIRST-AID; NEW MOM'S SUPPORT PROGRAM; AND FREE VIRTUAL COMMUNITY HEALTH WEBINAR SERIES.COLLABORATION: ACCESS EL DORADO INVOLVING PUBLIC AND PRIVATE AGENCIES TO CREATE HEALTHIER COMMUNITIES ESPECIALLY WITHIN OUR VULNERABLE POPULATIONS; TELEHEALTH FOR TAHOE THAT BRINGS ADDITIONAL SPECIALTY HEALTH ACCESSIBLE THROUGH TELEMEDICINE; AND EMERGENCY MANAGEMENT COMMUNITY COUNCIL (BARTON HEALTH HOSTS AND CHAIRS) THAT MEETS WITH AREAS AGENCIES EVERY OTHER MONTH TO DISCUSS EMERGENCY PREPAREDNESS AND EDUCATION WITHIN OUR COMMUNITY. BARTON ADDITIONALLY PARTNERS WITH COVERED CALIFORNIA AS A CERTIFIED ENROLLMENT ENTITY THAT ASSISTS RESIDENTS WITH ENROLLING FOR HEALTH COVERAGE AT NO COST.COMMUNITY HEALTH IMPROVEMENT EFFORTS: BARTON LEADS THE COMMUNITY HEALTH ADVISORY COMMITTEE (25-MEMBER ALL VOLUNTEER COMMUNITY BOARD) WHICH IS FOCUSED ON IDENTIFYING AND THEN ADDRESSING UNMET HEALTH NEEDS. BARTON PARTICIPATES IN THE BEHAVIORAL HEALTH NETWORK (25-MEMBER ALL-VOLUNTEER COMMUNITY ADVISORY BOARD) WHICH IS FOCUSED PRIMARILY ON IDENTIFYING AND ADDRESSING THE GAPS IN OUR COMMUNITY'S MENTAL HEALTH SERVICES. IN ADDITION, THE BARTON FOUNDATION FUNDS THE BARTON HEALTH GRANTS PROGRAM WHICH PROVIDES $100,000 ANNUALLY TO AREA NONPROFITS THAT PROVIDE PROGRAMS AND SERVICES THAT CLOSELY ALIGN WITH OUR COMMUNITY'S NEEDS.LTUSD HEALTH AND WELLNESS TASKFORCE (1 MD AND 2 STAFF).IN RESPONSE TO THE CALDOR FIRE, BARTON HEALTH PARTNERED WITH SIERRA COMMUNITY HOUSE IN TRUCKEE TO PICK UP HIGH QUALITY PROTEINS AND PRODUCE TO PROVIDE FOOD FOR THE TAHOE COALITION FOR THE HOMELESS WHOSE CLIENTS HAD RETURNED TO SOUTH LAKE TAHOE AFTER BEING DISPLACED BUT BEFORE GROCERY STORES WERE OPEN.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,990,594ExpenseAmt
Grant$0GrantAmt
Revenue$8,797,978RevenueAmt
DescTHE BARTON COMMUNITY HEALTH CENTER PROVIDES ROUTINE MEDICAL CARE TO MEDICARE AND MEDI-CAL BENEFICIARIES, THOSE WITH INSURANCE BUT VERY HIGH DEDUCTIBLES OR THOSE WHO ARE UNINSURED. SAME DAY APPOINTMENTS ARE USUALLY AVAILABLE WHICH IMPROVES MEDICAL OUTCOMES. THE BARTON COMMUNITY HEALTH CENTER COMBINES THE EFFORTS OF NUMEROUS SKILLED PROFESSIONALS INCLUDING NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, MEDICAL ASSISTANTS, NURSES, OTHER MEDICAL SUPPORT STAFF, AND CONTRACTS WITH FAMILY AND SPECIALTY PHYSICIANS. SPECIALTY PHYSICIANS WHO SEE PATIENTS AT THE CLINIC INCLUDE PEDIATRICS, SLEEP MEDICINE, ORTHOPEDICS, OBSTETRICS, GYNECOLOGY, CHILD PSYCHIATRY, ADULT PSYCHIATRY, ADHD TREATMENT, UROLOGY, ENT, DERMATOLOGY, INFECTION DISEASE, PSYCHOLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, AND NEUROLOGY. PATIENT ARE SOMETIMES UNDOCUMENTED MIGRANT WORKERS NOT ELIGIBLE FOR MEDI-CAL OR ARE INSURED LOW INCOME PATIENTS WITH VERY HIGH DEDUCTIBLES. UNDERINSURED AND UNINSURED PRIVATE PAY PATIENTS ARE CHARGED ON A SLIDING SCALE BASED ON INCOME AND SERVICES PROVIDED. BARTON'S COMMUNITY HEALTH CENTER SERVES AS A GATEWAY FOR PATIENTS IN NEED OF HEALTH CARE INCLUDING THOSE SEEKING FAMILY PLANNING SERVICES, PRECONCEPTION INFORMATION AND REFERRALS FOR STERILIZATION, LEVEL 1 INFERTILITY SERVICES, STD TREATMENT, REFERRALS FOR HIV SERVICES AND SCREENING FOR DES (DIETHYLSTILBESTROL) EXPOSURE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,640,878ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTHE HELPING HANDS PROGRAM ASSISTS PATIENTS OF BARTON MEMORIAL HOSPITAL WITH THEIR MEDICAL BILLS. IT MATCHES THE PATIENTS' ABILITY TO PAY ACCORDING TO THEIR UNIQUE CIRCUMSTANCE. PATIENTS ARE ASKED TO COMPLETE AN APPLICATION AND PROVIDE FINANCIAL INFORMATION ABOUT THEIR INCOME TO DETERMINE THEIR ABILITY TO PAY. THE DISCOUNT PATIENTS RECEIVE TOWARD THEIR MEDICAL BILL DEPENDS ON THEIR ADJUSTED GROSS INCOME COMPARED WITH THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES POVERTY INCOME GUIDELINES. THE PROGRAM IS DESIGNED FOR THOSE PATIENTS WHO CANNOT AFFORD THEIR MEDICAL BILLS, BARTON HEALTH PROVIDES DISCOUNTS FOR THOSE WITH INCOMES UP THE 350 PERCENT OF THE MOST RECENT POVERTY INCOME GUIDELINES, AND/OR UNDER SPECIAL CIRCUMSTANCES. DURING THE CURRENT YEAR THIS PROGRAM PROVIDED OVER $5.7 MILLION OF GROSS CHARGES IN CHARITY CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$155,842,252TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document347IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1085EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLY NEIGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5305413420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9578AddressLine1Txt
CitySOUTH LAKE TAHOECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96158ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WENDY DAVID
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
PATRICK FRY
VICE CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
ABBY KILLEBREW
SECRETARY/TREASURER5.00Yes (X)Yes (X)$0$0$0
SHAWN ANDERSON
TRUSTEE5.00Yes (X)$0$0$0
PAT BAGHDIKAN
TRUSTEE5.00Yes (X)$0$0$0
KATHRYN BIASOTTI
TRUSTEE5.00Yes (X)$0$0$0
MIKE BRADFORD
TRUSTEE (THROUGH 2/21)5.00Yes (X)$0$0$0
KIRK LEDBETTER
TRUSTEE5.00Yes (X)$0$0$0
JEFF RAHBECK
TRUSTEE5.00Yes (X)$0$0$0
CHUCK SCHARER
TRUSTEE5.00Yes (X)$0$0$0
STEFAN SCHUNK
TRUSTEE5.00Yes (X)$26,178$0$0
DENA SCHWARTE
TRUSTEE (THROUGH 12/21)5.00Yes (X)$0$0$0
CLINTON PURVANCE MD
CEO39.50Yes (X)$706,363$256,785$53,5650.50
KELLY NEIGER
CFO40.00Yes (X)$445,045$82,662$51,737
MATTHEW WONNACOTT
CHIEF MEDICAL OFFICER40.00$597,424$0$42,275Yes (X)
JULIE CLAYTON
CHIEF NURSING OFFICER40.00$549,684$0$34,386Yes (X)
ELIZABETH STORK
CHIEF HUMAN RESOURCES OFFICER40.00$381,296$112,097$12,349Yes (X)
DEANNA KYRIMIS
CHIEF AMBULATORY OPERATIONS OFFICER (THROUGH 8/21)40.00$652,468$0$26,314Yes (X)
DANA RANDALL
PHYSICIANS ASSISTANT40.00$214,552$0$13,122Yes (X)
JULIE HOWES
CONTROLLER40.00$241,606$0$20,284Yes (X)
SIOBHAN KELLER
DIRECTOR OF NURSING40.00$220,582$0$39,491Yes (X)
JEFFREY KOECK
DIRECTOR OF PHARMACY40.00$245,330$0$41,984Yes (X)
KAITLYN MIDDLEMIS-CLARK
PHARMACIST40.00$229,898$0$6,975Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,510,426TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$451,544TotReportableCompRltdOrgAmt
Total Other Compensation$342,482TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K216IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TAHOE CARSON VALLEY MEDICAL GROUP INC
2155 SOUTH AVENUE STE 24SOUTH LAKE TAHOECA96150PHYSICIAN SERVICES$18,365,823
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREETOMAHANE68154STAFF LABOR SERVICES$5,406,369
TAHOE ORTHOPEDICS & SPORTS
PO BOX 11889ZEPHYR COVENV89448PHYSICIAN SERVICES$3,889,125
HEALTHSOURCE GLOBAL STAFFING INC
2735 COLLECTION CENTER DRIVECHICAGOIL60693STAFF LABOR SERVICES$2,580,211
LAKE TAHOE ORTHOPAEDIC INSTITUTE INC
PO BOX 11889ZEPHYR COVENV89448PHYSICIAN SERVICES$1,931,947
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt
Related Organizations$549,651RelatedOrganizationsAmt
Government Grants$5,108,648GovernmentGrantsAmt
All Other Contributions$328,801AllOtherContributionsAmt
Noncash Contributions$211,600NoncashContributionsAmt
Total Contributions$5,987,100TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621990$195,085,590$195,085,590
INVESTMENT IN WASHOE BARTON MEDIC621110$10,158,223$10,158,223
SUPPORTING REVENUE621990$1,607,279$1,607,279
CAFETERIA722514$315,258$315,258
INVESTMENT IN ACO COLLABORATIVE L621110-$10,530-$10,530
FieldValueIRS element (for citing)
Total Program Service Revenue$207,155,820TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,574,327TotalRevenueColumnAmt
Exclusion$2,574,327ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$234,664RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$234,664RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,664TotalRevenueColumnAmt
Exclusion$234,664ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$72,853,516SecuritiesAmt
Other$59,823OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$63,267,321SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,586,195SecuritiesAmt
Other$59,823OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,646,018TotalRevenueColumnAmt
Exclusion$9,646,018ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$183GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$183TotalRevenueColumnAmt
Exclusion$183ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINSURANCE SETTLEMENTDesc
Business900099BusinessCd
Total Revenue Column$3,000,000TotalRevenueColumnAmt
Exclusion$3,000,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,000,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,598,112TotalRevenueColumnAmt
