Carson Tahoe Regional Healthcare in Carson City, Nevada (NV)

Table of contents:

Organization representatives - add corrected or new information about Carson Tahoe Regional Healthcare »

Non-representatives - add comments about Carson Tahoe Regional Healthcare»

Carson Tahoe Regional Healthcare
Employer Identification Number (EIN)880502320
Name of OrganizationCarson Tahoe Regional Healthcare
In Care of NameKurt Disney Controller
Address1600 Medical Pkwy, Carson City, NV 89703-4625
SubsectionCharitable Organization
Ruling Date01/2002
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2011
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$334,629,144
Amount of Income$218,694,573
Form 990 Revenue Amount$218,637,648
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


Non-representatives - add comments:


CAPTCHA

Your IP address 54.87.180.135 will be logged.

Amount of income in 2011: $218,694,573
This organization: 

 $218,694,573
Other organizations performing similar types of work: 

 $16,502,502

Assets in 2011: $334,629,144
This organization: 

 $334,629,144
Other organizations performing similar types of work: 

 $14,033,064

Expenses in 2007: $192,565,810
Carson Tahoe Regional Healthcare: 

 $192,565,810
Other organizations performing similar types of work: 

 $83,262,859

Income to expenses ratio in 2007: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2007: 73.1%
This organization: 

 73.1%
Other organizations performing similar types of work: 

 86.8%

Number of employees in 2007: 1,105
This organization: 

 1,105
Other organizations performing similar types of work: 

 752

Employees paid over $50,000 in 2007: 40.5%
Carson Tahoe Regional Healthcare: 

 40.5%
Other organizations performing similar types of work: 

 28.2%

Grants share in income in 2007: 0.8%
This organization: 

 0.8%
Other organizations performing similar types of work: 

