Community Benefit Insight - Tax-exempt hospital

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Tlc Health Network

Tlc Health Network

845 Routes 5 & 20
Irving, NY 14081

Bed count	45	Medicare provider number	330132	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 160772474

Display data for year:

Community Benefit Spending- 2017
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

12.95%

Spending by Community Benefit Category- 2017
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2017

Additional data

Community Benefit Expenditures: 2017

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 185,617 0.58 %
Medicaid as % of operating expenses	$ 1,935,667 6.10 %
Costs of other means-tested government programs as % of operating expenses	$ 153,517 0.48 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 1,836,341 5.79 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
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: 2017

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	$ 1,430,759 4.51 %
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	$ 45,049 3.15 %

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:
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.
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.
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.

Community Health Needs Assessment Activities: 2017

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: 2017

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 25201962 including grants of $ 0) (Revenue $ 24455679)
INPATIENT CARE: TLC HEALTH NETWORK PROVIDES INPATIENT ACUTE AND BEHAVIORAL HEALTH TO RESIDENTS OF IRVING, NY AND THE SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. INPATIENT ADMISSIONS FOR 2017 TOTALED 933.OUTPATIENT, SURGICAL & EMERGENCY CARE: TLC HEALTH NETWORK PROVIDES OUTPATIENT, SURGICAL AND EMERGENCY HOSPITAL CARE TO RESIDENTS OF IRVING, NY AND THE SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. OUTPATIENT, SURGICAL AND EMERGENCY CARE PATIENT ACCOUNTS FOR 2017 TOTALED 62,514.SKILLED NURSING CARE: TLC HEALTH NETWORK PROVIDES SKILLED NURSING CARE TO RESIDENTS OF IRVING, NY AND THE SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. PATIENT CARE DAYS FOR 2017 TOTALED 1,867.HOME HEALTH CARE: TLC HEALTH NETWORK PROVIDES HOME HEALTH CARE TO RESIDENTS OF IRVING, NY AND THE SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. HOME HEALTH CARE VISITS FOR 2017 TOTALED 23,911.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

TLC HEALTH NETWORK - LAKE SHORE HOSPITAL
"PART V, SECTION B, LINE 5: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, TLC HEALTH NETWORK WORKED WITH THE REST OF THE CHAUTAUQUA COUNTY COMMUNITY HEALTH PLANNING TEAM (CCCHPT) TO ASSESS THE HEALTH NEEDS OF THE GREATER CHAUTAUQUA COUNTY REGION. THE CCCHPT ADOPTED A THREE-PRONGED APPROACH IN CONDUCTING THE ASSESSMENT WHICH INVOLVED GATHERING INPUT FROM COMMUNITY MEMBERS, SECONDARY DATA FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND OTHER HEALTH RESOURCES, AND INPUT FROM LOCAL CONTENT AREA EXPERTS.COMMUNITY INPUT WAS GATHERED THROUGH A PRIMARILY WEB-BASED SURVEY AND THREE COMMUNITY CONVERSATIONS IN DIFFERENT GEOGRAPHIC SECTIONS OF THE COUNTY. IN 2016, SURVEY RESPONSES WERE COLLECTED. COMMUNITY MEMBERS' PERCEPTIONS OF HEALTH ISSUES WERE ALSO GATHERED AT THREE ""COMMUNITY CONVERSATIONS"" SPONSORED BY THE P2 COLLABORATIVE OF WNY AND THE CHAUTAUQUA COUNTY HEALTH NETWORK. THESE CONVERSATIONS SPANNED CHAUTAUQUA COUNTY'S GEOGRAPHIC AND CULTURAL SEPARATIONS, COVERING THE ""NORTH COUNTY"" IN DUNKIRK, THE ""SOUTH COUNTY"" IN JAMESTOWN, AND THE ""WEST COUNTY"" IN WESTFIELD. THESE DIVERSE LOCATIONS WERE ABLE TO CAPTURE BOTH THE COUNTY'S RURAL AND URBAN POPULATIONS. IN ADDITION TO THE DATA GLEANED FROM THE PUBLIC PARTICIPATION PROCESS, THE CCCHPT THOROUGHLY EXAMINED THE NYSDOH COMMUNITY HEALTH INDICATOR REPORTS AND TRACKING INDICATORS FOR PUBLIC HEALTH PRIORITY AREAS, COMPARING COUNTY NUMBERS AND RATES OF HEALTH CONDITIONS WITH THOSE OF NEW YORK STATE AND NEW YORK STATE EXCLUDING NEW YORK CITY. DEMOGRAPHIC DATA FOR CHAUTAUQUA COUNTY WAS GLEANED FROM THE UNITED STATES CENSUS BUREAU WEBSITE. LOCAL-LEVEL DATA THAT WAS NOT CAPTURED BY THE U.S. CENSUS BUREAU WAS REQUESTED FROM LOCAL AGENCIES. THE NEW YORK STATE EDUCATION DEPARTMENT SCHOOL REPORT CARDS WERE ACCESSED TO RETRIEVE SPECIFIC INFORMATION ABOUT THE SCHOOL DISTRICTS. THE NEW YORK STATE DEPARTMENT OF HEALTH'S COMMUNITY HEALTH INDICATOR REPORTS AND TRACKING INDICATORS FOR PUBLIC HEALTH PRIORITY AREAS WERE EXTENSIVELY USED TO IDENTIFY HEALTH ISSUES IN CHAUTAUQUA COUNTY. NYS VITAL STATISTICS DATA, EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AND THE STUDENT WEIGHT STATUS CATEGORY REPORTING SYSTEM WERE ALSO REFERRED TO THROUGHOUT THE PLANNING PROCESS."

