TAHOE FOREST HEALTH SYSTEM FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TAHOE FOREST HEALTH SYSTEM FOUNDATION (EIN 94-3047869)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201631349349305403
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T13:54:38-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN480567703PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KCOE ISOM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13013 CERES AVENUEAddressLine1Txt
CityCHICOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95973ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943047869EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAHOE FOREST HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTAHOBusinessNameControlTxt
Phone5305826329PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2508AddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP961602508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTHA SIMONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5305826329PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM E PETERSONPreparerPersonNm
PTINP00273088PTIN
Phone5308916474PhoneNum
Preparation2016-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRYSTAL BETTSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2508AddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP961602508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,545,899GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TFHD.COM/TAHOEFORESTFOUNDATION.ASPWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO CREATE A CULTURE OF COLLABORATION WHICH FACILITATES THE EXPLORATION OF CREATIVE OPPORTUNITIES AND SOLUTIONS THAT RESULT IN EXCELLENCE IN COMMUNITY HEALTH CAREActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers648TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,145,232PYContributionsGrantsAmt
CY Contributions Grants$1,118,149CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$122,374PYOtherRevenueAmt
CY Other Revenue$234,190CYOtherRevenueAmt
PY Total Revenue$1,267,606PYTotalRevenueAmt
CY Total Revenue$1,352,339CYTotalRevenueAmt
PY Grants And Similar Paid$823,876PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$879,542CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$365,142PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$357,060CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$97,270CYTotalFundraisingExpenseAmt
PY Other Expenses$106,302PYOtherExpensesAmt
CY Other Expenses$136,889CYOtherExpensesAmt
PY Total Expenses$1,295,320PYTotalExpensesAmt
CY Total Expenses$1,373,491CYTotalExpensesAmt
PY Revenues Less Expenses-$27,714PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,152CYRevenuesLessExpensesAmt
Total Assets BOY$1,952,106TotalAssetsBOYAmt
Total Assets EOY$1,973,770TotalAssetsEOYAmt
Total Liabilities BOY$241,193TotalLiabilitiesBOYAmt
Total Liabilities EOY$280,321TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,710,913NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,693,449NetAssetsOrFundBalancesEOYAmt
MissionTO CREATE A CULTURE OF COLLABORATION WHICH FACILITATES THE EXPLORATION OF CREATIVE OPPORTUNITIES AND SOLUTIONS THAT RESULT IN EXCELLENCE IN COMMUNITY HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$678,974ExpenseAmt
Grant$596,331GrantAmt
DescPROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT FOR THE TAHOE FOREST CANCER CENTER AND CANCER RESEARCHDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$29,213ExpenseAmt
Grant$25,657GrantAmt
DescPROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT'S HOSPICE PROGRAMDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$293,247ExpenseAmt
Grant$257,554GrantAmt
DescPROVIDED SUPPORT TO A VARIETY OF SERVICES AND PROGRAMS AT THE TAHOE FOREST HOSPITAL DISTRICT, INCLUDING THE CHILDREN'S CENTER, COMMUNITY WELLNESS, EMERGENCY SERVICES, PHYSICAL THERAPY, HOME HEALTH, AND THE WOMEN & FAMILY CENTERDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,001,434TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAHOE FOREST HOSPITAL DISTRICTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5305823489PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110121 PINE AVENUEAddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96160ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeInd
TOM HOBDAY
DIRECTOR5.00Yes (X)$0$0$0
PAMELA HOBDAY
DIRECTOR5.00Yes (X)$0$0$0
TRINKIE WATSON
DIRECTOR5.00Yes (X)$0$0$0
BETSY COLE
DIRECTOR5.00Yes (X)$0$0$0
SARAH JACKSON
SECRETARY5.00Yes (X)$0$0$040.00Yes (X)
STUART YOUNT
TREASURER5.00Yes (X)$0$0$0Yes (X)
CHRIS RYMAN
DIRECTOR5.00Yes (X)$0$0$0Yes (X)
WARREN KOCMOND
BOARD PRESIDENT5.00Yes (X)$0$0$0
DALE CHAMBLIN
DIRECTOR5.00Yes (X)$0$0$0
MARTHA SIMON
DIRECTOR OF FUND DEVELOPMENT5.00$0$132,970$31,28240.00Yes (X)
ROBERT SCHAPPER
DIRECTOR5.00$0$449,891$61,01740.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$582,861TotReportableCompRltdOrgAmt
Total Other Compensation$92,299TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$137,572FundraisingAmt
Related Organizations$613,415RelatedOrganizationsAmt
Government Grants$1,750GovernmentGrantsAmt
All Other Contributions$365,412AllOtherContributionsAmt
Noncash Contributions$610,515NoncashContributionsAmt
Total Contributions$1,118,149TotalContributionsAmt
Fundraising Gross Income$397,750FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$137,572ContriRptFundraisingEventAmt
Fundraising Direct Expenses$193,560FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$204,190TotalRevenueColumnAmt
Exclusion$204,190ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$30,000GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,000TotalRevenueColumnAmt
