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Nonprofiteer
← CARSON-TAHOE HEALTH SYSTEM

Form 990 for tax year 2023

Filed by CARSON-TAHOE HEALTH SYSTEM.

Totals

Total revenue
$114,789,624
Total expenses
$63,592,276
Contributions and grants received
$21,550,000
Grants paid
$127,264
Program service revenue
$63,433,814
Investment income
$0
Other revenue
$29,805,810
Total assets, end of year
$322,067,615
Total liabilities, end of year
$19,241,222
Net assets or fund balances, end of year
$302,826,393
Program services expenses (Part IX)
$63,592,276
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$63,592,276

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $21,550,000

  • 2a · Program service revenue: SHARED SERVICES

    total $63,433,814 · related or exempt $63,433,814

  • 7a · Gross sales of assets other than inventory

    other assets $23,180

  • 7b · Less cost or other basis and sales expenses

    other assets $23,180

  • 7c · Gain or loss

    other assets $0

  • 7d · Net gain or loss

    total $0

  • 11a · Other revenue: INCOME FROM AFFILIATE

    total $29,805,810 · related or exempt $29,805,810

  • 11e · Other revenue, total

    $29,805,810

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $127,264 · program services $127,264

  • 5 · Compensation of officers, directors and key employees

    total $4,809,094 · program services $4,809,094

  • 6 · Compensation of disqualified persons

    total $404,391 · program services $404,391

  • 7 · Other salaries and wages

    total $22,709,377 · program services $22,709,377

  • 8 · Pension plan contributions

    total $432,953 · program services $432,953

  • 9 · Other employee benefits

    total $4,578,825 · program services $4,578,825

  • 10 · Payroll taxes

    total $1,948,542 · program services $1,948,542

  • 11a · Fees: management

    total $371,781 · program services $371,781

  • 11b · Fees: legal

    total $182,757 · program services $182,757

  • 11c · Fees: accounting

    total $344,027 · program services $344,027

  • 11g · Fees: other

    total $11,609,933 · program services $11,609,933

  • 12 · Advertising and promotion

    total $485,937 · program services $485,937

  • 13 · Office expenses

    total $1,404,516 · program services $1,404,516

  • 14 · Information technology

    total $1,518,603 · program services $1,518,603

  • 16 · Occupancy

    total $1,926,663 · program services $1,926,663

  • 17 · Travel

    total $22,831 · program services $22,831

  • 19 · Conferences, conventions and meetings

    total $565,579 · program services $565,579

  • 22 · Depreciation, depletion and amortization

    total $1,425,746 · program services $1,425,746

  • 23 · Insurance

    total $2,729,816 · program services $2,729,816

  • 24a · Other expenses: DUES AND SUBSCRIPTIONS

    total $2,877,778 · program services $2,877,778

  • 24b · Other expenses: RECRUITMENT

    total $1,377,861 · program services $1,377,861

  • 24c · Other expenses: MINOR EQUIPMENT

    total $555,332 · program services $555,332

  • 24d · Other expenses: EMPLOYEE RELATIONS

    total $412,663 · program services $412,663

  • 24e · All other expenses

    total $770,007 · program services $770,007

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $320,579 · end of year $347,333

  • 4 · Accounts receivable

    beginning of year $446,200 · end of year $509,963

  • 8 · Inventories for sale or use

    beginning of year $494,669 · end of year $515,483

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,715,101 · end of year $15,089,125

  • 10a · Land, buildings and equipment: cost or other basis

    $13,952,735

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,422,321

  • 10c · Land, buildings and equipment, net

    beginning of year $5,478,930 · end of year $8,530,414

  • 12 · Investments: other securities

    beginning of year $242,315,501 · end of year $294,216,325

  • 15 · Other assets

    beginning of year $246,119 · end of year $2,858,972

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,360,079 · end of year $5,772,365

  • 25 · Other liabilities

    beginning of year $9,977,683 · end of year $13,468,857

  • 27 · Net assets without donor restrictions

    beginning of year $250,679,337 · end of year $302,826,393

Mission and programs · 2023

Mission

CARSON-TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES. WE EXIST TO FACILITATE THOSE AFFILIATES SO THEY ARE ABLE TO ENHANCE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.

