SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
CARSON TAHOE REGIONAL HEALTHCARE
 
Employer identification number

88-0502320
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    6,379,189   6,379,189 1.940 %
b Medicaid (from Worksheet 3, column a) . . . . .     39,679,871 20,394,812 19,285,059 5.870 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     46,059,060 20,394,812 25,664,248 7.810 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,797,373   1,797,373 0.550 %
f Health professions education (from Worksheet 5) . . .     508,537   508,537 0.150 %
g Subsidized health services (from Worksheet 6) . . . .     30,121,859 24,142,973 5,978,886 1.820 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     901,104   901,104 0.270 %
j Total. Other Benefits . .     33,328,873 24,142,973 9,185,900 2.790 %
k Total. Add lines 7d and 7j .     79,387,933 44,537,785 34,850,148 10.600 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     10,218   10,218 0 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     10,218   10,218 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
30,362,128
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
103,062,596
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
92,085,503
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
10,977,093
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CARSON TAHOE REGIONAL MEDICAL CENTER
1600 MEDICAL PARKWAY
CARSON CITY,NV89703
WWW.CARSONTAHOE.COM
4466-HOS-21
X X         X      
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CARSON TAHOE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2023
Page 5
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CARSON TAHOE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.CARSONTAHOE.COM/FINANCIALSERVICES
b
WWW.CARSONTAHOE.COM/FINANCIALSERVICES
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
CARSON TAHOE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CARSON TAHOE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
CARSON TAHOE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE QUAD-COUNTY CHNA PLANNING COMMITTEE WORKED WITH ITS ASSESSMENT PARTNER CRESCENDO CONSULTING GROUP TO FORMALIZE AND DEPLOY A HIGHLY INCLUSIVE ASSESSMENT CYCLE FRAMEWORK THAT INCLUDED A COMMUNITY-WIDE EMAIL SURVEY (ENGLISH & SPANISH), STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AN ACCESS AUDIT, EQUITY CHAMPIONS OUTREACH, SECONDARY RESEARCH, AND STAKEHOLDER COMMITMENT TO COLLABORATIVELY DEVELOP STRATEGIES AND SOLUTIONS IN RESPONSE TO IDENTIFIED NEEDS.- 46 STAKEHOLDER INTERVIEWS ACROSS THE REGION- 15 FOCUS GROUPS WITH OVER 125 PARTICIPANTS TOTAL- 1,551 COMMUNITY SURVEY RESPONDENTS- 400 PARTICIPANTS IN RANDOM DIGIT DIALING TELEPHONE SURVEY
CARSON TAHOE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH CARSON TAHOE CONTINUING CARE HOSPITAL, THE OTHER HOSPITAL OWNED BY CARSON-TAHOE HEALTH SYSTEM.
CARSON TAHOE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: A COALITION OF EIGHT COMMUNITY AGENCIES CAME TOGETHER TO PLAN THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING:- CARSON CITY HEALTH & HUMAN SERVICES- COMMUNITY CHEST, INC.- NEVADA ASSOCIATION OF COUNTIES- PARTNERSHIP DOUGLAS COUNTYLYON COUNTY HUMAN SERVICES- QUAD-COUNTY PUBLIC HEALTH PREPAREDNESS- DOUGLAS COUNTY COMMUNITY SERVICES, PARKS, & RECREATION
CARSON TAHOE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: CARSON TAHOE BEGAN TO ADDRESS AREAS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WITH RESOURCES AND PARTNERSHIPS IN THE COMMUNITY WITH A LARGE FOCUS ON MENTAL HEALTH AND ACCESS TO CARE. MENTAL HEALTH AMERICA RANKS STATES ACCORDING TO PREVALENCE OF MENTAL ILLNESS AND ACCESS TO CARE. NEVADA RANKS AS THE 51ST, THE LAST, STATE IN THE COUNTRY FOR OVERALL MENTAL HEALTH SERVICES. "FOR EVERY 580 PEOPLE LIVING IN NEVADA, THERE IS AT LEAST 1 MENTAL HEALTH PROVIDER. NEVADA HAS THE HIGHEST PREVALENCE OF MENTAL ILLNESS AND LOWEST ACCESS TO CARE AMONG YOUTH. 2 OUT OF 3 NEVADAN ADULTS WITH A MENTAL ILLNESS RECEIVED NO TREATMENT" (CHEANG). THE COVID PANDEMIC SIGNIFICANTLY IMPACTED NEVADANS AS EVIDENCED BY CDC DATA SHOWING, "NEVADA RANKED FIRST IN THE COUNTRY WITH REGARD TO THE NUMBER OF ADULTS (34%) EXPERIENCING SYMPTOMS CONSISTENT WITH DEPRESSION AND 8TH WITH REGARD TO ANXIETY (39.9%). NEVADA RANKED SECOND, NATIONALLY, WITH 47.3% OF ADULTS SHOWING SIGNS OF BOTH DEPRESSION AND ANXIETY" (STATE OF NEVADA COMMISSION ON BEHAVIORAL HEALTH). THERE HAS ALSO BEEN A NOTABLE INCREASE IN MENTAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS AMONG THE CHILD AND ADOLESCENT POPULATION NOT ONLY IN NEVADA, BUT NATIONWIDE. THE AAP, AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY (AACAP) AND CHILDREN'S HOSPITAL ASSOCIATION HAVE DECLARED A NATIONAL EMERGENCY IN CHILDREN'S MENTAL HEALTH. AACAP REPORTED, "BEFORE THE PANDEMIC, RATES OF CHILDHOOD MENTAL HEALTH CONCERNS AND SUICIDE HAD BEEN RISING STEADILY FOR AT LEAST A DECADE. BY 2018, SUICIDE WAS THE SECOND LEADING CAUSE OF DEATH FOR YOUTH AGES 10-24 YEARS" (AMERICAN ACADEMY OF PEDIATRICS). THE PRIMARY INTENT OF CARSON TAHOE HEALTH, BEHAVIORAL HEALTH SERVICES (BHS) IS TO IMPROVE THE MENTAL HEALTH AND WELL BEING OF INDIVIDUALS RESIDING IN OUR SERVICE AREA. BHS HAS BEEN PROVIDING SERVICES ACROSS THE REGION FOR 33 YEARS. BHS SERVICES INCLUDE:- 52 INPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE BEDS FOR ADULTS AND GERIATRIC PATIENTS- 15 CHAIR, 24/7 MALLORY CRISIS CENTER- OUTPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES FOR CHILDREN ADOLESCENCES, ADULTS AND GERIATRIC PATIENTS- FIRST EPISODE PSYCHOSIS PROGRAM SERVING INDIVIDUALS AND THEIR FAMILIES- TWO ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAMS SERVING SMI AND/OR CO-OCCURRING DISORDERS. THE HOSPITAL DIVERSION ACT PROVIDES TREATMENT AND REHABILITATION TO CLIENTS WITH CHRONIC, SEVERE MENTAL ILLNESS. THE EARLY DIVERSION ACT AIMS TO REDUCE AN INDIVIDUAL'S RISK FOR LAW ENFORCEMENT INTERACTIONS OR POTENTIAL ARRESTS.