SOUTH LYON HEALTH CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH LYON HEALTH CENTER INC (EIN 88-0256932)
- Tax period
- 2024-04-01 to 2025-03-31
- Filed
- 2026-01-30
- IRS object ID
- 202620309349300607
- Schema version
- 2024v5.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-01-30T07:50:00-06:00 | ReturnTs |
| Tax Period End | 2025-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 393647910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880256932 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH LYON HEALTH CENTER INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA SOUTH LYON MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 7754632301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 940 | AddressLine1Txt |
| City | YERINGTON | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89447 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TONI INSERRA | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 7754632301 | PhoneNum |
| Signature | 2026-01-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2026-01-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TONI INSERRA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 940 | AddressLine1Txt |
| City | YERINGTON | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89447 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,751,601 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SLMCNV.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTHCARE FOR THE RESIDENTS AND VISITORS TO THE CITY OF YERINGTON AND LYON COUNTY, NEVADA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 178 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $81,291 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,302,058 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,598,386 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,308,028 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $72,771 | CYInvestmentIncomeAmt |
| PY Other Revenue | $75,350 | PYOtherRevenueAmt |
| CY Other Revenue | $68,744 | CYOtherRevenueAmt |
| PY Total Revenue | $17,755,027 | PYTotalRevenueAmt |
| CY Total Revenue | $19,751,601 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,149,411 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,736,767 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,940,141 | PYOtherExpensesAmt |
| CY Other Expenses | $8,903,659 | CYOtherExpensesAmt |
| PY Total Expenses | $18,089,552 | PYTotalExpensesAmt |
| CY Total Expenses | $19,640,426 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$334,525 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $111,175 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,874,310 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,062,300 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,426,892 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,503,707 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,447,418 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,558,593 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES NEEDED BY THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,115,668 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,288,905 | RevenueAmt |
| Desc | THE HOSPITAL IS A 14-BED ACUTE HOSPITAL WITH 24 HOUR EMERGENCY ROOM, FULL SERVICE LAB, AND X-RAY DEPARTMENTS. THE E/R SEES APPROXIMATELY 300 PATIENTS A MONTH. CLOSE COMMUNICATIONS WITH LARGER FACILITIES AND SPECIALISTS IN MANY DISCIPLINES ALLOW BOTH HELICOPTER AND AIR AMBULANCE SERVICES TO TAKE PATIENTS TO THOSE HOSPITALS WITHIN A SHORT AMOUNT OF TIME. THE HOSPITAL HAS A SLIDING FEE SCALE AND FINANCIAL ASSISTANCE AVAILABLE FOR PATIENTS COMPLETING APPLICATIONS. THE HOSPITAL PROVIDES THE STANDARD INFLUENZA VACCINE AT A NOMINAL COST. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,338,372 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,690,730 | RevenueAmt |
| Desc | THE LONG-TERM CARE PROGRAM IS A MEDICARE APPROVED 49-BED SKILLED NURSING AND LONG-TERM CARE FACILITY WITH IN-HOUSE PHYSICAL THERAPY AVAILABLE. STAFF TO PATIENT RATIO IS ABOVE REQUIRED. A SOCIAL WORKER/RESIDENT ADVOCATE AND AN ENTHUSIASTIC ACTIVITIES PROGRAM MAKE OUR LTC ONE OF THE FINEST ANYWHERE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,106,099 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,328,393 | RevenueAmt |
