CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-10
IRS object ID: 201743149349304004
Schema version: 2016v3.0
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 C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-10T17:11:47-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	880502320	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CARS	BusinessNameControlTxt
Phone	7754457901	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	ANN BECK	PersonNm
Person Title	VICE PRESIDENT & CFO	PersonTitleTxt
Phone	7754457901	PhoneNum
Signature	2017-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION CPA	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	4252506100	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-08	IPDt
IP Tm	19:11:30	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9AD29FA46B8615F2777C89FEDEB19E0AFF07ACA7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2A84415A8DDCE084F3B0EA99B42C2CE0BBFF9642	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	EDWARD EPPERSON	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	$345,008,972	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	2001	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1776	TotalEmployeeCnt
Total Volunteers	178	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,977	PYContributionsGrantsAmt
CY Contributions Grants	$2,166,715	CYContributionsGrantsAmt
PY Program Service Revenue	$269,347,466	PYProgramServiceRevenueAmt
CY Program Service Revenue	$289,612,219	CYProgramServiceRevenueAmt
PY Investment Income	$2,464,578	PYInvestmentIncomeAmt
CY Investment Income	$1,117,353	CYInvestmentIncomeAmt
PY Other Revenue	-$425,551	PYOtherRevenueAmt
CY Other Revenue	$11,418	CYOtherRevenueAmt
PY Total Revenue	$271,412,470	PYTotalRevenueAmt
CY Total Revenue	$292,907,705	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$12,414,690	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$95,635,628	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$104,156,486	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$534,473	CYTotalFundraisingExpenseAmt
PY Other Expenses	$152,851,210	PYOtherExpensesAmt
CY Other Expenses	$161,458,717	CYOtherExpensesAmt
PY Total Expenses	$248,486,838	PYTotalExpensesAmt
CY Total Expenses	$278,029,893	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,925,632	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,877,812	CYRevenuesLessExpensesAmt
Total Assets BOY	$336,175,858	TotalAssetsBOYAmt
Total Assets EOY	$346,080,390	TotalAssetsEOYAmt
Total Liabilities BOY	$142,395,210	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$135,619,728	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$193,780,648	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$210,460,662	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$196,208,897	ExpenseAmt
Grant	$12,414,690	GrantAmt
Revenue	$289,612,219	RevenueAmt
Desc	CARSON TAHOE REGIONAL MEDICAL CENTER IS THE MAIN HUB OF CARSON TAHOE HEALTH SYSTEM. LOCATED IN NORTH CARSON CITY, NEVADA, THE REGIONAL MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR OVER 250,000 PEOPLE. THESE SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. CARSON TAHOE'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE 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 $2.36 MILLION IN 2016. THE HOSPITAL ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. THE HOSPITAL HAD 1,074 INPATIENT DISCHARGES, 4,607 INPATIENT DAYS, AND 248,622 OUTPATIENT REGISTRATIONS IN 2016. CARSON TAHOE REGIONAL MEDICAL CENTER CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 159 LICENSED BEDS, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES WITH A TOTAL OF 46 LICENSED BEDS, A FREE-STANDING LICENSED EMERGENT CARE CENTER, 2 URGENT CARES, ACCREDITED CANCER CENTER, PHYSICIAN CLINICS, RETAIL CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION AND SEVERAL MEDICAL OFFICE BUILDINGS.	Desc
Total Program Service Expenses	$196,208,897	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	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	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	104	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1776	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARLENE HARRIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7754457901	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 (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DON HATAWAY
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$10,084	$0
GILBERT YANUCK
VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH DUFFRIN
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$9,100	$0
JEFFREY BASA MD
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$2,534	$0
BRUCE ROBERTSON
ASSISTANT SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$9,100	$0
ED EPPERSON
FELLOW, ACHE PRESIDENT & CEO	35.90	4.10	Yes (X)	Yes (X)	$0	$673,266	$40,925
KEVIN HALLOW MD
VICE CHIEF OF STAFF	1.00	0.00	Yes (X)		$0	$0	$0
KENT GABRIEL MD
DIRECTOR & CHIEF OF STAFF	39.00	1.00	Yes (X)		$0	$36,922	$369
FREEMAN JOHNSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JAMES MANNING
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LAWRENCE MESSINA
DIRECTOR	1.00	1.00	Yes (X)		$0	$10,300	$0
DAVID STRULL MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
ANN BECK
VICE PRESIDENT & CFO	35.90	4.10		Yes (X)	$0	$399,534	$27,675
CYNTHIA KUPERUS
DIRECTOR, PERIOPERATIVE SERVICES	40.00	0.00			$211,531	$0	$20,267	Yes (X)
TRACEY MCCOLLUM
DIRECTOR, NURSING SERVICES	40.00	0.00			$192,017	$0	$19,712	Yes (X)
WAYNE MITCHELL
