2022-11-11T15:39:14-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 880502320 CARSON TAHOE REGIONAL HEALTHCARE CARS 7754458000 PO BOX 2168 CARSON CITY NV 89702 KATIE KUCERA VP, CFO 7754458000 2022-10-17 1 KATIE KUCERA 999009999 KURT BENNION CPA P01469618 4252506100 2022-10-17 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHELLE JOY PO BOX 2168 CARSON CITY NV 89702 368064766 0 X WWW.CARSONTAHOE.COM X 2001 NV TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 10 8 2049 106 0 0 15652565 11462321 318421120 346131178 8344180 7264344 -1470303 746491 340947562 365604334 17393169 22833071 0 0 123738982 129352269 0 0 1086211 200904991 204838718 342037142 357024058 -1089580 8580276 512743735 498218410 230757748 205964085 281985987 292254325 X TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 0 0 254203173 22833071 346131178 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 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 11,127 INPATIENT DISCHARGES, 56,827 INPATIENT DAYS, AND 81,789 OUTPATIENT VISITS IN 2021. 254203173 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 156 0 2049 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 0 NV X TERI MILLER 7754458000 PO BOX 2168 CARSON CITY NV 89702 ALAN GARRETT PRESIDENT & CEO 25.00 15.00 X 0 940864 136566 ALLEN FINK VP, CHIEF MEDICAL OFFICER 25.00 15.00 X 0 679728 132652 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 20.00 20.00 X 0 636824 116352 MICHELLE JOY VP, CHIEF OPERATING OFFICER 25.00 15.00 X 0 560672 112932 PAMELA PUCKETT VP AMBULATORY CARE NETWORK (THROUGH FEB 2021) 25.00 15.00 X 0 357185 154242 JEFFERY BASA MD CHAIR 1.00 39.00 X X 0 337001 76296 JOANNE MILLER VP CHIEF NURSING OFFICER (THROUGH MAY 2021) 25.00 15.00 X 0 313185 73698 DAVID JOHNSON VICE CHIEF OF STAFF 1.00 39.00 X 0 282720 57949 WAYNE MITCHELL DIRECTOR, PHARMACY SERVICES 30.00 10.00 X 229263 0 68922 CHRISTINA SAPIEN DIRECTOR, BEHAVIORAL HEALTH SERVICES 40.00 0.00 X 207214 0 36013 KIM MARYNIAK INTERIM CHIEF NURSING OFFICER (THROUGH DEC 2021) 25.00 15.00 X 0 225782 28409 SUSAN WILLIAMS CLINICAL PHARMACIST 40.00 0.00 X 192871 0 45742 KELLY SCHOTT MANAGER, PHARMACY OPERATIONS 40.00 0.00 X 190468 0 35830 MANASSEH CHIBWE ADVANCED PRACTICE CLINICIAN 40.00 0.00 X 172021 0 39126 GILBERT YANUCK SECRETARY 1.00 1.00 X X 0 8400 0 PHILLIP O'NEILL VICE CHAIR 1.00 1.00 X X 0 8400 0 CHRISTINE SANSOM MSN RN TRUSTEE (LEFT DURING 2021) 1.00 1.00 X 0 6300 0 JAMES MANNING TREASURER 1.00 0.00 X X 0 0 0 FREEMAN JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 TIM MCFARREN MD TRUSTEE 1.00 0.00 X 0 0 0 DAVID STRULL MD TRUSTEE 1.00 0.00 X 0 0 0 DEBERA THOMAS TRUSTEE 1.00 0.00 X 0 0 0 JOE TOGOAN TRUSTEE 1.00 0.00 X 0 0 0 991837 4357061 1114729 164 0 1 0 Q & D CONSTRUCTION LLC 1050 S 21ST STREET SPARKS NV 89431 CONSTRUCTION SERVICES 13936227 PROLINK HEALTHCARE LLC 4600 MONTGOMERY ROAD SUITE 300 CINCINNATI OH 45212 TRAVELER SERVICES 7968360 GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO IL 60693 EQUIPMENT MAINTENANCE 3626991 ALTEON HEALTH PO BOX 645849 CINCINNATI OH 452645849 PHYSICIAN SERVICES 2562124 UNIVERSITY OF UTAH HEALTH CARE PO BOX 841312 LOS ANGELES CA 90084 I.T. CONSULTING SERVICES 1871799 76 78732 8525782 2857807 11462321 PATIENT SERVICES 621110 344239181 344239181 NONPATIENT SERVICES 621110 1891997 1891997 346131178 5128802 5128802 732549 0 732549 732549 732549 4560240 12549 2437247 0 2122993 12549 2135542 2135542 0 78732 3198 -3198 -3198 37127 19987 17140 17140 365604334 346131178 0 8010835 22698375 22698375 134696 134696 106837653 87796801 18763556 277296 3667368 3059833 596748 10787 11845096 9116465 2697503 31128 7002152 5849370 1131977 20805 17851480 14514250 3316498 20732 2838 23 2815 2868446 1741535 1084906 42005 10566260 5071206 5495054 43097 38266 4151 680 3603 3037 566 4984440 4984440 11613490 5771389 5841046 1055 MEDICAL SUPPLIES 69018916 68529837 489079 SHARED SERVICES 51924290 51924290 BAD DEBT EXPENSE 25417945 25417945 REPAIRS AND MAINTENANCE 7114481 4112047 3002434 3429432 348098 2399611 681723 357024058 254203173 101734674 1086211 18930540 12480452 41819893 44438577 7288320 7318442 6698158 7448781 390156718 197996766 183281993 192159952 240972388 214186301 1959882 1959882 6247916 6247916 5544645 11978107 512743735 498218410 80693341 63169920 320000 321193 107008177 104188436 40703375 36730000 2032855 1554536 230757748 205964085 X 281985987 292254325 281985987 292254325 512743735 498218410 8580276 1688062 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10698 10698 0 PART II-B, LINE 1: 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. 