Skip to content
Nonprofiteer
← BARTON HEALTHCARE SYSTEM

Form 990 for tax year 2024

Filed by BARTON HEALTHCARE SYSTEM.

Totals

Total revenue
$265,220,988
Total expenses
$225,624,503
Contributions and grants received
$813,069
Grants paid
$683,953
Program service revenue
$257,169,695
Investment income
$7,201,894
Other revenue
$36,330
Total assets, end of year
$365,821,141
Total liabilities, end of year
$43,071,389
Net assets or fund balances, end of year
$322,749,752
Program services expenses (Part IX)
$171,677,212
Management and general expenses
$53,947,291
Fundraising expenses
$0
Program service expenses (Part III)
$171,677,212

Program services were 76.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $29,193

  • 1e · Government grants (contributions)

    $703,533

  • 1f · All other contributions, gifts and grants

    $80,343

  • 2a · Program service revenue: Net Patient Service Revenue

    total $246,006,437 · related or exempt $246,006,437

  • 2b · Program service revenue: Investment in Washoe Barton Medic

    total $8,694,390 · related or exempt $8,694,390

  • 2c · Program service revenue: Supporting Revenue

    total $2,237,074 · related or exempt $2,237,074

  • 2d · Program service revenue: Cafeteria

    total $559,902 · excluded $559,902

  • 2e · Program service revenue: Investment in ACO Collaborative

    total -$328,108 · related or exempt -$328,108

  • 3 · Investment income

    total $3,301,948 · excluded $3,301,948

  • 6a · Gross rents

    real property $36,330

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $36,330

  • 6d · Net rental income or loss

    total $36,330 · excluded $36,330

  • 7a · Gross sales of assets other than inventory

    securities $42,712,500 · other assets $505,754

  • 7b · Less cost or other basis and sales expenses

    securities $38,910,233 · other assets $408,075

  • 7c · Gain or loss

    securities $3,802,267 · other assets $97,679

  • 7d · Net gain or loss

    total $3,899,946 · excluded $3,899,946

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $653,479 · program services $653,479

  • 2 · Grants to domestic individuals

    total $30,474 · program services $30,474

  • 5 · Compensation of officers, directors and key employees

    total $1,317,607 · management and general $1,317,607

  • 6 · Compensation of disqualified persons

    total $476,000 · program services $465,119 · management and general $10,881

  • 7 · Other salaries and wages

    total $85,829,773 · program services $67,145,847 · management and general $18,683,926

  • 8 · Pension plan contributions

    total $3,080,721 · program services $2,411,417 · management and general $669,304

  • 9 · Other employee benefits

    total $19,409,307 · program services $15,397,185 · management and general $4,012,122

  • 10 · Payroll taxes

    total $6,540,312 · program services $5,057,839 · management and general $1,482,473

  • 11b · Fees: legal

    total $1,470,761 · program services $26,044 · management and general $1,444,717

  • 11c · Fees: accounting

    total $94,617 · management and general $94,617

  • 11f · Fees: investment management

    total $223,310 · management and general $223,310

  • 11g · Fees: other

    total $31,969,926 · program services $21,053,108 · management and general $10,916,818

  • 12 · Advertising and promotion

    total $362,144 · program services $319 · management and general $361,825

  • 13 · Office expenses

    total $7,569,153 · program services $4,113,442 · management and general $3,455,711

  • 14 · Information technology

    total $6,688,919 · program services $669,494 · management and general $6,019,425

  • 16 · Occupancy

    total $4,761,575 · program services $1,735,431 · management and general $3,026,144

  • 17 · Travel

    total $135,027 · program services $53,639 · management and general $81,388

  • 20 · Interest

    total $618,461 · program services $618,461

  • 22 · Depreciation, depletion and amortization

    total $10,603,283 · program services $10,023,399 · management and general $579,884

