STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-05
IRS object ID
202312789349301041
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-05T12:18:51-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880502320EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE REGIONAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARSBusinessNameControlTxt
Phone7754458000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATIE KUCERAPersonNm
Person TitleVP, CFOPersonTitleTxt
Phone7754458000PhoneNum
Signature2023-10-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATIEPersonFirstNm
Person LastKUCERAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2023-10-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE JOYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$385,697,652GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARSONTAHOE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionTO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1874TotalEmployeeCnt
Total Volunteers115TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,462,321PYContributionsGrantsAmt
CY Contributions Grants$9,177,096CYContributionsGrantsAmt
PY Program Service Revenue$346,131,178PYProgramServiceRevenueAmt
CY Program Service Revenue$368,340,791CYProgramServiceRevenueAmt
PY Investment Income$7,264,344PYInvestmentIncomeAmt
CY Investment Income-$448,257CYInvestmentIncomeAmt
PY Other Revenue$746,491PYOtherRevenueAmt
CY Other Revenue$662,024CYOtherRevenueAmt
PY Total Revenue$365,604,334PYTotalRevenueAmt
CY Total Revenue$377,731,654CYTotalRevenueAmt
PY Grants And Similar Paid$22,833,071PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$22,596,285CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$129,352,269PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,418,695CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,137,618CYTotalFundraisingExpenseAmt
PY Other Expenses$204,838,718PYOtherExpensesAmt
CY Other Expenses$219,514,174CYOtherExpensesAmt
PY Total Expenses$357,024,058PYTotalExpensesAmt
CY Total Expenses$376,529,154CYTotalExpensesAmt
PY Revenues Less Expenses$8,580,276PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,202,500CYRevenuesLessExpensesAmt
Total Assets BOY$498,218,410TotalAssetsBOYAmt
Total Assets EOY$449,629,136TotalAssetsEOYAmt
Total Liabilities BOY$205,964,085TotalLiabilitiesBOYAmt
Total Liabilities EOY$180,903,290TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$292,254,325NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$268,725,846NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$276,569,793ExpenseAmt
Grant$22,596,285GrantAmt
Revenue$368,340,791RevenueAmt
DescCARSON 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 159 LICENSED BEDS, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES WITH A TOTAL OF 52 LICENSED BEDS, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, ACCREDITED CANCER CENTER, RETAIL CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION 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 10,788 INPATIENT DISCHARGES, 56,652 INPATIENT DAYS, AND 102,457 OUTPATIENT VISITS IN 2022.Desc
Total Program Service Expenses$276,569,793TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document161IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1874EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEFANIE STIEBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7754458000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ALAN GARRETT
PRESIDENT & CEO (THROUGH AUG 2022)25.0015.00Yes (X)$0$1,000,146$207,832
MICHELLE JOY
VP, COO, THEN PRESIDENT & CEO25.0015.00Yes (X)$0$698,784$172,637
ALLEN FINK
VP, CHIEF MEDICAL OFFICER25.0015.00$0$672,853$142,361Yes (X)
MITCHELL WATSON
VP, CFO (THROUGH FEB 2022)20.0020.00Yes (X)$0$400,770$102,441
KATIE KUCERA
VP, CFO (AS OF FEB 2022)20.0020.00Yes (X)$0$415,366$52,291
KURTIS HOLT
PHYSICIAN40.000.00$258,193$0$62,496Yes (X)
MARY ZINSMEISTER RN
VP, CNO (THROUGH AUGUST 2022)25.0015.00$0$276,590$13,032Yes (X)
WAYNE MITCHELL
DIRECTOR, PHARMACY SERVICES30.0010.00$215,101$0$53,102Yes (X)
SUSAN WILLIAMS
CLINICAL PHARMACIST40.000.00$212,611$0$48,656Yes (X)
CHRISTINA SAPIEN
DIRECTOR, BEHAVIORAL HEALTH SERVICES40.000.00$200,540$0$35,327Yes (X)
KELLY SCHOTT
MANAGER, PHARMACY OPERATIONS40.000.00$192,625$0$35,679Yes (X)
DAVID JOHNSON
VICE CHIEF OF STAFF1.0039.00$0$157,172$38,276Yes (X)
PHILLIP O'NEILL
TRUSTEE1.001.00$0$8,400$0Yes (X)
TIM MCFARREN MD
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
BRIAN DUFFRIN
VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
GILBERT YANUCK
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
JAMES MANNING
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
BECKY HELPER
TRUSTEE1.000.00$0$0$0Yes (X)
FREEMAN JOHNSON
TRUSTEE1.000.00$0$0$0Yes (X)
DEBERA THOMAS
TRUSTEE1.000.00$0$0$0Yes (X)
JOE TOGOAN
TRUSTEE1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,079,070TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,630,081TotReportableCompRltdOrgAmt
