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← CARSON-TAHOE HOSPITAL MEDICAL STAFF FUND INC

Form 990 for tax year 2022

Filed by CARSON-TAHOE HOSPITAL MEDICAL STAFF FUND INC.

Totals

Total revenue
$72,234
Total expenses
$202,133
Contributions and grants received
$109,750
Grants paid
$100,000
Program service revenue
$0
Investment income
$11,667
Other revenue
-$49,183
Total assets, end of year
$479,295
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$479,295
Program services expenses (Part IX)
$196,333
Management and general expenses
$5,800
Fundraising expenses
$0
Program service expenses (Part III)
$196,333

Program services were 97.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1b · Membership dues

    $109,750

  • 3 · Investment income

    total $11,667

  • 11e · Other revenue, total

    -$49,183

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $100,000 · program services $100,000

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $15,833 · program services $15,833

  • 5 · Compensation of officers, directors and key employees

    total $80,500 · program services $80,500

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $250 · management and general $250

  • 11c · Fees: accounting

    total $5,250 · management and general $5,250

  • 11d · Fees: lobbying

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: 1099 Preparation

    total $300 · management and general $300

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $328,694 · end of year $247,978

  • 12 · Investments: other securities

    beginning of year $280,500 · end of year $231,317

  • 31 · Retained earnings, endowment or other funds

    beginning of year $609,194 · end of year $479,295

Mission and programs · 2022

Mission

To provide stipend funding for the Carson Tahoe Regional Health Center Chief of Staff Position, and to support other local charities.

Activities or mission (Part I)

Healthcare Center and other charities, and to provide stipend funding for the Carson Tahoe Regional Health Center Chief of Staff Position

  • Western Nevada Community College- Scholarships

    Expenses $100,000

  • Director Fees

    Expenses $80,500

  • Hospital Support Services

    Expenses $15,833

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Spencer Mellum

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    4

  • Kent Gabriel

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    2

  • Elizabeth Jack MD

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    2

  • Meg Jack MD

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    2

  • Michael Antonelli MD

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    2

  • Timothy McFarren

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    2

  • Steven Loos MD

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    1

  • Alexander Cafen MD

    Medical Executive Committee

    Total calculated
    $0
    Hours/week
    1

  • Kent Halow MD

    President

    Total calculated
    $0
    Hours/week
    12.5

  • Dave Johnson

    Vice Chief of Staff

    Total calculated
    $0
    Hours/week
    12.5

  • Craig Rau MS

    Quality Chair

    Total calculated
    $0
    Hours/week
    3.5

  • Andrea Weed DO

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    4

  • Roy Sexton

    Medical Chair

    Total calculated
    $0
    Hours/week
    4

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

Provenance

Return type
form_990
Tax year
2022
Filed
13 October 2023
IRS schema version
2022v5.0
Source object
202322869349302442

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