30312826 30312826 151722307 66344895 85377412 17803316 12442373 5360943 145507345 119209498 26297847 44810924 44810924 192159952 X 331878337 23185 23185 331855152 33749182 33749182 365604334 308925491 23185 23185 308902306 48121752 48121752 357024058 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, 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSES 23,185. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT RETURN 7,092,280. PROVISION FOR BAD DEBTS 25,417,945. GAIN ON PARTNERSHIP 159,515. MISCELLANEOUS INCOME 1,066,893. GAIN ON DISPOSAL OF PROPERTY 12,549. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSES 23,185. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 25,417,945. RELATED PARTY TRANSFERS 22,698,375. MISCELLANEOUS EXPENSES 5,432. HOPEFEST 2021 78732 78732 3198 78732 78732 3198 3198 -3198 37127 19987 1 1.00000 37127 19987 19987 17140 NV 1 0 1 0 1.00000 0.00000 TIANDRA RUSHING PO BOX 2168 CARSON CITY NV 89702 0 ANGELINA CRAIG 0 EVENT ORGANIZER X 1 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 2902342 2902342 0.00880 42478109 19139000 23339109 0.07040 45380451 19139000 26241451 0.07920 1772603 1772603 0.00530 381562 381562 0.00120 33238149 19978299 13259850 0.04000 1073790 1073790 0.00320 36466104 19978299 16487805 0.04970 81846555 39117299 42729256 0.12890 7915 7915 0.00000 7915 7915 0.00000 1 25417945 0 110340447 108940135 1400312 X 1 1 1 1 CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PARKWAY CARSON CITY NV 89703 WWW.CARSONTAHOE.COM 4466-HOS-21 X X X CARSON TAHOE REGIONAL HEALTHCARE 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION B, LINE 7D X X 1 19 1 SEE PART V, SECTION B, LINE 7D 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTML X WWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTML X WWW.CARSONTAHOE.COM/FINANCIALSERVICES.HTML X X X X X 1 X 0 X X X X 1 X 0 0 CARSON TAHOE REGIONAL HEALTHCARE PART V, SECTION B, LINE 5: TO ENSURE THE BEST REPRESENTATION OF THE POPULATION, A TELEPHONE INTERVIEW METHODOLOGY - INCORPORATING BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. A RANDOM SAMPLE OF 800 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA RESULTED IN 362 SURVEYS IN CARSON CITY, 299 IN DOUGLAS COUNTY AND 139 IN LYON COUNTY.TO SOLICIT INPUT FROM KEY INFORMANTS, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 95 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE ONLINE KEY INFORMANT SURVEY. SEE PAGE 12 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR A FULL LIST OF ORGANIZATIONS, AGENCIES AND BUSINESSES THAT PARTICIPATED OF THE ONLINE KEY INFORMANT SURVEY. CARSON TAHOE REGIONAL HEALTHCARE 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 HEALTHCARE PART 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 HEALTHCARE PART V, SECTION B, LINE 11: IN 2021, CARSON TAHOE CONTINUED TO RESPOND TO COVID-19 PANDEMIC SURGES WITHIN THE COMMUNITY BUT ALSO BEGAN TO READDRESS AREAS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY WITH A LARGE FOCUS ON MENTAL HEALTH.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 EMPLOYEES PARTICIPATION 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. 15 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 CARSON CITY NV 89703 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 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 16 - CARSON TAHOE OP THERAPIES 1122 S STEWART STREET CARSON CITY NV 89701 OUTPATIENT PHYSICAL THERAPY 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; AND5. 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 $ 25,417,945. 