Total Other Compensation$964,130TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL COLLEAGUES INC
1765 E NINE MILE ROAD SUITE 1-229PENSACOLAFL32514MEDICAL CONSULTING & BILLING SERVICES$8,672,822
PROLINK HEALTHCARE LLC
4600 MONTGOMERY ROAD SUITE 300CINCINNATIOH45212TRAVELER SERVICES$7,606,588
AYA HEALTHCARE
DEPT 3519 PO BOX 123519DALLASTX753123519TRAVELER SERVICES$3,602,550
GE PRECISTION HEALTHCARE LLC
PO BOX 96483CHICAGOIL60693HEALTHCARE SERVICES$2,836,772
Q & D CONSTRUCTION LLC
1050 SOUTH 21ST STREETSPARKSNV89431CONSTRUCTION SERVICES$2,713,094
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K153CntrctRcvdGreaterThan100KCnt
Fundraising$78,267FundraisingAmt
Government Grants$6,958,141GovernmentGrantsAmt
All Other Contributions$2,140,688AllOtherContributionsAmt
Noncash Contributions$23,500NoncashContributionsAmt
Total Contributions$9,177,096TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$366,335,071$366,335,071
NONPATIENT SERVICES621110$2,005,720$2,005,720
FieldValueIRS element (for citing)
Total Program Service Revenue$368,340,791TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,798,911TotalRevenueColumnAmt
Exclusion$3,798,911ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$634,531RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$634,531RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$634,531TotalRevenueColumnAmt
Exclusion$634,531ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,694,245SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,821,569SecuritiesAmt
Other$119,844OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,127,324SecuritiesAmt
Other-$119,844OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,247,168TotalRevenueColumnAmt
Exclusion-$4,247,168ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$78,267ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,085FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,085TotalRevenueColumnAmt
Exclusion-$1,085ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$28,380GamingGrossIncomeAmt
Gaming Direct Expenses$23,500GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,880TotalRevenueColumnAmt
Exclusion$4,880ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGAIN ON LEASE TERMINATIONDesc
Business900099BusinessCd
Total Revenue Column$23,698TotalRevenueColumnAmt
Exclusion$23,698ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,698OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$377,731,654TotalRevenueColumnAmt
Related Or Exempt Func Income$368,340,791RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$213,767ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$22,212,800TotalAmt
Program Services$22,212,800ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$383,485TotalAmt
Program Services$383,485ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$112,592,857TotalAmt
Program Services$98,026,365ProgramServicesAmt
Management And General$14,332,622ManagementAndGeneralAmt
Fundraising$233,870FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,656,592TotalAmt
Program Services$3,099,994ProgramServicesAmt
Management And General$548,048ManagementAndGeneralAmt
Fundraising$8,550FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,971,098TotalAmt
Program Services$8,709,985ProgramServicesAmt
Management And General$2,239,774ManagementAndGeneralAmt
Fundraising$21,339FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,198,148TotalAmt
Program Services$6,139,500ProgramServicesAmt
Management And General$1,041,486ManagementAndGeneralAmt
Fundraising$17,162FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,791,326TotalAmt
Program Services$23,136,333ProgramServicesAmt
Management And General$3,640,148ManagementAndGeneralAmt
Fundraising$14,845FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$817TotalAmt
Management And General$817ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,384,337TotalAmt
Program Services$2,501,210ProgramServicesAmt
Management And General$1,836,906ManagementAndGeneralAmt
Fundraising$46,221FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,669,338TotalAmt
Program Services$2,930,344ProgramServicesAmt
Management And General$4,738,994ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,384TotalAmt
Program Services$31,079ProgramServicesAmt
Management And General$5,057ManagementAndGeneralAmt
Fundraising$248FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,931TotalAmt
Program Services$12,370ProgramServicesAmt
Management And General$3,561ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,978,186TotalAmt
Management And General$4,978,186ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,449,646TotalAmt
Program Services$7,347,432ProgramServicesAmt
Management And General$6,101,159ManagementAndGeneralAmt
Fundraising$1,055FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$73,289,010$72,777,776$511,234
SHARED SERVICES$53,228,912$53,228,912
BAD DEBT EXPENSE$24,395,007$24,395,007
REPAIRS AND MAINTENANCE$7,499,021$4,387,736$3,111,285

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,776,259TotalAmt