Related Or Exempt Func Income$206,840,562RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,770,450ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$454,760TotalAmt
Program Services$454,760ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$28,858TotalAmt
Program Services$28,858ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,559,561TotalAmt
Program Services$639,699ProgramServicesAmt
Management And General$2,919,862ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,977,845TotalAmt
Program Services$51,498,857ProgramServicesAmt
Management And General$19,478,988ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,726,280TotalAmt
Program Services$2,069,979ProgramServicesAmt
Management And General$656,301ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,616,393TotalAmt
Program Services$7,740,066ProgramServicesAmt
Management And General$3,876,327ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,263,606TotalAmt
Program Services$3,761,464ProgramServicesAmt
Management And General$1,502,142ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,647,232TotalAmt
Program Services$49,252ProgramServicesAmt
Management And General$1,597,980ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$69,420TotalAmt
Management And General$69,420ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$245,665TotalAmt
Management And General$245,665ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$52,645,112TotalAmt
Program Services$42,742,382ProgramServicesAmt
Management And General$9,902,730ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$449,536TotalAmt
Program Services$672ProgramServicesAmt
Management And General$448,864ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,015,617TotalAmt
Program Services$4,366,576ProgramServicesAmt
Management And General$2,649,041ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,057,692TotalAmt
Program Services$618,142ProgramServicesAmt
Management And General$3,439,550ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,703,598TotalAmt
Program Services$1,754,993ProgramServicesAmt
Management And General$1,948,605ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$138,858TotalAmt
Program Services$123,699ProgramServicesAmt
Management And General$15,159ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$403,762TotalAmt
Program Services$403,762ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,945,653TotalAmt
Program Services$10,518,603ProgramServicesAmt
Management And General$427,050ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,012,809TotalAmt
Program Services$1,012,809ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$22,205,316$21,990,252$215,064
NON-MEDICAL SUPPLIES$2,300,707$1,837,887$462,820
BAD DEBT EXPENSE$897,184$897,184
LABOR STRIKE$315,790$315,790

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,768,987TotalAmt
Program Services$3,332,356ProgramServicesAmt
Management And General$436,631ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$206,450,241TotalAmt
Program Services$155,842,252ProgramServicesAmt
Management And General$50,607,989ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,175,917BOYAmt
EOY$21,500,445EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,602,226BOYAmt
EOY$3,399,868EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,578,448BOYAmt
EOY$34,410,926EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$150,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,080,857BOYAmt
EOY$4,192,255EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,687,472BOYAmt
EOY$3,249,497EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$245,841,169LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$124,557,624LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$108,859,626BOYAmt
EOY$121,283,545EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$73,746,325BOYAmt
EOY$54,418,166EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,941,538BOYAmt
EOY$44,600,449EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$36,621,551BOYAmt
EOY$47,744,218EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,663,100BOYAmt
EOY$15,956,362EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$331,957,060BOYAmt
EOY$350,905,731EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,700,901BOYAmt
EOY$25,185,922EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,840,198BOYAmt
EOY$12,716,004EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,728,839BOYAmt
EOY$3,505,221EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,416,982BOYAmt
EOY$15,712,086EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,686,920BOYAmt
EOY$57,119,233EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$274,270,140BOYAmt
EOY$293,786,117EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$381EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$274,270,140BOYAmt
EOY$293,786,498EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$331,957,060BOYAmt
EOY$350,905,731EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$22,147,871ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,631,513NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$16,446OtherActivitiesAmt
Total Lobbying Expenditures$16,446TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF BARTON HEALTHCARE SYSTEM'S MEMBERSHIP DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION AND THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS WAS USED FOR LOBBYING EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

Held Works Art HeldWorksArtGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$122,999AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,956,633BeginningYearBalanceAmt
Contributions$12,798ContributionsAmt
End Year Balance$3,969,431EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,848,820BeginningYearBalanceAmt
Contributions$107,813ContributionsAmt
Investment Earnings Or Losses$176,165InvestmentEarningsOrLossesAmt
Other Expenditures$176,165OtherExpendituresAmt
End Year Balance$3,956,633EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,816,534BeginningYearBalanceAmt
Contributions$28,286ContributionsAmt
Investment Earnings Or Losses$220,734InvestmentEarningsOrLossesAmt
Other Expenditures$216,734OtherExpendituresAmt
End Year Balance$3,848,820EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,738,620BeginningYearBalanceAmt
Contributions$81,914ContributionsAmt
Investment Earnings Or Losses$152,556InvestmentEarningsOrLossesAmt
Other Expenditures$156,556OtherExpendituresAmt
End Year Balance$3,816,534EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,653,815BeginningYearBalanceAmt
Contributions$84,805ContributionsAmt
Investment Earnings Or Losses$120,793InvestmentEarningsOrLossesAmt
Other Expenditures$120,793OtherExpendituresAmt
End Year Balance$3,738,620EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$9,000,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$21,192,310OtherCostOrOtherBasisAmt
Book Value$30,192,310BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,317,614OtherCostOrOtherBasisAmt
Depreciation$56,897,591DepreciationAmt
Book Value$60,420,023BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,068,523OtherCostOrOtherBasisAmt
Depreciation$2,926,676DepreciationAmt
Book Value$3,141,847BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,385,413OtherCostOrOtherBasisAmt
Depreciation$62,115,652DepreciationAmt
Book Value$20,269,761BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$122,999InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$9,754,310OtherCostOrOtherBasisAmt
Depreciation$2,617,705DepreciationAmt
Book Value$7,259,604BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$121,283,545TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CHIC STOCK$98,901C
INVESTMENTS - OTHER SECURITIES$44,501,548F
FieldValueIRS element (for citing)
Total Book Value Securities$44,600,449TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN WASHOE BARTON MEDICAL CLINIC$46,779,774C
ACO COLLABORATIVE LLC STOCK$5,500C
INVESTMENT IN BHC MSO LLC$958,944C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$47,744,218TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
THIRD PARTY PAYORS$967,436
CLAIMS RESERVE$6,723,412
OTHER LONG TERM OBLIGATIONS$200,000
ADVANCE OF MEDICARE PAYMENTS$7,821,238
FieldValueIRS element (for citing)
Total Liability$15,712,086TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:GENERAL PHOTOGRAPHS, PAINTINGS, ETC. ON DISPLAY FOR OUR PATIENTS AND GUESTS.
