HAVASU REGIONAL MEDICAL CENTER AUXILIARY: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HAVASU REGIONAL MEDICAL CENTER AUXILIARY (EIN 23-7292187)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-01-29
- IRS object ID
- 202030299349200923
- Schema version
- 2019v5.0
- 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 | 2020-01-29T16:30:44-08:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 841840825 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Tax Firm LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 149 Paseo del Sol Ave | AddressLine1Txt |
| City | Lake Havasu City | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237292187 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Havasu Regional Medical Center Auxiliary | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAVA | BusinessNameControlTxt |
| Phone | 5084791090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Civic Center Lane | AddressLine1Txt |
| City | Lake Havvasu City | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONNA PINEAU | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2020-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Terry A Terry EA | PreparerPersonNm |
| PTIN | P00099056 | PTIN |
| Phone | 9286801444 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $145,389 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $13,044 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $270 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gaming Gross Income | $788 | GamingGrossIncomeAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $742 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $46 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $131,287 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $33,197 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $98,090 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $111,450 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $71,500 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $1,633 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $34,102 | OtherExpensesTotalAmt |
| Total Expenses | $107,235 | TotalExpensesAmt |
| Excess Or Deficit For Year | $4,215 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $119,903 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $124,118 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,903 | BOYAmt |
| EOY | $124,118 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,903 | BOYAmt |
| EOY | $124,118 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,903 | BOYAmt |
| EOY | $124,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | SERVICE TO THE COMMUNITY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDED COMMUNITY GRANTS TO 14 VOLUNTEER ORGANIZATION IN THE COMMUNITY AND COMMUNITY SCHOLARSHIPS TO STUDENTS | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $71,500 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| DONNA PINEAU | ||
| Treasurer | 10.00 | $0 |
| CAROL McQUAT | ||
| President | 10.00 | $0 |
| GAIL LLAFET | ||
| CEO | 10.00 | $0 |
| JACKIE MORTENSEN | ||
| Secretary | 10.00 | $0 |
| PENNY McCOLLUM | ||
| Vice President | 10.00 | $0 |
| DON PERRYMAN | ||
| PARLIAMENTARIAN | 1.00 | $0 |
| CAROL VERBRUGGE | ||
| dIRECTOR OF VOLUNTEERS | 1.00 | $0 |
| JACKIE HOUSER | ||
| HOSPITAL ADMINISTRATOR | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| 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 |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| 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 |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donna Pineau | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Civic Center LN | AddressLine1Txt |
| City | Lake Havasu City | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5084791090 | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,015 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,590 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,721 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,501 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,044 | CurrentTaxYearAmt |
| Total | $86,871 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $788 | CurrentTaxYearAmt |
| Total | $1,675 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $77,769 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,452 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,982 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $131,287 | CurrentTaxYearAmt |
| Total | $384,588 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,784 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,703 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $126,486 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $145,119 | CurrentTaxYearAmt |
| Total | $473,134 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $473,134 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270 | CurrentTaxYearAmt |
| Total | $585 | 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 | $64 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270 | CurrentTaxYearAmt |
| Total | $585 | 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 | $78,848 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $126,626 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $145,389 | CurrentTaxYearAmt |
| Total | $473,719 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99880 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99930 | PublicSupportPY509Pct |
| Investment Income CY | 0.00120 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.15 | | Donee's Name: SCHOLARSHIP | Cash Amount Given: $35000 |
| Other Expenses.1002 | Office Expenses $552 |
| Other Expenses.1005 | Travel $430 |
| Other Expenses.1 | LIFELINE $14742 |
| Other Expenses.2 | MISC LIFELINE $10443 |
| Other Expenses.3 | SUPPLIES $3663 |
| Other Expenses.4 | MEETINGS $1860 |
| Other Expenses.5 | MISC EQUIPMENT $1304 |
| Other Expenses.6 | MISC OPERATING EXP $603 |
| Other Expenses.7 | SUNSHINE FLOWERS $225 |
| Other Expenses.8 | EQUIPMENT MAINTENANCE $109 |
| Other Expenses.9 | FOOD & DINING $106 |
| Other Expenses.10 | SUNSHINE CARDS $65 |