FURP.ORG / PUBLIC DATA EXPLORER

CARSON TAHOE REGIONAL HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CARSON TAHOE REGIONAL HEALTHCARE (EIN 88-0502320)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-29
IRS object ID
201213039349300416
Schema version
2011v1.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-29T10:31:28-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN880502320EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carson Tahoe Regional HealthcareBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KURT DISNEY CONTROLLERInCareOfName
Name ControlCARSNameControl
Phone7754458000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2168AddressLine1
CityCarson CityCity
StateNVState
ZIP Code89702ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANN BECKName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2012-10-26DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN BECK CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 MEDICAL PARKWAYAddressLine1
CityCARSON CITYCity
StateNVState
ZIP Code89703ZIPCode
FieldValueIRS element (for citing)
Gross Receipts218694573GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carsontahoe.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileNVStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1435TotalNbrEmployees
Total Nbr Volunteers245TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3959837ContributionsGrantsPriorYear
Contributions Grants Current Year194374ContributionsGrantsCurrentYear
Program Service Revenue Prior Year194262610ProgramServiceRevenuePriorYear
Program Service Revenue CY216773135ProgramServiceRevenueCY
Investment Income Prior Year4921599InvestmentIncomePriorYear
Investment Income Current Year3444950InvestmentIncomeCurrentYear
Other Revenue Prior Year4407077OtherRevenuePriorYear
Other Revenue Current Year-1774811OtherRevenueCurrentYear
Total Revenue Prior Year207551123TotalRevenuePriorYear
Total Revenue Current Year218637648TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY81396GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year76988148SalariesEtcPriorYear
Salaries Etc Current Year90860369SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year140034TotalFundrsngExpCurrentYear
Other Expense Prior Year107076336OtherExpensePriorYear
Other Expenses Current Year119129627OtherExpensesCurrentYear
Total Expenses Prior Year184064484TotalExpensesPriorYear
Total Expenses Current Year210071392TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23486639RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8566256RevenuesLessExpensesCY
Total Assets BOY328984293TotalAssetsBOY
Total Assets EOY334629144TotalAssetsEOY
Total Liabilities BOY151758194TotalLiabilitiesBOY
Total Liabilities EOY148690603TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY177226099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY185938541NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense164543078Expense
Revenue216773135Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense164543078TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096131NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1435NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKURT DISNEY CONTROLLERNamePerson
Telephone Number7754457901TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2168AddressLine1
CityCARSON CITYCity
StateNVState
ZIP Code89702ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
EDWARD EPPERSON
PRESIDENT/CEO40.0XX592769041104
ANDREA WEED DO
ASSISTANT SECRETARY3.0XX840000
REX BAGGETT MD
BOARD TRUSTEE3.0X840000
JAMES GIBSON
BOARD TRUSTEE3.0X840000
DON HATAWAY
VICE CHAIRMAN3.0XX885000
PETER LIVERMORE
BOARD TRUSTEE3.0X855000
CLIFTON MACLIN JR
BOARD TRUSTEE3.0X855000
JONATHON MILLER
TREASURER3.0XX840000
CALEB R MILLS
ASSISTANT SECRETARY3.0XX840000
JO SAULISBERRY
BOARD TRUSTEE3.0X840000
JEFFREY UPTON MD
CHAIRMAN3.0XX900000
KATHY TRIPLETT
SECRETARY3.0XX885000
RICHARD STAUB
BOARD TRUSTEE3.0X840000
JACK DAVIS DO
CHIEF OF STAFF20.0X7118800
ANN BECK
VP FINANCIAL SERVICES40.0X33271006106
RICHARD LAWLEY
VP HUMAN RESOURCES40.0X547915033825
CATHERINE DINAUER
VP PATIENT CARE SERVICES40.0X367285030329
ANTHONY FIELD MD
VP MEDICAL AFFAIRS20.0X257793031116
BASIL CHYRSSOS MD
PHYSICIAN40.0544958017749X
CHRISTOPHER DIPAOLO MD
PHYSICIAN40.0620822016576X
DAVID M BAKER MD
PHYSICIAN40.0544958017749X
JOE CHAVEZ MD
PHYSICIAN40.0540958021749X
CARL F JUNEAU MD
PHYSICIAN40.0572073018084X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5096029TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation234387TotalOtherCompensation
Number Individuals GT100 K98NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALSCO - AMERICAN LINEN DIVISION
PO BOX 7497RENONV89510LAUNDRY SERVICES711961
LAKE TAHOE REGIONAL HOSPITALISTS
2645 ANAZC CIRCLECARSON CITYNV89701PHYSICIAN SERVICES1754112
ROUTT DIALYSIS LLC
PO BOX 403008ATLANTAGA303843008DIALYSIS SERVICES482031
MINDEN EMERGENT CARE ASSOCIATES
1600 MEDICAL PARKWAYCARSON CITYNV89703PHYSICIAN SERVICES952918
