2022-11-11T15:25:03-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 880502318 CARSON-TAHOE HEALTH SYSTEM CARS 7754458000 PO BOX 2168 CARSON CITY NV 89702 KATIE KUCERA VP, CFO 7754458000 2022-10-17 1 KATIE KUCERA 999009999 KURT BENNION CPA P01469618 4252506100 2022-10-17 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHELLE JOY PO BOX 2168 CARSON CITY NV 89702 94390075 0 X WWW.CARSONTAHOE.COM X 2002 NV TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 9 7 400 9 153036 136832 19646399 22698375 54470938 58372436 0 0 13014849 13319264 87132186 94390075 166840 5265665 0 0 28473902 31495521 0 0 0 27275812 28547187 55916554 65308373 31215632 29081702 231319783 269036498 11350489 17930417 219969294 251106081 X CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES. WE EXIST TO FACILITATE THOSE AFFILIATES SO THEY ARE ABLE TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. 0 0 65308373 5265665 58372436 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. 65308373 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 111 0 400 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NV CA X TERI MILLER 7754458000 PO BOX 2168 CARSON CITY NV 89702 ALAN GARRETT PRESIDENT & CEO 5.00 35.00 X 940864 0 136566 ALLEN FINK VP, CHIEF MEDICAL OFFICER 5.00 35.00 X 679728 0 132652 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 10.00 30.00 X 636824 0 116352 DAVID BAKER DIRECTOR & TREASURER 40.00 0.00 X X 660786 0 46037 MICHELLE JOY VP, CHIEF OPERATING OFFICER 5.00 35.00 X 560672 0 112932 PAMELA PUCKETT VP AMBULATORY CARE NETWORK (THROUGH FEB 2021) 3.00 35.00 X 357185 0 154242 JOANNE MILLER VP CHIEF NURISNG OFFICER (THROUGH MAY 2021) 5.00 35.00 X 313185 0 73698 DAVID TILLITT CHIEF MEDICAL INFORMATION OFFICER 40.00 0.00 X 281024 0 45109 CYNTHIA KUPERUS RN SYSTEM DIRECTOR, PERIOPERATIVE SERVICES 40.00 0.00 X 256626 0 53037 SCOTT MATTES DIRECTOR OF ANCILLARY SERVICES 40.00 0.00 X 242930 0 29521 KATIE KUCERA DIRECTOR OF FINANCE 40.00 0.00 X 228629 0 40549 KIM MARYNIAK INTERIM CHIEF NURSING OFFICER (THROUGH DEC 2021) 5.00 35.00 X 225782 0 28409 ELIZABETH DUFFRIN CHAIR 1.00 0.00 X X 9000 0 0 LARRY MESSINA VICE CHAIR 1.00 1.00 X X 8400 0 0 JAMES BREEDEN MD DIRECTOR 1.00 0.00 X 8400 0 0 KENT GABRIEL MD DIRECTOR 1.00 0.00 X 8400 0 0 MEG JACK MD DIRECTOR 1.00 0.00 X 8400 0 0 PHILLIP O'NEILL DIRECTOR 1.00 1.00 X 8400 0 0 BRUCE ROBERTSON ASSISTANT SECRETARY 1.00 0.00 X X 8400 0 0 GILBERT YANUCK DIRECTOR 1.00 1.00 X 8400 0 0 LORI HANEY SECRETARY (LEFT DURING 2021) 1.00 0.00 X X 7500 0 0 CHRISTINE SANSOM MSN RN DIRECTOR (LEFT DURING 2021) 1.00 1.00 X 6300 0 0 5465835 0 969104 51 0 1 0 UNIVERSITY OF UTAH HEALTH CARE PO BOX 841312 LOS ANGELES CA 90084 SOFTWARE IMPLEMENTATION 1799460 ALLSCRIPTS ATTN JP MORGAN CHASE 131 S DEARBO CHICAGO IL 60603 SOFTWARE SUPPORT 1520356 INTERVISION SYSTEM LLC 1281 N WARSON RD ST LOUIS MO 63132 NETWORK SUPPORT 1494219 CHANGE HEALTHCARE (RELAYHEALTH) PO BOX 98347 CHICAGO IL 60693 SOFTWARE MAINTENANCE 1097102 BERTELSMANN LEARNING LLC DBA RELIAS LLC PO BOX 74008694 CHICAGO IL 606748620 TRAINING 958030 37 22698375 22698375 SHARED SERVICES 621110 58372436 58372436 58372436 INCOME FROM AFFILIATE INTERESTS 900099 13319264 153036 13166228 13319264 94390075 58372436 153036 13166228 X 5265665 5265665 4023413 4023413 21768529 