STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202113149349302451
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-10T09:31:01-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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)
PersonMITCHELL WATSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7754458000PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMITCHELLPersonFirstNm
Person LastWATSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2021-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALAN GARRETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$341,631,552GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2044TotalEmployeeCnt
Total Volunteers101TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,371,469PYContributionsGrantsAmt
CY Contributions Grants$15,652,565CYContributionsGrantsAmt
PY Program Service Revenue$328,420,019PYProgramServiceRevenueAmt
CY Program Service Revenue$318,421,120CYProgramServiceRevenueAmt
PY Investment Income$6,549,106PYInvestmentIncomeAmt
CY Investment Income$8,344,180CYInvestmentIncomeAmt
PY Other Revenue$836,012PYOtherRevenueAmt
CY Other Revenue-$1,470,303CYOtherRevenueAmt
PY Total Revenue$337,176,606PYTotalRevenueAmt
CY Total Revenue$340,947,562CYTotalRevenueAmt
PY Grants And Similar Paid$21,522,158PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$17,393,169CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$117,115,448PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$123,738,982CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$677,275CYTotalFundraisingExpenseAmt
PY Other Expenses$182,709,603PYOtherExpensesAmt
CY Other Expenses$200,904,991CYOtherExpensesAmt
PY Total Expenses$321,347,209PYTotalExpensesAmt
CY Total Expenses$342,037,142CYTotalExpensesAmt
PY Revenues Less Expenses$15,829,397PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,089,580CYRevenuesLessExpensesAmt
Total Assets BOY$449,086,676TotalAssetsBOYAmt
Total Assets EOY$512,743,735TotalAssetsEOYAmt
Total Liabilities BOY$178,967,939TotalLiabilitiesBOYAmt
Total Liabilities EOY$230,757,748TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$270,118,737NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$281,985,987NetAssetsOrFundBalancesEOYAmt
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$227,956,917ExpenseAmt
Grant$17,393,169GrantAmt
Revenue$318,421,120RevenueAmt
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 11,005 INPATIENT DISCHARGES, 53,960 INPATIENT DAYS, AND 267,228 OUTPATIENT VISITS IN 2020. IN RESPONSE TO THE COVID-19 PANDEMIC, CARSON TAHOE DID NOT LAY ANYONE OFF AND KEPT ALL EMPLOYEES WORKING ON VARIOUS TASKS, PUT UP A TENT NEAR THE EMERGENCY ROOM FOR ADDITIONAL CAPACITY AND A DRIVE-THRU TENT IN MID-CARSON FOR TESTING, INSTITUTED TELE-HEALTH, DELAYED ELECTIVE SURGERIES AND ONLY PERFORMED TIME-SENSISTIVE MEDICALLY NECESSARY PROCEDURES, ALL WHILE INCURRING OVER $10.7 MILLION IN ADDITIONAL EXPENSES.Desc
Total Program Service Expenses$227,956,917TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
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 AccountYes (1)EscrowAccountInd
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 Document150IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2044EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
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 Line1KATIE KUCERABusinessNameLine1Txt
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 (20 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 & CEO25.0015.00Yes (X)$0$795,586$69,839
MICHELLE JOY
VP, CHIEF OPERATING OFFICER25.0015.00$0$539,827$113,245Yes (X)
MITCHELL WATSON
VP, CHIEF FINANCIAL OFFICER20.0020.00Yes (X)$0$508,981$84,319
ALLEN FINK
VP, CHIEF MEDICAL OFFICER25.0015.00$0$505,987$63,878Yes (X)
LARRY FAGERHAUG
VP, CHIEF HUMAN RESOURCES OFFICER25.0015.00$0$400,862$92,957Yes (X)
PAMELLA PUCKETT
VP, CLINICAL INTEGRATION5.0035.00$0$363,703$74,602Yes (X)
TRACEY MCCOLLUM
DIRECTOR, NURSING SERVICES40.000.00$232,985$0$64,159Yes (X)
CYNTHIA KUPERUS
DIRECTOR, PERI-OPERATIVE SERVICES40.000.00$248,286$0$48,364Yes (X)
WAYNE MITCHELL
DIRECTOR, PHARMACY SERVICES30.0010.00$215,680$0$62,789Yes (X)
SCOTT MATTES
DIRECTOR, ANCILLARY SERVICES40.000.00$223,367$0$27,320Yes (X)
SUSAN WILLIAMS
CLINICAL PHARMACIST40.000.00$194,338$0$46,006Yes (X)
GILBERT YANUCK
SECRETARY1.001.00Yes (X)$0$8,400$0Yes (X)
ELIZABETH DUFFRIN
ASSISTANT SECRETARY1.001.00Yes (X)$0$8,400$0Yes (X)
PHILLIP O'NEILL
DIRECTOR1.001.00$0$8,400$0Yes (X)
CHRISTINE SANSOM MSN RN
DIRECTOR1.001.00$0$7,200$0Yes (X)
JEFFERY BASA MD
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
JAMES MANNING
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
KEVIN HALOW MD
DIRECTOR1.000.00$0$0$0Yes (X)
FREEMAN JOHNSON
DIRECTOR1.000.00$0$0$0Yes (X)
DAVID STRULL MD
DIRECTOR1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,114,656TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,147,346TotReportableCompRltdOrgAmt
Total Other Compensation$747,478TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K153IndivRcvdGreaterThan100KCnt
