STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BARTON HEALTHCARE SYSTEM: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BARTON HEALTHCARE SYSTEM (EIN 94-6050274)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-03
IRS object ID
202513079349301726
Schema version
2024v5.2
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)
Return2025-11-03T12:22:05-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

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
Signature2025-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2025-11-03PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$304,539,296GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bartonhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionBarton Health delivers safe, high quality care and engages the community in the improvement of health and wellness. Barton Health is the community health leader known for compassion and chosen for quality.ActivityOrMissionDesc
Voting Members Governing Body0VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1097TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$730,088PYContributionsGrantsAmt
CY Contributions Grants$813,069CYContributionsGrantsAmt
PY Program Service Revenue$233,929,161PYProgramServiceRevenueAmt
CY Program Service Revenue$257,169,695CYProgramServiceRevenueAmt
PY Investment Income$2,611,547PYInvestmentIncomeAmt
CY Investment Income$7,201,894CYInvestmentIncomeAmt
PY Other Revenue$377,657PYOtherRevenueAmt
CY Other Revenue$36,330CYOtherRevenueAmt
PY Total Revenue$237,648,453PYTotalRevenueAmt
CY Total Revenue$265,220,988CYTotalRevenueAmt
PY Grants And Similar Paid$532,581PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$683,953CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,376,212PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$116,653,720CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$108,789,125PYOtherExpensesAmt
CY Other Expenses$108,286,830CYOtherExpensesAmt
PY Total Expenses$224,697,918PYTotalExpensesAmt
CY Total Expenses$225,624,503CYTotalExpensesAmt
PY Revenues Less Expenses$12,950,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,596,485CYRevenuesLessExpensesAmt
Total Assets BOY$360,085,089TotalAssetsBOYAmt
Total Assets EOY$365,821,141TotalAssetsEOYAmt
Total Liabilities BOY$58,720,747TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,071,389TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$301,364,342NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$322,749,752NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBarton Health delivers safe, high quality care and engages the community in the improvement of health and wellness. Barton Health is the community health leader known for compassion and chosen for quality.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$156,826,336ExpenseAmt
Grant$683,953GrantAmt
Revenue$249,643,127RevenueAmt
DescBarton Healthcare System (Barton Health) has been serving Lake Tahoe's health care needs for over 60 years. Barton Health is a nonprofit community health system that includes Barton Memorial Hospital, consisting of 24-hour emergency care services, 63 patient beds, a skilled nursing facility with 48 resident beds, and over 20 ambulatory outpatient clinics. Barton Health is a bi-state health system serving the greater Lake Tahoe region in California and Nevada. Barton Health has approximately 245 credentialed physicians and a team of nearly 1,000 employees providing quality health care services to residents and visitors. Barton Health provides exceptional care, regardless of an individual's ability to pay.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,066,066ExpenseAmt
Revenue$6,966,666RevenueAmt
DescThe Barton Community Health Center provides primary care to Medicare and Medi-Cal beneficiaries, those with insurance but with very high deductibles, or those who are uninsured. Same day appointments were available, which improved medical outcomes. The Barton Community Health Center combined the efforts of skilled professionals including nurse practitioners, physician assistants, medical assistants, nurses and other medical support staff, and contracted with family and specialty physicians. Patients were seen at this clinic by physicians who specialized in the following areas: family medicine, pediatrics, ADHD treatment, orthopedics and spine care, cardiology, neurology, obstetrics, gynecology, infectious disease (hepatitis C), and a medication-assisted treatment (MAT) program.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,784,810ExpenseAmt
DescThe Financial Assistance Program assists patients of Barton Memorial 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 on 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 to 400 percent of the most recent poverty income guidelines, and/or under special circumstances. During the current year this program provided over $7.7 million of gross charges in charity care.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescThe following programs are community outreach programs that benefit the health of Barton Health Lake Tahoe South Shore Community.Food Insecurity Program: In partnership with Whole Foods and Starbucks Barton picked up and distributed high quality perishable and non-perishable food up to four days a week to our community partners as well as directly to our most vulnerable community members throughout the first half of 2024. In the second half of 2024, we transferred the Starbucks food donation to The Tahoe Coalition for the Homeless and the Whole Foods food donation to the food pantry, Christmas Cheer all Year. Staff also served on the Board of Directors for this pantry that provides food and basic needs to South Lake Tahoe's most vulnerable. Community Health Fair: Barton hosted a successful community health fair at Bijou Elementary School on October 17, 2024. Approximately 220 community members attended and received medical services and education, including blood pressure checks, CPR training, and Covered CA enrollment support, along with community-provided services including flu vaccines. Community Health Improvement Efforts: Barton partnered with ACCEL El Dorado County, a community-wide collaborative of public and private partners working together to improve the health and well-being of El Dorado County's vulnerable populations. Barton Health hosted the Community Health Advisory Committee (CHAC), a collaborative of representatives of various community agencies and community members that meet monthly to address emerging community health needs. Staff members also participated in the Community Behavioral Health Network meetings, community drug education meetings, and the Lake Tahoe Collaborative meetings. Barton staff met with community members at the South Tahoe Family Resource Center to better understand the real and perceived barriers that Latino community members face in receiving care. Staff served on the Board of Directors-of Encompass Youth, working to coordinate collaboration and communication to assure that Transitional Age Youth have the navigational support systems to create a path to stability and independence.Social Determinants of Health: Barton participated in the following community-based programs related to environmental