CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-10-15
IRS object ID: 202412899349300016
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-10-15T07:32:42-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SECOND STREET SUITE 900	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	880502320	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CARS	BusinessNameControlTxt
Phone	7754458000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2168	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89702	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATIE KUCERA	PersonNm
Person Title	VP, CFO	PersonTitleTxt
Phone	7754458000	PhoneNum
Signature	2024-10-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRACY S PAGLIA	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	4159561500	PhoneNum
Preparation	2024-10-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHELLE JOY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2168	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89702	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$404,661,955	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CARSONTAHOE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	NV	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1841	TotalEmployeeCnt
Total Volunteers	99	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,177,096	PYContributionsGrantsAmt
CY Contributions Grants	$2,625,264	CYContributionsGrantsAmt
PY Program Service Revenue	$368,340,791	PYProgramServiceRevenueAmt
CY Program Service Revenue	$394,940,671	CYProgramServiceRevenueAmt
PY Investment Income	-$448,257	PYInvestmentIncomeAmt
CY Investment Income	$6,041,286	CYInvestmentIncomeAmt
PY Other Revenue	$662,024	PYOtherRevenueAmt
CY Other Revenue	$932,790	CYOtherRevenueAmt
PY Total Revenue	$377,731,654	PYTotalRevenueAmt
CY Total Revenue	$404,540,011	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,596,285	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,782,843	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$134,418,695	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$129,646,559	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$603,096	CYTotalFundraisingExpenseAmt
PY Other Expenses	$219,514,174	PYOtherExpensesAmt
CY Other Expenses	$236,813,165	CYOtherExpensesAmt
PY Total Expenses	$376,529,154	PYTotalExpensesAmt
CY Total Expenses	$388,242,567	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,202,500	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,297,444	CYRevenuesLessExpensesAmt
Total Assets BOY	$449,629,136	TotalAssetsBOYAmt
Total Assets EOY	$471,494,391	TotalAssetsEOYAmt
Total Liabilities BOY	$180,903,290	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$174,346,442	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$268,725,846	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$297,147,949	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$276,603,896	ExpenseAmt
Grant	$21,782,843	GrantAmt
Revenue	$394,940,671	RevenueAmt
Desc	CARSON TAHOE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH SYSTEM. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR OVER 250,000 PEOPLE. THESE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. CARSON TAHOE'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CARSON TAHOE REGIONAL MEDICAL CENTER CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 211 LICENSED BEDS, OF THOSE 52 ARE BEHAVIORAL HEALTH DESIGNATED, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, ACCREDITED CANCER CENTER, RETAIL CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION (SEE SCHEDULE O)AND SEVERAL MEDICAL OFFICE BUILDINGS. THE REGIONAL MEDICAL CENTER PROVIDES CARE TO PERSONS, SOME OF WHOM ARE COVERED BY GOVERNMENTAL PROGRAMS INCLUDING MEDICARE AND MEDICAID, AS WELL AS MEDICALLY INDIGENT PATIENTS UNABLE TO PAY. THE HOSPITAL SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY, INCLUDING WELLNESS EDUCATION AND SUPPORT. THE HOSPITAL HAD 11,528 INPATIENT DISCHARGES, 56,433 INPATIENT DAYS, AND 100,549 OUTPATIENT VISITS IN 2023.	Desc
Total Program Service Expenses	$276,603,896	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	148	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1841	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEFANIE STIEBER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7754458000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2168	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89702	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TIMOTHY MCFARREN
BOARD CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
BRIAN DUFFRIN
BOARD VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES MANNING
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0	1.00
DAVID JOHNNSON
EX-OFFICIO (THRU 7/23)	1.00	Yes (X)		$0	$99,626	$4,981	39.00
PHILLIP O'NEILL
DIRECTOR	1.00	Yes (X)		$0	$8,400	$0	1.00
FREEMAN JOHNSON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DEBRA THOMAS
DIRECTOR (THRU 6/23)	1.00	Yes (X)		$0	$0	$0
JOE TOGOAN
DIRECTOR (THRU 4/23)	1.00	Yes (X)		$0	$0	$0
BECKY HEPLER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MIGUEL VILLAGA-DIAZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
NAEL ABOUL HOSN
DIRECTOR (FROM 7/23)	1.00	Yes (X)		$0	$0	$0
MICHELLE JOY
PRESIDENT & CEO	25.00		Yes (X)	$0	$871,735	$69,907	15.00
KATIE KUCERA
TREASURER, VP, CFO	20.00		Yes (X)	$0	$527,134	$58,485	20.00
WALTER FINK
VP, CMO (THRU 2/23)	25.00			$0	$526,471	$15,584	15.00	Yes (X)
CHRISTINA SAPIEN
DIR. BEHAVIORAL HEALTH SERVICES	40.00			$220,887	$0	$12,705			Yes (X)
KELLY SCHOTT
DIR. PHARMACY CLINICAL	40.00			$217,868	$0	$21,724			Yes (X)
SUSAN WILLIAMS
PHARMACIST	40.00			$212,485	$0	$18,256			Yes (X)
CASSIDY JOST
DIR. OF SPECIALTY NURSING	40.00			$197,956	$0	$28,672			Yes (X)
JENIFER BROWN
DIR. PRIMARY CARE	40.00			$187,719	$0	$19,774			Yes (X)
ALAN GARRETT
FORMER PRESIDENT & CEO	0.00			$0	$404,391	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,036,915	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,437,757	TotReportableCompRltdOrgAmt
Total Other Compensation	$250,088	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	286	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH 411 INC
C/O BANK OF AMERICA	LOS ANGELES	IL	900746412	HEALTHCARE SERVICES	$31,992,985
CLINICAL COLLEAGUES INC
1765 E NINE MILE RD	PENSACOLA	IL	32514	MEDICAL CONSULTING & BILLING SERVICES	$15,336,442
GE PRECISION HEALTHCARE LLC
PO BOX 96483	CHICAGO	IL	60693	HEALTHCARE SERVICES	$5,277,581
VENTAS INC DBA ARHC CTCRCNV001 LLC
C/O PMB REAL ESTATE SERVICES	DALLAS	IL	752842489	REAL ESTATE SERVICES	$4,899,427
MEDLINE INDUSTRIES INC
C/O BANK OF NEW YORK MELLON	CHICAGO	IL	606561471	HEALTHCARE SERVICES	$2,649,771