| Desc | THE CLINICS PROGRAM CONSISTS OF THREE RURAL HEALTH CLINICS. WE HAVE PHYSICIANS, PHYSICIANS ASSISTANTS, AND NURSE PRACTITIONERS THAT WORK OUT OF OUR CLINICS TO SERVE THE NEEDS OF THE COMMUNITY. ONE OF OUR CLINICS IS A WALK-IN CLINIC AVAILABLE AT CONVENIENT HOURS FOR OUR PATIENTS WHO NEED TO SEE A PROVIDER IMMEDIATELY OR WHO DO NOT HAVE A REGULAR DOCTOR. ALL CLINICS OFFER SERVICES AT A REDUCED FEE FOR THOSE WHO NEED IT. A FINANCIAL COUNSELOR IS AVAILABLE FOR ASSISTANCE AT ALL TIMES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $16,560,139 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 178 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID BEZARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7754636402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 SOUTH WHITACRE STREET | AddressLine1Txt |
| City | YERINGTON | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89447 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KALEB WARTGOW | |||||||
| DIRECTOR/CHIEF OF STAFF | 40.00 | Yes (X) | $339,600 | $0 | $36,564 | ||
| JOANNE LAWSON | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SCOTT HUNTLY | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EMILY CHRISTENSEN | |||||||
| DIRECTOR (THRU 07/2024) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALYCE REESE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EMILY TURNER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RONNIE WEIR-COOLEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARL WILSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEAH WILKINSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TONI INSERRA | |||||||
| CEO | 40.00 | $176,250 | $0 | $16,524 | Yes (X) | ||
| DAVID BEZARD | |||||||
| CFO | 40.00 | $156,269 | $0 | $28,637 | Yes (X) | ||
| TOM WALSH | |||||||
| MD | 40.00 | $317,563 | $0 | $7,083 | Yes (X) | ||
| LOREN SIMPSON | |||||||
| MD | 32.00 | $281,212 | $0 | $22,333 | Yes (X) | ||
| DANA LEWIS | |||||||
| MD | 40.00 | $174,731 | $0 | $12,470 | Yes (X) | ||
| THOMAS CLIFTEN | |||||||
| PHYSICAL THERAPIST | 40.00 | $165,221 | $0 | $27,145 | Yes (X) | ||
| THOMAS ARD | |||||||
| IT SUPERVISOR | 40.00 | $151,965 | $0 | $15,553 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,762,811 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,309 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | NURSING LOCUMS SERVICES | $2,205,874 |
| WESTERN HEALTHCARE LLC | |||||
| PO BOX 21228 DEPT 170 | TULSA | OK | 74121 | EMERGENCY ROOM LOCUMS SERVICES | $1,567,680 |
| BLUEPEAK TECHNOLOGY SOLUTIONS | |||||
| PO BOX 40865 | RENO | NV | 89504 | IT SUPPORT | $148,400 |
| NV RURAL HOSP PARTNERS | |||||
| 4600 KIETZKE LANE | RENO | NV | 89502 | MRI AND CONSORTIUM SERVICES | $142,808 |
| STABILITY HEALTHCARE INC | |||||
| 87 E GREEN STREET | PASADENA | CA | 91105 | NURSING LOCUMS SERVICES | $130,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,241,162 | GovernmentGrantsAmt |
| All Other Contributions | $60,896 | AllOtherContributionsAmt |
| Total Contributions | $1,302,058 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REVENUE-RELATED | 621400 | $15,259,248 | $15,259,248 |
| HOSPITAL DISTRICT REIMBURSEMENT | 621400 | $1,127,948 | $1,127,948 |
| DISTRICT TAX SUBSIDY | 900099 | $1,072,675 | $1,072,675 |
| UPL REVENUE | 621400 | $828,337 | $828,337 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,820 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,820 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,308,028 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,771 | TotalRevenueColumnAmt |
| Exclusion | $72,771 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,100 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,100 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,100 | TotalRevenueColumnAmt |
| Exclusion | $1,100 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EMPLOYEE MEALS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $33,613 | TotalRevenueColumnAmt |
| Exclusion | $33,613 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,031 | TotalRevenueColumnAmt |
| Exclusion | $34,031 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $67,644 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,751,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,308,028 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $141,515 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,681 | TotalAmt |
| Program Services | $378,740 | ProgramServicesAmt |
| Management And General | $408,941 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,172,555 | TotalAmt |
| Program Services | $7,732,646 | ProgramServicesAmt |
| Management And General | $439,909 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,755 | TotalAmt |