TLC HEALTH NETWORK - LAKE SHORE HOSPITAL
PART V, SECTION B, LINE 6A: INPUT WAS PROVIDED FROM THE FOLLOWING OTHER HOSPITAL FACILITIES: WCA HOSPITAL, WESTFIELD MEMORIAL HOSPITAL, AND BROOKS MEMORIAL HOSPITAL.

TLC HEALTH NETWORK - LAKE SHORE HOSPITAL
PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES CONSULTED ON THIS PROJECT INCLUDE:- BLACKWELL CHAPEL BABY CAFE- CATHOLIC CHARITIES - WIC- CHAUTAUQUA COUNTY DEPARTMENT OF MENTAL HYGIENE - CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES- CHAUTAUQUA COUNTY HEALTH NETWORK- CHAUTAUQUA COUNTY MENTAL HEALTH ASSOCIATION- CHAUTAUQUA COUNTY OFFICE FOR THE AGING- CCE - EAT SMART NY- CHAUTAUQUA ALCOHOL AND SUBSTANCE ABUSE COUNCIL- CHAUTAUQUA OPPORTUNITIES, INC. - CHAUTAUQUA STRIDERS- COMMUNITY PARTNERS OF WNY- CORNELL COOPERATIVE EXTENSION OF CHAUTAUQUA COUNTY- E-2 CC BOCES- EVERGREEN HEALTH SERVICES- P2 OF WNY- TEENAGE EDUCATION AND MOTHERHOOD (TEAM) PROGRAM - THE CHAUTAUQUA CENTER- THE RESOURCE CENTER- UNITED WAY OF SOUTHERN CHAUTAUQUA COUNTY- YWCA OF JAMESTOWN

TLC HEALTH NETWORK - LAKE SHORE HOSPITAL
PART V, SECTION B, LINE 24: BILL USUAL AND CUSTOMARY FEES.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
COST-TO-CHARGE RATIO

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 $ 2,486,854.

PART III, LINE 2:
AMOUNT IS CALCULATED USING CHARGES ADJUSTED TO BAD DEBT, REDUCED TO COST BY RCC.

PART III, LINE 3:
REPRESENTS BAD DEBTS THAT WOULD QUALIFY FOR CHARITY CARE IF APPLIED FOR, REDUCED TO COST BY RCC.

PART III, LINE 4:
FOOTNOTE TO AUDITED FS: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, TLC ANALYZES ITS PAST HISTORY 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, TLC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, 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 HAVE FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), TLC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

PART III, LINE 8:
MEDICARE PAYMENTS ARE COMPARED TO MEDICARE ALLOWABLE COST. THE RESULTING SHORT FALL FROM TREATING MEDICARE PATIENTS IS A BENEFIT TO THE COMMUNITY.

PART VI, LINE 2:
THE HOSPITAL PARTICIPATES WITH OTHER HEALTHCARE PROVIDERS AND INTERESTED PARTIES IN THE CHAUTAUQUA COUNTY COMMUNITY HEALTH PLANNING TEAM (CCCHPT) INCLUDING ALL HOSPITALS IN THE COUNTY TO ASSESS NEED REGIONALLY. TLC ALSO WORKS WITH THE HEALTH COMMUNITY ALLIANCE AND CATTARAUGUS COUNTY HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THAT COUNTY ALSO.THE HOSPITAL ALSO UTILIZES PATIENT SATISFACTION SURVEY TOOLS AND LOCAL PUBLIC INFORMATION PERTAINING TO POPULATION CHARACTERISTICS AND HEALTH STATUS.AT MONTHLY PUBLIC PRESENTATIONS OF HEALTH TOPICS, PROGRAM EVALUATION FORMS REQUEST INPUT FROM THE ATTENDEES FOR NEEDED SERVICES AND TOPICS.

PART VI, LINE 3:
TLC HEALTH NETWORK PARTICIPATES WITH OTHER MANY OTHER HEALTHCARE PROVIDERS AND INTERESTED PARTIES IN REGULAR CHAUTAUQUA COUNTY COMMUNITY HEALTH PLANNING TEAM (CCCHPT) MEETINGS TO ASSESS AND DISCUSS THE EVER-CHANGING HEALTH NEEDS IN THE COMMUNITY. TLC ALSO WORKS WITH THE HEALTHY COMMUNITY ALLIANCE (THE RURAL HEALTH NETWORK FOR NEIGHBORING CATTARAUGUS COUNTY) AND CATTARAUGUS COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THAT PORTION OF TLC'S SERVICE AREA AS WELL. TLC ALSO LEADS A COMMUNITY ADVISORY GROUP DISCUSSION A FEW TIMES A YEAR TO CAPTURE COMMUNITY FEEDBACK REGARDING HEALTH NEEDS IN THE NORTHERN CATTARAUGUS AREA. TLC ALSO UTILIZES PATIENT SATISFACTION SURVEY TOOLS AND LOCAL PUBLIC INFORMATION PERTAINING TO POPULATION CHARACTERISTICS AND HEALTH STATUS. FURTHERMORE, TLC IS A PARTICIPATING MEMBER OF THE WESTERN NEW YORK HEALTHCARE ALLIANCE THAT MEETS ON A REGULAR BASIS TO DISCUSS THE HEALTH NEEDS OF VARIOUS POPULATIONS WITHIN THE WESTERN NEW YORK REGION.

PART VI, LINE 4:
FOR THE PURPOSES OF COMMUNITY/LOCAL HEALTH PLANNING, AND BASED ON 2010 USAGE PATTERNS AND A CORRESPONDING ZIP CODE ANALYSIS OF DISCHARGE DATA, TLC HEALTH NETWORK'S PRIMARY SERVICE AREA (TOP 75% OF ALL PATIENTS) INCLUDES THE FOLLOWING ZIP CODES: ANGOLA (14006), GOWANDA (14070), SILVER CREEK (14136), IRVING (14081), FORESTVILLE (14062), DERBY (14047), DUNKIRK (14048), NORTH COLLINS (14111), SOUTH DAYTON (14138), CATTARAUGUS (14719), PERRYSBURG (14129), COLLINS (14034), FREDONIA (14063), EDEN (14057).CURRENTLY, TLC HEALTH NETWORK CONTINUES TO PROVIDE SERVICES TO A LARGELY RURAL POPULATION IN NORTHERN CHAUTAUQUA, WESTERN CATTARAUGUS, AND SOUTHERN ERIE COUNTIES. BESIDES THE GENERAL POPULATION, TLC HEALTH NETWORK SERVES MANY VULNERABLE POPULATIONS INCLUDING THE SENECA NATION OF INDIANS (CATTARAUGUS AND ALLEGHENY RESERVATIONS), A LARGE OLD-ORDER AMISH POPULATION, AND A HOST OF SEASONAL MIGRANT WORKERS. IN ADDITION, THE SHORES OF LAKE ERIE PROVIDE AN INFLUX OF SEASONAL BEACHFRONT RESIDENTS THAT OFTEN TURN TO TLC HEALTH NETWORK FOR HEALTHCARE SUPPORT. THE SERVICE AREA HAS ALSO BEEN OFFICIALLY DESIGNATED AS A PHYSICIAN SHORTAGE AREA (PSA), AND MANY ZIP CODES HAVE AN AVERAGE HOUSEHOLD INCOME THAT IS BELOW THE NATIONAL AVERAGE - MAKING ACCESS TO QUALITY HEALTHCARE A CONSTANT CHALLENGE.

PART VI, LINE 7, REPORTS FILED WITH STATES
NY

PART VI, LINE 5:
"THE BOARD OF TRUSTEES IS A COMMUNITY BOARD, MADE UP ENTIRELY OF CIVIC AND COMMUNITY LEADERS, WHO SERVE VOLUNTARILY. THE BOARD APPOINTS THE CEO, APPROVES BUDGETS, DEVELOPS STRATEGIC PLANS AND PROVIDES OVERSIGHT FOR THE HOSPITAL IN GENERAL. POTENTIAL CONFLICT OF INTEREST BETWEEN BOARD MEMBERS AND THE HOSPITAL ARE REVIEWED ANNUALLY.THE HOSPITAL'S MEDICAL STAFF IS COMPRISED OF QUALIFIED PHYSICIANS FROM WITHIN THE COMMUNITY. THE HOSPITAL CONTRACTS DIRECTLY FOR EMERGENCY ROOM PHYSICIANS AND A PATHOLOGIST AND EMPLOYS PRIMARY CARE PHYSICIANS.THE HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM OPEN TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS COME TO THE EMERGENCY ROOM BY THEIR OWN TRANSPORTATION OR BY AMBULANCE FROM EITHER A LOCAL FIRE DEPARTMENT OR AN INDEPENDENT AMBULANCE BUSINESS THAT SERVES THE ENTIRE COUNTY. IN ORDER TO ENSURE 24 HOUR PHYSICIAN COVERAGE IN THE ER, THE HOSPITAL PROVIDES A SUBSIDY TO THE ER PHYSICIAN GROUP. NON EMERGENCY CARE IS PROVIDED BASED UPON PHYSICIAN ORDERS TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY.SURPLUS FUNDS ARE INVESTED IN MEDICAL EQUIPMENT UPGRADES AND NEW TECHNOLOGIES THROUGH A CAPITAL BUDGET PROCESS. THERE ARE NO ""OWNERS OR STOCKHOLDERS SO NO SURPLUS FUNDS ARE PAID OUT TO OWNERS OR STOCKHOLDERS.TLC HEALTH NETWORK IS IN A MEDICALLY UNDERSERVED AREA. SIGNIFICANT ONGOING EFFORTS AT PHYSICIAN RECRUITMENT ARE EXPENDED. CURRENT PHYSICIAN SHORTAGES INCLUDE PRIMARY CARE, PEDIATRICS, OBSTETRICS, SURGERY, ORTHOPEDIC, UROLOGY, RADIATION ONCOLOGIST, NEUROLOGIST, MEDICAL ONCOLOGIST AND PULMONOLOGIST.THE HOSPITAL WORKS TO ENSURE AN ADEQUATE BLOOD SUPPLY IN THE COMMUNITY AND SURROUNDING AREAS BY HOSTING BI-MONTHLY BLOOD DRIVES IN COOPERATION WITH THE COMMUNITY BLOOD BANK.THE HOSPITAL STRIVES TO IMPROVE THE QUALITY OF PATIENT CARE BY A VARIETY OF ACCREDITATIONS, SURVEYS AND BENCHMARKS INCLUDING:- THE HOSPITAL IS ACCREDITED THROUGH DNV AND THE AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY, CT SCAN, NUCLEAR MEDICINE AND ULTRASOUND.THE HOSPITAL TAKES A PROACTIVE APPROACH TO THE PREVENTION OF HOSPITAL-ACQUIRED INFECTIONS, INCLUDING:- INSTITUTION WIDE PROGRAM TO PROMOTE EFFECTIVE HAND WASHING.- INSTITUTION WIDE PROGRAM TO REDUCE URINARY TRACT INFECTIONS.- INSTITUTION WIDE PROGRAM TO REDUCE CENTRAL LINE INFECTIONS.- INSTITUTION WIDE PROGRAM TO REDUCE VENTILATOR-ASSOCIATED INFECTIONS.- THE HOSPITAL MONITORS NATIONAL AND STATE BENCHMARKS FOR THE USE OF ANTIBIOTICS RELATED TO SURGERY.- THE HOSPITAL MONITORS NATIONAL AND STATE BENCHMARKS FOR THE PREVENTION OF BLOOD CLOTS AFTER SURGERY.- THE HOSPITAL IMPLEMENTED BAR CODE MEDICATION ADMINISTRATION TO REDUCE/ELIMINATE MEDICATION ERRORS.- THE HOSPITAL USES PATIENT SURVEYS THROUGH BOTH PRESS GANEY AND HCAPHS. AREAS THAT MEASURED BELOW AVERAGE ARE REVIEWED WEEKLY AND BEING ADDRESSED THROUGH: - HOURLY ROUNDING- PRE-OPERATIVE JOINT EDUCATION CLASSES- POST DISCHARGE CALLS TO ASSURE PATIENTS UNDERSTAND THEIR MEDICATION INSTRUCTIONS.- CUSTOMER SERVICE TRAINING."

Operating expenses	$ 31,740,277
Total amount spent on community benefits as % of operating expenses	$ 4,111,142 12.95 %