ALLIANCE HEALTHCARE SERVICES
1900 S STATE COLLEGE 600ANAHEIMCA92806RADIOLOGY SERVICES543900
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Related Organizations96664RelatedOrganizations
All Other Contributions97710AllOtherContributions
Noncash Contributions129735NoncashContributions
Total Contributions194374TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
THIRD PARTY REIMBURSEMENT621110115786898115786898
MEDICARE/MEDICAID PAYMENTS6211109641149896411498
CARSON TAHOE CARDIOLOGY62111041331684133168
OTHER OPERATING REVENUE621110441571441571
FieldValueIRS element (for citing)
Total Program Service Revenue216773135TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2584949TotalRevenueColumn
Exclusion$2,584,949ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real946563Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real946563Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column946563TotalRevenueColumn
Exclusion$946,563ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities890467Securities
Other26459Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other56925Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities890467Securities
Other-30466Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column860001TotalRevenueColumn
Exclusion$860,001ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARTNERSHIP INTEREST621110-5095786-$5,095,786
COMMUNITY WELLNESS/EDUCATION900099123162$123,162
CAFETERIA SALES722210584203$584,203

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1667047TotalRevenueColumn
Exclusion$1,667,047ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-2721374TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column218637648TotalRevenueColumn
Related Or Exempt Function Income216773135RelatedOrExemptFunctionIncome
Exclusion$1,670,139ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total81396Total
Program Services81396ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2414740Total
Management And General2414740ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total27150Total
Management And General27150ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total71607162Total
Program Services55428148ProgramServices
Management And General16090711ManagementAndGeneral
Fundraising88303Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1786674Total
Program Services1297690ProgramServices
Management And General486890ManagementAndGeneral
Fundraising2094Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9867326Total
Program Services7403577ProgramServices
Management And General2451649ManagementAndGeneral
Fundraising12100Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5157317Total
Program Services3817160ProgramServices
Management And General1333738ManagementAndGeneral
Fundraising6419Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total559700Total
Management And General559700ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100555Total
Management And General100555ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19062522Total
Program Services13310245ProgramServices
Management And General5740639ManagementAndGeneral
Fundraising11638Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total822774Total
Program Services661005ProgramServices
Management And General155704ManagementAndGeneral
Fundraising6065Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total33813571Total
Program Services31633721ProgramServices
Management And General2175405ManagementAndGeneral
Fundraising4445Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6679466Total
Program Services4916087ProgramServices
Management And General1763379ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8202602Total
Program Services3481120ProgramServices
Management And General4716759ManagementAndGeneral
Fundraising4723Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total203028Total
Program Services57709ProgramServices
Management And General145194ManagementAndGeneral
Fundraising125Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6075874Total
Program Services4471843ProgramServices
Management And General1604031ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11464909Total
Program Services8481432ProgramServices
Management And General2982855ManagementAndGeneral
Fundraising622Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1798998Total
Program Services1324063ProgramServices
Management And General474935ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBTS2214422422144224
REPAIRS AND MAINTENANCE4569764336244312060931228
EQUIPMENT RENTAL1216775894838320975962
EDUCATION554929408428146501

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1859936Total
Program Services1367949ProgramServices
Management And General490677ManagementAndGeneral
Fundraising1310Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total210071392Total
Program Services164543078ProgramServices
Management And General45388280ManagementAndGeneral
