2021-11-17T15:49:40-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-01-01 880502318 CARSON-TAHOE HEALTH SYSTEM CARS 7754458000 PO BOX 2168 CARSON CITY NV 89702 MITCHELL WATSON CFO 7754458000 2021-11-17 1 MITCHELL WATSON 999009999 KURT BENNION CPA P01469618 4252506100 2021-11-17 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALAN GARRETT PO BOX 2168 CARSON CITY NV 89702 87132186 0 X WWW.CARSONTAHOE.COM X 2002 NV TO ENHANCE TO HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 11 10 212 10 0 0 21400000 19646399 37091665 54470938 0 0 34216324 13014849 92707989 87132186 152925 166840 0 0 18865525 28473902 0 0 0 18810869 27275812 37829319 55916554 54878670 31215632 199519864 231319783 8234020 11350489 191285844 219969294 X CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES. WE EXIST TO FACILITATE THOSE AFFILIATES SO THEY ARE ABLE TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. 0 0 55916554 166840 54470938 CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES THAT PROVIDE CARE AND SERVE THE COMMUNITY. THERE ARE THREE HOSPITALS (ACUTE, LONG TERM, AND SURGICAL), BEHAVIORAL HEALTH, URGENT & EMERGENT CARE CENTERS, AND OUTPATIENT IMAGING, REHABILITATION, AND PHYSICIAN SERVICES. CARSON TAHOE HEALTH 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 LONG-TERM CONTINUING CARE HOSPITAL WITH 29 LICENSED BEDS, A SURGERY HOSPITAL WHICH IS 100% OWNED, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, OUTPATIENT SURGERY CENTER, ACCREDITED CANCER CENTER, PHYSICIAN CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION AND SEVERAL MEDICAL OFFICE BUILDINGS. THE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR OVER 250,000 PEOPLE.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.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. 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 HEALTH SYSTEM ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. IN 2020, THE HEALTH SYSTEM (ALL ENTITIES) HAD 11,206 INPATIENT DISCHARGES, 58,539 INPATIENT DAYS, 400,215 OUTPATIENT VISITS, 127,456 OUTPATIENT IMAGING VISITS, AND 59,702 EMERGENT/URGENT CARE VISITS. 55916554 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 126 0 212 1 0 0 0 0 0 0 0 0 1 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NV CA X KATIE KUCERA 7754458000 PO BOX 2168 CARSON CITY NV 89702 ALAN GARRETT PRESIDENT & CEO 5.00 35.00 X 795586 0 69839 MICHELLE JOY VP, CHIEF OPERATING OFFICER 5.00 35.00 X 539827 0 113245 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 10.00 30.00 X 508981 0 84319 ALLEN FINK VP, CHIEF MEDICAL OFFICER 5.00 35.00 X 505987 0 63878 SHARON DAHL VP LEGAL RISK REGULATORY AFFAIRS (THROUGH FEB 2020) 40.00 0.00 X 453541 0 101016 LARRY FAGERHAUG VP, CHIEF HUMAN RESOURCES OFFICER 5.00 35.00 X 400862 0 92957 DAVID TILLITT CHIEF MEDICAL INFORMATION OFFICER 40.00 0.00 X 392464 0 59446 PAMELA PUCKETT VP, CLINICAL INTEGRATION 0.00 40.00 X 363703 0 74602 KAREN DURBIN DIRECTOR, INTEGRATED CARE 40.00 0.00 X 180748 0 36770 MARLENE HARRIS DIRECTOR, FINANCE 40.00 0.00 X 210432 0 0 KAYLEEN MAHLBERG DIRECTOR, SUPPLY CHAIN 40.00 0.00 X 183429 0 22714 KENT GABRIEL MD DIRECTOR 1.00 0.00 X 60315 0 20086 LARRY MESSINA SECRETARY 1.00 0.00 X X 9000 0 0 ELIZABETH DUFFRIN VICE CHAIR 1.00 1.00 X X 8400 0 0 LORI HANEY TREASURER 1.00 0.00 X X 8400 0 0 DAVID BAKER DIRECTOR 1.00 0.00 X 8400 0 0 MEG JACK MD DIRECTOR 1.00 0.00 X 8400 0 0 PHILLIP O'NEILL DIRECTOR 1.00 1.00 X 8400 0 0 BRUCE ROBERTSON ASSISTANT SECRETARY 1.00 1.00 X X 8400 0 0 GILBERT YANUCK DIRECTOR 1.00 1.00 X 8400 0 0 CHRISTINE