CARSON-TAHOE HEALTH SYSTEM: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CARSON-TAHOE HEALTH SYSTEM (EIN 88-0502318)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202233159349305943
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T15:25:03-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880502318 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON-TAHOE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARS | BusinessNameControlTxt |
| Phone | 7754458000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2168 | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATIE KUCERA | PersonNm |
| Person Title | VP, CFO | PersonTitleTxt |
| Phone | 7754458000 | PhoneNum |
| Signature | 2022-10-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KATIE | PersonFirstNm |
| Person Last | KUCERA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2022-10-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELLE JOY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2168 | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $94,390,075 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARSONTAHOE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 400 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $153,036 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $136,832 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,646,399 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,698,375 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,470,938 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,372,436 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,014,849 | PYOtherRevenueAmt |
| CY Other Revenue | $13,319,264 | CYOtherRevenueAmt |
| PY Total Revenue | $87,132,186 | PYTotalRevenueAmt |
| CY Total Revenue | $94,390,075 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $166,840 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,265,665 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,473,902 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,495,521 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,275,812 | PYOtherExpensesAmt |
| CY Other Expenses | $28,547,187 | CYOtherExpensesAmt |
| PY Total Expenses | $55,916,554 | PYTotalExpensesAmt |
| CY Total Expenses | $65,308,373 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,215,632 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,081,702 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $231,319,783 | TotalAssetsBOYAmt |
| Total Assets EOY | $269,036,498 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,350,489 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,930,417 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $219,969,294 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $251,106,081 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES. WE EXIST TO FACILITATE THOSE AFFILIATES SO THEY ARE ABLE TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $65,308,373 | ExpenseAmt |
| Grant | $5,265,665 | GrantAmt |
| Revenue | $58,372,436 | RevenueAmt |
| Desc | CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES THAT PROVIDE CARE AND SERVE THE COMMUNITY. THERE ARE THREE HOSPITALS (ACUTE, LONG TERM, AND SURGICAL), BEHAVIORAL HEALTH, URGENT & EMERGENT CARE CENTERS, AND OUTPATIENT IMAGING, REHABILITATION, AND PHYSICIAN SERVICES. CARSON TAHOE HEALTH CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 159) LICENSED BEDS, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES WITH A TOTAL OF 52 LICENSED BEDS, A LONG-TERM CONTINUING CARE HOSPITAL WITH 29 LICENSED BEDS, A SURGERY HOSPITAL WHICH IS 100% OWNED, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, OUTPATIENT SURGERY CENTER, ACCREDITED CANCER CENTER, PHYSICIAN CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION AND SEVERAL MEDICAL OFFICE BUILDINGS. THE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR APPROXIMATELY 181,299 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. THE REGIONAL MEDICAL CENTER PROVIDES CARE TO PERSONS, SOME OF WHOM ARE COVERED BY GOVERNMENTAL PROGRAMS INCLUDING MEDICARE AND MEDICAID, AS WELL AS MEDICALLY INDIGENT PATIENTS UNABLE TO PAY. THE HEALTH SYSTEM ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. IN 2021, THE HEALTH SYSTEM (ALL ENTITIES) HAD 11,272 INPATIENT DISCHARGES, 60,778 INPATIENT DAYS, 81,789 OUTPATIENT VISITS, 137,266 OUTPATIENT IMAGING VISITS, AND 68,362 EMERGENT/URGENT CARE VISITS. | Desc |
