RIVER REGION MEDICAL CENTER AUXILIARY: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
RIVER REGION MEDICAL CENTER AUXILIARY (EIN 58-1979882)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-10-03
IRS object ID
201912839349301601
Schema version
2018v3.1
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)
Return2019-10-03T14:44:57-04:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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)
PersonPATRICIA SIMRALLPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6014153245PhoneNum
Signature2019-09-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebecca W AntwinePreparerPersonNm
PTINP00632950PTIN
Phone6016383586PhoneNum
Preparation2019-10-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.216.201.73IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-10IPDt
IP Tm15:20:42IPTm
Federal Original Submission Id6465182019283xojo5piFederalOriginalSubmissionId
Federal Original Submission Id2019-10-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3CDDB2B3C18BBC47BDC79AD552074B4D7856E1A6AtSubmissionCreationDeviceId
At Submission Filing Device Id3CDDB2B3C18BBC47BDC79AD552074B4D7856E1A6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$46,388GrossReceiptsAmt
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 Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$30,149PYContributionsGrantsAmt
CY Contributions Grants$46,369CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$12PYInvestmentIncomeAmt
CY Investment Income$19CYInvestmentIncomeAmt
PY Other Revenue$8,650PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$38,811PYTotalRevenueAmt
CY Total Revenue$46,388CYTotalRevenueAmt
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$42,933PYOtherExpensesAmt
CY Other Expenses$51,928CYOtherExpensesAmt
PY Total Expenses$42,933PYTotalExpensesAmt
CY Total Expenses$51,928CYTotalExpensesAmt
PY Revenues Less Expenses-$4,122PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,540CYRevenuesLessExpensesAmt
Total Assets BOY$74,630TotalAssetsBOYAmt
Total Assets EOY$69,706TotalAssetsEOYAmt
Total Liabilities BOY$4,834TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,450TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$69,796NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$64,256NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT FOR PATIENTS AND PROVIDE SCOLARSHIPS TO NURSING STUDENTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,600ExpenseAmt
DescSCHOLARSHIPS ARE PROVIDED TO INDIVIDUALS PURSUINGNURSING DEGREESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,444ExpenseAmt
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$6,884ExpenseAmt
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$51,928TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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
Membership Dues$201MembershipDuesAmt
Government Grants$46,168GovernmentGrantsAmt
Total Contributions$46,369TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19TotalRevenueColumnAmt
Related Or Exempt Func Income$19RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,388TotalRevenueColumnAmt
Related Or Exempt Func Income$19RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
UNRELATED EXPENSES FROM 990T$18,444$18,444
SCHOLARSHIPS AWARDED$26,600$26,600
SUPPLIES$6,884$6,884

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,928TotalAmt
Program Services$51,928ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$32,622BOYAmt
EOY$33,692EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$42,008BOYAmt
EOY$36,014EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,630BOYAmt
EOY$69,706EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,834BOYAmt
EOY$5,450EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,834BOYAmt
EOY$5,450EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,796BOYAmt
EOY$64,256EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,796BOYAmt
EOY$64,256EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,630BOYAmt
EOY$69,706EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,540ReconcilationRevenueExpnssAmt
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$18,439CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,845CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,149CurrentTaxYearMinus1YearAmt
Current Tax Year$46,369CurrentTaxYearAmt
Total$135,933TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,735CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,886CurrentTaxYearMinus1YearAmt
Current Tax Year$25,868CurrentTaxYearAmt
Total$287,041TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,376CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$90,580CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,035CurrentTaxYearMinus1YearAmt
Current Tax Year$72,237CurrentTaxYearAmt
Total$422,974TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$422,974PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12CurrentTaxYearMinus1YearAmt
Current Tax Year$19CurrentTaxYearAmt
Total$45TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12CurrentTaxYearMinus1YearAmt
Current Tax Year$19CurrentTaxYearAmt
Total$45TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$90,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,047CurrentTaxYearMinus1YearAmt
Current Tax Year$72,256CurrentTaxYearAmt
Total$423,019TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
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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