2025-09-04T20:02:14-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 872781421 CTH PHYSICIANS CLINIC CTHP 7754458000 1600 MEDICAL PARKWAY CARSON CITY NV 89703 KATIE KACERA VP, CFO 7754458000 2025-09-04 1 0 LESLIE VAN P01294411 4159561500 2025-09-04 2024 2025-03-06 01:10:19Z KATIE KUCERA 1600 MEDICAL PARKWAY CARSON CITY NV 89703 5450598 0 X WWW.CARSONTAHOE.COM X 2021 NV TO ENGAGE IN THE PROMOTION OF HEALTHCARE BY OWNING, OPERATING, PROVIDING AND SUPPORTING HOSPITALS AND RELATED HEALTH CARE SERVICES AND FACILITIES. CTHPC IS DEVOTED TO THE CARE AND TREATMENT OF THE INFIRM AND INJURED, EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH, AND SCIENTIFIC RESEARCH RELATED TO THE CARE, TREATMENT AND PREVENTION OF DISEASES, AILMENTS AND INJURIES. 10 8 23 2 0 0 0 0 0 5450598 0 0 0 0 0 5450598 0 0 0 0 0 5428096 0 0 0 0 22502 0 5450598 0 0 0 363458 0 363458 0 0 X TO ENGAGE IN THE PROMOTION OF HEALTHCARE BY OWNING, OPERATING, PROVIDING AND SUPPORTING HOSPITALS AND RELATED HEALTH CARE SERVICES AND FACILITIES. CTHPC IS DEVOTED TO THE CARE AND TREATMENT OF THE INFIRM AND INJURED, EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH, AND SCIENTIFIC RESEARCH RELATED TO THE CARE, TREATMENT AND PREVENTION OF DISEASES, AILMENTS AND INJURIES. 0 0 5450598 0 5450598 CTH PHYSICIANS CLINIC INCURRED MANAGEMENT AND GENERAL EXPENSES ONLY AS IT PREPARES FOR FULL OPERATION ON JANUARY 1, 2026. CTH PHYSICIANS CLINIC WILL PROVIDE HEALTH CARE SERVICES TO ALL PERSONS REGARDLESS OF THEIR RACE, RELIGION, ETHNIC BACKGROUND, SEX, DISABILITY, OR ABILITY TO PAY. THE PRACTICE OF MEDICINE WILL BE PERFORMED ONLY BY LICENSED PROFESSIONALS. 5450598 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 23 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 X STEFANIE STIEBER 7754458000 1600 MEDICAL PARKWAY CARSON CITY NV 89703 MICHELLE JOY PRESIDENT & CEO 5.00 35.00 X 0 958009 102137 NATHAN HO MD PHYSICIAN 40.00 0.00 X 946436 0 16448 KATIE KUCERA CHIEF FINANCIAL OFFICER 5.00 35.00 X 0 592658 74236 LAHDAN REFAHIYAT MD PHYSICIAN 40.00 0.00 X 605671 0 17325 KENT GABRIEL MD BOARD CHAIRMAN AND DIRECTOR 1.00 2.00 X X 0 513675 30596 CHRISTOPHER VLASEK MD PHYSICIAN & MEDICAL DIRECTOR 40.00 0.00 X 441637 0 18532 RYAN PATTON VP CTH PHYSICIANS CLINIC 15.00 25.00 X 0 356245 56917 ALLISON COTTON MD PHYSICIAN 40.00 0.00 X 391947 0 18532 ENG TAN MD PHYSICIAN 40.00 0.00 X 365602 0 14739 DAVID JOHNSON CHIEF OF STAFF 38.00 2.00 X 140233 0 15495 MEG JACK MD TREASURER AND DIRECTOR 1.00 2.00 X X 0 8400 0 JAMES MANNING DIRECTOR 1.00 2.00 X 0 8400 0 PHILLIP O'NEILL DIRECTOR 1.00 2.00 X 0 8400 0 GIL YANUCK DIRECTOR 1.00 2.00 X 0 8400 0 BRIAN DUFFRIN DIRECTOR 1.00 2.00 X 0 7700 0 BOB SEWELL DIRECTOR 1.00 2.00 X 0 7700 0 JAMES BREEDEN MD VICE CHAIRMAN AND DIRECTOR 1.00 2.00 X X 0 0 0 BRUCE ROBERTSON SECRETARY AND DIRECTOR 1.00 2.00 X X 0 0 0 2891526 2469587 364957 16 0 1 0 0 CLINIC REIMBURSEMENT 621110 5450598 5450598 5450598 5450598 5450598 0 0 4760474 4760474 667622 667622 TAXES & LICENSES 15773 15773 DUES & SUBSCRIPTIONS 6729 6729 5450598 5450598 0 0 0 363458 0 363458 0 7055 0 356403 0 363458 X 0 0 0 363458 0 0 X 0 1 X 1 0 X 5450598 5450598 5450598 5450598 0 0 0 5450598 5450598 5450598 X 0 DUE TO AFFILIATES 356403 356403 X PART X, LINE 2: CTH PHYSICIANS CLINIC HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, CTH PHYSICIANS CLINIC IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. UNDER ASC 740, INCOME TAXES, CTH PHYSICIANS CLINIC 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 YEARS ENDED DECEMBER 31, 2024 AND 2023. 0 1 0 0 0 1 1 0 0 MICHELLE JOY PRESIDENT & CEO 0 729347 0 113716 0 114946 0 90757 0 11380 0 1060146 0 82856 NATHAN HO MD PHYSICIAN 601293 0 344493 0 650 0 10660 0 5788 0 962884 0 0 0 KATIE KUCERA CHIEF FINANCIAL OFFICER 0 448536 0 70601 0 73521 0 62887 0 11349 0 666894 0 43471 LAHDAN REFAHIYAT MD PHYSICIAN 605671 0 0 0 0 0 17250 0 75 0 622996 0 0 0 KENT GABRIEL MD BOARD CHAIRMAN AND DIRECTOR 0 448676 0 64238 0 761 0 17256 0 13340 0 544271 0 0 CHRISTOPHER VLASEK MD PHYSICIAN & MEDICAL DIRECTOR 311482 0 130005 0 150 0 12431 0 6101 0 460169 0 0 0 RYAN PATTON VP CTH PHYSICIANS CLINIC 0 266374 0 42440 0 47431 0 45781 0 11136 0 413162 0 0 ALLISON COTTON MD PHYSICIAN 323558 0 68389 0 0 0 12431 0 6101 0 410479 0 0 0 ENG TAN MD PHYSICIAN 277613 0 87839 0 150 0 14652 0 87 0 380341 0 0 0 DAVID JOHNSON CHIEF OF STAFF 112391 0 0 0 27842 0 7633 0 7862 0 155728 0 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OF MORE OF THE METHODS DESCRIBED ON LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. PART I, LINE 4B: IN 2024, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $73,507 KATIE KUCERA - $45,637 RYAN PATTON - $28,531 IN 2024, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $82,856 KATIE KUCERA - $43,471 PART I, LINE 6: NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN FOR CARSON-TAHOE HEALTH SYSTEM. 