| Program Services | $83,390 | ProgramServicesAmt |
| Management And General | $124,365 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,241 | TotalAmt |
| Program Services | $381,488 | ProgramServicesAmt |
| Management And General | $544,753 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642,535 | TotalAmt |
| Program Services | $264,208 | ProgramServicesAmt |
| Management And General | $378,327 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,922 | TotalAmt |
| Management And General | $105,922 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21 | TotalAmt |
| Management And General | $21 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,799,139 | TotalAmt |
| Program Services | $4,571,179 | ProgramServicesAmt |
| Management And General | $227,960 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,064 | TotalAmt |
| Management And General | $9,064 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,084 | TotalAmt |
| Program Services | $169,388 | ProgramServicesAmt |
| Management And General | $180,696 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,571 | TotalAmt |
| Management And General | $533,571 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,167 | TotalAmt |
| Program Services | $312,190 | ProgramServicesAmt |
| Management And General | $2,977 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,591 | TotalAmt |
| Program Services | $8,085 | ProgramServicesAmt |
| Management And General | $13,506 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,261 | TotalAmt |
| Program Services | $88,093 | ProgramServicesAmt |
| Management And General | $2,168 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,530 | TotalAmt |
| Program Services | $3,145 | ProgramServicesAmt |
| Management And General | $385 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,029 | TotalAmt |
| Program Services | $474,073 | ProgramServicesAmt |
| Management And General | $57,956 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,718 | TotalAmt |
| Program Services | $105,005 | ProgramServicesAmt |
| Management And General | $5,713 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $1,025,573 | $1,025,573 | |
| MEDICAL SUPPLIES | $954,961 | $954,961 | |
| TAXES AND LICENSES | $30,438 | $30,438 | |
| DUES AND SUBSCRIPTIONS | $20,615 | $7,000 | $13,615 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $975 | TotalAmt |
| Program Services | $975 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,640,426 | TotalAmt |
| Program Services | $16,560,139 | ProgramServicesAmt |
| Management And General | $3,080,287 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400 | BOYAmt |
| EOY | $1,400 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,110,707 | BOYAmt |
| EOY | $4,168,038 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,761,557 | BOYAmt |
| EOY | $2,182,540 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,281 | BOYAmt |
| EOY | $203,556 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,429 | BOYAmt |
| EOY | $193,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,489,724 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,324,391 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,560,805 | BOYAmt |
| EOY | $3,165,333 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,131 | BOYAmt |
| EOY | $147,753 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,874,310 | BOYAmt |
| EOY | $10,062,300 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,022,197 | BOYAmt |
| EOY | $1,055,227 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,226,612 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,083 | BOYAmt |
| EOY | $448,480 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,426,892 | BOYAmt |
| EOY | $1,503,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,447,418 | BOYAmt |
| EOY | $8,558,593 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,447,418 | BOYAmt |
| EOY | $8,558,593 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,874,310 | BOYAmt |
| EOY | $10,062,300 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $111,175 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $21 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF NEVADA HOSPITAL ASSOCIATION AND NATIONAL RURAL HEALTH ASSOCIATION. A PORTION OF MEMBERSHIP DUES TO IS USED FOR LOBBYING. THE ASSOCIATIONS ADVOCATE ON BEHALF OF MEMBERS FOR IMPROVING EFFICIENCY AND ACCESSIBILITY TO THE HEALTHCARE DELIVERY SYSTEMS AND THE HEALTH STATUS OF PATIENTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,678,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $538,252 | DepreciationAmt |