  • CARSON-TAHOE HEALTH SYSTEM IS THE PARENT COMPANY OF FIVE ENTITIES THAT PROVIDE CARE AND SERVE THE COMMUNITY. THERE ARE TWO HOSPITALS (ACUTE, LONG TERM (THROUGH JUNE 2023)), BEHAVIORAL HEALTH, URGENT & EMERGENT CARE CENTERS, AND OUTPATIENT IMAGING, REHABILITATION, AND PHYSICIAN SERVICES. CARSON-TAHOE HEALTH CONSISTS OF AN ACUTE CARE REGIONAL MEDICAL CENTER WITH 211 LICENSED BEDS, OF THOSE 52 ARE BEHAVIORAL HEALTH DESIGNATED, A LONG-TERM CONTINUING CARE HOSPITAL WITH 29 LICENSED BEDS THROUGH JUNE 2023, A FREE-STANDING LICENSED EMERGENT CARE CENTER, PHYSICIAN CLINICS, IMAGING CENTERS, PAIN MANAGEMENT CENTER, THERAPY, REHABILITATION AND SEVERAL MEDICAL OFFICE BUILDINGS. 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 SERVE. THE REGIONAL MEDICAL CENTER PROVIDES CARE TO PERSONS, SOME OF WHOM ARE COVERED BY GOVERNMENTAL PROGRAMS INCLUDING MEDICARE AND MEDICAID, AS WELL AS MEDICALLY INDIGENT PATIENTS UNABLE TO PAY. THE HEALTH SYSTEM ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDING WELLNESS EDUCATION AND SUPPORT. IN 2023, THE HEALTH SYSTEM (ALL ENTITIES) HAD 11,593 INPATIENT DAYS, 100,549 OUTPATIENT VISITS, 143,014 OUTPATIENT IMAGING VISITS, AND 73,625 EMERGENT/URGENT CARE VISITS.

    Expenses $63,592,276 · Grants $127,264 · Revenue $93,239,624

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • DAVID BAKER

    VP, CMO

    Total calculated
    $679,683
    From this org
    $648,347
    From related orgs
    $0
    Other
    $31,336
    Hours/week
    35 + 5 related

    Schedule J breakdown matched by us

    Base
    $466,984
    Bonus
    $173,127
    Other
    $8,236
    Deferred
    $27,077
    Nontaxable benefits
    $4,259
    Filer's total
    $679,683

  • KENT GABRIEL

    VICE CHAIR

    Total calculated
    $544,021
    From this org
    $8,400
    From related orgs
    $500,835
    Other
    $34,786
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $8,400 + $409,435 related
    Bonus
    $0 + $7,026 related
    Other
    $0 + $84,374 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $18,286 related
    Filer's total
    $8,400 + $535,621 related

  • SUSAN KNOWLES

    TREASURER

    Total calculated
    $349,949
    From this org
    $8,400
    From related orgs
    $307,405
    Other
    $34,144
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $8,400 + $260,241 related
    Bonus
    $0 + $40,864 related
    Other
    $0 + $6,300 related
    Deferred
    $0 + $15,858 related
    Nontaxable benefits
    $0 + $18,286 related
    Filer's total
    $8,400 + $341,549 related

  • DAVID JOHNSON

    DIRECTOR, CHIEF OF STAFF (FROM 7/23)

    Total calculated
    $104,607
    From this org
    $99,626
    From related orgs
    $0
    Other
    $4,981
    Hours/week
    39 + 1 related

  • MEG JACK

    DIRECTOR

    Total calculated
    $8,400
    From this org
    $8,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • JAMES MANNING

    DIRECTOR

    Total calculated
    $8,400
    From this org
    $8,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • PHILLIP O'NEIL

    DIRECTOR

    Total calculated
    $8,400
    From this org
    $8,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • GIL YANUCK

    DIRECTOR

    Total calculated
    $8,400
    From this org
    $8,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • ELIZABETH DUFFRIN

    CHAIR

    Total calculated
    $9,000
    From this org
    $9,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • LARRY MESSINA

    SECRETARY

    Total calculated
    $8,950
    From this org
    $8,950
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • BRUCE ROBERTSON

    ASSISTANT SECRETARY

    Total calculated
    $2,850
    From this org
    $2,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • KEVIN HALLOW

    DIRECTOR, CHIEF OF STAFF (THRU 7/23)

    Total calculated
    $0
    Hours/week
    1

  • JAMES BREEDEN

    DIRECTOR

    Total calculated
    $2,800
    From this org
    $2,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • MICHELLE JOY

    PRESIDENT & CEO

    Total calculated
    $941,642
    From this org
    $871,735
    From related orgs
    $0
    Other
    $69,907
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $703,916
    Bonus
    $115,468
    Other
    $52,351
    Deferred
    $46,475
    Nontaxable benefits
    $23,432
    Filer's total
    $941,642

