Carson Tahoe Regional Healthcare

“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. Both Carson Tahoe Regional Healthcare and Carson Tahoe Physicians clinics report to the same parent company called Carson-Tahoe Health System.”

“The sole member of the organization is Carson-Tahoe Health System, a tax exempt organization. The governing body is appointed by Carson Tahoe Health System, the parent company.”

“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 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.)”

“At this time, compensation is analyzed and calculated by Carson Tahoe Health System, the parent compnany. The determination for 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 organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“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 $6.5M in 2013. The Hospital also sponsors health activities and programs to support the community including wellness education and support. The hospital had 10,362 inpatient admissions, 45,578 inpatient days, and 179,100 outpatient registrations in 2013. Carson Tahoe Regional Medical Center 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, accredited cancer center, physician clinics, retail clinics, imaging centers, pain management center, therapy, rehabilitation and several medical office buildings.”

“Transfer TO CTHS -22,159,272 NET ASSETS TRANSFER OF DISREGARDED ENTITIES -2,023,613 CHANGE IN FAIR VALUE OF SWAP 3,949,519 ----------- LINE 9 TOTAL -20,233,366”

“Description:shares services total fees:18183430”

“Description:physician fees total fees:10386520”

“Description:other purchased services total fees:3812601”

“Description:consulting fees total fees:1948144”

“Description:collection agency total fees:1396077”

“Description:transcription total fees:892108”

“Description:security total fees:663543”

“Description:dialysis total fees:657205”

“Description:laundry total fees:648409”

“Description:lab total fees:576062”

“Description:medical records total fees:504328”

“Description:contract labor total fees:457289”