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CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-09-04
IRS object ID
202502479349302000
Schema version
2024v5.2
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)
Return2025-09-04T20:01:23-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880502320EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATIE KUCERAPersonNm
Person TitleVP, CFOPersonTitleTxt
Phone7754458000PhoneNum
Signature2025-09-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE VANPreparerPersonNm
PTINP01294411PTIN
Phone4159561500PhoneNum
Preparation2025-09-04PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE JOYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$467,456,307GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARSONTAHOE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionTO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1931TotalEmployeeCnt
Total Volunteers134TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,625,264PYContributionsGrantsAmt
CY Contributions Grants$2,004,164CYContributionsGrantsAmt
PY Program Service Revenue$394,940,671PYProgramServiceRevenueAmt
CY Program Service Revenue$457,429,717CYProgramServiceRevenueAmt
PY Investment Income$6,041,286PYInvestmentIncomeAmt
CY Investment Income$6,828,153CYInvestmentIncomeAmt
PY Other Revenue$932,790PYOtherRevenueAmt
CY Other Revenue$896,772CYOtherRevenueAmt
PY Total Revenue$404,540,011PYTotalRevenueAmt
CY Total Revenue$467,158,806CYTotalRevenueAmt
PY Grants And Similar Paid$21,782,843PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,492,460CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$129,646,559PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$146,185,544CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$722,574CYTotalFundraisingExpenseAmt
PY Other Expenses$236,813,165PYOtherExpensesAmt
CY Other Expenses$277,291,561CYOtherExpensesAmt
PY Total Expenses$388,242,567PYTotalExpensesAmt
CY Total Expenses$449,969,565CYTotalExpensesAmt
PY Revenues Less Expenses$16,297,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,189,241CYRevenuesLessExpensesAmt
Total Assets BOY$471,494,391TotalAssetsBOYAmt
Total Assets EOY$494,307,819TotalAssetsEOYAmt
Total Liabilities BOY$174,346,442TotalLiabilitiesBOYAmt
Total Liabilities EOY$168,348,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$297,147,949NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$325,958,902NetAssetsOrFundBalancesEOYAmt
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$331,172,954ExpenseAmt
Grant$26,492,460GrantAmt
Revenue$457,429,717RevenueAmt
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 211 LICENSED BEDS, OF THOSE 52 ARE BEHAVIORAL HEALTH DESIGNATED, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, ACCREDITED CANCER CENTER, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION (SEE SCHEDULE O)AND SEVERAL MEDICAL OFFICE BUILDINGS. THE REGIONAL MEDICAL CENTER PROVIDES CARE TO PERSONS, SOME OF WHOM ARE COVERED BY GOVERNMENTAL PROGRAMS INCLUDING MEDICARE AND MEDICAID, AS WELL AS MEDICALLY INDIGENT PATIENTS UNABLE TO PAY. THE HOSPITAL SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY, INCLUDING WELLNESS EDUCATION AND SUPPORT. THE HOSPITAL HAD 12,001 INPATIENT DISCHARGES, 55,783 INPATIENT DAYS, AND 99,373 OUTPATIENT VISITS IN 2024.Desc
Total Program Service Expenses$331,172,954TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document107IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1931EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHELLE JOY
PRESIDENT & CEO25.0015.00Yes (X)$0$958,009$102,137
DAVID BAKER MD
VP CHIEF MEDICAL OFFICER5.0035.00$0$772,232$74,315Yes (X)
KATIE KUCERA
CHIEF FINANCIAL OFFICER25.0015.00Yes (X)$0$592,658$74,236
KENT GABRIEL MD
BOARD CHAIRMAN AND DIRECTOR1.002.00Yes (X)$0$513,675$30,596Yes (X)
MICHELLE MILLER
VP CHIEF HUMAN RESOURCE OFFICER5.0035.00$0$453,690$61,346Yes (X)
JANELLE HOOVER
VP CHIEF NURSING OFFICER5.0035.00$0$322,144$17,299Yes (X)
SCOTT MATTES
VP CHIEF OPERATING OFFICER5.0035.00$0$276,423$13,917Yes (X)
SUSAN WILLIAMS
PHARMACIST40.000.00$238,524$0$11,926Yes (X)
ROBIN WINGATE
DIRECTOR OF PHARMACY40.000.00$224,957$0$13,250Yes (X)
CASSIDY JOST
DIRECTOR OF SPECIALITY NURSING40.000.00$214,106$0$9,990Yes (X)
KATHERINE MCKAY
VP COMMUNITY & PATIENT EXPERIENCE5.0035.00$0$215,951$7,037Yes (X)
WESLEY FRYE
DIRECTOR OF PERIOPERATIVE SERVICES40.000.00$207,035$0$10,076Yes (X)
DANIELLE DARE
DIRECTOR OF INPATIENT NURSING40.000.00$200,854$0$12,045Yes (X)
DAVID JOHNSON
CHIEF OF STAFF1.0039.00$0$140,233$15,495Yes (X)
MEG JACK MD
TREASURER AND DIRECTOR1.002.00Yes (X)$0$8,400$0Yes (X)