Program Services$478,377ProgramServicesAmt
Management And General$2,503,554ManagementAndGeneralAmt
Fundraising$794,328FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$376,529,154TotalAmt
Program Services$276,569,793ProgramServicesAmt
Management And General$98,821,743ManagementAndGeneralAmt
Fundraising$1,137,618FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,480,452BOYAmt
EOY$15,165,298EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,438,577BOYAmt
EOY$53,489,689EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,318,442BOYAmt
EOY$6,425,454EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,448,781BOYAmt
EOY$7,609,607EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$348,385,005LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$161,641,580LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$192,159,952BOYAmt
EOY$186,743,425EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$214,186,301BOYAmt
EOY$137,459,747EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,959,882BOYAmt
EOY$1,959,882EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,247,916BOYAmt
EOY$6,247,916EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,978,107BOYAmt
EOY$34,528,118EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$498,218,410BOYAmt
EOY$449,629,136EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,169,920BOYAmt
EOY$20,257,917EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$321,193BOYAmt
EOY$193,315EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,188,436BOYAmt
EOY$101,271,221EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$36,730,000BOYAmt
EOY$59,180,837EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,554,536BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$205,964,085BOYAmt
EOY$180,903,290EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$292,254,325BOYAmt
EOY$268,725,846EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$292,254,325BOYAmt
EOY$268,725,846EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$498,218,410BOYAmt
EOY$449,629,136EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,202,500ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$24,730,979NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,649OtherActivitiesAmt
Total Lobbying Expenditures$10,649TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA 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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,075,828OtherCostOrOtherBasisAmt
Depreciation$67,843,234DepreciationAmt
Book Value$91,232,594BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,803,316OtherCostOrOtherBasisAmt
Depreciation$13,015,594DepreciationAmt
Book Value$4,787,722BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,932,904OtherCostOrOtherBasisAmt
Depreciation$80,782,752DepreciationAmt
Book Value$25,150,152BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,260,131OtherCostOrOtherBasisAmt
Book Value$35,260,131BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$186,743,425TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$34,528,118BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$34,528,118TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$353,281,447TotalRevEtcAuditedFinclStmtAmt
Other Revenue$632,357OtherRevenueAmt
Revenue Not Reported$632,357RevenueNotReportedAmt
Revenue Subtotal$352,649,090RevenueSubtotalAmt
Other Revenues Not Included$25,082,564OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$25,082,564RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$377,731,654TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$329,922,234TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$24,585OtherExpensesIncludedAmt
Expenses Not Reported$24,585ExpensesNotReportedAmt
Expenses Subtotal$329,897,649ExpensesSubtotalAmt
Other Expenses Not Included$46,631,505OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$46,631,505ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$376,529,154TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2022.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EVENT EXPENSES 1,085. INVESTMENT RETURN 487,928. LOSS ON DISPOSAL OF PROPERTY 119,844. CHARITABLE GAMING EXPENSES 23,500.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 24,395,007. GAIN ON PARTNERSHIP 159,515. GAIN ON LEASE TERMINATIONS 23,698. CAPITAL CONTRIBUTIONS 504,344.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EVENT EXPENSES 1,085. CHARITABLE GAMING EXPENSES 23,500.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 24,395,007. RELATED PARTY TRANSFERS 22,212,800. GAIN ON LEASE TERMINATIONS 23,698.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOPEFEST 2022Event1Nm
Gross Receipts Event1$78,267GrossReceiptsEvent1Amt
Charitable Contri Event1$78,267CharitableContriEvent1Amt
Food And Beverage Event1$381FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$704OtherDirectExpensesEvent1Amt
Gross Receipts Total$78,267GrossReceiptsTotalAmt
Charitable Contributions Tot$78,267CharitableContributionsTotAmt