 0.6%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

Revenue, Expenses, and Changes in Net Assets or Fund Balances
20032004200520062007
Total revenue$142,228,370$150,933,062$165,490,991$194,008,580$200,837,898
Contributions, gifts, grants, and similar amounts received$3,065$367,530$1,471$951,941$1,627,000
Contributions to donor advised funds$0$0
Direct public support$0$0$0$0$0
Indirect public support$3,065$367,530$1,471$951,941$1,627,000
Government contributions (grants)$0$0$0$0$0
Program service revenue including government fees and contracts$136,592,969$146,704,466$160,174,714$189,428,886$195,200,882
Membership dues and assessments$0$0$0$0$0
Interest on savings and temporary cash investments$244,945$364,190$1,380$63,965$186,212
Dividends and interest from securities$1,256,644$315,149$919,565$1,605,936$3,030,591
Net rental income or (loss)$0$0$0$0$0
Gross rents$0$0$0$0$0
Less: rental expenses$0$0$0$0$0
Other investment income$1,671,539$658,412$805,802$0$0
Gain or (loss) from sales of assets other than inventory$-578$10,000$0$0$0
Gross amount from sales of assets other than inventory$3,500$10,000$0$11,996,911$0
Less: cost or other basis and sales expenses$4,078$0$0$11,996,911$0
Net income or (loss) from special events and activities$0$0$0$0$0
Gross revenue$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0
Other revenue$2,459,786$2,513,315$3,588,059$1,957,852$793,213
Total expenses$129,861,058$140,547,586$161,783,164$195,468,810$192,565,810
Program services$91,844,097$98,964,980$118,172,247$142,821,541$140,837,533
Management and general$37,796,887$41,424,872$43,391,428$52,448,245$51,483,500
Fundraising$220,074$157,734$219,489$199,024$244,777
Payments to affiliates$0$0$0$0$0
Net assets or fund balances at end of year$115,631,203$123,593,472$127,639,727$127,953,732$136,424,760
Excess or (deficit) for the year$12,367,312$10,385,476$3,707,827$-1,460,230$8,272,088
Net assets or fund balances at beginning of year$101,812,347$115,631,203$123,593,472$127,639,727$127,953,732
Other changes in net assets or fund balances$1,451,544$-2,423,207$338,428$1,774,235$198,940
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$192,565,810$140,837,533$51,483,500$244,777
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$1,240,773$0$1,240,773$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$56,529,046$40,989,183$15,352,056$187,807
Pension plan contributions not included above$1,264,884$886,342$376,113$2,429
Employee benefits not included above$8,670,501$6,033,940$2,621,453$15,108
Payroll taxes$3,986,019$2,802,717$1,175,609$7,693
Professional fundraising fees$0$0$0$0
Accounting fees$101,268$0$101,268$0
Legal fees$730,628$0$730,628$0
Supplies$26,412,679$24,082,062$2,326,099$4,518
Telephone$475,140$35,981$438,741$418
Postage and shipping$469,433$30$468,489$914
Occupancy$4,938,280$544,605$4,388,698$4,977
Equipment rental and maintenance$8,792,885$6,115,990$2,676,321$574
Printing and publications$272,039$186,711$81,539$3,789
Travel$166,114$47,024$116,685$2,405
Conferences, conventions, and meetings$106,210$23,893$81,325$992
Interest$7,666,026$0$7,666,026$0
Depreciation, depletion, etc.$9,058,325$9,058,325$0$0
Other expenses not covered above$61,685,560$50,030,730$11,641,677$13,153
Balance Sheets
20032004200520062007
Total assets$273,600,360$285,627,636$318,284,281$317,445,233$318,942,892
Cash - non-interest-bearing$1,427,038$4,383,820$10,408,954$3,864,872$2,388,092
Savings and temporary cash investments$28,497,949$39,521,003$17,652,341$25,372,193$23,180,658
Accounts receivable less allowance for doubtful accounts$19,716,229$18,751,002$27,982,009$33,599,285$25,152,636
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0
Grants receivable$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$2,732,479$1,983,922$3,714,893$4,432,762$2,797,020
Inventories for sale or use$3,146,790$3,097,799$3,959,207$4,803,262$4,932,620
Prepaid expenses and deferred charges$1,412,416$1,833,549$1,134,835$1,273,954$3,731,688
Investments - publicly-traded securities$0$0
Investments - other securities$128,013,650$62,054,559$30,536,195$35,315,789$55,516,135
Investments - land, buildings, and equipment less accumulated depreciation$15,146,031$16,760,896$15,627,213$0$0
Investments - other$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$64,342,468$129,477,050$197,617,355$199,243,039$192,386,158
Other assets, including program-related investments$9,165,310$7,764,036$9,651,279$9,540,077$8,857,885
Total liabilities$157,969,157$162,034,164$190,644,554$189,491,501$182,518,132