| Book Value | $2,139,749 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,811,723 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,786,139 | DepreciationAmt |
| Book Value | $1,025,584 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,165,333 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $29,719 |
| THIRD PARTY REIMBURSEMENT PAYABLE | $300,523 |
| FINANCE LEASE LIABILITY | $118,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $448,480 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $251,922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $251,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,389,845 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,172 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,611,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,641,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,172 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,863,595 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,709,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,274,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,435,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,709,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,274,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,435,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,351,118 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,052,252 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,298,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.23090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $809,313 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $380,377 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,392,952 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,424,076 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,124 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH LYON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 940 | AddressLine1Txt |
| City | YERINGTON | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89447 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SLMCNV.ORG | WebsiteAddressTxt |
| State License | 660RUH-19 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH LYON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, LINE 7D | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SOUTH LYON MEDICAL CENTER | PART V, SECTION B, LINE 5: INFORMATION WAS COLLECTED FROM PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY UNMET HEALTH NEEDS WITHIN THE COMMUNITY. INFORMATION FROM THESE SOURCES WAS SUMMARIZED INTO THEMES THAT REPRESENT THE COMMUNITY'S UNMET HEALTH NEEDS, WHICH SERVE AS THE BASIS OF THE CHNA.PRIMARY DATA:PRIMARY DATA REPRESENTS INFORMATION COLLECTED FIRSTHAND FROM STAKEHOLDERS WITHIN SLMC'S COMMUNITY. THIS DATA WAS COLLECTED TO VALIDATE SECONDARY DATA FINDINGS THAT PERTAIN TO SLMC'S SERVICE AREA, IDENTIFY ISSUES THAT WERE NOT REPRESENTED IN THE SECONDARY DATA, AND UNDERSTAND WHAT SPECIFIC SUBGROUPS OF THE COMMUNITY MAY FACE ADDITIONAL CHALLENGES OR DISPARITIES.INTERVIEWS WERE CONDUCTED WITH COMMUNITY STAKEHOLDERS WHO BEST REPRESENTED THE BROAD INTERESTS, EXPERIENCES, AND NEEDS OF SLMC'S COMMUNITY, PARTICULARLY PEOPLE WHO REPRESENT MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. A COMMUNITY HEALTH SURVEY WAS ALSO DISTRIBUTED TO ENSURE THAT EACH PERSON HAD THE OPPORTUNITY TO PARTICIPATE AND BE HEARD IN THIS PROCESS. A COMPLETE LIST OF THE COMMUNITY STAKEHOLDERS CAN BE FOUND IN THE REFERENCES AND ACKNOWLEDGMENTS.THE INTERVIEWS AND SURVEYS WERE DESIGNED TO SOLICIT INFORMATION PERTAINING TO THE FOLLOWING TOPICS:- SIGNIFICANT HEALTHCARE ISSUES OR NEEDS- SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS THAT CONTRIBUTE TO HEALTH NEEDS- BARRIERS TO CARE WITHIN THE COMMUNITY- VULNERABLE POPULATIONS WHO EXPERIENCE DISPARITIES- SUGGESTIONS OR IDEAS TO ADDRESS THE COMMUNITY'S NEEDS- POTENTIAL RESOURCES OR INFRASTRUCTURE TO SUPPORT HEALTH, SOCIAL, BEHAVIORAL, OR ENVIRONMENTAL NEEDS- AREAS FOR COLLABORATION TO ADDRESS HEALTH NEEDSSECONDARY DATA:SECONDARY DATA WAS COLLECTED FROM STATISTICAL DATA SOURCES AVAILABLE AT THE LOCAL, REGIONAL, STATE, AND NATIONAL LEVEL. THIS DATA PROVIDES A PROFILE OF THE DEMOGRAPHIC, SOCIAL, ECONOMIC, AND HEALTH CHARACTERISTICS OF SLMC'S COMMUNITY. TO THE EXTENT POSSIBLE DATA WAS COLLECTED AT THE LOCAL LEVEL, AND COMPARED TO REGIONAL, STATE, OR NATIONAL BENCHMARKS WHEN DETERMINING HEALTH NEEDS.SOURCES OF SECONDARY DATA INCLUDE:- AMERICAN COMMUNITY SURVEY- BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM- CENTER FOR DISEASE CONTROL AND PREVENTION- COUNTY HEALTH RANKINGS- ESRI BUSINESS INFORMATION SOLUTIONS- HEALTHIEST COMMUNITIES, A COLLABORATION BETWEEN U.S. NEWS AND THE UNIVERSITY OF MISSOURI EXTENSION CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS- U.S. CENSUS BUREAU |