factors that influence our community members' health and wellness.TRANSPORTATION: Barton staff served on the board of the South Shore Transit Management Association, which was a driving force in creating the first ever Microtransit program (LakeLink) that delivered free rides to over 175,000 community members in 2024. BUILT ENVIRONMENT: Hospital staff participated in the Tahoe Chamber of Commerce to address community health and safety issues.SUBSTANCE USE: Staff members participated in community efforts to address substance abuse prevention and education, including the Tahoe Alliance for Safe Kids (TASK) whose mission is to prevent and reduce youth substance use and related harm, and El Dorado Coalition for Overdose Prevention and Education (COPE), whose mission is to build collaboratives to address the overdose epidemic in El Dorado County. A staff member served on the board of Mountain High Recovery Center, a non-profit organization with a mission to strengthen individuals, families, and communities through the education and treatment of substance use disorders.HEALTHCARE DISPARITY: Barton participated in monthly and/or quarterly town hall meetings with a leading Latino/Latina community advocate, The South Tahoe Family Resource Center to educate and inform on important topics of interest related to a myriad of social determinants of health.We have continued our collaboration with The Tahoe Coalition for the Homeless to expedite appropriate care and decrease emergency department visits for those they serve. We also provided staff to assist with the annual Point in Time count and understanding community needs with ride-along activities.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$171,677,212TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document222IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1097EmployeeCnt
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 Members0GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
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 (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jonathon Cefalu
Trustee (As of 5/24)5.001.00Yes (X)$0$0$0
Peter DiGrande MD
Trustee (As of 5/24)5.001.00Yes (X)$0$0$0
Abby Killebrew
Chair5.001.00Yes (X)$0$0$0Yes (X)
Patrick Fry
Vice Chair5.001.00Yes (X)$0$0$0Yes (X)
Stefan Schunk MD
Trustee5.001.00Yes (X)$0$0$0
Shawn Anderson
Trustee5.001.00Yes (X)$0$0$0
Kathryn Biasotti
Trustee5.001.00Yes (X)$0$0$0
Kirk Ledbetter
Trustee5.001.00Yes (X)$0$0$0
Sherry Mlynsky
Sectretary/Treasurer5.001.00Yes (X)$0$0$0
Jeff Rahbeck
Trustee5.001.00Yes (X)$0$0$0
Scott Weavil
Trustee5.001.00Yes (X)$0$0$0
Wendy David
Trustee (Until 5/24)5.001.00Yes (X)$0$0$0
Baghdassar Pat Baghdikian MD
Trustee (Until 5/24)5.001.00Yes (X)$0$0$0
Clinton Purvance MD
CEO37.003.00$0$1,378,212$67,732Yes (X)
Kelly Neiger
CFO37.003.00$0$546,460$68,061Yes (X)
Polly Birdsong
Admin Dir of Surgical Svcs40.000.00$260,010$0$22,141Yes (X)
David Young MD
CMO28.002.50$11,539$569,632$37,820Yes (X)
Carla Adams
CNO40.000.00$414,657$0$56,492Yes (X)
Thomas Davis
Director of Medical Imaging40.000.00$215,442$0$39,103Yes (X)
Karen Conant
VP of Ambulatory Operations40.000.00$241,193$0$57,031Yes (X)
Richard Belli
Admin Director of Facilities40.000.00$253,620$0$35,846Yes (X)
Dana Randall
Advanced Practice Provider40.000.00$261,034$0$14,368Yes (X)
Jennifer Whisnant
Pulmonary Services Supervisor40.000.00$256,904$0$63,544Yes (X)
Christopher Kiser
Director of Foundation0.0040.00$260,756$0$54,689Yes (X)
Jason Call
Advanced Practice Provider40.000.00$260,454$0$51,085Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,435,609TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,494,304TotReportableCompRltdOrgAmt
Total Other Compensation$567,912TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K326IndivRcvdGreaterThan100KCnt
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
BHC MSO LLC
2170 South AveSouth Lake TahoeCA96150Management Services$7,340,000
Lake Tahoe Orthopedic
PO Box 11889Zephyr CoveNV89448Physician Services$4,604,563
Coronis Health RCM LLC
5963 Exchange Dr Suite 114SykesvilleMD21784Collection Agency$4,483,963
Tahoe Orthopedics & Sports
PO Box 11889Zephyr CoveNV89448Physician Services$4,291,877
FocusOne Solutions LLC
13609 California StreetOmahaNE68154Staff Labor Services$3,571,662
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$29,193RelatedOrganizationsAmt
Government Grants$703,533GovernmentGrantsAmt
All Other Contributions$80,343AllOtherContributionsAmt
Total Contributions$813,069TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Net Patient Service Revenue621990$246,006,437$246,006,437
Investment in Washoe Barton Medic621110$8,694,390$8,694,390
Supporting Revenue621990$2,237,074$2,237,074
Cafeteria722514$559,902$559,902
Investment in ACO Collaborative621110-$328,108-$328,108
FieldValueIRS element (for citing)
Total Program Service Revenue$257,169,695TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,301,948TotalRevenueColumnAmt
Exclusion$3,301,948ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,330RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,330RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,330TotalRevenueColumnAmt
Exclusion$36,330ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,712,500SecuritiesAmt
Other$505,754OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$38,910,233SecuritiesAmt
Other$408,075OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,802,267SecuritiesAmt
Other$97,679OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,899,946TotalRevenueColumnAmt
Exclusion$3,899,946ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$265,220,988TotalRevenueColumnAmt
Related Or Exempt Func Income$256,609,793RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,798,126ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$653,479TotalAmt
Program Services$653,479ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$30,474TotalAmt
Program Services$30,474ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,317,607TotalAmt
Management And General$1,317,607ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$476,000TotalAmt
Program Services$465,119ProgramServicesAmt
Management And General$10,881ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$85,829,773TotalAmt
Program Services$67,145,847ProgramServicesAmt
Management And General$18,683,926ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,080,721TotalAmt
Program Services$2,411,417ProgramServicesAmt
Management And General$669,304ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,409,307TotalAmt
Program Services$15,397,185ProgramServicesAmt
Management And General$4,012,122ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,540,312TotalAmt
Program Services$5,057,839ProgramServicesAmt
Management And General$1,482,473ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,470,761TotalAmt
Program Services$26,044ProgramServicesAmt
Management And General$1,444,717ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$94,617TotalAmt
Management And General$94,617ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$223,310TotalAmt
Management And General$223,310ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,969,926TotalAmt
Program Services$21,053,108ProgramServicesAmt