JAMES MANNING
DIRECTOR1.002.00$0$8,400$0Yes (X)
PHILLIP O'NEILL
DIRECTOR1.002.00$0$8,400$0Yes (X)
GIL YANUCK
DIRECTOR1.002.00$0$8,400$0Yes (X)
BRIAN DUFFRIN
DIRECTOR1.002.00$0$7,700$0Yes (X)
BOB SEWELL
DIRECTOR1.002.00$0$7,700$0Yes (X)
JAMES BREEDEN MD
VICE CHAIRMAN AND DIRECTOR1.002.00Yes (X)$0$0$0Yes (X)
BRUCE ROBERTSON
SECRETARY AND DIRECTOR1.002.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,085,476TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,294,015TotReportableCompRltdOrgAmt
Total Other Compensation$453,665TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K346IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL COLLEAGUES INC
1765 E NINE MILE ROAD SUITE 1-229PENSACOLAFL32514MEDICAL SERVICES$12,155,628
GE PRECISION HEALTHCARE
N16W22416 WATERTOWN ROADWAUKESHAWI53186EQUIPMENT SERVICES$3,833,832
STEPHEN HOLTZCLAW MD
PO BOX 645948CINCINNATIOH45264MEDICAL SERVICES$2,653,627
AYA HEALTHCARE INC
PO BOX 674907DALLASTX75267MEDICAL SERVICES$1,979,079
CARSON MEDICAL GROUP
1946 OLD HOT SPRINGS ROADCARSON CITYNV89706MEDICAL SERVICES$1,110,050
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K45CntrctRcvdGreaterThan100KCnt
Fundraising$29,500FundraisingAmt
Related Organizations$19,377RelatedOrganizationsAmt
Government Grants$1,758,418GovernmentGrantsAmt
All Other Contributions$196,869AllOtherContributionsAmt
Total Contributions$2,004,164TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$454,653,085$454,653,085
NONPATIENT SERVICES621110$2,776,632$2,776,632
FieldValueIRS element (for citing)
Total Program Service Revenue$457,429,717TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,847,787TotalRevenueColumnAmt
Exclusion$6,847,787ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$884,584RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$884,584RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$884,584TotalRevenueColumnAmt
Exclusion$884,584ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$249,125SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$250,902SecuritiesAmt
Other$17,857OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,777SecuritiesAmt
Other-$17,857OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,634TotalRevenueColumnAmt
Exclusion-$19,634ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$29,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$40,930GamingGrossIncomeAmt
Gaming Direct Expenses$28,742GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,188TotalRevenueColumnAmt
Exclusion$12,188ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,158,806TotalRevenueColumnAmt
Related Or Exempt Func Income$457,429,717RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,724,925ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$26,406,328TotalAmt
Program Services$26,406,328ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$86,132TotalAmt
Program Services$86,132ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,612,523TotalAmt
Program Services$97,708,945ProgramServicesAmt
Management And General$17,670,978ManagementAndGeneralAmt
Fundraising$232,600FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,336,047TotalAmt
Program Services$3,509,839ProgramServicesAmt
Management And General$817,172ManagementAndGeneralAmt
Fundraising$9,036FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,634,571TotalAmt
Program Services$14,303,055ProgramServicesAmt
Management And General$3,295,079ManagementAndGeneralAmt
Fundraising$36,437FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,602,403TotalAmt
Program Services$7,280,461ProgramServicesAmt
Management And General$1,304,744ManagementAndGeneralAmt
Fundraising$17,198FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,834,583TotalAmt
Program Services$23,834,583ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$14,917TotalAmt
Program Services$14,917ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$77,007,793TotalAmt
Program Services$13,067,735ProgramServicesAmt
Management And General$63,921,780ManagementAndGeneralAmt
Fundraising$18,278FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,489,783TotalAmt
Program Services$1,020,846ProgramServicesAmt
Management And General$4,453,934ManagementAndGeneralAmt
Fundraising$15,003FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,049,076TotalAmt
Program Services$6,265,507ProgramServicesAmt
Management And General$7,731,148ManagementAndGeneralAmt
Fundraising$52,421FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,555TotalAmt
Program Services$19,690ProgramServicesAmt
Management And General$544ManagementAndGeneralAmt