| Total Program Service Expenses | $65,308,373 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 111 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 400 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERI MILLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7754458000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2168 | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALAN GARRETT | |||||||||
| PRESIDENT & CEO | 5.00 | 35.00 | Yes (X) | $940,864 | $0 | $136,566 | |||
| ALLEN FINK | |||||||||
| VP, CHIEF MEDICAL OFFICER | 5.00 | 35.00 | $679,728 | $0 | $132,652 | Yes (X) | |||
| MITCHELL WATSON | |||||||||
| VP, CHIEF FINANCIAL OFFICER | 10.00 | 30.00 | Yes (X) | $636,824 | $0 | $116,352 | |||
| DAVID BAKER | |||||||||
| DIRECTOR & TREASURER | 40.00 | 0.00 | Yes (X) | $660,786 | $0 | $46,037 | Yes (X) | ||
| MICHELLE JOY | |||||||||
| VP, CHIEF OPERATING OFFICER | 5.00 | 35.00 | $560,672 | $0 | $112,932 | Yes (X) | |||
| PAMELA PUCKETT VP AMBULATORY | |||||||||
| CARE NETWORK (THROUGH FEB 2021) | 3.00 | 35.00 | $357,185 | $0 | $154,242 | Yes (X) | |||
| JOANNE MILLER VP CHIEF | |||||||||
| NURISNG OFFICER (THROUGH MAY 2021) | 5.00 | 35.00 | $313,185 | $0 | $73,698 | Yes (X) | |||
| DAVID TILLITT | |||||||||
| CHIEF MEDICAL INFORMATION OFFICER | 40.00 | 0.00 | $281,024 | $0 | $45,109 | Yes (X) | |||
| CYNTHIA KUPERUS RN SYSTEM | |||||||||
| DIRECTOR, PERIOPERATIVE SERVICES | 40.00 | 0.00 | $256,626 | $0 | $53,037 | Yes (X) | |||
| SCOTT MATTES | |||||||||
| DIRECTOR OF ANCILLARY SERVICES | 40.00 | 0.00 | $242,930 | $0 | $29,521 | Yes (X) | |||
| KATIE KUCERA | |||||||||
| DIRECTOR OF FINANCE | 40.00 | 0.00 | $228,629 | $0 | $40,549 | Yes (X) | |||
| KIM MARYNIAK INTERIM CHIEF | |||||||||
| NURSING OFFICER (THROUGH DEC 2021) | 5.00 | 35.00 | $225,782 | $0 | $28,409 | Yes (X) | |||
| ELIZABETH DUFFRIN | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | $9,000 | $0 | $0 | Yes (X) | ||
| LARRY MESSINA | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $8,400 | $0 | $0 | Yes (X) | ||
| JAMES BREEDEN MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | $8,400 | $0 | $0 | Yes (X) | |||
| KENT GABRIEL MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | $8,400 | $0 | $0 | Yes (X) | |||
| MEG JACK MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | $8,400 | $0 | $0 | Yes (X) | |||
| PHILLIP O'NEILL | |||||||||
| DIRECTOR | 1.00 | 1.00 | $8,400 | $0 | $0 | Yes (X) | |||
| BRUCE ROBERTSON | |||||||||
| ASSISTANT SECRETARY | 1.00 | 0.00 | Yes (X) | $8,400 | $0 | $0 | Yes (X) | ||
| GILBERT YANUCK | |||||||||
| DIRECTOR | 1.00 | 1.00 | $8,400 | $0 | $0 | Yes (X) | |||
| LORI HANEY | |||||||||
| SECRETARY (LEFT DURING 2021) | 1.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | Yes (X) | ||
| CHRISTINE SANSOM MSN RN | |||||||||
| DIRECTOR (LEFT DURING 2021) | 1.00 | 1.00 | $6,300 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,465,835 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $969,104 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSITY OF UTAH HEALTH CARE | |||||
| PO BOX 841312 | LOS ANGELES | CA | 90084 | SOFTWARE IMPLEMENTATION | $1,799,460 |
| ALLSCRIPTS | |||||
| ATTN JP MORGAN CHASE 131 S DEARBO | CHICAGO | IL | 60603 | SOFTWARE SUPPORT | $1,520,356 |
| INTERVISION SYSTEM LLC | |||||
| 1281 N WARSON RD | ST LOUIS | MO | 63132 | NETWORK SUPPORT | $1,494,219 |
| CHANGE HEALTHCARE (RELAYHEALTH) | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | SOFTWARE MAINTENANCE | $1,097,102 |
| BERTELSMANN LEARNING LLC DBA RELIAS LLC | |||||
| PO BOX 74008694 | CHICAGO | IL | 606748620 | TRAINING | $958,030 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $22,698,375 | RelatedOrganizationsAmt |