Management And General$10,916,818ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$362,144TotalAmt
Program Services$319ProgramServicesAmt
Management And General$361,825ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,569,153TotalAmt
Program Services$4,113,442ProgramServicesAmt
Management And General$3,455,711ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,688,919TotalAmt
Program Services$669,494ProgramServicesAmt
Management And General$6,019,425ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,761,575TotalAmt
Program Services$1,735,431ProgramServicesAmt
Management And General$3,026,144ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$135,027TotalAmt
Program Services$53,639ProgramServicesAmt
Management And General$81,388ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$618,461TotalAmt
Program Services$618,461ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,603,283TotalAmt
Program Services$10,023,399ProgramServicesAmt
Management And General$579,884ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,996,033TotalAmt
Program Services$1,996,033ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$27,638,660$27,368,375$270,285
Relief Expense$10,523,179$9,668,117$855,062
Non-Medical Supplies$2,784,080$2,342,288$441,792
Bad Debt Expense$847,592$847,592

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$110TotalAmt
Program Services$110ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$225,624,503TotalAmt
Program Services$171,677,212ProgramServicesAmt
Management And General$53,947,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,806,536BOYAmt
EOY$11,109,726EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,598,778BOYAmt
EOY$42,162,603EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,322,297BOYAmt
EOY$4,500,074EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,986,096BOYAmt
EOY$4,243,463EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$244,847,152LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$136,752,673LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$110,645,424BOYAmt
EOY$108,094,479EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$96,745,952BOYAmt
EOY$104,486,358EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,024,525BOYAmt
EOY$5,661,052EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$67,565,928BOYAmt
EOY$65,723,384EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,389,553BOYAmt
EOY$19,840,002EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$360,085,089BOYAmt
EOY$365,821,141EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,408,629BOYAmt
EOY$23,735,983EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,416,218BOYAmt
EOY$6,155,224EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$13,100,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,795,900BOYAmt
EOY$13,180,182EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,720,747BOYAmt
EOY$43,071,389EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$301,364,342BOYAmt
EOY$322,749,752EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,364,342BOYAmt
EOY$322,749,752EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$360,085,089BOYAmt
EOY$365,821,141EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,596,485ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,645,269NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$19,856,344OtherChangesInNetAssetsAmt
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 LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$25,506OtherActivitiesAmt
Total Lobbying Expenditures$25,506TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of annual dues paid to trade associations are allocated to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

Held Works Art HeldWorksArtGrp

FieldValueIRS element (for citing)
Assets Included$122,999AssetsIncludedAmt
FieldValueIRS element (for citing)
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,002,933BeginningYearBalanceAmt
Contributions$11,223ContributionsAmt
Investment Earnings Or Losses$238,739InvestmentEarningsOrLossesAmt
Other Expenditures$238,739OtherExpendituresAmt
End Year Balance$4,014,156EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,991,842BeginningYearBalanceAmt
Contributions$11,091ContributionsAmt
Investment Earnings Or Losses$316,139InvestmentEarningsOrLossesAmt
Other Expenditures$316,139OtherExpendituresAmt
End Year Balance$4,002,933EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,969,431BeginningYearBalanceAmt
Contributions$22,411ContributionsAmt
End Year Balance$3,991,842EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,956,933BeginningYearBalanceAmt
Contributions$12,798ContributionsAmt
End Year Balance$3,969,731EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
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$29,045,040InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,948,846OtherCostOrOtherBasisAmt
Book Value$35,993,886BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,843,426OtherCostOrOtherBasisAmt
Depreciation$69,072,763DepreciationAmt
Book Value$49,770,663BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,908,448OtherCostOrOtherBasisAmt
Depreciation$2,570,964DepreciationAmt
Book Value$2,337,484BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,368,856OtherCostOrOtherBasisAmt
Depreciation$61,955,891DepreciationAmt
Book Value$16,412,965BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$122,999InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,609,537OtherCostOrOtherBasisAmt
Depreciation$3,153,055DepreciationAmt
Book Value$3,579,481BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$108,094,479TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Washoe Barton Medical Clinic$65,673,611C
ACO Collaborative LLC Stock$5,500C
SHC Collaborative LLC Stock$44,273C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$65,723,384TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
California Hospital Fee Program Receivable$13,387,308
Right of Use Assets$3,397,836
Insurance$1,800,576
Deposits$1,254,282
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,840,002TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Due to Third Party Payors$907,308
Claims Reserve$7,499,709
Lease Obligations$3,397,836
457b Plan Payable$1,187,798
Other Liabilities$200,000
Due to/from Related Parties-$12,469
FieldValueIRS element (for citing)
Total Liability$13,180,182TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$266,642,947TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,645,269NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,645,269RevenueNotReportedAmt
Revenue Subtotal$264,997,678RevenueSubtotalAmt
Investment Expenses Not Incld$223,310InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$223,310RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$265,220,988TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$225,401,193TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$225,401,193ExpensesSubtotalAmt
Investment Expenses Not Incld2$223,310InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$223,310ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$225,624,503TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 4:Collection consists of general photographs, paintings, etc.
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.