  • 23 · Insurance

    total $1,996,033 · program services $1,996,033

  • 24a · Other expenses: Medical Supplies

    total $27,638,660 · program services $27,368,375 · management and general $270,285

  • 24b · Other expenses: Relief Expense

    total $10,523,179 · program services $9,668,117 · management and general $855,062

  • 24c · Other expenses: Non-Medical Supplies

    total $2,784,080 · program services $2,342,288 · management and general $441,792

  • 24d · Other expenses: Bad Debt Expense

    total $847,592 · program services $847,592

  • 24e · All other expenses

    total $110 · program services $110

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,806,536 · end of year $11,109,726

  • 4 · Accounts receivable

    beginning of year $43,598,778 · end of year $42,162,603

  • 8 · Inventories for sale or use

    beginning of year $4,322,297 · end of year $4,500,074

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,986,096 · end of year $4,243,463

  • 10a · Land, buildings and equipment: cost or other basis

    $244,847,152

  • 10b · Land, buildings and equipment: accumulated depreciation

    $136,752,673

  • 10c · Land, buildings and equipment, net

    beginning of year $110,645,424 · end of year $108,094,479

  • 11 · Investments: publicly traded securities

    beginning of year $96,745,952 · end of year $104,486,358

  • 12 · Investments: other securities

    beginning of year $5,024,525 · end of year $5,661,052

  • 13 · Investments: program-related

    beginning of year $67,565,928 · end of year $65,723,384

  • 15 · Other assets

    beginning of year $17,389,553 · end of year $19,840,002

  • 17 · Accounts payable and accrued expenses

    beginning of year $27,408,629 · end of year $23,735,983

  • 20 · Tax-exempt bond liabilities

    beginning of year $7,416,218 · end of year $6,155,224

  • 24 · Unsecured notes and loans payable

    beginning of year $13,100,000 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,795,900 · end of year $13,180,182

  • 27 · Net assets without donor restrictions

    beginning of year $301,364,342 · end of year $322,749,752

Mission and programs · 2024

Mission

Barton Health delivers safe, high quality care and engages the community in the improvement of health and wellness. Barton Health is the community health leader known for compassion and chosen for quality.

  • Barton Healthcare System (Barton Health) has been serving Lake Tahoe's health care needs for over 60 years. Barton Health is a nonprofit community health system that includes Barton Memorial Hospital, consisting of 24-hour emergency care services, 63 patient beds, a skilled nursing facility with 48 resident beds, and over 20 ambulatory outpatient clinics. Barton Health is a bi-state health system serving the greater Lake Tahoe region in California and Nevada. Barton Health has approximately 245 credentialed physicians and a team of nearly 1,000 employees providing quality health care services to residents and visitors. Barton Health provides exceptional care, regardless of an individual's ability to pay.

    Expenses $156,826,336 · Grants $683,953 · Revenue $249,643,127

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

    Expenses $7,066,066 · Revenue $6,966,666

  • The Financial Assistance Program assists patients of Barton Memorial with their medical bills. It matches the patients' ability to pay according to their unique circumstance. Patients are asked to complete an application and provide financial information about their income to determine their ability to pay. The discount patients receive on their medical bill depends on their adjusted gross income compared with the U.S. Department of Health & Human Services poverty income guidelines. The program is designed for those patients who cannot afford their medical bills. Barton Health provides discounts for those with incomes up to 400 percent of the most recent poverty income guidelines, and/or under special circumstances. During the current year this program provided over $7.7 million of gross charges in charity care.