PART V, LINE 4:BARTON MEMORIAL HOSPITAL FOUNDATION, INC., A RELATED 501(C)(3) ENTITY, HOLDS AN ENDOWMENT FUND IN WHICH THE EARNINGS ARE USED TO SUPPORT BARTON HEALTHCARE SYSTEM.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other400.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,315,884TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,315,884NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,270,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,587,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,683,735NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,586,782TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,587,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,999,619NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$987,781TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$189,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$798,462NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$461,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$259,275DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,084NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,259,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,591,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,708,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,040,487DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,000,546NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,295,670TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,627,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,000,165NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,684TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$146,684NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,044,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$146,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$897,899NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,838,338TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$704,404DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,133,934NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$535,338TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$535,338NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,564,707TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$850,852DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,713,855NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$897,184BadDebtExpenseAmt
Reimbursed By Medicare$19,426,425ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$26,417,645CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,991,220MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
1 WASHOE-BARTON MEDICAL CLINIC DBA CARSON VALLEY MEDICAL CENTER
CRITICAL ACCESS HOSPITAL0.50000
2 BHC MSO LLC
MANAGEMENT SERVICES1.00000
3 ACCOUNTABLE CARE COLLABORATIVE LLC
OPERATE ACCOUNTABLE CARE ORGANIZATION THAT ARRANGES FOR THE PROVISION OF HE1.00000
4 BARTON MEDICAL FOUNDATION
ARRANGES FOR THE PROVISION OF HEALTHCARE SERVICES1.00000
5 ACO COLLABORATIVE LLC
FORMED AS A MEDICARE SHARED SAVINGS PROGRAM TO ACHIEVE BENEFICIARY IMPROVED0.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARTON MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12170 SOUTH AVENUEAddressLine1Txt
CitySOUTH LAKE TAHOECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96150ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BARTONHEALTH.ORGWebsiteAddressTxt
State License030000013StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BARTON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.BARTONHEALTH.ORG/TAHOE/FINANCIAL-AID.ASPXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.BARTONHEALTH.ORG/TAHOE/FINANCIAL-AID.ASPXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.BARTONHEALTH.ORG/TAHOE/FINANCIAL-AID.ASPXFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BARTON MEMORIAL HOSPITALPART V, SECTION B, LINE 5: A COMMUNITY HEALTH PHONE SURVEY WAS CONDUCTED TO RECORD COMMUNITY FEEDBACK. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 400 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA, SEPARATED INTO FOUR SUB-COMMUNITIES. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE PRIMARY SERVICE AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PRC. ADDITIONALLY, TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS.
BARTON MEMORIAL HOSPITALPART V, SECTION B, LINE 7D: COMMUNITY PRESENTATIONS TO CHAMBER LEADERSHIP, BARTON AUXILIARY, CITY COUNCIL, COMMUNITY BENEFIT ORGANIZATIONS, SERVICE CLUBS, ETC.
BARTON MEMORIAL HOSPITALPART V, SECTION B, LINE 11: THE MOST RECENT CHNA, CONDUCTED IN 2021, IDENTIFIED 12 HEALTH NEEDS, WITH THE TOP THREE PRIORITIES BEING MENTAL HEALTH, SUBSTANCE ABUSE AND ACCESS TO CARE. WHILE ALL 12 NEEDS ARE BEING ADDRESSED, THE ACTION PLAN FOR THE TOP THREE ARE AS FOLLOWS: MENTAL HEALTH: WE HAVE 2 STRATEGIES AS PART OF OUR MENTAL HEALTH ACTION PLAN: STRATEGY 1: EXPAND AND CONTINUE TO PROVIDE MENTAL AND BEHAVIORAL HEALTH SERVICES. RECRUIT ADDITIONAL BEHAVIORAL HEALTH PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS FOR PATIENTS TRACK AND IMPROVE DEPRESSION SCREENING RATES AT ANNUAL WELLNESS VISITS PURSUE OPPORTUNITIES TO CONTINUE TELE-BEHAVIORAL HEALTH TREATMENT ACCESS FOR MEDI-CAL/CARE PATIENTS THROUGH HEALTHNET GRANT OR OTHER. EXPLORE WAYS TO INTEGRATE MENTAL AND BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE SETTINGS WITH ACES SCREENING STRATEGY 2: SPEARHEAD COMMUNITY COLLABORATION AND ENGAGEMENT TO ENSURE ALIGNMENT OF PROGRAMS AND SUPPORT. SPEARHEAD A SUBCOMMITTEE OF THE COMMUNITY HEALTH ADVISORY COMMITTEE ADDRESSING ACTIONABLE MENTAL AND BEHAVIORAL HEALTH ITEMS. SUBSTANCE ABUSE: WE HAVE 3 STRATEGIES FOCUSED ON ADDRESSING THIS PRIORITY: STRATEGY 1: DEVELOP AND MAINTAIN PATHWAYS ADDRESSING PAIN AND ADDICTION. EXPAND THE MEDICATION ASSISTED TREATMENT PROGRAM TO INCLUDE ADDITIONAL WAIVERED PROVIDERS AND AN EMERGENCY DEPARTMENT BRIDGE PROGRAM AS WELL AS ANY SUPPORTING PROGRAMS THAT HELP REDUCE OPIOID OVERDOSE CONTINUE THE SUBSTANCE USE NAVIGATOR ROLE TO HELP SUPPORT AND COORDINATE CARE FOR IN-PATIENT AND EXPAND TO OUT-PATIENT SETTINGS. SUPPORT ADDITIONAL PROGRAMS AT THE COMMUNITY HEALTH CENTER TO SUPPORT ADDICTION, SUCH AS OUTPATIENT ALCOHOL ABUSE PROGRAM-A MONTHLY INJECTION (VIVITROL) PURSUE OPIOID CARE HONOR ROLL DESIGNATION THROUGH THE CAL HOSPITAL COMPARE TO INCREASE ACCESS TO ADDICTION TREATMENT FOR HOSPITALIZED PATIENTS AND REDUCE OPIOID-RELATED DEATHS. PART OF THE PROGRAM INCLUDES TRAINING FOR HEALTHCARE