Accounts payable and accrued expenses$12,116,017$15,593,231$19,926,797$24,930,962$19,836,953
Grants payable$0$0$0$0$0
Deferred revenue$0$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0
Tax-exempt bond liabilities$143,328,956$141,907,249$164,542,150$161,720,733$156,123,397
Mortgages and other notes payable$0$0$0$0$0
Other liabilities$2,524,184$4,533,684$6,175,607$2,839,806$6,557,782
Total liabilities and net assets/fund balances$273,600,360$285,627,636$318,284,281$317,445,233$318,942,892
Total net assets or fund balances$115,631,203$123,593,472$127,639,727$127,953,732$136,424,760
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20032004200520062007
Total revenue$0$0$165,490,991$194,008,580$200,837,898
Total revenue, gains, and other support per audited financial statements$0$0$165,490,991$194,008,580$200,837,898
Other expenses$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0
Other$0$0$0$0$0
Other revenue$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20032004200520062007
Total expenses$0$0$161,783,164$195,468,810$192,565,810
Total expenses and losses per audited financial statements$0$0$161,783,164$195,468,810$192,565,810
Other revenue$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0
Prior year adjustments$0$0$0$0$0
Losses$0$0$0$0$0
Other$0$0$0$0$0
Other expenses$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
3$8,935$0$0
3$7,700$0$0
3$5,958$0$0
3$8,500$0$0
3$8,900$0$0
3$8,340$0$0
3$3,050$0$0
3$4,412$0$0
20$166,241$41,560$0
40$204,764$51,191$0
40$105,690$26,423$0
40$404,420$101,105$0
3$8,900$0$0
3$8,400$0$0
3$4,694$0$0
40$104,466$26,117$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings13
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20061,105
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$4,010,016$195,200,882
Program service revenue
Program service revenue 1000000$000$0$130,790,897
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$64,409,985
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$186,212$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$3,030,591$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$793,213$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
74312881270%$658,197$8,372,451
38366792370%$2,169,006$5,601,503
88048950995%$-355,762$219,042
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$142,374$35,594$0
$139,322$34,830$0
$138,365$34,592$0
$133,083$33,271$0
$132,118$33,030$0
Total number of other employees paid over $50,000438
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$60,000
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
Enter the total number of donor advised funds owned at the end of the tax year$0
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
20022003200420052006
Total$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0
Membership fees received$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0
Other income$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Statements Regarding Other IRS Filings and Tax Compliance (for 2011)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2011)
Total revenue$218,637,648
Contributions, Gifts, Grants and Other Similar Amounts$194,374
Program Service Revenue$216,773,135
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$2,584,949
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$946,563
Gross rents (Real / Personal)$946,563 / $0
Less: rental expenses (Real / Personal)$0 / $0
Rental income or (loss) (Real / Personal)$946,563 / $0
Net gain from sales of assets other than inventory$860,001
Gross amount from sales of assets other than inventory (Securities / Other)$890,467 / $26,459
Less: cost or other basis and sales expenses (Securities / Other)$0 / $56,925
Gain or (loss) (Securities / Other)$890,467 / $-30,466
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$-2,721,374
Statement of Functional Expenses (for 2011)
Total functional expenses$210,071,392
Compensation of current officers, directors, trustees, and key employees$2,414,740
Other salaries and wages$71,607,162
Payroll taxes$5,157,317
Professional fundraising services$0
Other$130,892,173
Balance Sheet (for 2011)
Total assets$334,629,144
Total liabilities$148,690,603
Tax-exempt bond liabilities$119,220,000
Secured mortgages and notes payable to unrelated third parties$0
Unsecured notes and loans payable to unrelated third parties$0
Other$29,470,603
Total net assets or fund balances$185,938,541
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2011)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Write your review!