Fundraising$321FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,603TotalAmt
Management And General$8,603ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,541,235TotalAmt
Management And General$4,541,235ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,107,768TotalAmt
Management And General$14,107,768ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$87,459,427$87,422,337$37,090
BAD DEBT$32,984,618$32,984,618
PROVIDER FEE ASSESSMENT$16,748,716$16,748,716
TAXES AND LICESES$396,388$396,388

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$628,099TotalAmt
Program Services$102,857ProgramServicesAmt
Management And General$183,962ManagementAndGeneralAmt
Fundraising$341,280FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$449,969,565TotalAmt
Program Services$331,172,954ProgramServicesAmt
Management And General$118,074,037ManagementAndGeneralAmt
Fundraising$722,574FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,794,569BOYAmt
EOY$26,510,152EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$350,581BOYAmt
EOY$358,508EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,336,214BOYAmt
EOY$53,255,247EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,786,217BOYAmt
EOY$7,421,105EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,550,207BOYAmt
EOY$6,674,175EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$367,027,979LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$187,674,051LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$185,245,885BOYAmt
EOY$179,353,928EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$155,898,910BOYAmt
EOY$181,784,689EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,959,882BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$38,324,010BOYAmt
EOY$32,702,099EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$471,494,391BOYAmt
EOY$494,307,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,880,684BOYAmt
EOY$28,165,022EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,272,274BOYAmt
EOY$95,129,498EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,029,932BOYAmt
EOY$25,107,598EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,163,552BOYAmt
EOY$19,946,799EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$174,346,442BOYAmt
EOY$168,348,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$297,147,949BOYAmt
EOY$325,958,902EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$297,147,949BOYAmt
EOY$325,958,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,494,391BOYAmt
EOY$494,307,819EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,189,241ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,767,462NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$854,250OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$14,917OtherActivitiesAmt
Total Lobbying Expenditures$14,917TotalLobbyingExpendituresAmt
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$192,588,282OtherCostOrOtherBasisAmt
Depreciation$77,007,269DepreciationAmt
Book Value$115,581,013BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,526,916OtherCostOrOtherBasisAmt
Depreciation$14,440,468DepreciationAmt
Book Value$6,086,448BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,169,893OtherCostOrOtherBasisAmt
Depreciation$96,226,314DepreciationAmt
Book Value$23,943,579BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,430,062OtherCostOrOtherBasisAmt
Book Value$3,430,062BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$179,353,928TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$11,431,960
SHORT TERM OPERATING RENT$5,965
ASSETS LIMITED AS TO USE$2,446,937
OTHER NONCURRENT ASSETS$224,095
LEASES$18,593,142
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,702,099TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CURRENT RIGHT OF USE LIABILITIES$4,945,019
NONCURRENT RIGHT OF USE LIABILITIES$15,001,780
FieldValueIRS element (for citing)
Total Liability$19,946,799TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$444,970,392TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,767,462NetUnrealizedGainsInvstAmt
Other Revenue$28,742OtherRevenueAmt
Revenue Not Reported$10,796,204RevenueNotReportedAmt
Revenue Subtotal$434,174,188RevenueSubtotalAmt
Other Revenues Not Included$32,984,618OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$32,984,618RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$467,158,806TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$390,713,689TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,742OtherExpensesIncludedAmt
Expenses Not Reported$28,742ExpensesNotReportedAmt
Expenses Subtotal$390,684,947ExpensesSubtotalAmt