PROFESSIONALS IN OPIOID SAFETY PRACTICES TO PREVENT NEW OPIOID STARTS, IDENTIFY AND TREAT OPIOID USE DISORDER, PREVENT OVERDOSE AND DEVELOP AN OVERALL CULTURE OF OPIOID SAFETY CONSIDER IMPLEMENTATION OF APPROPRIATE ALTERNATIVE THERAPIES TO PATIENTS THROUGHOUT THE BARTON HEALTH SYSTEM INCLUDING AROMATHERAPY, INTEGRATIVE MEDICINE, MEDITATION, MASSAGE THERAPY AND OTHERS UTILIZE PHYSIATRIST + ANESTHESIOLOGIST FOR NON-OPIOID PAIN MANAGEMENT EDUCATE THE IMPORTANCE OF ALTERNATIVE PAIN MANAGEMENT MODALITIES THROUGH PATIENT-FACING COLLATERAL AND ARTICLES STRATEGY 2: PARTICIPATE IN THE COORDINATED COMMUNITY GROUPS FOCUSED ON SUBSTANCE USE. ATTEND AND PARTICIPATE IN COMMUNITY MEETINGS ADDRESSING EDUCATION AND PREVENTION, INCLUDING TAHOE ALLIANCE FOR SAFE KIDS, EL DORADO COUNTY OPIOID COALITION, AND OTHERS SUPPORT COMMUNITY PREVENTION PROGRAMS AND FUND OPPORTUNITIES, INCLUDING DRUG STORE PROJECT, DEA DRUG TAKE BACK DAY AND OPIOID COALITION CONFERENCE SPEAKING PANEL SUPPORT GRANT FUNDING THAT SUPPORTS COMMUNITY EFFORTS TO HELP DRIVE EDUCATION AND SERVICES FOR SUBSTANCE USE STRATEGY 3: CONDUCT OUTREACH AND EDUCATION ON THE EFFECTS OF ALCOHOL AND DRUG USE. IMPLEMENT AWARENESS CAMPAIGN ANNUALLY THROUGH: LECTURES/WEBINARS, PRESENTATIONS AT THE LOCAL SCHOOLS, ARTICLES, ADVERTISEMENT, WEB AND SOCIAL MEDIA AWARENESS SUBSTANCE USE RESOURCES WILL BE INCLUDED IN THE HEALTH RESOURCE GUIDE UPDATED ANNUALLY CONTRIBUTE TIME, DATA AND OTHER RESOURCES TO FURTHER THE MISSION OF PREVENTION AND EDUCATION AND ENSURE SUCCESSFUL PROGRAM OUTCOMES. PARTICULAR PROGRAMS MAY INCLUDE: PERMANENT DRUG TAKE BACK BINS, IN-HOME LOCK BAGS, AN ALTERNATIVE SUSPENSION PROGRAM AT THE MIDDLE AND HIGH SCHOOLS, AND EDUCATING PARENTS ON THE DANGERS OF ALCOHOL AND DRUG USE FOR TEENAGERS THROUGH COMMUNITY PRESENTATIONS AND THE PARENT TEXTING NETWORK DISSEMINATE APPROPRIATE INFORMATION TO BARTON STAFF AND PHYSICIANS AND COORDINATE INTERNAL TRAININGS AS REQUESTED ACCESS TO CARE: WE HAVE 5 STRATEGIES DESIGNED TO ADDRESS THIS PRIORITY: STRATEGY 1: IDENTIFY ACCESS BARRIERS TO IMPROVE ACCESS STANDARDIZE DASHBOARD ILLUSTRATING BENCHMARKS FOR ACCESS INCLUDING THIRD NEXT AVAILABLE, OPEN PANELS, PROVIDER PATIENT APPOINTMENT VOLUME AND PERCENTAGE OF PCP ASSIGNMENTS INCREASE PRIMARY CARE PROVIDER AVAILABILITY FOR FIRST TIME PATIENTS. INCREASE APPOINTMENT AVAILABILITY THROUGH STANDARDIZING SCHEDULES, AND SUPPORTING PROVIDER EFFICIENCY EXPAND AFTER HOUR APPOINTMENTS WEEKDAYS AND WEEKENDS. RECRUIT PROVIDERS, AS NECESSARY, TO MEET DEMAND AND EXPAND SPECIALTY PROVIDERS. INCREASE MYCHART USAGE PERFORM ANALYSIS ON COMMUNITY HEALTH CARE CENTER EXPANSION TO BETTER MEET LOCAL NEEDS OF UNDERINSURED STRATEGY 2: EXPAND PATIENT-CENTERED CARE MODELS TO IMPROVE STANDARDIZATION AND CONTINUUM OF CARE CREATE STREAMLINED OPERATIONS ACROSS ALL PRIMARY CARE SETTINGS, TO PROVIDE EASIER ACCESS TO CARE THROUGH OPEN SCHEDULING, EXPANDED HOURS, AND INCREASED OPTIONS FOR COMMUNICATION BETWEEN PATIENTS, THEIR DOCTORS, AND SUPPORT STAFF IMPROVE ACCESS AND CARE COORDINATION THROUGH MEETING CRITERIA FOR THE PATIENT CENTERED MEDICAL HOME (PCMH) DESIGNATION AT BARTON FAMILY MEDICINE LOCATION ESTABLISH PCSP DESIGNATIONS TO OUTPATIENT SPECIALTY CLINICS TO CONTINUE CARE COORDINATION STRATEGY 3: INCREASE INSURANCE COVERAGE FOR THE COMMUNITY THROUGH OUTREACH FOR COVERED CALIFORNIA AND MEDI-CAL TRAIN AND MAINTAIN CERTIFICATION FOR BARTON HEALTH EMPLOYEES TO BECOME CERTIFIED ENROLLMENT COUNSELORS FOR COVERED CALIFORNIA MEDI-CAL COUNTY LIAISON TO HAVE OFFICE SPACE AND EDUCATION TO STAFF TO DIRECT PATIENTS FOR ENROLLMENT CONTINUE AS A RESOURCE FOR THE COMMUNITY TO ANSWER QUESTIONS AND ENROLL CONSUMERS INTO MEDICAL HEALTH COVERAGE PROVIDE EDUCATIONAL MARKETING MATERIALS AND ENSURE WEBSITE HAS INFORMATION REGARDING HEALTH INSURANCE OPTIONS FOR THE SOUTH LAKE TAHOE REGION STRATEGY 4: CREATE AND IMPLEMENT AN OUTREACH PLAN FOR THE LATINO COMMUNITY WORK WITH COMMUNITY PARTNERS SUCH AS FAMILY RESOURCE CENTER, SCHOOL DISTRICTS, LAKE TAHOE COMMUNITY COLLEGE, EL DORADO COUNTY COMMUNITY HUB, EL DORADO COUNTY SUBSTANCE USE DISORDER AND UC CALFRESH TO COORDINATE IDEAS AND PLANS TO BEST REACH AND EDUCATE THIS COMMUNITY HOST AND PARTNER IN COMMUNITY GATHERING EVENTS THAT BEST REACH AND SERVE OUR LATINO COMMUNITY REGULARLY PARTICIPATE IN PARENT CAFECITOS PROVIDE TIMELY EDUCATIONAL ARTICLES AND WEBINARS IN SPANISH PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE DIRECT MEDICAL RESOURCES, SUCH AS FLU CLINICS, COVID-19 VACCINATIONS, BLOOD WORK LABS, AND MORE STRATEGY 5: DEVELOP PLAN FOR STATELINE CAMPUS EXPANSION. EXPAND AVAILABILITY AND OFFICE HOURS FOR PRIMARY CARE PROVIDERS AND SPECIALTIES OFFICES AT STATELINE CAMPUS OPEN OUTPATIENT MRI OFFERING AFFORDABILITY AND CONVENIENCE, SIMILAR TO OTHER OUTPATIENT NEVADA FREE-STANDING LOCATIONS DEVELOP AND COMMUNICATE LONG TERM STRATEGY FOR STATELINE, NV CAMPUS WHILE BARTON HEALTH MAY NOT DIRECTLY WORK TO RESOLVE ALL HEALTH ISSUES IDENTIFIED, BARTON IS COMMITTED TO WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS, WHENEVER POSSIBLE, TO HELP ADDRESS HEALTH NEEDS AS THEY OCCUR.
BARTON MEMORIAL HOSPITALPART V, SECTION B, LINE 15E: DISCLOSURE UNDER REVENUE PROCEDURE 2015-21:BARTON RECEIVED A COMPLIANCE CHECK INFORMATION REQUEST (REQUEST TYPE 8014) DATED 7/12/2021 FROM THE DEPARTMENT OF TREASURY INTERNAL REVENUE SERVICE. THE REQUEST NOTED THE FOLLOWING ITEMS IN REGARDS TO THE FINANCIAL ASSISTANCE POLICY (FAP): POSSIBLE MISSING FAP REQUIREMENTO THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS. O IN THE CASE OF A HOSPITAL THAT DOES NOT HAVE A SEPARATE BILLING AND COLLECTION POLICY, ACTIONS THAT MAY BE TAKEN IN THE EVENT OF NONPAYMENT FAP PLAIN LANGUAGE SUMMARYO INSTRUCTIONS ON HOW AN INDIVIDUAL CAN GET A FREE COPY OF THE FAP AND FAP APPLICATION FORM BY MAIL. O A STATEMENT OF WHICH LANGUAGE TRANSLATIONS ARE AVAILABLE FOR THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP, IF APPLICABLE.O A STATEMENT THAT A FINANCIAL AP-ELIGIBLE INDIVIDUAL CAN'T BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED FOR EMERGENCY OR OTHER MEDICALLY-NECESSARY CARE.ON AUGUST 11, 2021 BARTON PROVIDED THE IRS WITH THE CURRENT FINANCIAL ASSISTANCE POLICY WHICH WAS APPROVED MARCH 2020 TO MEET THE REQUIREMENTS OF IRC SECTION 501(R)(4). BARTON ANNUALLY REVIEWS AND UPDATES AS NECESSARY THE FAP, FAP PLAIN LANGUAGE SUMMARY AND THE BILLING AND COLLECTION POLICY. BARTON ALSO VALIDATES THE DOCUMENTS ARE UPDATED THROUGHOUT THE ORGANIZATION AND ON THE WEBSITE.