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	155	CntrctRcvdGreaterThan100KCnt
Fundraising	$65,691	FundraisingAmt
Related Organizations	$24,500	RelatedOrganizationsAmt
Government Grants	$304,630	GovernmentGrantsAmt
All Other Contributions	$2,230,443	AllOtherContributionsAmt
Total Contributions	$2,625,264	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$392,034,490	$392,034,490
NONPATIENT SERVICES	621110	$2,906,181	$2,906,181

Field	Value	IRS element (for citing)
Total Program Service Revenue	$394,940,671	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,010,330	TotalRevenueColumnAmt
Exclusion	$6,010,330	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$897,553	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$897,553	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$897,553	TotalRevenueColumnAmt
Exclusion	$897,553	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$72,400	SecuritiesAmt
Other	$55,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$80,302	SecuritiesAmt
Other	$16,142	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$7,902	SecuritiesAmt
Other	$38,858	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,956	TotalRevenueColumnAmt
Exclusion	$30,956	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$65,691	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$27,930	GamingGrossIncomeAmt
Gaming Direct Expenses	$25,500	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,430	TotalRevenueColumnAmt
Exclusion	$2,430	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON LEASE TERMINAT	Desc
Business	900099	BusinessCd
Total Revenue Column	$32,807	TotalRevenueColumnAmt
Exclusion	$32,807	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$32,807	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$404,540,011	TotalRevenueColumnAmt
Related Or Exempt Func Income	$394,940,671	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,974,076	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,550,000	TotalAmt
Program Services	$21,550,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$232,843	TotalAmt
Program Services	$232,843	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,647,989	TotalAmt
Program Services	$88,535,710	ProgramServicesAmt
Management And General	$15,952,547	ManagementAndGeneralAmt
Fundraising	$159,732	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,898,580	TotalAmt
Program Services	$3,162,493	ProgramServicesAmt
Management And General	$730,247	ManagementAndGeneralAmt
Fundraising	$5,840	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,327,750	TotalAmt
Program Services	$10,755,361	ProgramServicesAmt
Management And General	$2,552,652	ManagementAndGeneralAmt
Fundraising	$19,737	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,772,240	TotalAmt
Program Services	$6,589,286	ProgramServicesAmt
Management And General	$1,171,438	ManagementAndGeneralAmt
Fundraising	$11,516	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$23,142,322	TotalAmt
Program Services	$23,142,322	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,607,531	TotalAmt
Program Services	$12,813,127	ProgramServicesAmt
Management And General	$62,411,814	ManagementAndGeneralAmt
Fundraising	$382,590	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,019,388	TotalAmt
Program Services	$813,683	ProgramServicesAmt
Management And General	$4,182,024	ManagementAndGeneralAmt
Fundraising	$23,681	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,313,044	TotalAmt
Program Services	$5,690,662	ProgramServicesAmt
Management And General	$5,622,382	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,282	TotalAmt
Program Services	$24,326	ProgramServicesAmt
Management And General	$1,956	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$18,191	TotalAmt
Management And General	$18,191	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,742,018	TotalAmt
Management And General	$4,742,018	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,049,613	TotalAmt
Management And General	$13,049,613	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$72,694,944	$72,637,885	$57,059
BAD DEBT	$30,362,128	$30,362,128
PROPERTY TAXES	$837,704	$294,070	$543,634

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$388,242,567	TotalAmt
Program Services	$276,603,896	ProgramServicesAmt
Management And General	$111,035,575	ManagementAndGeneralAmt
Fundraising	$603,096	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,165,298	BOYAmt
EOY	$15,794,569	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$356,205	BOYAmt
EOY	$350,581	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$53,133,484	BOYAmt
EOY	$54,336,214	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,425,454	BOYAmt
EOY	$6,786,217	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,609,607	BOYAmt
EOY	$6,550,207	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$359,532,081	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$174,286,196	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$186,743,425	BOYAmt
EOY	$185,245,885	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$137,459,747	BOYAmt
EOY	$155,898,910	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,959,882	BOYAmt
EOY	$1,959,882	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,247,916	BOYAmt
EOY	$6,247,916	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,528,118	BOYAmt
EOY	$38,324,010	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$449,629,136	BOYAmt
EOY	$471,494,391	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,257,917	BOYAmt
EOY	$23,880,684	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$193,315	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,271,221	BOYAmt
EOY	$98,272,274	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$59,180,837	BOYAmt
EOY	$29,029,932	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$23,163,552	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$180,903,290	BOYAmt
EOY	$174,346,442	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$268,725,846	BOYAmt
EOY	$297,147,949	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$268,725,846	BOYAmt
EOY	$297,147,949	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$449,629,136	BOYAmt
EOY	$471,494,391	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$16,297,444	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,124,659	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$13,295	OtherActivitiesAmt
Total Lobbying Expenditures	$13,295	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE MEMBERSHIP DUES PAID TO THE NEVADA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WERE USED BY THOSE GROUPS TO LOBBY ON BEHALF OF CARSON TAHOE REGIONAL HEALTHCARE AND OTHER MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,312,826	OtherCostOrOtherBasisAmt