Fundraising140034Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13599114BOY
EOY12411998EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25029224BOY
EOY26734640EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5349370BOY
EOY6920871EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3199068BOY
EOY3751017EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3515857BOY
EOY4988626EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis239958073LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec72416294LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY169660771BOY
EOY167541779EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY77669867BOY
EOY81234665EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY21291464BOY
EOY20189790EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6531306BOY
EOY7634021EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3138252BOY
EOY3221737EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY328984293BOY
EOY334629144EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24241440BOY
EOY20025777EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY122230000BOY
EOY119220000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5286754BOY
EOY9444826EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151758194BOY
EOY148690603EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY177226099BOY
EOY185938541EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY177226099BOY
EOY185938541EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY328984293BOY
EOY334629144EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8566256ReconcilationRevenueExpenses
Reconcilation Other Changes146186ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$62,400DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB62400TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF POLITICAL ACTIVITIESIdentifier
Return ReferencePART I-A, LINE 1ReturnReference
ExplanationGovernment Affairs services provided in the Nevada State Legislature on behalf of Carson Tahoe Regional Healthcare and consultation services to the hospital with respect to general legislative issues.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance51842437BeginningOfYearBalance
Investment Earnings Or Losses2269921InvestmentEarningsOrLosses
End Of Year Balance54112358EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance53863362BeginningOfYearBalance
Investment Earnings Or Losses2479075InvestmentEarningsOrLosses
Other Expenditures4500000OtherExpenditures
End Of Year Balance51842437EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance47226955BeginningOfYearBalance
Contributions5741807Contributions
Investment Earnings Or Losses894600InvestmentEarningsOrLosses
End Of Year Balance53863362EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance43851503BeginningOfYearBalance
Contributions1305Contributions
Investment Earnings Or Losses3572251InvestmentEarningsOrLosses
Grants Or Scholarships198104GrantsOrScholarships
End Of Year Balance47226955EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis20922838OtherCostOrOtherBasis
Book Value20922838BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis134466978OtherCostOrOtherBasis
Depreciation25172250Depreciation
Book Value109294728BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15273434OtherCostOrOtherBasis
Depreciation5850400Depreciation
Book Value9423034BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64508380OtherCostOrOtherBasis
Depreciation41393644Depreciation
Book Value23114736BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4786443OtherCostOrOtherBasis
Book Value4786443BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings167541779TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPARTNERSHIP & EQUITY INTERESTSDescription
Book Value20189790BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities20189790TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MARKET VALUE OF SWAP$9,134,826
PROFESSIONAL LIABILITY RECEIVABLE$310,000
FieldValueIRS element (for citing)
Total Of Amounts9444826TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART V, LINE 4THE FUNDS ARE DESIGNATED FOR CAPITAL IMPROVEMENTS, TO MEET BOND REQUIREMENTS, AND TO PROVIDE FUNDS FOR HEALTH CARE PROGRAMS.
FIN 48 FOOTNOTEPART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6166269TotalCommunityBenefitExpense
Net Community Benefit Expense6166269NetCommunityBenefitExpense
Percent Of Total Expense0.03280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12999184TotalCommunityBenefitExpense
Direct Offsetting Revenue7458198DirectOffsettingRevenue
Net Community Benefit Expense5540986NetCommunityBenefitExpense
Percent Of Total Expense0.02950PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense441687TotalCommunityBenefitExpense
Direct Offsetting Revenue215957DirectOffsettingRevenue
Net Community Benefit Expense225730NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19607140TotalCommunityBenefitExpense
Direct Offsetting Revenue7674155DirectOffsettingRevenue
