2025-09-04T20:01:23-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 880502320 CARSON TAHOE REGIONAL HEALTHCARE CARS 7754458000 PO BOX 2168 CARSON CITY NV 89702 KATIE KUCERA VP, CFO 7754458000 2025-09-04 1 1 LESLIE VAN P01294411 4159561500 2025-09-04 2024 2025-03-06 01:10:19Z MICHELLE JOY PO BOX 2168 CARSON CITY NV 89702 467456307 0 X WWW.CARSONTAHOE.COM X 2001 NV TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 10 8 1931 134 0 0 2625264 2004164 394940671 457429717 6041286 6828153 932790 896772 404540011 467158806 21782843 26492460 0 0 129646559 146185544 0 0 722574 236813165 277291561 388242567 449969565 16297444 17189241 471494391 494307819 174346442 168348917 297147949 325958902 X TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 0 0 331172954 26492460 457429717 CARSON TAHOE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH SYSTEM. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR OVER 250,000 PEOPLE. THESE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. CARSON TAHOE'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CARSON TAHOE REGIONAL MEDICAL CENTER CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 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. 331172954 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 107 1 1 1931 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 X STEFANIE STIEBER 7754458000 PO BOX 2168 CARSON CITY NV 89702 MICHELLE JOY PRESIDENT & CEO 25.00 15.00 X 0 958009 102137 DAVID BAKER MD VP CHIEF MEDICAL OFFICER 5.00 35.00 X 0 772232 74315 KATIE KUCERA CHIEF FINANCIAL OFFICER 25.00 15.00 X 0 592658 74236 KENT GABRIEL MD BOARD CHAIRMAN AND DIRECTOR 1.00 2.00 X X 0 513675 30596 MICHELLE MILLER VP CHIEF HUMAN RESOURCE OFFICER 5.00 35.00 X 0 453690 61346 JANELLE HOOVER VP CHIEF NURSING OFFICER 5.00 35.00 X 0 322144 17299 SCOTT MATTES VP CHIEF OPERATING OFFICER 5.00 35.00 X 0 276423 13917 SUSAN WILLIAMS PHARMACIST 40.00 0.00 X 238524 0 11926 ROBIN WINGATE DIRECTOR OF PHARMACY 40.00 0.00 X 224957 0 13250 CASSIDY JOST DIRECTOR OF SPECIALITY NURSING 40.00 0.00 X 214106 0 9990 KATHERINE MCKAY VP COMMUNITY & PATIENT EXPERIENCE 5.00 35.00 X 0 215951 7037 WESLEY FRYE DIRECTOR OF PERIOPERATIVE SERVICES 40.00 0.00 X 207035 0 10076 DANIELLE DARE DIRECTOR OF INPATIENT NURSING 40.00 0.00 X 200854 0 12045 DAVID JOHNSON CHIEF OF STAFF 1.00 39.00 X 0 140233 15495 MEG JACK MD TREASURER AND DIRECTOR 1.00 2.00 X X 0 8400 0 JAMES MANNING DIRECTOR 1.00 2.00 X 0 8400 0 PHILLIP O'NEILL DIRECTOR 1.00 2.00 X 0 8400 0 GIL YANUCK DIRECTOR 1.00 2.00 X 0 8400 0 BRIAN DUFFRIN DIRECTOR 1.00 2.00 X 0 7700 0 BOB SEWELL DIRECTOR 1.00 2.00 X 0 7700 0 JAMES BREEDEN MD VICE CHAIRMAN AND DIRECTOR 1.00 2.00 X X 0 0 0 BRUCE ROBERTSON SECRETARY AND DIRECTOR 1.00 2.00 X X 0 0 0 1085476 4294015 453665 346 0 1 0 CLINICAL COLLEAGUES INC 1765 E NINE MILE ROAD SUITE 1-229 PENSACOLA FL 32514 MEDICAL SERVICES 12155628 GE PRECISION HEALTHCARE N16W22416 WATERTOWN ROAD WAUKESHA WI 53186 EQUIPMENT SERVICES 3833832 STEPHEN HOLTZCLAW MD PO BOX 645948 CINCINNATI OH 45264 MEDICAL SERVICES 2653627 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 MEDICAL SERVICES 1979079 CARSON MEDICAL GROUP 1946 OLD HOT SPRINGS ROAD CARSON CITY NV 89706 MEDICAL SERVICES 1110050 45 29500 19377 1758418 196869 2004164 PATIENT SERVICES 621110 454653085 454653085 NONPATIENT SERVICES 621110 2776632 2776632 457429717 6847787 6847787 884584 0 884584 884584 884584 249125 250902 17857 -1777 -17857 -19634 -19634 0 29500 0 0 40930 