Book Value	$30,312,826	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,204,425	OtherCostOrOtherBasisAmt
Depreciation	$71,418,444	DepreciationAmt
Book Value	$119,785,981	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,647,612	OtherCostOrOtherBasisAmt
Depreciation	$13,657,523	DepreciationAmt
Book Value	$5,990,089	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,831,979	OtherCostOrOtherBasisAmt
Depreciation	$89,210,229	DepreciationAmt
Book Value	$23,621,750	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,535,239	OtherCostOrOtherBasisAmt
Book Value	$5,535,239	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$185,245,885	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$13,302,347
SHORT TERM OPERATING RENT	$15,312
ASSETS LIMITED AS TO USE	$2,931,915
OTHER NONCURRENT ASSETS	$284,951
LEASES	$21,789,485

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$38,324,010	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CURRENT RIGHT OF USE LIABILITIES	$4,568,116
NONCURRENT RIGHT OF USE LIABILITIES	$18,595,436

Field	Value	IRS element (for citing)
Total Liability	$23,163,552	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$386,295,235	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$12,124,659	NetUnrealizedGainsInvstAmt
Other Revenue	$25,500	OtherRevenueAmt
Revenue Not Reported	$12,150,159	RevenueNotReportedAmt
Revenue Subtotal	$374,145,076	RevenueSubtotalAmt
Other Revenues Not Included	$30,394,935	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$30,394,935	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$404,540,011	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$336,323,132	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$25,500	OtherExpensesIncludedAmt
Expenses Not Reported	$25,500	ExpensesNotReportedAmt
Expenses Subtotal	$336,297,632	ExpensesSubtotalAmt
Other Expenses Not Included	$51,944,935	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$51,944,935	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$388,242,567	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. UNDER FASB ASC 740, INCOME TAXES, THE HOSPITAL IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2023 AND 2022.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHARITABLE GAMING EXPENSES 25,500.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN ON LEASE TERMINATIONS 32,807. PROVISION FOR BAD DEBT 30,362,128.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CHARITABLE GAMING EXPENSES 25,500.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 30,362,128. RELATED PARTY TRANSFERS 21,550,000. GAIN ON LEASE TERMINATIONS 32,807.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HOPEFEST 2023	Event1Nm
Gross Receipts Event1	$65,691	GrossReceiptsEvent1Amt
Charitable Contri Event1	$65,691	CharitableContriEvent1Amt
Gross Receipts Total	$65,691	GrossReceiptsTotalAmt
Charitable Contributions Tot	$65,691	CharitableContributionsTotAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$27,930	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$25,500	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$27,930	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$25,500	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$25,500	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$2,430	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NV	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	1.00000	GamingOwnFacilityPct
Gaming Other Facility	0.00000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	PAULA MAYER	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2168	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89702	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	PAULA MAYER	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	EVENT ORGANIZER	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,379,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,379,189	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,679,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,394,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,285,059	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,059,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,394,812	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,664,248	NetCommunityBenefitExpnsAmt
Total Expense	0.07810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,797,373	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,797,373	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$508,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$508,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,121,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,142,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,978,886	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$901,104	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$901,104	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,328,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,142,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,185,900	NetCommunityBenefitExpnsAmt
Total Expense	0.02790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,387,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,537,785	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,850,148	NetCommunityBenefitExpnsAmt
Total Expense	0.10600	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$30,362,128	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$103,062,596	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,085,503	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$10,977,093	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 MEDICAL PARKWAY	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89703	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CARSONTAHOE.COM	WebsiteAddressTxt
State License	4466-HOS-21	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CARSON TAHOE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: THE QUAD-COUNTY CHNA PLANNING COMMITTEE WORKED WITH ITS ASSESSMENT PARTNER CRESCENDO CONSULTING GROUP TO FORMALIZE AND DEPLOY A HIGHLY INCLUSIVE ASSESSMENT CYCLE FRAMEWORK THAT INCLUDED A COMMUNITY-WIDE EMAIL SURVEY (ENGLISH & SPANISH), STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AN ACCESS AUDIT, EQUITY CHAMPIONS OUTREACH, SECONDARY RESEARCH, AND STAKEHOLDER COMMITMENT TO COLLABORATIVELY DEVELOP STRATEGIES AND SOLUTIONS IN RESPONSE TO IDENTIFIED NEEDS.- 46 STAKEHOLDER INTERVIEWS ACROSS THE REGION- 15 FOCUS GROUPS WITH OVER 125 PARTICIPANTS TOTAL- 1,551 COMMUNITY SURVEY RESPONDENTS- 400 PARTICIPANTS IN RANDOM DIGIT DIALING TELEPHONE SURVEY
CARSON TAHOE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH CARSON TAHOE CONTINUING CARE HOSPITAL, THE OTHER HOSPITAL OWNED BY CARSON-TAHOE HEALTH SYSTEM.
