RIVER REGION MEDICAL CENTER AUXILIARY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RIVER REGION MEDICAL CENTER AUXILIARY (EIN 58-1979882)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-02-15
IRS object ID
202240469349302699
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-02-15T21:11:46-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN261094698PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANTWINE ACCOUNTING SERVICEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13527 WISCONSIN AVEAddressLine1Txt
CityVicksburgCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39180ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581979882EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVER REGION MEDICAL AUXILIARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIVEBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 HWY 61 NORTHAddressLine1Txt
CityVICKSBURGCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39183ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAT SUMRALLPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6014153245PhoneNum
Signature2022-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPATPersonFirstNm
Person LastSUMRALLPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA W ANTWINEPreparerPersonNm
PTINP00632950PTIN
Phone6016383586PhoneNum
Preparation2022-02-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$12,833GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation2002FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionPROVIDE SUPPORT FOR PATIENTS AND PROVIDE SCOLARSHIPS TO NURSING STUDENTSActivityOrMissionDesc
Voting Members Governing Body50VotingMembersGoverningBodyCnt
Voting Members Independent50VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$32,266PYContributionsGrantsAmt
CY Contributions Grants$12,825CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$18PYInvestmentIncomeAmt
CY Investment Income$8CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$32,284PYTotalRevenueAmt
CY Total Revenue$12,833CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$21,116PYOtherExpensesAmt
CY Other Expenses$23,359CYOtherExpensesAmt
PY Total Expenses$21,116PYTotalExpensesAmt
CY Total Expenses$23,359CYTotalExpensesAmt
PY Revenues Less Expenses$11,168PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,526CYRevenuesLessExpensesAmt
Total Assets BOY$80,663TotalAssetsBOYAmt
Total Assets EOY$64,898TotalAssetsEOYAmt
Total Liabilities BOY$5,239TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$75,424NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$64,898NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT FOR PATIENTS AND PROVIDE SCOLARSHIPS TO NURSING STUDENTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,550ExpenseAmt
DescSCHOLARSHIPS ARE PROVIDED TO INDIVIDUALS PURSUINGNURSING DEGREESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,975ExpenseAmt
DescOPERATION OF A GIFT & BEAUTY SHOP IN THE HOSPITALFOR THE MORALE & CONVIENCE OF PATIENTS, FAMILIES &VISITORS. DIFFICULT TO ESTIMATE NUMBER BENEFITTED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,834ExpenseAmt
DescMAN INFO DESK, ANSWER PHONES, SERVE COFFEE INSURGICAL WAITING AREA, READ TO PATIENTS, FAVORSDURING HOLIDAY. ESTIMATE 5000-6000 BENEFITTED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$23,359TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members50GoverningBodyVotingMembersCnt
Independent Voting Member50IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPATRICIA SIMRALLPersonNm
Phone6016346465PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 HWY 61 NORTHAddressLine1Txt
CityVICKSBURGCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39183ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp

FieldValueIRS element (for citing)
PersonPATRICIA SIMRALLPersonNm
TitleTREASURERTitleTxt
Average Hours Per Week20.00AverageHoursPerWeekRt
Average Hours Per Week Rltd Org0.00AverageHoursPerWeekRltdOrgRt
OfficerYes (X)OfficerInd
Reportable Comp From Org$0ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$12,825AllOtherContributionsAmt
Total Contributions$12,825TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8TotalRevenueColumnAmt
Related Or Exempt Func Income$8RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,833TotalRevenueColumnAmt
Related Or Exempt Func Income$8RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ADMINISTRATIVE EXPENSES$1,975$1,975
SCHOLARSHIPS AWARDED$19,550$19,550
SUPPLIES$1,834$1,834

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,359TotalAmt
Program Services$23,359ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$36,018BOYAmt
EOY$17,822EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,645BOYAmt
EOY$47,076EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,663BOYAmt
EOY$64,898EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,239BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,239BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,424BOYAmt
EOY$64,898EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,424BOYAmt
EOY$64,898EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,663BOYAmt
EOY$64,898EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$10,526ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,131CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,149CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,266CurrentTaxYearMinus1YearAmt
Current Tax Year$12,868CurrentTaxYearAmt
Total$141,783TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,318CurrentTaxYearMinus1YearAmt
Total$147,687TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,746CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,237CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,584CurrentTaxYearMinus1YearAmt
Current Tax Year$12,868CurrentTaxYearAmt
Total$289,470TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$289,470PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18CurrentTaxYearMinus1YearAmt
Current Tax Year$8CurrentTaxYearAmt
Total$65TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18CurrentTaxYearMinus1YearAmt
Current Tax Year$8CurrentTaxYearAmt
Total$65TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,602CurrentTaxYearMinus1YearAmt
Current Tax Year$12,876CurrentTaxYearAmt
Total$289,535TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99980PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule G IRS990ScheduleG

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Members or stockholder classes and rights Part VI line 6MEMBERS VOLUNTEER THEIR TIME FOR THE BETTERMENT OF THE HOSPITAL AND THE PATIENTS
Member election for additional members Part VI line 7aMEMBERS ELECT OFFICERS EACH YEAR
Governing body decisions Part VI line 7bMEETINGS ARE HELD ON A REGULAR BASIS
Form 990 governing body review Part VI line 11THE OFFICERS REVIEW THE RETURN BEFORE IT IS FILED
Officer director etc mailing address Part VI line 9THE OFFICERS CAN BE REACHED AT THE HOSPITAL LOCATION
Governing documents etc available to public Part VI line 19UPON REQUEST

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