21768529 764944 764944 3340682 3340682 1597953 1597953 300402 300402 182322 182322 13680197 13680197 2444131 2444131 4498603 4498603 20692 20692 1225759 1225759 184736 184736 424013 424013 2560953 2560953 2378467 2378467 UBI TAXES 28735 28735 DUES & SUBSCRIPTIONS 243529 243529 EMPLOYEE RELATIONS 147142 147142 FOOD 127505 127505 100001 100001 65308373 65308373 0 0 186421 4570705 1033759 868456 781590 717965 12323195 13657131 5618756 1236111 3649 4382645 215368301 243898507 1622868 941089 231319783 269036498 4985309 5227416 6365180 12703001 11350489 17930417 X 219969294 251106081 219969294 251106081 231319783 269036498 29081702 2055085 0 X 0 1 X 1 1 1 X X 1 CARSON TAHOE REGIONAL HEALTHCARE 880502320 3 1 60758373 0 1 60758373 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 6: CARSON-TAHOE HEALTH SYSTEM MAKES CONTRIBUTIONS TO ORGANIZATIONS FOCUSED ON HEALTHCARE AND RELATED SERVICES AND TO LOCAL COMMUNITY ORGANIZATIONS. THESE CONTRIBUTIONS FURTHER THE CHARITABLE MISSION OF CARSON TAHOE REGIONAL HEALTHCARE BY SUPPORTING HEALTHCARE-FOCUSED SERVICES OR BY SUPPORTING OTHER LOCAL ORGANIZATIONS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PART IV, SECTION C, LINE 1: FIVE OF CARSON-TAHOE HEALTH SYSTEM'S BOARD MEMBERS ALSO SERVE ON THE BOARD OF CARSON TAHOE REGIONAL HEALTHCARE. IN ADDITION, BOTH ORGANIZATIONS ARE UNDER COMMON MANAGEMENT, INCLUDING ALL EXECUTIVES, WHO ENSURE THAT BOTH ORGANIZATIONS OPERATE IN A FULLY COORDINATED MANNER TO FURTHER CARSON TAHOE REGIONAL HEALTHCARE'S EXEMPT PURPOSE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 358033 358033 0 5259796 878078 4381718 927 927 4382645 241872695 F INVESTMENT IN ROA, LLC 1975927 F INVESTMENT IN UTAH HEALTH REGIONAL NETWORK 50000 F INVESTMENT IN CMIG, LLC -115 F 243898507 DUE TO AFFILIATES 12703001 12703001 X PART X, LINE 2: THE HEALTH SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. UNDER FASB ASC 740, INCOME TAXES, THE HEALTH SYSTEM IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 CAPTIVE INSURANCE INVESTMENT 853174 0 0 0 0 0 0 853174 0 853174 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 BREWERY ARTS CENTER 449 W KING STREET CARSON CITY NV 89703 510183567 501(C)(3) 7500 0 SPONSORSHIP - LEVITT AMP SERIES MAMMOTH HOSPITAL 85 SIERRA PARK RD MAMMOTH LAKES CA 93546 953154530 501(C)(3) 7000 0 SPONSORSHIP-GOLF TOURNAMENT THE GREENHOUSE PROJECT PO BOX 2024 CARSON CITY NV 89702 270689431 501(C)(3) 208235 0 MAINTAIN AND SUPPORT THE FOOTHILL GARDEN THE SALVATION ARMY 911 E SECOND STREET CARSON CITY NV 89701 941156347 501(C)(3) 6000 0 TURKEY DRIVE BOYS & GIRLS CLUB OF WESTERN NEVADA 1870 RUSSELL WAY CARSON CITY NV 89706 880269139 501(C)(3) 20300 0 FIRST AID STATION SUPPLIES BOYS & GIRLS CLUB OF MASON VALLEY PO BOX 534 YERINGTON NV 89447 880407331 501(C)(3) 25000 0 PURCHASE PLAYGROUND EQUIPMENT FOR DAYTON SITE SPIRIT OF HOPE 411 N DIVISION STREET CARSON CITY NV 89703 800461686 501(C)(3) 10518 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) 9200 0 SCHOLARSHIPS FOR LOW-INCOME YOUTH NEVADA URBAN INDIANS 6512 S MCCARRAN BOULEVARD SUITE A RENO NV 89509 880139672 501(C)(3) 90000 0 EXPAND THE CARSON CITY HEALTH & WELLNESS CENTER RON WOOD FAMILY RESOURCE CENTER 2621 NORTHGATE LANE CARSON CITY NV 89706 860865470 501(C)(3) 100000 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) 