Other Expenses Not Included$59,284,618OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$59,284,618ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$449,969,565TotalExpensesPerForm990Amt

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, 2024 AND 2023.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHARITABLE GAMING EXPENSES 28,742.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 32,984,618.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHARITABLE GAMING EXPENSES 28,742.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 32,984,618. RELATED PARTY TRANSFERS 26,300,000.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event175TH ANNIVERSARY CELEBRATIONEvent1Nm
Gross Receipts Event1$29,500GrossReceiptsEvent1Amt
Charitable Contri Event1$29,500CharitableContriEvent1Amt
Gross Receipts Total$29,500GrossReceiptsTotalAmt
Charitable Contributions Tot$29,500CharitableContributionsTotAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$40,930GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$24,500NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$4,242OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$40,930GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$24,500NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$4,242OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$28,742DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$12,188NetGamingIncomeSummaryAmt
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1TAMARA STEINBusinessNameLine1Txt

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 PersonTAMARA STEINGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvEVENT ORGANIZERGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,796,604TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,796,604NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,053,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,167,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,886,082NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,850,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,167,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,682,686NetCommunityBenefitExpnsAmt
Total Expense0.06150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,421,378TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,421,378NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$542,564TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$542,564NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,502,015TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,272,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,229,467NetCommunityBenefitExpnsAmt
Total Expense0.02270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,099,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,099,311NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,565,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,272,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,292,720NetCommunityBenefitExpnsAmt
Total Expense0.02950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,415,679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,440,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,975,406NetCommunityBenefitExpnsAmt
Total Expense0.09100TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,105TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,105NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,105TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,105NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$32,984,618BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$108,836,854ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$101,654,042CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$7,182,812MedicareSurplusOrShortfallAmt

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 MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
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/FINANCIALSERVICESFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CARSONTAHOE.COM/FINANCIALSERVICESFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CARSONTAHOE.COM/FINANCIALSERVICESFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CARSON TAHOE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE QUAD-COUNTY CHNA PLANNING COMMITTEE WORKED WITH ITS ASSESSMENT PARTNER CRESCENDO CONSULTING GROUP TO FORMALIZE AND DEPLOY A HIGHLY INCLUSIVE ASSESSMENT CYCLE FRAMEWORK THAT INCLUDED A COMMUNITY-WIDE EMAIL SURVEY (ENGLISH & SPANISH), STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AN ACCESS AUDIT, EQUITY CHAMPIONS OUTREACH, SECONDARY RESEARCH, AND STAKEHOLDER COMMITMENT TO COLLABORATIVELY DEVELOP STRATEGIES AND SOLUTIONS IN RESPONSE TO IDENTIFIED NEEDS.- 46 STAKEHOLDER INTERVIEWS ACROSS THE REGION- 15 FOCUS GROUPS WITH OVER 125 PARTICIPANTS TOTAL- 1,551 COMMUNITY SURVEY RESPONDENTS- 400 PARTICIPANTS IN RANDOM DIGIT DIALING TELEPHONE SURVEY