FORM 990, SCHEDULE H, PART V, LINE 7ATHE ENTIRE WEBSITE ADDRESS IS:HTTPS://WWW.BARTONHEALTH.ORG/TAHOE/COMMUNITY-HEALTH.ASPX
FORM 990, SCHEDULE H, PART V, LINE 10ATHE FULL WEBSITE ADDRESS IS:HTTPS://WWW.BARTONHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/BARTONIMPLEMENTATIONSTRATEGY2021-SIGNED.PDF
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BARTON COMMUNITY HEALTH CENTER
2201 SOUTH AVENUESOUTH LAKE TAHOECA96150RHC, PRIMARY CARE, OB, PEDIATRICS, & SPECIALTY SERVICES
2 - BARTON CENTER OF ORTHOPEDICS AND WELLNES
2170 B SOUTH AVENUESOUTH LAKE TAHOECA96150ORTHOPEDICS, REHABILITATION, PERFORMANCE FITNESS, HEALTH & WELLNESS SERVICES
3 - LAKE TAHOE SURGERY CENTER
212 ELKS POINT ROAD STE 201ZEPHYR COVENV89448AMBULATORY SURGERY CENTER
4 - TAHOE ORTHOPEDICS AND SPORTS MEDICINE
935 MICA DRIVE BLDG C STE 13 14CARSON CITYNV89705ORTHOPEDIC CLINIC, PHYSICAL MEDICINE & REHABILITATION
5 - BARTON HOME HEALTH & HOSPICE
2092 LAKE TAHOE BLVD STE 500SOUTH LAKE TAHOECA96150HOME HEALTH & HOSPICE SERVICES
6 - BARTON FAMILY MEDICINE
1090 THIRD STREETSOUTH LAKE TAHOECA96150FAMILY PRACTICE CLINIC
7 - BARTON URGENT CARE & OCCUPATIONAL HEALTH
155 HIGHWAY 50STATELINENV89449URGENT CARE & OCCUPATIONAL HEALTH CLINIC
8 - BARTON MULTI-SPECIALTY CLINIC
1139 THIRD STREETSOUTH LAKE TAHOECA96150GENERAL SURGERY, GASTROENTEROLOGY, CARDIOLOGY, PLASTIC SURGERY & NEUROLOGY
9 - BARTON UROLOGY
2169 SOUTH AVENUESOUTH LAKE TAHOECA96150UROLOGY CLINIC
10 - TAHOE ORTHOPEDICS AND SPORTS MEDICINE
212 ELKS POINT ROAD STE 200ZEPHYR COVENV89448ORTHOPEDIC CLINIC, PHYSICAL MEDICINE & REHABILITATION
11 - BARTON FAMILY MEDICINE
165 HIGHWAY 50STATELINENV89449FAMILY PRACTICE & INTERNAL MEDICINE
12 - TAHOE ORTHOPEDICS AND SPORTS MEDICINE
925 TAHOE BLVD STE 105-106INCLINE VILLAGECA89451ORTHOPEDIC CLINIC
13 - BARTON EAR NOSE & THROAT
2169 SOUTH AVENUESOUTH LAKE TAHOECA96150ENT & AUDIOLOGY CLINIC
14 - BEHAVIORAL HEALTH AND TELEMEDICINE
2209 SOUTH AVESOUTH LAKE TAHOECA96150PSYCHIATRY & TELEMEDICINE
15 - BARTON HOME HEALTH & HOSPICE
155 HIGHWAY 50STATELINENV89449HOME HEALTH & HOSPICE SERVICES
16 - BARTON WOMEN'S HEALTH
2175 SOUTH AVENUESOUTH LAKE TAHOECA96150WOMEN'S HEALTH CLINIC
17 - BARTON PSYCHIATRY
155 HIGHWAY 50STATELINENV89449PSYCHIATRY CLINIC
18 - BARTON MEDICAL CLINIC AT SIERRA-AT-TAHOE
1111 SIERRA-AT-TAHOE ROADTWIN BRIDGESCA95735SEASONAL MEDICAL SKI CLINIC
19 - BARTON MEDICAL CLINIC AT KIRKWOOD MTN
1501 KIRKWOOD MEADOWS DRIVEKIRKWOODCA95646SEASONAL MEDICAL SKI CLINIC
20 - BARTON PALLIATIVE CARE & ONCOLOGY
1067 FOURTH STREETSOUTH LAKE TAHOECA96150PALLIATIVE CARE AND ONCOLOGY CLINIC
21 - BARTON MEDICAL CLINIC AT HEAVENLY MTN
3860 SADDLE ROADSOUTH LAKE TAHOECA96150SEASONAL MEDICAL SKI CLINIC
22 - COVID CLINIC
2158 JEAN STREETSOUTH LAKE TAHOECA96150COVID CLINIC
23 - BARTON CARDIOLOGY NV & BARTON PHYSICAL AND
155 HIGHWAY 50STATELINENV89449CARDIOLOGY, PHYSICAL MEDICINE & REHABILIATION

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FPG, THE HOSPITAL CONSIDERS IF THE PATIENT IS UNINSURED AND/OR UNDERINSURED WHEN DETERMINING IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 7:THE COSTING METHODOLOGY USED THE OVERALL COST TO CHARGE RATIO OBTAINED FOR EACH PATIENT SEGMENT AND APPLIED AGAINST GROSS CHARGES FROM THE 2021 COST REPORT. THIS RATIO WAS USED FOR LINES 7A, 7B AND 7G. ACTUAL OPERATING COSTS WERE USED TO CALCULATE LINES 7E, 7F, AND 7I.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDES COMMUNITY BENEFIT EXPENSES AND DIRECT OFFSETTING REVENUE RELATED TO PHYSICIAN CLINICS. TOTAL COMMUNITY BENEFIT EXPENSES WERE $1,156,172 AND DIRECT OFFSETTING REVENUE WAS $4,780,897.
PART II, COMMUNITY BUILDING ACTIVITIES:EMERGENCY MANAGEMENT PREPAREDNESS: BARTON HEALTH CHAIRS AND HOSTS THE EMERGENCY MANAGEMENT COMMUNITY COUNCIL. THIS COUNCIL MEETS EVERY OTHER MONTH WITH AREA AGENCIES TO DISCUSS EMERGENCY PREPAREDNESS AND EDUCATION TO THE SOUTH LAKE TAHOE COMMUNITY. EXERCISE DRILLS, EMERGENCY PREPAREDNESS MATERIALS AND OTHER PROGRAMS COME OUT OF THIS GROUP. THE GROUP WAS DESIGNED WITH THE HEALTH AND SAFETY OF OUR COMMUNITY IN MIND. THE GROUP INCLUDES REPRESENTATIVES FROM BARTON HEALTH, RED CROSS, EL DORADO COUNTY HEALTH AND HUMAN SERVICES, AREA FIRE DEPARTMENTS, POLICE, SHERIFF, HAM RADIO, SCHOOL DISTRICTS, PUBLIC UTILITIES AND OTHER REPRESENTATIVES WHO WOULD HAVE A RESPONSE CAPABILITY IN OUR COMMUNITY. THE PURPOSE IS TO PROTECT THE HEALTH OF OUR COMMUNITY BY BEING PREPARED FOR DISASTERS, AND KNOWING OUR EMERGENCY PARTNERS IN THE EVENT OF AN EMERGENCY TO BETTER FORM A COHESIVE RESPONSE IN THE SOUTH LAKE TAHOE AREA, WHICH WILL ASSIST IN GETTING THE COMMUNITY BACK ON ITS FEET AFTER A DISASTER. THE IMPACT OF THIS PROGRAM IS THE COORDINATION AMONGST LOCAL EMERGENCY PROVIDERS TO ENSURE EMERGENCY READINESS FOR THE NEXT LOCAL DISASTER. BARTON HEALTH FURTHER SUPPORTS VARIOUS ORGANIZATIONS BY PROVIDING HEALTH GRANTS, SPONSORSHIPS AND OTHER SUPPORT. BARTON HEALTH ADDITIONALLY ASSISTS OUR NEEDY PATIENTS BY ASSISTING WITH TRANSPORTATION COSTS AND MEDICATION.COALITION BUILDING: BARTON HEALTH HOSTS THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC)THAT IS A COLLABORATIVE OF REPRESENTATIVES OF VARIOUS COMMUNITY AGENCIES AND COMMUNITY MEMBERS THAT MEETS MONTHLY TO ADDRESS TOP COMMUNITY HEALTH NEEDS AS THEY EMERGE.WORKFORCE DEVELOPMENT: BARTON HEALTH FACILITIES ARE DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND TO MAINTAIN PATIENT ACCESS TO ESSENTIAL SERVICES IN OUR COMMUNITY, THE ORGANIZATION INCURS RECRUITMENT COSTS FOR VARIOUS PROVIDERS. BARTON IS A MEMBER OF THE IHCC -INTER HOSPITAL COORDINATION COUNCIL - WHICH IS SPONSORED BY WASHOE COUNTY AND THE QUAD COUNTIES HEALTHCARE COALITION WHICH IS SPONSORED BY DOUGLAS COUNTY.