DIRECTOR, PHARMACY CLINICAL	40.00	0.00			$183,878	$0	$19,268	Yes (X)
SCOTT MATTES
DIRECTOR, ANCILLARY SERVICES	40.00	0.00			$174,160	$0	$18,374	Yes (X)
KEVIN FLYNN
MANAGER, PHARMACY OPERATIONS	40.00	0.00			$158,334	$0	$18,005	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$919,920	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,150,840	TotReportableCompRltdOrgAmt
Total Other Compensation	$164,595	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	103	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
LAKE TAHOE REGIONAL HOSPITALISTS
1535 MEDICAL PKWY STE B	CARSON CITY	NV	89703	PHYSICIAN SERVICES	$2,279,156
COMPREHENSIVE PAIN CARE INC
973 MICA DR 200	CARSON CITY	NV	89705	PHYSICIAN SERVICES	$1,308,633
NUANCE COMMUNICATIONS INC
1 WAYSIDE ROAD	BURLINGTON	MA	01803	TRANSCRIPTION SERVICES	$954,371
DIVERSIFIED CLINICAL SERVICES
5220 BELFORT ROAD	JACKSONVILLE	FL	32256	CONTRACT LABOR	$896,698
NORTHERN NV ANESTHESIA ASSOCIATES
2805 MOUNTAIN ST STE B	CARSON CITY	NV	89703	PHYSICIAN SERVICES	$818,927

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	51	CntrctRcvdGreaterThan100KCnt
Fundraising	$80,241	FundraisingAmt
Related Organizations	$1,516,154	RelatedOrganizationsAmt
All Other Contributions	$570,320	AllOtherContributionsAmt
Total Contributions	$2,166,715	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$286,311,816	$286,311,816
NONPATIENT SERVICES	621110	$3,300,403	$3,300,403

Field	Value	IRS element (for citing)
Total Program Service Revenue	$289,612,219	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,602,917	TotalRevenueColumnAmt
Exclusion	$2,602,917	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$50,545,618	SecuritiesAmt
Other	$32,050	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$51,255,162	SecuritiesAmt
Other	$808,070	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$709,544	SecuritiesAmt
Other	-$776,020	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,485,564	TotalRevenueColumnAmt
Exclusion	-$1,485,564	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$80,241	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$19,215	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$19,215	TotalRevenueColumnAmt
Exclusion	-$19,215	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$49,453	GamingGrossIncomeAmt
Gaming Direct Expenses	$18,820	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,633	TotalRevenueColumnAmt
Exclusion	$30,633	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$292,907,705	TotalRevenueColumnAmt
Related Or Exempt Func Income	$289,612,219	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,128,771	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,308,234	TotalAmt
Program Services	$12,308,234	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$106,456	TotalAmt
Program Services	$106,456	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$83,599,747	TotalAmt
Program Services	$64,242,677	ProgramServicesAmt
Management And General	$19,185,398	ManagementAndGeneralAmt
Fundraising	$171,672	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,707,336	TotalAmt
Program Services	$2,110,561	ProgramServicesAmt
Management And General	$591,023	ManagementAndGeneralAmt
Fundraising	$5,752	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,795,211	TotalAmt
Program Services	$8,229,931	ProgramServicesAmt
Management And General	$3,547,582	ManagementAndGeneralAmt
Fundraising	$17,698	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,054,192	TotalAmt
Program Services	$4,692,006	ProgramServicesAmt
Management And General	$1,349,387	ManagementAndGeneralAmt
Fundraising	$12,799	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$98,125	TotalAmt
Management And General	$98,125	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,625,300	TotalAmt
Program Services	$14,864,972	ProgramServicesAmt
Management And General	$7,739,579	ManagementAndGeneralAmt
Fundraising	$20,749	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,684	TotalAmt
Program Services	$3,198	ProgramServicesAmt
Management And General	$17,196	ManagementAndGeneralAmt
Fundraising	$3,290	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,842,697	TotalAmt
Program Services	$1,612,131	ProgramServicesAmt
Management And General	$1,222,375	ManagementAndGeneralAmt
Fundraising	$8,191	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,002,286	TotalAmt
Program Services	$3,707,802	ProgramServicesAmt
Management And General	$5,289,394	ManagementAndGeneralAmt
Fundraising	$5,090	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$76,891	TotalAmt
Program Services	$47,179	ProgramServicesAmt
Management And General	$28,346	ManagementAndGeneralAmt
Fundraising	$1,366	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$21,787	TotalAmt
Program Services	$17,791	ProgramServicesAmt
Management And General	$3,996	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,087,592	TotalAmt
Management And General	$4,087,592	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,575,782	TotalAmt
Program Services	$5,924,227	ProgramServicesAmt
Management And General	$8,651,555	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$129,156	TotalAmt
Management And General	$129,156	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$55,289,807	$54,863,731	$426,076
SHARED SERVICES	$24,428,966		$24,428,966
BAD DEBT EXPENSE	$18,784,775	$18,784,775
REPAIRS AND MAINTENANCE	$6,413,083	$4,315,842	$2,097,241

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,058,786	TotalAmt
Program Services	$377,384	ProgramServicesAmt