Part X, Line 2:The Hospital believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentTypeOfActivitiesConductedTxt
Region Total Expenditures$4,927,747RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$4,927,747SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$4,927,747TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part IV:FormAndLineReferenceDesc
ExplanationThe organization utilizes a financial advisory firm to manage its investments. International investments are part of its diversification strategy. The organization reviews its direct and indirect investments during the tax period for determining required foreign filings. The Barton Healthcare System makes direct and indirect transfers to a foreign corporation. The Barton Healthcare System would file Form 926 if the transfers met the requirements for filing. In 2024, Barton Healthcare System did not have transfers to foreign corporations. The Barton Healthcare System has ownership interests in a foreign corporation. The Barton Healthcare System would file Form 5471 if the ownership met the requirements for filing. The Barton Healthcare System's ownership in foreign corporations did not require filing Form 5471. The Barton Healthcare System invests in a corporation that holds direct or indirect interests in passive foreign investment companies (PFICs). The Barton Healthcare System would file Form 8621s for underlying investments that generate unrelated business income. The Barton Healthcare System would not file Form 8621s where the investment partnerships have properly filed Form 8621s, or where the underlying investments did not generate any unrelated business income. The Barton Healthcare System did not require filing Form 8621.ExplanationTxt

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 Other249.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
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$1,998,602TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,998,602NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,107,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,043,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,063,150NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,170,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,505,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$664,992NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,276,106TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,549,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,726,744NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,036,483TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,938,558NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$532,682TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$449,087NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,697,209TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,086,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,610,969NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$295,860TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$295,860NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,562,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,267,760DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,294,474NetCommunityBenefitExpnsAmt
Total Expense0.01910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,838,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,817,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,021,218NetCommunityBenefitExpnsAmt
Total Expense0.03570TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,485TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,025NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$328,108TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$328,108NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$409,593TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$365,133NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$40,567,163BadDebtExpenseAmt
Bad Debt Expense Attributable$4,369,153BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,101,266ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$34,960,018CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,858,752MedicareSurplusOrShortfallAmt

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
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 Conducted24CHNAConductedYr
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
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
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 Care249.000000000000FPGFamilyIncmLmtFreeCarePct
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 URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Barton Memorial HospitalPart V, Section B, Line 5: For the CHNA, the hospital took into account input from people in the community served by Barton Health. Sixty-three (63) online Key Informant Surveys were used to gather information and opinions from people who represent the broad interests of the community. Key informants included leaders and/or representatives of medically underserved, low-income, and minority populations, local health or other departments or agencies that have current data or other information relevant to the health needs of the community. Participation included representatives of the following organizations.A Balanced Life, Barton Health, Boys & Girls Club, Catalyst Community, City of South Lake Tahoe, City of South Lake Tahoe PD, El Dorado County, El Dorado County Behavioral Health, El Dorado County Board of Supervisors, El Dorado County Health and Human Services Agency, El Dorado County Public Health, Encompass Youth, First 5 El Dorado, George Whittell High School/ Zephyr Cove Elementary School, Lake Tahoe Community College, Lake Tahoe Unified School District, Live Violence Free, Marcella Foundation, Mount Tallac, Patient and Family Advisory Council, RJ Counseling, Sierra Child and Family Services, SOS Outreach, South Lake Tahoe Family Resource Center, South Lake Tahoe Library, South Lake Tahoe Police Department, South Tahoe Alternative Collaborative Services Outreach, South Tahoe Middle School, Tahoe Alliance for Safe Kids, Tahoe Magic, Tahoe Transportation District, and Tahoe Youth and Family Services. In addition, 400 individuals, ages 18 and older, participated in telephone interviews in El Dorado and Douglas Counties to engage community residents in the Needs Assessment process.
Barton Memorial HospitalPart V, Section B, Line 11: In the most recent CHNA, the following significant health needs were identified: 1) Access to care 2) Cancer 3) Heart disease and stroke 4) Infant health and family planning 5) Mental health 6) Nutrition, physical activity and weight 7) Respiratory disease 8) Substance use 9) Tobacco useBarton Health cannot directly address all the health needs present in the community; however, the Implementation Strategy will address the significant health needs identified in the CHNA. Barton Health will endeavor to address any emerging, prevalent or unanticipated issues that may threaten the health and wellbeing of the community. In 2024, Barton Health engaged in activities and programs that addressed the priority health needs identified in the 2022-2024 Implementation Strategy. Barton Health committed to community benefit efforts that addressed: Access to health care services Mental health Substance use Access to Health Care Services 1. Goal: Increase the number of patients assigned to Barton primary care providers by 300 by 12/31/24. Result: The 2023 baseline number of patients with an assigned primary care provider was 18,204. The number increased by 916 to 19,120 by the end of 2024. 