| Total Contributions | $22,698,375 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHARED SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $58,372,436 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,372,436 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,372,436 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCOME FROM AFFILIATE INTERESTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $13,319,264 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $153,036 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,166,228 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,319,264 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,390,075 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,372,436 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $153,036 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,166,228 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,265,665 | TotalAmt |
| Program Services | $5,265,665 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,023,413 | TotalAmt |
| Program Services | $4,023,413 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,768,529 | TotalAmt |
| Program Services | $21,768,529 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,944 | TotalAmt |
| Program Services | $764,944 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,340,682 | TotalAmt |
| Program Services | $3,340,682 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597,953 | TotalAmt |
| Program Services | $1,597,953 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,402 | TotalAmt |
| Program Services | $300,402 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,322 | TotalAmt |
| Program Services | $182,322 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,680,197 | TotalAmt |
| Program Services | $13,680,197 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,444,131 | TotalAmt |
| Program Services | $2,444,131 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,498,603 | TotalAmt |
| Program Services | $4,498,603 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,692 | TotalAmt |
| Program Services | $20,692 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,759 | TotalAmt |
| Program Services | $1,225,759 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,736 | TotalAmt |
| Program Services | $184,736 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,013 | TotalAmt |
| Program Services | $424,013 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,560,953 | TotalAmt |
| Program Services | $2,560,953 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,378,467 | TotalAmt |
| Program Services | $2,378,467 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| UBI TAXES | $28,735 | $28,735 |
| DUES & SUBSCRIPTIONS | $243,529 | $243,529 |
| EMPLOYEE RELATIONS | $147,142 | $147,142 |
| FOOD | $127,505 | $127,505 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,001 | TotalAmt |
| Program Services | $100,001 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,308,373 | TotalAmt |
| Program Services | $65,308,373 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,421 | BOYAmt |
| EOY | $4,570,705 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,759 | BOYAmt |
| EOY | $868,456 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,590 | BOYAmt |
| EOY | $717,965 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,323,195 | BOYAmt |
| EOY | $13,657,131 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,618,756 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,236,111 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,649 | BOYAmt |
| EOY | $4,382,645 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,368,301 | BOYAmt |
| EOY | $243,898,507 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,622,868 | BOYAmt |
| EOY | $941,089 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,319,783 | BOYAmt |
| EOY | $269,036,498 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,985,309 | BOYAmt |
| EOY | $5,227,416 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,365,180 | BOYAmt |
| EOY | $12,703,001 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,350,489 | BOYAmt |
