2012-05-14T13:54:20-05:00 2011-06-30 MATSON AND ISOM 3013 CERES AVENUE CHICO CA 95973 990 2010-07-01 200752156 INCLINE VILLAGE COMMUNITY HOSPITAL FOUNDATION INCL 7758334100 800 ALDER AVENUE INCLINE VILLAGE NV 89451 MARTHA SIMON 5305826329 2012-05-11 1 BILL PETERSON 5308916474 2010 2016-02-24 21:20:13Z MARTHA SIMON PO BOX 2508 TRUCKEE CA 961602508 381121 0 X WWW.TFHD.COM/IVCHFOUNDATION.ASP X 2004 NV TO ASSIST THE INCLINE VILLAGE COMMUNITY HOSPITAL IN DELIVERING OPTIMAL HEALTH CARE SERVICES 18 17 0 0 0 0 310348 378912 0 0 3438 2209 0 0 313786 381121 210387 169418 0 0 130595 89700 0 0 26910 61590 45700 402572 304818 -88786 76303 667209 743512 0 0 667209 743512 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 158258 158258 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. 56010 11160 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. 214268 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 NV X TAHOE FOREST HOSPITAL DISTRICT 5305823489 10121 PINE AVENUE TRUCKEE CA 96160 FRED PRITCHARD 2.00 X X 0 0 0 MARGO LALCHANDANI 2.00 X X 0 0 0 CAESAR NAPLES 2.00 X X 0 0 0 JEFFREY A QUINN CPA 2.00 X X 0 0 0 MARY ANSARI 2.00 X X 0 0 0 CRAIG BIDDLE 2.00 X 0 0 0 DAVID COLLINS 2.00 X 0 0 0 GARY FINCH 2.00 X 0 0 0 ROBERT KENNEDY 2.00 X 0 0 0 ALISON PRETTI MD 2.00 X 0 0 0 ROBERT SCHAPPER 2.00 X 0 414810 16500 JONATHAN SMITH OD 2.00 X 0 0 0 MANUEL SYLVESTER 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 HEALEY 2.00 X 0 0 0 MARTHA SIMON 40.00 X 0 155851 0 0 570661 16500 0 0 1 0 0 378912 133957 378912 2209 2209 381121 0 0 2209 169418 169418 52666 26333 10533 15800 37034 18517 7407 11110 14050 14050 18882 18882 8015 8015 MISCELLANEOUS EXPENSES 3647 3647 DUES AND SUBSCRIPTIONS 1106 1106 304818 214268 63640 26910 3769 11602 258256 564928 405184 166982 667209 743512 0 0 X 3769 3796 663440 739716 667209 743512 667209 743512 76303 0 X 0 1 1 X 0 X X X 0 0 0 TAHOE FOREST HOSPITAL DISTRICT 946004062 3 1 1 1 169418 1 169418 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 381121 304818 76303 0 76303 381121 0 381121 0 381121 304818 0 304818 0 304818 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011 OR 2010, AND THE FOUNDATION DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. 1 TAHOE FOREST HOSPITAL DISTRICT PO BOX 759 TRUCKEE CA 96160 946004062 115(1) 169418 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. X 0 0 0 0 0 0 0 0 0 ROBERT 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 ADMINISTRATIVE EXPENSES 1 133957 COST 0 0 0 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 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 INTERESTED PARTIES AT THE OFFICE. 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 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 TAHOE FOREST HOSPITAL DISTRICT B 169418 FAIR MARKET VALUE TAHOE FOREST HOSPITAL DISTRICT C 133957 FAIR MARKET VALUE