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
Q & D CONSTRUCTION LLC
1050 S 21ST STREETSPARKSNV89431CONSTRUCTION SERVICES$19,019,266
AYA HEALTHCARE INC
5930 CORNERSTONE COURT W SUITE 300SAN DIEGOCA92121PHYSICIAN SERVICES$3,977,433
GE PRECISION HEALTHCARE LLC
PO BOX 96483CHICAGOIL60693EQUIPMENT MAINTENANCE$3,889,644
ALTEON HEALTH
5700 DARROW ROAD SUITE 106HUDSONOH44236PHYSICIAN SERVICES$1,953,425
NORTH STAR CONSTRUCTION
PO BOX 1305CARSON CITYNV89702CONSTRUCTION SERVICES$1,769,154
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K69CntrctRcvdGreaterThan100KCnt
Fundraising$86,987FundraisingAmt
Government Grants$14,148,356GovernmentGrantsAmt
All Other Contributions$1,417,222AllOtherContributionsAmt
Total Contributions$15,652,565TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$315,999,593$315,999,593
NONPATIENT SERVICES621110$2,421,527$2,421,527
FieldValueIRS element (for citing)
Total Program Service Revenue$318,421,120TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,350,198TotalRevenueColumnAmt
Exclusion$5,350,198ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$744,928RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$744,928RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$744,928TotalRevenueColumnAmt
Exclusion$744,928ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,649,929SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$582,825SecuritiesAmt
Other$73,122OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,067,104SecuritiesAmt
Other-$73,122OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,993,982TotalRevenueColumnAmt
Exclusion$2,993,982ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,870FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$86,987ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,543FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,327TotalRevenueColumnAmt
Exclusion$11,327ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$23,420GamingGrossIncomeAmt
Gaming Direct Expenses$19,500GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,920TotalRevenueColumnAmt
Exclusion$3,920ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS ON DEBT REFINANCINGDesc
Business900099BusinessCd
Total Revenue Column-$2,230,478TotalRevenueColumnAmt
Exclusion-$2,230,478ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$2,230,478OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,947,562TotalRevenueColumnAmt
Related Or Exempt Func Income$318,421,120RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,873,877ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$17,300,000TotalAmt
Program Services$17,300,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$93,169TotalAmt
Program Services$93,169ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$100,918,588TotalAmt
Program Services$75,505,482ProgramServicesAmt
Management And General$25,127,444ManagementAndGeneralAmt
Fundraising$285,662FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,670,051TotalAmt
Program Services$2,791,452ProgramServicesAmt
Management And General$867,406ManagementAndGeneralAmt
Fundraising$11,193FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,864,781TotalAmt
Program Services$8,096,691ProgramServicesAmt
Management And General$3,738,697ManagementAndGeneralAmt
Fundraising$29,393FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,285,562TotalAmt
Program Services$5,508,220ProgramServicesAmt
Management And General$1,755,056ManagementAndGeneralAmt
Fundraising$22,286FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,592,887TotalAmt
Program Services$14,078,757ProgramServicesAmt
Management And General$5,505,170ManagementAndGeneralAmt
Fundraising$8,960FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,016TotalAmt
Program Services$2,486ProgramServicesAmt
Management And General$6,530ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,440,904TotalAmt
Program Services$1,676,895ProgramServicesAmt
Management And General$1,737,892ManagementAndGeneralAmt
Fundraising$26,117FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,442,790TotalAmt
Program Services$4,529,829ProgramServicesAmt
Management And General$4,912,961ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$104,059TotalAmt
Program Services$90,270ProgramServicesAmt
Management And General$13,192ManagementAndGeneralAmt
Fundraising$597FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$20,831TotalAmt
Program Services$4,043ProgramServicesAmt
Management And General$16,788ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,995,516TotalAmt
Management And General$5,995,516ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,577,361TotalAmt
Program Services$5,995,438ProgramServicesAmt
Management And General$8,580,868ManagementAndGeneralAmt
Fundraising$1,055FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$61,406,959$60,883,223$523,736
SHARED SERVICES$48,651,590$48,651,590
BAD DEBT EXPENSE$26,205,415$26,205,415
REPAIRS AND MAINTENANCE$8,667,684$4,735,721$3,931,793$170

