2012-05-15T17:47:10-05:00 2011-06-30 MATSON AND ISOM 3013 CERES AVENUE CHICO CA 95973 990 2010-07-01 943047869 TAHOE FOREST HEALTH SYSTEM FOUNDATION TAHO 5305826329 PO BOX 2508 TRUCKEE CA 961602508 MARTHA SIMON 5305826329 2012-05-14 1 BILL PETERSON 5308916474 2010 2016-02-24 21:20:13Z MARTHA SIMON PO BOX 2508 TRUCKEE CA 961602508 1676020 0 X WWW.TFHD.COM/TAHOEFORESTFOUNDATION.ASP X 1987 CA TO CREATE A CULTURE OF COLLABORATION THAT RESULTS IN EXCELLENCE IN COMMUNITY HEALTH CARE 8 7 0 534 0 0 843085 1216256 0 0 107 3990 297456 303656 1140648 1523902 497812 739288 0 0 281048 344228 0 0 68845 127941 152683 906801 1236199 233847 287703 336393 735371 92689 196606 243704 538765 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 581329 471547 PROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT FOR THE TAHOE FOREST CANCER CENTER AND CANCER RESEARCH 68676 55707 PROVIDED SUPPORT TO THE TAHOE FOREST HOSPITAL DISTRICT'S HOSPICE PROGRAM 265113 212034 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 915118 1 1 0 0 0 0 0 0 1 0 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 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 ROGER WITTENBERG 5.00 X X 0 0 0 TOM HOBDAY 5.00 X 0 0 0 ROBERT KENNEDY 5.00 X 0 0 0 CHRIS RYMAN 5.00 X 0 0 0 PAM HOBDAY 5.00 X 0 0 0 STUART YOUNT 5.00 X 0 0 0 ROGER KAHN 5.00 X 0 0 0 BOB SCHAPPER 5.00 X 0 414810 16500 MARTHA SIMON 40.00 X 0 155851 0 0 570661 16500 0 0 1 0 0 11100 1205156 493065 1216256 2383 2383 11906 10299 1607 1607 1607 445475 141819 303656 303656 1523902 0 0 307646 739288 739288 155850 77925 46755 31170 97811 48906 29343 19562 90567 45284 27170 18113 14375 14375 1174 1174 2536 2536 1186 1186 14454 14454 25928 25928 3328 3328 50 50 SERVICES 83548 83548 ENDOWMENT GRANT EXPENSE 3715 3715 MISCELLANEOUS 2389 2389 1236199 915118 252236 68845 332258 370099 150531 193 338 3942 214403 336393 735371 49743 155410 42946 41196 92689 196606 X 19478 9594 224226 529171 243704 538765 336393 735371 X 287703 7358 X 0 1 1 X 0 X X X 0 0 0 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 1 1 739288 1 739288 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 203787 11562 3715 1173 210461 1.00000 1 0 0 OTHER ASSETS 3942 BENEFICIAL INTEREST IN COMMUNITY FOR CANCER CARE ENDOWMENT 210461 214403 HELD IN TRUST FOR OTHERS 3382 DUE TO TAHOE FOREST HOSPITAL DISTRICT 37814 41196 1523902 1236199 287703 7358 7358 295061 1668191 7358 7358 1660833 -136931 -136931 1523902 1373130 136931 136931 1236199 0 1236199 EXPLANATION OF CHANGES TO CONSERVATION EASEMENTS: PART II, LINE 3: 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, 2011, AND THE FOUNDATION DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT TWELVE MONTHS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUND IS INTENDED TO SUPPORT THE CANCER CENTER IN THE TREAMENT, SUPPORT, AND PREVENTION OF CANCER. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE -141,819. EXPENSES INCLUDED IN CHANGE IN ENDOWMENT FUND 4,888. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING REVENUE 141,819. EXPENSES INCLUDED IN CHANGE IN ENDOWMENT FUND -4,888. GENE UPSHAW MEMORIAL GOLF CLASSIC 209894 209894 99398 BEST OF TAHOE CHEFS 187002 187002 37814 1 48579 48579 4607 445475 445475 141819 141819 303656 0 TAHOE FOREST HOSPITAL DISTRICT 10121 PINE AVE TRUCKEE CA 96160 946004062 115(1) 739288 0 N/A N/A TO SUPPORT & ENHANCE HEALTHCARE IN THE DISTRICT'S SERVICE AREA. X 0 0 0 0 0 0 0 0 0 BOB SCHAPPER 0 298868 0 115942 0 0 0 16500 0 0 0 431310 0 0 MARTHA SIMON 0 131552 0 24299 0 0 0 0 0 0 0 155851 0 0 X 1 10444 FMV X EMPLOYEE WAGES & BENEFITS 1 482621 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 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 ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 7,358. 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. 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 THE TAHOE FOREST HOSPITAL DISTRICT B 739288 THE TAHOE FOREST HOSPITAL DISTRICT C 482621