Carson-Tahoe Health System

“The CTHS Executive Committee had six (6) members in 2013 and held one meeting that year.”

“Ed Epperson, Andrea Weed, Don Hataway, James Gibson, Jonathan Miller, and Dr. Upton all have a business relationship due to also serving as officers or board members of a related for-profit entity, Carson Tahoe Physician Clinics.”

“The sole-member of the organization is carson-tahoe health system, a tax exempt organization.”

“The member elects the members of the governing body. The membership represents the board, and governing members.”

“Carson Tahoe Health System is 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.”

“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.”

“At the time of hire (or election in the case of board of directors), 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 directors 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 Health SYstem, or any system entity on any matter of business which may come before the board (including its committees.)”

“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 2013. A written opinion from the Hay Group was received stating that the executive compensation packages do not constitute excess benefit transactions.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“The main hospital of Carson Tahoe Regional Health separated out it's supporting G&A departments and created a new parent company called Carson Tahoe Health System (CTHS). The same work is being done, as was done in prior years. This G&A is not considered Program services for the parent company CTHS.”

“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 indigent patients unable to pay. The cost of direct and indirect costs for services furnished under its charity care policy were approximately $6.9M in 2013. The Health System also sponsors health activities and programs to support the community including wellness education and support. In year 2013, the Health System (all entities) had 11,408 inpatient admissions, 45,578 inpatient days, 261,649 outpatient registrations, 110,013 outpatient imaging visits, and 62,260 emergent/ urgent care visits. 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 long term continuing care hospital with 29 licensed beds, a surgery hospital which is 70% owned, 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.”

“Transfer from ctrh 22,159,272 net asset transfer of disregarded entities from ctrh 2,023,613 disregarded entities capital contributed 2013 4,896,311 elimination of investment in disregarded entities on cths books -1,665,410 miscellaneous adjustment -301 ----------- total to part xi, line 9 27,413,485”

“Description:consulting & management fees total fees:2154119”

“Description:other purchased services total fees:1253763”

“Description:physician fees total fees:5892”