| SOUTH LYON MEDICAL CENTER | PART V, SECTION B, LINE 7D: PART V, SECTION B, LINES 7A & 10A:HTTPS://SLMCNV.ORG/COMMUNITY-NEEDS-ASSESSMENT/ |
| SOUTH LYON MEDICAL CENTER | PART V, SECTION B, LINE 11: FOLLOWING COMPLETION OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL EVALUATED ALL IDENTIFIED HEALTH PRIORITIES AND DEVELOPED AN IMPLEMENTATION STRATEGY FOCUSED ON AREAS WHERE THE ORGANIZATION CAN HAVE THE STRONGEST AND MOST SUSTAINABLE IMPACT. THE HOSPITAL HAS ALIGNED ITS RESOURCES, PARTNERSHIPS, AND CLINICAL CAPABILITIES TO ADDRESS THE FOLLOWING SIGNIFICANT NEEDS:1. ACCESS TO HEALTH CARE SERVICES- EDUCATION DURING COMMUNITY EVENTS - COMMUNITY OUTREACH PROMOTING AND OFFERING MORE IN-PERSON HEALTH AND WELLNESS EDUCATION CLASSES/PROGRAMSTHE FACILITY WILL WORK WITH OUR DEMENTIA AND COMMUNICATIONS SPECIALIST TO CREATE NEW COMMUNITY FOCUSED PROGRAMS ON TOPICS INCLUDING DEALING WITH DEMENTIA, CAREGIVER BURNOUT, AND DEALING WITH GRIEF. THE FACILITY WILL ENSURE A PRESENCE AT COMMUNITY EVENTS TO PROMOTE WELLNESS AND WELL-BEING. THE FACILITY IS LOOKING AT THE RETURN OF TWO POPULAR COMMUNITY EVENTS THAT WERE ENDED DURING THE COVID19 PANDEMIC INCLUDING A VERSION OF THE HEALTHY EATS PROGRAM WHERE WE SHOWCASE AND EDUCATE THE COMMUNITY ON HEALTHY EATING WHILE MAKING IT FUN.- PROVIDING EASIER ACCESS FOR PATIENTS TO MAKE APPOINTMENTSBEGINNING APRIL 1, 2025, CLINIC STAFF HAVE BEEN REDISTRIBUTED AND ADDITIONAL STAFF TRAINED TO ENSURE PATIENTS ARE ABLE TO BOOK APPOINTMENTS EASILY AT LEAST SIX DAYS PER WEEK.- ENSURING WE HAVE ENOUGH STAFF TO ALLOW OUR CLINICS TO ALWAYS BE OPEN CONSISTENTLY. WE HAVE EMPLOYED A FOURTH PROVIDER FOR OUR RURAL HEALTH CLINIC LOCATED ON OUR CAMPUS. WITH THE ADDITION OF THAT STAFF, THE CLINIC WILL BE AVAILABLE FIVE DAYS A WEEK. WE ARE EXPANDING THE HOURS IN OUR CLINICS TO PROVIDE AN OPPORTUNITY FOR WORKING PATIENTS TO MAKE AN APPOINTMENT AFTER THEIR WORK HOURS. - BUILDING TRUST WITH EXCEPTIONAL CUSTOMER SERVICE SO PATIENTS WANT TO RECEIVE SERVICE IN OUR FACILITY RATHER THAN GOING ELSEWHERE.WE ARE WORKING TO PROVIDE FACILITY WIDE CUSTOMER SERVICE TRAINING WITH FOCUSED TRAINING FOR OUR FRONT LINE STAFF.2. COST OF HEALTHCARE- OFFERING AN EDUCATION CLASS ON HOW TO USE TELEHEALTH SERVICES FOR TECHNOLOGY ILLITERATE PATIENTSWE WILL DEVELOP AND IMPLEMENT A SYSTEM THAT INSTRUCTS AND OR DOES A TEST RUN WITH PATIENTS USING TELEMEDICINE FOR THE FIRST TIME.- DEVELOPING A COMMUNITY HEALTH CARE CENTER TO PROVIDE AFFORDABLE PRIMARY CARE FOR THE UNDERSERVED. WE CURRENTLY ARE PARTNERED WITH UNR SCHOOL OF MEDICINE AND FACILITATE BRINGING MOBILE RURAL OUTREACH CLINICS TO YERINGTON AND SURROUNDING AREAS TO PROVIDE LOW TO NO COST MEDICAL CARE FOR OUR COMMUNITIES. THE FACILITY OFFERS MANY FINANCIAL AID PROGRAMS TO THE PATIENTS INCLUDING A PROMPT PAY DISCOUNT OF 30%, A SLIDING FEE APPLICATION ALLOWING A DISCOUNT UP TO 100% BASED ON INCOME AND A CASH CLINIC FOR THOSE PATIENTS WITH HIGH DEDUCTIBLES OR NO INSURANCE.3. MENTAL ILLNESS- LOOKING AT ESTABLISHING MENTAL AND BEHAVIORAL HEALTH PROFESSIONALS AND INTEGRATING MENTAL HEALTH SERVICES WITH OUR EXISTING PRIMARY CARETHE FACILITY IS EXPLORING A PARTNERSHIP TO PROVIDE ADDITIONAL MENTAL HEALTH SERVICES.- ESTABLISHING PEER SUPPORT PROGRAMS IN OUR FACILITY FACILITATED BY TRAINED SPECIALISTSWE ARE CURRENTLY DEVELOPING AND IMPLEMENTING AND FACILITATING PEER SUPPORT GROUPS WITH COMMUNITY SPECIALISTS - MORE TRAINING FOR OUR PROVIDERS TO UNDERSTAND OUR CULTURAL NUANCES OF A RURAL COMMUNITY 4A. DRUG ABUSE- CREATING ACCESS TO SUBSTANCE ABUSE SERVICESWE WILL CREATE AWARENESS OF THE CURRENT SUBSTANCE ABUSE SERVICES IN OUR COMMUNITY AND PARTNER WITH NA AND AA TO MAKE SURE THE SERVICES ARE WELL PUBLICIZED AND AVAILABLE TO OUR COMMUNITY MEMBERS- OFFERING SMOKING CESSATION PROGRAMS AT OUR FACILITYWE WILL WORK WITH THE AMERICAN CANCER SOCIETY TO SEE HOW WE CAN FACILITATE SMOKING CESSATION PROGRAMS IN OUR FACILITY.- DEVELOP AND IMPLEMENT A MARKETING PLAN TO REDUCE STIGMA.WE WILL WORK WITH OUR SURROUNDING HEALTH PARTNERS TO BRING AWARENESS TO THE STRUGGLES OF DRUG ADDICTION AND EDUCATE OUR COMMUNITY WITH THE SERVICES THAT ARE AVAILABLE.- WORKING WITH OTHER COMMUNITY LEADERS SUCH AS THE SCHOOL TO TARGET TEENS OR THE WOMEN'S LIFE CHOICES CENTER TO TARGET ADDICTED PREGNANT WOMEN. 