50000 0 SUPPORT INTERNAL INFRASTRUCTURE AND EXPAND CAPACITY THE NATURE CONSERVANCY 4245 FAIRFAX DRIVE ARLINGTON VA 22203 530242652 501(C)(3) 61560 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 18500 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) 4550000 0 GENERAL OPERATING SUPPORT 14 0 PART I, LINE 2: GRANTS ARE DISCUSSED BY A GRANT COMMITTEE AND EVENLY DISTRIBUTED BETWEEN VARIOUS LOCAL COMMUNITIES. RECIPIENTS MUST BE NOT-FOR-PROFIT ORGANIZATIONS BASED WITHIN THE COMMUNITIES WE SERVE, WITH NO POLITICAL OR RELIGIOUS AFFILIATIONS. ASIDE FROM CONFIRMING THE CHARITABLE AND TAX-EXEMPT STATUS OF RECIPIENTS, CARSON-TAHOE HEALTH SYSTEM DOES NOT MONITOR THE USE OF GRANTED FUNDS. X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 ALAN GARRETT PRESIDENT & CEO 772455 0 150349 0 18060 0 106977 0 29589 0 1077430 0 0 0 ALLEN FINK VP, CHIEF MEDICAL OFFICER 579726 0 82332 0 17670 0 109284 0 23368 0 812380 0 0 0 MITCHELL WATSON VP, CHIEF FINANCIAL OFFICER 509329 0 115153 0 12342 0 76703 0 39649 0 753176 0 0 0 DAVID BAKER DIRECTOR & TREASURER 580511 0 44650 0 35625 0 37627 0 8410 0 706823 0 0 0 MICHELLE JOY VP, CHIEF OPERATING OFFICER 473521 0 76956 0 10195 0 76936 0 35996 0 673604 0 0 0 PAMELA PUCKETT VP AMBULATORY CARE NETWORK (THROUGH FEB 2021) 84527 0 52423 0 220235 0 94878 0 59364 0 511427 0 0 0 JOANNE MILLER VP CHIEF NURISNG OFFICER (THROUGH MAY 2021) 188471 0 41233 0 83481 0 69458 0 4240 0 386883 0 0 0 DAVID TILLITT CHIEF MEDICAL INFORMATION OFFICER 228866 0 51490 0 668 0 36066 0 9043 0 326133 0 0 0 CYNTHIA KUPERUS RN SYSTEM DIRECTOR, PERIOPERATIVE SERVICES 222822 0 31968 0 1836 0 38810 0 14227 0 309663 0 0 0 SCOTT MATTES DIRECTOR OF ANCILLARY SERVICES 212467 0 28723 0 1740 0 29521 0 0 0 272451 0 0 0 KATIE KUCERA DIRECTOR OF FINANCE 198400 0 29077 0 1152 0 11753 0 28796 0 269178 0 0 0 KIM MARYNIAK INTERIM CHIEF NURSING OFFICER (THROUGH DEC 2021) 209565 0 0 0 16217 0 7060 0 21349 0 254191 0 0 0 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. KIERSTEN FINK SPOUSE OF ALLEN FINK, A KEY EMPLOYEE 136559 EMPLOYEE COMPENSATION 0 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. CARSON TAHOE PHYSICIAN HOSPITAL ORG 1600 MEDICAL PARKWAY CARSON CITY NV 89703 392078486 ECW SOFTWARE LICENSES NV -11743 0 CARSON-TAHOE HEALTH SYSTEM CARSON TAHOE REGIONAL HEALTHCARE 1600 MEDICAL PARKWAY CARSON CITY NV 89702 880502320 HOSPITAL NV 501(C)(3) LINE 3 CARSON-TAHOE HEALTH SYSTEM 1 CTRH AUXILIARY 1600 MEDICAL PARKWAY CARSON CITY NV 89703 886007118 SUPPORT CTRH NV 501(C)(3) LINE 12D, III-O CARSON TAHOE REGIONAL HEALTHCARE 0 CARSON TAHOE CONTINUING CARE HOSPITAL 1600 MEDICAL PARKWAY CARSON CITY NV 89703 261635811 LONG-TERM CARE HOSPITAL DE 501(C)(3) LINE 3 CARSON-TAHOE HEALTH SYSTEM 1 CTH PHYSICIANS CLINIC 1600 MEDICAL PARKWAY CARSON CITY NV 89702 872781421 CLINICAL MEDICAL SERVICES NV 501(C)(3) LINE 10 CARSON-TAHOE HEALTH SYSTEM 1 CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV CARSON-TAHOE HEALTH SYSTEM C 20780083 4854456 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 CARSON TAHOE CONTINUING CARE HOSPITAL B 4550000 CASH CARSON TAHOE REGIONAL HEALTHCARE C 22698375 CASH CARSON TAHOE REGIONAL HEALTHCARE L 51924290 FMV CARSON TAHOE PHYSICIAN CLINICS L 4612342 FMV CARSON TAHOE CONTINUING CARE HOSPITAL L 1560119 FMV