2017-11-10T17:11:47-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2016-01-01 880502318 CARSON-TAHOE HEALTH SYSTEM CARS 7754457901 PO BOX 2168 CARSON CITY NV 89702 ANN BECK VICE PRESIDENT & CFO 7754457901 2017-11-08 1 KURT BENNION CPA P01469618 4252506100 67.137.57.251 2017-11-08 15:40:08 PS P 9AD29FA46B8615F2777C89FEDEB19E0AFF07ACA7 F7FEC01EC20CA1B5D46E5CE0AEC8EC2B7989BB02 2016 2017-02-10 21:41:12Z EDWARD EPPERSON PO BOX 2168 CARSON CITY NV 89702 54806750 0 X WWW.CARSONTAHOE.COM X 2002 NV TO ENHANCE TO HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. 11 9 143 9 0 0 0 9700000 29771273 26850292 0 0 14749538 18256458 44520811 54806750 184291 124917 0 0 21146400 14046575 0 0 0 15991954 14312925 37322645 28484417 7198166 26322333 53800197 79806211 4181183 3857528 49619014 75948683 X CARSON TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF SIX ENTITIES. WE EXIST TO FACILITATE THOSE AFFILIATES SO THEY ARE ABLE TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. 0 1 28484417 124917 26850292 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. THE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR OVER 250,000 PEOPLE.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 SERVICE. 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 COST OF DIRECT AND INDIRECT COSTS FOR SERVICES FURNISHED UNDER ITS CHARITY CARE POLICY WERE APPROXIMATELY $2.4 MILLION IN 2016. THE HEALTH SYSTEM ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. IN YEAR 2016, THE HEALTH SYSTEM (ALL ENTITIES) HAD 12,834 INPATIENT ADMISSIONS, 62,146 INPATIENT DAYS, 240,366 OUTPATIENT REGISTRATIONS, 154,743 OUTPATIENT IMAGING VISITS, AND 69,623 EMERGENT/URGENT CARE VISITS. 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, RETAIL CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION AND SEVERAL MEDICAL OFFICE BUILDINGS. 28484417 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 60 0 143 1 0 0 0 0 0 0 0 0 1 0 X 11 9 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NV CA X MARLENE HARRIS CPA 7754457901 PO BOX 2168 CARSON CITY NV 89702 ED EPPERSON PRESIDENT & CEO 0.30 39.70 X X 673266 0 40925 KATHY TRIPLETT CHAIR 1.00 0.00 X X 9000 0 0 RICHARD STAUB VICE CHAIR 1.00 0.00 X X 8400 0 0 LAWRENCE MESSINA SECRETARY 1.00 1.00 X X 10300 0 0 ELIZABETH DUFFRIN TREASURER 1.00 1.00 X X 9100 0 0 JAMES BREEDEN MD DIRECTOR 1.00 0.00 X 7700 0 0 KENT GABRIEL MD CHIEF OF STAFF 1.00 39.00 X 36922 0 369 LORI HANEY DIRECTOR 1.00 0.00 X 8400 0 0 DON HATAWAY ASSISTANT SECRETARY 2.00 1.00 X 10084 0 0 TIMOTHY MCFARRIN MD CHIEF OF STAFF (THROUGH JUNE 2016) 1.00 39.00 X 62533 0 1157 BRUCE ROBERTSON DIRECTOR 1.00 1.00 X 9100 0 0 ANDREA WEED DO MBA DIRECTOR 1.00 0.00 X 8400 0 0 ANN BECK VICE PRESIDENT & CFO 0.30 39.70 X 399534 0 27675 RICHARD RODRIGUEZ MD CMO 0.30 39.70 X 512400 0 40925 ANNA ANDERS VICE PRESIDENT & CNO 0.30 39.70 X 275261 0 40925 MICHELLE JOY VICE PRESIDENT & COO 0.30 39.70 X 360703 0 40925 SHARON ANN DAHL IN-HOUSE COUNSEL 40.00 0.00 X 263856 0 22925 WILLIAM FAGERHAUG VP & CHIEF HR OFFICER 40.00 0.00 X 220722 0 20056 DAVID TILLITT PHYSICIAN 40.00 0.00 X 201034 0 6206 CRYSTAL CARRASCO CONTROLLER 40.00 0.00 X 171785 0 18253 MARY MANG DIR OF QUALITY & OUTCOMES MGMT 40.00 0.00 X 167732 0 18022 3426232 0 278363 39 0 1 0 BDO USA LLP 600 ANTON BLVD STE 500 COSTA MESA CA 92626 AUDITING & CONSULTING SERVICES 282422 DOCTORS XL LLC 10539 PROFESSIONAL CIR 201 RENO NV 89521 BILLING SERVICES 190560 RAYMOND L SWARTS MD LTD