Food And Beverage Total Events$381FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$704OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,085DirectExpenseSummaryEventsAmt
Net Income Summary-$1,085NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$28,380GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$23,500NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$28,380GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$23,500NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$23,500DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$4,880NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNVStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility1.00000GamingOwnFacilityPct
Gaming Other Facility0.00000GamingOtherFacilityPct
Individual With BooksANGELINA CRAIGIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonANGELINA CRAIGGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvEVENT ORGANIZERGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,910,391TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,910,391NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,596,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,486,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,110,234NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,506,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,486,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,020,625NetCommunityBenefitExpnsAmt
Total Expense0.06260TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,679,005TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,679,005NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$370,430TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$370,430NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,681,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,866,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,815,231NetCommunityBenefitExpnsAmt
Total Expense0.03360TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,111,373TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,111,373NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,842,606TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,866,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,976,039NetCommunityBenefitExpnsAmt
Total Expense0.04270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,349,231TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,352,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,996,664NetCommunityBenefitExpnsAmt
Total Expense0.10530TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,381TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,381NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,381TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,381NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$24,395,007BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$104,845,701ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$103,523,640CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,322,061MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 MEDICAL PARKWAYAddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89703ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CARSONTAHOE.COMWebsiteAddressTxt
State License4466-HOS-21StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE REGIONAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION B, LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION B, LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTMLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTMLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTMLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CARSON TAHOE REGIONAL HEALTHCAREPART 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-AS-ACTION-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 HEALTHCAREPART 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 HEALTHCAREPART 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 COUNTY- LYON COUNTY HUMAN SERVICES- QUAD-COUNTY PUBLIC HEALTH PREPAREDNESS- DOUGLAS COUNTY COMMUNITY SERVICES, PARKS, & RECREATION
CARSON TAHOE REGIONAL HEALTHCAREPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTML.
CARSON TAHOE REGIONAL HEALTHCAREPART V, SECTION B, LINE 11: CARSON TAHOE CONTINUED TO RESPOND TO COVID-19 PANDEMIC SURGES WITHIN THE COMMUNITY BUT ALSO 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 THE COMMUNITIES SERVED. 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 BED PSYCHIATRIC EMERGENCY SERVICES, 24/7 MALLORY BEHAVIORAL HEALTH 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.- 51 CRISIS SUICIDE RISK ASSESSMENTS (IN SCHOOLS) FOR 2021- 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/PARAMEDICS- NURSING 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 FAIR- FERNLEY COMMUNITY HEALTH FAIRPARTNERSHIPS 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 PARTNERSHIP- CARSON CITY BEHAVIORAL HEALTH TASKFORCE- SENIOR 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.