Management And General	$2,393,536	ManagementAndGeneralAmt
Fundraising	$287,866	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$278,029,893	TotalAmt
Program Services	$196,208,897	ProgramServicesAmt
Management And General	$81,286,523	ManagementAndGeneralAmt
Fundraising	$534,473	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,934,149	BOYAmt
EOY	$12,747,014	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,413,319	BOYAmt
EOY	$33,779,077	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,569,590	BOYAmt
EOY	$5,176,535	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,960,717	BOYAmt
EOY	$6,172,695	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$304,423,398	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,065,052	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,422,943	BOYAmt
EOY	$170,358,346	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$98,231,778	BOYAmt
EOY	$111,598,807	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,254,583	BOYAmt
EOY	$6,247,916	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,388,779	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$336,175,858	BOYAmt
EOY	$346,080,390	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,710,615	BOYAmt
EOY	$22,015,990	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,066,827	BOYAmt
EOY	$474,011	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,354,170	BOYAmt
EOY	$97,484,684	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,808,461	BOYAmt
EOY	$4,227,588	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,424,000	BOYAmt
EOY	$3,946,129	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,031,137	BOYAmt
EOY	$7,471,326	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,395,210	BOYAmt
EOY	$135,619,728	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$193,780,648	BOYAmt
EOY	$210,390,501	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$70,161	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$193,780,648	BOYAmt
EOY	$210,460,662	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$336,175,858	BOYAmt
EOY	$346,080,390	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,877,812	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$723,024	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,079,178	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,109	OtherActivitiesAmt
Total Lobbying Expenditures	$7,109	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE MEMBERSHIP DUES PAID TO THE NEVADA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WERE USED BY THOSE GROUPS TO LOBBY ON BEHALF OF CARSON TAHOE REGIONAL HEALTHCARE AND OTHER MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,929,108	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$221,485	InvestmentEarningsOrLossesAmt
End Year Balance	$55,707,623	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,561,580	BeginningYearBalanceAmt
Contributions	$8,000,000	ContributionsAmt
Investment Earnings Or Losses	$367,528	InvestmentEarningsOrLossesAmt
End Year Balance	$55,929,108	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,688,963	BeginningYearBalanceAmt
Investment Earnings Or Losses	$872,617	InvestmentEarningsOrLossesAmt
End Year Balance	$47,561,580	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,747,459	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,941,504	InvestmentEarningsOrLossesAmt
End Year Balance	$46,688,963	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,112,358	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,285,697	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,650,596	OtherExpendituresAmt
End Year Balance	$44,747,459	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,225,019	OtherCostOrOtherBasisAmt
Book Value	$22,225,019	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,133,977	OtherCostOrOtherBasisAmt
Depreciation	$44,020,143	DepreciationAmt
Book Value	$102,113,834	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,978,156	OtherCostOrOtherBasisAmt
Depreciation	$9,554,721	DepreciationAmt
Book Value	$7,423,435	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,046,988	OtherCostOrOtherBasisAmt
Depreciation	$80,490,188	DepreciationAmt
Book Value	$35,556,800	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,039,258	OtherCostOrOtherBasisAmt
Book Value	$3,039,258	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$170,358,346	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
MARKET VALUE OF SWAP	$6,951,967
DUE TO AFFILIATES	$519,359

Field	Value	IRS element (for citing)
Total Liability	$7,471,326	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$270,827,444	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$814,055	OtherRevenueAmt
Revenue Not Reported	$814,055	RevenueNotReportedAmt
Revenue Subtotal	$270,013,389	RevenueSubtotalAmt
Other Revenues Not Included	$22,894,316	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$22,894,316	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$292,907,705	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$246,974,919	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$38,035	OtherExpensesIncludedAmt
Expenses Not Reported	$38,035	ExpensesNotReportedAmt
Expenses Subtotal	$246,936,884	ExpensesSubtotalAmt
Other Expenses Not Included	$31,093,009	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$31,093,009	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$278,029,893	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE FUNDS ARE DESIGNATED FOR CAPITAL IMPROVEMENTS, TO MEET BOND REQUIREMENTS, AND TO PROVIDE FUNDS FOR HEALTH CARE PROGRAM.