CARSON TAHOE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: A COALITION OF EIGHT COMMUNITY AGENCIES CAME TOGETHER TO PLAN THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING:- CARSON CITY HEALTH & HUMAN SERVICES- COMMUNITY CHEST, INC.- NEVADA ASSOCIATION OF COUNTIES- PARTNERSHIP DOUGLAS COUNTYLYON COUNTY HUMAN SERVICES- QUAD-COUNTY PUBLIC HEALTH PREPAREDNESS- DOUGLAS COUNTY COMMUNITY SERVICES, PARKS, & RECREATION
CARSON TAHOE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: CARSON TAHOE BEGAN TO ADDRESS AREAS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY WITH A LARGE FOCUS ON MENTAL HEALTH AND ACCESS TO CARE. MENTAL HEALTH AMERICA RANKS STATES ACCORDING TO PREVALENCE OF MENTAL ILLNESS AND ACCESS TO CARE. NEVADA RANKS AS THE 51ST, THE LAST, STATE IN THE COUNTRY FOR OVERALL MENTAL HEALTH SERVICES. "FOR EVERY 580 PEOPLE LIVING IN NEVADA, THERE IS AT LEAST 1 MENTAL HEALTH PROVIDER. NEVADA HAS THE HIGHEST PREVALENCE OF MENTAL ILLNESS AND LOWEST ACCESS TO CARE AMONG YOUTH. 2 OUT OF 3 NEVADAN ADULTS WITH A MENTAL ILLNESS RECEIVED NO TREATMENT" (CHEANG). THE COVID PANDEMIC SIGNIFICANTLY IMPACTED NEVADANS AS EVIDENCED BY CDC DATA SHOWING, "NEVADA RANKED FIRST IN THE COUNTRY WITH REGARD TO THE NUMBER OF ADULTS (34%) EXPERIENCING SYMPTOMS CONSISTENT WITH DEPRESSION AND 8TH WITH REGARD TO ANXIETY (39.9%). NEVADA RANKED SECOND, NATIONALLY, WITH 47.3% OF ADULTS SHOWING SIGNS OF BOTH DEPRESSION AND ANXIETY" (STATE OF NEVADA COMMISSION ON BEHAVIORAL HEALTH). THERE HAS ALSO BEEN A NOTABLE INCREASE IN MENTAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS AMONG THE CHILD AND ADOLESCENT POPULATION NOT ONLY IN NEVADA, BUT NATIONWIDE. THE AAP, AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY (AACAP) AND CHILDREN'S HOSPITAL ASSOCIATION HAVE DECLARED A NATIONAL EMERGENCY IN CHILDREN'S MENTAL HEALTH. AACAP REPORTED, "BEFORE THE PANDEMIC, RATES OF CHILDHOOD MENTAL HEALTH CONCERNS AND SUICIDE HAD BEEN RISING STEADILY FOR AT LEAST A DECADE. BY 2018, SUICIDE WAS THE SECOND LEADING CAUSE OF DEATH FOR YOUTH AGES 10-24 YEARS" (AMERICAN ACADEMY OF PEDIATRICS). THE PRIMARY INTENT OF CARSON TAHOE HEALTH, BEHAVIORAL HEALTH SERVICES (BHS) IS TO IMPROVE THE MENTAL HEALTH AND WELL BEING OF INDIVIDUALS RESIDING IN OUR SERVICE AREA. BHS HAS BEEN PROVIDING SERVICES ACROSS THE REGION FOR 33 YEARS. BHS SERVICES INCLUDE:- 52 INPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE BEDS FOR ADULTS AND GERIATRIC PATIENTS- 15 CHAIR, 24/7 MALLORY CRISIS CENTER- OUTPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES FOR CHILDREN ADOLESCENCES, ADULTS AND GERIATRIC PATIENTS- FIRST EPISODE PSYCHOSIS PROGRAM SERVING INDIVIDUALS AND THEIR FAMILIES- TWO ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAMS SERVING SMI AND/OR CO-OCCURRING DISORDERS. THE HOSPITAL DIVERSION ACT PROVIDES TREATMENT AND REHABILITATION TO CLIENTS WITH CHRONIC, SEVERE MENTAL ILLNESS. THE EARLY DIVERSION ACT AIMS TO REDUCE AN INDIVIDUAL'S RISK FOR LAW ENFORCEMENT INTERACTIONS OR POTENTIAL ARRESTS.- COMMUNITY OUTREACH AND EDUCATION TO INCLUDE SCHOOL SUICIDE RISK ASSESSMENTS CARSON CITY, DAYTON, AND DOUGLAS COUNTY SCHOOL DISTRICTS. BHS USES A MULTIDISCIPLINARY APPROACH TO PROVIDE COMPASSIONATE, COST-EFFECTIVE OPTIONS FOR CARE CLOSE TO HOME. PATIENTS ARE ACCEPTED 24-HOURS A DAY. THE TEAM EMPLOYS A HOLISTIC APPROACH TO CARE AND INCLUDES PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, CLINICAL PROFESSIONAL COUNSELORS, ADDICTIONS COUNSELORS, ACTIVITIES SPECIALISTS, CASE MANAGERS AND PSYCHIATRIC NURSING STAFF. CONFIDENTIAL ASSESSMENTS AND REFERRALS ARE AVAILABLE FREE OF CHARGE, EITHER BY PHONE OR IN PERSON, TO DETERMINE APPROPRIATENESS FOR PROGRAMS. REFERRALS CAN BE MADE FROM MANY SOURCES, SUCH AS HOSPITALS, PHYSICIANS, MENTAL HEALTH AGENCIES, SOCIAL SERVICE AGENCIES, ASSISTED LIVING FACILITIES, SKILLED NURSING FACILITIES, FAMILY, FRIENDS, AND SELF-REFERRALS. MALLORY BEHAVIORAL HEALTH CRISIS CENTER PROVIDES 24-HOUR HELP TO THOSE SUFFERING FROM A MENTAL HEALTH OR SUBSTANCE USE EMERGENCY. WORKING CLOSELY WITH STATE AND LOCAL MENTAL HEALTH AGENCIES AND IN CONJUNCTION WITH LOCAL LAW ENFORCEMENT AND EMERGENCY RESPONDERS, MALLORY CRISIS CENTER SERVES AN AT-RISK POPULATION BY PROVIDING IMMEDIATE ACCESS TO THE CRITICAL CARE THEY NEED, WITHOUT HAVING TO GO THROUGH THE EMERGENCY DEPARTMENT OR JAIL. THIS INNOVATIVE MODEL OFFERS A MULTIDISCIPLINARY TEAM APPROACH, INCLUDING PSYCHIATRY, NURSING, COUNSELING AND CASE MANAGEMENT, WHO WORK TOGETHER TO DETERMINE THE BEST TREATMENT OPTIONS AVAILABLE. CURRENT PROJECTS:- ZERO SUICIDE STATE WIDE INITIATIVE- PROPOSALS SUBMITTED FOR FOUR YOUTH SAPTA/MENTAL HEALTH BLOCK GRANTS (IOP, ACT, COAST AND YOUTH CRISIS STABILIZATION CENTER)- PEER SUPPORT SERVICES SAPTA/MENTAL HEALTH BLOCK GRANTSCHOOLS AND YOUTH: BHS CURRENTLY HAS MEMORANDA OF UNDERSTANDING (MOU) IN PLACE TO PROVIDE SUICIDE RISK ASSESSMENTS FOR CARSON CITY, DAYTON, AND DOUGLAS COUNTY SCHOOL DISTRICTS.