AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG (EIN 55-0386283)
Tax period: 2019-04-01 to 2020-03-31
Filed: 2021-02-15
IRS object ID: 202130469349302463
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-02-15T22:10:50-06:00	ReturnTs
Tax Period End	2020-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550621482	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRAY GRIFFITH & MAYS AC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	707 VIRGINIA STREETEASTSUITE 400	AddressLine1Txt
City	CHARLESTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	253012711	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550386283	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AUXILIARY OF THE CAMDEN CLARK MEMORIAL	BusinessNameLine1Txt
Business Name Line2	HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	AUXI	BusinessNameControlTxt
Phone	3044242847	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVENUE	AddressLine1Txt
City	PARKERSBURG	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26105	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARJORIE REED	PersonNm
Person Title	VOLUNTEER/AUXILIARY MANAGER	PersonTitleTxt
Phone	3044242847	PhoneNum
Signature	2021-02-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	J RYAN LINDSAY	PreparerPersonNm
PTIN	P01835061	PTIN
Phone	3043459400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARJORIE REED	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVENUE	AddressLine1Txt
City	PARKERSBURG	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26105	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$494,430	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1952	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	PROMOTE VOLUNTEER SERVICES AND PURCHASE HOSPITAL EQUIPMENT	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	225	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,839	PYContributionsGrantsAmt
CY Contributions Grants	$2,142	CYContributionsGrantsAmt
PY Program Service Revenue	$443,078	PYProgramServiceRevenueAmt
CY Program Service Revenue	$489,165	CYProgramServiceRevenueAmt
PY Investment Income	$72	PYInvestmentIncomeAmt
CY Investment Income	$69	CYInvestmentIncomeAmt
PY Other Revenue	$8,640	PYOtherRevenueAmt
CY Other Revenue	$3,054	CYOtherRevenueAmt
PY Total Revenue	$453,629	PYTotalRevenueAmt
CY Total Revenue	$494,430	CYTotalRevenueAmt
PY Grants And Similar Paid	$79,115	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$92,147	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,195	CYTotalFundraisingExpenseAmt
PY Other Expenses	$327,957	PYOtherExpensesAmt
CY Other Expenses	$359,556	CYOtherExpensesAmt
PY Total Expenses	$407,072	PYTotalExpensesAmt
CY Total Expenses	$451,703	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,557	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,727	CYRevenuesLessExpensesAmt
Total Assets BOY	$192,300	TotalAssetsBOYAmt
Total Assets EOY	$235,027	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$192,300	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$235,027	NetAssetsOrFundBalancesEOYAmt
Mission	PROMOTE VOLUNTEER SERVICES & PURCHASE HOSPITAL EQUIPMENT	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$430,749	ExpenseAmt
Grant	$92,147	GrantAmt
Revenue	$489,234	RevenueAmt
Desc	THE AUXILIARY PROMOTED VOLUNTEER SERVICES AND PURCHASED HOSPITAL EQUIPMENT AND OTHER ITEMS FOR USE AT THE HOSPITAL.	Desc
Total Program Service Expenses	$430,749	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARGIE REED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3044242847	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVE	AddressLine1Txt
City	PARKERSBURG	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26101	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
RALPH TEWKSBURY
FINANCE CHAIRMAN	1.00	Yes (X)	$0	$0	$0
CINDY FOUSE
SHOPPING CART	1.00	Yes (X)	$0	$0	$0
BECKY BLAIR
HISTORIAN	1.00	Yes (X)	$0	$0	$0
FLORENCE WHITE
PROJECTS CHAIRMAN	1.00	Yes (X)	$0	$0	$0
MARTY BOOTH
GIFT SHOP	1.00	Yes (X)	$0	$0	$0
SARAH MARSHALL
TELEPHONE CHAIRMAN	1.00	Yes (X)	$0	$0	$0
JOYCE BOSO
TELEPHONE CHAIRMAN	1.00	Yes (X)	$0	$0	$0
DIANA DAVIS
PARLIAMENTARIAN	1.00	Yes (X)	$0	$0	$0
SUE RHYMER
SCHOLARSHIP	1.00	Yes (X)	$0	$0	$0
SUE FLEMING
MEDIA REPRESENTATIVE	1.00	Yes (X)	$0	$0	$0
MARK JENKINS
IMMEDIATE PAST PRESIDENT	1.00	Yes (X)	$0	$0	$0
JUDITH BALL
PRESIDENT	1.00		$0	$0	$0	Yes (X)
BARB TALBOTT
VICE PRESIDENT	1.00		$0	$0	$0	Yes (X)
MARY DAYHOFF
RECORDING SECETARY	1.00		$0	$0	$0	Yes (X)
JANIE GORRELL
CORRESPONDING SECRETARY	1.00		$0	$0	$0	Yes (X)
TED MAYBERRY
TREASURER	1.00		$0	$0	$0	Yes (X)
GWEN BUSH
TREASURER	1.00		$0	$0	$0	Yes (X)
CONNIE RUBLE
TREASURER	1.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Membership Dues	$832	MembershipDuesAmt
All Other Contributions	$1,310	AllOtherContributionsAmt
Total Contributions	$2,142	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	GIFT SHOP	Desc
Business	453220	BusinessCd
Total Revenue Column	$489,165	TotalRevenueColumnAmt
Related Or Exempt Func Income	$489,165	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$489,165	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$3,054	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,054	TotalRevenueColumnAmt
Exclusion	$3,054	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$494,430	TotalRevenueColumnAmt
Related Or Exempt Func Income	$489,234	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,054	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$92,147	TotalAmt
Program Services	$92,147	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,000	TotalAmt
Management And General	$9,000	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,749	TotalAmt
Management And General	$1,749	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,029	TotalAmt
Management And General	$1,029	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,896	TotalAmt
Management And General	$2,896	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
COST OF GOODS SOLD	$338,602	$338,602
OTHER	$5,085		$5,085
FUNDRAISING	$1,195			$1,195

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$451,703	TotalAmt
Program Services	$430,749	ProgramServicesAmt
Management And General	$19,759	ManagementAndGeneralAmt
Fundraising	$1,195	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$116,011	BOYAmt
EOY	$140,462	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$76,289	BOYAmt
EOY	$94,565	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$14,865	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$14,865	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$192,300	BOYAmt
EOY	$235,027	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$192,300	BOYAmt
EOY	$235,027	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$192,300	BOYAmt
EOY	$235,027	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$192,300	BOYAmt
EOY	$235,027	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$42,727	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,865	OtherCostOrOtherBasisAmt
Depreciation	$14,865	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$494,430	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$494,430	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$494,430	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$451,703	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$451,703	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$451,703	TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVENUE	AddressLine1Txt
City	PARKERSBURG	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26101	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	311524546	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$85,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	FAIR MARKET VALUE	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	TO PURCHASE HOSPITAL EQUIPMENT CONSISTENT WITH ORGANIZATION'S MISSION.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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