PART X, LINE 2:	THE HOSPITAL 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 INCOME. 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 ISSUES. THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2016.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF PROPERTY 776,020. SPECIAL FUNDRAISING EVENT EXPENSES 19,215. CHARITABLE GAMING EXPENSES 18,820.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT RETURN 1,892,897. DONATED PROPERTY 673,187. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 70,161. FOUNDATION REALIZED GAIN ON INVESTMENTS 476. PROVISION FOR BAD DEBTS 18,784,775. TRANSFER OF ASSETS FROM CRTH FOUNDATION 1,472,820.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL FUNDRAISING EVENT EXPENSES 19,215. CHARITABLE GAMING EXPENSES 18,820.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBTS 18,784,775. RELATED PARTY TRANSFERS 12,308,234.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HOPEFEST 2016	Event1Nm
Gross Receipts Event1	$67,032	GrossReceiptsEvent1Amt
Charitable Contri Event1	$67,032	CharitableContriEvent1Amt
Other Direct Expenses Event1	$7,675	OtherDirectExpensesEvent1Amt
Event2	ART BEAUTY & COMMUNITY	Event2Nm
Gross Receipts Event2	$13,209	GrossReceiptsEvent2Amt
Charitable Contri Event2	$13,209	CharitableContriEvent2Amt
Other Direct Expenses Event2	$11,540	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$80,241	GrossReceiptsTotalAmt
Charitable Contributions Tot	$80,241	CharitableContributionsTotAmt
Oth Direct Expnss Total Events	$19,215	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$19,215	DirectExpenseSummaryEventsAmt
Net Income Summary	-$19,215	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$49,453	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$10,000	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$8,820	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	0.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$49,453	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$10,000	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$8,820	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$18,820	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$30,633	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NV	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	1.00000	GamingOwnFacilityPct
Gaming Other Facility	0.00000	GamingOtherFacilityPct
Individual With Books	MELISSA DAVIS	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	KITTY MCKAY	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	EVENT ORGANIZER	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd
Distributed	$30,633	DistributedAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,360,466	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,360,466	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,974,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,190,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,784,129	NetCommunityBenefitExpnsAmt
Total Expense	0.05700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,334,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,190,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,144,595	NetCommunityBenefitExpnsAmt
Total Expense	0.06610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,920,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,830,288	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$293,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$293,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$249,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,463,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,373,974	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,798,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,279,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,518,569	NetCommunityBenefitExpnsAmt
Total Expense	0.08300	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,784,775	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$109,163,873	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$99,215,724	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$9,948,149	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL MEDICAL CENTER	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)
Website Address	WWW.CARSONTAHOE.COM	WebsiteAddressTxt
State License	4466HOS-21	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON TAHOE REGIONAL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.CARSONTAHOE.COM/FINANCIALSERVICES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CARSON TAHOE REGIONAL HEALTHCARE	PART V, SECTION B, LINE 5: TO ENSURE THE BEST REPRESENTATION OF THE POPULATION, A TELEPHONE INTERVIEW METHODOLOGY - INCORPORATING BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. A RANDOM SAMPLE OF 800 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA RESULTED IN 338 SURVEYS IN CARSON CITY, 271 IN DOUGLAS COUNTY, 150 IN LYON COUNTY AND 41 IN OTHER AREAS. TO SOLICIT INPUT FROM KEY INFORMANTS, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HELATH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 136 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE ONLINE KEY INFORMANT SURVEY. SEE PAGES 13 AND 14 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR A FULL LIST OF ORGANIZATIONS, AGENCIES AND BUSINESSES THAT PARTICIPATED OF THE ONLINE KEY INFORMANT SURVEY PARTICIPANTS.