- ASSISTANCE AND SUPPORT FOR LOCAL SCHOOLS WHEN DELIVERING SIGNS OF SUICIDE (SOS) TRAININGS- DAILY CTH PEDIATRIC THERAPY SESSIONS TO THOSE AWAITING PSYCHIATRIC INPATIENT- WORKING WITH THE CARSON CITY SCHOOL DISTRICT TO PROVIDE THERAPY, IN THE SCHOOL SETTING, FOR STUDENTS IN NEED OF THIS LEVEL OF SUPPORT. PROVIDED MENTAL HEALTH EDUCATION/TRAININGS TO COMMUNITY: ALL BHS MENTAL HEALTH TRAININGS AND EDUCATION SERIES ARE DELIVERED, TO THE COMMUNITY, AND FREE OF CHARGE.- CTH STAFF TRAININGS ON CAREGIVER BURNOUT AND SELF CARE- SAFETALK SUICIDE PREVENTION TRAINING AND MENTAL HEALTH FIRST AID- CRISIS INTERVENTION TRAINING (CIT) (CARSON, LYON, CHURCHILL, DOUGLAS SHERIFF DEPTS.)- CARSON FIRE/PARAMEDICSNURSING PROGRAMS WNC, UNR, TRUCKEE MEADOWS- CPI NONVIOLENT CRISIS INTERVENTION TRAINING FOR CTH EMPLOYEESPARTICIPATION IN COMMUNITY OUTREACH EVENTS AND HEALTH FAIRS: BHS PARTICIPATES IN COMMUNITY EVENTS TO EDUCATE, SPREAD AWARENESS AND REDUCE STIGMA. WITH THE GOAL TO BUILD HEALTHY AND HELPFUL PARTNERSHIPS WITH COMMUNITY RESOURCES.- NEVADA'S RECOVERY AND PREVENTION (NRAP) 5K WALK/RUN- SUICIDE PREVENTION WALK- WESTERN NEVADA COLLEGE HEALTH AND BENEFITS FAIR- SENIOR CELEBRATION HEALTH FAIR- WALK TO END ALZHEIMER'S- CARSON CITY SHERIFF'S NIGHT OUT- CARSON HIGH SCHOOL HEALTH FAIRFERNLEY COMMUNITY HEALTH FAIR PARTNERSHIPS AND COLLABORATION WITH COMMUNITY STAKEHOLDERS: BHS PARTICIPATES IN STATE MEETINGS AS WELL AS COMMUNITY MEETINGS TO PARTNER, EDUCATE, SPREAD AWARENESS AND REDUCE STIGMA. WITH THE GOAL TO INCREASE SERVICES AND DEVELOP STRONGER PARTNERSHIPS.- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) WESTERN NEVADA- NEVADA COALITION FOR SUICIDE PREVENTION- CARSON CITY COMMUNITY COALITION- CARSON CITY PARTNERSHIPCARSON CITY BEHAVIORAL HEALTH TASKFORCESENIOR SERVICE NETWORK- DOUGLAS COUNTY PARTNERSHIP- MOBILE OUTREACH SAFETY TEAM (MOST) ALL COUNTIES- NEVADA OFFICE OF SUICIDE PREVENTION- NORTHERN REGIONAL BEHAVIORAL HEALTH POLICY BOARDTHOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY COLLABORATING WITH OTHER COMMUNITY AGENCIES AS WE REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH.
CARSON TAHOE REGIONAL MEDICAL CENTER	PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CARSON TAHOE SIERRA SURGERY CENTER
1400 MEDICAL PARKWAY	CARSON CITY	NV	89703	INPATIENT AND OUTPATIENT SURGERY
2 - CARSON TAHOE MEDICAL OFFICE BUILDING
1470 MEDICAL PARKWAY SUITE 140	CARSON CITY	NV	89703	CARDIAC REHAB, OP CARDIOLOGY IMAGING, HEALTH CLASSES, COUNSELING & LECTURES
3 - CARSON TAHOE MINDEN MEDICAL CENTER
925 IRONWOOD DRIVE	MINDEN	NV	89423	EMERGENT CARE, LAB, IMAGING, THERAPY & CARDIOLOGY
4 - CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAY	CARSON CITY	NV	89703	OUTPATIENT AMBULATORY INFUSION CENTER
5 - CARSON TAHOE SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAY	CARSON CITY	NV	89703	LAB, IP & OP BEHAVIORAL HEALTH, EEG AND WOUND CARE
6 - CARSON TAHOE SURGERY CENTER
973 MICA DRIVE	CARSON CITY	NV	89705	OUTPATIENT SURGERY AND PAIN MANAGEMENT
7 - CARSON TAHOE DAYTON URGENT CARE
901 MEDICAL CENTER DRIVE	DAYTON	NV	89403	URGENT CARE AND OUTPATIENT LAB
8 - CARSON TAHOE CARSON URGENT CARE
1201 S CARSON STREET	CARSON CITY	NV	89701	URGENT CARE AND PHYSICAL THERAPY
9 - CARSON TAHOE CLINIC AT WALMART
3770 US HIGHWAY 395 S	CARSON CITY	NV	89705	CLINIC
10 - CARSON TAHOE CLINIC AT WALMART
3200 MARKET STREET	CARSON CITY	NV	89706	CLINIC
11 - CARSON TAHOE CLINIC AT WALMART
1511 GRANT STREET	GARDNERVILLE	NV	89410	CLINIC
12 - CARSON TAHOE BEHAVIORAL HEALTH
1080 N MINNESOTA STREET	CARSON CITY	NV	89703	INPATIENT BEHAVIORAL HEALTH
13 - CARSON TAHOE MOMS CLINIC
1460 S CURRY STREET	CARSON CITY	NV	89703	WOMEN & CHILDREN'S CENTER
14 - CARSON TAHOE IMAGING SERVICES
2874 N CARSON STREET SUITE 300	CARSON CITY	NV	89706	DIAGNOSTIC IMAGING CENTER
15 - CARSON TAHOE OP THERAPIES
1122 S STEWART STREET	CARSON CITY	NV	89701	OUTPATIENT PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER CARSON TAHOE REGIONAL HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM, AN INDIVIDUAL MUST: 1. LIVE WITHIN CARSON TAHOE'S PRIMARY SERVICE AREA; 2. RECEIVE MEDICALLY NECESSARY CARE; 3. HAVE HOUSEHOLD GROSS INCOME LESS THAN 400% OF FEDERAL POVERTY LEVELS; 4. APPLY FOR GOVERNMENT ASSISTANCE IF UNINSURED; 5. SUBMIT A BILL FOR INSURANCE COVERAGE IF INSURED AND 6. COMPLETE A FINANCIAL ASSISTANCE FOR INSURANCE COVERAGE IF INSURED; AND6. COMPLETE A FINANCIAL ASSISTANCE APPLICATION.INDIVIDUALS MAY NOT BE REQUIRED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE PROGRAMS (FOOD STAMPS, PHARMACEUTICAL ASSISTANCE PROGRAMS, WELFARE, ETC.) OR ARE CURRENTLY ELIGIBLE FOR MEDICARE BUT WERE NOT ELIGIBLE ON THE DATE THEY RECEIVED MEDICAL CARE.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE DIABETES EDUCATION AND OUTPATIENT CLINICS.