28742 12188 12188 467158806 457429717 0 7724925 X 26406328 26406328 86132 86132 115612523 97708945 17670978 232600 4336047 3509839 817172 9036 17634571 14303055 3295079 36437 8602403 7280461 1304744 17198 23834583 23834583 14917 14917 77007793 13067735 63921780 18278 5489783 1020846 4453934 15003 14049076 6265507 7731148 52421 20555 19690 544 321 8603 8603 4541235 4541235 14107768 14107768 MEDICAL SUPPLIES 87459427 87422337 37090 BAD DEBT 32984618 32984618 PROVIDER FEE ASSESSMENT 16748716 16748716 TAXES AND LICESES 396388 396388 628099 102857 183962 341280 449969565 331172954 118074037 722574 15794569 26510152 350581 358508 54336214 53255247 6786217 7421105 6550207 6674175 367027979 187674051 185245885 179353928 155898910 181784689 1959882 0 6247916 6247916 38324010 32702099 471494391 494307819 23880684 28165022 98272274 95129498 29029932 25107598 23163552 19946799 174346442 168348917 X 297147949 325958902 297147949 325958902 471494391 494307819 X 17189241 10767462 854250 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14917 14917 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE NEVADA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WERE USED BY THOSE GROUPS TO LOBBY ON BEHALF OF CARSON TAHOE REGIONAL HEALTHCARE AND OTHER MEMBERS. 30312826 30312826 192588282 77007269 115581013 20526916 14440468 6086448 120169893 96226314 23943579 3430062 3430062 179353928 DUE FROM AFFILIATES 11431960 SHORT TERM OPERATING RENT 5965 ASSETS LIMITED AS TO USE 2446937 OTHER NONCURRENT ASSETS 224095 LEASES 18593142 32702099 CURRENT RIGHT OF USE LIABILITIES 4945019 NONCURRENT RIGHT OF USE LIABILITIES 15001780 19946799 X 444970392 10767462 28742 10796204 434174188 32984618 32984618 467158806 390713689 28742 28742 390684947 59284618 59284618 449969565 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. 75TH ANNIVERSARY CELEBRATION 29500 29500 29500 29500 40930 24500 4242 1 1.00000 40930 24500 4242 28742 12188 NV 1 0 1 0 1.00000 0.00000 TAMARA STEIN PO BOX 2168 CARSON CITY NV 89702 0 TAMARA STEIN 0 EVENT ORGANIZER X 1 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 7796604 7796604 0.01730 46053807 26167725 19886082 0.04420 53850411 26167725 27682686 0.06150 1421378 1421378 0.00320 542564 542564 0.00120 23502015 13272548 10229467 0.02270 1099311 1099311 0.00240 26565268 13272548 13292720 0.02950 80415679 39440273 40975406 0.09100 2105 2105 0.00000 2105 2105 0.00000 1 32984618 0 108836854 101654042 7182812 X 1 1 1 1 CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PARKWAY CARSON CITY NV 89703 WWW.CARSONTAHOE.COM 4466-HOS-21 X X X CARSON TAHOE REGIONAL MEDICAL CENTER 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X 1 22 1 WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CARSONTAHOE.COM/FINANCIALSERVICES X WWW.CARSONTAHOE.COM/FINANCIALSERVICES X WWW.CARSONTAHOE.COM/FINANCIALSERVICES X X X X X 1 X 0 X X X X 1 X 0 0 CARSON TAHOE REGIONAL MEDICAL CENTER PART 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 CENTER PART V, SECTION B, LINE 6A: A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH CARSON TAHOE CONTINUING CARE HOSPITAL, THE OTHER HOSPITAL OWNED BY CARSON-TAHOE HEALTH SYSTEM. CARSON TAHOE REGIONAL MEDICAL CENTER PART 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 CENTER PART 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 CENTER PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 11 1 - CARSON TAHOE MEDICAL OFFICE BUILDING 1470 MEDICAL PARKWAY SUITE 140 CARSON CITY NV 89703 CARDIAC