CARSON TAHOE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6A: A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH CARSON TAHOE CONTINUING CARE HOSPITAL, THE OTHER HOSPITAL OWNED BY CARSON-TAHOE HEALTH SYSTEM.
CARSON TAHOE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6B: A COALITION OF EIGHT COMMUNITY AGENCIES CAME TOGETHER TO PLAN THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING:- CARSON CITY HEALTH & HUMAN SERVICES- COMMUNITY CHEST, INC.- NEVADA ASSOCIATION OF COUNTIES- PARTNERSHIP DOUGLAS COUNTYLYON COUNTY HUMAN SERVICES- QUAD-COUNTY PUBLIC HEALTH PREPAREDNESS- DOUGLAS COUNTY COMMUNITY SERVICES, PARKS, & RECREATION
CARSON TAHOE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: CARSON TAHOE BEGAN TO ADDRESS AREAS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY WITH A LARGE FOCUS ON MENTAL HEALTH AND ACCESS TO CARE. MENTAL HEALTH AMERICA RANKS STATES ACCORDING TO PREVALENCE OF MENTAL ILLNESS AND ACCESS TO CARE. NEVADA RANKS AS THE 51ST, THE LAST, STATE IN THE COUNTRY FOR OVERALL MENTAL HEALTH SERVICES. "FOR EVERY 580 PEOPLE LIVING IN NEVADA, THERE IS AT LEAST 1 MENTAL HEALTH PROVIDER. NEVADA HAS THE HIGHEST PREVALENCE OF MENTAL ILLNESS AND LOWEST ACCESS TO CARE AMONG YOUTH. 2 OUT OF 3 NEVADAN ADULTS WITH A MENTAL ILLNESS RECEIVED NO TREATMENT" (CHEANG). THE COVID PANDEMIC SIGNIFICANTLY IMPACTED NEVADANS AS EVIDENCED BY CDC DATA SHOWING, "NEVADA RANKED FIRST IN THE COUNTRY WITH REGARD TO THE NUMBER OF ADULTS (34%) EXPERIENCING SYMPTOMS CONSISTENT WITH DEPRESSION AND 8TH WITH REGARD TO ANXIETY (39.9%). NEVADA RANKED SECOND, NATIONALLY, WITH 47.3% OF ADULTS SHOWING SIGNS OF BOTH DEPRESSION AND ANXIETY" (STATE OF NEVADA COMMISSION ON BEHAVIORAL HEALTH). THERE HAS ALSO BEEN A NOTABLE INCREASE IN MENTAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS AMONG THE CHILD AND ADOLESCENT POPULATION NOT ONLY IN NEVADA, BUT NATIONWIDE. THE AAP, AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY (AACAP) AND CHILDREN'S HOSPITAL ASSOCIATION HAVE DECLARED A NATIONAL EMERGENCY IN CHILDREN'S MENTAL HEALTH. AACAP REPORTED, "BEFORE THE PANDEMIC, RATES OF CHILDHOOD MENTAL HEALTH CONCERNS AND SUICIDE HAD BEEN RISING STEADILY FOR AT LEAST A DECADE. BY 2018, SUICIDE WAS THE SECOND LEADING CAUSE OF DEATH FOR YOUTH AGES 10-24 YEARS" (AMERICAN ACADEMY OF PEDIATRICS). THE PRIMARY INTENT OF CARSON TAHOE HEALTH, BEHAVIORAL HEALTH SERVICES (BHS) IS TO IMPROVE THE MENTAL HEALTH AND WELL BEING OF INDIVIDUALS RESIDING IN OUR SERVICE AREA. BHS HAS BEEN PROVIDING SERVICES ACROSS THE REGION FOR 33 YEARS. BHS SERVICES INCLUDE:- 52 INPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE BEDS FOR ADULTS AND GERIATRIC PATIENTS- 15 CHAIR, 24/7 MALLORY CRISIS CENTER- OUTPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES FOR CHILDREN ADOLESCENCES, ADULTS AND GERIATRIC PATIENTS- FIRST EPISODE PSYCHOSIS PROGRAM SERVING INDIVIDUALS AND THEIR FAMILIES- TWO ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAMS SERVING SMI AND/OR CO-OCCURRING DISORDERS. THE HOSPITAL DIVERSION ACT PROVIDES TREATMENT AND REHABILITATION TO CLIENTS WITH CHRONIC, SEVERE MENTAL ILLNESS. THE EARLY DIVERSION ACT AIMS TO REDUCE AN INDIVIDUAL'S RISK FOR LAW ENFORCEMENT INTERACTIONS OR POTENTIAL ARRESTS.- COMMUNITY OUTREACH AND EDUCATION TO INCLUDE SCHOOL SUICIDE RISK ASSESSMENTS CARSON CITY, DAYTON, AND DOUGLAS COUNTY SCHOOL DISTRICTS. BHS USES A MULTIDISCIPLINARY APPROACH TO PROVIDE COMPASSIONATE, COST-EFFECTIVE OPTIONS FOR CARE CLOSE TO HOME. PATIENTS ARE ACCEPTED 24-HOURS A DAY. THE TEAM EMPLOYS A HOLISTIC APPROACH TO CARE AND INCLUDES PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, CLINICAL PROFESSIONAL COUNSELORS, ADDICTIONS COUNSELORS, ACTIVITIES SPECIALISTS, CASE MANAGERS AND PSYCHIATRIC NURSING STAFF. CONFIDENTIAL ASSESSMENTS AND REFERRALS ARE AVAILABLE FREE OF CHARGE, EITHER BY PHONE OR IN PERSON, TO DETERMINE APPROPRIATENESS FOR PROGRAMS. REFERRALS CAN BE MADE FROM MANY SOURCES, SUCH AS HOSPITALS, PHYSICIANS, MENTAL HEALTH AGENCIES, SOCIAL SERVICE AGENCIES, ASSISTED LIVING FACILITIES, SKILLED NURSING FACILITIES, FAMILY, FRIENDS, AND SELF-REFERRALS. MALLORY BEHAVIORAL HEALTH CRISIS CENTER PROVIDES 24-HOUR HELP TO THOSE SUFFERING FROM A MENTAL HEALTH OR SUBSTANCE USE EMERGENCY. WORKING CLOSELY WITH STATE AND LOCAL MENTAL HEALTH AGENCIES AND IN CONJUNCTION WITH LOCAL LAW ENFORCEMENT