PO BOX 2168 CARSON CITY NV 89702 INFECTIOUS DISEASE SPECIALTY SERVICES 147687 TRUVEN HEALTH ANALYTICS INC 39353 TREASURY CENTER CHICAGO IL 60694 MANAGEMENT SERVICES 137823 HEALTHCARESOURCE HR INC 100 SYLVAN RD STE 100 WOBURN MA 01801 EMPLOYEE RECRUITMENT SERVICES 101219 5 9700000 9700000 SHARED SERVICES 621110 26850292 26850292 26850292 INCOME FROM AFFILIATE INTERESTS 900099 17931853 17931853 OTHER REVENUE 900099 324605 324605 18256458 54806750 26850292 0 18256458 X 124917 124917 2594003 2594003 8939547 8939547 326734 326734 1466359 1466359 719932 719932 149382 149382 246872 246872 7639346 7639346 671543 671543 997327 997327 24246 24246 342157 342157 177095 177095 230053 230053 60405 60405 1964042 1964042 EMPLOYEE & PHYSICIAN RE 884492 884492 EMPLOYEE RELATIONS 238941 238941 MEDICAL SUPPLIES 212742 212742 OTHER EXPENSES 202879 202879 271403 271403 28484417 28484417 0 0 1529579 2450251 591961 403246 349164 307897 2662295 1629876 370784 328617 234007 42167 47001028 73950216 9483 1422680 1022558 53800197 79806211 4181183 3605621 0 251907 4181183 3857528 X 49619014 75948683 49619014 75948683 53800197 79806211 26322333 7336 0 X 0 1 X 1 0 X X 1 CARSON TAHOE REGIONAL HEALTHCARE 880502320 3 1 28420360 0 1 28420360 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: FOUR 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. 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 57200 0 0 57200 0 PART II-B, LINE 1: CARSON TAHOE HEALTH SYSTEM PAID A PROFESSIONAL LOBBYING FIRM TO LOBBY ON OUR BEHALF. 370784 328617 42167 42167 71903267 C INVESTMENT IN ROA, LLC 2046949 C 73950216 DUE TO AFFILIATES 251907 251907 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 (CODE). HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INOMCE. UNDER FASB ASC 740, INCOME TAXES, THE COMPANY IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUE. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2016. THE HEALTH SYSTEM HAS OWNERSHIP INTEREST IN SEVERAL FOR PROFIT CONSOLIDATED SUBSIDIARIES AND JOINT VENTURE INVESTMENTS, WHICH ARE LIMITED LIABILITY COMPANIES. FOR TAX PURPOSES, THESE ARE TREATED AS PASS-THROUGH ENTITIES. THE HEALTH SYSTEM HAS ELECTED TO PASS-THROUGH ITS TAXABLE INCOME OR LOSS TO THE MEMBERS BASED ON THEIR PROPORTIONATE OWNERSHIP SHARE OF THE RESPECTIVE ENTITY. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 12500 CONTRIBUTION/SPONSORSHIP SIERRA PEDIATRIC BLOOD & CANCER CONSORTIUM 4001 S VIRGINIA ST STE F RENO NV 89502 472803580 501(C)(3) 8205 PROGRAM EXPENSE SUPPORT NORTHERN NEVADA DEVELOPMENT AUTHORITY 704 W NYE LANE 201 CARSON CITY NV 89703 880184446 501(C)(6) 10000 CONTRIBUTION/SPONSORSHIP UNIVERSITY OF NEVADA RENO FOUNDATION MAILSTOP 0162 RENO NV 89557 942781749 501(C)(3) 10000 MEDICAL STUDENT SCHOLARSHIPS CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 64057 TRANSFER OF ASSETS AND OPERATIONS TO SUBSIDIARY 3 2 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 0 0 0 0 1 0 0 0 ED EPPERSON PRESIDENT & CEO 567171 0 106095 0 0 0 31250 0 9675 0 714191 0 0 0 ANN BECK VICE PRESIDENT & CFO 334351 0 65183 0 0 0 18000 0 9675 0 427209 0 0 0 RICHARD RODRIGUEZ MD CMO 432154 0 80246 0 0 0 31250 0 9675 0 553325 0 0 0 ANNA ANDERS VICE PRESIDENT & CNO 230104 0 45157 0 0 0 31250 0 9675 0 316186 0 0 0 MICHELLE JOY VICE PRESIDENT & COO 300674 0 60029 0 0 0 31250 0 9675 0 401628 0 0 0 SHARON ANN DAHL IN-HOUSE COUNSEL 227296 0 36560 0 0 0 13250 0 9675 0 286781 0 0 0 WILLIAM FAGERHAUG VP & CHIEF HR OFFICER 