CARSON TAHOE REGIONAL HEALTHCARE	PART V, SECTION B, LINE 6A: A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH CARSON TAHOE CONTINUING CARE HOSPITAL, THE OTHER HOSPITAL OWNED BY CARSON-TAHOE HEALTH SYSTEM.
CARSON TAHOE REGIONAL HEALTHCARE	PART V, SECTION B, LINE 11: IN 2016, THE HOSPITAL ADDRESSED SIX AREAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY. THE AREAS ADDRESSED WERE: ACCESS TO HEALTH SERVICES; DIABETES ISSUES AND TREATMENT; CANCER SCREENING AND TREATMENT; MENTAL HEALTH AND MENTAL DISORDERS (INCLUDING DEMENTIAS AND ALZHEIMER'S DISEASE); NUTRITION ISSUES; PHYSICAL ACTIVITY AND WEIGHT ISSUES; AND, MATERNAL, INFANT AND CHILD HEALTH. THE AREAS IDENTIFIED BUT NOT ADDRESSED BECAUSE THEY WERE OUTSIDE THE HOSPITAL'S CORE SPHERE OF INFLUENCE INCLUDED DISABILITY, INJURY AND VIOLENCE, AND ORAL HEALTH.IN 2016, THE HOSPITAL ALSO CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IT IS USING TO DETERMINE APPROPRIATE FUTURE ACTIONS TO BEST SERVE OUR COMMUNITY'S NEEDS.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CARSON TAHOE SIERRA SURGERY CENTER
1400 MEDICAL PARKWAY	CARSON CITY	NV	89703	INPATIENT AND OUTPATIENT SURGERY
2 - CARSON TAHOE MEDICAL OFFICE BUILDING
1470 MEDICAL PARKWAY STE 140	CARSON CITY	NV	89703	CARDIAC REHAB, OP CARDIOLOGY IMAGING, HEALTH CLASSES, COUNSELING & LECTURES
3 - CARSON TAHOE MINDEN MEDICAL CENTER
925 IRONWOOD DRIVE	MINDEN	NV	89703	EMERGENT CARE, LAB, IMAGING, THERAPY & CARDIOLOGY
4 - CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAY	CARSON CITY	NV	89703	OUTPATIENT AMBULATORY INFUSION CENTER
5 - CARSON TAHOE SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAY	CARSON CITY	NV	89703	LAB, IP & OP BEHAVIORAL HEALTH AND EEG
6 - CARSON TAHOE SURGERY CENTER
973 MICA DRIVE	CARSON CITY	NV	89705	OUTPATIENT SURGERY AND PAIN MANAGEMENT
7 - CARSON TAHOE DAYTON MEDICAL CENTER
901 MEDICAL CENTER DRIVE	DAYTON	NV	89403	URGENT CARE AND OUTPATIENT LAB
8 - CARSON MALL
1201 S CARSON STREET	CARSON CITY	NV	89701	URGENT CARE AND THERAPY
9 - CARSON TAHOE CLINIC AT WALMART
3770 US HWY 395 S	CARSON CITY	NV	89705	CLINIC
10 - CARSON TAHOE CLINIC AT WALMART
3200 MARKET STREET	CARSON CITY	NV	89706	CLINIC
11 - CARSON TAHOE CLINIC AT WALMART
1511 GRANT STREET	GARDNERVILLE	NV	89410	CLINIC
12 - CARSON TAHOE BEHAVIORAL HEALTH
1080 N MINNESOTA STREET	CARSON CITY	NV	89703	INPATIENT BEHAVIORAL HEALTH
13 - CARSON TAHOE MEDICAL GROUP (RENO)
6880 S MCCARRAN BLVD STE 4	RENO	NV	89509	CARDIOLOGY
14 - CARSON TAHOE CENTER FOR WOUND HEALING
6630 S MCCARRAN BLVD STE 202	RENO	NV	89509	OUTPATIENT WOUND TREATMENT
15 - CARSON TAHOE CARDIOLOGY
276 KINGSBURY GRADE STE 101	STATELINE	NV	89449	CARDIOLOGY
16 - CARSON TAHOE CARDIOLOGY
306 SURPRISE STREET	YERINGTON	NV	89447	CARDIOLOGY
17 - CARSON TAHOE CARDIOLOGY
85 SIERRA PARK ROAD	MAMMOTH LAKES	CA	93547	CARDIOLOGY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER CARSON TAHOE REGIONAL HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM, AN INDIVIDUAL MUST:1. LIVE WITHIN CARSON TAHOE'S PRIMARY SERVICE AREA;2. RECEIVE MEDICALLY NECESSARY CARE;3. HAVE HOUSEHOLD GROSS INCOME LESS THAN 400% OF FEDERAL POVERTY LEVELS; 4. APPLY FOR GOVERNMENT ASSISTANCE IF UNINSURED; 5. SUBMIT A BILL FOR INSURANCE COVERAGE IF INSURED; AND5. COMPLETE A FINANCIAL ASSISTANCE APPLICATION.INDIVIDUALS MAY NOT BE REQUIRED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE PROGRAMS (FOOD STAMPS, PHARMACEUTICAL ASSISTANCE PROGRAMS, WELFARE, ETC.) OR ARE CURRENTLY ELIGIBLE FOR MEDICARE BUT WERE NOT ELIGIBLE ON THE DATE THEY RECEIVED MEDICAL CARE.
PART I, LINE 7:	THE AMOUNTS IN PART I, LINES 7A, 7B AND 7C WERE CALCULATED USING THE IRS WORKSHEETS BASED ON A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN PART I, LINES 7E, 7F AND 7I ARE ACTUAL COSTS AND REVENUES.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,784,775.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES INCLUDED STAFF TIME SPENT IN SUPPORT OF COMMUNITY EMERGENCY PREPAREDNESS AND DISASTER READINESS, AS WELL AS HOSPITAL REPRESENTATION ON COMMUNITY PANELS AND SUPPORT FOR THE COMMUNITY'S SPOOKTACTULAR AND EGGSTRAVAGANZA EVENTS.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 3:	THE HOSPITAL CANNOT ESTIMATE WITH REASONABLE ACCURACY THE PORTION OF THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION.
PART III, LINE 4:	SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 2 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CARSON TAHOE REGIONAL MEDICAL CENTER'S 2016 MEDICARE COST REPORT.
PART III, LINE 9B:	POLICIES IN EFFECT DURING 2016 ARE THE SAME AS CARSON-TAHOE HEALTH SYSTEM AND CARSON TAHOE CONTINUING CARE HOSPITAL. THE APPLICATION PERIOD FOR COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FOR A MINIMUM OF 240 DAYS FROM THE TIME OF PATIENT SERVICE.