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) THE APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS; B) THE LIQUIDATION, CONSOLIDATION, MERGER OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS; C) GUARANTEE AN OBLIGATION OF OTHER PERSONS; D) ANY ACQUISITION OF ANOTHER ENTITY, FACILITY, OR CAPITAL ASSET; E) BORROW A SUM FROM ANY SOURCE; F) THE ENTERING INTO, AMENDMENT OR TERMINATION OF SIGNIFICANT AND MATERIAL CONTRACTS; G) BIND CARSON-TAHOE HEALTH SYSTEM TO ANY OBLIGATION; H) THE ISSUANCE OF ADDITIONAL MEMBERSHIP INTERESTS; I) THE AMENDING OF THE BYLAWS OR ARTICLES OF INCORPORATION; J) CHANGES TO THE COMPENSATION MODEL; K) THE STRATEGIC PLAN FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND REVIEW THE 990. THE 990 WAS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND THE ACCOUNTING PERSONNEL WITH THE INDEPENDENT ACCOUNTING FIRM. THROUGH THE REVIEW PROCESS, ANY CLARIFICATIONS OR CORRECTIONS THAT NEEDED TO BE MADE WERE MADE. THE FORM 990 WAS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD WITH THE INDEPENDENT ACCOUNTING FIRM. ANY QUESTIONS OR CONCERNS THE FINANCE COMMITTEE RAISED WERE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEEDED TO BE MADE WERE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES WAS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED BY THE INTERESTED PARTY TO THE BOARD OR A COMMITTEE. IF ANY INTERESTED PERSON BECOMES AWARE OF A POTENTIAL CONFLICT BEFORE THE MATTER IS UNDER CONSIDERATION BY THE GOVERNING BODY OR THE COMMITTEE THEN THE INTERESTED PERSON MAY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE HOSPITAL'S MANAGEMENT PERSONNEL OR THE CHAIR OF THE BOARD. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. EMPLOYEES AND OTHERS ENGAGED BY THE BOARD MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A BOARD OR COMMITTEE MEMBER OR EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER OR EMPLOYEE WILL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING AN EMPLOYEE'S OR DIRECTOR'S RESPONSE, AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, IT IS DETERMINED THAT THERE WAS A FAILURE TO DISCLOSE, THERE WILL BE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH COULD INCLUDE, WITHOUT LIMITATION, TERMINATION OF THE PERSON'S EMPLOYMENT OR DIRECTORSHIP. THE CEO OR HIS OR HER DESIGNEE SHALL PROVIDE TO THE BOARD AND ALL EXECUTIVE OFFICERS, STAFF, AND VOLUNTEERS, A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WHEREIN IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PROGRAM. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE BOARD CONCERNING ANY INTEREST DISCLOSED. 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. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY KAVEA IN 2024. BASE SALARIES FOR OTHER OFFICERS AND KEY EMPLOYEES WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 50TH PERCENTILE. EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 50TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE, TENURE, AND OTHER RELEVANT FACTORS AS EVALUATED BY CEO. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 50TH PERCENTILE FOR ON-PLAN PERFORMANCE. ACHIEVING MAXIMUM INCENTIVES MAY RAISE TOTAL COMPENSATION TO APPROXIMATELY THE 65TH PERCENTILE. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS. THE LAST REVIEW WAS CONDUCTED BY KAVEA IN 2024. 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. CARSON-TAHOE HEALTH SYSTEM 1600 MEDICAL PARKWAY CARSON CITY NV 89703 880502318 PARENT ORGANIZATION NV 501(C)(3) LINE 12B, II N/A 0 CARSON TAHOE REGIONAL HEALTHCARE 1600 MEDICAL PARKWAY CARSON CITY NV 89703 880502320 HOSPITAL NV 501(C)(3) LINE 3 CARSON-TAHOE HEALTH SYSTEM 0 CARSON TAHOE REGIONAL HEALTHCARE AUXILIARY INC 1600 MEDICAL PARKWAY CARSON CITY NV 89703 886007118 SUPPORT CARSON TAHOE REGIONAL HEALTHCARE NV 501(C)(3) LINE 10 CARSON TAHOE REGIONAL HEALTHCARE 0 CARSON TAHOE PHYSICIANS CLINICS 1600 MEDICAL PARKWAY CARSON CITY NV 89703 020566741 PHYSICIAN GROUP NV N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0