FieldValueIRS element (for citing)
Facility15FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARSON TAHOE SIERRA SURGERY CENTER
1400 MEDICAL PARKWAYCARSON CITYNV89703INPATIENT AND OUTPATIENT SURGERY
2 - CARSON TAHOE MEDICAL OFFICE BUILDING
1470 MEDICAL PARKWAY SUITE 140CARSON CITYNV89703CARDIAC REHAB, OP CARDIOLOGY IMAGING, HEALTH CLASSES, COUNSELING & LECTURES
3 - CARSON TAHOE MINDEN MEDICAL CENTER
925 IRONWOOD DRIVECARSON CITYNV89703EMERGENT CARE, LAB, IMAGING, THERAPY & CARDIOLOGY
4 - CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAYCARSON CITYNV89703OUTPATIENT AMBULATORY INFUSION CENTER
5 - CARSON TAHOE SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAYCARSON CITYNV89703LAB, IP & OP BEHAVIORAL HEALTH, EEG AND WOUND CARE
6 - CARSON TAHOE SURGERY CENTER
973 MICA DRIVECARSON CITYNV89705OUTPATIENT SURGERY AND PAIN MANAGEMENT
7 - CARSON TAHOE DAYTON URGENT CARE
901 MEDICAL CENTER DRIVEDAYTONNV89403URGENT CARE AND OUTPATIENT LAB
8 - CARSON TAHOE CARSON URGENT CARE
1201 S CARSON STREETCARSON CITYNV89701URGENT CARE AND THERAPY
9 - CARSON TAHOE CLINIC AT WALMART
3770 US HIGHWAY 395 SCARSON CITYNV89705CLINIC
10 - CARSON TAHOE CLINIC AT WALMART
3200 MARKET STREETCARSON CITYNV89706CLINIC
11 - CARSON TAHOE CLINIC AT WALMART
1511 GRANT STREETGARDNERVILLENV89410CLINIC
12 - CARSON TAHOE BEHAVIORAL HEALTH
1080 N MINNESOTA STREETCARSON CITYNV89703INPATIENT BEHAVIORAL HEALTH
13 - CARSON TAHOE MOMS CLINIC
1460 S CURRY STREETCARSON CITYNV89703WOMEN & CHILDREN'S CENTER
14 - CARSON TAHOE IMAGING SERVICES
2874 N CARSON STREET SUITE 300CARSON CITYNV89706DIAGNOSTIC IMAGING CENTER
16 - CARSON TAHOE OP THERAPIES
1122 S STEWART STREETCARSON CITYNV89701OUTPATIENT PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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; 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 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 I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE DIABETES EDUCATION AND OUTPATIENT CLINICS.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24,395,007.
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 THIRD-PARTY 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 2022 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 2022 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 2020. 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.- THREE WALK-IN CLINICS AT WALMARTS- TWO CENTERS FOR WOUND HEALING- TWO URGENT CARE CLINICS- TWO THERAPY CLINICS- ONE CARDIAC REHAB FACILITYCARSON TAHOE CONTINUING CARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL LICENSED FOR 29 BEDS.CARSON TAHOE PHYSICIAN CLINICS IS A MULTISPECIALTY MEDICAL GROUP THAT EMPLOYS 83 PROVIDERS AT 14 LOCATIONS WITH SPECIALTIES THAT INCLUDE NEUROSURGERY, CARDIOLOGY, ENDOCRINOLOGY, FAMLIY MEDICINE, INTERNAL MEDICINE, ONCOLOGY, PSYCHIATRY, RHEUMATOLOGY, PAIN MANAGEMENT, 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 STATESNV

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARSON-TAHOE HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd
FieldValueIRS element (for citing)
Recipient EIN880502318RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$22,212,800CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PATIENT NON-MEDICAL FINANCIAL ASSISTANCE310$277,613
PATIENT MEDICAL FINANCIAL ASSISTANCE64$105,872

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTRANSFERS 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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALAN GARRETT
PRESIDENT & CEO (THROUGH AUG 2022)$0$844,925$0$147,767$0$7,454$0$178,243$0$29,589$0$1,207,978$0$0
MICHELLE JOY
VP, COO, THEN PRESIDENT & CEO$0$626,342$0$61,550$0$10,892$0$136,441$0$36,196$0$871,421$0$0
ALLEN FINK
VP, CHIEF MEDICAL OFFICER$0$602,513$0$60,140$0$10,200$0$113,358$0$29,003$0$815,214$0$0
MITCHELL WATSON
