2011-03-14T15:25:14-05:00 2010-06-30 MATSON AND ISOM 3013 CERES AVENUE CHICO CA 95973 990 2009-07-01 943047869 Tahoe Forest Health System Foundation TAHO 5305826329 PO Box 2508 Truckee CA 961602508 Martha Simon 5305826329 2011-02-28 1 Bill Peterson 5308916474 2009 2016-02-24 21:20:13Z Martha Simon PO Box 2508 Truckee CA 961602508 1277330 0 X www.tfhd.com/tahoeforestfoundation.asp X 1987 CA To create a culture of collaboration that results in excellence in community health care 7 7 0 459 0 0 919123 843085 0 268 107 160690 297456 1080081 1140648 493797 497812 0 402682 281048 0 84314 238015 127941 1134494 906801 -54413 233847 140009 336393 130152 92689 9857 243704 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 447935 349326 Provided support to the Tahoe Forest Hospital District for the Tahoe Forest Cancer Center and cancer research. 47085 36720 Provided support to the Tahoe Forest Hospital District's Hospice program. 143317 111766 Provided support to a variety of services and programs at the Tahoe Forest Hospital District, including long-term care, the Children's Center, community wellness, emergency services, intensive care, home health, and the Women & Family Center. 638337 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 7 7 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X Tahoe Forest Hospital District 5305823489 10121 Pine Avenue Truckee CA 96160 X Tom Hobday 5.00 X 0 0 0 Pam Hobday 5.00 X 0 0 0 Robert Kennedy 5.00 X 0 0 0 Chris Ryman 5.00 X X 0 0 0 Roger Wittenberg 5.00 X X 0 0 0 Stuart Yount 5.00 X X 0 0 0 Roger Kahn 5.00 X 0 0 0 Martha Simon 40.00 X 0 148127 0 0 148127 0 0 0 0 0 0 15973 827112 401605 843085 107 107 434138 136682 297456 297456 1140648 0 0 297563 497812 497812 148127 74064 29625 44438 62714 31357 12543 18814 70207 35104 14041 21062 8618 8618 General & admin. 62870 62870 Professional fees 32138 32138 Services 24315 24315 906801 638337 184150 84314 130517 332258 5550 193 3942 3942 140009 336393 128025 49743 2127 42946 130152 92689 X 7537 19478 2320 224226 9857 243704 140009 336393 X 0 1 1 X 0 X X X 0 0 0 Tahoe Forest Hospital District 946004062 3 1 1 1 497812 1 497812 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Held in trust for others 1231 Due to Tahoe Forest Hospital District 41715 42946 1140648 906801 233847 0 233847 1277330 0 1277330 -136682 -136682 1140648 1043483 136682 136682 906801 0 906801 Part XII, Line 4b - Other Adjustments: Fundraising expenses netted against fundraising revenue: -136682. Part XIII, Line 2d - Other Adjustments: Fundraising expenses netted against fundraising revenue: 136682. Gene Upshaw Memorial Golf Classic 225782 225782 97467 Best of Tahoe Chefs 208356 208356 39215 434138 434138 136682 136682 297456 0 Tahoe Forest Hospital District 10121 Pine Ave Truckee CA 96160 946004062 115(1) 497812 0 N/A N/A To support & enhance healthcare in the District's service area. X Employee wages & benefits 1 401605 0 0 0 Form 990, Part VI, Section A, line 2 Tom and Pam Hobday are married. Form 990, Part VI, Section A, line 4 On June 30, 2009, the Articles of Incorportion were amended to change the name of the organization from "Tahoe Forest Hospital Foundation" to "Tahoe Forest Health System Foundation," and also further amended to provide that upon dissolution of the corporation, all assets of the corporation shall be transferred to Tahoe Forest Hospital District. If Tahoe Forest Hospital District is not then in existence, such remaining assets shall be distributed to a nonprofit fund, foundation or corporation which is organized and operated exclusively for charitable, educational or scientific purposes, and which has established its tax exempt status under IRC section 501(c)(3). 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 The organization makes its governing documents, financial statements, and Form 990 available to the public upon request. 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 The Tahoe Forest Hospital District B 497812 The Tahoe Forest Hospital District C 401605