ST MARYS HOSPITAL AUXILIARY OF RICHMOND VA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HOSPITAL AUXILIARY OF RICHMOND VA (EIN 54-0742852)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-14
IRS object ID
201301349349306485
Schema version
2012v2.1
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)
Timestamp2013-05-14T16:02:16-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLS COLEMAN & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13800 PATTERSON AVEAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code232212034ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540742852EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL AUXILIARYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone8047169070Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15801 BREMO RDAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23226ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANK BROGDONName
TitleTREASURER/INCOMING PRESIDENTTitle
Phone8047169070Phone
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW JOSEPH BUGG IIIName
Phone8043581150Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRANK BROGDONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15801 BREMO ROADAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23226ZIPCode
FieldValueIRS element (for citing)
Gross Receipts556553GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT ST. MARY'S HOSPITAL IN PROVIDING SERVICES TO THOSE IN NEED & TO PROVIDE SERVICES & GOODS TO PATIENTS, THEIR FAMILIES & HOSPITAL EMPLOYEES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year42893ContributionsGrantsPriorYear
Contributions Grants Current Year75ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2273InvestmentIncomePriorYear
Investment Income Current Year2661InvestmentIncomeCurrentYear
Other Revenue Prior Year321668OtherRevenuePriorYear
Other Revenue Current Year290579OtherRevenueCurrentYear
Total Revenue Prior Year366834TotalRevenuePriorYear
Total Revenue Current Year293315TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year92803GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY334197GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53745OtherExpensePriorYear
Other Expenses Current Year74567OtherExpensesCurrentYear
Total Expenses Prior Year146548TotalExpensesPriorYear
Total Expenses Current Year408764TotalExpensesCurrentYear
Revenues Less Expenses Prior Year220286RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-115449RevenuesLessExpensesCY
Total Assets BOY875337TotalAssetsBOY
Total Assets EOY759888TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY875337NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY759888NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT ST. MARY'S HOSPITAL IN PROVIDING SERVICES TO THOSE IN NEED & TO PROVIDE SERVICES & GOODS TO PATIENTS, THEIR FAMILIES & HOSPITAL EMPLOYEES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense393684Expense
Grants334197Grants
DescriptionST. MARY'S HOSPITAL AUXILIARY PROVIDED SUPPORT TO ST. MARY'S HOSPITAL AND PROVIDES SERVICES AND GOODS FOR THE CONVENIENCE OF BON SECOURS PATIENTS, THEIR FAMILIES, HOSPITAL EMPLOYEES, AND THOSE IN NEED.Description
Total Program Service Expense393684TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN SMOLINSKINamePerson
Telephone Number8042408636TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15801 BREMO ROADAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23226ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JERRY KATZ
PRESIDENT1.00XX000
FRANK BROGDON
VP/TREASURER1.00XX000
KATHLEEN SZECKER
SECRETARY1.00XX000
LINDA ATTKISSON
DIRECTOR1.00X000
JIM POLLOCK
DIRECTOR1.00X000
BARBARA BASS
DIRECTOR1.00X000
JOAN PUCCIO
DIRECTOR1.00X000
SARAH WOODY
DIRECTOR1.00X000
ANNE GORDON
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions75AllOtherContributions
Total Contributions75TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2661TotalRevenueColumn
Exclusion$2,661ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory553817GrossSalesOfInventory
Cost Of Goods Sold263238CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column290579TotalRevenueColumn
Related Or Exempt Function Income290579RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column293315TotalRevenueColumn
Related Or Exempt Function Income290579RelatedOrExemptFunctionIncome
Exclusion$2,661ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total334197Total
Program Services334197ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16875Total
Program Services1800ProgramServices
Management And General15075ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total595Total
Program Services595ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5152Total
Program Services5152ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4151Total
Program Services4151ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT NEWSPAPERS2716527165
BANK FEES1724317243
BABY CAPS, TEES, GIFTS22262226
DUES AND SUBSCRIPTIONS805805

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total355Total
Program Services350ProgramServices
Management And General5ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total408764Total
Program Services393684ProgramServices
Management And General15080ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY875337BOY
EOY759888EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY875337BOY
EOY759888EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY857398BOY
EOY759888EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17939BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY875337BOY
EOY759888EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY875337BOY
EOY759888EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-115449ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL OF RICHMOND INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN540793767EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$334,197Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts334197SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt556553TotRevenueEtcAuditedFinclStmt
Other Revenues263238OtherRevenues
Revenue Not Rptd F990263238RevenueNotRptdF990
Revenue Subtotal293315RevenueSubtotal
Total Revenue Per Form990293315TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt672002TotExpensesEtcAuditedFinclStmt
Other Expenses Included263238OtherExpensesIncluded
Expenses Not Rptd F990263238ExpensesNotRptdF990
Expenses Subtotal408764ExpensesSubtotal
Total Expenses Per Form990408764TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DCOST OF GOODS SOLD 263,238
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DCOST OF GOODS SOLD 263,238

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA2322654079376712000FORENSIC NURSE
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA2322654079376737495PATIENT ACCESS SERV
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA23226540793767177000RETAIL CORRIDOR
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA2322654079376783000GUEST HOUSE
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA2322654079376716000SCHOLARSHIP AWARDS
ST MARY'S HOSPITAL
5801 BREMO ROADRICHMONDVA232265407937678702SMALLER PROJECTS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ABOARD MEMBERS ARE NOMINATED AND ELECTED BY CURRENT BOARD.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BDRAFT COPIES OF THE 990 WERE MADE AVAILABLE TO THE BOARD MEMBERS FOR REVIEW, AND THE BOARD PRESIDENT AND TREASURER GAVE THE FINAL APPROVAL PRIOR TO FILING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9COST OF GOODS SOLD 263,238 COST OF GOODS SOLD -263,238

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.