VP, CFO (THROUGH FEB 2022)$0$130,623$0$43,764$0$226,383$0$79,567$0$22,874$0$503,211$0$0
KATIE KUCERA
VP, CFO (AS OF FEB 2022)$0$381,635$0$23,956$0$9,775$0$16,095$0$36,196$0$467,657$0$0
KURTIS HOLT
PHYSICIAN$256,024$0$2,169$0$0$0$30,008$0$32,488$0$320,689$0$0$0
MARY ZINSMEISTER RN
VP, CNO (THROUGH AUGUST 2022)$0$185,252$0$35,000$0$56,338$0$4,132$0$8,900$0$289,622$0$0
WAYNE MITCHELL
DIRECTOR, PHARMACY SERVICES$195,408$0$19,693$0$0$0$16,330$0$36,772$0$268,203$0$0$0
SUSAN WILLIAMS
CLINICAL PHARMACIST$205,799$0$800$0$6,012$0$37,631$0$11,025$0$261,267$0$0$0
CHRISTINA SAPIEN
DIRECTOR, BEHAVIORAL HEALTH SERVICES$183,323$0$17,217$0$0$0$22,167$0$13,160$0$235,867$0$0$0
KELLY SCHOTT
MANAGER, PHARMACY OPERATIONS$180,054$0$12,571$0$0$0$18,152$0$17,527$0$228,304$0$0$0
DAVID JOHNSON
VICE CHIEF OF STAFF$0$129,848$0$7,524$0$19,800$0$23,951$0$14,325$0$195,448$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE FOLLOWING WERE USED BY CARSON-TAHOE HEALTH SYSTEM TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION. 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BIN 2022, ALAN GARRETT RECEIVED SEVERANCE PAYMENTS OF $247,408 FROM CARSON-TAHOE HEALTH SYSTEM AND MITCHELL WATSON RECEIVED SEVERANCE PAYMENTS OF $226,383 FROM CARSON-TAHOE HEALTH SYSTEM. IN 2022, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: ALAN GARRETT - $43,601 MITCHELL WATSON - $9,050 MICHELLE JOY - $70,851 ALLEN FINK - $51,711 KATIE KUCERA - $42,500 MARY ZINSMEISTER - $20,000 IN 2022, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: ALAN GARRETT - $135,993 MITCHELL WATSON - $43,817 MICHELLE JOY - $100,691 ALLEN FINK - $71,177
PART I, LINE 6NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CARSON CITY NVBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN886000189BondIssuerEIN
CUSIP145810DV6CUSIPNum
Bond Issued2017-12-18BondIssuedDt
Issue Price$117,356,967IssuePriceAmt
PurposeRETIRE 2003 & 2005 BONDS, PROVIDE OPERATING FUNDS, & FUND FUTURE CONSTRUCTIOPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,630,000RetiredAmt
Total Proceeds$117,379,647TotalProceedsAmt
Issuance Costs From Proceeds$1,509,967IssuanceCostsFromProceedsAmt
Capital Expenditures$62,715,912CapitalExpendituresAmt
Other Spent Proceeds$54,674,680OtherSpentProceedsAmt
Unspent$1,404,755UnspentAmt
Substantial Completion2022SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: CARSON CITY, NV DATE THE REBATE COMPUTATION WAS PERFORMED: 09/01/2022ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS CARSON-TAHOE HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY IS APPOINTED BY CARSON-TAHOE HEALTH SYSTEM, THE PARENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11BTHE 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 12CTHE 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 15CARSON-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 2022. 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 2022.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CARSON-TAHOE HEALTH SYSTEM
1600 MEDICAL PARKWAYCARSON CITYNV89703880502318PARENT ORGANIZATIONNV501(C)(3)LINE 12B, IIN/A0
CTRH AUXILIARY
1600 MEDICAL PARKWAYCARSON CITYNV89703886007118SUPPORT CTRHNV501(C)(3)LINE 12D, III-O0CARSON TAHOE REGIONAL HEALTHCARE
CARSON TAHOE CONTINUING CARE HOSPITAL
1600 MEDICAL PARKWAYCARSON CITYNV89703261635811LONG-TERM CARE HOSPITALDE501(C)(3)LINE 30CARSON-TAHOE HEALTH SYSTEM
CTH PHYSICIANS CLINIC
1600 MEDICAL PARKWAYCARSON CITYNV89703872781421CLINICAL MEDICAL SERVICESNV501(C)(3)LINE 100CARSON-TAHOE HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE PHYSICIAN CLINICSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 MEDICAL PARKWAYAddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89703ZIPCd
FieldValueIRS element (for citing)
EIN020566741EIN
Primary ActivitiesPHYSICIAN GROUPPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd