RIVER REGION MEDICAL CENTER AUXILIARY: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
RIVER REGION MEDICAL CENTER AUXILIARY (EIN 58-1979882)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-11-16
IRS object ID
201523209349312067
Schema version
2014v5.0
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)
Return2015-11-16T08:56:06-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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
Phone6016346465PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA ANTWINEPreparerPersonNm
PTINP00632950PTIN
Phone6016383586PhoneNum
Preparation2015-11-16PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$99,376GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation2002FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionPROVIDE SUPPORT FOR PATIENTSActivityOrMissionDesc
Voting Members Governing Body60VotingMembersGoverningBodyCnt
Voting Members Independent60VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$24,524TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,406PYContributionsGrantsAmt
CY Contributions Grants$20,439CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$17,054PYOtherRevenueAmt
CY Other Revenue$24,524CYOtherRevenueAmt
PY Total Revenue$43,463PYTotalRevenueAmt
CY Total Revenue$44,963CYTotalRevenueAmt
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$42,211PYOtherExpensesAmt
CY Other Expenses$46,227CYOtherExpensesAmt
PY Total Expenses$42,211PYTotalExpensesAmt
CY Total Expenses$46,227CYTotalExpensesAmt
PY Revenues Less Expenses$1,252PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,264CYRevenuesLessExpensesAmt
Total Assets BOY$73,779TotalAssetsBOYAmt
Total Assets EOY$72,365TotalAssetsEOYAmt
Total Liabilities BOY$330TotalLiabilitiesBOYAmt
Total Liabilities EOY$180TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$73,449NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$72,185NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT FOR PATIENTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$24,152ExpenseAmt
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 Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,075ExpenseAmt
DescSCHOLARSHIPS ARE PROVIDED TO INDIVIDUALS PURSUINGNURSING DEGREESDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
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$46,227TotalProgramServiceExpensesAmt
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 ActivitiesYes (true)FundraisingActivitiesInd
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
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members60GoverningBodyVotingMembersCnt
Independent Voting Member60IndependentVotingMemberCnt
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)
PersonPAT SUMRALLPersonNm
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)
PersonPAT SUMRALLPersonNm
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$118MembershipDuesAmt
Fundraising$20,321FundraisingAmt
Total Contributions$20,439TotalContributionsAmt
Contri Rpt Fundraising Event$20,321ContriRptFundraisingEventAmt
Gross Sales Of Inventory$78,937GrossSalesOfInventoryAmt
Cost Of Goods Sold$54,413CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,524TotalRevenueColumnAmt
Unrelated Business Revenue$24,524UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,963TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$24,524UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
UNRELATED EXPENSES FROM 990T$24,152$24,152
SCHOLARSHIPS AWARDED$22,075$22,075

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,227TotalAmt
Program Services$46,227ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,422BOYAmt
EOY$39,662EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,357BOYAmt
EOY$32,703EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,779BOYAmt
EOY$72,365EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$330BOYAmt
EOY$180EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$330BOYAmt
EOY$180EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$73,449BOYAmt
EOY$72,185EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,449BOYAmt
EOY$72,185EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,779BOYAmt
EOY$72,365EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,264ReconcilationRevenueExpnssAmt
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$21,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,565CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,968CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,406CurrentTaxYearMinus1YearAmt
Current Tax Year$18,439CurrentTaxYearAmt
Total$112,182TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$108,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105,110CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,791CurrentTaxYearMinus1YearAmt
Current Tax Year$80,937CurrentTaxYearAmt
Total$477,319TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,067CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,783CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104,197CurrentTaxYearMinus1YearAmt
Current Tax Year$99,376CurrentTaxYearAmt
Total$589,501TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$589,501PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3CurrentTaxYearMinus1YearAmt
Current Tax Year$3CurrentTaxYearAmt
Total$42TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3CurrentTaxYearMinus1YearAmt
Current Tax Year$3CurrentTaxYearAmt
Total$42TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,081CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104,200CurrentTaxYearMinus1YearAmt
Current Tax Year$99,379CurrentTaxYearAmt
Total$589,543TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1JEWELRY SALEEvent1Nm

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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