Net Community Benefit Expense11932985NetCommunityBenefitExpense
Percent Of Total Expense0.06350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2742106TotalCommunityBenefitExpense
Direct Offsetting Revenue149540DirectOffsettingRevenue
Net Community Benefit Expense2592566NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense17215TotalCommunityBenefitExpense
Net Community Benefit Expense17215NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense132522TotalCommunityBenefitExpense
Net Community Benefit Expense132522NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2891843TotalCommunityBenefitExpense
Direct Offsetting Revenue149540DirectOffsettingRevenue
Net Community Benefit Expense2742303NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22498983TotalCommunityBenefitExpense
Direct Offsetting Revenue7823695DirectOffsettingRevenue
Net Community Benefit Expense14675288NetCommunityBenefitExpense
Percent Of Total Expense0.07810PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense290TotalCommunityBuildingExpense
Net Community Building Expense290NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense8644TotalCommunityBuildingExpense
Net Community Building Expense8644NetCommunityBuildingExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense384499TotalCommunityBuildingExpense
Net Community Building Expense384499NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense393433TotalCommunityBuildingExpense
Net Community Building Expense393433NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$22,144,224BadDebtExpenseAmount
Amount Attributable To12316208AmountAttributableTo
Amount Reimbursed By Medicare75712424AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare72934722CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2777702MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
CARSON SURG HOSP BLD
MEDICAL BUILDING LANDLORD0.700000.030000.27000
SIERRA SURGICAL HOSP
OUTPATIENT SURGERIES0.700000.27000
RADIATION ONCOLOGY
ONCOLOGY RADIATION0.400000.60000
CARSON DOUGLAS AMBUL
OUTPATIENT SURGERIES0.220000.57000
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
CARSON TAHOE REGIONAL HEALTHCARE
11600 MEDICAL PARKWAYCARSON CITYNV89703XXX
SIERRA SURGERY HOSPITAL
21400 MEDICAL PARKWAYCARSON CITYNV89703X
BEHAVIORAL HEALTH SERVICES
31080 N MINNESOTA STCARSON CITYNV89702X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyLowest Negotiated RatesLowestNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
CARSON TAHOE REGIONAL HEALTHCARE
1truetrue200.true400.trueXXXXXXXtruetrueXXXXXtrueXXfalseXXXXtrueXfalsefalse
SIERRA SURGERY HOSPITAL
2truetrue200.true400.trueXXXXXXXtruetrueXXXXXtrueXXfalseXXXXtrueXfalsefalse
BEHAVIORAL HEALTH SERVICES
3truetrue200.true400.trueXXXXXXXtruetrueXXXXXtrueXXfalseXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SUNRIDGE MEDICAL CENTER
973 MICA DRIVECARSON CITYNV89705OP SURGICAL CENTER
MINDEN MEDICAL CENTER
925 IRONWOOD DRIVEMINDENNV89703URGENT CARE OP IMAGING/LAB/THERAPY
GREAT BASIN IMAGING
2874 N CARSON STREET SUITE 30CARSON CITYNV89706OP IMAGING
CARSON TAHOE CARDIOLOGY
1470 MEDICAL PARKWAYCARSON CITYNV89706OP CARDIOLOGY
SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAYCARSON CITYNV89703OP IMAGING/LAB/WOUNDCARE
CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAYCARSON CITYNV89706OP AMBULATORY INFUSION CENTER
DAYTON PROFESSIONAL CENTER
901 MEDICAL CENTER DRDAYTONNV89403OP IMAGING/LAB/THERAPIES
CARSON TAHOE THERAPY
755 N ROOP STREET SUITE 107CARSON CITYNV89701OP THERAPIES
CARSON MALL
1122 S STEWART STCARSON CITYNV89703OP CARDIAC/PULMONARY REHAB
SIERRA PROFESSIONAL COMPLEX
1001 N MOUNTAIN STCARSON CITYNV89703OP BEHAVIORAL HEALTH SERVICES
HOLBROOK JUNCTION
1550 US HWY 395 SGARDNERVILLENV89410OP THERAPIES

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7, COLUMN F:THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $22,144,224 REPORTED ON PART IX, LINE 25. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART I, LINE 7:THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS.
PART III, LINE 4:NOTES TO FINANCIAL STATEMENTS, NOTE 1: PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2: THE AMOUNT ENTERED REPRESENTS THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. LINE 3: OTHER BAD DEBT AMOUNTS ARE ALLOWABLE IN THE ANNUAL STATE OF NEVADA COMMUNITY BENEFITS REPORT.
PART III, LINE 8:MEDICARE ALLOWABLE COSTS PER THE AS FILED FY2011 MEDICARE COST REPORT.
PART III, LINE 9B:ALL ACCOUNTS WITH PATIENT BALANCES WILL BE REFERRED TO A CONTRACTED SERVICE THAT REPRESENTS CTRH FOR GUARANTOR FOLLOW UP. REFERRAL OF ACCOUNTS TO A COLLECTION AGENCY PROVED GUIDELINE TO ENSURE THE INTEGRITY OF THE COLLECTION AGENCY REFERRAL PROCESS AND FOLLOWUP PROCEDURES. IN ADDITION, PATIENT FINANCIAL SERVICES WILL NOTIFY ALL UNINSURED PATIENTS VIA HOSPITAL SIGNAGE, PERSONAL INTERVIEW, AND VIA BILLING STATEMENTS THAT THEY MAY QUALIFY FOR CHARITY PROVISIONS BASED ON NEED AND PROVIDE THE CONTACT INFORMATION.