| EOY | $17,930,417 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,969,294 | BOYAmt |
| EOY | $251,106,081 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,969,294 | BOYAmt |
| EOY | $251,106,081 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,319,783 | BOYAmt |
| EOY | $269,036,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $29,081,702 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $2,055,085 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON TAHOE REGIONAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880502320 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $60,758,373 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $60,758,373 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 6: | CARSON-TAHOE HEALTH SYSTEM MAKES CONTRIBUTIONS TO ORGANIZATIONS FOCUSED ON HEALTHCARE AND RELATED SERVICES AND TO LOCAL COMMUNITY ORGANIZATIONS. THESE CONTRIBUTIONS FURTHER THE CHARITABLE MISSION OF CARSON TAHOE REGIONAL HEALTHCARE BY SUPPORTING HEALTHCARE-FOCUSED SERVICES OR BY SUPPORTING OTHER LOCAL ORGANIZATIONS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. |
| PART IV, SECTION C, LINE 1: | FIVE OF CARSON-TAHOE HEALTH SYSTEM'S BOARD MEMBERS ALSO SERVE ON THE BOARD OF CARSON TAHOE REGIONAL HEALTHCARE. IN ADDITION, BOTH ORGANIZATIONS ARE UNDER COMMON MANAGEMENT, INCLUDING ALL EXECUTIVES, WHO ENSURE THAT BOTH ORGANIZATIONS OPERATE IN A FULLY COORDINATED MANNER TO FURTHER CARSON TAHOE REGIONAL HEALTHCARE'S EXEMPT PURPOSE. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $358,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $358,033 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,259,796 | OtherCostOrOtherBasisAmt |
| Depreciation | $878,078 | DepreciationAmt |
| Book Value | $4,381,718 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $927 | OtherCostOrOtherBasisAmt |
| Book Value | $927 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,382,645 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $241,872,695 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN ROA, LLC | $1,975,927 | F |
| INVESTMENT IN UTAH HEALTH REGIONAL NETWORK | $50,000 | F |
| INVESTMENT IN CMIG, LLC | -$115 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $243,898,507 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $12,703,001 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,703,001 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HEALTH SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. UNDER FASB ASC 740, INCOME TAXES, THE HEALTH SYSTEM IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2021. THE HEALTH SYSTEM HAS OWNERSHIP INTEREST IN SEVERAL FOR PROFIT CONSOLIDATED SUBSIDIARIES AND JOINT VENTURE INVESTMENTS, WHICH ARE LIMITED LIABILITY COMPANIES. FOR TAX PURPOSES, THESE ARE TREATED AS PASS-THROUGH ENTITIES. THE HEALTH SYSTEM HAS ELECTED TO PASS-THROUGH ITS TAXABLE INCOME OR LOSS TO THE MEMBERS BASED ON THEIR PROPORTIONATE OWNERSHIP SHARE OF THE RESPECTIVE ENTITY. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | CAPTIVE INSURANCE INVESTMENT | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $853,174 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $853,174 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $853,174 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| BREWERY ARTS CENTER | ||||||||
| 449 W KING STREET | CARSON CITY | NV | 89703 | 510183567 | 501(C)(3) | $7,500 | $0 | SPONSORSHIP - LEVITT AMP SERIES |
| MAMMOTH HOSPITAL | ||||||||
| 85 SIERRA PARK RD | MAMMOTH LAKES | CA | 93546 | 953154530 | 501(C)(3) | $7,000 | $0 | SPONSORSHIP-GOLF TOURNAMENT |
| THE GREENHOUSE PROJECT | ||||||||
| PO BOX 2024 | CARSON CITY | NV | 89702 | 270689431 | 501(C)(3) | $208,235 | $0 | MAINTAIN AND SUPPORT THE FOOTHILL GARDEN |
| THE SALVATION ARMY | ||||||||
| 911 E SECOND STREET | CARSON CITY | NV | 89701 | 941156347 | 501(C)(3) | $6,000 | $0 | TURKEY DRIVE |
| BOYS & GIRLS CLUB OF WESTERN NEVADA | ||||||||
| 1870 RUSSELL WAY | CARSON CITY | NV | 89706 | 880269139 | 501(C)(3) | $20,300 | $0 | FIRST AID STATION SUPPLIES |
| BOYS & GIRLS CLUB OF MASON VALLEY | ||||||||