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,789,979TotalAmt
Program Services$459,826ProgramServicesAmt
Management And General$2,038,311ManagementAndGeneralAmt
Fundraising$291,842FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$342,037,142TotalAmt
Program Services$227,956,917ProgramServicesAmt
Management And General$113,402,950ManagementAndGeneralAmt
Fundraising$677,275FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,931,819BOYAmt
EOY$18,930,540EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,307,100BOYAmt
EOY$41,819,893EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,091,489BOYAmt
EOY$7,288,320EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,442,184BOYAmt
EOY$6,698,158EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$377,076,684LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$193,794,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$159,529,329BOYAmt
EOY$183,281,993EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$201,561,441BOYAmt
EOY$240,972,388EOYAmt

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$3,015,516BOYAmt
EOY$5,544,645EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$449,086,676BOYAmt
EOY$512,743,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,100,393BOYAmt
EOY$80,693,341EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$160,000BOYAmt
EOY$320,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,803,389BOYAmt
EOY$107,008,177EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$392,984BOYAmt
EOY$40,703,375EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,511,173BOYAmt
EOY$2,032,855EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$178,967,939BOYAmt
EOY$230,757,748EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$270,118,737BOYAmt
EOY$281,985,987EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$270,118,737BOYAmt
EOY$281,985,987EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$449,086,676BOYAmt
EOY$512,743,735EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,089,580ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,956,830NetUnrlzdGainsLossesInvstAmt
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$4,027OtherActivitiesAmt
Total Lobbying Expenditures$4,027TotalLobbyingExpendituresAmt
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$150,901,267OtherCostOrOtherBasisAmt
Depreciation$62,272,241DepreciationAmt
Book Value$88,629,026BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,803,316OtherCostOrOtherBasisAmt
Depreciation$11,855,782DepreciationAmt
Book Value$5,947,534BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,561,339OtherCostOrOtherBasisAmt
Depreciation$119,666,668DepreciationAmt
Book Value$32,894,671BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,497,936OtherCostOrOtherBasisAmt
Book Value$25,497,936BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$183,281,993TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$308,654,315TotalRevEtcAuditedFinclStmtAmt
Other Revenue$2,331,643OtherRevenueAmt
Revenue Not Reported$2,331,643RevenueNotReportedAmt
Revenue Subtotal$306,322,672RevenueSubtotalAmt
Other Revenues Not Included$34,624,890OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$34,624,890RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$340,947,562TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$298,559,770TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,043OtherExpensesIncludedAmt
Expenses Not Reported$28,043ExpensesNotReportedAmt
Expenses Subtotal$298,531,727ExpensesSubtotalAmt
Other Expenses Not Included$43,505,415OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$43,505,415ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$342,037,142TotalExpensesPerForm990Amt