NEEDS ASSESSMENTNEEDS ARE CURRENTLY BASED ON DIRECT PATIENT AND PHYSICIAN FEEDBACK, SURVEY RESPONSES, AND BEST PRACTICE INFORMATION FROM OTHER ORGANIZATIONS. INFORMATION OBTAINED FROM 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 OUT 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 IN NEVADA STATE HEALTH AND HUMAN SERVICES ON IDENTIFYING AREAS OF NEED. CDC AND INFECTION CONTROL MONITOR INDUSTRY TRENDS AND ADVISES POSSIBLE AREAS OF FOCUS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:INFORMATION IS PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION, BOTH IN WRITING AND THROUGH A DIRECT DISCUSSION WITH PATIENTS. INFORMATION IS PROVIDED IN THE PATIENT'S BILL. ELIGIBILITY REPRESENTATIVE AND FINANCIAL COUNSELORS ARE LOCATED ON SITE.
COMMUNITY INFORMATION:THE HOSPITAL 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 IS AGE 50 AND ABOVE.
PROMOTION OF COMMUNITY HEALTH:USE OF SURPLUS FUNDS ALLOWS FACILITY TO UPDATE MEDICAL EQUIPMENT AND TECHNOLOGY WHICH PROVIDE ADVANCEMENTS IN PATIENT CARE. CARSON TAHOE PARTICIPATES WITH CARSON CITY HEALTH AND HUMAN SERVICES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN 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 IICTRH EMPLOYEES PARTICIPATE IN THE INTER HOSPITAL COORDINATING COUNCIL, IHCC, AN EMERGENCY PREPAREDNESS GROUP THAT INTEGRATES WITH OTHER AGENCIES SUCH AS FEMA, RED CROSS, NEVADA HOSPITAL ASSOCIATION, STATE AND LOCAL HEALTH, FIRE AND POLICE DEPARTMENTS. THE HOSPITAL PAYS PROPERTY TAXES TO CARSON, LYON, AND DOUGLAS COUNTIES FOR LOCATIONS THAT CTRH OWNS OR LEASES IN THE COMMUNITIES WE SERVE. CTRH ALSO SUPPORTS CHAMBER OF COMMERCE THROUGH ANNUAL MEMBERSHIP.COMMUNITY BUILDING ACTIVITIES
PART V, SECTION B, LINE 15WAGE ATTACHMENTS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
NORTHERN NEVADA DEVELOPMENT AUTHORITY
704 W NYE LN 201CARSON CITYNV89703880184446501(C)(6)10000COMMUNITY DEVELOPMENT
WESTERN NEVADA COLLEGE
2201 WEST COLLEGE PARKWAYCARSON CITYNV89703880283783501(C)(3)40000NURSING EDUCATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING USE OF FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationGRANTS 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARD EPPERSON
46091701164580153940263000148040633873000
ANN BECK
2560230694450724200061060338816000
RICHARD LAWLEY
2140760632490270590025031087940581740000
CATHERINE DINAUER
277886069445019954026300040290397614000
ANTHONY FIELD MD
194241053988095640180500130660288909000
BASIL CHYRSSOS MD
5449580000012693050560562707000
CHRISTOPHER DIPAOLO MD
6208220000014721018550637398000
DAVID M BAKER MD
5449580000012693050560562707000
JOE CHAVEZ MD
5409580000012693090560562707000
CARL F JUNEAU MD
5720730000014000040840590157000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ADDITIONAL BENEFITS RECEIVEDPART I, LINE 1ATHE HOSPITAL PROVIDES A MEMBERSHIP AT A GOLF CLUB FOR THE PRESIDENT, ED EPPERSON, ALLOWING HIM FULL ACCESS TO ALL MEMBERSHIP BENEFITS AND PRIVILEGES. HE ACCOUNTS FOR ALL NON-BUSINESS USE AND REIMBURSES THE HOSPITAL FOR THOSE EXPENSES.
DESCRIPTION OF NON-FIXED PAYMENTSPART I, LINE 7THE PRESIDENT IS ELIGIBLE FOR AN ANNUAL BONUS THAT IS DETERMINED BY THE BOARD.