4B. DIABETES- CONTINUE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAM.WE WILL CONTINUE TO ADVERTISE AND HOLD SELF-MANAGEMENT CLASSES AND ASCERTAIN IF A SUPPORT GROUP IS DESIRED.- UPDATING OUR SOCIAL MEDIA AND WEBSITE, MAKING SURE OUR CONTACT INFORMATION AND SERVICES ARE EASY TO FINDWE HAVE GIVEN ACCESS TO UPDATE AND MODIFY OUR WEBSITE AND SOCIAL MEDIA PLATFORMS TO MORE PEOPLE TO ENSURE THE UPDATES ARE HAPPENING REGULARLY- EDUCATION DURING COMMUNITY EVENTS - COMMUNITY OUTREACHWE ARE SURE TO HAVE AN INFORMATION BOOTH AT COMMUNITY EVENTS WITH EDUCATION OPPORTUNITIES AND MARKETING MATERIALS- TELEHEALTH AND FACE TO FACE INTERVENTIONS WHICH WOULD INCLUDE GOAL SETTING WITH THE PATIENT- WORKING WITH THE SCHOOLS FOR CHILDREN WITH DIABETIC NEEDS. - ALLOWING PRIMARY CARE PROVIDERS TO USE COMMUNITY KNOWLEDGE AND DATA TO REDESIGN EFFECTIVE DIABETES CARE DELIVERY SYSTEMSWE WILL KEEP AN UP-TO-DATE RESOURCE LIST FOR OUR PROVIDERS THAT WILL GIVE THEM EDUCATIONAL OPPORTUNITIES FOR THEIR PATIENTS WITHIN OUR COMMUNITY AND BEYOND. |
| PART V, SECTION B, LINE 16 (A-C): | HTTPS://SLMCNV.ORG/FINANCIAL-SERVICES/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LONG TERM CARE | ||||
| 213 S WHITACRE STREET | YERINGTON | NV | 89447 | LONG TERM CARE |
| 2 - PHYSICIAN'S CLINIC | ||||
| 311 SURPRISE STREET | YERINGTON | NV | 89447 | RURAL HEALTH CLINIC |
| 3 - BARNETT CLINIC | ||||
| 213 S WHITACRE STREET | YERINGTON | NV | 89447 | RURAL HEALTH CLINIC |
| 4 - SMITH VALLEY CLINIC | ||||
| 445 STATE HWY 338 | WELLINGTON | NV | 89444 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY IS THE COST TO CHARGES RATIO. THE COST-TO-CHARGES RATIO IS USED FOR ALL PATIENT SEGMENT LINE INPATIENT, OUTPATIENT, AND EMERGENCY ROOM. |
| PART I, LINE 7G: | THE ORGANIZATION IS INCLUDING THE THREE RURAL HEALTH CLINICS IN ITS SUBSIDIZED SERVICES CALCULATION. THE YERINGTON CLINIC HAD TOTAL COMMUNITY BENEFIT EXPENSE OF $1,530,569, DIRECT OFFSETTING REVENUE OF $561,577 AND NET COMMUNITY BENEFIT EXPENSE OF $968,992; THE SMITH VALLEY CLINIC HAD TOTAL COMMUNITY BENEFIT EXPENSE OF $1,032,198, DIRECT OFFSETTING REVENUE OF $401,253 AND NET COMMUNITY BENEFIT EXPENSE OF $630,945; AND THE BARNETT CLINIC HAD TOTAL COMMUNITY BENEFIT EXPENSE OF $1,147,564, DIRECT OFFSETTING REVENUE OF $311,251 AND NET COMMUNITY BENEFIT EXPENSE OF $836,313. |
| 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 $ 1,025,573. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL PROVIDED FREE INFLUENZA VACCINATIONS TO ALL COMMUNITY MEMBERS AGED SIX MONTHS AND OLDER AS PART OF ITS ONGOING COMMITMENT TO IMPROVE COMMUNITY HEALTH AND REDUCE PREVENTABLE ILLNESS. THIS INITIATIVE REMOVED FINANCIAL AND ACCESS BARRIERS FOR RESIDENTS IN OUR RURAL SERVICE AREA, INCLUDING UNINSURED AND UNDERINSURED INDIVIDUALS. BY OFFERING NO-COST VACCINES, THE HOSPITAL HELPED DECREASE THE INCIDENCE OF SEASONAL FLU, REDUCED POTENTIAL STRAIN ON LOCAL HEALTHCARE RESOURCES, AND SUPPORTED OVERALL PUBLIC HEALTH PREPAREDNESS. THIS ACTIVITY ALIGNS WITH THE HOSPITAL'S COMMUNITY BENEFIT MISSION AND RESPONDS DIRECTLY TO NEEDS IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT. AS PART OF ITS COMMUNITY BENEFIT ACTIVITIES, THE HOSPITAL PROVIDES DISCOUNTED LABORATORY TESTING THROUGH ITS WELLNESS WEDNESDAY PROGRAM TO INCREASE ACCESS TO PREVENTIVE HEALTH SERVICES FOR ALL RESIDENTS, INCLUDING UNINSURED AND UNDERINSURED INDIVIDUALS. THE HOSPITAL ALSO OFFERS FREE, QUARTERLY DIABETES EDUCATION CLASSES TO SUPPORT CHRONIC DISEASE MANAGEMENT AND REDUCE PREVENTABLE COMPLICATIONS. IN ADDITION, THE HOSPITAL HOSTS ANNUAL COMMUNITY HEALTH FAIRS THAT PROVIDE SCREENINGS, HEALTH INFORMATION, AND RESOURCE CONNECTIONS AT NO COST. TO FURTHER ADDRESS ACCESS GAPS IN REMOTE AREAS, THE HOSPITAL CONDUCTS FREE MONTHLY RURAL OUTREACH CLINICS IN PARTNERSHIP WITH REGIONAL HEALTHCARE PROVIDERS. TOGETHER, THESE INITIATIVES ADVANCE THE HOSPITAL'S MISSION TO IMPROVE COMMUNITY HEALTH AND ADDRESS PRIORITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART III, LINE 2: | THIS AMOUNT IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES FOR SERVICES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY IS DETERMINED BY THE ORGANIZATION USING INFORMATION AVAILABLE TO MAKE AN EDUCATED ESTIMATE. |