AND EMERGENCY RESPONDERS, MALLORY CRISIS CENTER SERVES AN AT-RISK POPULATION BY PROVIDING IMMEDIATE ACCESS TO THE CRITICAL CARE THEY NEED, WITHOUT HAVING TO GO THROUGH THE EMERGENCY DEPARTMENT OR JAIL. THIS INNOVATIVE MODEL OFFERS A MULTIDISCIPLINARY TEAM APPROACH, INCLUDING PSYCHIATRY, NURSING, COUNSELING AND CASE MANAGEMENT, WHO WORK TOGETHER TO DETERMINE THE BEST TREATMENT OPTIONS AVAILABLE. CURRENT PROJECTS:- EXPANSION OF YOUTH BEHAVORIAL HEALTH SERVICES - BEHAVORIAL HEALTH SERVICES CURRENTLY HAS MEMORANDA OF UNDERSTANDING (MOU) IN PLACE TO PROVIDE SUICIDE RISK ASSESSMENTS FOR CARSON CITY SCHOOL DISTRICT- CRISIS COUNSELOR THAT OPERATES IN THE EMERGENCY DEPARTMENT AND PROVIDES THERAPY RESOURCES TO THE PEDIATRICS POPULATION. THEY WORK IN COLLABORATION WITH THE ERPS, PEDIATRICIANS, AND PSYCHIATRY TO PROVIDE OPTIMAL SUPPORT. - PROVIDED MENTAL HEALTH EDUCATION AND TRAININGS TO COMMUNITY FREE OF CHARGE. - TRAININGS ON CAREGIVER BURNOUT AND SELF CARE AT HEALING HANDS SUMMIT, QUARTERLY CARSON TAHOE HEALTH CHARGE NURSE MEETINGS AND TO INDIVIDUALS' UNITS UPON REQUEST- SAFETALK SUICIDE PREVENTION TRAINING AND MENTAL HEALTH FIRST AID- CRISIS INTERVENTION TRAINING (CIT) (CARSON, LYON, CHURCHILL, DOUGLAS SHERIFF DEPTS.) - BEHAVORIAL HEALTH SERVICES PRESENTATION AND EDUCATION FOR CARSON FIRE/PARAMEDICS, NURSING PROGRAMS, WESTERN NEVADA COLLEGE, UNIVERSITY OF NEVADA, TRUCKEE MEADOWS COMMUNITY COLLEGE- CRISIS PREVENTION INSTITUTE NONVIOLENT CRISIS INTERVENTION TRAINING FOR CARSON TAHOE HEALTH EMPLOYEES IN ADDITION TO 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. - OUT OF THE DARKNESS WALK TO END SUICIDE- WESTERN NEVADA COLLEGE HEALTH AND BENEFITS FAIR - PARTNERSHIPS AND COLLABORATION WITH CARSON CITY SHERIFFS OFFICE AND LYON COUNTY AS WELL AS OTHER COMMUNITY STAKEHOLDERS- PARTICIPATING IN COLLATION, STATE AND 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) WALK FOR SUICIDE PREVENTION AND WESTERN NEVADA GALA- NEVADA COALITION FOR SUICIDE PREVENTION - CARSON CITY COMMUNITY COALITION - CARSON CITY BEHAVIORAL HEALTH TASKFORCE - DOUGLAS COUNTY BEHAVIORAL HEALTH TASKFORCE- MOBILE OUTREACH SAFETY TEAM (MOST COUNTIES) - NEVADA OFFICE OF SUICIDE PREVENTION THROUGH MAY 2025- NORTHERN REGIONAL BEHAVIORAL HEALTH POLICY BOARDTHOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY COLLABORATING WITH OTHER COMMUNITY AGENCIES AS WE REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH.
CARSON TAHOE REGIONAL MEDICAL CENTERPART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARSON TAHOE MEDICAL OFFICE BUILDING
1470 MEDICAL PARKWAY SUITE 140CARSON CITYNV89703CARDIAC REHAB, OP CARDIOLOGY IMAGING
2 - CARSON TAHOE MINDEN MEDICAL CENTER
925 IRONWOOD DRIVEMINDENNV89423EMERGENT CARE, LAB, IMAGING, THERAPY
3 - CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAYCARSON CITYNV89703OUTPATIENT AMBULATORY INFUSION CENTER
4 - CARSON TAHOE SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAYCARSON CITYNV89703IP & OP BEHAVIORAL HEALTH, WOUND CARE
5 - CARSON TAHOE SURGERY CENTER
973 MICA DRIVECARSON CITYNV89705OUTPATIENT SURGERY AND PAIN MANAGEMENT
6 - CARSON TAHOE DAYTON URGENT CARE
901 MEDICAL CENTER DRIVEDAYTONNV89403URGENT CARE AND OUTPATIENT LAB
7 - CARSON TAHOE CARSON URGENT CARE
1201 S CARSON STREETCARSON CITYNV89701URGENT CARE
8 - CARSON TAHOE BEHAVIORAL HEALTH
1080 N MINNESOTA STREETCARSON CITYNV89703INPATIENT BEHAVIORAL HEALTH
9 - CARSON TAHOE MOMS CLINIC
1460 S CURRY STREETCARSON CITYNV89703WOMEN & CHILDREN'S CENTER
10 - CARSON TAHOE IMAGING SERVICES
2874 N CARSON STREET SUITE 300CARSON CITYNV89706DIAGNOSTIC IMAGING CENTER
11 - 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 AND 6. COMPLETE A FINANCIAL ASSISTANCE APPLICATION FOR INSURANCE COVERAGE IF INSURED. INDIVIDUALS MAY NOT BE REQUIRED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE PROGRAMS (FOOD STAMPS, PHARMACEUTICAL ASSISTANCE PROGRAMS, WELFARE, ETC.) OR ARE CURRENTLY ELIGIBLE FOR MEDICARE BUT WERE NOT ELIGIBLE ON THE DATE THEY RECEIVED MEDICAL CARE.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE DIABETES EDUCATION AND OUTPATIENT CLINICS.
PART I, LINE 7, COL (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $32,984,618.
PART I, LINE 7:THE AMOUNTS IN PART I, LINES 7A THROUGH 7C WERE CALCULATED USING THE IRS WORKSHEETS BASED ON A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN PART I, LINES 7E THROUGH 7I ARE ACTUAL COSTS AND REVENUES.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES INCLUDED STAFF TIME SPENT IN SUPPORT OF COMMUNITY EMERGENCY PREPAREDNESS AND DISASTER READINESS, AS WELL AS HOSPITAL REPRESENTATION ON COMMUNITY PANELS.