SANSOM MSN RN DIRECTOR 1.00 1.00 X 7200 0 0 JAMES BREEDEN MD CHAIR 1.00 0.00 X X 750 0 0 4671625 0 738872 42 0 1 0 ALLSCRIPTS ATTN JP MORGAN CHASE 131 S DEARBO CHICAGO IL 60603 SOFTWARE SUPPORT 3912119 UNIVERSITY OF UTAH HEALTH CARE PO BOX 841312 LOS ANGELES CA 90084 SOFTWARE IMPLEMENTATION 3301471 AYA HEALTHCARE INC DEPT 3519 PO BOX 123519 DALLAS TX 75312 MEDICAL SERVICES 1158757 CHANGE HEALTHCARE (RELAYHEALTH) PO BOX 98347 CHICAGO IL 60693 SOFTWARE MAINTENANCE 1113106 FUTURA MOBILITY LLC 515 PENNSYLVANIA AVE SUITE 100 FORT WASHINGTON PA 19034 SOFTWARE SUPPORT 870919 32 17300000 2346399 19646399 SHARED SERVICES 621110 54470938 54470938 54470938 INCOME FROM AFFILIATE INTERESTS 900099 12595830 12595830 OTHER REVENUE 900099 419019 419019 13014849 87132186 54470938 0 13014849 X 166840 166840 3694187 3694187 21418941 21418941 579976 579976 1746852 1746852 1033946 1033946 313355 313355 157610 157610 13852474 13852474 2242544 2242544 4461968 4461968 18488 18488 598437 598437 356097 356097 348257 348257 5528 5528 2025866 2025866 MEDICAL SUPPLIES 1878241 1878241 LICENSES & PERMITS 303946 303946 DUES & SUBSCRIPTIONS 186037 186037 OTHER EXPENSES 151549 151549 375415 375415 55916554 55916554 0 0 561988 186421 1366834 1033759 379229 781590 6647518 12323195 414909 411260 9176 3649 188584653 215368301 1970466 1622868 199519864 231319783 3399947 4985309 4834073 6365180 8234020 11350489 X 191285844 219969294 191285844 219969294 199519864 231319783 31215632 -2532182 0 X 0 1 X 1 0 X X 1 CARSON TAHOE REGIONAL HEALTHCARE 880502320 3 1 55916554 0 1 55916554 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 6: CARSON-TAHOE HEALTH SYSTEM MAKES CONTRIBUTIONS TO ORGANIZATIONS FOCUSED ON HEALTHCARE AND RELATED SERVICES AND TO LOCAL COMMUNITY ORGANIZATIONS. THESE CONTRIBUTIONS FURTHER THE CHARITABLE MISSION OF CARSON TAHOE REGIONAL HEALTHCARE BY SUPPORTING HEALTHCARE-FOCUSED SERVICES OR BY SUPPORTING OTHER LOCAL ORGANIZATIONS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PART IV, SECTION C, LINE 1: FIVE OF CARSON-TAHOE HEALTH SYSTEM'S BOARD MEMBERS ALSO SERVE ON THE BOARD OF CARSON TAHOE REGIONAL HEALTHCARE. IN ADDITION, BOTH ORGANIZATIONS ARE UNDER COMMON MANAGEMENT, INCLUDING ALL EXECUTIVES, WHO ENSURE THAT BOTH ORGANIZATIONS OPERATE IN A FULLY COORDINATED MANNER TO FURTHER CARSON TAHOE REGIONAL HEALTHCARE'S EXEMPT PURPOSE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 414909 411260 3649 3649 213134192 F INVESTMENT IN ROA, LLC 2184109 F INVESTMENT IN UTAH HEALTH REGIONAL NETWORK 50000 F 215368301 DUE TO AFFILIATES 6365180 6365180 X PART X, LINE 2: THE HEALTH SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. UNDER FASB ASC 740, INCOME TAXES, THE HEALTH SYSTEM 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. THE HEALTH SYSTEM HAS OWNERSHIP INTEREST IN SEVERAL FOR PROFIT CONSOLIDATED SUBSIDIARIES AND JOINT VENTURE INVESTMENTS, WHICH ARE LIMITED LIABILITY COMPANIES. FOR TAX PURPOSES, THESE ARE TREATED AS PASS-THROUGH ENTITIES. THE HEALTH SYSTEM HAS ELECTED TO PASS-THROUGH ITS TAXABLE INCOME OR LOSS TO THE MEMBERS BASED ON THEIR PROPORTIONATE OWNERSHIP SHARE OF THE RESPECTIVE ENTITY. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. 