2011-03-14T15:25:14-05:00 2010-06-30 MATSON AND ISOM 3013 CERES AVENUE CHICO CA 95973 990 2009-07-01 200752156 Incline Village Community Hospital Foundation INCL 7758334100 880 Alder Avenue Incline Village NV 89451 Martha Simon 5305826329 2011-02-28 1 Bill Peterson 5308916474 2009 2016-02-24 21:20:13Z Martha Simon 880 Alder Avenue Incline Village NV 89451 313786 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 98 0 0 1027831 310348 0 6056 3438 0 1033887 313786 1062648 210387 0 113685 130595 0 39178 53443 61590 1229776 402572 -195889 -88786 762803 667209 6808 0 755995 667209 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 190907 190907 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. 84778 19480 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. 275685 1 1 0 0 0 0 0 0 0 0 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 19 18 0 0 1 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 X 0 0 0 Fred Pritchard 2.00 X X 0 0 0 Margo Lalchandani 2.00 X X 0 0 0 Jeffrey A Quinn 2.00 X X 0 0 0 Mary Ansari 2.00 X 0 0 0 Craig Biddle 2.00 X 0 0 0 David Collins 2.00 X 0 0 0 Joan Davis 2.00 X 0 0 0 Gary Finch 2.00 X 0 0 0 Candace Healy 2.00 X 0 0 0 Robert Kennedy 2.00 X 0 0 0 Carol Lefcourt 2.00 X 0 0 0 Alison Pretti 2.00 X 0 0 0 Sari Rogoff 2.00 X 0 0 0 Robert Schapper 2.00 X 0 416994 22000 Jonathan Smith 2.00 X 0 0 0 Manuel Sylvester 2.00 X 0 0 0 Andrew Whyman 2.00 X 0 0 0 Roger Kahn 2.00 X 0 0 0 Martha Simon 40.00 X 0 148127 0 0 565121 22000 0 0 1 0 0 310348 191316 310348 3438 3438 313786 0 0 3438 210387 210387 71434 35717 14287 21430 59161 29581 11832 17748 20535 20535 12134 12134 12698 12698 3251 3251 2475 2475 Miscellaneous expenses 9777 9777 Dues and subscriptions 720 720 402572 275685 87709 39178 205183 262025 557430 405184 190 762803 667209 6808 6808 0 X 35 3769 755960 663440 755995 667209 762803 667209 X 0 1 1 X 0 X X X 0 0 0 Tahoe Forest Hospital District 946004062 3 1 1 1 210387 1 210387 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 313786 402572 -88786 0 -88786 313786 0 313786 0 313786 402572 0 402572 0 402572 1 Tahoe Forest Hospital District PO Box 759 Truckee CA 96160 946004062 115(1) 210387 To support and enhance healthcare in the District's service area. 1 0 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 295218 0 121776 0 0 0 22000 0 0 0 438994 0 0 X Employee wages & benefits 1 191316 Cost 0 0 0 Form 990, Part VI, Section A, line 4 The Board of Directors set forth a policy regarding attendance of Directors at Board meetings and granting a Leave of Absence for its members. Directors are expected to attend at least 60% of all meetings of the Board of Directors annually. Unexcused absences resulting in a failure to attend 60% of the meetings shall be considered by the Board of Directors in continuing such Director's term of office beyond that year. Excused absences may be granted. Directors may apply to the Board of Directors for a Leave of Absence up to six months each calendar year. Directors on Leave of Absence shall be exempt from attending meetings and shall not be counted for purposes of establishing a quorum during such leave. 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Tahoe Forest Hospital District B 210387 Tahoe Forest Hospital District C 191316