| PO BOX 534 | YERINGTON | NV | 89447 | 880407331 | 501(C)(3) | $25,000 | $0 | PURCHASE PLAYGROUND EQUIPMENT FOR DAYTON SITE |
| SPIRIT OF HOPE | ||||||||
| 411 N DIVISION STREET | CARSON CITY | NV | 89703 | 800461686 | 501(C)(3) | $10,518 | $0 | SUPPORT WRAP-AROUND SERVICES FOR HOUSING INSECURE INDIVIDUALS IN THE CARSON CITY COMMUNITY |
| AMERICAN YOUTH SOCCER ORGANIZATION | ||||||||
| 19750 S VERMONT AVENUE SUITE 200 | TORRANCE | CA | 90502 | 956205398 | 501(C)(3) | $9,200 | $0 | SCHOLARSHIPS FOR LOW-INCOME YOUTH |
| NEVADA URBAN INDIANS | ||||||||
| 6512 S MCCARRAN BOULEVARD SUITE A | RENO | NV | 89509 | 880139672 | 501(C)(3) | $90,000 | $0 | EXPAND THE CARSON CITY HEALTH & WELLNESS CENTER |
| RON WOOD FAMILY RESOURCE CENTER | ||||||||
| 2621 NORTHGATE LANE | CARSON CITY | NV | 89706 | 860865470 | 501(C)(3) | $100,000 | $0 | SUPPORT FOR NEW CHILDREN'S MENTAL HEALTH CLINIC |
| NEVADA RURAL COUNTIES RSVP PROGRAM INC | ||||||||
| PO BOX 1708 | CARSON CITY | NV | 89702 | 943164032 | 501(C)(3) | $50,000 | $0 | SUPPORT INTERNAL INFRASTRUCTURE AND EXPAND CAPACITY |
| THE NATURE CONSERVANCY | ||||||||
| 4245 FAIRFAX DRIVE | ARLINGTON | VA | 22203 | 530242652 | 501(C)(3) | $61,560 | $0 | DEVELOP A VOLUNTEER DOCENT PROGRAM AT RIVER FORK RANCH IN GENOA |
| CARSON CITY PARKS & RECREATION DEPARTMENT | ||||||||
| 3303 BUTTI WAY | CARSON CITY | NV | 89701 | 886000189 | CARSON CITY, NV | $18,500 | $0 | SUPPORT SKI AND SNOWBOARD PROGRAM FOR YOUTH |
| CARSON TAHOE CONTINUINIG CARE HOSPITAL INC | ||||||||
| PO BOX 2168 | CARSON CITY | NV | 89702 | 261635811 | 501(C)(3) | $4,550,000 | $0 | GENERAL OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 14 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE DISCUSSED BY A GRANT COMMITTEE AND EVENLY DISTRIBUTED BETWEEN VARIOUS LOCAL COMMUNITIES. RECIPIENTS MUST BE NOT-FOR-PROFIT ORGANIZATIONS BASED WITHIN THE COMMUNITIES WE SERVE, WITH NO POLITICAL OR RELIGIOUS AFFILIATIONS. ASIDE FROM CONFIRMING THE CHARITABLE AND TAX-EXEMPT STATUS OF RECIPIENTS, CARSON-TAHOE HEALTH SYSTEM DOES NOT MONITOR THE USE OF GRANTED FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN GARRETT | ||||||||||||||
| PRESIDENT & CEO | $772,455 | $0 | $150,349 | $0 | $18,060 | $0 | $106,977 | $0 | $29,589 | $0 | $1,077,430 | $0 | $0 | $0 |
| ALLEN FINK | ||||||||||||||
| VP, CHIEF MEDICAL OFFICER | $579,726 | $0 | $82,332 | $0 | $17,670 | $0 | $109,284 | $0 | $23,368 | $0 | $812,380 | $0 | $0 | $0 |
| MITCHELL WATSON | ||||||||||||||
| VP, CHIEF FINANCIAL OFFICER | $509,329 | $0 | $115,153 | $0 | $12,342 | $0 | $76,703 | $0 | $39,649 | $0 | $753,176 | $0 | $0 | $0 |
| DAVID BAKER | ||||||||||||||
| DIRECTOR & TREASURER | $580,511 | $0 | $44,650 | $0 | $35,625 | $0 | $37,627 | $0 | $8,410 | $0 | $706,823 | $0 | $0 | $0 |
| MICHELLE JOY | ||||||||||||||
| VP, CHIEF OPERATING OFFICER | $473,521 | $0 | $76,956 | $0 | $10,195 | $0 | $76,936 | $0 | $35,996 | $0 | $673,604 | $0 | $0 | $0 |
| PAMELA PUCKETT VP AMBULATORY | ||||||||||||||
| CARE NETWORK (THROUGH FEB 2021) | $84,527 | $0 | $52,423 | $0 | $220,235 | $0 | $94,878 | $0 | $59,364 | $0 | $511,427 | $0 | $0 | $0 |
| JOANNE MILLER VP CHIEF | ||||||||||||||
| NURISNG OFFICER (THROUGH MAY 2021) | $188,471 | $0 | $41,233 | $0 | $83,481 | $0 | $69,458 | $0 | $4,240 | $0 | $386,883 | $0 | $0 | $0 |
| DAVID TILLITT | ||||||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | $228,866 | $0 | $51,490 | $0 | $668 | $0 | $36,066 | $0 | $9,043 | $0 | $326,133 | $0 | $0 | $0 |
| CYNTHIA KUPERUS RN SYSTEM | ||||||||||||||
| DIRECTOR, PERIOPERATIVE SERVICES | $222,822 | $0 | $31,968 | $0 | $1,836 | $0 | $38,810 | $0 | $14,227 | $0 | $309,663 | $0 | $0 | $0 |
| SCOTT MATTES | ||||||||||||||
| DIRECTOR OF ANCILLARY SERVICES | $212,467 | $0 | $28,723 | $0 | $1,740 | $0 | $29,521 | $0 | $0 | $0 | $272,451 | $0 | $0 | $0 |
| KATIE KUCERA | ||||||||||||||
| DIRECTOR OF FINANCE | $198,400 | $0 | $29,077 | $0 | $1,152 | $0 | $11,753 | $0 | $28,796 | $0 | $269,178 | $0 | $0 | $0 |
| KIM MARYNIAK INTERIM CHIEF | ||||||||||||||
