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AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG (EIN 55-0386283)
Tax period
2020-04-01 to 2021-03-31
Filed
2022-01-12
IRS object ID
202230129349300943
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)
Return2022-01-12T12:03:53-06:00ReturnTs
Tax Period End2021-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550621482PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRAY GRIFFITH & MAYS ACBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA STREETEASTSUITE 400AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253012711ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550386283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUXILIARY OF THE CAMDEN CLARK MEMORIALBusinessNameLine1Txt
Business Name Line2HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAUXIBusinessNameControlTxt
Phone3044242847PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 GARFIELD AVENUEAddressLine1Txt
CityPARKERSBURGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26105ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARJORIE REEDPersonNm
Person TitleVOLUNTEER/AUXILIARY MANAGERPersonTitleTxt
Phone3044242847PhoneNum
Signature2022-01-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARJORIEPersonFirstNm
Person LastREEDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ RYAN LINDSAYPreparerPersonNm
PTINP01835061PTIN
Phone3043459400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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)
Principal OfficerMARJORIE REEDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 GARFIELD AVENUEAddressLine1Txt
CityPARKERSBURGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26105ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$84,532GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionPROMOTE VOLUNTEER SERVICES AND PURCHASE HOSPITAL EQUIPMENTActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers225TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,142PYContributionsGrantsAmt
CY Contributions Grants$720CYContributionsGrantsAmt
PY Program Service Revenue$489,165PYProgramServiceRevenueAmt
CY Program Service Revenue$83,763CYProgramServiceRevenueAmt
PY Investment Income$69PYInvestmentIncomeAmt
CY Investment Income$49CYInvestmentIncomeAmt
PY Other Revenue$3,054PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$494,430PYTotalRevenueAmt
CY Total Revenue$84,532CYTotalRevenueAmt
PY Grants And Similar Paid$92,147PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$77,344CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$359,556PYOtherExpensesAmt
CY Other Expenses$69,971CYOtherExpensesAmt
PY Total Expenses$451,703PYTotalExpensesAmt
CY Total Expenses$147,315CYTotalExpensesAmt
PY Revenues Less Expenses$42,727PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$62,783CYRevenuesLessExpensesAmt
Total Assets BOY$235,027TotalAssetsBOYAmt
Total Assets EOY$172,244TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$235,027NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$172,244NetAssetsOrFundBalancesEOYAmt
MissionPROMOTE VOLUNTEER SERVICES & PURCHASE HOSPITAL EQUIPMENTMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$139,091ExpenseAmt
Grant$77,344GrantAmt
Revenue$83,812RevenueAmt
DescTHE AUXILIARY PROMOTED VOLUNTEER SERVICES AND PURCHASED HOSPITAL EQUIPMENT AND OTHER ITEMS FOR USE AT THE HOSPITAL.Desc
Total Program Service Expenses$139,091TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGIE REEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3044242847PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 GARFIELD AVEAddressLine1Txt
CityPARKERSBURGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RALPH TEWKSBURY
FINANCE CHAIRMAN1.00Yes (X)$0$0$0
DANNY STARR
SHOPPING CART1.00Yes (X)$0$0$0
BECKY BLAIR
HISTORIAN1.00Yes (X)$0$0$0
FLORENCE WHITE
PROJECTS CHAIRMAN1.00Yes (X)$0$0$0
MARTY BOOTH
GIFT SHOP1.00Yes (X)$0$0$0
KATHY WIGGINS
TELEPHONE CHAIRMAN1.00Yes (X)$0$0$0
KAREN KEMP
TELEPHONE CHAIRMAN1.00Yes (X)$0$0$0
CONNIE RUBLE
CO-CHAIRMAN PROJECTS1.00Yes (X)$0$0$0
SUE FLEMING
MEDIA REPRESENTATIVE1.00Yes (X)$0$0$0
JUDITH BALL
IMMEDIATE PAST PRESIDENT/SCHOLARSHIP1.00Yes (X)$0$0$0
CHARLES SWISHER
PARLIMENTARIAN1.00Yes (X)$0$0$0
MARK JENKINS
PRESIDENT1.00$0$0$0Yes (X)
DIANA DAVIS
VICE PRESIDENT1.00$0$0$0Yes (X)
TERRI SMITH
RECORDING SECETARY1.00$0$0$0Yes (X)
SUE RHYMER
CORRESPONDING SECRETARY1.00$0$0$0Yes (X)
TED MAYBERRY
TREASURER1.00$0$0$0Yes (X)
GWEN BUSH
TREASURER1.00$0$0$0Yes (X)
JEFF KNADLER
TREASURER1.00$0$0$0Yes (X)
ROGER BENNETT
PRESIDENT ELECT1.00$0$0$0Yes (X)
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 Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$620MembershipDuesAmt
All Other Contributions$100AllOtherContributionsAmt
Total Contributions$720TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescGIFT SHOPDesc
Business453220BusinessCd
Total Revenue Column$83,763TotalRevenueColumnAmt
Related Or Exempt Func Income$83,763RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$83,763TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49TotalRevenueColumnAmt
Related Or Exempt Func Income$49RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,532TotalRevenueColumnAmt
Related Or Exempt Func Income$83,812RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$77,344TotalAmt
Program Services$77,344ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Management And General$6,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48TotalAmt
Management And General$48ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,102TotalAmt
Management And General$1,102ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COST OF GOODS SOLD$61,747$61,747
OTHER$1,074$1,074

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$147,315TotalAmt
Program Services$139,091ProgramServicesAmt
Management And General$8,224ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$140,462BOYAmt
EOY$64,442EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$94,565BOYAmt
EOY$107,802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,865LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,865LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$235,027BOYAmt
EOY$172,244EOYAmt

Total Liabilities TotalLiabilitiesGrp

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$235,027BOYAmt
EOY$172,244EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$235,027BOYAmt
EOY$172,244EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$235,027BOYAmt
EOY$172,244EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$62,783ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,865OtherCostOrOtherBasisAmt
Depreciation$14,865DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$84,532TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$84,532RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$84,532TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$147,315TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$147,315ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$147,315TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 GARFIELD AVENUEAddressLine1Txt
CityPARKERSBURGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd
FieldValueIRS element (for citing)
Recipient EIN311524546RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$77,344CashGrantAmt
Valuation Method UsedFAIR MARKET VALUEValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantTO PURCHASE HOSPITAL EQUIPMENT CONSISTENT WITH ORGANIZATION'S MISSION.PurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD'S PRESIDENT HAS AUTHORITY TO SIGN AND REVIEW THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION DOCUMENTS AVAILABLE TO THE PUBLIC BY CALLING THE VOLUNTEER/AUXILIARY MANAGER'S OFFICE.