Nevada Hospital Reporting
(Pursuant to NRS 449.490, Sections 2 through 4)
Demographic Information
Name of Organization
Location (City & State)
Fiscal Year Ended (mm/dd/yyyy)
Description of Organization
(number of facilities, bed size, major
services & centers of excellence)
Governance/Organizational Structure
(tax exempt status, affiliated entities)
Summerlin Hospital Medical Center
Las Vegas, NV
12/31/2014
454 bed Acute Care Facility.
Major Services: stroke center, chest pain center, emergency services,
cardiovascular services, surgery, robotic surgery, sleep center, wound care,
hyperbaric, orthopedic & oncology services, electrophysiology program, &
extracorporeal shock wave lithotripter, women’s health services, obstetrics,
neonatal intermediate care & pediatric ED, pediatric oncology, fetal assessment,
occupational health services & physical rehabilitation inpatient & outpatient care.
Incorporated – for profit
Capital Improvements
New Service Lines:
New Service Lines: List each new service line offered.
Major Facility Expansion:
Description
OR Expansion
Specials Room
Other Building Improvements
Major Equipment:
Prior Years
Costs
$5,940,142
$
$
$
$
$
$
$
$
$
$
$
Current
Year Cost
$192,754
$377,000
$418,240
$
$
$
$
$
$
$
$
$
R=Replace
N=New
N
N
N
Const. In
Progress?
N
N
N
Prior Years
Costs
$
$
$
$
$
$
$
$
$
$
$
$
$
Description
Specials Room Equipment
Other Fixed Equipment
Pyxis Cabinet
Olympus Endoscope Project
Other Major Movable Equipment
Current
Year Cost
$1,301,261
$435,996
$2,480,653
$488,079
$6,648,727
$
$
$
$
$
$
$
$
R=Replace
N=New
N
N
N
N
N
Expansion
Other Additions and Total Additions for the Period:
Other capital additions for the period not included above
Total Additions for the Period (Sum of Expansion, Equipment & Other Additions)
$3,160,696
$15,503,406
Home Office Allocation
Describe the methodology used to allocate home office costs to the hospital
The corporate overhead expenses are allocated on a monthly basis to the facility based upon their monthly operating costs as a
percentage of the total monthly operating costs.
Community Benefits Structure
Hospital Mission Statement
Hospital Vision
Hospital Values
The Mission of Summerlin Hospital Medical Center is to achieve long-term
growth and success by providing our community with superior quality health care
services.
Our vision is to be recognized as an organization that patients choose and
recommend to families and friends, parents choose for their children, physicians
prefer for their patients, purchasers select for their clients, employees are proud to
be associated with.
Service Excellence, Quality Care, Employee Development, Ethical and Fair
Treatment of All, Teamwork, Compassion, and Innovation in Service Delivery.
Hospital Community Benefit Plan
(groups to target, decision makers, goals)
Mission Mapping (these are not required fields)
2
Yes
Does your mission map to your strategic
planning process?
Do you have a dedicated community
benefits coordinator?
Do you have a charitable foundation?
Do you conduct teaching and research?
Do you operate a Level I or Level II
trauma center?
Are you the sole provider in your
geographic area of any specific clinical
services? (If Yes, list services.)
No
Yes
No
No
No
No
Yes
General Peds, Peds, IMC, PICU, Peds
ER, Peds OP Sedation, & Peds Gastro
Community Health Improvements Services
Community Health Education
Community-Based Clinical Services
Health Care Support Services
Cab Vouchers
Interpreter Services
Eligibility Fees
Benefit $557,717
$17,500
$1,518
$3,054
17,428
518,217
Health Professions Education
Physicians/Medical Students (net of
Direct GME payments)
Nurses/Nursing Students
Other Health Professional Education
Scholarships/Funding for Professional
Education
Benefit $186,679
$
$116,771
$69,908
$
Subsidized Health Services
Total Uncompensated Cost from Uncompensated Cost Report filed with DHCFP
Less: Medicaid Disproportionate Share Payments received for the Period
Less: Other Payments Received for these Accounts (County Supplemental Funds, etc.)
Net Uncompensated Care
Uncompensated SCHIP (Nevada Checkup) Cost
Uncompensated Medicare Cost (see instructions)
Uncompensated Clinic or Other Cost
Other Subsidized Health Services
Less: Cost Reported in Another Category
Total Subsidized Health Services
Benefit $26,623,541
$27,296,080
($49,151)
($1,020)
$27,245,909
($622,368)
$26,623,541
3
Research
Clinical Research
Community Health Research
Other
Benefit $
$
$
$
Financial Contributions
Cash Donations (Westcare)
Grants
In-Kind Donations
Cost of Fund Raising for Community
Programs
Benefit $14,817
$14,817
$
$
$
Community Building Activities
Physical Improvements and Housing
Economic Development
Community Support
Environmental Improvements
Leadership Development and Leadership
Training for Community Members
Coalition Building
Community Health Improvement
Advocacy
Workforce Development
Benefit $
$
$
$
$
$
$
$
$
Community Benefit Operations
Dedicated Staff
Community Health Needs/Health Assets
Assessment
Other Resources
Benefit $
$
$
$
Other Community Benefits
(Briefly explain other community
Benefits provided but not captured in
sections above)
Other Community Benefits Subtotal
Benefit $
$
$
$
Total Community Benefit
Benefit $27,382,754
4
Other Community Support
Property Tax
Sales and Use Tax
Modified Business Tax
Other Tax (Unemployment Tax)
Assessment for not meeting minimum care obligation of NRS 439B.340
Total Other Community Support
Benefit $6,332,217
$1,843,012
$2,112,017
$860,409
$799,120
$717,659
$
Total Community Benefits & Other Community Support
$33,714,971
List and briefly explain educational classes offered
Babysitting Workshop, Sibling Class, Breastfeeding Basics, Basic Infant Care, and Infant CPR.
List and briefly describe other community benefits provided to the community for which the costs cannot be captured
Discounted Services & Reduced Charges Policy & Procedures
Charity Care Policy: (attach copies of actual policies if first filing or policy changed)
Does the hospital have a policy? (Yes or No)
Policy covers up to what % of Federal Poverty Level?
Discounts given up to what %?
Amount of time to make arrangements (in days or months)
Other comments
Prompt Pay or Other Discounts: (attach copies of actual policies if first filing or policy
changed)
Does the hospital have a policy? (Yes or No)
Discounts given up to what %?
Amount of time to make arrangements? (in days or months)
Other comments
Policy Effective Date:
Yes
200%
100%
(see policy)
Policy Effective Date:
Yes
30%+31 days
5
Collection of Accounts Receivable Policies & Procedures
Effective Date of Policy
Does hospital have established policy?
Does hospital make every reasonable effort to help patient to obtain coverage? (Yes or No)
Number of patient contacts before referral to collection agency
Is collection policy consistent with the Fair Debt Collection Practices Act? (Yes or No)
Methods of communication with patient (e.g. phone, letter, etc.)
Number of days prior to referral to collection agency
Is the patient notified in writing of referral to collection agency?
Is the patient notified in writing prior to a lawsuit being begun?
Other comments
Yes
Yes
(see policy)
Phone/letter
(see policy)
Yes
Yes
Chargemaster
Is hospital chargemaster available in accordance with NRS 449.490 (4) requirements? (Yes
or No)
Is the chargemaster updated at least monthly? (Yes or No)
How is the chargemaster made available? (E.g. format, location, etc.)
Yes
Yes
PC in Central Billing Office
6