DESRCIPTION OF SEVERANCE PAYMENTPART I, LINE 4ARICHARD LAWLEY $237,182 RICHARD LAWLEY RECEIVED ONE YEAR BASE SALARY LUMP SUM PAYMENT UPON AN INVOLUNTARY SEPARATION FROM SERVICE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF CARSON CITY NEVADA (SERIES 2003A)
886000189145810BP12003-12-0344913815CONSTRUCTION OF REGIONAL MEDICALfalsefalsefalse
CITY OF CARSON CITY NEVADA (SERIES 2003B)
886000189145810BQ92003-12-0350000000CONSTRUCTION OF REGIONAL MEDICALfalsefalsefalse
CITY OF CARSON CITY NEVADA (SERIES 2005)
886000189145810BR72005-10-2715000000CONSTRUCTION OF REGIONAL MEDICALfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00449138153166788005415612243981039022823002005falsefalsetruetrue
0050000000000502639466372049030989002005falsefalsetruetrue
001500000000023175063764014705486002005falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsetruefalsefalse0falsefalse
0
falsetruefalsefalse0falsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDELSYE MILLSNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF CALEB MILLSRelationship
Amount Of Transaction27150AmountOfTransaction
Description Of TransactionCTRH EMPLOYEEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions18NumberOfContributions
Noncash Contribs Rptd F990129735NoncashContribsRptdF990
Method Of Determining RevenuesPURCHASE PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierPART I, LINE 20Identifier
ExplanationTHE AMOUNT ENTERED IN COLUMN B REPRESENTS THE NUMBER OF DONATIONS RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXEMPT PURPOSE ACHIEVEMENTS FOR PROGRAM SERVICESPART III, LINE 4ACARSON TAHOE 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 INDIGNENT PATIENTS UNABLE TO PAY. THE COMPENSATED VALUE OF PROVIDING CARE TO THESE PATIENTS APPROXIMATED $25.4 MILLION IN 2011. THE HOSPITAL ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. THE HOSPITAL HAD 11,000 INPATIENT ADMISSIONS, 45,000 INPATIENT DAYS, AND 156,000 OUTPATIENT REGISTRATIONS IN 2011. CARSON TAHOE HEALTH CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 144 LICENSED BEDS, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES WITH A TOTAL OF 40 LICENSED BEDS, 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.
GOVERNING BODY AND MANAGEMENTPART VI, SECTION A, LINES 6, 7A & 7BTHE SOLE MEMBER OF THE ORGANIZATION IS CARSON-TAHOE HEALTH SYSTEM, A TAX EXEMPT ORGANIZATION. THE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY. CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER, INCLUDING: ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION, LIMITED LIABILITY COMPANY OR PARTNERSHIP OR THE MERGER, DISSOLUTION OR CONSOLIDATION OF THE ORGANIZATION; ANY MORTGAGE, SALE, LEASE, EXCHANGE OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; ANY CHANGE IN LONG-TERM DEBT ARRANGEMENTS OF THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES OR AFFILIATED ORGANIZATIONS; THE STRATEGIC PLAN OF THE ORGANIZATION; THE ESTABLISHMENT OR CHANGE OF THE PHILOSOPHY ACCORDING TO WHICH THE ORGANIZATION OPERATES; APPROVAL OF THE CONTRACT OF EMPLOYMENT OF THE CEO OF THE ORGANIZATION; AND THE DETERMINATION OF THE AMOUNT OF ANY COMPENSATION FOR MEMBERS OF THE BOARD.
FORM 990 REVIEW PROCESSPART VI, SECTION B, LINE 11BTHE ORGANIZATION ENGAGES AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 IS 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 NEED TO BE MADE ARE MADE. THE FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISES ARE ADDRESSED AND ANY CORRECTIONS FOR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990.
COMPLIANCE WITH CONFLICT OF INTEREST POLICYPART VI, SECTION B, LINE 12CAT THE TIME OF HIRE (OR ELECTION IN THE CASE OF TRUSTEES), THE CEO OR HIS 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 OF TRUSTEES 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 REGIONAL HEALTHCARE OR ANY SYSTEM ENTITY ON ANY MATTER OF BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES).