| NURSING OFFICER (THROUGH DEC 2021) | $209,565 | $0 | $0 | $0 | $16,217 | $0 | $7,060 | $0 | $21,349 | $0 | $254,191 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE HEALTH SYSTEM PAYS THE HEALTH CLUB DUES FOR THE FOLLOWING INDIVIDUALS: MITCHELL WATSON, MICHELLE JOY AND ALLEN FINK. THE PAYMENTS ARE MADE DIRECTLY TO THE HEALTH CLUB. THE AMOUNT IS INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINE 4B | CARSON-TAHOE HEALTH SYSTEM PROVIDED THE FOLLOWING DURING 2021: ALAN GARRETT - 457(F) CONTRIBUTION - $70,851 MITCHELL WATSON - 457(F) CONTRIBUTION - $47,058 MICHELLE JOY - 457(F) CONTRIBUTION - $43,834 PAMELLA PUCKETT - 457(F) CONTRIBUTION - $2,193 LARRY FAGERHAUG - 457(F) CONTRIBUTION - $18,552 JOANNE MILLER - 457(F) CONTRIBUTION - $13,271 ALLEN FINK - 457(F) CONTRIBUTION - $51,711 |
| PART I, LINE 6 | THE HEALTH SYSTEM'S NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIERSTEN FINK | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF ALLEN FINK, A KEY EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $136,559 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE CHAIR OF THE BOARD, THE CEO, AND FOUR OTHER MEMBERS OF THE BOARD OF DIRECTORS. BETWEEN BOARD MEETINGS, EXCEPT AS ITS POWERS ARE OTHERWISE LIMITED, THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE ORGANIZATION. NO ACT OF THE EXECUTIVE COMMITTEE, WHEN EXERCISING THE DELEGATED POWERS OF THE BOARD, ARE VALID UNLESS APPROVED BY THE VOTE OR WRITTEN CONSENT OF A MAJORITY OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | CARSON-TAHOE HEALTH SYSTEM'S MEMBERSHIP INCLUDES BUT NEED NOT BE LIMITED TO RESIDENTS OF THE URBAN AND RURAL AREAS OF THE CONSOLIDATED MUNICIPALITY OF CARSON CITY, NEVADA. THE MAJORITY OF MEMBERS SHALL BE RESIDENTS OF CARSON CITY, NEVADA. THE NUMBER OF MEMBERS IS LIMITED TO 60 AT ANY GIVEN TIME. ANY INDIVIDUAL MAY APPLY TO BE A MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS ELECTED BY THE MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS OF THE ORGANIZATION MAY, BY A TWO-THIRDS MAJORITY VOTE, REMOVE AN INDIVIDUAL FROM THE BOARD OF DIRECTORS. AMENDMENTS TO THE ARTICLES OR BYLAWS REQUIRE APPROVAL OF A MAJORITY OF THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 WAS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND THE ACCOUNTING PERSONNEL WITH THE INDEPENDENT ACCOUNTING FIRM. THROUGH THE REVIEW PROCESS, ANY CLARIFICATIONS OR CORRECTIONS THAT NEEDED TO BE MADE WERE MADE. THE FORM 990 WAS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISED WERE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEEDED TO BE MADE WERE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES WAS THEN REVIEWED AND APPROVED BY ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED BY THE INTERESTED PARTY TO THE BOARD OR A COMMITTEE. IF ANY INTERESTED PERSON BECOMES AWARE OF A POTENTIAL CONFLICT BEFORE THE MATTER IS UNDER CONSIDERATION BY THE GOVERNING BODY OR THE COMMITTEE THEN THE INTERESTED PERSON MAY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE HOSPITAL'S MANAGEMENT PERSONNEL OR THE CHAIR OF THE BOARD. AN INTERESTED PERSON MAY MAKE A PRESENTATION AND ANSWER QUESTIONS POSED AT A BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF HE OR SHE DEEMS APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHER RESOLUTION OF A POTENTIAL CONFLICT OF INTEREST. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. EMPLOYEES AND OTHERS ENGAGED BY THE BOARD MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. CARSON TAHOE CONTINUING CARE HOSPITAL'S CHIEF EXECUTIVE, WORKING WITH THE CHAIR, WILL BE RESPONSIBLE TO ENSURE THOSE CONDUCTING AUDITING AND MONITORING REVIEWS OF INTERNAL CONTROL ARE FREE FROM ANY CONFLICTS OF INTEREST OR OTHER INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR DUTIES WITHOUT BIAS. IF THE BOARD OR COMMITTEE OF CARSON TAHOE CONTINUING CARE HOSPITAL HAS REASONABLE CAUSE TO BELIEVE A BOARD OR COMMITTEE MEMBER OR EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER OR EMPLOYEE WILL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING AN EMPLOYEE'S OR DIRECTOR'S RESPONSE, AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, IT IS DETERMINED THAT