REHAB, OP CARDIOLOGY IMAGING 2 - CARSON TAHOE MINDEN MEDICAL CENTER 925 IRONWOOD DRIVE MINDEN NV 89423 EMERGENT CARE, LAB, IMAGING, THERAPY 3 - CARSON TAHOE CANCER CENTER 1535 MEDICAL PARKWAY CARSON CITY NV 89703 OUTPATIENT AMBULATORY INFUSION CENTER 4 - CARSON TAHOE SPECIALTY MEDICAL CENTER 775 FLEISCHMANN WAY CARSON CITY NV 89703 IP & OP BEHAVIORAL HEALTH, WOUND CARE 5 - CARSON TAHOE SURGERY CENTER 973 MICA DRIVE CARSON CITY NV 89705 OUTPATIENT SURGERY AND PAIN MANAGEMENT 6 - CARSON TAHOE DAYTON URGENT CARE 901 MEDICAL CENTER DRIVE DAYTON NV 89403 URGENT CARE AND OUTPATIENT LAB 7 - CARSON TAHOE CARSON URGENT CARE 1201 S CARSON STREET CARSON CITY NV 89701 URGENT CARE 8 - CARSON TAHOE BEHAVIORAL HEALTH 1080 N MINNESOTA STREET CARSON CITY NV 89703 INPATIENT BEHAVIORAL HEALTH 9 - CARSON TAHOE MOMS CLINIC 1460 S CURRY STREET CARSON CITY NV 89703 WOMEN & CHILDREN'S CENTER 10 - CARSON TAHOE IMAGING SERVICES 2874 N CARSON STREET SUITE 300 CARSON CITY NV 89706 DIAGNOSTIC IMAGING CENTER 11 - CARSON TAHOE OP THERAPIES 1122 S STEWART STREET CARSON CITY NV 89701 OUTPATIENT PHYSICAL THERAPY PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER CARSON TAHOE REGIONAL HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM, AN INDIVIDUAL MUST: 1. LIVE WITHIN CARSON TAHOE'S PRIMARY SERVICE AREA; 2. RECEIVE MEDICALLY NECESSARY CARE; 3. HAVE HOUSEHOLD GROSS INCOME LESS THAN 400% OF FEDERAL POVERTY LEVELS; 4. APPLY FOR GOVERNMENT ASSISTANCE IF UNINSURED; 5. SUBMIT A BILL FOR INSURANCE COVERAGE IF INSURED 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 STATES NV 1 CARSON-TAHOE HEALTH SYSTEM 1600 MEDICAL PARKWAY CARSON CITY NV 89703 880502318 501(C)(3) 26300000 0 GENERAL OPERATING SUPPORT CENTER FOR HOPE & HEALING 1528 HIGHWAY 395 SUITE 235 GARDNERVILLE NV 89410 933938487 501(C)(3) 15000 0 GENERAL OPERATING SUPPORT THINKFIRST NORTHERN NEVADA 555 ARLINGTON AVENUE RENO NV 89503 363730822 501(C)(3) 8000 0 CARSON CITY HIGH SCHOOL HELMETS 3 0 PATIENT NON-MEDICAL FINANCIAL ASSISTANCE 517 80063 PATIENT MEDICAL FINANCIAL ASSSISTANCE 24 6069 PART I, LINE 2: TRANSFERS TO RELATED ORGANIZATIONS ARE MONITORED THORUGH COMMON MANAGEMENT. GRANTS TO UNRELATED ORGANIZATIONS ARE GIVEN TO QUALIFIED CHARITIES AND GOVERNMENTS, BUT CARSON TAHOE REGIONAL HEALTHCARE DOES NOT MONITOR HOW THE RECIPIENT ORGANIZATION USES THE FUNDS. INDIVIDUAL ASSISTANCE IS GIVEN DIRECTLY TO CREDITORS TO ENSURE THE MONEY IS USED FOR THE APPROPRIATE PURPOSE. 0 1 0 0 0 1 1 0 0 MICHELLE JOY PRESIDENT & CEO 0 729347 0 113716 0 114946 0 90757 0 11380 0 1060146 0 82856 DAVID BAKER MD VP CHIEF MEDICAL OFFICER 0 563792 0 183324 0 25116 0 74315 0 0 0 846547 0 0 KATIE KUCERA CHIEF FINANCIAL OFFICER 0 448536 0 70601 0 73521 0 62887 0 11349 0 666894 0 43471 KENT GABRIEL MD BOARD CHAIRMAN AND DIRECTOR 0 448676 0 64238 0 761 0 17256 0 13340 0 544271 0 0 MICHELLE MILLER VP CHIEF HUMAN RESOURCE OFFICER 0 336201 0 53112 0 64377 0 51582 0 9764 0 515036 0 28643 JANELLE HOOVER VP CHIEF NURSING OFFICER 0 275073 0 31062 0 16009 0 14854 0 2445 0 339443 0 0 SCOTT MATTES VP CHIEF OPERATING OFFICER 0 245932 0 30251 0 240 0 13814 0 103 0 290340 0 0 SUSAN WILLIAMS PHARMACIST 237192 0 0 0 1332 0 11926 0 0 0 250450 0 0 0 ROBIN WINGATE DIRECTOR OF PHARMACY 207609 0 17348 0 0 0 11343 0 1907 0 238207 0 0 0 CASSIDY JOST DIRECTOR OF SPECIALITY NURSING 189434 0 23872 0 800 0 5269 0 4721 0 224096 0 0 0 KATHERINE MCKAY VP COMMUNITY & PATIENT EXPERIENCE 0 190868 0 24333 0 750 0 0 0 7037 0 222988 0 0 WESLEY FRYE