PART I, LINE 7, COL (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 $30,362,128.
PART I, LINE 7:	THE AMOUNTS IN PART I, LINES 7A THROUGH 7C WERE CALCULATED USING THE IRS WORKSHEETS BASED ON A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN PART I, LINES 7E THROUGH 7I ARE ACTUAL COSTS AND REVENUES.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES INCLUDED STAFF TIME SPENT IN SUPPORT OF COMMUNITY EMERGENCY PREPAREDNESS AND DISASTER READINESS, AS WELL AS HOSPITAL REPRESENTATION ON COMMUNITY PANELS.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL 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 UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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.
PART III, LINE 3:	THE HOSPITAL CANNOT ESTIMATE WITH REASONABLE ACCURACY THE PORTION OF THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION.
PART III, LINE 4:	SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 2 ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CARSON TAHOE REGIONAL MEDICAL CENTER'S 2023 MEDICARE COST REPORT. CARSON TAHOE REGIONAL MEDICAL CENTER CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT. THE COMMUNITY MEMBERS UTILIZING MEDICARE TEND TO BE MEDICALLY UNDERSERVED AND MAY NOT BE ABLE TO AFFORD HEALTHCARE IF NOT FOR THE MEDICARE PROGRAM.
PART III, LINE 9B:	POLICIES IN EFFECT DURING 2023 ARE THE SAME AS CARSON-TAHOE HEALTH SYSTEM 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.
PART VI, LINE 2:	THE MOST CURRENT NEEDS ASSESSMENT WAS CONDUCTED IN 2022. NEEDS WERE IDENTIFIED USING DIRECT PATIENT AND PHYSICIAN FEEDBACK, SURVEY RESPONSES AND BEST PRACTICE INFORMATION FROM OTHER ORGANIZATIONS.
PART VI, LINE 3:	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.
PART VI, LINE 4:	THE HOSPITAL'S COMMUNITY CONSISTS OF A SMALL URBAN AREA AND A LARGE RURAL POPULATION IN EXCESS OF 250,000 PEOPLE, COVERING NORTHERN NEVADA AND EASTERN CALIFORNIA. THE LARGEST DEMOGRAPHIC AGE IS 50 AND ABOVE.
PART VI, LINE 5:	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 IMPROVEMENT PLAN 2022. CARSON TAHOE PROVIDES OUTREACH PROGRAMS, HEALTH FAIRS, WELLNESS PROGRAMS, BUSINESS HEALTH PARTNERSHIPS, SEMINARS, LECTURES AND EDUCATIONAL FORUMS TO HELP PROMOTE A HEALTHIER COMMUNITY. THE CENTER FOR HEALTH PROMOTION 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.