190316 0 30406 0 0 0 10381 0 9675 0 240778 0 0 0 DAVID TILLITT PHYSICIAN 200034 0 1000 0 0 0 2336 0 3870 0 207240 0 0 0 CRYSTAL CARRASCO CONTROLLER 170785 0 1000 0 0 0 8578 0 9675 0 190038 0 0 0 MARY MANG DIR OF QUALITY & OUTCOMES MGMT 150100 0 17632 0 0 0 8347 0 9675 0 185754 0 0 0 PART I, LINE 1A THE HEALTH SYSTEM PAYS FOR A MEMBERSHIP AT A GOLF CLUB FOR THE PRESIDENT, ED EPPERSON, AND THE CHIEF MEDICAL OFFICER, DR. RICHARD RODRIGUEZ, ALLOWING THEM FULL ACCESS TO ALL MEMBERSHIP BENEFITS AND PRIVILEGES. THEY ACCOUNT FOR ALL NON-BUSINESS USE AND REIMBURSE THE HOSPITAL FOR THOSE EXPENSES. THE HEALTH SYSTEM PAYS THE HEALTH CLUB DUES FOR THE PRESIDENT, ED EPPERSON, AND THE CHIEF OPERATING OFFICER, MICHELLE JOY. THE PAYMENTS ARE MADE DIRECTLY TO THE HEALTH CLUB. THE AMOUNT IS NOT INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 6 NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN. FORM 990, PART III, LINE 3 EFFECTIVE JANUARY 2016, OWNERSHIP OF CARSON TAHOE CARDIOLOGY, LLC WAS TRANSFERRED TO CARSON TAHOE PHYSICIAN CLINICS. EFFECTIVE JANUARY 2016, CARSON TAHOE HEALTH FOUNDATION DISSOLVED ITS CORPORATE STRUCTURE AND TRANSFERRED ITS ASSETS TO CARSON TAHOE REGIONAL HEALTHCARE. THE FOUNDATION CONTINUES ITS OPERATIONS AS A DEPARTMENT OF CARSON TAHOE REGIONAL HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE CHAIR OF THE BOARD, THE CEO, AND FOUR OTHER MEMBERS OF THE BOARD OF DIRECTORS. BETWEEN BOARD MEETINGS, EXCEPT AS ITS POWERS ARE OTHERWISE LIMITED, THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE ORGANIZATION. NO ACT OF THE EXECUTIVE COMMITTEE, WHEN EXERCISING THE DELEGATED POWERS OF THE BOARD, ARE VALID UNLESS APPROVED BY THE VOTE OR WRITTEN CONSENT OF A MAJORITY OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 ED EPPERSON, ANDREA WEED, DON HATAWAY, JAMES GIBSON, AND DR. JEFFREY UPTON ALL HAVE A BUSINESS RELATIONSHIP DUE TO ALSO SERVING AS OFFICERS OR BOARD MEMBERS OF A RELATED FOR-PROFIT ENTITY, CARSON TAHOE PHYSICIAN CLINICS. 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 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. 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. 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 THE HAY GROUP IN 2016. 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. INCENTIVE 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 THE HAY GROUP IN 2016. 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 102,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,060. CONSULTING AND MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 1,059,139. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,059,139. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,478,147. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,478,147. CARSON TAHOE PHYSICIAN HOSPITAL ORG 1600 MEDICAL PARKWAY CARSON CITY NV 89703 392078486 PHYSICIANS NV 299436 290323 CTHS CARSON TAHOE REGIONAL HEALTHCARE PO BOX 2168 CARSON CITY NV 89702 880502320 HOSPITAL NV 501(C)(3) LINE 3 CTHS 1 CTRH AUXILIARY 1600 MEDICAL PARKWAY CARSON CITY NV 89703 886007118 SUPPORT CTRH NV 501(C)(3) LINE 12D, III-O CTRH 0 CARSON TAHOE PHYSICIAN CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV CTHS C 12098503 1971131 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 CARSON TAHOE REGIONAL HEALTHCARE B 9700000 CASH CARSON TAHOE PHYSICIAN CLINICS C 64057 NET BOOK VALUE CARSON TAHOE REGIONAL HEALTHCARE L 24428966 FMV CARSON TAHOE PHYSICIAN CLINICS L 1413305 FMV