1 AMERICAN HEART ASSOCIATION 155 COUNTRY ESTATES CIRCLE STE 200 RENO NV 89511 135613797 501(C)(3) 47500 SPONSORSHIP MAMMOTH HOSPITAL 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546 953154530 501(C)(3) 7000 SPONSORSHIP- GOLF TOURNAMENT BREWERY ARTS CENTER 449 W KING STREET CARSON CITY NV 89703 510183567 501(C)(3) 7500 SPONSORSHIP - LEVITT AMP SERIES CARSON CITY PARKS AND RECREATION 3303 BUTTI WAY 9 CARSON CITY NV 89701 886000189 CARSON CITY PARKS & 17000 SPONSORSHIP-SUPPORT COMMUNITY KAYAK AND SNOWSHOEING PROGRAMS THE GREENHOUSE PROJECT 1111 N SALIMAN ROAD CARSON CITY NV 89701 270689431 501(C)(3) 82840 SPONSORSHIP-ANNUAL COMMUNITY WELLNESS 5 0 PART I, LINE 2: GRANTS ARE DISCUSSED BY A GRANT COMMITTEE AND EVENLY DISTRIBUTED BETWEEN VARIOUS LOCAL COMMUNITIES. RECIPIENTS MUST BE NOT-FOR-PROFIT ORGANIZATIONS BASED WITHIN THE COMMUNITIES WE SERVE, WITH NO POLITICAL OR RELIGIOUS AFFILIATIONS. ASIDE FROM CONFIRMING THE CHARITABLE AND TAX-EXEMPT STATUS OF RECIPIENTS, CARSON-TAHOE HEALTH SYSTEM DOES NOT MONITOR THE USE OF GRANTED FUNDS. X 1 1 X X X X X 1 1 0 0 0 1 1 0 0 ALAN GARRETT PRESIDENT & CEO 699940 0 80000 0 15646 0 40250 0 29589 0 865425 0 0 0 MICHELLE JOY VP, CHIEF OPERATING OFFICER 471270 0 60243 0 8314 0 77449 0 35796 0 653072 0 0 0 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 447889 0 53390 0 7702 0 33750 0 50569 0 593300 0 0 0 ALLEN FINK VP, CHIEF MEDICAL OFFICER 467136 0 20988 0 17863 0 40250 0 23628 0 569865 0 0 0 SHARON DAHL VP LEGAL RISK REGULATORY AFFAIRS (THROUGH FEB 2020 143813 0 650 0 309078 0 99114 0 1902 0 554557 0 0 0 LARRY FAGERHAUG VP, CHIEF HUMAN RESOURCES OFFICER 355542 0 38040 0 7280 0 68369 0 24588 0 493819 0 0 0 DAVID TILLITT CHIEF MEDICAL INFORMATION OFFICER 357421 0 33877 0 1166 0 40250 0 19196 0 451910 0 0 0 PAMELA PUCKETT VP, CLINICAL INTEGRATION 321704 0 34811 0 7188 0 65001 0 9601 0 438305 0 0 0 KAREN DURBIN DIRECTOR, INTEGRATED CARE 165000 0 14853 0 895 0 27169 0 9601 0 217518 0 0 0 MARLENE HARRIS DIRECTOR, FINANCE 187627 0 21631 0 1174 0 0 0 0 0 210432 0 0 0 KAYLEEN MAHLBERG DIRECTOR, SUPPLY CHAIN 166616 0 16148 0 665 0 14304 0 8410 0 206143 0 0 0 PART I, LINE 1A THE HEALTH SYSTEM PAYS THE HEALTH CLUB DUES FOR THE FOLLOWING INDIVIDUALS: MITCHELL WATSON, MICHELLE JOY, PAMELA PUCKETT AND ALLEN FINK. THE PAYMENTS ARE MADE DIRECTLY TO THE HEALTH CLUB. THE AMOUNT IS NOT INCLUDED IN TAXABLE COMPENSATION. PART I, LINES 4A-B DURING 2020, SHARON DAHL RECEIVED A SEVERANCE PAYMENT OF $267,920. CARSON-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 SHARON DAHL - 457(F) CONTRIBUTION - $6,698 PART I, LINE 6 THE HEALTH SYSTEM'S NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN. KIERSTEN FINK SPOUSE OF ALLEN FINK, A KEY EMPLOYEE 111550 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE CHAIR OF THE BOARD, THE CEO, AND FOUR OTHER MEMBERS OF THE BOARD OF DIRECTORS. BETWEEN BOARD MEETINGS, EXCEPT AS ITS POWERS ARE OTHERWISE LIMITED, THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE ORGANIZATION. NO ACT OF THE EXECUTIVE COMMITTEE, WHEN EXERCISING THE DELEGATED POWERS OF THE BOARD, ARE VALID UNLESS APPROVED BY THE VOTE OR WRITTEN CONSENT OF A MAJORITY OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 CARSON-TAHOE HEALTH SYSTEM'S MEMBERSHIP INCLUDES BUT NEED NOT BE LIMITED TO RESIDENTS OF THE URBAN AND RURAL AREAS OF THE CONSOLIDATED MUNICIPALITY OF CARSON CITY, NEVADA. THE MAJORITY OF MEMBERS SHALL BE RESIDENTS OF CARSON CITY, NEVADA. THE NUMBER OF MEMBERS IS LIMITED TO 60 AT ANY GIVEN TIME. ANY INDIVIDUAL MAY APPLY TO BE A MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS ELECTED BY THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE ORGANIZATION MAY, BY A TWO-THIRDS MAJORITY VOTE, REMOVE AN INDIVIDUAL FROM THE BOARD OF DIRECTORS. AMENDMENTS TO THE ARTICLES OR BYLAWS REQUIRE APPROVAL OF A MAJORITY OF THE MEMBERS. 