| PART III, LINE 4: | THE ORGANIZATION DOES NOT HAVE A SEPARATE BAD DEBT FOOTNOTE. THE FOOTNOTE INCLUDED HERE IS THE PATIENT AND RESIDENT ACCOUNTS RECEIVABLES AND CREDIT POLICY NOTE.PATIENT AND RESIDENT ACCOUNTS RECEIVABLE ARE REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT AND RESIDENT CARE SERVICES. PATIENT AND RESIDENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS, WHICH REFLECTS MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE ORGANIZATION ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT AND RESIDENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT AND RESIDENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS AND RESIDENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST REPORTED IN THE MEDICARE COST REPORT IS THE COST TO CHARGE RATIO. |
| PART III, LINE 9B: | EMERGENCY ROOM PATIENTS WITHOUT A PAYMENT SOURCE MAY BE CLASSIFIED AS CHARITY IF THEY DO NOT HAVE A JOB, MAILING ADDRESS, RESIDENCE, OR INSURANCE. CONSIDERATION MUST ALSO BE GIVEN TO CLASSIFYING EMERGENCY ROOM ONLY PATIENTS WHO DO NOT PROVIDE ADEQUATE INFORMATION AS TO THEIR FINANCIAL STATUS. IN MANY INSTANCES, THESE PATIENTS ARE HOMELESS AND HAVE FEW RESOURCES TO COVER THE COST OF THEIR CARE.IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE HOSPITAL'S CHARITY CARE ELIGIBILITY CRITERIA, THEIR PATIENT ACCOUNT MAY BE CONSIDERED CHARITY CARE, EVEN IF THEY WERE ORIGINALLY CLASSIFIED AS A BAD DEBT. COLLECTION AGENCY PATIENT ACCOUNTS MEETING CHARITY CARE CRITERIA SHOULD BE RETURNED TO THE HOSPITAL BILLING OFFICE AND REVIEWED FOR CHARITY CARE ELIGIBILITY. |
| PART VI, LINE 2: | SOUTH LYON MEDICAL CENTER (SLMC) CONDUCTS WELLNESS WEDNESDAY WEEKLY OFFERING REDUCED LAB TESTING TO ACCESS PATIENT HEALTH. SLMC WILL MEET WITH LOCAL ORGANIZATIONS (I.E., ROTARY, SOROPTIMISTS, ETC.) UPON REQUEST. SLMC IS ALSO DEVELOPING A COMMUNITY WELLNESS PROGRAM WITH A FOCUS ON DIABETES IN ENGLISH AND SPANISH. THE ORGANIZATION PROVIDES COMMENT BOXES, HCAPHS SURVEYS AND PATIENT COMPLAINT/CONCERNS SURVEYS TO GATHER INFORMATION ON COMMUNITY NEEDS. |
| PART VI, LINE 3: | PUBLIC NOTICE OF THE AVAILABILITY OF ASSISTANCE THROUGH THE CHARITY CARE POLICY ARE MADE THROUGH EACH OF THE FOLLOWING MEANS:1. POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS.2. INCLUDING INFORMATION IN THE BILLS SENT TO UNINSURED PATIENTS STATEMENTS INDICATING:A) IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FOR FINANCIAL ASSISTANCE FROM THE HOSPITAL.B) A HOSPITAL PHONE NUMBER THAT PATIENTS MAY CALL FOR FURTHER INFORMATION.3. POSTING NOTICE OF THE AVAILABILITY OF ASSISTANCE AND A CONTACT PHONE NUMBER ON THE SLMC WEB SITE.4. PROVIDING UNINSURED PATIENTS INFORMATION OUTLINING THE TYPES OF FINANCIAL ASSISTANCE AVAILABLE.POSTED NOTICES (AS LISTED ABOVE) SHALL BE IN THE PRIMARY LANGUAGE(S) OF SLMC'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. POSTED NOTICES SHALL CONTAIN THE FOLLOWING INFORMATION:1. A STATEMENT INDICATING THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR FULL OR PARTIAL CHARITY CARE WRITE-OFF.2. IDENTIFICATION OF A HOSPITAL CONTACT PHONE NUMBER THAT THE PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND ABOUT HOW TO APPLY FOR ASSISTANCE. |
| PART VI, LINE 4: | AS OF 2021, THE POPULATION OF THE PSA IS 8,897, WITH PROJECTIONS ESTIMATING THAT THE PSA IS ANTICIPATED TO GROW BY 3% OVER THE NEXT FIVE YEARS, OR BY ABOUT 286 PEOPLE.THE AGE DISTRIBUTION OF THE POPULATION ALSO IMPACTS THE NEED FOR HEALTHCARE SERVICES. THE COMMUNITY SERVED BY SLMC TRENDS SIGNIFICANTLY OLDER THAN STATE AND NATIONAL BENCHMARKS, WITH 30% OF THE POPULATION CONSISTING OF PEOPLE OVER THE AGE OF 65. THIS AGE COHORT IS ANTICIPATED TO CONTRIBUTE TO A MAJORITY OF THE GROWTH PROJECTED IN THE PSA OVER THE NEXT FIVE YEARS (321 PEOPLE) SLMC'S PSA IS PREDOMINANTLY WHITE, WITH 64% OF THE POPULATION CONSISTING OF INDIVIDUALS WHO IDENTIFY AS WHITE, NON-HISPANIC. APPROXIMATELY 26% OF THE POPULATION IDENTIFIES AS HISPANIC, HIGHER THAN THE NATIONAL BENCHMARK OF 19%. INCOME IS ONE OF THE MOST IMPORTANT SOCIAL DETERMINANTS OF HEALTH, IMPACTING NOT ONLY EDUCATION AND LIVING CONDITIONS, BUT ALSO PHYSICAL HEALTH, MENTAL HEALTH, AND HEALTH-RELATED BEHAVIORS SUCH AS DIET AND EXERCISE. HOUSEHOLD INCOME IN THE PSA TRENDS SIGNIFICANTLY LOWER THAN COUNTY, STATE, AND NATIONAL BENCHMARKS, WITH 38% OF HOUSEHOLDS IN THE PSA REPORTING A HOUSEHOLD INCOME BELOW $35,000, COMPARED TO 29% OF HOUSEHOLDS IN LYON COUNTY. THIS INDICATES THAT SLMC'S PSA IS SIGNIFICANTLY LESS AFFLUENT. |
| PART VI, LINE 5: | SOUTH LYON MEDICAL CENTER HAS A COMMUNITY-BASED BOARD OF DIRECTORS; AN OPEN MEDICAL STAFF AND USES SURPLUS FUNDS TO PAY FOR COMMUNITY SERVICES SUCH AS HEALTH FAIRS, SPACE FOR MEDICAL SPECIALISTS FOR LOCAL VISITS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KALEB WARTGOW | ||||||||||||||
