WAHIAWA GENERAL HOSPITAL AUXILIARY: Form 990EZ, tax year 2020
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- Organization
- WAHIAWA GENERAL HOSPITAL AUXILIARY (EIN 99-6009028)
- Tax period
- 2020-05-01 to 2021-04-30
- Filed
- 2021-09-07
- IRS object ID
- 202122509349201207
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-07T14:50:39-05:00 | ReturnTs |
| Tax Period End | 2021-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 465649356 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOI & ASSOCIATES CPAS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 KILANI AVENUE SUITE 202 | AddressLine1Txt |
| City | WAHIAWA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 967861844 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2020-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 996009028 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHIAWA GENERAL HOSPITAL AUXILIARY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WAHI | BusinessNameControlTxt |
| Phone | 8086218411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 LEHUA ST | AddressLine1Txt |
| City | WAHIAWA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 967862036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTHA T PETERSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8086218411 | PhoneNum |
| Signature | 2021-08-25 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARTHA | PersonFirstNm |
| Person Last | PETERSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROY H DOI | PreparerPersonNm |
| PTIN | P00433211 | PTIN |
| Phone | 8086224188 | PhoneNum |
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 | 2020 | 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 Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Gross Receipts | $4,135 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $4,105 | ContributionsGiftsGrantsEtcAmt |
| Gross Sales Of Inventory | $30 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $79 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | -$49 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $4,056 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $40,700 | GrantsAndSimilarAmountsPaidAmt |
| Total Expenses | $40,700 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$36,644 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $51,822 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $15,178 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,822 | BOYAmt |
| EOY | $15,178 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,822 | BOYAmt |
| EOY | $15,178 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,822 | BOYAmt |
| EOY | $15,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE AUXILIARYS PURPOSE SHALL BE TO RENDER SERVICE TO WAHIAWA GENERAL HOSPITAL AND ITS PATIENTS AND TO ASSIST IN PROMOTHING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OBJECTIVES ESTABLISHED BY THE WAHIAWA HOSPITAL ASSOCIATION. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO RENDER SERVICE TO WAHIAWA GENERAL HOSPITAL AND ITS PATIENTS AND TO ASSIST IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $40,700 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $40,700 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| MARTHA PETERSON | ||||
| PRESIDENT | 10.00 | $0 | $0 | $0 |
| MARY JANE LEE | ||||
| VICE PRESIDENT | 10.00 | $0 | $0 | $0 |
| RHONDA KIHARA | ||||
| TREASURER | 20.00 | $0 | $0 | $0 |
| BEVERLY SORA | ||||
| SECRETARY | 10.00 | $0 | $0 | $0 |
| SHEILA SEEHOLZER | ||||
| CORRESPONDING SECRETARY | 10.00 | $0 | $0 | $0 |
| JOLEENE KOJIMA | ||||
| CONSTITUTION COMMITTEE | 10.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA KIHARA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 LEHUA STREET | AddressLine1Txt |
| City | WAHIAWA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96786 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8086218411 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,765 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,278 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,040 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,135 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,105 | CurrentTaxYearAmt |
| Total | $175,323 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,739 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30 | CurrentTaxYearAmt |
| Total | $262,024 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,504 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $119,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,470 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,135 | CurrentTaxYearAmt |
| Total | $437,347 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $437,347 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,504 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $119,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,470 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,135 | CurrentTaxYearAmt |
| Total | $437,347 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORY | INCOME: GROSS RECEIPTS: 30. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 79. GROSS PROFIT: -49. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 0. MERCHANDISE PURCHASED: 0. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 79. INVENTORY AT END OF YEAR: 0. COST OF GOODS SOLD: 79. |
| FORM 990-EZ, PART I, LINE 7B - OTHER COSTS | DESCRIPTION: OTHER. AMOUNT: 45. DESCRIPTION: CANDIES. AMOUNT: 34. TOTAL INCLUDED ON FORM 990-EZ, PART I, LINE 7B: 79. |
| FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES | AFFILIATE NAME: WAHIAWA GENERAL HOSPITAL. AFFILIATE ADDRESS: 128 LEHUA ST WAHIAWA, HI 96786. PURPOSE OF PAYMENT: TO SUPPORT HOSPITAL PER THE AUXILIARYS MISSION. AMOUNT OF PAYMENT: 40,700. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |