2013-05-14T16:23:11-05:00 2012-06-30 942222122 MATSON AND ISOM 3013 CERES AVENUE CHICO CA 95973 990 2011-07-01 200752156 INCLINE VILLAGE COMMUNITY HOSPITAL FOUNDATION INCL 7758334100 880 ALDER AVENUE INCLINE VILLAGE NV 89451 MARTHA SIMON 5305826329 2013-05-13 1 BILL PETERSON P00273088 5308916474 2011 2016-02-25 16:41:14Z MARTHA SIMON 880 ALDER AVENUE INCLINE VILLAGE NV 89451 500151 0 X WWW.TFHD.COM/IVCHFOUNDATION.ASP X 2004 NV TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES 19 18 0 0 0 0 378912 498832 0 0 2209 1319 0 0 381121 500151 169418 188200 0 0 89700 120486 0 55290 102105 45700 43310 304818 407286 76303 92865 743512 836377 0 0 743512 836377 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 135261 135261 THE FOUNDATION SUPPORTS AND ENHANCES THE INCLINE VILLAGE COMMUNITY HOSPITAL PROGRAMS, AN AFFILIATE OF THE TAHOE FOREST HOSPITAL DISTRICT. THIS INCLUDES HELPING WITH THE PHASE I AND PHASE 2 REMODELING PROJECT AT INCLINE VILLAGE COMMUNITY HOSPITAL. 73082 52939 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. 208343 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 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 CAESAR NAPLES 2.00 X 0 0 0 CRAIG BIDDLE 2.00 X 0 0 0 GARY FINCH 2.00 X 0 0 0 BOB KENNEDY 2.00 X 0 0 0 ALISON PRETTI 2.00 X 0 0 0 ROBERT SCHAPPER 2.00 X 0 515027 0 JONATHAN SMITH 2.00 X 0 0 0 ROGER KAHN 2.00 X 0 0 0 RICHARD ATHERTON 2.00 X 0 0 0 WARREN KOCMOND 2.00 X 0 0 0 ARDITH MARGULEAS 2.00 X 0 0 0 NAN HEALY 2.00 X 0 0 0 HOLLY LEFKOWITZ 2.00 X 0 0 0 STUART JED 2.00 X 0 0 0 JOAN DAVIS 2.00 X 0 0 0 RALPH KUHN 2.00 X 0 0 0 MARGO LALCHANDANI 2.00 X X 0 0 0 DAVE COLLINS 2.00 X X 0 0 0 MANNY SYLVESTER 2.00 X X 0 0 0 MARY ANSARI 2.00 X X 0 0 0 FRED PRITCHARD 2.00 X X 0 0 0 JEFFREY QUINN 2.00 X X 0 0 0 MARTHA SIMON 40.00 X 0 133004 0 0 648031 0 0 0 1 0 0 217432 281400 217432 498832 1319 1319 500151 0 0 1319 188200 188200 75597 12638 33586 29373 8534 1427 3791 3316 36355 6078 16151 14126 15686 15686 55290 55290 15355 15355 7868 7868 3610 3610 MISCELLANEOUS EXPENSES 691 691 DUES AND SUBSCRIPTIONS 100 100 407286 208343 96838 102105 11602 55053 564928 621766 166982 159558 743512 836377 0 0 X 3796 3690 739716 832687 743512 836377 743512 836377 92865 0 X 0 1 1 X 0 X X X 0 0 0 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 1 1 188200 1 188200 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 500151 407286 92865 92865 500151 0 500151 0 500151 407286 0 407286 0 407286 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012 AND 2011, 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 55290 -55290 55290 -55290 NV EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) MICHELLE SCHMITTER IS AN INDEPENDENT CONTRACTOR WHO PERFORMS FUNDRAISING AND OTHER SERVICES FOR THE ORGANIZATION. APPROXIMATELY, 70% OF HER TIME IS SPENT ON FUNDRAISING. THE AMOUNT REPORTED IS 100% OF HER CONTRACTED FEE. 1 TAHOE FOREST HOSPITAL DISTRICT PO BOX 759 TRUCKEE CA 96160 946004062 115(1) 188200 TO SUPPORT AND ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 0 0 0 0 0 0 0 0 0 ROBERT SCHAPPER 0 405087 0 109940 0 0 0 0 0 0 0 515027 0 0 X EXPENSES-TFHD 1 217432 ACTUAL AMOUNT PAID 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE FOUNDATION IS REPORTING THE NUMBER OF ACTUAL CONTRIBUTORS. THE FOUNDATION RECEIVES IN-KIND SUPPORT FROM 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 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 VIA E-MAIL IN A PDF FORMAT PRIOR TO ITS FILING. 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. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION: FORM 990, PART VII, SECTION A ROBERT SCHAPPER - 40 HOURS 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 0 0 0 0 0