PART VI, LINE 2:	THE MOST CURRENT NEEDS ASSESSMENT WAS CONDUCTED IN 2016. NEEDS WERE IDENTIFIED USING DIRECT PATIENT AND PHYSICIAN FEEDBACK, SURVEY RESPONSES AND BEST PRACTICE INFORMATION FROM OTHER ORGANIZATIONS. INFORMATION OBTAINED FROM THE PREVIOUS NEEDS ASSESSMENT CONDUCTED IN 2010 RECOGNIZED THE COMMUNITY'S NEED FOR BETTER ACCESS TO HEALTHCARE. IN RESPONSE, CARSON TAHOE HAS ESTABLISHED CARDIOLOGY CLINICS AND CLINICS AT WALMART IN OUTLYING AREAS. THE HEALTHCARE SYSTEM RELIES ON INTELLIMED SERVICES TO REPORT INFORMATION ON MIGRATION OF SERVICES WITHIN THE PRIMARY AND SECONDARY MARKETS THEN UTILIZES INFORMATION GATHERED TO FORMULATE NEEDS ASSESSMENT. OUR HEALTHCHECK LABORATORY SERVICES OFFER HEALTH SCREENING AT DISCOUNTED RATES AS A RESULT OF FEEDBACK FROM PHYSICIANS AND COMMUNITY REQUESTS. WE WORK WITH NEVADA STATE HEALTH AND HUMAN SERVICES IN IDENTIFYING AREAS OF NEED. CDC AND INFECTION CONTROL MONITOR INDUSTRY TRENDS AND ADVISE POSSIBLE AREAS OF FOCUS.
PART VI, LINE 3:	INFORMATION IS PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION, BOTH IN WRITING AND THROUGH DIRECT DISCUSSION WITH PATIENTS. INFORMATION IS PROVIDED IN THE PATIENT'S BILL. ELIGIBILITY REPRESENTATIVES AND FINANCIAL COUNSELORS ARE LOCATED ON SITE.
PART VI, LINE 4:	THE HOSPITAL'S COMMUNITY CONSISTS OF A SMALL URBAN AREA AND A LARGE RURAL POPULATION IN EXCESS OF 250,000 PEOPLE, COVERING NORTHERN NEVADA AND EASTERN CALIFORNIA, LARGEST DEMOGRAPHIC AGE IS 50 AND ABOVE.
PART VI, LINE 5:	USE OF SURPLUS FUNDS ALLOWS FACILITY TO UPDATE MEDICAL EQUIPMENT AND TECHNOLOGY WHICH PROVIDE ADVANCEMENTS IN PATIENT CARE. CARSON TAHOE PARTICIPATES WITH CARSON CITY HEALTH AND HUMAN SERVICES IN THE COMMUNITY HEALTH IMPROVEMENHT PLAN 2020. CARSON TAHOE PROVIDES OUTREACH PROGRAMS, HEALTH FAIRS, WELLNESS PROGRAMS, BUSINESS HEALTH PARTNERSHIPS, SEMINARS, LECTURES AND EDUCATIONAL FORUMS TO HELP PROMOTE A HEALTHIER COMMUNITY. THE WOMEN'S HEALTH INSTITUTE PROVIDES FREE HEALTH RESOURCES, CLASSES AND GUIDANCE. CARSON TAHOE IS COMMITTED TO PROVIDING THE BEST HEALTHCARE AVAILABLE TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY.
PART VI, LINE 6:	CARSON TAHOE REGIONAL HEALTHCARE IS A PART OF CARSON TAHOE HEALTH SYSTEM IN CARSON CITY, NEVADA. THE SYSTEM IS COMPRISED OF THE FOLLOWING ENTITIES:CARSON TAHOE REGIONAL HEALTHCARE OWNS AND OPERATES:- CARSON TAHOE REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 144 BEDS WITH A 24-HOUR EMERGENCY ROOM.- SIERRA SURGERY HOSPITAL IS A SURGICAL HOSPITAL CONSISTING OF 15 BEDS, 6 SURGICAL SUITES AND A FULL ARRAY OF IMAGING SERVICES, INCLUDING MRI AND CT SCANNING.- CANCER CENTER PROVIDES FOR EVERY ASPECT OF CANCER CARE FROM A MEDICAL AND RADIATION ONCOLOGY PRACTICE ALONGSIDE A COMPREHENSIVE CANCER RESOURCE CENTER AND INFUSION CENTER.- SPECIALTY MEDICAL CENTER PROVIDES OUTPATIENT LABORATORY, IMAGING, WOUND CARE AND BEHAVIORAL HEALTH SERVICES AND INPATIENT PSYCHIATRICT SERVICES.- MINDEN MEDICAL CENTER INCLUDES PHYSICIAN OFFICES, THE MINDEN EMERGENT AND URGENT CARE CENTER, AND OUTPATIENT LABORATORY AND RADIOLOGY SERVICES.- SURGERY CENTER IS A BUILDING OWNED BY CTRH BUT LEASED TO OTHER MEDICAL PROVIDERS IN THE COMMUNITY.- THREE WALK-IN CLINICS AT WALMARTS- TWO CENTERS FOR WOUND HEALING- TWO URGENT CARE CLINICS- TWO THERAPY CLINICS- ONE CARDIAC REHAB FACILITYCARSON TAHOE CONTINUING CARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL.CARSON TAHOE PHYSICIAN CLINICS IS A MULTISPECIALTY MEDICAL GROUP THAT EMPLOYS 28 PHYSICIANS AT 14 LOCATIONS WITH SPECIALTIES THAT INCLUDE CARDIOLOGY, ENDOCRINOLOGY, FAMLIY MEDICINE, INTERNAL MEDICINE, ONCOLOGY, PSYCHIATRY, AND RHEUMATOLOGY.CARSON TAHOE HEALTH SYSTEM IS THE PARENT ORGANIZATION AND PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE REST OF THE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NV

