Carson Tahoe Health
Legal name: Carson-tahoe Health System
Nonprofit profile at a glance
- EIN
- 880502318
- IRS 990 coverage
- 2013–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Carson City, NV, USA
- Phone
- (775) 445-5166
- Rating
- 70
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $115,509,091
- Expenses
- $68,903,983
- Assets
- $370,249,627
- Liabilities
- $20,818,126
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
20 people listed
Executive titles in this filing
- MICHELLE JOY (PRESIDENT & CEO)
Highest reported compensation
- MICHELLE JOY (PRESIDENT & CEO): $1,060,146 total reported compensation
- DAVID BAKER MD (VP CHIEF MEDICAL OFFICER): $846,547 total reported compensation
- KATIE KUCERA (CHIEF FINANCIAL OFFICER): $666,894 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our Mission:** at Carson Tahoe Health is to enhance the health and well-being of the communities we serve. Our Core Values** include putting patients first and treating everyone with dignity and respect. Carson Tahoe Health is a comprehensive healthcare network featuring one hospital, two urgent cares, an emergent care center, outpatient services and a provider network with 20 regional locations. Our reach stretches far and wide, encompassing Carson City, Minden, Carson Valley, South Reno, Dayton, Lake Tahoe, and beyond.
What it reported doing in 2024
Carson-tahoe health system is the parent company of four entities that provide care and serve the community. There is an acute hospital, behavioral health, urgent & emergent care centers, outpatient imaging, rehabilitation, and physician services. Carson-tahoe health consists of an acute care regional medical center with 211 licensed beds. Those include 52 that are behavioral health designated, a freestanding, licensed emergent care center, physician clinics, imaging centers, pain management center, therapy, rehabilitation, and several medical office buildings. 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 serve. 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 health system also sponsors health activities and programs to support the community including wellness education and support. In 2024, the health system (all entities) had 12,001 inpatient days, 99,373 outpatient visits, 148,470 outpatient imaging visits, and 73,114 emergent/urgent care visits.
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.
Rating breakdown
- Financial Efficiency: 67
- Transparency & Controls: 55
- Accountability: 88
- Sustainability: 81
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 59.7%; rating input score 60
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: Scored; rating input score 0
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 40.3%; rating input score 95; 95th percentile among comparable filings
- Total-asset coverage ratio: 5.37; rating input score 86; 86th percentile among comparable filings
- Liabilities to assets ratio: 0.06; rating input score 88; 88th percentile among comparable filings
- Officer compensation ratio: 6.7%; rating input score 8; 8th percentile among comparable filings
Growth
- Program expense growth: 8.2% per year; rating input score 100; 65th percentile among comparable filings
- Revenue growth: 10.4% per year; rating input score 100; 78th percentile among comparable filings
- Asset growth: 19% per year; rating input score 100; 92nd percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 59.7% of revenue deployed · 100% of spending went to programs
- Governance: 8 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $68.9M in reported program spending
- Leadership: top reported pay $1.1M · 20 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $7.9M reported
- Consistency: 33 of 33 current checks pass
- Schedules: 7 filed schedules · includes major donors, foreign activity, executive pay, and related organizations
- Filing history: 11 filing years from 2013 to 2024
- Contacts: How to reach this organization
- Money network: 18 filed money-flow records
- Related organizations: 5 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Transparency & Controls: Grant itemization coverage scored 0/100.
- High — Sustainability: Officer compensation ratio scored 8/100.
- High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.