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 REVIEWED AND APPROVED BY ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED BY THE INTERESTED PARTY TO THE BOARD OR A COMMITTEE. IF ANY INTERESTED PERSON BECOMES AWARE OF A POTENTIAL CONFLICT BEFORE THE MATTER IS UNDER CONSIDERATION BY THE GOVERNING BODY OR THE COMMITTEE THEN THE INTERESTED PERSON MAY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE HOSPITAL'S MANAGEMENT PERSONNEL OR THE CHAIR OF THE BOARD. AN INTERESTED PERSON MAY MAKE A PRESENTATION AND ANSWER QUESTIONS POSED AT A BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF HE OR SHE DEEMS APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHER RESOLUTION OF A POTENTIAL CONFLICT OF INTEREST. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. EMPLOYEES AND OTHERS ENGAGED BY THE BOARD MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. CARSON TAHOE CONTINUING CARE HOSPITAL'S CHIEF EXECUTIVE, WORKING WITH THE CHAIR, WILL BE RESPONSIBLE TO ENSURE THOSE CONDUCTING AUDITING AND MONITORING REVIEWS OF INTERNAL CONTROL ARE FREE FROM ANY CONFLICTS OF INTEREST OR OTHER INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR DUTIES WITHOUT BIAS. IF THE BOARD OR COMMITTEE OF CARSON TAHOE CONTINUING CARE HOSPITAL HAS REASONABLE CAUSE TO BELIEVE A BOARD OR COMMITTEE MEMBER OR EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER OR EMPLOYEE WILL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING AN EMPLOYEE'S OR DIRECTOR'S RESPONSE, AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, IT IS DETERMINED THAT THERE WAS A FAILURE TO DISCLOSE, THERE WILL BE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH COULD INCLUDE, WITHOUT LIMITATION, TERMINATION OF THE PERSON'S EMPLOYMENT OR DIRECTORSHIP. THE CEO OR HIS OR HER DESIGNEE SHALL PROVIDE TO THE BOARD AND ALL EXECUTIVE OFFICERS, STAFF, AND VOLUNTEERS, A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WHEREIN IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE BOARD CONCERNING ANY INTEREST DISCLOSED. EACH MEMBER OF THE BOARD AND ALL EXECUTIVE MANAGEMENT SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS, WHICH MAY EXIST OR APPEAR TO EXIST TO CARSON TAHOE CONTINUING CARE HOSPITAL ON ANY MATTER OF BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES.) FORM 990, PART VI, SECTION B, LINE 15 THE 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. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 290,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 290,659. CONSULTING AND MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 2,139,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,139,364. REPAIRS & MAINTENANCE FEES: PROGRAM SERVICE EXPENSES 7,261,892. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,261,892. OTHER PURCHASED SERVICE FEES: PROGRAM SERVICE EXPENSES 4,160,559. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,160,559. CARSON TAHOE PHYSICIAN HOSPITAL ORG 1600 MEDICAL PARKWAY CARSON CITY NV 89703 392078486 ECW SOFTWARE LICENSES NV 392902 204872 CARSON-TAHOE HEALTH SYSTEM CARSON TAHOE REGIONAL HEALTHCARE 1600 MEDICAL PARKWAY CARSON CITY NV 89702 880502320 HOSPITAL NV 501(C)(3) LINE 3 CARSON-TAHOE HEALTH SYSTEM 1 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 1 CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV CARSON-TAHOE HEALTH SYSTEM C 18069976 5295749 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 CARSON TAHOE REGIONAL HEALTHCARE C 17300000 CASH CARSON TAHOE REGIONAL HEALTHCARE L 48651590 FMV CARSON TAHOE PHYSICIAN CLINICS L 4216170 FMV CARSON TAHOE CONTINUING CARE HOSPITAL L 1426604 FMV