    Expenses $7,784,810

  • The following programs are community outreach programs that benefit the health of Barton Health Lake Tahoe South Shore Community.Food Insecurity Program: In partnership with Whole Foods and Starbucks Barton picked up and distributed high quality perishable and non-perishable food up to four days a week to our community partners as well as directly to our most vulnerable community members throughout the first half of 2024. In the second half of 2024, we transferred the Starbucks food donation to The Tahoe Coalition for the Homeless and the Whole Foods food donation to the food pantry, Christmas Cheer all Year. Staff also served on the Board of Directors for this pantry that provides food and basic needs to South Lake Tahoe's most vulnerable. Community Health Fair: Barton hosted a successful community health fair at Bijou Elementary School on October 17, 2024. Approximately 220 community members attended and received medical services and education, including blood pressure checks, CPR training, and Covered CA enrollment support, along with community-provided services including flu vaccines. Community Health Improvement Efforts: Barton partnered with ACCEL El Dorado County, a community-wide collaborative of public and private partners working together to improve the health and well-being of El Dorado County's vulnerable populations. Barton Health hosted the Community Health Advisory Committee (CHAC), a collaborative of representatives of various community agencies and community members that meet monthly to address emerging community health needs. Staff members also participated in the Community Behavioral Health Network meetings, community drug education meetings, and the Lake Tahoe Collaborative meetings. Barton staff met with community members at the South Tahoe Family Resource Center to better understand the real and perceived barriers that Latino community members face in receiving care. Staff served on the Board of Directors-of Encompass Youth, working to coordinate collaboration and communication to assure that Transitional Age Youth have the navigational support systems to create a path to stability and independence.Social Determinants of Health: Barton participated in the following community-based programs related to environmental factors that influence our community members' health and wellness.TRANSPORTATION: Barton staff served on the board of the South Shore Transit Management Association, which was a driving force in creating the first ever Microtransit program (LakeLink) that delivered free rides to over 175,000 community members in 2024. BUILT ENVIRONMENT: Hospital staff participated in the Tahoe Chamber of Commerce to address community health and safety issues.SUBSTANCE USE: Staff members participated in community efforts to address substance abuse prevention and education, including the Tahoe Alliance for Safe Kids (TASK) whose mission is to prevent and reduce youth substance use and related harm, and El Dorado Coalition for Overdose Prevention and Education (COPE), whose mission is to build collaboratives to address the overdose epidemic in El Dorado County. A staff member served on the board of Mountain High Recovery Center, a non-profit organization with a mission to strengthen individuals, families, and communities through the education and treatment of substance use disorders.HEALTHCARE DISPARITY: Barton participated in monthly and/or quarterly town hall meetings with a leading Latino/Latina community advocate, The South Tahoe Family Resource Center to educate and inform on important topics of interest related to a myriad of social determinants of health.We have continued our collaboration with The Tahoe Coalition for the Homeless to expedite appropriate care and decrease emergency department visits for those they serve. We also provided staff to assist with the annual Point in Time count and understanding community needs with ride-along activities.

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jonathon Cefalu

    Trustee (As of 5/24)

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Peter DiGrande MD

    Trustee (As of 5/24)

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Abby Killebrew

    Chair

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Patrick Fry

    Vice Chair

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Stefan Schunk MD

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Shawn Anderson

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Kathryn Biasotti

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Kirk Ledbetter

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Sherry Mlynsky

    Sectretary/Treasurer

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Jeff Rahbeck

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Scott Weavil

    Trustee

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Wendy David

    Trustee (Until 5/24)

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Baghdassar Pat Baghdikian MD

    Trustee (Until 5/24)

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Clinton Purvance MD

    CEO

    Total calculated
    $1,445,944
    From this org
    $0
    From related orgs
    $1,378,212
    Other
    $67,732
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,021,923 related
    Bonus
    $0 + $352,913 related
    Other
    $0 + $3,376 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $50,482 related
    Filer's total
    $0 + $1,445,944 related
  • Kelly Neiger

    CFO

    Total calculated
    $614,521
    From this org
    $0
    From related orgs
    $546,460
    Other
    $68,061
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $476,058 related
    Bonus
    $0 + $67,026 related
    Other
    $0 + $3,376 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $50,811 related
    Filer's total
    $0 + $614,521 related
  • Polly Birdsong