DIRECTOR OF PERIOPERATIVE SERVICES 193315 0 13720 0 0 0 9973 0 103 0 217111 0 0 0 DANIELLE DARE DIRECTOR OF INPATIENT NURSING 179025 0 21589 0 240 0 10138 0 1907 0 212899 0 0 0 DAVID JOHNSON CHIEF OF STAFF 0 112391 0 0 0 27842 0 7633 0 7862 0 155728 0 0 PART I, LINE 3 THE 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 4B IN 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 6 NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM. A CARSON CITY NV 886000189 145810DV6 2017-12-18 117356967 RETIRE 2003 & 2005 BONDS, PROVIDE OPERATING FUNDS, FUND FUTURE CONSTRUCTION 0 0 0 A 16715000 117379647 1509967 63607841 55186506 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER 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. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS CARSON-TAHOE HEALTH SYSTEM, A TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY IS APPOINTED BY CARSON-TAHOE HEALTH SYSTEM, THE PARENT COMPANY. FORM 990, PART VI, SECTION A, LINE 7B THE APPROVAL OF CARSON-TAHOE HEALTH SYSTEM IS REQUIRED FOR EACH OF THE FOLLOWING: (A) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; (B) THE ESTABLISHMENT OF ANY NEW CORPORATION, LIMITED LIABILITY COMPANY OR PARTNERSHIP OR THE MERGER, DISSOLUTION OR CONSOLIDATION OF THE ORGANIZATION; (C) ANY MORTGAGE, SALE, LEASE, EXCHANGE OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (D) ANY CHANGE IN LONG-TERM DEBT ARRANGEMENTS OF THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES OR AFFILIATED ORGANIZATIONS THAT WILL AFFECT THE CREDITWORTHINESS OF THE ORGANIZATION; (E) THE STRATEGIC PLAN OF THE ORGANIZATION; (F) THE ESTABLISHMENT OR CHANGE OF THE PHILOSOPHY ACCORDING TO WHICH THE ORGANIZATION OPERATES; (G) APPROVAL OF THE CONTRACT OF EMPLOYMENT OF THE CEO OF THE ORGANIZATION; AND (H) THE DETERMINATION OF THE AMOUNT OF ANY COMPENSATION FOR MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 WAS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND THE ACCOUNTING PERSONNEL WITH THE INDEPENDENT ACCOUNTING FIRM. THROUGH THE REVIEW PROCESS, ANY CLARIFICATIONS OR CORRECTIONS THAT NEEDED TO BE MADE WERE MADE. THE FORM 990 WAS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISED WERE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEEDED TO BE MADE WERE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES WAS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C 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. 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 15 CARSON-TAHOE HEALTH SYSTEM'S EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO BASED ON MARKET SURVEYS POSITIONED SO THAT MIDPOINT WILL TARGET THE 50TH PERCENTILE. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY 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 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 CONTRACT 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. CARSON-TAHOE HEALTH SYSTEM 1600 MEDICAL PARKWAY CARSON CITY NV 89703 880502318 PARENT ORGANIZATION NV 501(C)(3) LINE 12B, II N/A 0 CARSON TAHOE REGIONAL HEALTHCARE AUXILIARY INC 1600 MEDICAL PARKWAY CARSON CITY NV 89703 886007118 SUPPORT CARSON TAHOE REGIONAL HEALTHCARE NV 501(C)(3) LINE 10 CARSON TAHOE REGIONAL HEALTHCARE 1 CTH PHYSICIANS CLINIC 1600 MEDICAL PARKWAY CARSON CITY NV 89703 872781421 CLINCIAL MEDICAL SERVICES NV 501(C)(3) LINE 10 CARSON-TAHOE HEALTH SYSTEM 0 CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV N/A C 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 0