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON-TAHOE HEALTH SYSTEM	BusinessNameLine1Txt

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)
Recipient EIN	880502318	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$9,700,000	CashGrantAmt
Purpose Of Grant	GENERAL OPERATING SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT NON-MEDICAL FINANCIAL ASSISTANCE	GrantTypeTxt
Recipient	79	RecipientCnt
Cash Grant	$106,456	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	TRANSFERS TO RELATED ORGANIZATIONS ARE MONITORED THORUGH COMMON MANAGEMENT. GRANTS TO UNRELATED ORGANIZATIONS ARE GIVEN TO QUALIFIED CHARITIES AND GOVERNMENTS, BUT CARSON TAHOE REGIONAL HEALTHCARE DOES NOT MONITOR HOW THE RECIPIENT ORGANIZATION USES THE FUNDS. INDIVIDUAL ASSISTANCE IS GIVEN DIRECTLY TO CREDITORS TO ENSURE THE MONEY IS USED FOR THE APPROPRIATE PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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	0	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 (7 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
ED EPPERSON
FELLOW, ACHE PRESIDENT & CEO	$0	$567,171	$0	$106,095	$0	$0	$0	$31,250	$0	$9,675	$0	$714,191	$0	$0
ANN BECK
VICE PRESIDENT & CFO	$0	$334,351	$0	$65,183	$0	$0	$0	$18,000	$0	$9,675	$0	$427,209	$0	$0
CYNTHIA KUPERUS
DIRECTOR, PERIOPERATIVE SERVICES	$189,144	$0	$22,387	$0	$0	$0	$10,592	$0	$9,675	$0	$231,798	$0	$0	$0
TRACEY MCCOLLUM
DIRECTOR, NURSING SERVICES	$170,484	$0	$21,533	$0	$0	$0	$10,037	$0	$9,675	$0	$211,729	$0	$0	$0
WAYNE MITCHELL
DIRECTOR, PHARMACY CLINICAL	$171,850	$0	$12,028	$0	$0	$0	$9,593	$0	$9,675	$0	$203,146	$0	$0	$0
SCOTT MATTES
DIRECTOR, ANCILLARY SERVICES	$156,773	$0	$17,387	$0	$0	$0	$8,699	$0	$9,675	$0	$192,534	$0	$0	$0
KEVIN FLYNN
MANAGER, PHARMACY OPERATIONS	$152,412	$0	$5,922	$0	$0	$0	$8,330	$0	$9,675	$0	$176,339	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE FOLLOWING WERE USED BY CARSON-TAHOE HEALTH SYSTEM TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION. 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 6	NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CARSON CITY NEVADA
A	886000189	145810BQ9	2003-12-03	$50,000,000	CONSTRUCTION OF REGIONAL MEDICAL	0	0	0
CARSON CITY NEVADA
B	886000189	145810BR7	2005-10-27	$15,000,000	CONSTRUCTION OF REGIONAL MEDICAL	0	0	0
CARSON CITY NEVADA
C	886000189	145810CP0	2012-09-06	$57,151,648	REFUNDING 2002 & 2003A BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$11,675,000	$50,000,000	$502,639	$466,372	$49,030,989	2005	0	0	Yes (1)	Yes (1)
B	$3,065,000	$15,000,000	$231,750	$63,764	$14,704,486	2005	0	0	Yes (1)	Yes (1)
C	$8,820,060	$57,151,648	$747,261			2012	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$56,404,387

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	EFFECTIVE JANUARY 2016, CARSON TAHOE HEALTH FOUNDATION DISSOLVED ITS CORPORATE STRUCTURE AND TRANSFERRED ITS ASSETS TO THE HOSPITAL. THE FOUNDATION CONTINUES ITS OPERATIONS AS A DEPARTMENT WITHIN THE HOSPITAL.