  • KATIE KUCERA

    VP, CFO

    Total calculated
    $585,619
    From this org
    $527,134
    From related orgs
    $0
    Other
    $58,485
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $434,550
    Bonus
    $82,536
    Other
    $10,048
    Deferred
    $35,053
    Nontaxable benefits
    $23,432
    Filer's total
    $585,619

  • RYAN PATTON

    VP OF CTH PHYSICIANS CLINIC

    Total calculated
    $372,130
    From this org
    $328,533
    From related orgs
    $0
    Other
    $43,597
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $263,778
    Bonus
    $55,000
    Other
    $9,755
    Deferred
    $20,827
    Nontaxable benefits
    $22,770
    Filer's total
    $372,130

  • WALTER FINK

    VP, CMO (THRU 2/23)

    Total calculated
    $542,055
    From this org
    $526,471
    From related orgs
    $0
    Other
    $15,584
    Hours/week
    15 + 25 related

    Schedule J breakdown matched by us

    Base
    $59,586
    Bonus
    $112,843
    Other
    $354,042
    Deferred
    $10,490
    Nontaxable benefits
    $5,094
    Filer's total
    $542,055

  • MICHELLE MILLER

    VP, CHIEF HR OFFICER

    Total calculated
    $486,608
    From this org
    $429,142
    From related orgs
    $0
    Other
    $57,466
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $329,465
    Bonus
    $61,029
    Other
    $38,648
    Deferred
    $29,416
    Nontaxable benefits
    $28,050
    Filer's total
    $486,608

  • SCOTT MATTES

    ASSOCIATE, ADMIN OF ANCILLARY OP.

    Total calculated
    $287,314
    From this org
    $275,853
    From related orgs
    $0
    Other
    $11,461
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $236,010
    Bonus
    $37,444
    Other
    $2,399
    Deferred
    $11,461
    Nontaxable benefits
    $0
    Filer's total
    $287,314

  • JANELLE HOOVER

    ASSOCIATE, CNO

    Total calculated
    $271,637
    From this org
    $256,338
    From related orgs
    $0
    Other
    $15,299
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,839
    Bonus
    $32,499
    Other
    $0
    Deferred
    $14,089
    Nontaxable benefits
    $1,210
    Filer's total
    $271,637

  • MELISSA WILLIAMS

    DIRECTOR, REVENUE MGMT

    Total calculated
    $261,689
    From this org
    $238,942
    From related orgs
    $0
    Other
    $22,747
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,243
    Bonus
    $30,699
    Other
    $0
    Deferred
    $10,216
    Nontaxable benefits
    $12,531
    Filer's total
    $261,689

  • KATHERINE MCKAY

    ADMIN, COMMUNITY & PATIENT EXP.

    Total calculated
    $225,711
    From this org
    $210,151
    From related orgs
    $0
    Other
    $15,560
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,809
    Bonus
    $27,342
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,560
    Filer's total
    $225,711

  • ALAN GARRETT

    FORMER PRESIDENT & CEO

    Total calculated
    $404,391
    From this org
    $404,391
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $404,391
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $404,391

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINES 4A-B
IN 2023, WALTER FINK RECEIVED SEVERANCE PAYMENTS OF $170,246 FROM CARSON-TAHOE HEALTH SYSTEM. ALAN GARRETT RECEIVED SEVERANCE PAYMENTS OF $357,128 FROM CARSON-TAHOE HEALTH SYSTEM. TERMS OF SEVERANCE AGREEMENTS ARE SUBJECT TO A CONFIDENTIALITY AGREEMENT, DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST. IN 2023, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $29,975 KATIE KUCERA - $18,553 DAVID BAKER - $10,577 MICHELLE MILLER - $12,916 RYAN PATTON - $10,577 WALTER FINK - $8,373 IN 2023, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF 457(F) PLANS ADMINISTERED BY CARSON-TAHOE HEALTH SYSTEM: MICHELLE JOY - $40,463 ALAN GARRETT - $47,025 WALTER FINK - $109,928 MICHELLE MILLER - $28,448
PART I, LINE 6
THE HEALTH SYSTEM'S NET INCOME IS A TRIGGER FEATURE FOR THE AT-RISK INCENTIVE PLAN.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CARSON TAHOE PHYSICIANS CLINICS

    C · PHYSICIAN GROUP · NV · 100% owned · share of income $29,265,867 · share of assets $5,504,438 · controlled entity

    Directly controlled by CARSON-TAHOE HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2023
Filed
10 October 2024
IRS schema version
2023v5.1
Source object
202402899349300015

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