PART III, LINE 2:IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 3:THE HOSPITAL CANNOT ESTIMATE WITH REASONABLE ACCURACY THE PORTION OF THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION.
PART III, LINE 4:SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 2 ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CARSON TAHOE REGIONAL MEDICAL CENTER'S 2024 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 2024 ARE THE SAME AS CARSON-TAHOE HEALTH SYSTEM. THE APPLICATION PERIOD FOR COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FOR A MINIMUM OF 240 DAYS FROM THE TIME OF PATIENT SERVICE.
PART VI, LINE 2:THE MOST CURRENT NEEDS ASSESSMENT WAS CONDUCTED IN 2022. NEEDS WERE IDENTIFIED USING DIRECT PATIENT AND PHYSICIAN FEEDBACK, SURVEY RESPONSES AND BEST PRACTICE INFORMATION FROM OTHER ORGANIZATIONS.
PART VI, LINE 3:INFORMATION IS PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION, BOTH IN WRITING AND THROUGH DIRECT DISCUSSION WITH PATIENTS. INFORMATION IS PROVIDED IN THE PATIENT'S BILL. ELIGIBILITY REPRESENTATIVES AND FINANCIAL COUNSELORS ARE LOCATED ON SITE.
PART VI, LINE 4:THE HOSPITAL'S COMMUNITY CONSISTS OF A SMALL URBAN AREA AND A LARGE RURAL POPULATION IN EXCESS OF 250,000 PEOPLE, COVERING NORTHERN NEVADA AND EASTERN CALIFORNIA. THE LARGEST DEMOGRAPHIC AGE IS 50 AND ABOVE.
PART VI, LINE 5:USE OF SURPLUS FUNDS ALLOWS FACILITY TO UPDATE MEDICAL EQUIPMENT AND TECHNOLOGY WHICH PROVIDE ADVANCEMENTS IN PATIENT CARE. CARSON TAHOE PARTICIPATES WITH CARSON CITY HEALTH AND HUMAN SERVICES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN 2022. CARSON TAHOE PROVIDES OUTREACH PROGRAMS, HEALTH FAIRS, WELLNESS PROGRAMS, BUSINESS HEALTH PARTNERSHIPS, SEMINARS, LECTURES AND EDUCATIONAL FORUMS TO HELP PROMOTE A HEALTHIER COMMUNITY. THE CENTER FOR HEALTH PROMOTION PROVIDES FREE HEALTH RESOURCES, CLASSES AND GUIDANCE. CARSON TAHOE IS COMMITTED TO PROVIDING THE BEST HEALTHCARE AVAILABLE TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY.
PART VI, LINE 6:CARSON TAHOE REGIONAL HEALTHCARE OWNS AND OPERATES:- CARSON TAHOE REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 211 BEDS WITH A 24-HOUR EMERGENCY ROOM.- CANCER CENTER PROVIDES FOR EVERY ASPECT OF CANCER CARE FROM A MEDICAL AND RADIATION ONCOLOGY PRACTICE ALONGSIDE A COMPREHENSIVE CANCER RESOURCE CENTER AND INFUSION CENTER.- SPECIALTY MEDICAL CENTER PROVIDES WOUND CARE AND BEHAVIORAL HEALTH SERVICES AND INPATIENT PSYCHIATRICT SERVICES.- MINDEN MEDICAL CENTER INCLUDES PHYSICIAN OFFICES, THE MINDEN EMERGENT CARE CENTER, AND OUTPATIENT LABORATORY AND RADIOLOGY SERVICES. - ONE CENTER FOR WOUND HEALING- TWO URGENT CARE CLINICS- TWO THERAPY CLINICS- ONE CARDIAC REHAB FACILITY CARSON TAHOE PHYSICIAN CLINICS IS A MULTISPECIALTY MEDICAL GROUP THAT EMPLOYS 72 PROVIDERS AT 18 LOCATIONS WITH SPECIALTIES THAT INCLUDE NEUROSURGERY, CARDIOLOGY, ENDOCRINOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, ONCOLOGY, PSYCHIATRY, RHEUMATOLOGY, PAIN MANAGEMENT, UROLOGY, GASTROENTEROLOGY, INTERVENTIONAL CARDIOLOGY, ENT, 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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CARSON-TAHOE HEALTH SYSTEM
1600 MEDICAL PARKWAYCARSON CITYNV89703880502318501(C)(3)$26,300,000$0GENERAL OPERATING SUPPORT
CENTER FOR HOPE & HEALING
1528 HIGHWAY 395 SUITE 235GARDNERVILLENV89410933938487501(C)(3)$15,000$0GENERAL OPERATING SUPPORT
THINKFIRST NORTHERN NEVADA
555 ARLINGTON AVENUERENONV89503363730822501(C)(3)$8,000$0CARSON CITY HIGH SCHOOL HELMETS
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PATIENT NON-MEDICAL FINANCIAL ASSISTANCE517$80,063
PATIENT MEDICAL FINANCIAL ASSSISTANCE24$6,069

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 (14 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
MICHELLE JOY
PRESIDENT & CEO$0$729,347$0$113,716$0$114,946$0$90,757$0$11,380$0$1,060,146$0$82,856
DAVID BAKER MD
VP CHIEF MEDICAL OFFICER$0$563,792$0$183,324$0$25,116$0$74,315$0$0$0$846,547$0$0
KATIE KUCERA
