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AMERICAN LINEN DIVISION PO BOX 7497 RENO NV 89510 LAUNDRY SERVICES 711961 LAKE TAHOE REGIONAL HOSPITALISTS 2645 ANAZC CIRCLE CARSON CITY NV 89701 PHYSICIAN SERVICES 1754112 ROUTT DIALYSIS LLC PO BOX 403008 ATLANTA GA 303843008 DIALYSIS SERVICES 482031 MINDEN EMERGENT CARE ASSOCIATES 1600 MEDICAL PARKWAY CARSON CITY NV 89703 PHYSICIAN SERVICES 952918 ALLIANCE HEALTHCARE SERVICES 1900 S STATE COLLEGE 600 ANAHEIM CA 92806 RADIOLOGY SERVICES 543900 43 96664 97710 129735 194374 THIRD PARTY REIMBURSEMENT 621110 115786898 115786898 MEDICARE/MEDICAID PAYMENTS 621110 96411498 96411498 CARSON TAHOE CARDIOLOGY 621110 4133168 4133168 OTHER OPERATING REVENUE 621110 441571 441571 216773135 2584949 2584949 0 0 946563 946563 946563 946563 890467 26459 0 56925 890467 -30466 860001 860001 0 0 0 PARTNERSHIP INTEREST 621110 -5095786 -5095786 COMMUNITY WELLNESS/EDUCATION 900099 123162 123162 CAFETERIA SALES 722210 584203 584203 1667047 1667047 -2721374 218637648 216773135 1670139 81396 81396 0 0 0 2414740 2414740 27150 27150 71607162 55428148 16090711 88303 1786674 1297690 486890 2094 9867326 7403577 2451649 12100 5157317 3817160 1333738 6419 0 559700 559700 100555 100555 0 0 0 19062522 13310245 5740639 11638 822774 661005 155704 6065 33813571 31633721 2175405 4445 6679466 4916087 1763379 0 8202602 3481120 4716759 4723 203028 57709 145194 125 0 0 6075874 4471843 1604031 0 11464909 8481432 2982855 622 1798998 1324063 474935 PROVISION FOR BAD DEBTS 22144224 22144224 REPAIRS AND MAINTENANCE 4569764 3362443 1206093 1228 EQUIPMENT RENTAL 1216775 894838 320975 962 EDUCATION 554929 408428 146501 1859936 1367949 490677 1310 210071392 164543078 45388280 140034 0 0 13599114 12411998 0 0 25029224 26734640 0 0 0 0 5349370 6920871 3199068 3751017 3515857 4988626 239958073 72416294 169660771 167541779 77669867 81234665 21291464 20189790 0 0 6531306 7634021 3138252 3221737 328984293 334629144 24241440 20025777 0 0 0 0 122230000 119220000 0 0 0 0 0 0 0 0 5286754 9444826 151758194 148690603 X 177226099 185938541 0 0 0 0 177226099 185938541 328984293 334629144 X 8566256 146186 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 62400 false false 62400 false DESCRIPTION OF POLITICAL ACTIVITIES PART I-A, LINE 1 Government 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. 51842437 2269921 54112358 53863362 2479075 4500000 51842437 47226955 5741807 894600 53863362 43851503 1305 3572251 198104 47226955 1.00000 false false 20922838 20922838 134466978 25172250 109294728 15273434 5850400 9423034 64508380 41393644 23114736 4786443 4786443 167541779 PARTNERSHIP & EQUITY INTERESTS 20189790 C 20189790 0 MARKET VALUE OF SWAP 9134826 PROFESSIONAL LIABILITY RECEIVABLE 310000 9444826 ENDOWMENT FUNDS PART V, LINE 4 THE FUNDS ARE DESIGNATED FOR CAPITAL IMPROVEMENTS, TO MEET BOND REQUIREMENTS, AND TO PROVIDE FUNDS FOR HEALTH CARE PROGRAMS. FIN 48 FOOTNOTE PART X, LINE 2 MANAGEMENT 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. true true X true X true X true true true false true true 6166269 6166269 0.03280 12999184 7458198 5540986 0.02950 441687 215957 225730 0.00120 19607140 7674155 11932985 0.06350 2742106 149540 2592566 0.01380 17215 17215 0.00010 132522 132522 0.00070 2891843 149540 2742303 0.01460 22498983 7823695 14675288 0.07810 290 290 8644 8644 384499 384499 0.00180 393433 393433 0.00180 false 22144224 12316208 75712424 72934722 2777702 X true true CARSON SURG HOSP BLD MEDICAL BUILDING LANDLORD 0.70000 0.03000 0.27000 SIERRA SURGICAL HOSP OUTPATIENT SURGERIES 0.70000 0.27000 RADIATION ONCOLOGY ONCOLOGY RADIATION 0.40000 0.60000 CARSON DOUGLAS AMBUL OUTPATIENT SURGERIES 0.22000 0.57000 3 1 CARSON TAHOE REGIONAL HEALTHCARE

