Community Benefit Insight - Tax-exempt hospital

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Tuba City Regional Health Care Corporation

167 North Main Street

Tuba City, AZ 86045

EIN: 043651340

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Tuba City Reg Health Care Corp

Highway 264
Tuba City, AZ 86045

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

Tuba City Reg Health Care Corp

Bed count	103	Medicare provider number	030073	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

Tuba City Regional Health Care CorporationDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

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	$ 0 0 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
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 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: 2021

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	$ 0 0 %
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:
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: 2021

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?	NO
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: 2021

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 $ 150019867 including grants of $ 0) (Revenue $ 149691371)
PROVIDE QUALITY COMPREHENSIVE HEALTHCARE THROUGH THE OPERATION OF A 73 BED LICENSED ACUTE CARE HOSPITAL AND RELATED CLINICS. THE HOSPITAL AND CLINICS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, PUBLIC HEALTH NURSING, SCHOOL HEALTH, DENTAL, RADIOLOGY, CARDIOPULMONARY, LABORATORY, PHARMACY, OPHTHALMOLOGY HEALTH SERVICES, OBSTETRICS/GYNECOLOGY, ORAL SURGERY, EYE SURGERY, UROLOGICAL PROCEDURES, ENVIRONMENTAL HEALTH, TELEMEDICINE SERVICES AND PUBLIC EDUCATION TO RESIDENTS IN AND AROUND TUBA CITY, ARIZONA. THE HOSPITAL HAD A TOTAL COMBINED 798,833 INPATIENT AND OUTPATIENT VISITS.

Facility Information

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

TUBA CITY REGIONAL HOSPITAL
PART V, SECTION B, LINE 7D: COPIES PROVIDED TO LOCAL CHAPTER OFFICIALS AND OUR TRIBAL OVERSIGHT COMMITTEE FOR DISSEMINATION TO SURROUNDING COMMUNITIES.

TUBA CITY REGIONAL HOSPITAL
PART V, SECTION B, LINE 13B: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES.

TUBA CITY REGIONAL HOSPITAL
PART V, SECTION B, LINE 13H: TCRHCC IS GOVERNED BY THE THE HEALTH CARE SELF-GOVERNANCE TRIBAL ORGANIZATION. UNDER THEIR TITLE V COMPACT, TCRHCC SHALL NOT DIRECTLY CHARGE ANY TRIBAL MEMBER FOR HEALTH CARE SERVICES NOR CHARGE THE NAVAJO NATION EMPLOYEE BENEFIT PLAN OR WORKERS COMPENSATION PLAN FOR HEALTH CARE SERVICES PROVIDED TO A COVERED TRIBAL MEMBER UNLESS THE INDIAN HEALTH SERVICE WOULD BE ABLE TO CHARGE THE TRIBAL MEMBER FOR THE SAME SERVICE UNDER THE SAME CIRCUMSTANCES UNLESS OTHERWISE AUTHORIZED BY THE NAVAJO NATION COUNCIL.

TUBA CITY REGIONAL HOSPITAL
PART V, SECTION B, LINE 15E: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES.

TUBA CITY REGIONAL HOSPITAL
PART V, SECTION B, LINE 16J: UNCOMPENSATED CARETCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION. TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT, PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. THEREFORE, TCRHCC DOES NOT PROVIDE UNCOMPENSATED CARE IN THE TRADITIONAL SENSE OF THE TERM; RATHER, SERVICES ARE PROVIDED FREE OF CHARGE TO ITS DEDICATED POPULATION REGARDLESS OF THEIR ABILITY OR INABILITY TO PAY. COSTS ARE REIMBURSED PRIMARILY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET (OMB) PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSARY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED PURCHASED/REFERRED CARE FUNDS TO PROVIDE THESE NECESSARY SERVICES.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
POLICY ADOPTED DECEMBER 2015. THERE HAVE BEEN NO REPORTED NON-IHS BENEFICIARIES ELIGIBLE FOR FREE OR DISCOUNTED CARE.