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, 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EVENT EXPENSES 28,043. LOSS ON DISPOSAL OF PROPERTY 73,122. LOSS ON DEBT REFINANCING 2,230,478.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT RETURN 8,270,349. PROVISION FOR BAD DEBTS 26,205,415. GAIN ON PARTNERSHIP 146,953. MISC INCOME 2,173.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EVENT EXPENSES 28,043.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 26,205,415. RELATED PARTY TRANSFERS 17,300,000.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOPEFEST 2020Event1Nm
Gross Receipts Event1$106,857GrossReceiptsEvent1Amt
Charitable Contri Event1$86,987CharitableContriEvent1Amt
Gross Revenue Event1$19,870GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,543OtherDirectExpensesEvent1Amt
Gross Receipts Total$106,857GrossReceiptsTotalAmt
Charitable Contributions Tot$86,987CharitableContributionsTotAmt
Gross Revenue Total Events$19,870GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,543OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,543DirectExpenseSummaryEventsAmt
Net Income Summary$11,327NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$23,420GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$19,500NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$23,420GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$19,500NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$19,500DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$3,920NetGamingIncomeSummaryAmt
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 PersonKITTY MCKAYGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvEVENT ORGANIZERGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd
Distributed$3,920DistributedAmt

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$2,862,471TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,862,471NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,749,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,241,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,508,134NetCommunityBenefitExpnsAmt
Total Expense0.04280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,611,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,241,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,370,605NetCommunityBenefitExpnsAmt
Total Expense0.05190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,668,645TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,668,645NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$311,810TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$311,810NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,300,539TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,730,539DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,570,000NetCommunityBenefitExpnsAmt
Total Expense0.02710TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$387,357TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$387,357NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,668,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,730,539DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,937,812NetCommunityBenefitExpnsAmt
Total Expense0.03460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,279,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,971,539DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,308,417NetCommunityBenefitExpnsAmt
Total Expense0.08650TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,896TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,896NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,327TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,327NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,223TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,223NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$26,205,415BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$107,877,325ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$113,460,172CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,582,847MedicareSurplusOrShortfallAmt

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 Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
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 Adpt19ImplementationStrategyAdptYr
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CARSON TAHOE REGIONAL HEALTHCAREPART 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 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 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: IN 2020, CARSON TAHOE HALTED STRATEGIC PLANS TO EFFECTIVELY RESPOND TO COVID. IN RESPONSE TO THE COVID-19 PANDEMIC, CARSON TAHOE DID NOT LAY ANYONE OFF AND KEPT ALL EMPLOYEES WORKING ON VARIOUS TASKS, PUT UP A TENT NEAR THE EMERGENCY ROOM FOR ADDITIONAL CAPACITY AND A DRIVE-THRU TENT IN MID-CARSON FOR TESTING, INSTITUTED TELE-HEALTH, DELAYED ELECTIVE SURGERIES AND ONLY PERFORMED TIME-SENSISTIVE MEDICALLY NECESSARY PROCEDURES, ALL WHILE INCURRING OVER $10.7 MILLION IN ADDITIONAL EXPENSES.
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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 CITYNV89706DIAGNOSITC IMAGING CENTER
15 - CARSON TAHOE PAIN INSTITUTE
973 MICA DRIVE SUITE 200CARSON CITYNV89705COMPREHENSIVE PAIN MANAGEMENT
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; 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 $ 26,205,415.
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 AND SUPPORT FOR THE COMMUNITY'S SPOOKTACTULAR AND EGGSTRAVAGANZA EVENTS.
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 2020 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 2020 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. INFORMATION OBTAINED FROM THE PREVIOUS NEEDS ASSESSMENT CONDUCTED IN 2010 RECOGNIZED THE COMMUNITY'S NEED FOR BETTER ACCESS TO HEALTHCARE. IN RESPONSE, CARSON TAHOE HAS ESTABLISHED CARDIOLOGY CLINICS AND CLINICS AT WALMART IN OUTLYING AREAS. THE HEALTHCARE SYSTEM RELIES ON INTELLIMED SERVICES TO REPORT INFORMATION ON MIGRATION OF SERVICES WITHIN THE PRIMARY AND SECONDARY MARKETS THEN UTILIZES INFORMATION GATHERED TO FORMULATE NEEDS ASSESSMENT. OUR HEALTHCHECK LABORATORY SERVICES OFFER HEALTH SCREENING AT DISCOUNTED RATES AS A RESULT OF FEEDBACK FROM PHYSICIANS AND COMMUNITY REQUESTS. WE WORK WITH NEVADA STATE HEALTH AND HUMAN SERVICES IN IDENTIFYING AREAS OF NEED. CDC AND INFECTION CONTROL MONITOR INDUSTRY TRENDS AND ADVISE POSSIBLE AREAS OF FOCUS.
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 IMPROVEMENHT 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 WOMEN'S HEALTH INSTITUTE 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 62 PROVIDERS AT 14 LOCATIONS WITH SPECIALTIES THAT INCLUDE 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
CARSON TAHOE PHYSICIAN CLINICS
PO BOX 2168CARSON CITYNV89702020566741$15,400,000GENERAL OPERATING SUPPORT
CARSON TAHOE CONTINUING CARE HOSPITAL
PO BOX 2168CARSON CITYNV89702261635811$1,900,000GENERAL OPERATING SUPPORT501(C)(3)
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PATIENT NON-MEDICAL FINANCIAL ASSISTANCE339$54,650
PATIENT MEDICAL FINANCIAL ASSISTANCE35$38,519