Exclusion$30,000ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,352,339TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$234,190ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$879,542TotalAmt
Program Services$879,542ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$239,899TotalAmt
Program Services$81,896ProgramServicesAmt
Management And General$92,650ManagementAndGeneralAmt
Fundraising$65,353FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,078TotalAmt
Program Services$5,489ProgramServicesAmt
Management And General$6,209ManagementAndGeneralAmt
Fundraising$4,380FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$101,083TotalAmt
Program Services$34,507ProgramServicesAmt
Management And General$39,039ManagementAndGeneralAmt
Fundraising$27,537FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,500TotalAmt
Management And General$18,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,338TotalAmt
Management And General$26,338ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$55,253TotalAmt
Management And General$55,253ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,512TotalAmt
Management And General$25,512ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,062TotalAmt
Management And General$6,062ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescREPAIRS AND MAINTENANCEDesc
Total$2,135TotalAmt
Management And General$2,135ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,089TotalAmt
Management And General$3,089ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,373,491TotalAmt
Program Services$1,001,434ProgramServicesAmt
Management And General$274,787ManagementAndGeneralAmt
Fundraising$97,270FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$636,397BOYAmt
EOY$629,921EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$86,706BOYAmt
EOY$28,281EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,753LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,753LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,229,003BOYAmt
EOY$1,315,568EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,952,106BOYAmt
EOY$1,973,770EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$219,732BOYAmt
EOY$273,265EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,461BOYAmt
EOY$7,056EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,193BOYAmt
EOY$280,321EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,129BOYAmt
EOY$32,814EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,604,784BOYAmt
EOY$1,660,635EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,710,913BOYAmt
EOY$1,693,449EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,952,106BOYAmt
EOY$1,973,770EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,152ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,688OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TAHOE FOREST HOSPITAL DISTRICTBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN946004062EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$879,542SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$879,542SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,205,961BeginningYearBalanceAmt
Contributions$82,175ContributionsAmt
Investment Earnings Or Losses-$699InvestmentEarningsOrLossesAmt
Administrative Expenses$12,460AdministrativeExpensesAmt
End Year Balance$1,274,977EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$937,938BeginningYearBalanceAmt
Contributions$113,410ContributionsAmt
Investment Earnings Or Losses$162,638InvestmentEarningsOrLossesAmt
Administrative Expenses$8,025AdministrativeExpensesAmt
End Year Balance$1,205,961EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$645,885BeginningYearBalanceAmt
Contributions$192,238ContributionsAmt
Investment Earnings Or Losses$102,497InvestmentEarningsOrLossesAmt
Administrative Expenses$2,682AdministrativeExpensesAmt
End Year Balance$937,938EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$210,461BeginningYearBalanceAmt
Contributions$432,646ContributionsAmt
Investment Earnings Or Losses$8,330InvestmentEarningsOrLossesAmt
Administrative Expenses$5,552AdministrativeExpensesAmt
End Year Balance$645,885EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$203,787ContributionsAmt
Investment Earnings Or Losses$11,562InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,715GrantsOrScholarshipsAmt
Administrative Expenses$1,173AdministrativeExpensesAmt
End Year Balance$210,461EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,753OtherCostOrOtherBasisAmt
Depreciation$2,753DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$40,572
BENEFICIAL INTEREST IN COMMUNITY FOR CANCER CARE ENDOWMENT$1,274,996
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,315,568TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO TAHOE FOREST HOSPITAL DISTRICT$1,873
HELD IN TRUST FOR OTHERS$5,183
FieldValueIRS element (for citing)
Total Liability$7,056TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,549,587TotalRevEtcAuditedFinclStmtAmt
Other Revenue$3,688OtherRevenueAmt
Revenue Not Reported$3,688RevenueNotReportedAmt
Revenue Subtotal$1,545,899RevenueSubtotalAmt
Other Revenues Not Included-$193,560OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$193,560RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,352,339TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,567,051TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$193,560OtherExpensesIncludedAmt
Expenses Not Reported$193,560ExpensesNotReportedAmt
Expenses Subtotal$1,373,491ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,373,491TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUND IS INTENDED TO SUPPORT THE CANCER CENTER IN THE TREATMENT, SUPPORT, AND PREVENTION OF CANCER.
