2017-05-15T17:42:45-05:00 2016-06-30 480567703 KCOE ISOM LLP 3013 CERES AVENUE CHICO CA 95973 990 2015-07-01 200752156 INCLINE VILLAGE COMMUNITY HOSPITAL FOUNDATION INCL 7758334100 880 ALDER AVENUE INCLINE VILLAGE NV 89451 GERRY EICK TREASURER 7758334100 2017-05-11 1 WILLIAM E PETERSON P00273088 5308916474 2017-05-09 2015 2021-01-29 14:40:06Z WARREN KOCMOND 880 ALDER AVENUE INCLINE VILLAGE NV 89451 537606 0 X WWW.TFHD.COM/IVCHFOUNDATION.ASP X 2004 NV TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES, IMPROVE COMMUNITY AWARENESS, AND INVOLVE COMMUNITY RESIDENTS IN DEVELOPING A LONG-TERM VISION FOR HEALTH CARE. 14 14 0 14 0 0 546593 537606 0 0 201 0 0 0 546794 537606 32558 603342 0 0 2069 96400 86718 0 0 36477 115794 157822 815536 388972 -277930 572854 848066 6303 559445 566551 288621 TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES, IMPROVE COMMUNITY AWARENESS, AND INVOLVE COMMUNITY RESIDENTS IN DEVELOPING A LONG-TERM VISION FOR HEALTH CARE. 0 0 603342 603342 THE FOUNDATION PROVIDES SUPPORT FOR VARIOUS OTHER EXPENSES TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES IN NORTH LAKE TAHOE. 603342 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X INCLINE VILLAGE COMMUNITY HOSPITAL 7758334100 990 ALDER AVENUE INCLINE VILLAGE NV 894518215 X STUART JED DIRECTOR 2.00 X 0 0 0 SHANE JOHNSON MD DIRECTOR 2.00 X 0 0 0 ROBERT KENNEDY DIRECTOR 2.00 X 0 0 0 DONALD MASON MD DIRECTOR 2.00 X 0 0 0 JONATHAN SMITH OD DIRECTOR 2.00 X 0 0 0 ROGER KAHN DIRECTOR 2.00 X 0 0 0 NAN HEALY DIRECTOR 2.00 X 0 0 0 DAVID COLLINS PAST PRESIDENT 2.00 X 0 0 0 RALPH KUHN MD DIRECTOR 2.00 X 0 0 0 WARREN KOCMOND PRESIDENT 2.00 X X 0 0 0 MARY ANSARI SECRETARY 2.00 X X 0 0 0 GERRY EICK TREASURER 2.00 X X 0 0 0 WILLIAM GUERRA DIRECTOR 2.00 X 0 0 0 ROBERT HEYNEN DIRECTOR 2.00 X 0 0 0 GARY FINCH DIRECTOR 2.00 X 0 0 0 KEVIN HANNA DIRECTOR 2.00 X 0 0 0 MARGO LALCHANDANI DIRECTOR 2.00 X 0 0 0 JUDY NEWLAND RN DIRECTOR 2.00 X 0 0 0 HARRY WEIS DIRECTOR 2.00 X 0 0 0 BETSY KINSLEY DIRECTOR 2.00 X 0 0 0 0 0 0 0 0 0 0 0 206390 331216 206390 537606 537606 0 0 0 603342 603342 96400 96400 25648 25648 68008 68008 11549 11549 MISCELLANEOUS 10589 10589 815536 603342 212194 0 317866 525259 252733 302307 2255 20500 572854 848066 6303 559445 6303 559445 X 206304 281425 360247 7196 566551 288621 572854 848066 -277930 0 X X 0 1 X 1 0 X X 1 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 603342 0 1 603342 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 537606 0 537606 0 537606 815536 0 815536 0 815536 PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND HOW AN UNCERTAIN TAX POSITION IS RECOGNIZED IN FINANCIAL STATEMENTS. THE FOUNDATION ANALYZES TAX POSITIONS TAKEN IN PREVIOUSLY FILED RETURNS AND TAX POSITIONS EXPECTED TO BE TAKEN IN FUTURE RETURNS. BASED ON THIS ANALYSIS, A LIABILITY IS RECORDED IF UNCERTAIN TAX BENEFITS HAVE BEEN RECEIVED. THE FOUNDATION'S PRACTICE IS TO RECOGNIZE INTEREST AND PENALTIES, IF ANY, RELATED TO UNCERTAIN TAX POSITIONS IN THE TAX EXPENSE. THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED OR RELATED INTEREST AND PENALTIES RECORDED AS OF JUNE 30, 2016, AND 2015 AND THE FOUNDATION DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. 1 TAHOE FOREST HOSPITAL DISTRICT PO BOX 759 TRUCKEE CA 96160 946004062 115(1) 603342 TO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA. PART I, LINE 2: THE INCLINE VILLAGE COMMUNITY HOSPITAL FOUNDATION SELECTS VARIOUS ACTIVITIES OF THE TAHOE FOREST HOSPITAL DISTRICT TO SUPPORT. THEREFORE, MONITORING IS NOT REQUIRED. X EXPENSES-TFHD 1 206390 ACTUAL AMOUNT PAID 0 0 0 0 PART I, COLUMN (B): THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTORS. THE FOUNDATION RECEIVED IN-KIND SUPPORT FROM THE TAHOE FOREST HOSPITAL DISTRICT. THE VALUE OF THIS SUPPORT IS MEASURED BY ACTUAL EXPENSES PAID ON THE FOUNDATION'S BEHALF. FORM 990, PART V, LINE 1A, LINE 2A: THE TAHOE FOREST HOSPITAL DISTRICT FILES AND REPORTS ALL W-2S, 1099S, AND PAYROLL COMPLIANCE FOR THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 ANY INTERESTED PARTIES WHO DESIRE TO OBTAIN A COPY OF ANY OF THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS CAN CONTACT THE OFFICE AND REQUEST A PAPER COPY. ANY DOCUMENTS REQUESTED ARE PRINTED AND HANDED TO THE INTERESTED PARTIES AT THE OFFICE. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES FROM THE PRIOR YEAR. TAHOE FOREST HOSPITAL DISTRICT PO BOX 759 TRUCKEE CA 96160 946004062 HEALTHCARE CA 115(1) N/A N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0