2016-05-16T16:53:19-05:00 2015-06-30 480567703 KCOE ISOM LLP 3013 CERES AVENUE CHICO CA 95973 990 2014-07-01 200752156 INCLINE VILLAGE COMMUNITY HOSPITAL FOUNDATION INCL 7758334100 880 ALDER AVENUE INCLINE VILLAGE NV 89451 GERRY EICK TREASURER 7758334100 2016-04-28 1 WILLIAM E PETERSON P00273088 5308916474 2016-04-28 2014 2016-08-17 19:52:53Z WARREN KOCMOND 880 ALDER AVENUE INCLINE VILLAGE NV 89451 546794 0 X WWW.TFHD.COM/IVCHFOUNDATION.ASP X 2004 NV TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES 14 14 0 14 0 0 269778 546593 0 0 449 201 0 0 270227 546794 688527 32558 0 0 0 2069 70726 86718 86718 42596 36477 801849 157822 -531622 388972 478633 572854 301054 6303 177579 566551 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 32558 32558 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. 32558 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 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 TAHOE FOREST HOSPITAL DISTRICT 5305823489 10121 PINE AVENUE TRUCKEE CA 96160 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 DIRECTOR 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 0 0 0 0 0 0 0 0 122567 424026 122567 546593 201 201 546794 0 0 201 32558 32558 2069 2069 16704 16704 86718 86718 11153 11153 5393 5393 322 322 MISCELLANEOUS 2905 2905 157822 32558 38546 86718 157887 317866 237553 252733 83193 2255 478633 572854 6303 301054 0 301054 6303 X 95377 206304 82202 360247 177579 566551 478633 572854 388972 0 X 0 1 X 1 0 X X 1 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 32588 0 1 32588 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 546794 0 546794 0 546794 157822 0 157822 0 157822 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, 2015, AND 2014 AND THE FOUNDATION DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. X X 1 MICHELLE SCHMITTER 705 W MUSSER STREET CARSON CITY NV 89703 CAPITAL CAMPAIGN MANAGEMENT 0 0 86718 -86718 86718 -86718 NV SCHEDULE G, PART I, LINE 2B, COLUMN (V) MICHELLE SCHMITTER IS AN INDEPENDENT CONTRACTOR WHO PERFORMS FUNDRAISING AND OTHER SERVICES FOR THE FOUNDATION. THE AMOUNT DISCLOSED IN FORM 990, SCHEDULE G, PART I, LINE 2(B)(V) REPRESENTS MICHELLE SCHMITTER'S BILLINGS FOR HER FUNDRAISING SERVICES. 1 TAHOE FOREST HOSPITAL DISTRICT PO BOX 759 TRUCKEE CA 96160 946004062 115(1) 32558 TO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA. 1 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 122567 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. 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