PART III, LINE 2:THE AMOUNT OF BAD DEBT REPORTED ON LINE 2 IS BASED ON CHARGES. IN 2018, THE HEALTHCARE SYSTEM ADOPTED ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS WHICH CHANGED THE METHODOLOGY ON THE CALCULATION AND REPORTING OF BAD DEBT EXPENSE.
PART III, LINE 4:GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HEALTHCARE SYSTEM ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HEALTHCARE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. THE HEALTHCARE SYSTEM DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY IN CERTAIN CIRCUMSTANCES AND FOR CERTAIN SERVICES. BAD DEBT EXPENSE IS RECORDED WHEN THERE IS AN ADVERSE CHANGE IN THESE PATIENT'S ABILITY TO PAY. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, WAS $897,184 AND $821,101, RESPECTIVELY.
PART III, LINE 8:THE ORGANIZATION PROVIDES A BROAD RANGE OF SERVICES TO ITS MEDICARE PATIENTS WITHOUT REGARD TO REVENUE REALIZED FROM THE SERVICES PROVIDED.THE ORGANIZATION IS A RURAL HOSPITAL WITH THE NEAREST ADDITIONAL HOSPITAL APPROXIMATELY 36 MILES AWAY. COSTS EXCLUDED FROM THE ORGANIZATION'S MEDICARE COST REPORT INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS, THE AUXILIARY, COMMUNITY RELATIONS, AND OTHER NON-REIMBURSABLE COSTS. THE ORGANIZATION UTILIZES THE COST TO CHARGE RATIO AS PROVIDED IN ITS ANNUAL COST REPORT.
PART III, LINE 9B:THE ORGANIZATION FOLLOWS ALL CHARITY AND COLLECTION GUIDELINES AS OUTLINED IN SB774, THE CALIFORNIA HEALTH AND SAFETY CODE SECTION 127425, AND CMS MEDICARE GUIDELINES.
PART VI, LINE 2:BARTON HEALTH IS A MEMBER OF NUMEROUS COMMUNITY COLLABORATIVES WORKING TO ADDRESS THE HEALTH NEEDS IN OUR COMMUNITY. BARTON PARTICIPATES IN THE COMMUNITY BEHAVIORAL HEALTH NETWORK COMMITTEE WHICH FOCUSES ON COORDINATING MENTAL HEALTH SERVICES AMONGST OUR COMMUNITY PROVIDERS. WE LEAD THE COMMUNITY HEALTH ADVISORY COMMITTEE, WITH OUR TOP THREE HEALTH PRIORITIES DETERMINING HOW FUNDING AND RESOURCES ARE UTILIZED. ADDITIONALLY, WE ATTEND THE MONTHLY LAKE TAHOE COLLABORATIVE, FOCUSING ON COLLABORATIONS FOR YOUTH; AND WE FILL THE HEALTHCARE SEAT ON OUR COMMUNITY'S DRUG-FREE COMMUNITY COALITION.
PART VI, LINE 3:EVERY SELF-PAY PATIENT IS SCREENED FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY WHICH BEGINS AT ADMISSION OR WHEN OTHERWISE FEASIBLE. IN ADDITION, REFERENCE TO OUR FINANCIAL ASSISTANCE PROGRAM IS POSTED AT THE EMERGENCY ROOM AND ADMITTING DEPARTMENTS, DISCLOSED ON OUR WEBSITE, REFERENCED TO IN THE PATIENT HANDBOOK, AND ON PATIENT BILLING STATEMENTS.
PART VI, LINE 4:THE PRIMARY SERVICE AREA FOR BARTON MEMORIAL HOSPITAL SITS WITHIN THE SIERRA NEVADA MOUNTAINS ON THE BORDER BETWEEN CALIFORNIA AND NEVADA. THIS AREA ENCOMPASSES THE SOUTH LAKE TAHOE BASIN FROM TAHOMA, CA ON THE WEST THROUGH GLENBROOK, NV ON THE EAST. THE DEMOGRAPHICS FOR THIS AREA ARE AS FOLLOWS: APPROXIMATELY 54% MALE AND 46% FEMALE; 20.6% UNDER THE AGE OF 18, 11.6% AGED 18 TO 24, 30.0% AGED 25 TO 44, 28.1% AGED 45 TO 64, AND 9.8% WHO WERE 65 YEARS OF AGE OR OLDER; 63.5% ARE CAUCASIAN, 28% ARE HISPANIC AND 8.5% REPRESENT OTHER RACES, 13% OF THE COMMUNITY IS LOW INCOME BELOW THE 200% FEDERAL POVERTY LEVEL.
PART VI, LINE 5:AS DESCRIBED IN THE COMMUNITY BENEFIT SECTION OF THE 990, BARTON HEALTH CONTRIBUTES TO OUR COMMUNITY'S HEALTH IN A VARIETY OF WAYS: OUR GOVERNING BODY IS REPRESENTED BY INDIVIDUALS OF OUR COMMUNITY. SURPLUS FUNDS ARE USED TO MAINTAIN A HIGH LEVEL OF PATIENT CARE THROUGH REINVESTMENT. BARTON HEALTH HAS ON OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. OUR LABORATORY OFFERS DISCOUNTED LAB DRAWS; NUMEROUS PHYSICIANS AND EMPLOYEES PARTICIPATE IN OUR FREE COMMUNITY WELLNESS LECTURES; OUR EMERGENCY DEPARTMENT PARTICIPATES IN YOUTH EDUCATION PROGRAMS AND THE DRUG STORE PROJECT; MANY OF OUR NURSES AND PRACTITIONERS PARTICIPATE IN OFFERING MEDICAL COVERAGE FOR SPECIAL EVENTS THROUGHOUT THE COMMUNITY; BARTON PRIMARY CARE OFFER FREE STUDENT SPORTS PHYSICALS; BARTON HEALTH DONATES TO AND SPONSORS YOUTH PROGRAMS AND LOCAL NON-PROFIT ORGANIZATIONS; STAFF FROM VARIOUS DEPARTMENTS LIKE BARTON EDUCATION, FAMILY BIRTHING CENTER, BARTON REHABILITATION PARTICIPATE IN COMMUNITY EVENTS AND HAVE INFORMATION AND EDUCATIONAL BOOTHS FOR THE COMMUNITY; BARTON MEMORIAL HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BARTON MEMORIAL HOSPITAL FOUNDATION INC
PO BOX 529ZEPHYR COVENV89448880268799501(C)(3)$315,017$0OVERHEAD FUNDING
BOYS AND GIRLS CLUB OF SLT
1100 LYONS AVESOUTH LAKE TAHOECA96150680241891501(C)(3)$10,600$0COMMUNITY GRANT
HUMANGOOD AFFORDABLE HOUSING
6120 STONERIDGE MALL ROAD STE 100PLEASANTONCA945883187943085296501(C)(3)$6,500$0COMMUNITY GRANT
SOS OUTREACH
PO BOX 2020AVONCO81620841332544501(C)(3)$10,000$0COMMUNITY GRANT
TAHOE COALITION FOR THE HOMELESS
PO BOX 13514SOUTH LAKE TAHOECA96150474825924501(C)(3)$10,000$0COMMUNITY GRANT
COUNTY OF EL DORADO
6767 GREEN VALLEY ROADPLACERVILLECA95667942317114GOVERNMENT$10,000$0COMMUNITY GRANT
BREAD & BROTH
1041 LYONS AVESOUTH LAKE TAHOECA96150453954503501(C)(3)$10,000$0COMMUNITY GRANT
LIVE VIOLENCE FREE
2941 LAKE TAHOE BLVDSOUTH LAKE TAHOECA96150942598256501(C)(3)$10,000$0COMMUNITY GRANT
EL DORADO COMMUNITY FOUNDATION
312 MAIN ST 201PLACERVILLECA95667680255556501(C)(3)$6,500$0COMMUNITY GRANT
FAMILY RESOURCE CENTER
3501 SPRUCE AVE BSOUTH LAKE TAHOECA96150942284118501(C)(3)$10,000$0COMMUNITY GRANT
CARSON VALLEY MEDICAL CENTER
1107 US HWY 395GARDNERVILLENV89410880405927501(C)(3)$7,500$0COMMUNITY GRANT
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT ASSISTANCEGrantTypeTxt
Recipient87RecipientCnt
