HAVASU REGIONAL MEDICAL CENTER AUXILIARY: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HAVASU REGIONAL MEDICAL CENTER AUXILIARY (EIN 23-7292187)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-10-14
- IRS object ID
- 201922879349200142
- Schema version
- 2018v3.1
- 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 | 2019-10-14T13:46:20-04:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 860675074 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Metro Tax and Financial Svc Inc | 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 | 2018-01-01 | 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 AUXILARY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAVA | BusinessNameControlTxt |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donna Pineau | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5084791090 | PhoneNum |
| Signature | 2019-04-22 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Terry Terry EA | PreparerPersonNm |
| PTIN | P00099056 | PTIN |
| Phone | 9286801444 | PhoneNum |
| Preparation | 2019-10-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.40.255.134 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-14 | IPDt |
| IP Tm | 13:40:12 | IPTm |
| Federal Original Submission Id | 8610982019287rzvn4pn | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-10-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 750D8BAAB05B44B69CF6156339188DD3513F2ADE | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 750D8BAAB05B44B69CF6156339188DD3513F2ADE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $126,626 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $40,501 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $887 | MembershipDuesAmt |
| Investment Income | $140 | InvestmentIncomeAmt |
| Fundraising Gross Income | $3,475 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $3,507 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$32 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $81,623 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $64,008 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $17,615 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $59,111 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $54,000 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $1,255 | OtherExpensesTotalAmt |
| Total Expenses | $55,255 | TotalExpensesAmt |
| Excess Or Deficit For Year | $3,856 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $116,047 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $119,903 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,047 | BOYAmt |
| EOY | $119,903 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,047 | BOYAmt |
| EOY | $119,903 | 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 | $116,047 | BOYAmt |
| EOY | $119,903 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | SERVICE TO THE COMMUNITY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt |
|---|---|
| PROVIDED COMMUNITY GRANTS TO 11 VOLUNTEER ORGANIZATIONS IN THE COMMUNITY | $28,000 |
| COMMUNITY SCHOLARSHIPS TO STUDENTS | $28,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Donna Pineau | ||||
| TREASURER | 10.00 | $0 | $0 | $0 |
| Carol McQuat | ||||
| PRESIDENT | 10.00 | $0 | $0 | $0 |
| Gail Llafet | ||||
| Recording SECRETARY | 10.00 | $0 | $0 | $0 |
| Jackie Mortensen | ||||
| Corresponding Secretary | 10.00 | $0 | $0 | $0 |
| Penny McCollum | ||||
| Vice President | 0.00 | $0 | $0 | $0 |
| Don Perryman | ||||
| Parliamentarian | 0.00 | $0 | $0 | $0 |
| Carol VerBrugge | ||||
| Director of Volunteers | 0.00 | $0 | $0 | $0 |
| Andy Kresha | ||||
| Hospital Administrator | 0.00 | $0 | $0 | $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 |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
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 LANE | AddressLine1Txt |
| City | LAKE HAVASU CITY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9285051022 | 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 |
| 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 | $1,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,015 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,501 | CurrentTaxYearAmt |
| Total | $74,871 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $887 | CurrentTaxYearAmt |
| Total | $887 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $118,993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $77,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,452 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,098 | CurrentTaxYearAmt |
| Total | $372,294 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,037 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,784 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,042 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,703 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $126,486 | CurrentTaxYearAmt |
| Total | $448,052 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $448,052 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $140 | CurrentTaxYearAmt |
| Total | $381 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $140 | CurrentTaxYearAmt |
| Total | $381 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,848 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,102 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,754 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $126,626 | CurrentTaxYearAmt |
| Total | $448,433 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99920 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99930 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
Schedule G IRS990ScheduleG
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| List of grants and similar amounts paid Part I line 10 | Activity Donations Grantee Arizona Children Association Street 1407 McCulloch Blvd N B City, State, Zip Lake Havasu City, AZ 86403Amount 3,000Activity Donation Grantee St Vincent De Paul Street 761 N Lake Havasu Ave City, State, Zip Lake Havasu City, AZ 86403Amount 3,000Activity Donation Grantee Haven Family Resource Street 2174 McCulloch Blvd N City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Our Lady of the Lake Soup Kitchen Street 1975 Daytona Ave City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Havasu Community Health Foundation Street 94 Acoma Blvd S City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Meals on Wheels Lake Havasu Street 450 Acoma Blvd City, State, Zip Lake Havasu City, AZ 86406Amount 2,500Activity Donation Grantee Hospice of Havasu Street 365 Lake Havasu Ave City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Salvation Army Street 2049 Swanson Ave City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Masonic Cloth A Child Street 2901 Chemehvevi Blvd City, State, Zip Lake Havasu City, AZ 86406Amount 2,500Activity Donation Grantee Denises Day Street Lake Havasu Ave City, State, Zip Lake Havasu City, AZ 86403Amount 2,500Activity Donation Grantee Discretionary Donation Street 101 Civic Center Lane City, State, Zip Lake Havasu City, AZ 86403Activity Scholarships Grantee Various Scholarships Amount 28,000 |
| Description of other expenses Part I line 16 | Description AmountOperating Exp 528Office Supplies 341Sunshine/Chemo Radiation 386 |