    Admin Dir of Surgical Svcs

    Total calculated
    $282,151
    From this org
    $260,010
    From related orgs
    $0
    Other
    $22,141
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,796
    Bonus
    $35,000
    Other
    $2,214
    Deferred
    $0
    Nontaxable benefits
    $22,141
    Filer's total
    $282,151
  • David Young MD

    CMO

    Total calculated
    $618,991
    From this org
    $11,539
    From related orgs
    $569,632
    Other
    $37,820
    Hours/week
    28 + 2.5 related

    Schedule J breakdown matched by us

    Base
    $11,539 + $557,661 related
    Bonus
    $0 + $9,185 related
    Other
    $0 + $2,786 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,820 related
    Filer's total
    $11,539 + $607,452 related
  • Carla Adams

    CNO

    Total calculated
    $471,149
    From this org
    $414,657
    From related orgs
    $0
    Other
    $56,492
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $378,665
    Bonus
    $32,052
    Other
    $3,940
    Deferred
    $11,771
    Nontaxable benefits
    $44,721
    Filer's total
    $471,149
  • Thomas Davis

    Director of Medical Imaging

    Total calculated
    $254,545
    From this org
    $215,442
    From related orgs
    $0
    Other
    $39,103
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,696
    Bonus
    $3,586
    Other
    $2,160
    Deferred
    $10,857
    Nontaxable benefits
    $28,246
    Filer's total
    $254,545
  • Karen Conant

    VP of Ambulatory Operations

    Total calculated
    $298,224
    From this org
    $241,193
    From related orgs
    $0
    Other
    $57,031
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,886
    Bonus
    $4,830
    Other
    $2,477
    Deferred
    $6,893
    Nontaxable benefits
    $50,138
    Filer's total
    $298,224
  • Richard Belli

    Admin Director of Facilities

    Total calculated
    $289,466
    From this org
    $253,620
    From related orgs
    $0
    Other
    $35,846
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,402
    Bonus
    $5,715
    Other
    $2,503
    Deferred
    $9,680
    Nontaxable benefits
    $26,166
    Filer's total
    $289,466
  • Dana Randall

    Advanced Practice Provider

    Total calculated
    $275,402
    From this org
    $261,034
    From related orgs
    $0
    Other
    $14,368
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,595
    Bonus
    $8,439
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,368
    Filer's total
    $275,402
  • Jennifer Whisnant

    Pulmonary Services Supervisor

    Total calculated
    $320,448
    From this org
    $256,904
    From related orgs
    $0
    Other
    $63,544
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,852
    Bonus
    $5,052
    Other
    $0
    Deferred
    $13,285
    Nontaxable benefits
    $50,259
    Filer's total
    $320,448
  • Christopher Kiser

    Director of Foundation

    Total calculated
    $315,445
    From this org
    $260,756
    From related orgs
    $0
    Other
    $54,689
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $250,614
    Bonus
    $7,732
    Other
    $2,410
    Deferred
    $9,633
    Nontaxable benefits
    $45,057
    Filer's total
    $315,446
  • Jason Call

    Advanced Practice Provider

    Total calculated
    $311,539
    From this org
    $260,454
    From related orgs
    $0
    Other
    $51,085
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $254,422
    Bonus
    $6,032
    Other
    $0
    Deferred
    $13,265
    Nontaxable benefits
    $37,820
    Filer's total
    $311,539

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • Accountable Care Collaborative LLC

    Operate accountable care organization · DE · income $328,108 · assets $5,500

    Directly controlled by Barton Healthcare System

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BHC MSO LLC

    C · Management Services · NV · 100% owned · share of income $10,214,754 · share of assets $4,635,572 · controlled entity

    Directly controlled by Barton Healthcare System

Provenance

Return type
form_990
Tax year
2024
Filed
3 November 2025
IRS schema version
2024v5.2
Source object
202513079349301726

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.