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, DON HATAWAY, JONATHAN MILLER, KENT GABRIEL, M.D., JEFFREY BASA, M.D., AND DAVID STRULL, M.D. ALL HAVE A BUSINESS RELATIONSHIP DUE TO ALSO SERVING AS OFFICERS OR BOARD MEMBERS OF A RELATED FOR-PROFIT ENTITY, CARSON TAHOE PHYSICIAN CLINICS. BOTH CARSON TAHOE REGIONAL HEALTHCARE AND CARSON TAHOE PHYSICIAN CLINICS REPORT TO THE SAME PARENT COMPANY, CARSON-TAHOE HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED IN JULY 2016 TO CLARIFY THAT THE VICE CHIEF OF STAFF OR ACTING CHIEF OF STAFF MAY ATTEND A BOARD MEETING IN THE ABSENCE OF THE CHIEF OF STAFF, BUT THAT OTHER BOARD MEMBERS MAY NOT DESIGNATE A PROXY TO PARTICIPATE IN BOARD MEETINGS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS CARSON-TAHOE HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNING BODY IS APPOINTED BY CARSON-TAHOE HEALTH SYSTEM, THE PARENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7B	THE APPROVAL OF CARSON-TAHOE HEALTH SYSTEM IS REQUIRED FOR EACH OF THE FOLLOWING: (A) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; (B) THE ESTABLISHMENT OF ANY NEW CORPORATION, LIMITED LIABILITY COMPANY OR PARTNERSHIP OR THE MERGER, DISSOLUTION OR CONSOLIDATION OF THE ORGANIZATION; (C) ANY MORTGAGE, SALE, LEASE, EXCHANGE OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (D) ANY CHANGE IN LONG-TERM DEBT ARRANGEMENTS OF THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES OR AFFILIATED ORGANIZATIONS THAT WILL AFFECT THE CREDITWORTHINESS OF THE ORGANIZATION; (E) THE STRATEGIC PLAN OF THE ORGANIZATION; (F) THE ESTABLISHMENT OR CHANGE OF THE PHILOSOPHY ACCORDING TO WHICH THE ORGANIZATION OPERATES; (G) APPROVAL OF THE CONTRACT OF EMPLOYMENT OF THE CEO OF THE ORGANIZATION; AND (H) THE DETERMINATION OF THE AMOUNT OF ANY COMPENSATION FOR MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 WAS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND THE ACCOUNTING PERSONNEL WITH THE INDEPENDENT ACCOUNTING FIRM. THROUGH THE REVIEW PROCESS, ANY CLARIFICATIONS OR CORRECTIONS THAT NEEDED TO BE MADE WERE MADE. THE FORM 990 WAS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISED WERE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEEDED TO BE MADE WERE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES WAS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY APPLIES TO ALL VOTING MEMBERS OF THE GOVERNING BOARD AND COMMITTEES WITH BOARD-DESIGNATED POWERS, EXECUTIVE OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE. EACH COVERED INDIVIDUAL IS GIVEN A COPY OF THE POLICY AND COMPLETES A CONFLICT OF DISCLOSURE STATEMENT ANNUALLY. EACH INDIVIDUAL DISCLOSES FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS WHICH EXISTS OR APPEARS TO EXIST. AT ANY TIME THAT AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT MAY NOT BE PRESENT WHEN THE MATTER IS DISCUSSED AND THE VOTE IS TAKEN. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE DISINTERESTED MEMBERS OF THE GOVERNING BOARD OR COMMITTEE EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION. AFTER INVESTIGATING ALTERNATIVES, THE BOARD OR COMMITTEE MAY APPROVE THE TRANSACTION ONLY IF THE DISINTESTERED MEMBERS DETERMINE BY MAJORITY VOTE THAT (A) THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION AND (B) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION GIVEN THE IDENTIFIED ALTERNATIVES. IF THE GOVERNING BOARD OR A COMMITTEE HAS REASON BELIEVE AN INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN A CHANCE TO ADDRESS THE SITUATION. AFTER HEARING THE INDIVIDUAL'S RESPONSE AND CONDUCTING FURTHER INVESTIGATION AS MAY BE WARRANTED, THE BOARD OR COMMITTEE DETERMINES WHETHER THE INDIVIDUAL HAS VIOLATED THE CONFLICT OF INTEREST POLICY. IF AN INDIVIDUAL IS DETERMINED TO HAVE VIOLATED THE POLICY, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS ARE TAKEN, WHICH MAY INCLUDE REMOVAL FROM THE BOARD OR COMMITTEE OR TERMINATION EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	CARSON-TAHOE HEALTH SYSTEM'S EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION PACKAGE FOR THE CEO BASED ON MARKET SURVEYS POSITIONED SO THAT MIDPOINT WILL TARGET THE 50TH PERCENTILE. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. 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 XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ADJUSTMENT 1,079,170. ROUNDING ADJUSTMENT 8.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CARSON-TAHOE HEALTH SYSTEM
1600 MEDICAL PARKWAY	CARSON CITY	NV	89703	880502318	PARENT ORGANIZATION	NV	501(C)(3)	LINE 12B, II	N/A	0
CTRH AUXILIARY
1600 MEDICAL PARKWAY	CARSON CITY	NV	89703	886007118	SUPPORT CTRH	NV	501(C)(3)	LINE 12D, III-O	N/A	0

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	NE	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 NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	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	0	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	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