Cash Grant$28,858CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS THE GENERAL OVERHEAD EXPENSES OF BMH FOUNDATION (A RELATED 501(C)(3)). FOR 2021 - THE TOTAL AMOUNT FUNDED WAS $315,017. THE ORGANIZATION PROVIDES ASSISTANCE TO VARIOUS PATIENTS IN NEED INCLUDING PRESCRIPTION MEDICATION, TAXI FARE, LODGING, ETC. TOTAL PATIENT ASSISTANCE PROVIDED DURING 2021 TOTALED $28,858. ADDITIONALLY, FUNDS DONATED TO VARIOUS COMMUNITY GROUPS TOTALED $139,743.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CLINTON PURVANCE MD
CEO$488,570$133,938$181,611$0$36,182$122,847$14,500$0$30,443$8,622$751,306$265,407$0$0
DEANNA KYRIMIS
CHIEF AMBULATORY OPERATIONS OFFICER$273,149$0$121,017$0$258,302$0$2,900$0$23,414$0$678,782$0$0$0
MATTHEW WONNACOTT
CHIEF MEDICAL OFFICER$456,825$0$137,580$0$3,019$0$14,500$0$27,775$0$639,699$0$0$0
JULIE CLAYTON
CHIEF NURSING OFFICER$391,955$0$116,632$0$41,097$0$12,686$0$21,700$0$584,070$0$0$0
KELLY NEIGER
CFO$299,242$81,965$122,635$0$23,168$697$13,910$0$30,443$7,384$489,398$90,046$0$0
ELIZABETH STORK
CHIEF HUMAN RESOURCES OFFICER$274,296$75,289$104,677$500$2,323$36,308$7,920$3,243$912$274$390,128$115,614$0$0
JEFFREY KOECK
DIRECTOR OF PHARMACY$213,014$0$11,976$0$20,340$0$6,527$0$35,457$0$287,314$0$0$0
JULIE HOWES
CONTROLLER$209,943$0$13,705$0$17,958$0$9,217$0$11,067$0$261,890$0$0$0
SIOBHAN KELLER
DIRECTOR OF NURSING$198,508$0$11,372$0$10,702$0$10,416$0$29,075$0$260,073$0$0$0
KAITLYN MIDDLEMIS-CLARK
PHARMACIST$225,590$0$4,308$0$0$0$6,975$0$0$0$236,873$0$0$0
DANA RANDALL
PHYSICIANS ASSISTANT$196,554$0$3,062$0$14,936$0$0$0$13,122$0$227,674$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBARTON GIVES ANNUAL PERFORMANCE BASED BONUSES FOR EMPLOYEES IF CERTAIN CRITERIA ARE MET, INCLUDING FINANCIAL PERFORMANCE TO BUDGET, AND GOALS SET PER POLICY. IN ADDITION, BARTON GAVE BONUSES TO EMPLOYEES IN THE FORM OF ADDING ETO TO EMPLOYEE BANKS DURING THE FIRE EVACUATION, AND GAVE BONUSES TO VARIOUS EMPLOYEES FOR FIRE EVACUATION ASSISTANCE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF SOUTH LAKE TAHOE
A941610868NONEAVAIL2015-11-03$20,000,000EQUIP & CAPITAL IMPROVEMENTS000
CITY OF SOUTH LAKE TAHOE
B941610686NONEAVAIL2014-06-12$18,000,000EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$17,254,411$20,000,000$182,408$19,817,5922017000Yes (1)
B$8,029,585$18,000,000$249,697$17,750,303201700Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MICHAEL NEIGER
SPOUSE OF OFFICER - KELLY NEIGER, CFO$130,319EMPLOYEE0
MICHAEL FRY
BROTHER OF BOARD MEMBER - PATRICK FRY$92,396INDEPENDENT CONTRACTOR0
CATHERINE BAGDIKIAN
DAUGHTER OF BOARD MEMBER - PAT BAGHDIKAN$21,701EMPLOYEE0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$211,600NoncashContributionsRptF990Amt
Method Of Determining RevenuesTHIRFT SHOP VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2FOOD INSECURITY PROGRAM: WE CONTINUED OUR PARTNERSHIP WITH WHOLE FOODS WHILE EXPANDING OUR DISTRIBUTION OF HIGH-QUALITY FOOD TO LOCAL PANTRIES, INDIVIDUALS, FAMILIES, AND FAITH-BASED ORGANIZATIONS. THROUGH OUR PARTNERSHIP WITH THE FOOD DONATION CONNECTION, WE ALSO ADDED STARBUCK'S AS A PARTNER WHICH PROVIDED ADDITIONAL FRESH FOOD AND PASTRIES TO DISTRIBUTE THROUGHOUT OUR COMMUNITY. WE EXPANDED OUR FOOD DISTRIBUTION TO 3-DAYS PER WEEK AS WELL AS ADDING ADDITIONAL DATES AS NECESSARY WHEN OUR PARTNERS WERE NOT ABLE TO PICK UP. COMMUNITY COVID CALLS: BARTON HEALTH COORDINATED WEEKLY COMMUNITY CALLS WITH BUSINESS OWNERS AND CLERGY LEADERS THROUGHOUT 2021. THESE WERE HOSTED BY OUR CEO AND HIS LEADERSHIP TEAM. SCHOOL DISTRICT HEALTH AND WELLNESS SERVICES: BARTON HEALTH PARTNERED WITH THE LAKE TAHOE UNIFIED SCHOOL DISTRICT TO OFFER PHYSICIAN LEADERSHIP, PR SUPPORT, AND OPERATIONAL DEVELOPMENT TO HELP ESTABLISH POLICIES AND PROCEDURES INTENDED TO PROVIDE THE SAFEST POSSIBLE ENVIRONMENT FOR STUDENTS TO RETURN TO SCHOOL DURING THE PANDEMIC. COMMUNITY-BASED MOBILE VACCINATION CLINICS: BARTON HELPED SUPPORT THE FAMILY RESOURCE CENTER TO HOST A MOBILE VACCINATION CLINIC FOCUSED ON EDUCATING AND SERVING OUR LATINO AND FILIPINO COMMUNITY MEMBERS. THROUGH A PARTNERSHIP WITH EL DORADO COUNTY, THE STATE OF CALIFORNIA, AND THE SNAPNURSE MOBILE CLINIC TEAM, OVER 60 COMMUNITY MEMBERS RECEIVED THE VACCINE AT OUR BIJOU ELEMENTARY LOCATION. BARTON PARTNERED WITH THE BOYS & GIRLS CLUB, ALONG WITH THE CITY OF SOUTH LAKE TAHOE AND SOUTH LAKE TAHOE FIRE RESCUE TO HELP ADMINISTER PEDIATRIC VACCINES TO 140 CHILDREN. BARTON PARTNERED WITH OUR LOCAL SOUTH TAHOE HIGH SCHOOL TO OFFER ON CAMPUS VACCINATIONS FOR THAT AGE GROUP. 58 STUDENTS WERE VACCINATED IN THIS ONE-DAY EVENT.
FORM 990, PART VI, SECTION A, LINE 2KIRK LEDBETTER AND JEFF RAHBECK HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES TO BHC MSO, LLC. BHC MSO, LLC EMPLOYS KELLY NEIGER, CLINTON PURVANCE, AND ELIZABETH STORK.
FORM 990, PART VI, SECTION A, LINE 6THERE ARE TWO CLASSES OF MEMBERS IN THE ORGANIZATION: VOTING MEMBERS AND ASSOCIATE MEMBERS. CLASS I VOTING MEMBERS ARE THOSE INDIVIDUALS WHO HAVE CONTRIBUTED $200 OR MORE PRIOR TO JULY 11, 1986. EACH CLASS I VOTING MEMBER HAS THE RIGHT TO CAST 1 VOTE, BUT NOT MORE THAN 5 VOTES FOR EACH $200 CONTRIBUTION. CLASS II VOTING MEMBERS ARE THOSE INDIVIDUALS ADMITTED AFTER JULY 11, 1986 AND PRIOR TO JULY 1, 2010 WHO HAVE CONTRIBUTED $1,000 OR MORE. EACH CLASS II VOTING MEMBER HAS THE RIGHT TO CAST 1 VOTE, BUT NOT MORE THAN 5 VOTES, FOR EACH $1,000 CONTRIBUTION. CLASS III VOTING MEMBERS ARE THOSE INDIVIDUALS ADMITTED AFTER JULY 1, 2010 WHO HAVE CONTRIBUTED $1,500 OR MORE. EACH CLASS III VOTING MEMBER HAS THE RIGHT TO CAST 1 VOTE. ASSOCIATE MEMBERS DO NOT HAVE VOTING RIGHTS. MEMBERS DO NOT HAVE THE RIGHT TO APPROVE SIGNIFICANT DECISIONS NOR RECEIVE DISTRIBUTIONS UPON DISSOLUTION.