PART VI, LINE 6:	CARSON TAHOE REGIONAL HEALTHCARE OWNS AND OPERATES:- CARSON TAHOE REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 211 BEDS WITH A 24-HOUR EMERGENCY ROOM.- CANCER CENTER PROVIDES FOR EVERY ASPECT OF CANCER CARE FROM A MEDICAL AND RADIATION ONCOLOGY PRACTICE ALONGSIDE A COMPREHENSIVE CANCER RESOURCE CENTER AND INFUSION CENTER.- SPECIALTY MEDICAL CENTER PROVIDES OUTPATIENT LABORATORY, WOUND CARE AND BEHAVIORAL HEALTH SERVICES AND INPATIENT PSYCHIATRICT SERVICES.- MINDEN MEDICAL CENTER INCLUDES PHYSICIAN OFFICES, THE MINDEN EMERGENT CARE CENTER, AND OUTPATIENT LABORATORY AND RADIOLOGY SERVICES.- WALK-IN CLINICS AT WALMARTS, TWO WHICH CLOSED DURING 2023 - ONE CENTER FOR WOUND HEALING- TWO URGENT CARE CLINICS- TWO THERAPY CLINICS- ONE CARDIAC REHAB FACILITY CARSON TAHOE CONTINUING CARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL LICENSED FOR 29 BEDS THROUGH JUNE 2023. CARSON TAHOE PHYSICIAN CLINICS IS A MULTISPECIALTY MEDICAL GROUP THAT EMPLOYS 83 PROVIDERS AT 18 LOCATIONS WITH SPECIALTIES THAT INCLUDE NEUROSURGERY, CARDIOLOGY, ENDOCRINOLOGY, FAMLIY MEDICINE, INTERNAL MEDICINE, ONCOLOGY, PSYCHIATRY, RHEUMATOLOGY, PAIN MANAGEMENT, UROLOGY, GASTROENTEROLOGY, INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY. CARSON-TAHOE HEALTH SYSTEM IS THE PARENT ORGANIZATION AND PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE REST OF THE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NV

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON-TAHOE HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 MEDICAL PARKWAY	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89703	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	880502318	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$21,550,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	GENERAL OPERATING SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
PATIENT NON-MEDICAL FINANCIAL ASSISTANCE	505	$185,602
PATIENT MEDICAL FINANCIAL ASSSISTANCE	50	$47,241

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	TRANSFERS TO RELATED ORGANIZATIONS ARE MONITORED THORUGH COMMON MANAGEMENT. GRANTS TO UNRELATED ORGANIZATIONS ARE GIVEN TO QUALIFIED CHARITIES AND GOVERNMENTS, BUT CARSON TAHOE REGIONAL HEALTHCARE DOES NOT MONITOR HOW THE RECIPIENT ORGANIZATION USES THE FUNDS. INDIVIDUAL ASSISTANCE IS GIVEN DIRECTLY TO CREDITORS TO ENSURE THE MONEY IS USED FOR THE APPROPRIATE PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHELLE JOY
PRESIDENT & CEO	$0	$703,916	$0	$115,468	$0	$52,351	$0	$46,475	$0	$23,432	$0	$941,642	$0	$40,463
KATIE KUCERA
TREASURER, VP, CFO	$0	$434,550	$0	$82,536	$0	$10,048	$0	$35,053	$0	$23,432	$0	$585,619	$0	$0
WALTER FINK
VP, CMO (THRU 2/23)	$0	$59,586	$0	$112,843	$0	$354,042	$0	$10,490	$0	$5,094	$0	$542,055	$0	$109,928
ALAN GARRETT
FORMER PRESIDENT & CEO	$0	$0	$0	$0	$0	$404,391	$0	$0	$0	$0	$0	$404,391	$0	$47,025
KELLY SCHOTT
DIR. PHARMACY CLINICAL	$194,451	$0	$23,417	$0	$0	$0	$11,003	$0	$10,721	$0	$239,592	$0	$0	$0
CHRISTINA SAPIEN
DIR. BEHAVIORAL HEALTH SERVICES	$189,127	$0	$31,610	$0	$150	$0	$4,375	$0	$8,330	$0	$233,592	$0	$0	$0
SUSAN WILLIAMS
PHARMACIST	$142,604	$0	$850	$0	$69,031	$0	$10,624	$0	$7,632	$0	$230,741	$0	$0	$0
CASSIDY JOST
DIR. OF SPECIALTY NURSING	$173,616	$0	$17,912	$0	$6,428	$0	$10,386	$0	$18,286	$0	$226,628	$0	$0	$0
JENIFER BROWN
DIR. PRIMARY CARE	$162,779	$0	$24,940	$0	$0	$0	$6,003	$0	$13,771	$0	$207,493	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINES 4A-B	IN 2023, WALTER FINK RECEIVED SEVERANCE PAYMENTS OF $170,246 FROM CARSON-TAHOE HEALTH SYSTEM. ALAN GARRETT RECEIVED SEVERANCE PAYMENTS OF $357,128 FROM CARSON-TAHOE HEALTH SYSTEM. TERMS OF SEVERANCE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY AGREEMENT, DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. IN 2023, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $29,975 KATIE KUCERA - $18,553 WALTER FINK - $8,373 IN 2023, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: ALAN GARRETT - $47,025 MICHELLE JOY - $40,463 WALTER FINK - $109,928
PART I, LINE 6	NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON CITY NV	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	886000189	BondIssuerEIN
CUSIP	145810DV6	CUSIPNum
Bond Issued	2017-12-18	BondIssuedDt
Issue Price	$117,356,967	IssuePriceAmt
Purpose	RETIRE 2003 & 2005 BONDS, PROVIDE OPERATING FUNDS, FUND FUTURE CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$14,110,000	RetiredAmt
Total Proceeds	$117,379,647	TotalProceedsAmt
Issuance Costs From Proceeds	$1,509,967	IssuanceCostsFromProceedsAmt
Capital Expenditures	$63,607,841	CapitalExpendituresAmt
Other Spent Proceeds	$55,186,506	OtherSpentProceedsAmt
Substantial Completion	2022	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CARSON CITY NV DATE THE REBATE COMPUTATION WAS PERFORMED: 09/01/2022
SCHEDULE K, PART II, PROCEEDS, LINE 3:	THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND THE ISSUE PRICE IS RELATED TO INVESTMENT INCOME FROM INVESTED PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE CHAIR OF THE BOARD, THE CEO, AND FOUR OTHER MEMBERS OF THE BOARD OF DIRECTORS. BETWEEN BOARD MEETINGS, EXCEPT AS ITS POWERS ARE OTHERWISE LIMITED, THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE ORGANIZATION. NO ACT OF THE EXECUTIVE COMMITTEE, WHEN EXERCISING THE DELEGATED POWERS OF THE BOARD, ARE VALID UNLESS APPROVED BY THE VOTE OR WRITTEN CONSENT OF A MAJORITY OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS CARSON-TAHOE HEALTH SYSTEM, A TAX-EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNING BODY IS APPOINTED BY CARSON-TAHOE HEALTH SYSTEM, THE PARENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7B	THE APPROVAL OF CARSON-TAHOE HEALTH SYSTEM IS REQUIRED