2. Goal: Implement two new initiatives by 12/31/2024 that will improve average lead time. Result: Implemented an Open Access Taskforce for Barton Community Health Clinic and a Recall List for Barton Primary Care offices. Implemented provider template changes that allowed for an increased number of preventive care and annual wellness visits by 5% over baseline.Expanded Access to CareBarton welcomed the following providers in 2024, expanding service lines and access to care: one anesthesiologist, one cardiologist, one general surgeon, one family medicine provider, one pediatrician, two critical care providers, two emergency medicine providers, two nurse practitioners, and four physician assistants. Barton Community Health Center The Barton Community Health Center provided primary care to Medicare and Medi-Cal beneficiaries, those with insurance but with very high deductibles, or those who are uninsured. Same day appointments were available, which improved medical outcomes. The Barton Community Health Center combined the efforts of skilled professionals including nurse practitioners, physician assistants, medical assistants, nurses and other medical support staff, and contracted with family and specialty physicians. Patients were seen at this clinic by physicians who specialized in the following areas: family medicine, pediatrics, ADHD treatment, orthopedics and spine care, cardiology, neurology, obstetrics, gynecology, infectious disease (hepatitis C), and a medication-assisted treatment (MAT) program. Community Health FairBarton hosted a successful community health fair at Bijou Elementary School on October 17, 2024. Approximately 220 community members attended and received medical services and education, including blood pressure checks, CPR training, and Covered CA enrollment support, along with community-provided services including flu vaccines.Health EducationIn 2024, Barton hosted 12 wellness webinars by medical experts with topics on substance use disorder, ACL repair, postpartum depression and more.Cardiac Life SupportIn 2024, 7 participants completed Advanced Cardiac Life Support, 44 participants completed Basic Life Support, and 3 participants completed Pediatric Advanced Life Support.Patient-Centered Medical HomeBarton's Population Health team oversees the Patient-Centered Medical Home (PCMH), which is a care delivery model where patient treatments are coordinated through a primary care physician to ensure patients receive the necessary care when and where they need it, in a manner they can understand. This team aims to support the provider-patient relationship by aligning physician practices around system-wide quality, efficiency, and service goals, that will engage providers and patients in improving health and wellness. Below is a summary of our 2024 achievements: *Accepted into the Equity Practice Transformation (EPT) program worth $450,000 over three years. *Achieved an 18% increase in Care Management charges. *Increased Chronic Care Management patient enrollment by 10%. *Supported Waiver Incentive Program (WIP) that produced, among participating providers, a 10% increase in depression screening, 9% improvement in schedule utilization, and 5% improvement in controlling high blood pressure. *Improved quality measures: o Blood pressure control by 4% o Diabetic control by 2% o Depression screening and follow-up by 5% *Provided 280 employee blood pressure check visits for monitoring, education, and follow-up. *Achieved PCMH Recognition Renewal in two Primary Care offices. *Implemented Remote Patient Monitoring (RPM) for hypertension management and resulting in an average decrease in systolic blood pressure of -29.2.Care ManagementThe Barton Care Management Program supported patients transitioning from the hospital to home and managing chronic or persistent medical conditions including diabetes, hypertension or depression. The Care Management RNs partner with patients to develop goals, improve communication with providers, and connect patients with community resources. They worked to support the plan of care, encourage healthy eating, exercise and mental health habits, aid in medication management, educate on disease management, and encourage timely follow up. In 2024, 720 unique patients were engaged in our care management program focusing on the programmatic areas of chronic care management, general care management, and transitional care management.Diabetes and Nutrition CounselingCommunity-based educational programs were offered throughout the year. An annual Community Health Fair reached our most vulnerable community members. For 2024, nutritional counseling was provided to 99 patients with a diagnosis of diabetes mellitus, 10 patients diagnosed with gestational diabetes, and 21 patients with a pre-diabetes diagnosis, 6 pediatric patients with an elevated glucose, and 1 pediatric patient with acanthosis nigricans. Helping Hands Program Financial AssistanceThe Helping Hands program is designed for patients who cannot afford to pay their medical bills. During 2024, the program provided over $7.7 million in free or reduced rates for eligible low-income, uninsured or underinsured patients.Health Care Insurance Enrollment Assistance Barton's certified Covered CA enrollment counselors assisted and enrolled community members in insurance programs.Recruiting Underserved Health ProfessionalsBarton Health facilities are designated as a Health Professional Shortage Area (HPSA). The organization recruited health care providers to work in this underserved area. 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.Trauma Program OutreachBarton Health is designated as a Level III trauma center for El Dorado County. As a trauma center, our hospital is prepared to treat visitors and members of our community suffering from traumatic injury 24 hours a day. Services include access to trauma surgeons, orthopedic surgeons, emergency medicine physicians, trauma nurses, medical imaging, blood product and operating rooms. Our capabilities range from providing an urgent evaluation in the ED, stabilization, life-saving interventions and transferring patients to larger trauma centers when the patient requires additional resources. Our community outreach in FY24 included several educational opportunities. Barton's Trauma Team taught Stop the Bleed to the Lake Tahoe Unified School District nurses. Dr. Daniel Schocket, EMS Medical Director, coordinated a winter injury symposium, that included attendance from our EMS partners and providers from Barton. Dr. Paul Ryan offered an Ortho Primary Care Symposium at the Tahoe Blue Event Center that was open to providers in the community.Emergency Management PreparednessBarton Health is a key stakeholder and participant in several regional health care coalitions. Within these coalitions, exercises, drills, and other emergency preparedness programs were developed and refined in collaboration with representatives from El Dorado County, Douglas County, Area Fire Departments, Law Enforcement, School Districts, (Continued on Part V, Page 8)
Barton Memorial HospitalPart V, Section B, Line 13b: In addition to the FPG, the Hospital considers if the patient is uninsured and/or underinsured when determining if they qualify for free care or discounted care.
Form 990, Schedule H, Part V, Line 7a and 10a:https://www.bartonhealth.org/about-us/caring-for-our-community/community-health-needs-assessment/