CHIEF FINANCIAL OFFICER$0$448,536$0$70,601$0$73,521$0$62,887$0$11,349$0$666,894$0$43,471
KENT GABRIEL MD
BOARD CHAIRMAN AND DIRECTOR$0$448,676$0$64,238$0$761$0$17,256$0$13,340$0$544,271$0$0
MICHELLE MILLER
VP CHIEF HUMAN RESOURCE OFFICER$0$336,201$0$53,112$0$64,377$0$51,582$0$9,764$0$515,036$0$28,643
JANELLE HOOVER
VP CHIEF NURSING OFFICER$0$275,073$0$31,062$0$16,009$0$14,854$0$2,445$0$339,443$0$0
SCOTT MATTES
VP CHIEF OPERATING OFFICER$0$245,932$0$30,251$0$240$0$13,814$0$103$0$290,340$0$0
SUSAN WILLIAMS
PHARMACIST$237,192$0$0$0$1,332$0$11,926$0$0$0$250,450$0$0$0
ROBIN WINGATE
DIRECTOR OF PHARMACY$207,609$0$17,348$0$0$0$11,343$0$1,907$0$238,207$0$0$0
CASSIDY JOST
DIRECTOR OF SPECIALITY NURSING$189,434$0$23,872$0$800$0$5,269$0$4,721$0$224,096$0$0$0
KATHERINE MCKAY
VP COMMUNITY & PATIENT EXPERIENCE$0$190,868$0$24,333$0$750$0$0$0$7,037$0$222,988$0$0
WESLEY FRYE
DIRECTOR OF PERIOPERATIVE SERVICES$193,315$0$13,720$0$0$0$9,973$0$103$0$217,111$0$0$0
DANIELLE DARE
DIRECTOR OF INPATIENT NURSING$179,025$0$21,589$0$240$0$10,138$0$1,907$0$212,899$0$0$0
DAVID JOHNSON
CHIEF OF STAFF$0$112,391$0$0$0$27,842$0$7,633$0$7,862$0$155,728$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINE 4BIN 2024, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $73,507 MICHELLE MILLER - $34,332 KATIE KUCERA - $45,637 DAVID BAKER - $57,065 IN 2024, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $82,856 MICHELLE MILLER - $28,643 KATIE KUCERA - $43,471
PART I, LINE 6NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$16,715,000RetiredAmt
Total Proceeds$117,379,647TotalProceedsAmt
Issuance Costs From Proceeds$1,509,967IssuanceCostsFromProceedsAmt
Capital Expenditures$63,607,841CapitalExpendituresAmt
Other Spent Proceeds$55,186,506OtherSpentProceedsAmt
Substantial Completion2022SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line 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 12CACTUAL 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. 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. IF THE BOARD OR COMMITTEE 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 PROGRAM. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE BOARD CONCERNING ANY INTEREST DISCLOSED.
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 KAVEA IN 2024. 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 KAVEA IN 2024.
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.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,705,403. MANAGEMENT AND GENERAL EXPENSES 211,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,916,860. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 5,072,379. MANAGEMENT AND GENERAL EXPENSES 1,898,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,970,614. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 128,611. MANAGEMENT AND GENERAL EXPENSES 1,599,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,727,637. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,161,342. MANAGEMENT AND GENERAL EXPENSES 1,827,119. FUNDRAISING EXPENSES 18,278. TOTAL EXPENSES 7,006,739. SHARED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 58,385,943. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,385,943.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS FROM CARSON TAHOE CONTINUING CARE HOSPITAL 854,250.

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
CARSON TAHOE REGIONAL HEALTHCARE AUXILIARY INC
1600 MEDICAL PARKWAYCARSON CITYNV89703886007118SUPPORT CARSON TAHOE REGIONAL HEALTHCARENV501(C)(3)LINE 10Yes (1)CARSON TAHOE REGIONAL HEALTHCARE
CTH PHYSICIANS CLINIC
1600 MEDICAL PARKWAYCARSON CITYNV89703872781421CLINCIAL MEDICAL SERVICESNV501(C)(3)LINE 100CARSON-TAHOE HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 MEDICAL PARKWAYAddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89703ZIPCd
FieldValueIRS element (for citing)
EIN020566741EIN
Primary ActivitiesPHYSICIAN GROUPPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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