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OP THERAPIES 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 ASSESSMENT NEEDS 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 II COMMUNITY BUILDING ACTIVITIES CTRH 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. PART V, SECTION B, LINE 15 WAGE ATTACHMENTS true NORTHERN NEVADA DEVELOPMENT AUTHORITY 704 W NYE LN 201 CARSON CITY NV 89703 880184446 501(C)(6) 10000 COMMUNITY DEVELOPMENT WESTERN NEVADA COLLEGE 2201 WEST COLLEGE PARKWAY CARSON CITY NV 89703 880283783 501(C)(3) 40000 NURSING EDUCATION 1 1 PROCEDURES FOR MONITORING USE OF FUNDS PART I, LINE 2 GRANTS ARE DISCUSSED BY A GRANT COMMITTEE AND EVENLY DISTRIBUTED BETWEEN VARIOUS LOCAL COMMUNITIES. RECIPIENTS MUST BE NOT-FOR-PROFIT ORGANIZATIONS BASED WITHIN THE COMMUNITIES WE SERVE, WITH NO POLITICAL OR RELIGIOUS AFFILIATIONS. X true true X X X X X true false false false false false false true false EDWARD EPPERSON 460917 0 116458 0 15394 0 26300 0 14804 0 633873 0 0 0 ANN BECK 256023 0 69445 0 7242 0 0 0 6106 0 338816 0 0 0 RICHARD LAWLEY 214076 0 63249 0 270590 0 25031 0 8794 0 581740 0 0 0 CATHERINE DINAUER 277886 0 69445 0 19954 0 26300 0 4029 0 397614 0 0 0 ANTHONY FIELD MD 194241 0 53988 0 9564 0 18050 0 13066 0 288909 0 0 0 BASIL CHYRSSOS MD 544958 0 0 0 0 0 12693 0 5056 0 562707 0 0 0 CHRISTOPHER DIPAOLO MD 620822 0 0 0 0 0 14721 0 1855 0 637398 0 0 0 DAVID M BAKER MD 544958 0 0 0 0 0 12693 0 5056 0 562707 0 0 0 JOE CHAVEZ MD 540958 0 0 0 0 0 12693 0 9056 0 562707 0 0 0 CARL F JUNEAU MD 572073 0 0 0 0 0 14000 0 4084 0 590157 0 0 0 DESCRIPTION OF ADDITIONAL BENEFITS RECEIVED PART I, LINE 1A THE 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 PAYMENTS PART I, LINE 7 THE PRESIDENT IS ELIGIBLE FOR AN ANNUAL BONUS THAT IS DETERMINED BY THE BOARD. DESRCIPTION OF SEVERANCE PAYMENT PART I, LINE 4A RICHARD LAWLEY $237,182 RICHARD LAWLEY RECEIVED ONE YEAR BASE SALARY LUMP SUM PAYMENT UPON AN INVOLUNTARY SEPARATION FROM SERVICE. 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EXEMPT PURPOSE ACHIEVEMENTS FOR PROGRAM SERVICES PART III, LINE 4A CARSON 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 MANAGEMENT PART VI, SECTION A, LINES 6, 7A & 7B THE 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 PROCESS PART VI, SECTION B, LINE 11B THE 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 POLICY PART VI, SECTION B, LINE 12C AT 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 COMPENSATON PART VI, SECTION B, LINE 15A BASE 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 PUBLIC PART VI, SECTION C, LINE 19 CARSON 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 ARRANGEMENTS PART VI, SECTION C, LINE 16A/B THE 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 BALANCES PART XI, LINE 5 CARSON 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 RELATIONSHIPS PART VI, LINE 2 ED 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. 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