| DIRECTOR/CHIEF OF STAFF | $339,600 | $0 | $0 | $0 | $0 | $0 | $13,584 | $0 | $22,980 | $0 | $376,164 | $0 | $0 | $0 |
| TOM WALSH | ||||||||||||||
| MD | $317,563 | $0 | $0 | $0 | $0 | $0 | $7,083 | $0 | $0 | $0 | $324,646 | $0 | $0 | $0 |
| LOREN SIMPSON | ||||||||||||||
| MD | $281,212 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,333 | $0 | $303,545 | $0 | $0 | $0 |
| TONI INSERRA | ||||||||||||||
| CEO | $176,250 | $0 | $0 | $0 | $0 | $0 | $7,050 | $0 | $9,474 | $0 | $192,774 | $0 | $0 | $0 |
| THOMAS CLIFTEN | ||||||||||||||
| PHYSICAL THERAPIST | $165,221 | $0 | $0 | $0 | $0 | $0 | $4,999 | $0 | $22,146 | $0 | $192,366 | $0 | $0 | $0 |
| DANA LEWIS | ||||||||||||||
| MD | $174,731 | $0 | $0 | $0 | $0 | $0 | $2,895 | $0 | $9,575 | $0 | $187,201 | $0 | $0 | $0 |
| DAVID BEZARD | ||||||||||||||
| CFO | $156,269 | $0 | $0 | $0 | $0 | $0 | $6,491 | $0 | $22,146 | $0 | $184,906 | $0 | $0 | $0 |
| THOMAS ARD | ||||||||||||||
| IT SUPERVISOR | $151,965 | $0 | $0 | $0 | $0 | $0 | $6,079 | $0 | $9,474 | $0 | $167,518 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| REBECCA INSERRA | |||
| EMPLOYEE OF HOSPITAL | $75,955 | REBECCA INSERRA IS A FAMILY MEMBER OF TONI INSERRA. | 0 |
| CATHY WILSON | |||
| EMPLOYEE OF HOSPITAL | $79,841 | CATHY WILSON IS A FAMILY MEMBER OF CARL WILSON AND RONNIE WEIR-COOLEY | 0 |
| JOHSUA INSERRA | |||
| EMPLOYEE OF HOSPITAL | $55,770 | JOSHUA INSERRA IS A FAMILY MEMBER OF TONI INSERRA. | 0 |
| THOMAS K ARD | |||
| EMPLOYEE OF HOSPITAL | $18,195 | THOMAS K. ARD IS A FAMILY MEMBER OF THOMAS H. ARD. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CARL WILSON AND RONNIE WEIR-COOLEY HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS 28 MEMBERS. THERE IS ONLY ONE CLASS OF MEMBERS, ALL MEMBERS ARE VOTING MEMBERS. MEMBERSHIP IS LIMITED TO RESIDENTS OF THE SOUTH LYON HOSPITAL DISTRICT. MEMBERS ARE ACCEPTED ANNUALLY UPON COMPLETION OF AN APPLICATION AND PAYMENT OF ANNUAL DUES. MEMBERS MAY HAVE A MOTION CONSIDERED BY THE BOARD OF DIRECTORS. ANY WRITTEN MOTION THAT IS SECONDED WILL BE PRESENTED TO THE BOARD AND THERE WILL BE A DETERMINATION WITHIN 90 DAYS. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS HAVE UNLIMITED TERMS AND ARE ACCEPTED UPON YEARLY COMPLETION OF THE CORPORATION APPLICATION AND PAYMENT DUES. THE MEMBERS ARE REQUIRED TO MEET ANNUALLY AND MUST BE RESIDENTS OF THE SOUTH LYON HOSPITAL DISTRICT. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE AUDIT FIRM BASED ON THE INFORMATION PROVIDED BY THE CFO OF THE ORGANIZATION. FORM 990 IS THEN REVIEWED AND APPROVED BY THE CEO PRIOR TO PRESENTING TO THE BOARD OF DIRECTORS. THE FORM IS THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, MEMBERS OF THE ADMINISTRATIVE STAFF, AND OTHER PERSONS EMPLOYED BY THE ORGANIZATION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. ADMINISTRATION AND RISK MANAGEMENT REVIEW FILES FOR SIGNATURES AND DISCLOSURES. IF A CONFLICT OF INTEREST DOES OCCUR, IT IS ANNOUNCED TO THE ENTIRE BOARD PRESENT. IF NECESSARY, THE BOARD ASKS FOR STAFF INPUT AND LEGAL OPINION TO DETERMINE IF A CONFLICT EXISTS IF THE BOARD CANNOT DO SO INDEPENDENTLY. THE INTERESTED BOARD MEMBER WILL ABSTAIN FROM VOTING ON ITEMS THAT HAVE BEEN IDENTIFIED AS A POTENTIAL CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CEO, TOP MANAGEMENT AND OFFICERS OF THE ORGANIZATION IS DETERMINED BY USING SURVEYS FROM THE NEVADA HOSPITAL ASSOCIATION, NEVADA RURAL HOSPITAL PARTNERS, MGMA, MERRITT HAWKINS AND OTHER PROFESSIONAL SURVEY INSTRUMENTS. THE CEO'S COMPENSATION IS THEN APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AND ANNOUNCES SUCH AT BOARD MEETINGS AND THE ANNUAL SOUTH LYON HOSPITAL DISTRICT CORPORATION MEETING. |
| FORM 990, PART IX, LINE 11G | MED/SURG SERVICES: PROGRAM SERVICE EXPENSES 1,064,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,064,275. ER SERVICES: PROGRAM SERVICE EXPENSES 1,652,585. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,652,585. LTC SERVICES: PROGRAM SERVICE EXPENSES 1,080,564. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,080,564. OTHER SERVICES: PROGRAM SERVICE EXPENSES 500,369. MANAGEMENT AND GENERAL EXPENSES 96,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 596,862. MRI SERVICES: PROGRAM SERVICE EXPENSES 126,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,913. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 146,473. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,473. BUSINESS OFFICE PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 131,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,467. |