Form 990, Schedule H, Part V, Line 11Public Utilities and other public and private partners. The breadth of the collaboration and partnerships forged through these coalitions and other outreach efforts was made evident during actual emergencies that included the evacuation of South Lake Tahoe during the Caldor Fire, a significant snow event, which shut down the city for several days, rockslides that shut down a main thoroughfare, and a 6.0 earthquake. Case Management and Social ServicesBarton Case Management and Social Services helped coordinate care for some of our most vulnerable community members. They worked with patients struggling with substance use, depression, navigating complicated discharge planning, eating disorders, PTSD screening, APS and CPS referrals, food and housing insecurity, difficulty paying utility bills, and referrals to financial counselors. In 2024, 1,051 patients were assisted to obtain needed health and social services. Community Health MagazineOur community health magazine, Health & Life, was distributed three times a year. This eight-page health magazine featured a wide range of content on health and wellbeing. Over 54,000 copies were mailed to residents in South Lake Tahoe and Carson City.Childbirth and Lactation Education ClassesOur education department offers a Childbirth Preparation class to expecting mothers and their support partners. In FY24, we served 132 community members (66 expectant mothers and 66 support partners).Sports PhysicalsIn 2024, Barton Health physicians and staff provided free sports physicals to 400 student athletes at Douglas High School and 140 free sports physicals to student athletes at South Tahoe and Whittell High Schools.Wellness Lab DrawsIn 2024, Barton offered discounted Wellness Lab draws for community members, helping improve access to preventive health care screenings and tests. The discounted Wellness Lab Draws were available five days a week at both lab locations.Food InsecurityIn partnership with Whole Foods and Starbucks Barton picked up and distributed high quality perishable and non-perishable food up to four days a week to our community partners as well as directly to our most vulnerable community members throughout the first half of 2024. In the second half of 2024, we transferred the Starbucks food donation to The Tahoe Coalition for the Homeless and the Whole Foods food donation to the food pantry, Christmas Cheer all Year. Staff also served on the Board of Directors for this pantry that provides food and basic needs to South Lake Tahoe's most vulnerable. TransportationBarton staff served on the board of the South Shore Transit Management Association, which was a driving force in creating the first ever Microtransit program (LakeLink) that delivered free rides to over 175,000 community members in 2024. Health Care PartnershipsBarton Health's Emergency Department has a strong partnership with Renown Medical Center, the region's Level II adult and Level II pediatric trauma center. Our trauma team participated in a regional quarterly review with Renown and Tahoe Forest (Level III trauma center). CollaborationBarton partnered with ACCEL El Dorado County, a community-wide collaborative of public and private partners working together to improve the health and well-being of El Dorado County's vulnerable populations.Barton Health hosted the Community Health Advisory Committee (CHAC), a collaborative of representatives of various community agencies and community members that meet monthly to address emerging community health needs. Staff members also participated in the Community Behavioral Health Network meetings, community drug education meetings, and the Lake Tahoe Collaborative meetings. The hospital collaborated with The Tahoe Coalition for the Homeless to expedite appropriate care and decrease emergency department visits for the individuals they serve. Barton staff met with community members at the South Tahoe Family Resource Center to better understand the real and perceived barriers that Latino community members face in receiving care. Staff served on the Board of Directors-of Encompass Youth, working to coordinate collaboration and communication to assure that Transitional Age Youth have the navigational support systems to create a path to stability and independence.Mental Health 1. Goal: Increase depression screenings in primary care offices by 3% by 12/31/24.Result: The 2023 baseline number of patients receiving a depression screening was 76%. By the end of 2024, depression screenings increased by 6% to 77%.2. Goal: Recruit, hire and retain behavioral health providers to increase access to mental health services by 12/31/24.Result: A full-time nurse practitioner and two LCSWs were hired in 2024.Bereavement Camp for YouthHosted by Barton's Hospice team, Camp Sunrise is an annual bereavement camp serving children, ages 7 to 14, who have experienced the death of a loved one or another significant loss. The camp allowed children to meet others their age who experienced similar losses and participate in events involving art, music and recreation. In 2024, 20 children participated in Camp Sunrise and Barton staff contributed time to support Camp activities.Community Grief and Support ServicesIn December 2024 the Barton Hospice team hosted Light up a Life, a community remembrance event honoring loved ones who had passed. Over 150 community members participated.CollaborationStaff members participated in community efforts to address mental and behavioral health, including a monthly Behavioral Health Network meeting, composed of community leaders and health care workers in the mental health field.Substance Use1. Goal: Expand partnership with local substance use counselor to provide counseling to MAT patients via SOR III grant by 12/31/2024. Result: Partnered with substance use counselor at RJ Counseling and counseled 75 MAT Patients. More than double the number we served in 2023 (35).2. Goal: Increase the number of MAT patients by 10% by 12/31/2024.Result: The baseline number of patients in 2023 was 144. By 12/31/2024, the number increased by 17% to 169 patients.3. Goal: Organize two community involvement opportunities related to substance abuse by 12/31/24.Result: Two community presentations were offered in 2024. The first webinar was "Perspective Taking: Reducing Stigma Through Sharing", presented by David Jay, PhD and Kari Herbert, CADCII from Marshall Medical Center. The second was "Update on the Challenges in Treating Community Members Struggling with Alcohol Addiction" presented by Allison Hibbard, LMFT, Executive Director, Mountain High Recovery Center.Medication Assisted Treatment Program (MAT)Barton Medication for Addiction Treatment (MAT) Program offered treatment through the Barton Community Health Center to members of the greater Lake Tahoe community experiencing addiction to opioids and other substances. We offered medication, referrals with an addiction psychologist and peer support coaching services in support of recovery. In 2024, we had 43 medical providers who prescribed Buprenorphine and treated 169 patients in this program. The team also helped distribute 888 Narcan Units in 2024.CollaborationStaff members participated in community efforts to address substance abuse prevention and education, including the Tahoe Alliance for Safe Kids (TASK) whose mission is to prevent and reduce youth substance use and related harm, and El Dorado Coalition for Overdose Prevention and Education (COPE), whose mission is to build collaboratives to address the overdose epidemic in El Dorado County. A staff member served on the board of Mountain High Recovery Center, a non-profit organization with a mission to strengthen individuals, families, and communities through the education and treatment of substance use disorders.Drug Store Project CollaborationA community prevention program designed to educate middle-school youth about the dangers of substance misuse. The 21st Annual Drug Store Project educated 372 6th graders from South Tahoe Middle School, George Whittell High School, and community home-schooled youth. With the help of local agencies and Barton staff, several vignettes were shown to the participants to educate them on the complex nature of substance abuse. Drug Take Back Day On October 26, 2024, Tahoe Alliance for Safe Kids (TASK) and the South Lake Tahoe Police Department hosted a DEA Drug Take Back Day, collecting over 50 pounds of medication from the community. Lock bags, NARCAN, and fentanyl testing strips were distributed, and education was provided on medication safety, disposal and lifesaving methods.
Form 990, Schedule H, Part V, Line 16a, FAP Website:https://www.bartonhealth.org/patients-family/billing-financial-services/financial-aid/
Form 990, Schedule H, Part V, Line 16b, FAP Application Website:https://www.bartonhealth.org/patients-family/billing-financial-services/financial-aid/
Form 990, Schedule H, Part V, Line 16c, FAP Plain Language Summary:https://www.bartonhealth.org/patients-family/billing-financial-services/financial-aid/
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Barton Center of Orthopedics & Wellness
2170 B South AvenueSouth Lake TahoeCA96150Orthopedics/Rehab/Performance/Rheumatology
2 - Lake Tahoe Surgery Center
212 Elks Point Road Ste 201Zephyr CoveNV89448Ambulatory Surgery Center
3 - Barton Community Health Center
2201 2209 South AvenueSouth Lake TahoeCA96150Rural Health Clinic, Primary Care, Pediatrics & Specialty Care
4 - Tahoe Orthopedic & Sports Medicine
935 Mica Drive Bldg C Ste 13 14Carson CityNV89705Orthopedic Clinic/OT/Hand Therapy
5 - Barton Obstetrics and Gynecology Clinic
1139 Third StreetSouth Lake TahoeCA96150Telehealth Oncology/Obtetrics/Gynecology
6 - Barton Urgent Care
155 Highway 50StatelineNV89449Urgent Care/Primary Care Clinic
7 - Tahoe Orthopedic & Sports Medicine
165 Highway 50StatelineNV89449Orthopedics
8 - Barton Home HealthHospiceAdvanced Care
2092 Lake Tahoe Blvd Suite 500South Lake TahoeCA96150Home Health/Hospice Services/Advanced Care
9 - Barton Primary Care at Fourth Street
1108 4th StreetSouth Lake TahoeCA96150Primary Care Clinic
10 - Barton Speciality Clinics
2175 South AvenueSouth Lake TahoeCA96150General Surgery/Plastic Surgery/Gastroenterology
11 - Barton Ear Nose & Throat
2169 South AveSouth Lake TahoeCA96150ENT/Audiology Clinic
12 - Psychiatry & Mental Health
1067 Fourth StreetSouth Lake TahoeCA96151Psychiatry & Mental Health
13 - Barton Urology
2169 South AveSouth Lake TahoeCA96150Urology Clinic
14 - Barton Obstetrics & Gynecology
897 Ironwood DrMindenNV89423Obstetrics/Gynecology
15 - Barton Quick Care
2074 Lake Tahoe Blvd Ste 4South Lake TahoeCA96151Walk-In Quick Care Clinic
16 - Barton Cardiology & Occupational Medicine
155 Highway 50 Ste 203StatelineNV89449Cardiology/Occupational Medicine
17 - Tahoe Orthopedic & Sports Medicine
925 Tahoe Blvd Units 105-106Incline VillageNV89451Orthopedic Clinic
18 - Barton Medical Clinic at Kirkwood Mtn
1501 Kirkwood Meadows DriveKirkwoodCA95646Seasonal Medical Ski Clinic
19 - Barton Neurology & Concierge Medicine
155 Highway 50 Ste 102StatelineNV89450Neurology Clinic
20 - Barton Home Health & Hospice
155 Highway 50StatelineNV89449Home Health/Hospice Services Care

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to FPGs, the Hospital also used the following factors to determine free and discounted care: income level other than FPG, asset level, medical indigency, insurance status, underinsurance status, and residency.
Part I, Line 7:The costing methodology used the cost to charge ratio obtained from the cost report for lines 7a, 7b and 7c. Actual operating costs were used to calculate lines 7e, 7f, 7g, and 7i.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 847,592.
Part I, Line 6a:The organizations' commnunity benefit report can be found at https://www.bartonhealth.org/about-us/caring-for-our-community/
Part II, Community Building Activities:Economic Development: Barton Health participates in the Chamber of Commerce on issues impacting community health and safety.Coalition Building: The emergency management department develops plans for our Barton Health emergency response and works closely with other local agencies for community emergency planning activities.Advocacy for Community Health Improvement and Safety: Barton Health advocates to improve access to care, care coordination and quality of care.
Part III, Line 2:The organziation determines its estimate of implicit price concessions based on its historical collection experience with each class of patients and residents.Includes implicit price concessions estimate of $39,719,571 and bad debt expense of $847,592.
Part III, Line 3:Consistent with the Healthcare System's mission, care is provided to patients regardless of their ability to pay. Therefore, the Healthcare System has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Healthcare System expects to collect based on its collection history with those patients. The hospital calculated the amount it estimates could be community benefit based on the percentage of applications denied due to lack of information.
Part III, Line 4:The footnote to the organization's financial statements that describes implicit price concessions is located on page 13-14 of the attached financial statements.
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.Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall, if any, is considered a community benefit.
Part III, Line 9b:Barton Health will not refer accounts for collection where the patient has initially applied for Financial Assistance or other Barton Health sponsored program and Barton Health has not yet notified the patient of its determination (provided the patient has complied with the timeline and information requests delineated by Barton Health during the application process). Barton Health provides a written notice indicating the availability of financial assistance and specifying any deadline, after which a completed application for assistance for the previous care episode will no longer be accepted. This Application period is the later of 30 days after the notice date or 240 days after the first post-discharge billing statement for prior care, whichever is later.
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, 46% female, 20.6% under the age of 18, 11.6% aged 18-24, 30.0% aged 25-44, 28.1% aged 45-64 and 9.8% who were 65 years of age or older; 63.5% are Caucasian and 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.The governing board is comprised of members of the communities served, and none of the governing body members are compensated for their board service. A majority of board members reside in the organization's primary service area and are not employees or their family members, or contractors of the organization. The facility maintains an open medical staff except in rare instances when a clinical department is "closed" in accordance with California law for hospital-based services.As a nonprofit organization, any surplus funds are invested back into providing health care services and resources to the community, including but not limited to new patient care locations and equipment, expanded programs and services, and the training of physicians, nurses and other health professionals.