- COMMUNITY OUTREACH AND EDUCATION TO INCLUDE SCHOOL SUICIDE RISK ASSESSMENTS CARSON CITY, DAYTON, AND DOUGLAS COUNTY SCHOOL DISTRICTS. BHS USES A MULTIDISCIPLINARY APPROACH TO PROVIDE COMPASSIONATE, COST-EFFECTIVE OPTIONS FOR CARE CLOSE TO HOME. PATIENTS ARE ACCEPTED 24-HOURS A DAY. THE TEAM EMPLOYS A HOLISTIC APPROACH TO CARE AND INCLUDES PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, CLINICAL PROFESSIONAL COUNSELORS, ADDICTIONS COUNSELORS, ACTIVITIES SPECIALISTS, CASE MANAGERS AND PSYCHIATRIC NURSING STAFF. CONFIDENTIAL ASSESSMENTS AND REFERRALS ARE AVAILABLE FREE OF CHARGE, EITHER BY PHONE OR IN PERSON, TO DETERMINE APPROPRIATENESS FOR PROGRAMS. REFERRALS CAN BE MADE FROM MANY SOURCES, SUCH AS HOSPITALS, PHYSICIANS, MENTAL HEALTH AGENCIES, SOCIAL SERVICE AGENCIES, ASSISTED LIVING FACILITIES, SKILLED NURSING FACILITIES, FAMILY, FRIENDS, AND SELF-REFERRALS. MALLORY BEHAVIORAL HEALTH CRISIS CENTER PROVIDES 24-HOUR HELP TO THOSE SUFFERING FROM A MENTAL HEALTH OR SUBSTANCE USE EMERGENCY. WORKING CLOSELY WITH STATE AND LOCAL MENTAL HEALTH AGENCIES AND IN CONJUNCTION WITH LOCAL LAW ENFORCEMENT AND EMERGENCY RESPONDERS, MALLORY CRISIS CENTER SERVES AN AT-RISK POPULATION BY PROVIDING IMMEDIATE ACCESS TO THE CRITICAL CARE THEY NEED, WITHOUT HAVING TO GO THROUGH THE EMERGENCY DEPARTMENT OR JAIL. THIS INNOVATIVE MODEL OFFERS A MULTIDISCIPLINARY TEAM APPROACH, INCLUDING PSYCHIATRY, NURSING, COUNSELING AND CASE MANAGEMENT, WHO WORK TOGETHER TO DETERMINE THE BEST TREATMENT OPTIONS AVAILABLE. CURRENT PROJECTS:- ZERO SUICIDE STATE WIDE INITIATIVE- PROPOSALS SUBMITTED FOR FOUR YOUTH SAPTA/MENTAL HEALTH BLOCK GRANTS (IOP, ACT, COAST AND YOUTH CRISIS STABILIZATION CENTER)- PEER SUPPORT SERVICES SAPTA/MENTAL HEALTH BLOCK GRANTSCHOOLS AND YOUTH: BHS CURRENTLY HAS MEMORANDA OF UNDERSTANDING (MOU) IN PLACE TO PROVIDE SUICIDE RISK ASSESSMENTS FOR CARSON CITY, DAYTON, AND DOUGLAS COUNTY SCHOOL DISTRICTS.- ASSISTANCE AND SUPPORT FOR LOCAL SCHOOLS WHEN DELIVERING SIGNS OF SUICIDE (SOS) TRAININGS- DAILY CTH PEDIATRIC THERAPY SESSIONS TO THOSE AWAITING PSYCHIATRIC INPATIENT- WORKING WITH THE CARSON CITY SCHOOL DISTRICT TO PROVIDE THERAPY, IN THE SCHOOL SETTING, FOR STUDENTS IN NEED OF THIS LEVEL OF SUPPORT. PROVIDED MENTAL HEALTH EDUCATION/TRAININGS TO COMMUNITY: ALL BHS MENTAL HEALTH TRAININGS AND EDUCATION SERIES ARE DELIVERED, TO THE COMMUNITY, AND FREE OF CHARGE.- CTH STAFF TRAININGS ON CAREGIVER BURNOUT AND SELF CARE- SAFETALK SUICIDE PREVENTION TRAINING AND MENTAL HEALTH FIRST AID- CRISIS INTERVENTION TRAINING (CIT) (CARSON, LYON, CHURCHILL, DOUGLAS SHERIFF DEPTS.)- CARSON FIRE/PARAMEDICSNURSING PROGRAMS WNC, UNR, TRUCKEE MEADOWS- CPI NONVIOLENT CRISIS INTERVENTION TRAINING FOR CTH EMPLOYEESPARTICIPATION IN COMMUNITY OUTREACH EVENTS AND HEALTH FAIRS: BHS PARTICIPATES IN COMMUNITY EVENTS TO EDUCATE, SPREAD AWARENESS AND REDUCE STIGMA. WITH THE GOAL TO BUILD HEALTHY AND HELPFUL PARTNERSHIPS WITH COMMUNITY RESOURCES.- NEVADA'S RECOVERY AND PREVENTION (NRAP) 5K WALK/RUN- SUICIDE PREVENTION WALK- WESTERN NEVADA COLLEGE HEALTH AND BENEFITS FAIR- SENIOR CELEBRATION HEALTH FAIR- WALK TO END ALZHEIMER'S- CARSON CITY SHERIFF'S NIGHT OUT- CARSON HIGH SCHOOL HEALTH FAIRFERNLEY COMMUNITY HEALTH FAIR PARTNERSHIPS AND COLLABORATION WITH COMMUNITY STAKEHOLDERS: BHS PARTICIPATES IN STATE MEETINGS AS WELL AS COMMUNITY MEETINGS TO PARTNER, EDUCATE, SPREAD AWARENESS AND REDUCE STIGMA. WITH THE GOAL TO INCREASE SERVICES AND DEVELOP STRONGER PARTNERSHIPS.- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) WESTERN NEVADA- NEVADA COALITION FOR SUICIDE PREVENTION- CARSON CITY COMMUNITY COALITION- CARSON CITY PARTNERSHIPCARSON CITY BEHAVIORAL HEALTH TASKFORCESENIOR SERVICE NETWORK- DOUGLAS COUNTY PARTNERSHIP- MOBILE OUTREACH SAFETY TEAM (MOST) ALL COUNTIES- NEVADA OFFICE OF SUICIDE PREVENTION- NORTHERN REGIONAL BEHAVIORAL HEALTH POLICY BOARDTHOUGH WE CANNOT ADDRESS ALL THE ISSUES IDENTIFIED IN THE CHNA REPORT, WE ARE BEING PROACTIVE BY COLLABORATING WITH OTHER COMMUNITY AGENCIES AS WE REALIZE THE VALUE OF A COMMUNITY WIDE COLLECTIVE IMPACT APPROACH.
CARSON TAHOE REGIONAL MEDICAL CENTER PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.CARSONTAHOE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Page 9
Schedule H (Form 990) 2023
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address Type of Facility (describe)
1 1 - CARSON TAHOE SIERRA SURGERY CENTER
1400 MEDICAL PARKWAY
CARSON CITY,NV89703
INPATIENT AND OUTPATIENT SURGERY
2 2 - CARSON TAHOE MEDICAL OFFICE BUILDING
1470 MEDICAL PARKWAY SUITE 140
CARSON CITY,NV89703
CARDIAC REHAB, OP CARDIOLOGY IMAGING, HEALTH CLASSES, COUNSELING & LECTURES
3 3 - CARSON TAHOE MINDEN MEDICAL CENTER
925 IRONWOOD DRIVE
MINDEN,NV89423
EMERGENT CARE, LAB, IMAGING, THERAPY & CARDIOLOGY
4 4 - CARSON TAHOE CANCER CENTER
1535 MEDICAL PARKWAY
CARSON CITY,NV89703
OUTPATIENT AMBULATORY INFUSION CENTER
5 5 - CARSON TAHOE SPECIALTY MEDICAL CENTER
775 FLEISCHMANN WAY
CARSON CITY,NV89703
LAB, IP & OP BEHAVIORAL HEALTH, EEG AND WOUND CARE
6 6 - CARSON TAHOE SURGERY CENTER
973 MICA DRIVE
CARSON CITY,NV89705
OUTPATIENT SURGERY AND PAIN MANAGEMENT
7 7 - CARSON TAHOE DAYTON URGENT CARE
901 MEDICAL CENTER DRIVE
DAYTON,NV89403
URGENT CARE AND OUTPATIENT LAB
8 8 - CARSON TAHOE CARSON URGENT CARE
1201 S CARSON STREET
CARSON CITY,NV89701
URGENT CARE AND PHYSICAL THERAPY
9 9 - CARSON TAHOE CLINIC AT WALMART
3770 US HIGHWAY 395 S
CARSON CITY,NV89705
CLINIC
10 10 - CARSON TAHOE CLINIC AT WALMART
3200 MARKET STREET
CARSON CITY,NV89706
CLINIC
11 11 - CARSON TAHOE CLINIC AT WALMART
1511 GRANT STREET
GARDNERVILLE,NV89410
CLINIC
12 12 - CARSON TAHOE BEHAVIORAL HEALTH
1080 N MINNESOTA STREET
CARSON CITY,NV89703
INPATIENT BEHAVIORAL HEALTH
13 13 - CARSON TAHOE MOMS CLINIC
1460 S CURRY STREET
CARSON CITY,NV89703
WOMEN & CHILDREN'S CENTER
14 14 - CARSON TAHOE IMAGING SERVICES
2874 N CARSON STREET SUITE 300
CARSON CITY,NV89706
DIAGNOSTIC IMAGING CENTER
15 15 - CARSON TAHOE OP THERAPIES
1122 S STEWART STREET
CARSON CITY,NV89701
OUTPATIENT PHYSICAL THERAPY
Schedule H (Form 990) 2023
Page 10
Schedule H (Form 990) 2023
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER CARSON TAHOE REGIONAL HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM, AN INDIVIDUAL MUST: 1. LIVE WITHIN CARSON TAHOE'S PRIMARY SERVICE AREA; 2. RECEIVE MEDICALLY NECESSARY CARE; 3. HAVE HOUSEHOLD GROSS INCOME LESS THAN 400% OF FEDERAL POVERTY LEVELS; 4. APPLY FOR GOVERNMENT ASSISTANCE IF UNINSURED; 5. SUBMIT A BILL FOR INSURANCE COVERAGE IF INSURED AND 6. COMPLETE A FINANCIAL ASSISTANCE FOR INSURANCE COVERAGE IF INSURED; AND6. COMPLETE A FINANCIAL ASSISTANCE APPLICATION.INDIVIDUALS MAY NOT BE REQUIRED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE PROGRAMS (FOOD STAMPS, PHARMACEUTICAL ASSISTANCE PROGRAMS, WELFARE, ETC.) OR ARE CURRENTLY ELIGIBLE FOR MEDICARE BUT WERE NOT ELIGIBLE ON THE DATE THEY RECEIVED MEDICAL CARE.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE DIABETES EDUCATION AND OUTPATIENT CLINICS.
PART I, LINE 7, COL (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $30,362,128.
PART I, LINE 7: THE AMOUNTS IN PART I, LINES 7A THROUGH 7C WERE CALCULATED USING THE IRS WORKSHEETS BASED ON A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN PART I, LINES 7E THROUGH 7I ARE ACTUAL COSTS AND REVENUES.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES INCLUDED STAFF TIME SPENT IN SUPPORT OF COMMUNITY EMERGENCY PREPAREDNESS AND DISASTER READINESS, AS WELL AS HOSPITAL REPRESENTATION ON COMMUNITY PANELS.
PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 3: THE HOSPITAL CANNOT ESTIMATE WITH REASONABLE ACCURACY THE PORTION OF THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION.
PART III, LINE 4: SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 2 ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CARSON TAHOE REGIONAL MEDICAL CENTER'S 2023 MEDICARE COST REPORT. CARSON TAHOE REGIONAL MEDICAL CENTER CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT. THE COMMUNITY MEMBERS UTILIZING MEDICARE TEND TO BE MEDICALLY UNDERSERVED AND MAY NOT BE ABLE TO AFFORD HEALTHCARE IF NOT FOR THE MEDICARE PROGRAM.
PART III, LINE 9B: POLICIES IN EFFECT DURING 2023 ARE THE SAME AS CARSON-TAHOE HEALTH SYSTEM AND CARSON TAHOE CONTINUING CARE HOSPITAL. THE APPLICATION PERIOD FOR COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FOR A MINIMUM OF 240 DAYS FROM THE TIME OF PATIENT SERVICE.
PART VI, LINE 2: THE MOST CURRENT NEEDS ASSESSMENT WAS CONDUCTED IN 2022. NEEDS WERE IDENTIFIED USING DIRECT PATIENT AND PHYSICIAN FEEDBACK, SURVEY RESPONSES AND BEST PRACTICE INFORMATION FROM OTHER ORGANIZATIONS.