PART II, COMMUNITY BUILDING ACTIVITIES:
VARIOUS EVENTS WERE HELD THROUGHOUT THE SERVICE AREA TO PROMOTE WELLNESS AND HEALTHY LIVING. WITHIN THE SERVICE AREA, THERE IS A HIGH RATE OF DIABETES, ALCOHOLISM AND DRUG USE. EVENTS TARGET YOUTHS AND THEIR FAMILY THROUGH SEMINARS CONDUCTED BY ROLE MODELS, HIGH PROFILE INDIVIDUALS AND EXPERTS. IN ADDITION, OUR FACILITY HOLDS A VARIETY OF EXERCISE PROGRAMS TO ENCOURAGE COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE.

PART III, LINE 2:
THE SAME METHODOLOGY FROM PY WAS USED TO ESTIMATE BAD DEBT EXPENSE.

PART III, LINE 4:
THE DISCLOSURES RELATED TO BAD DEBT ARE ON PAGES 8, 12 AND 13.

PART III, LINE 8:
THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED WAS THE COST REPORT.

PART VI, LINE 2:
SINCE 2002, TUBA CITY REGIONAL HEALTH CARE CORPORATION HAS PROVIDED PREMIER QUALITY HEALTHCARE TO THE RESIDENTS ACROSS THE NAVAJO NATION AND ADJACENT COMMUNITIES. THE ORGANIZATION KEEPS ITS COMMUNITY HEALTHY WITH A BROAD SCOPE OF SERVICES, PROVIDED BY WELL-TRAINED AND HIGHLY-SKILLED PROFESSIONALS. IT PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY CARE PREVENTIVE HEALTH AND WELLNESS SERVICES. ALL AREAS OF SERVICE INCORPORATE CULTURAL SENSITIVITY AND THE NAVAJO PHILOSOPHY OF THE FOUR SACRED DIRECTIONS. PATIENT CARE SERVICES PROVIDED BY TCRHCC ARE BASED ON ITS MISSION, VISION, AND VALUES AS WELL AS ON THE NEEDS OF THE COMMUNITY IT SERVES. THE PATIENT CARE SERVICES ARE ORGANIZED IN RESPONSE TO PATIENT NEEDS AS IDENTIFIED THROUGH TCRHCC'S PLANNING PROCESS.A.PATIENT/CUSTOMER NEEDS EXPECTATIONS AND SATISFACTION.B.PATIENT REQUIREMENTS AND THEIR IMPLICATIONS FOR STAFFING.C.THE ORGANIZATION'S DETERMINATION OF THE ESSENTIAL SERVICES NECESSARY TO MEET THE NEEDS OF ITS PATIENT POPULATION.D.THE PLANNING FOR THE PROVISION OF THOSE ESSENTIALS SERVICES, EITHER DIRECTLY OR THROUGH REFERRAL OR CONTRACT.E.THE ORGANIZATION'S ABILITY TO RECRUIT AND/OR DEVELOP APPROPRIATE STAFF.F.RELEVANT INFORMATION FROM STAFFING VARIANCE REPORTS.G.THE PROVISION OF A UNIFORM LEVEL OF CARE THROUGHOUT THE ORGANIZATION.H.OPPORTUNITIES TO IMPROVE PROCESSES IN THE DESIGN AND DELIVERY OF PATIENT CARE.THE PLAN FOR PROVIDING PATIENT CARE COVERS THE FOLLOWING AREAS:A.THE AREAS OF THE ORGANIZATION IN WHICH CARE IS PROVIDED.B.THE MECHANISM(S) USED IN EACH AREA TO IDENTIFY PATIENT'S CARE NEEDS.C.THE NUMBER AND MIX OF STAFF MEMBERS IN EACH AREA TO PROVIDE FOR PATIENT'S NEEDS.D.THE PROCESS USED FOR ASSESSING AND ACTING ON STAFF VARIANCES.E.THE PLAN FOR IMPROVING THE QUALITY OF CARE IN EACH AREA OF SERVICE.F.TRADITIONAL MEDICINE AND CULTURAL BELIEFS OF THE COMMUNITY.THIS PLAN HAS BEEN DEVELOPED BY USING A COMPILATION OF ORGANIZATIONAL AND DEPARTMENT SPECIFIC DOCUMENTS. AT LEAST ANNUALLY, DURING THE ORGANIZATION PLANNING PROCESS, THE ORGANIZATIONAL PLAN FOR PROVIDING PATIENT CARE WILL BE REVIEWED AND REVISED AS NEEDED. CHANGES IN PATIENT CARE NEEDS, FINDINGS FROM PERFORMANCE IMPROVEMENT ACTIVITIES, AND RISK MANAGEMENT ISSUES MAY ALSO TRIGGER A REVIEW AND REVISION.