Part VI, Line 7, Reports Filed With StatesCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Lake Tahoe South Shore Chamber of Commerce
PO Box 17181South Lake TahoeCA95151886004359501(c)(3)$6,950$0Sponsor
Tahoe Douglas Visitors Authority
PO Box 2332StatelineNV89449880385942501(c)(3)$89,000$0Sponsor
Tahoe Fund
PO Box 7124Tahoe CityCA96145010974628501(c)(3)$16,800$0Annual Dinner Sponsor
El Dorado County Community Helath Center
4327 Golden Center DrivePlacervilleCA95667421533531Government$7,500$0ACEL Donation
Keep Memory Alive
PO Box 931517ClevelandOH44193340714585501(c)(3)$9,500$0Sponsor
Keep Memory Alive
888 W BonnevilleLas VegasNV89106880515534501(c)(3)$27,500$0Sponsor
Keep Memory Alive
888 W BonnevilleLas VegasNV89106340714585501(c)(3)$16,500$0Sponsor
Barton Memorial Hospital Foundation
PO Box 529Zephyr CoveNV89448880268799501(c)(3)$479,729$0Overhead Funding
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Patient Assistance705$26,474
Athletic Sponsorships4$4,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization provides assistance to various community and other organizations. Based on the relationship with these organizations, the hospital is able to ensure the funds are used for the intended purposes.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (12 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$0$1,021,923$0$352,913$0$3,376$0$17,250$0$50,482$0$1,445,944$0$0
David Young MD
CMO$11,539$557,661$0$9,185$0$2,786$0$0$0$37,820$11,539$607,452$0$0
Kelly Neiger
CFO$0$476,058$0$67,026$0$3,376$0$17,250$0$50,811$0$614,521$0$0
Carla Adams
CNO$378,665$0$32,052$0$3,940$0$11,771$0$44,721$0$471,149$0$0$0
Jennifer Whisnant
Pulmonary Services Supervisor$251,852$0$5,052$0$0$0$13,285$0$50,259$0$320,448$0$0$0
Christopher Kiser
Director of Foundation$250,614$0$7,732$0$2,410$0$9,633$0$45,057$0$315,446$0$0$0
Jason Call
Advanced Practice Provider$254,422$0$6,032$0$0$0$13,265$0$37,820$0$311,539$0$0$0
Karen Conant
VP of Ambulatory Operations$233,886$0$4,830$0$2,477$0$6,893$0$50,138$0$298,224$0$0$0
Richard Belli
Admin Director of Facilities$245,402$0$5,715$0$2,503$0$9,680$0$26,166$0$289,466$0$0$0
Polly Birdsong
Admin Dir of Surgical Svcs$222,796$0$35,000$0$2,214$0$0$0$22,141$0$282,151$0$0$0
Dana Randall
Advanced Practice Provider$252,595$0$8,439$0$0$0$0$0$14,368$0$275,402$0$0$0
Thomas Davis
Director of Medical Imaging$209,696$0$3,586$0$2,160$0$10,857$0$28,246$0$254,545$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aChartered flight expenses were incurred to enable the CEO to attend two geographically distant, time-sensitive, and critical engagements within a few hours of each other. Commercial travel options were unavailable to meet this essential business schedule. The CEO received the approval from the board Vice Chair to incur the expense. The benefit was not included in taxable income as it was directly business related.
Part I, Line 4bLine 4b: Clinton Purvance, MD received payments of $203,998 from a related organization, BHC MSO, LLC, for participation in a 409(a) plan. This is reported on Part II column (ii).
Part I, Line 7Barton gives annual performance-based bonuses for employees if certain criteria are met, including financial performance, quality, and growth set annually per policy. If certain goals are not met due to circumstances beyond the control of the organization, the board may, at its discretion, authorize performance-based payments.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of South Lake TahoeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN941610868BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2014-06-12BondIssuedDt
Issue Price$18,000,000IssuePriceAmt
PurposeEquipmentPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,760,841RetiredAmt
Total Proceeds$18,000,000TotalProceedsAmt
Issuance Costs From Proceeds$249,697IssuanceCostsFromProceedsAmt
Other Spent Proceeds$17,750,303OtherSpentProceedsAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Michael Neiger
Spouse of Officer - Kelly Neiger, CFO$160,833Employee0
Michael Fry MD
Brother of Board Member - Patrick Fry$10,881Independent Contractor0
Savannah Purvance
Daughter of CEO - Clinton Purvance, MD$114,540Employee0
Janette Goodall
Spouce of Board Member - Stefan Schunk MD$189,746Employee0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Kirk Ledbetter and Jeff Rahbeck have a business relationship.
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 who have contributed $200 or more prior to July 11, 1986. Each class I voting member has the right to cast one vote, but not more than five votes for each $200 contribution. Class II voting members are those individuals admitted after July 10, 1986 who have contributed $1,500 or more. Each class II voting member has the right to cast one vote, but not more than five votes, for each $1,500 contribution. 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 five or less than three members to serve as a nominating committee in the election of the Board of Directors. Any seven 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 a 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 ane electronic policy software program that requires employees to mark as read as new hires or as changes are made and 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 15The CEO is paid by a related management company, BHC MSO, LLC. The 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 Health (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 50l(c)(3) supporting organization). The system further includes over 20 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.
Form 990, Part IX, line 11gConsulting: Program service expenses 389,144. Management and general expenses 2,535,179. Fundraising expenses 0. Total expenses 2,924,323. Other Purchased Services: Program service expenses 3,694,989. Management and general expenses 8,039,853. Fundraising expenses 0. Total expenses 11,734,842. Other Medical Services: Program service expenses 0. Management and general expenses 66,178. Fundraising expenses 0. Total expenses 66,178. Medical Fees: Program service expenses 0. Management and general expenses 275,608. Fundraising expenses 0. Total expenses 275,608. Purchased RN Personnel Services: Program service expenses 911,164. Management and general expenses 0. Fundraising expenses 0. Total expenses 911,164. Medical - Physicians and Directorsh: Program service expenses 14,528,276. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,528,276. Other Medical Purchased Services: Program service expenses 1,508,536. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,508,536. Medical - Contracted Education & Tr: Program service expenses 20,999. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,999.
Form 990, Part XI, line 9:Paid in capital to Barton Medical Foundation Current Year -9,275,137. Paid in capital to Barton Medical Foundation Prior Year -10,581,207.

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$328,108TotalIncomeAmt
End Of Year Assets$5,500EndOfYearAssetsAmt

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 12a, IBarton Healthcare SystemYes (1)
Barton Medical Foundation
PO Box 529Zephyr CoveNV89448853977236Provides Medical ServicesCA501(c)(3)Line 3Barton Healthcare SystemYes (1)

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 Line1PO Box 9578AddressLine1Txt
CitySouth Lake TahoeCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96158ZIPCd
FieldValueIRS element (for citing)
EIN853297586EIN
Primary ActivitiesManagement ServicesPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Barton Healthcare SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$10,214,754ShareOfTotalIncomeAmt
Share Of EOY Assets$4,635,572ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
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 (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Barton Memorial Hospital Foundation
B$29,193Book Value/Actual
Barton Memorial Hospital Foundation
C$479,729Book Value/Actual
Barton Memorial Hospital Foundation
Q$65,909Book Value/Actual
Barton Medical Foundation
P$14,138Book Value/Actual
ACO Collaborative LLC
P$328,108Book Value/Actual
BHC MSO LLC
P$10,214,754Book Value/Actual
Barton Medical Foundation
B$11,340,369Book Value/Actual