Civic Intelligence

Cth Physicians Clinic

EIN 87-2781421 • 501(c)3 • Carson City, NV

Profile

To engage in the promotion of healthcare by owning, operating, providing and supporting hospitals and related health care services and facilities, 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.

1600 Medical ParkwayCarson City, NV 89703

www.carsontahoe.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

94th percentile

1.00x

Higher debt load relative to assets than 94% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.07x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

37th percentile

0.0%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2021 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2021 to 2024

Assets

Up

$363,458

Up $363,458 from 2022

Liabilities

Up

$363,458

Up $363,458 from 2022

Net Assets

Flat

$0

Flat from 2022

Revenue

Up

$5,450,598

Up $5,450,598 from 2022

Expenses

Up

$5,450,598

Up $5,450,598 from 2022

Net Income

Flat

$0

Flat from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022Assets 2024: $363,458Liabilities 2024: $363,458Net Assets 2024: $02024

Highlighted filing

2024

Assets$363,458
Liabilities$363,458
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2024: $5,450,598Expenses 2024: $5,450,598Net Income 2024: $02024

Highlighted filing

2024

Revenue$5,450,598
Expenses$5,450,598
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 4, 2025
Return Version
2024v5.2
Gross Receipts
$5,450,598
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$0$363,458▲ $363,458
Total Assets$0$363,458▲ $363,458
Liabilities
Other Liabilities$0$356,403▲ $356,403
Accounts Payable and Accrued Expenses$0$7,055▲ $7,055
Total Liabilities$0$363,458▲ $363,458
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$363,458▲ $363,458
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nathan Ho MdPhysicianFT$601,293$361,591$962,884
Lahdan Refahiyat MdPhysicianFT$605,671$17,325$622,996
Christopher Vlasek MdPhysician & Medical DirectorFT$311,482$148,687$460,169
Allison Cotton MdPhysicianFT$323,558$86,921$410,479
Eng Tan MdPhysicianFT$277,613$102,728$380,341
David JohnsonChief of StaffFT$112,391$43,337$155,728
Gil YanuckDirector--$8,400$8,400
James ManningDirector--$8,400$8,400
Meg Jack MdTreasurer and Director--$8,400$8,400
PHILLIP O'NEILLDirector--$8,400$8,400
Bob SewellDirector--$7,700$7,700
Brian DuffrinDirector--$7,700$7,700

Board Members and Trustees

NameTitle
Kent Gabriel MdBoard Chairman and Director
Michelle JoyPresident & CEO
James Breeden MdVice Chairman and Director
Bruce RobertsonSecretary and Director
Katie KuceraChief Financial Officer
Ryan PattonVP CTH Physicians Clinic
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,450,598
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,428,096
Other Expenses$22,502
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,760,474--$4,760,474
Other Employee Benefits$667,622--$667,622
Other Expenses$6,729--$6,729
Total Functional Expenses$5,450,598$0$0$5,450,598
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$356,403
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Cth Physicians Clinic
EIN
87-2781421
Phone
7754458000
Address
1600 MEDICAL PARKWAY, CARSON CITY, NV 89703

Signing Officer

Name
Katie Kacera
Title
VP, CFO
Phone
7754458000
Signed
2025-09-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Katie Kucera
Formed
2021
Legal Domicile
Nv
Voting Board Members
10
Independent Board Members
8
Employees
23
Volunteers
2

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
101 SECOND STREET SUITE 900, SAN FRANCISCO, CA 94105
Preparer
Leslie Van
Phone
4159561500
Supplemental Narrative

Financial Statement Notes

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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt3PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD CHAIRMAN AND DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN & MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6VP CTH PHYSICIANS CLINIC
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt8PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16VICE CHAIRMAN AND DIRECTOR
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IRS990/MissionDesc0TO 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.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0CTH 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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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