PART VI, LINE 3: INFORMATION IS PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION, BOTH IN WRITING AND THROUGH DIRECT DISCUSSION WITH PATIENTS. INFORMATION IS PROVIDED IN THE PATIENT'S BILL. ELIGIBILITY REPRESENTATIVES AND FINANCIAL COUNSELORS ARE LOCATED ON SITE.
PART VI, LINE 4: THE HOSPITAL'S COMMUNITY CONSISTS OF A SMALL URBAN AREA AND A LARGE RURAL POPULATION IN EXCESS OF 250,000 PEOPLE, COVERING NORTHERN NEVADA AND EASTERN CALIFORNIA. THE LARGEST DEMOGRAPHIC AGE IS 50 AND ABOVE.
PART VI, LINE 5: USE OF SURPLUS FUNDS ALLOWS FACILITY TO UPDATE MEDICAL EQUIPMENT AND TECHNOLOGY WHICH PROVIDE ADVANCEMENTS IN PATIENT CARE. CARSON TAHOE PARTICIPATES WITH CARSON CITY HEALTH AND HUMAN SERVICES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN 2022. CARSON TAHOE PROVIDES OUTREACH PROGRAMS, HEALTH FAIRS, WELLNESS PROGRAMS, BUSINESS HEALTH PARTNERSHIPS, SEMINARS, LECTURES AND EDUCATIONAL FORUMS TO HELP PROMOTE A HEALTHIER COMMUNITY. THE CENTER FOR HEALTH PROMOTION PROVIDES FREE HEALTH RESOURCES, CLASSES AND GUIDANCE. CARSON TAHOE IS COMMITTED TO PROVIDING THE BEST HEALTHCARE AVAILABLE TO ALL COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY.
PART VI, LINE 6: CARSON TAHOE REGIONAL HEALTHCARE OWNS AND OPERATES:- CARSON TAHOE REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 211 BEDS WITH A 24-HOUR EMERGENCY ROOM.- CANCER CENTER PROVIDES FOR EVERY ASPECT OF CANCER CARE FROM A MEDICAL AND RADIATION ONCOLOGY PRACTICE ALONGSIDE A COMPREHENSIVE CANCER RESOURCE CENTER AND INFUSION CENTER.- SPECIALTY MEDICAL CENTER PROVIDES OUTPATIENT LABORATORY, WOUND CARE AND BEHAVIORAL HEALTH SERVICES AND INPATIENT PSYCHIATRICT SERVICES.- MINDEN MEDICAL CENTER INCLUDES PHYSICIAN OFFICES, THE MINDEN EMERGENT CARE CENTER, AND OUTPATIENT LABORATORY AND RADIOLOGY SERVICES.- WALK-IN CLINICS AT WALMARTS, TWO WHICH CLOSED DURING 2023 - ONE CENTER FOR WOUND HEALING- TWO URGENT CARE CLINICS- TWO THERAPY CLINICS- ONE CARDIAC REHAB FACILITY CARSON TAHOE CONTINUING CARE HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL LICENSED FOR 29 BEDS THROUGH JUNE 2023. CARSON TAHOE PHYSICIAN CLINICS IS A MULTISPECIALTY MEDICAL GROUP THAT EMPLOYS 83 PROVIDERS AT 18 LOCATIONS WITH SPECIALTIES THAT INCLUDE NEUROSURGERY, CARDIOLOGY, ENDOCRINOLOGY, FAMLIY MEDICINE, INTERNAL MEDICINE, ONCOLOGY, PSYCHIATRY, RHEUMATOLOGY, PAIN MANAGEMENT, UROLOGY, GASTROENTEROLOGY, INTERVENTIONAL CARDIOLOGY AND CARDIOTHORACIC SURGERY. CARSON-TAHOE HEALTH SYSTEM IS THE PARENT ORGANIZATION AND PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE REST OF THE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES NV
Schedule H (Form 990) 2023
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