FORM 990, PART VI, SECTION A, LINE 7ATHE CHAIRMAN OF THE ORGANIZATION SHALL APPOINT A COMMITTEE OF NOT MORE THAN 5 NOR LESS THAN 3 MEMBERS OF THE ORGANIZATION TO SERVE AS A NOMINATING COMMITTEE IN THE ELECTION OF THE BOARD OF DIRECTORS. ANY 7 MEMBERS MAY ALSO NOMINATE CANDIDATES FOR DIRECTOR. IF MORE PEOPLE ARE NOMINATED FOR THE BOARD THAN CAN BE ELECTED, MEMBERS ARE PERMITTED TO VOTE AND THE CANDIDATES RECEIVING THE HIGHEST NUMBER OF VOTES SHALL BE ELECTED.
FORM 990, PART VI, SECTION A, LINE 7BBYLAW AMENDMENTS ARE SUBJECT TO APPROVAL BY THE VOTING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11BEACH MEMBER OF THE GOVERNING BOARD OF DIRECTORS AND OFFICERS ARE PROVIDED WITH AN ELECTRONIC COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE GOVERNING BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE PURSUANT TO WRITTEN POLICY, THE BOARD MEMBERS ARE PRECLUDED FROM PARTICIPATING IN DEBATE AND VOTING ON ANY ISSUE IN WHICH THE MEMBER(S) (OR FAMILY MEMBER) MAY HAVE A PERSONAL OR BUSINESS INTEREST. THE BOARD CHAIR AND/OR HOSPITAL COUNSEL WILL DETERMINE IF THERE IS A CONFLICT. EMPLOYEES ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY THAT IS WITHIN AN ELECTRONIC POLICY SOFTWARE PROGRAM THAT REQUIRES EMPLOYEES TO MARK AS READ AS NEW HIRES OR AS CHANGES ARE MADE AND ARE MONITORED BY THEIR IMMEDIATE SUPERVISORS. EMPLOYEES ARE REQUIRED TO BE FAMILIAR WITH THE POLICY AT ALL TIMES. THEY DO NOT FORMALLY REVIEW THE POLICY ANNUALLY BUT ARE REQUIRED TO STILL DISCLOSE ANY POTENTIAL CONFLICTS THAT MAY ARISE.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION ENGAGED AN INDEPENDENT FIRM TO CONDUCT AN EXECUTIVE COMPENSATION SURVEY. THE INDEPENDENT FIRM ISSUED A CERTIFICATION OF REASONABLENESS UPON COMPARING EXECUTIVE COMPENSATION WITH SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE CONSISTING OF BOARD MEMBERS REVIEWS THE CEO COMPENSATION AND APPROVES CHANGES TO THE EXECUTIVE TEAM'S CONTRACTS. THE COMMITTEE SUBSTANTIATES THIS PROCESS IN THEIR MINUTES. THE CEO APPROVES THE COMPENSATION FOR THE REMAINING EXECUTIVE TEAM USING DATA OBTAINED FROM ANNUAL SURVEYS PERFORMED BY THE CALIFORNIA HEALTHCARE ASSOCIATION AND/OR INDEPENDENT COMPENSATION EVALUATION FIRMS AS WELL AS COMPARISONS OF SPECIFIC COMPENSATION OF EXECUTIVES FROM SIMILAR-SIZED HOSPITALS BOTH IN CALIFORNIA AND NATIONWIDE. BARTON HEALTHCARE SYSTEM IS A BI-STATE HEALTHCARE PROVIDER THAT INCLUDES A LICENSED 63-BED FULL-SERVICE HOSPITAL WITH A 24-HOUR EMERGENCY ROOM; DESIGNATED LEVEL III TRAUMA CENTER; 48-BED SKILLED NURSING AND LONG-TERM CARE FACILITY; STATE OF THE ART OPERATING ROOMS AND REHABILITATION DEPARTMENTS; CENTER OF ORTHOPEDICS AND WELLNESS; HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES; LAKE TAHOE SURGERY CENTER; 50% OWNERSHIP IN CARSON VALLEY MEDICAL CENTER (A FULL-SERVICE HOSPITAL LOCATED IN THE CARSON VALLEY); SATELLITE LAB FACILITIES; BARTON EDUCATION (PROVIDING CLINICAL AND COMMUNITY HEALTH EDUCATION); BARTON AUXILIARY; AND BARTON MEMORIAL HOSPITAL FOUNDATION (A 501(C)(3) SUPPORTING ORGANIZATION). THE SYSTEM FURTHER INCLUDES 23 OUTPATIENT PHYSICIAN CLINICS WHICH ENCOMPASS ORTHOPEDIC CLINICS, OB/GYN CLINICS, PEDIATRICS, INTERNAL MEDICINE, PERFORMANCE, MULTI-SPECIALTY GENERAL SURGERY/GI, PLASTIC SURGERY, RHEUMATOLOGY/WELLNESS, PHYSIATRY, PALLIATIVE CARE, CARDIOLOGY, NEUROLOGY, UROLOGY, ENT/AUDIOLOGY, URGENT CARE/OCCUPATIONAL HEALTH CLINICS, FAMILY CARE CLINICS, LOW-INCOME RURAL HEALTH CLINIC, BEHAVIORAL HEALTH AND SEASONAL SKI CLINICS.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS REQUIRING PUBLIC DISCLOSURE ARE AVAILABLE UPON REQUEST AND ARE POSTED ON THE ORGANIZATION'S WEBSITE: WWW. BARTONHEALTH.ORG. ORGANIZATION CONTACT MINDI BEFU 530-543-5601
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 208,326. MANAGEMENT AND GENERAL EXPENSES 2,851,338. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,059,664. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,369,656. MANAGEMENT AND GENERAL EXPENSES 2,256,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,626,228. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,275,935. MANAGEMENT AND GENERAL EXPENSES 103,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,379,879. TEMPORARY PERSONNEL: PROGRAM SERVICE EXPENSES 8,771,722. MANAGEMENT AND GENERAL EXPENSES 4,239,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,010,943. MEDICAL FEES: PROGRAM SERVICE EXPENSES 30,116,743. MANAGEMENT AND GENERAL EXPENSES 451,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,568,398.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ACCOUNTABLE CARE COLLABORATIVE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 HIGHWAY 50 PO BOX 5637AddressLine1Txt
CitySTATELINECityNm
State AbbreviationNVStateAbbreviationCd
ZIP89449ZIPCd
FieldValueIRS element (for citing)
EIN853358643EIN
Primary ActivitiesOPERATE ACCOUNTABLE CARE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BARTON HEALTHCARE SYSTEMBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BARTON MEMORIAL HOSPITAL FOUNDATION INC
PO BOX 50STATELINENV89449880268799SUPPORTING ORGANIZATIONNV501(C)(3)LINE 12B, IIBARTON HEALTHCARE SYSTEMYes (1)
BARTON MEDICAL FOUNDATION
PO BOX 529ZEPHYR COVENV89448853977236ARRANGE FOR THE PROVISION OF HEALTH CARE SERVICESCA501(C)(3)LINE 3BARTON HEALTHCARE SYSTEMYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ACO COLLABORATIVE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17600 S MINNESOTAAddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd
FieldValueIRS element (for citing)
EIN870984717EIN
Primary ActivitiesARRANGE FOR THE PROVISION OF HEALTH CARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BARTON HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Share Of Total Income$10,530ShareOfTotalIncomeAmt
Share Of EOY Assets$15,531ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BHC MSO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 HIGHWAY 50 PO BOX 5637AddressLine1Txt
CitySTATELINECityNm
State AbbreviationNVStateAbbreviationCd
ZIP89449ZIPCd
FieldValueIRS element (for citing)
EIN853297586EIN
Primary ActivitiesMANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BARTON HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$3,927ShareOfTotalIncomeAmt
Share Of EOY Assets$1,351,421ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BARTON MEMORIAL HOSPITAL FOUNDATION
B$315,017BOOK VALUE/ACTUAL
BARTON MEMORIAL HOSPITAL FOUNDATION
C$549,651BOOK VALUE/ACTUAL
BARTON MEMORIAL HOSPITAL FOUNDATION
Q$516,184BOOK VALUE/ACTUAL
BHC MSO LLC
P$990,986BOOK VALUE/ACTUAL
BHC MSO LLC
B$958,944BOOK VALUE/ACTUAL