FOR EACH OF THE FOLLOWING: (A) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; (B) THE ESTABLISHMENT OF ANY NEW CORPORATION, LIMITED LIABILITY COMPANY OR PARTNERSHIP OR THE MERGER, DISSOLUTION OR CONSOLIDATION OF THE ORGANIZATION; (C) ANY MORTGAGE, SALE, LEASE, EXCHANGE OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (D) ANY CHANGE IN LONG-TERM DEBT ARRANGEMENTS OF THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES OR AFFILIATED ORGANIZATIONS THAT WILL AFFECT THE CREDITWORTHINESS OF THE ORGANIZATION; (E) THE STRATEGIC PLAN OF THE ORGANIZATION; (F) THE ESTABLISHMENT OR CHANGE OF THE PHILOSOPHY ACCORDING TO WHICH THE ORGANIZATION OPERATES; (G) APPROVAL OF THE CONTRACT OF EMPLOYMENT OF THE CEO OF THE ORGANIZATION; AND (H) THE DETERMINATION OF THE AMOUNT OF ANY COMPENSATION FOR MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 WAS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND THE ACCOUNTING PERSONNEL WITH THE INDEPENDENT ACCOUNTING FIRM. THROUGH THE REVIEW PROCESS, ANY CLARIFICATIONS OR CORRECTIONS THAT NEEDED TO BE MADE WERE MADE. THE FORM 990 WAS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISED WERE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEEDED TO BE MADE WERE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES WAS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY APPLIES TO ALL VOTING MEMBERS OF THE GOVERNING BOARD AND COMMITTEES WITH BOARD-DESIGNATED POWERS, EXECUTIVE OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE. EACH COVERED INDIVIDUAL IS GIVEN A COPY OF THE POLICY AND COMPLETES A CONFLICT OF DISCLOSURE STATEMENT ANNUALLY. EACH INDIVIDUAL DISCLOSES FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS WHICH EXISTS OR APPEARS TO EXIST. AT ANY TIME THAT AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT MAY NOT BE PRESENT WHEN THE MATTER IS DISCUSSED AND THE VOTE IS TAKEN. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DISINTERESTED MEMBERS OF THE GOVERNING BOARD OR COMMITTEE EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION. AFTER INVESTIGATING ALTERNATIVES, THE BOARD OR COMMITTEE MAY APPROVE THE TRANSACTION ONLY IF THE DISINTESTERED MEMBERS DETERMINE BY MAJORITY VOTE THAT (A) THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION AND (B) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION GIVEN THE IDENTIFIED ALTERNATIVES. IF THE GOVERNING BOARD OR A COMMITTEE HAS REASON BELIEVE AN INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN A CHANCE TO ADDRESS THE SITUATION. AFTER HEARING THE INDIVIDUAL'S RESPONSE AND CONDUCTING FURTHER INVESTIGATION AS MAY BE WARRANTED, THE BOARD OR COMMITTEE DETERMINES WHETHER THE INDIVIDUAL HAS VIOLATED THE CONFLICT OF INTEREST POLICY. IF AN INDIVIDUAL IS DETERMINED TO HAVE VIOLATED THE POLICY, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS ARE TAKEN, WHICH MAY INCLUDE REMOVAL FROM THE BOARD OR COMMITTEE OR TERMINATION EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	CARSON-TAHOE HEALTH SYSTEM'S EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO BASED ON MARKET SURVEYS POSITIONED SO THAT MIDPOINT WILL TARGET THE 50TH PERCENTILE. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY LONGNECKER IN 2023. BASE SALARIES FOR OTHER OFFICERS AND KEY EMPLOYEES WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 50TH PERCENTILE. EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 50TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE, TENURE, AND OTHER RELEVANT FACTORS AS EVALUATED BY CEO. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. ACHIEVING MAXIMUM INCENTIVES MAY RAISE TOTAL COMPENSATION TO APPROXIMATELY THE 65TH PERCENTILE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY LONGNECKER IN 2023.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,596,440. MANAGEMENT AND GENERAL EXPENSES 147,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,744,379. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 4,711,126. MANAGEMENT AND GENERAL EXPENSES 1,809,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,520,169. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 69,302. MANAGEMENT AND GENERAL EXPENSES 1,413,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,482,580. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,436,259. MANAGEMENT AND GENERAL EXPENSES 2,010,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,446,290. SHARED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 57,031,523. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,031,523. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 382,590. TOTAL EXPENSES 382,590.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CARSON-TAHOE HEALTH SYSTEM
1600 MEDICAL PARKWAY	CARSON CITY	NV	89703	880502318	PARENT ORGANIZATION	NV	501(C)(3)	LINE 12B, II	N/A	0
CARSON TAHOE REGIONAL HEALTHCARE AUXILIARY INC
1600 MEDICAL PARKWAY	CARSON CITY	NV	89703	886007118	SUPPORT CARSON TAHOE REGIONAL HEALTHCARE	NV	501(C)(3)	LINE 12D, III-0		Yes (1)	CARSON TAHOE REGIONAL HEALTHCARE
CTH PHYSICIANS CLINIC
1600 MEDICAL PARKWAY	CARSON CITY	NV	89703	872781421	CLINCIAL MEDICAL SERVICES	NV	501(C)(3)	LINE 10		0	CARSON-TAHOE HEALTH SYSTEM
CARSON TAHOE CONTINUING CARE HOSPITAL INC
775 FLEISCHMANN WAY	CARSON CITY	NV	89703	261635811	LONG-TERM ACUTE CARE	DE	501(C)(3)	LINE 3		0	CARSON-TAHOE HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE PHYSICIAN CLINICS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 MEDICAL PARKWAY	AddressLine1Txt
City	CARSON CITY	CityNm
State Abbreviation	NV	StateAbbreviationCd
ZIP	89703	ZIPCd

Field	Value	IRS element (for citing)
EIN	020566741	EIN
Primary Activities	PHYSICIAN GROUP	PrimaryActivitiesTxt
Legal Domicile State	NV	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd