2015-05-15T17:10:13-05:00 2014-06-30 480567703 KCOE ISOM LLP 3013 CERES AVENUE CHICO CA 95973 990 2013-07-01 943047869 TAHOE FOREST HEALTH SYSTEM FOUNDATION TAHO 5305826329 PO BOX 2508 TRUCKEE CA 961602508 MARTHA SIMON CHIEF DEVELOPMENT OFFICER 5305826329 2015-05-14 1 WILLIAM E PETERSON P00273088 5308916474 2015-05-14 2013 2016-02-25 16:41:14Z MARTHA SIMON PO BOX 2508 TRUCKEE CA 961602508 1481290 0 X WWW.TFHD.COM/TAHOEFORESTFOUNDATION.ASP X 1987 CA TO CREATE A CULTURE OF COLLABORATION WHICH FACILITATES THE EXPLORATION OF CREATIVE OPPORTUNITIES AND SOLUTIONS THAT RESULT IN EXCELLENCE IN COMMUNITY HEALTH CARE 13 12 0 0 0 0 898632 1145232 0 0 0 0 205660 122374 1104292 1267606 571198 823876 0 0 366482 365142 0 0 114099 86234 106302 1023914 1295320 80378 -27714 1802708 1952106 230537 241193 1572171 1710913 TO CREATE A CULTURE OF COLLABORATION WHICH FACILITATES THE EXPLORATION OF CREATIVE OPPORTUNITIES AND SOLUTIONS THAT RESULT IN EXCELLENCE IN COMMUNITY HEALTH CARE 0 0 634138 563846 PROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT FOR THE TAHOE FOREST CANCER CENTER AND CANCER RESEARCH 33949 30186 PROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT'S HOSPICE PROGRAM 258497 229844 PROVIDED 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 CENTER 926584 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 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 13 12 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 CA X TAHOE FOREST HOSPITAL DISTRICT 5305823489 10121 PINE AVENUE TRUCKEE CA 96160 TOM HOBDAY DIRECTOR 5.00 X 0 0 0 PAMELA HOBDAY DIRECTOR 5.00 X 0 0 0 TRINKIE WATSON DIRECTOR 5.00 X 0 0 0 BETSY COLE DIRECTOR 5.00 X 0 0 0 BILL ROCK VICE PRESIDENT 5.00 X X 0 0 0 SARAH JACKSON SECRETARY 5.00 40.00 X X 0 14199 0 STUART YOUNT TREASURER 5.00 X X 0 0 0 CHRIS RYMAN DIRECTOR 5.00 X X 0 0 0 WARREN KOCMOND DIRECTOR 5.00 X 0 0 0 DALE CHAMLIN DIRECTOR 5.00 X 0 0 0 TED OWENS EXECUTIVE DIRECTOR 5.00 40.00 X 0 109321 0 MARTHA SIMON CHIEF DEVELOPMENT OFFICER 5.00 40.00 X 0 122316 0 ROBERT SCHAPPER DIRECTOR 5.00 40.00 X 0 483647 0 0 729483 0 0 0 1 0 0 189672 676542 4375 274643 673847 1145232 336058 189672 213684 122374 122374 1267606 0 0 122374 823876 823876 231637 69491 92655 69491 15414 7707 7707 12193 3430 4953 3810 105898 29787 43020 33091 28000 28000 26191 26191 15931 15931 25473 25473 1524 1524 REPAIRS AND MAINTENANCE 1981 1981 7202 7202 1295320 926584 254637 114099 673529 636397 187299 86706 2753 2753 0 0 941880 1229003 1802708 1952106 134600 219732 95937 21461 230537 241193 X 268813 106129 1303358 1604784 1572171 1710913 1802708 1952106 X -27714 166456 X 0 1 X 1 0 X X X 0 0 0 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 1 1 823876 1 823876 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 937938 113410 162638 8025 1205961 645885 192238 102497 2682 937938 210461 432646 8330 5552 645885 203787 11562 3715 1173 210461 1 0 2753 2753 0 0 OTHER ASSETS 23023 BENEFICIAL INTEREST IN COMMUNITY FOR CANCER CARE ENDOWMENT 1205980 1229003 DUE TO TAHOE FOREST HOSPITAL DISTRICT 18116 HELD IN TRUST FOR OTHERS 3345 21461 X 1647746 166456 166456 1481290 -213684 -213684 1267606 1509004 213684 213684 1295320 0 1295320 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, 2013, 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 166,456. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE -213,684. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE 213,684. GENE UPSHAW MEMORIAL GOLF CLASSIC 322265 51432 270833 35375 136642 BEST OF TAHOE CHEFS 203465 138240 65225 20250 1545 2661 17211 2 525730 189672 336058 55625 1545 2661 153853 213684 122374 1 TAHOE FOREST HOSPITAL DISTRICT 10121 PINE AVENUE TRUCKEE CA 96160 946004062 115(1) 823876 N/A N/A TO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA. 1 PART I, LINE 2: THE 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. X 0 0 0 0 0 0 0 0 0 ROBERT SCHAPPER DIRECTOR 0 395585 0 88062 0 0 0 0 0 0 0 483647 0 0 X EXPENSES-TFHD 1 673876 ACTUAL AMOUNT PAID 0 0 0 0 PART I, COLUMN (B): THE FOUNDATION RECEIVED IN-KIND SUPPORT FROM THE TAHOE FOREST HOSPITAL DISTRICT, PRINCIPALLY IN THE FORM OF EMPLOYEE WAGES AND BENEFITS. THE VALUE OF THIS SUPPORT IS MEASURED BY ACTUAL EXPENSES PAID ON THE FOUNDATIONS'S BEHALF. SCHEDULE M, PART 1, COLUMN (B): THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTORS. 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 2 BOARD MEMBERS TOM AND PAM HOBDAY ARE MARRIED. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD PLACES THE FORM 990 ON ITS AGENDA FOR ITS REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION STUDY IS USED. FORM 990, PART VI, SECTION C, LINE 19 THE 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 166,456. TAHOE FOREST HOSPITAL DISTRICT 10121 PINE AVENUE TRUCKEE CA 96160 946004062 HEALTHCARE CA 115(1) N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0