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Carson-tahoe Health System
Carson City, NV 89703
| Bed count | 15 | Medicare provider number | 290051 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2015
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 37,322,645 Total amount spent on community benefits as % of operating expenses$ 2,692,117 7.21 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 233,654 0.63 %Medicaid as % of operating expenses$ 749,649 2.01 %Costs of other means-tested government programs as % of operating expenses$ 168 0.00 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 1,524,355 4.08 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 184,291 0.49 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2015
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 532,417 1.43 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2015
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2015
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 36915678 including grants of $ 184291) (Revenue $ 29771273) Carson Tahoe Health System is the parent company of 6 entities that provide care and serve the community. There are 3 hospitals (acute, long term, and surgical), Behavioral Health, Urgent & Emergent care centers, and Outpatient Imaging, Rehabilitation, and Physician services. The Regional Medical Center is the main hub of Carson Tahoe Health. Located in North Carson City, Nevada, the regional medical center provides inpatient and outpatient medical services for over 250,000 people. See Schedule O for continuation.
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Facility Information
FORM 990, SCHEDULE H, PART V, LINE 5 - COMMUNITY HEALTH NEEDS ASSESSMENT As part of this Community Health Needs Assessment, two focus groups were held on May 2, 2013. The focus group participants included 17 local key informants: physicians, a public health representative, other health professionals, social service providers, business leaders and other community leaders. A list of recommended participants for the focus groups was provided by Carson Tahoe Health. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Focus group candidates were first contacted by letter to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed the day before the groups were scheduled to insure a reasonable turnout. Final participation included representatives of several organizations. Through this process, input was gathered from a representative of public health, as well as several individuals whose organizations work with low-income, minority (including African American, Hispanic, Native American, and undocumented residents), or other medically underserved populations (specifically, elderly, disabled, the uninsured/underinsured, homeless and Medicaid recipients).
FORM 990, SCHEDULE H, PART V, LINE 6A - COMMUNITY HEALTH NEEDS ASSESSMENT CARSON TAHOE CONTINUING CARE HOSPITAL CARSON TAHOE REGIONAL HEALTHCARE
FORM 990, SCHEDULE H, PART V, LINE 11 - COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL IS ADDRESSING SIX AREAS IDENTIFIED IN THE CHNA WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY. THE AREAS BEING ADDRESSED ARE: ACCESS TO HEALTH SERVICES; DIABETES ISSUES AND TREATMENT; CANCER SCREENING AND TREATMENT; MENTAL HEALTH AND MENTAL DISORDERS (INCLUDING DEMENTIAS AND ALZHEIMER'S DISEASE); NUTRITION ISSUES; PHYSICAL ACTIVITY AND WEIGHT ISSUES; AND, MATERNAL, INFANT AND CHILD HEALTH. THE AREAS IDENTIFIED BUT NOT BEING ADDRESSED BECAUSE THEY ARE OUTSIDE THE HOSPITAL'S CORE SPHERE OF INFLUENCE INCLUDE DISABILITY, INJURY AND VIOLENCE, AND ORAL HEALTH.
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Supplemental Information
FORM 990, SCHEDULE H, PART III, SECTION A - BAD DEBT, LINE 2A Gross charges in 2015 expected to be written-off as bad debt.
FORM 990, SCHEDULE H, PART III, SECTION A - BAD DEBT, LINE 4 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, PAGES 13 SEE NOTE 2: PATIENT ACCOUNTS RECEIVABLE LINE 2: THE AMOUNT ENTERED REPRESENTS THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS.
FORM 990, SCHEDULE H, PART III, SECTION B - MEDICARE, LINE 8A Medicare allowable costs per the as filed FY 2015 Medicare Cost Report.
FORM 990, SCHEDULE H, PART III, SECTION C - COLLECTION POLICIES, LINE 9B Policies in effect during 2015 ARE THE same as CARSON TAHOE REGIONAL HEALTHCARE and Carson Tahoe Continuing Care Hospital. THE APPLICATION PERIOD FOR COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FOR A MINIMUM OF 240 DAYS FROM THE TIME OF PATIENT SERVICE.
FORM 990, SCHEDULE H, PART VI - NEEDS ASSESSMENT The most current needs assessment was done in 2013 by the main hospital of this Health System, Carson Tahoe Regional Healthcare. Needs are currently based on direct patient and physician feedback, survey responses and best practice information from other organizations. Information obtained from the previous needs assessment conducted in 2010 recognized the community's need for better access to healthcare. In response, Carson Tahoe has established cardiology clinics and clinics at WalMart in outlying areas. The healthcare system relies on Intellimed services to report information on out migration of services within the primary and secondary markets then utilitzes information gathered to formulate needs assessment. Our HealthCheck laboratory services offers health screening at discounted rates as a result of feedback from physicians and community requests. We work with Nevada State Health and Human Services on identifying areas of need. CDC and Infection Control monitor industry trends and advises possible areas of focus.
FORM 990, SCHEDULE H, PART VI - PATIENT EDUC OF ELIGIBILITY FOR ASSISTANCE Information is provided to the patient at the time of registration, both in writing and through direct discussion with patients. Information is provided in the patient's bill. Eligibility representatives and financial counselors are located on site.
FORM 990, SCHEDULE H, PART VI - COMMUNITY INFORMATION The hospital community consists of a small urban area and a large rural population in excess of 250,000 people, covering Northern Nevada and Eastern California, largest demographic age is 50 and above.
FORM 990, SCHEDULE H, PART VI - PROMOTION OF COMMUNITY HEALTH Use of surplus funds allows facility to update medical equipment and technology which provide advancements in patient care. Carson Tahoe participates with Carson City Health and Human Services in the Community Health Improvemenht Plan 2020. Carson Tahoe provides outreach programs, health fairs, wellness programs, business health partnerships, seminars, lectures and educational forums to help promote a healthier community. The Women's Health Institute provides free health resources, classes and guidance. Carson Tahoe is committed to providing the best healthcare available to all community members regardless of their ability to pay.
FORM 990, SCHEDULE H, PART VI - AFFILIATED HEALTH CARE SYSTEM The Carson Tahoe Health System is a network of healthcare facilities, services and programs located in and around Northern Nevada and Eastern California. With deep roots in the community and over 60 years of being the health experts in our region, the community has looked to Carson Tahoe to uphold the highest possible standards in health practices. Carson Tahoe Health offers 4 levels of care to our region, ranging from treatment of common ailments at our walk-in Retail Clinics at Walmart to lifesaving emergency services at our Regional Medical Center in North Carson City. By considering location and severity of the situation, one can determine what healthcare setting has the providers and technology that best suits the illness or injury in the most cost-effective and timely manner. This organization provides hospital care.