Your Ratings

You can rate this nonprofit in different categories from 1 star (worst) to 5 stars (best) or leave category unrated

Program:
Fundraising:
Expenses:
Transparency:

Your Review


Would you recommend Carson Tahoe Regional Healthcare to others? (optional)
  
Add photo of Carson Tahoe Regional Healthcare (optional)

About You

Your nickname:

Optional Verification

(additional info to increase the weight and the placement of your review and ratings)

Sign in with Twitter
Real Name:
Email (won't be published):
Date and time of your visit to this nonprofit:
Phone number (won't be published):
Leave your signature»


Recently Added Reviews
Happy Acre Sanctuary Inc in Pahrump, NV
****
Fraternal Order Of Eagles, 1213 Aerie in Las Vegas, NV
****
Free & Accepted Masons Of Nevada in Reno, NV
Camp Soaring Eagle Foundation in Las Vegas, NV
****•
Foundation Assisting Seniors Inc in Henderson, NV
****
United Seniors Inc in Overton, NV
**
Town Hall Foundation in Las Vegas, NV
Constitutional Rights Foundation in Los Angeles, CA
*****
Barelas Resident Council in Albuquerque, NM
*****
Humane Society Of Eastern Oregon Pet Rescue in Hermiston, OR
Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Dignity Health185 Berry Street, San Francisco, CA 94107-5705CA2012-06$12,991,201,476
2Rush University Medical Center1700 W Van Buren St Ste 161, Chicago, IL 60612-3228IL1960-03$2,228,175,411
3Sutter Health Sacramento Sierra RegionPO BOX 160727, Sacramento, CA 95816-0727CA1936-04$1,767,181,572
4Mount Sinai Hospital, Mount Sinai Medical Center1 Gustave L Levy Place, New York, NY 10029-6574NY1938-04$1,718,489,805
5Spectrum Health Hospitals, Spectrum Health Butterworth Campus100 Michigan St Ne, Grand Rapids, MI 49503-2560MI1943-06$1,712,401,091
6Christiana Care Health Services IncPO BOX 2653, Wilmington, DE 19805-0653DE1965-09$1,523,359,277
7Northwestern Memorial Healthcare, Northwestern Memorial Hospital251 E Huron St, Chicago, IL 60611-2908IL2011-06$1,292,955,049
8St Lukes Roosevelt Hospital Center555 W 57th St 5 Fl, New York, NY 10019-2925NY1936-01$1,216,857,602
9Sutter East Bay Hospitals2450 Ashby Ave, Berkeley, CA 94705-2067CA1960-01$1,206,754,617
10Aurora Health Care Inc, Aurora Health Care Metro IncPO BOX 343910, Milwaukee, WI 53234-3910WI2010-05$919,535,704
11Temple University Hospital Inc3509 N Broad St-9th Fl, Philadelphia, PA 19140-4105PA1996-05$869,204,626
12Valley Hospital Inc223 N Van Dien Ave, Ridgewood, NJ 07450-2726NJ1953-01$728,236,191
13Lenox Hill Hospital, North Shore Lij Health System972 Brush Hollow Rd, Westbury, NY 11590-1740NY1920-04$715,713,817
14Sutter Central Valley Hospitals1800 Coffee Rd Ste 76, Modesto, CA 95355-2700CA1953-02$706,812,759
15Mary Washington Healthcare, Group Return2300 Fall Hill Avenue, Fredericksburg, VA 22401-3342VA2004-02$632,950,099
16Mills-Peninsula Health Services1501 Trousdale Dr, Burlingame, CA 94010-4506CA1937-02$577,408,717
17Aurora Health Care Inc, Aurora Medical Group IncPO BOX 343910, Milwaukee, WI 53234-3910WI2010-05$538,677,610
18Carson Tahoe Regional Healthcare1600 Medical Pkwy, Carson City, NV 89703-4625NV2002-01$218,694,573
19Renown South Meadows Medical Center1155 Mill St, Reno, NV 89502-1576NV2004-03$101,494,962
20Nevada Institute For Renewableenergy Commercialization2215 Raggio Pkwy, Reno, NV 89512-1095NV2008-04$1,322,070
Number of organizations performing similar types of work
Alaska1
Alabama4
Arkansas6
Arizona5
California35
Colorado11
Connecticut7
District of Columbia1
Delaware1
Florida22
Georgia12
Hawaii2
Iowa5
Idaho1
Illinois20
Indiana18
Kansas8
Kentucky7
Louisiana3
Massachusetts8
Maryland7
Maine6
Michigan17
Minnesota9
Missouri14
Mississippi10
Montana7
North Carolina21
North Dakota6
Nebraska9
New Jersey10
New Mexico1
Nevada4
New York33
Ohio5
Oklahoma8
Oregon10
Pennsylvania17
Rhode Island1
South Carolina6
South Dakota6
Tennessee6
Texas20
Utah4
Virginia12
Vermont4
Washington15
Wisconsin22
West Virginia5
Wyoming2
International5
Total479

faqs.org is not associated with, endorsed by, or sponsored by Carson Tahoe Regional Healthcare and has no official or unofficial affiliation with Carson Tahoe Regional Healthcare