PROCESS FOR DETERMINING COMPENSATONPART VI, SECTION B, LINE 15ABASE SALARIES FOR 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 EXECUTIVE COMPENSATION COMMITTEE WILL DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CEO BASED ON MARKET SURVEYS POSITIONED SO THAT MIDPOINT WILL TARGET THE 50TH PERCENTILE. 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 2010. A WRITTEN OPINION FROM THE HAY GROUP WAS RECEIVED STATING THAT THE EXECUTIVE COMPENSATION PACKAGES DO NOT CONSTITUTE EXCESS BENEFIT TRANSACTIONS.
PROCESS FOR MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICPART VI, SECTION C, LINE 19CARSON TAHOE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PROCESS OF EVALUATING PARTICIPATION IN JOINT VENTURE ARRANGEMENTSPART VI, SECTION C, LINE 16A/BTHE ORGANIZATION IS CURRENTLY DEVELOPING A WRITTEN POLICY WITH ACCOMPANYING PROCEDURES TO ENSURE THAT ALL JOINT VENTURES AND SIMILAR ARRANGEMENTS WITH TAXABLE ENTITIES ARE EVALUATED AND MONITORED TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
OTHER CHANGES IN FUND BALANCESPART XI, LINE 5CARSON TAHOE CARDIOLOGY CAPITAL CONTRIBUTION 3,922,680 UNREALIZED GAIN 71,577 CHANGE IN FAIR VALUE OF SWAP (3,848,072) ROUNDING 1 ----------- OTHER CHANGE IN FUND BALANCE 146,186
BUSINESS RELATIONSHIPSPART VI, LINE 2ED EPPERSON, ANDREA WEED, PETER LIVERMORE, DON HATAWAY, JAMES GIBSON, AND JO SAULISBERRY ALL HAVE A BUSINESS RELATIONSHIP DUE TO ALSO SERVING AS OFFICERS OR BOARD MEMBERS OF A RELATED FOR-PROFIT ENTITY, CARSON TAHOE PHYSICIAN CLINICS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE CARDIOLOGY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12874 N CARSON ST SUITE 120AddressLine1
CityCARSON CITYCity
StateNVState
ZIP Code89706ZIPCode
FieldValueIRS element (for citing)
EIN273686996EIN
Primary ActivitiesCARDIOLOGISTSPrimaryActivities
Legal Domicile StateNVLegalDomicileState
Total Income4133168TotalIncome
EOY Assets1841062EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CTRH FOUNDATION
1600 MEDICAL PARKWAYCARSON CITYNV89703880387923FUNDRAISINGNV501(C)(3)11-III-FINAfalse
CTRH AUXILIARY
1600 MEDICAL PARKWAYCARSON CITYNV89703886007118SUPPORTNV501(C)(3)11-III-ONAfalse
CARSON-TAHOE HEALTH SYSTEM
1600 MEDICAL PARKWAYCARSON CITYNV89703880502318PARENT CORPNV501(C)(3)11-IINAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Carson Surgical Hospital Building
1600 Medical ParkwayCarson CityNV89703743128812BUILDING OWNERNVNAINVESTMENT7894817427197false$0false0.70000
NORTHERN NEVADA URGENT CARE LLP
212 WEST ANN STREETCARSON CITYNV89703880489509URGENT CARENVNARELATED-626170false$0false0.85000
SIERRA SURGERY HOSPITAL LLC
1400 MEDICAL PARKWAYCARSON CITYNV89703383667923SURGICAL HOSPITALNVNARELATED-10327438879866false$0false0.70000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CARSON TAHOE PHYSICIAN CLINICSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12874 N CARSON STREET SUITE 200AddressLine1
CityCARSON CITYCity
StateNVState
ZIP Code89706ZIPCode
FieldValueIRS element (for citing)
EIN020566741EIN
Primary ActivityPHYSICIAN PRACTICPrimaryActivity
Legal Domicile StateNVLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income7682957ShareOfTotalIncome
Share Of EOY Assets1729755ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CARSON TAHOE PHYSICIAN CLINICS
B2900000CASH TRANSFER
NORTHERN NEVADA URGENT CARE
G1504000OUTSIDE VALUATI
CARSON SURGICAL HOSPITAL BUILDING
I134209LEASE AGREEMENT
CARSON TAHOE PHYSICIAN CLINICS
A162438MARKET LEASE RT
SIERRA SURGICAL HOSPITAL
K451241CONTRACT RATE