HAVASU REGIONAL MEDICAL CENTER AUXILIARY: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HAVASU REGIONAL MEDICAL CENTER AUXILIARY (EIN 23-7292187)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-04-03
- IRS object ID
- 201820939349200122
- Schema version
- 2017v2.2
- 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 | 2018-04-03T20:08:44-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | Dorothy Toppin President | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5084791090 | PhoneNum |
| Signature | 2018-04-08 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | 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 |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $86,616 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $721 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $940 | MembershipDuesAmt |
| Investment Income | $51 | InvestmentIncomeAmt |
| Fundraising Gross Income | $12,392 | FundraisingGrossIncomeAmt |
| Special Events Net Income Loss | $12,392 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $34,790 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $20,857 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $13,933 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $37,722 | OtherRevenueTotalAmt |
| Total Revenue | $65,759 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $50,300 | GrantsAndSimilarAmountsPaidAmt |
| Printing Publications Postage | $201 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $4,620 | OtherExpensesTotalAmt |
| Total Expenses | $55,121 | TotalExpensesAmt |
| Excess Or Deficit For Year | $10,638 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $105,409 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $116,047 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,409 | BOYAmt |
| EOY | $116,047 | 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 | $105,409 | BOYAmt |
| EOY | $116,047 | 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 | $105,409 | BOYAmt |
| EOY | $116,047 | 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 13 VOLUNTEER ORGANIZATIONS IN THE COMMUNITY | $24,300 |
| COMMUNITY SCHOLARSHIPS TO STUDENTS | $26,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 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 |
| Dorothy Toppin | ||||
| PRESIDENT | 10.00 | $0 | $0 | $0 |
| Carol McQuat | ||||
| V 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 | ||||
| Director of Programs | 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 |
| School Operating | false | SchoolOperatingInd |
| 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 Minus3 Years | $1,044 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,015 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,590 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,721 | CurrentTaxYearAmt |
| Total | $34,370 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $118,993 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,769 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,982 | CurrentTaxYearAmt |
| Total | $287,196 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $120,037 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,784 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,703 | CurrentTaxYearAmt |
| Total | $321,566 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $321,566 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $66 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51 | CurrentTaxYearAmt |
| Total | $241 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $66 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51 | CurrentTaxYearAmt |
| Total | $241 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $120,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,102 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,754 | CurrentTaxYearAmt |
| Total | $321,807 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | 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 C IRS990ScheduleC
Schedule G IRS990ScheduleG
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of other revenue Part I line 8 | Description AmountLife Line 30,000Miscellaneous operat Revenue 371Vending Machine Revenue 4,658Meeting Income 1,914Uniforms 559Book Sales 220 |
| List of grants and similar amounts paid Part I line 10 | Activity Donations Amount 50,300 |
| Description of other expenses Part I line 16 | Description AmountMeeting Expenses 2,053Hospital Projects 529Misc. Operating Exp 1,056Uniform Expenses 585Blood Drive Expenses 327Bank Fee 35Misc Fees 35 |