PART VI, LINE 3:
THE MAJORITY OF THE PATIENTS ARE NATIVE AMERICAN AND QUALIFY FOR THE INDIAN HEALTH SERVICE PROGRAM. THESE PATIENTS QUALIFY FOR THE FEDERAL PROGRAM AND DO NOT CARRY SEPARATE HEALTH INSURANCE. THERE ARE VERY FEW PATIENTS THAT WOULD FALL OUTSIDE THE IHS PROGRAM. TCRHCC RECEIVES PL 93-638 FUNDS TO PROVIDE HEALTH CARE SERVICES FOR ITS DEDICATED POPULATION, IT IS MANAGEMENT'S ASSERTION THAT CHARITY CARE IS NOT APPLICABLE TO TCRHCC. HEALTHCARE FOR NATIVE AMERICANS IS PROVIDED AT NO COST TO THE NATIVE POPULATION. THEREFORE, TCRHCC DOES NOT EXPECT, NOR DOES IT ACCEPT PAYMENT FROM NATIVE AMERICANS FOR THE SERVICES PROVIDED. COSTS ARE REIMBURSED PRIMARLY THROUGH THE OFFICE OF MANAGEMENT AND BUDGET PREDETERMINED MEDICAID AND MEDICARE BILLING RATES FOR A PATIENT VISIT. THIS PAYMENT IS TAKEN INTO EFFECT AFTER ANY OTHER THIRD-PARTY INSURANCE THAT THE PATIENT MAY ALREADY HAVE. FURTHERMORE, IF TCRHCC IS UNABLE TO PROVIDE SERVICES NECESSRY FOR ITS DEDICATED POPULATION, THERE ARE ALLOCATED FUNDS TO PROVIDE THESE NECESSARY CONTRACT HEALTH SERVICES.

PART VI, LINE 4:
TUBA CITY IS THE LARGEST COMMUNITY BY ZIP CODE ON THE NAVAJO NATION. TUBA CITY HOSPITAL IS THE PRIMARY CAMPUS FOR TCRHCC'S INTEGRATED HEALTH SYSTEM. THE HOSPITAL AND OUTLYING CLINICS (A LIMITED CLINIC IN DINNEBETO, A DENTAL CLINIC IN CAMERON AND A COMMUNITY-BASED CLINIC AT FLAGSTAFF) PROVIDE PRIMARY CARE SERVICES TO 27,500 NAVAJO, HOPI AND SAN JUAN SOUTHERN PAIUTES. TCRHCC ALSO SERVES AS A REGIONAL REFERRAL MEDICAL CENTER FOR 75,000 RESIDENTS ACROSS THE NAVAJO NATION AND ADJACENT COMMUNITIES.

PART VI, LINE 5:
ADDITIONAL HEALTH CARE IS PROMOTED IN THE COMMUNITY THROUGH HEALTH EVENTS. TCRHCC'S HEALTH PROMOTION AND DISEASE PREVENTION PROGRAM REACHES OUT TO COMMUNITIES ACROSS THE SERVICE AREA WITH PRIMARY PREVENTION PROGRAMS FOR ASTHMA, DIABETES, OBESITY AND TOBACCO CESSATION, AS WELL AS NUTRITION EDUCATION AND EXERCISE PROGRAM. ALSO TCRHCC IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS, REPRESENTING THE EIGHT NAVAJO CHAPTERS, THE MOENKOPI VILLAGE AND THE SAN JUAN SOUTHERN PAIUTES. EACH MEMBER OF THE BOARD OF DIRECTORS IS ACCESSIBLE AND AVAILABLE TO ANSWER QUESTIONS.