THERE WAS A FAILURE TO DISCLOSE, THERE WILL BE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH COULD INCLUDE, WITHOUT LIMITATION, TERMINATION OF THE PERSON'S EMPLOYMENT OR DIRECTORSHIP. THE CEO OR HIS OR HER DESIGNEE SHALL PROVIDE TO THE BOARD AND ALL EXECUTIVE OFFICERS, STAFF, AND VOLUNTEERS, A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WHEREIN IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE BOARD CONCERNING ANY INTEREST DISCLOSED. EACH MEMBER OF THE BOARD AND ALL EXECUTIVE MANAGEMENT SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS, WHICH MAY EXIST OR APPEAR TO EXIST TO CARSON TAHOE CONTINUING CARE HOSPITAL ON ANY MATTER OF BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES.) |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO BASED ON MARKET SURVEYS POSITIONED SO THAT MIDPOINT WILL TARGET THE 50TH PERCENTILE. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY KORN FERRY IN 2020. BASE SALARIES FOR OTHER OFFICERS AND KEY EMPLOYEES WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 50TH PERCENTILE. EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 50TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE, TENURE, AND OTHER RELEVANT FACTORS AS EVALUATED BY CEO. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. ACHIEVING MAXIMUM INCENTIVES MAY RAISE TOTAL COMPENSATION TO APPROXIMATELY THE 65TH PERCENTILE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY KORN FERRY IN 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 95,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,050. CONSULTING AND MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 1,627,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,627,049. REPAIRS & MAINTENANCE FEES: PROGRAM SERVICE EXPENSES 6,476,261. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,476,261. OTHER PURCHASED SERVICE FEES: PROGRAM SERVICE EXPENSES 5,481,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,481,837. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON TAHOE PHYSICIAN HOSPITAL ORG | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 MEDICAL PARKWAY | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 392078486 | EIN |
| Primary Activities | ECW SOFTWARE LICENSES | PrimaryActivitiesTxt |
| Legal Domicile State | NV | LegalDomicileStateCd |
| Total Income | -$11,743 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON-TAHOE HEALTH SYSTEM | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARSON TAHOE REGIONAL HEALTHCARE | ||||||||||
| 1600 MEDICAL PARKWAY | CARSON CITY | NV | 89702 | 880502320 | HOSPITAL | NV | 501(C)(3) | LINE 3 | CARSON-TAHOE HEALTH SYSTEM | Yes (1) |
| CTRH AUXILIARY | ||||||||||
| 1600 MEDICAL PARKWAY | CARSON CITY | NV | 89703 | 886007118 | SUPPORT CTRH | NV | 501(C)(3) | LINE 12D, III-O | CARSON TAHOE REGIONAL HEALTHCARE | 0 |
| CARSON TAHOE CONTINUING CARE HOSPITAL | ||||||||||
| 1600 MEDICAL PARKWAY | CARSON CITY | NV | 89703 | 261635811 | LONG-TERM CARE HOSPITAL | DE | 501(C)(3) | LINE 3 | CARSON-TAHOE HEALTH SYSTEM | Yes (1) |
| CTH PHYSICIANS CLINIC | ||||||||||
| 1600 MEDICAL PARKWAY | CARSON CITY | NV | 89702 | 872781421 | CLINICAL MEDICAL SERVICES | NV | 501(C)(3) | LINE 10 | CARSON-TAHOE HEALTH SYSTEM | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON TAHOE PHYSICIAN CLINICS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 MEDICAL PARKWAY | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020566741 | EIN |
| Primary Activities | PHYSICIAN GROUP | PrimaryActivitiesTxt |
| Legal Domicile State | NV | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON-TAHOE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $20,780,083 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,854,456 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARSON TAHOE CONTINUING CARE HOSPITAL | ||
| B | $4,550,000 | CASH |
| CARSON TAHOE REGIONAL HEALTHCARE | ||
| C | $22,698,375 | CASH |
| CARSON TAHOE REGIONAL HEALTHCARE | ||
| L | $51,924,290 | FMV |
| CARSON TAHOE PHYSICIAN CLINICS | ||
| L | $4,612,342 | FMV |
| CARSON TAHOE CONTINUING CARE HOSPITAL | ||
| L | $1,560,119 | FMV |