PART X, LINE 2:THE FOUNDATION ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB 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 THE FOUNDATION DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN ENDOWMENT 3,688.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE -193,560.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE 193,560.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GENE UPSHAW MEMORIAL GOLF CLASSICEvent1Nm
Gross Receipts Event1$339,060GrossReceiptsEvent1Amt
Charitable Contri Event1$15,665CharitableContriEvent1Amt
Gross Revenue Event1$323,395GrossRevenueEvent1Amt
Rent Facility Costs Event1$21,900RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$129,568OtherDirectExpensesEvent1Amt
Event2BEST OF TAHOE CHEFSEvent2Nm
Gross Receipts Event2$159,632GrossReceiptsEvent2Amt
Charitable Contri Event2$121,907CharitableContriEvent2Amt
Gross Revenue Event2$37,725GrossRevenueEvent2Amt
Rent Facility Costs Event2$18,746RentFacilityCostsEvent2Amt
Food And Beverage Event2$740FoodAndBeverageEvent2Amt
Entertainment Event2$2,968EntertainmentEvent2Amt
Other Direct Expenses Event2$19,639OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Total$498,692GrossReceiptsTotalAmt
Charitable Contributions Tot$137,572CharitableContributionsTotAmt
Gross Revenue Total Events$361,120GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$40,646RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$740FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,968EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$149,207OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$193,561DirectExpenseSummaryEventsAmt
Net Income Summary$167,559NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$30,000GrossRevenueOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$30,000GrossRevenueTotalGamingAmt
Net Gaming Income Summary$30,000NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Individual With BooksMARTHA SIMONIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2508AddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP961602508ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1TAHOE FOREST HOSPITAL DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110121 PINE AVENUEAddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96160ZIPCd
FieldValueIRS element (for citing)
Recipient EIN946004062RecipientEIN
IRC Section115(1)IRCSectionDesc
Cash Grant$879,542CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantTO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA.PurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION EXISTS TO SUPPORT AND ENHANCE HEALTHCARE IN THE TAHOE FOREST HOSPITAL DISTRICT'S (THE DISTRICT) SERVICE AREA. ACCORDINGLY, THE FOUNDATION'S ASSISTANCE REPRESENTS PAYMENTS DIRECTLY MADE TO THE DISTRICT IN FURTHERANCE OF THESE PURPOSES. THE BOARD OF DIRECTORS FROM THE FOUNDATION AND THE DISTRICT PERFORM MONITORING PROCEDURES TO ENSURE THAT THE ASSISTANCE PROVIDED BY THE FOUNDATION IS USED TO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARTHA SIMON
DIRECTOR OF FUND DEVELOPMENT$0$132,970$0$0$0$0$0$9,364$0$21,918$0$164,252$0$0
ROBERT SCHAPPER
DIRECTOR$0$449,891$0$0$0$0$0$29,389$0$31,628$0$510,908$0$0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEXPENSES-TFHDDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$610,515NoncashContributionsRptF990Amt
Method Of Determining RevenuesACTUAL AMOUNT PAIDMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 A, LINE 2BOARD MEMBERS TOM AND PAM HOBDAY ARE MARRIED.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD PLACES THE FORM 990 ON ITS AGENDA FOR ITS REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 15AA COMPENSATION STUDY IS USED.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST 3,688.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1TAHOE FOREST HOSPITAL DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110121 PINE AVENUEAddressLine1Txt
CityTRUCKEECityNm
State AbbreviationCAStateAbbreviationCd
ZIP96160ZIPCd
FieldValueIRS element (for citing)
EIN946004062EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section115(1)ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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