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 Payment0SeverancePaymentInd
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 (11 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$0$699,940$0$80,000$0$15,646$0$40,250$0$29,589$0$865,425$0$0
MICHELLE JOY
VP, CHIEF OPERATING OFFICER$0$471,270$0$60,243$0$8,314$0$77,449$0$35,796$0$653,072$0$0
MITCHELL WATSON
VP, CHIEF FINANCIAL OFFICER$0$447,889$0$53,390$0$7,702$0$33,750$0$50,569$0$593,300$0$0
ALLEN FINK
VP, CHIEF MEDICAL OFFICER$0$467,136$0$20,988$0$17,863$0$40,250$0$23,628$0$569,865$0$0
LARRY FAGERHAUG
VP, CHIEF HUMAN RESOURCES OFFICER$0$355,542$0$38,040$0$7,280$0$68,369$0$24,588$0$493,819$0$0
PAMELLA PUCKETT
VP, CLINICAL INTEGRATION$0$321,704$0$34,811$0$7,188$0$65,001$0$9,601$0$438,305$0$0
TRACEY MCCOLLUM
DIRECTOR, NURSING SERVICES$197,394$0$33,021$0$2,570$0$29,905$0$34,254$0$297,144$0$0$0
CYNTHIA KUPERUS
DIRECTOR, PERI-OPERATIVE SERVICES$220,964$0$21,437$0$5,885$0$38,375$0$9,989$0$296,650$0$0$0
WAYNE MITCHELL
DIRECTOR, PHARMACY SERVICES$195,167$0$19,851$0$662$0$26,117$0$36,672$0$278,469$0$0$0
SCOTT MATTES
DIRECTOR, ANCILLARY SERVICES$203,970$0$18,447$0$950$0$27,320$0$0$0$250,687$0$0$0
SUSAN WILLIAMS
CLINICAL PHARMACIST$183,987$0$5,864$0$4,487$0$34,981$0$11,025$0$240,344$0$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. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BCARSON-TAHOE HEALTH SYSTEM PROVIDED THE FOLLOWING DURING 2020: ALAN GARRETT - 457(F) CONTRIBUTION - $67,800 MITCHELL WATSON - 457(F) CONTRIBUTION - $43,776 MICHELLE JOY - 457(F) CONTRIBUTION - $41,326 LARRY FAGERHAUG - 457(F) CONTRIBUTION - $31,221 PAMELA PUCKETT - 457(F) CONTRIBUTION - $28,511 ALLEN FINK - 457(F) CONTRIBUTION - $44,965
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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CARSON CITY NV
A886000189145810CP02012-09-06$57,151,648REFUND 2002 AND 2003A BONDSYes (1)00
CARSON CITY NV
B886000189145810DV62017-12-18$117,356,967RETIRE 2003 & 2005 BONDS, PROVIDE OPERATING FUNDS, & FUND FUTURE CONSTRUCTIO000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$15,315,000$62,178,505$747,261$62,178,505Yes (1)00Yes (1)
B$7,020,000$117,379,647$1,509,967$54,674,680Yes (1)00Yes (1)$28,530,516$35,590,151

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
BYes (1)

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 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 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 (3 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

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