MEMORIAL HOSPITAL AUXILIARY INC: Form 990EZ, tax year 2021
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- Organization
- MEMORIAL HOSPITAL AUXILIARY INC (EIN 59-6018362)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202203159349203805
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T12:25:04-00:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 844523208 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA CHU LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2550 NORTH FEDERAL HWY | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 596018362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL REGIONAL HOSPITAL AUXILIARY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 9542655029 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 JOHNSON STREET | AddressLine1Txt |
| City | HOLLYWOOD | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL BARTLEY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 9542655029 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CAROL | PersonFirstNm |
| Person Last | BARTLEY | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICIA CHU | PreparerPersonNm |
| PTIN | P00116726 | PTIN |
| Phone | 9544702227 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $44,505 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $400 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $40,222 | ProgramServiceRevenueAmt |
| Membership Dues | $20 | MembershipDuesAmt |
| Investment Income | $3,863 | InvestmentIncomeAmt |
| Total Revenue | $44,505 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $14,500 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $7,747 | OtherExpensesTotalAmt |
| Total Expenses | $22,247 | TotalExpensesAmt |
| Excess Or Deficit For Year | $22,258 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $112,531 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $1,101 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $135,890 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,531 | BOYAmt |
| EOY | $135,890 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,531 | BOYAmt |
| EOY | $135,890 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,531 | BOYAmt |
| EOY | $135,890 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | VOLUNTEER HOSPITAL AUXILIARY FOR MEMORIAL HOSPITAL | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt |
|---|---|
| HOSPITAL PROJECTS AND GRANTS REQUESTED BY THE ADMINISTRATION | $5,025 |
| SCHOLARSHIPS FOR VOLUNTEER STUDENTS DESIRING TO ENTER HEALTH CARE PROFESSION | $14,500 |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| BARBARA SMITH | ||
| PRES | 005.00 | $0 |
| VICKI WEBER | ||
| PRES ELECT | 005.00 | $0 |
| CAROL BARTLEY | ||
| TREAS | 005.00 | $0 |
| LIZ KAUFMAN | ||
| CO TREAS | 005.00 | $0 |
| MARVIN KEYSER | ||
| SECRETARY | 005.00 | $0 |
| MERRYLE PARNS | ||
| 1ST VP | 005.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID REINMUND | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 JOHNSON STREET | AddressLine1Txt |
| City | HOLLYWOOD | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9542655029 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,227 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,126 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,380 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,851 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $420 | CurrentTaxYearAmt |
| Total | $16,004 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,780 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $105,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,373 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,222 | CurrentTaxYearAmt |
| Total | $426,998 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,007 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,069 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,060 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,642 | CurrentTaxYearAmt |
| Total | $443,002 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $443,002 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,528 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,004 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,863 | CurrentTaxYearAmt |
| Total | $20,304 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,528 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,004 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,863 | CurrentTaxYearAmt |
| Total | $20,304 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $135,490 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,495 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,505 | CurrentTaxYearAmt |
| Total | $463,306 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95620 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99530 | PublicSupportPY509Pct |
| Investment Income CY | 0.04380 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00470 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 239 |
| Form 990-EZ, Part I, Line 16, Other Expenses | ACCOUNTING FEES 550 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PINS 157 |
| Form 990-EZ, Part I, Line 16, Other Expenses | DUES FEES ANNUAL REPORT 61 |
| Form 990-EZ, Part I, Line 16, Other Expenses | POSTAGE 18 |
| Form 990-EZ, Part I, Line 16, Other Expenses | DISTRICT MEETING 1,617 |
| Form 990-EZ, Part I, Line 16, Other Expenses | HOSPITAL PROJECTS 5,025 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PRINTING AND OFFICE SUPPLIES 55 |
| Form 990-EZ, Part I, Line 16, Other Expenses | BANK ACCOUNT ANALYSIS FEE 25 |
| Form 990-EZ, Part I, Line 20, Net Assets | CHANGE IN INVESTMENT VALUE 1,101 |