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 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CARSON TAHOE REGIONAL MEDICAL CENTER'S 2021 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 2021 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 2019. 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 IS A PART OF CARSON-TAHOE HEALTH SYSTEM IN CARSON CITY, NEVADA. THE SYSTEM IS COMPRISED OF THE FOLLOWING ENTITIES: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 AND URGENT 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 STATES NV 1 CARSON-TAHOE HEALTH SYSTEM PO BOX 2168 CARSON CITY NV 89702 880502318 501(C)(3) 22698375 0 GENERAL OPERATING SUPPORT 1 0 PATIENT NON-MEDICAL FINANCIAL ASSISTANCE 362 115869 PATIENT MEDICAL FINANCIAL ASSISTANCE 24 18826 PART I, LINE 2: 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. 0 1 0 0 0 1 1 0 0 ALAN GARRETT PRESIDENT & CEO 0 772455 0 150349 0 18060 0 106977 0 29589 0 1077430 0 0 ALLEN FINK VP, CHIEF MEDICAL OFFICER 0 579726 0 82332 0 17670 0 109284 0 23368 0 812380 0 0 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 0 509329 0 115153 0 12342 0 76703 0 39649 0 753176 0 0 MICHELLE JOY VP, CHIEF OPERATING OFFICER 0 473521 0 76956 0 10195 0 76936 0 35996 0 673604 0 0 PAMELA PUCKETT VP AMBULATORY CARE NETWORK (THROUGH FEB 2021) 0 84527 0 52423 0 220235 0 94878 0 59364 0 511427 0 0 JEFFERY BASA MD CHAIR 0 227321 0 105555 0 4125 0 40500 0 35796 0 413297 0 0 JOANNE MILLER VP CHIEF NURSING OFFICER (THROUGH MAY 2021) 0 188471 0 41233 0 83481 0 69458 0 4240 0 386883 0 0 DAVID JOHNSON VICE CHIEF OF STAFF 0 195666 0 72804 0 14250 0 33853 0 24096 0 340669 0 0 WAYNE MITCHELL DIRECTOR, PHARMACY SERVICES 198283 0 29844 0 1136 0 37650 0 31272 0 298185 0 0 0 CHRISTINA SAPIEN DIRECTOR, BEHAVIORAL HEALTH SERVICES 180820 0 24878 0 1516 0 22853 0 13160 0 243227 0 0 0 KIM MARYNIAK INTERIM CHIEF NURSING OFFICER (THROUGH DEC 2021) 0 209565 0 0 0 16217 0 7060 0 21349 0 254191 0 0 SUSAN WILLIAMS CLINICAL PHARMACIST 188903 0 750 0 3218 0 34717 0 11025 0 238613 0 0 0 KELLY SCHOTT MANAGER, PHARMACY OPERATIONS 172793 0 16695 0 980 0 18303 0 17527 0 226298 0 0 0 MANASSEH CHIBWE ADVANCED PRACTICE CLINICIAN 172021 0 0 0 0 0 28101 0 11025 0 211147 0 0 0 PART I, LINE 3 THE FOLLOWING WERE USED BY CARSON-TAHOE HEALTH SYSTEM TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION. 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B CARSON-TAHOE HEALTH SYSTEM PROVIDED THE FOLLOWING DURING 2021: ALAN GARRETT - 457(F) CONTRIBUTION - $70,851 ALLEN FINK - 457(F) CONTRIBUTION - $51,711 MITCHELL WATSON - 457(F) CONTRIBUTION - $47,058 MICHELLE JOY - 457(F) CONTRIBUTION - $43,834 PAMELA PUCKETT - 457(F) CONTRIBUTION - $21,93 LARRY FAGERHAUG - 457(F) CONTRIBUTION - $18,552 JOANNE MILLER - 457(F) CONTRIBUTION - $13,271 PART I, LINE 6 NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM. A CARSON CITY NV 886000189 145810CP0 2012-09-06 57151648 REFUND 2002 AND 2003A BONDS 1 0 0 B CARSON CITY NV 886000189 145810DV6 2017-12-18 117356967 RETIRE 2003 & 2005 BONDS, PROVIDE OPERATING FUNDS, & FUND FUTURE CONSTRUCTIO 0 0 0 A 17645000 62178505 747261 62178505 1 0 0 1 B 9270000 117379647 1509967 48379624 54674680 15741043 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 A 0 B 1 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 KORN FERRY IN 2020. 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 KORN FERRY IN 2020. 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. CARSON-TAHOE HEALTH SYSTEM 1600 MEDICAL PARKWAY CARSON CITY NV 89703 880502318 PARENT ORGANIZATION NV 501(C)(3) LINE 12B, II N/A 0 CTRH AUXILIARY 1600 MEDICAL PARKWAY CARSON CITY NV 89703 886007118 SUPPORT CTRH NV 501(C)(3) LINE 12D, III-O CARSON TAHOE REGIONAL HEALTHCARE 0 CARSON TAHOE CONTINUING CARE HOSPITAL 1600 MEDICAL PARKWAY CARSON CITY NV 89703 261635811 LONG-TERM CARE HOSPITAL DE 501(C)(3) LINE 3 CARSON-TAHOE HEALTH SYSTEM 0 CTH PHYSICIANS CLINIC 1600 MEDICAL PARKWAY CARSON CITY NV 89703 872781421 CLINICAL MEDICAL SERVICES NV 501(C)(3) LINE 10 CARSON-TAHOE HEALTH SYSTEM 0 CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV N/A C 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 0