AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: AUXILIARY OF THE CAMDEN CLARK MEMORIAL HOSPITAL OF PARKERSBURG (EIN 55-0386283)
Tax period: 2010-04-01 to 2011-03-31
Filed: 2012-02-15
IRS object ID: 201240619349300819
Schema version: 2010v3.6
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)
Timestamp	2012-02-15T09:14:14-06:00	Timestamp
Tax Period End Date	2011-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALTMAN & ASSOCIATES PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2803 DUDLEY AVE	AddressLine1
City	PARKERSBURG	City
State	WV	State
ZIP Code	261012145	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	550386283	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	AUXILIARY OF THE CAMDEN CLARK	BusinessNameLine1
Business Name Line2	MEMORIAL HOSPITAL	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	AUXI	NameControl
Phone	3044242847	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVENUE	AddressLine1
City	PARKERSBURG	City
State	WV	State
ZIP Code	26101	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARY DAYHOFF	Name
Title	PRESIDENT	Title
Phone	3044242847	Phone
Date Signed	2011-12-28	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN J ALTMAN JR	Name
Phone	3044282191	Phone
Date Prepared	2012-01-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	574078	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	PROMOTE VOLUNTEER SERVICES & PURCHASE HOSPITAL EQUIPMENT	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	443	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1097	ContributionsGrantsPriorYear
Contributions Grants Current Year	1772	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	538580	ProgramServiceRevenuePriorYear
Program Service Revenue CY	526792	ProgramServiceRevenueCY
Investment Income Prior Year	363	InvestmentIncomePriorYear
Investment Income Current Year	228	InvestmentIncomeCurrentYear
Other Revenue Prior Year	50572	OtherRevenuePriorYear
Other Revenue Current Year	45286	OtherRevenueCurrentYear
Total Revenue Prior Year	590612	TotalRevenuePriorYear
Total Revenue Current Year	574078	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	120000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	100500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	463103	OtherExpensePriorYear
Other Expenses Current Year	465045	OtherExpensesCurrentYear
Total Expenses Prior Year	583103	TotalExpensesPriorYear
Total Expenses Current Year	565545	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7509	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8533	RevenuesLessExpensesCY
Total Assets BOY	117103	TotalAssetsBOY
Total Assets EOY	125636	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	117103	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	125636	NetAssetsOrFundBalancesEOY
Mission Description	PROMOTE VOLUNTEER SERVICES & PURCHASE HOSPITAL EQUIPMENT	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	100500	Expense
Grants	100500	Grants
Description	GIFT TO HOSPITAL AND GIFT TO HOSPITAL SCHOLARSHIP FUND (55,170 VOLUNTEER HOURS DONATED TO PRODUCE)	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	455745	Expense
Description	REPAIRS TO AUXILIARY EQUIPMENT & MISCELLANEOUS EXPENSES	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	556245	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CCMH CUSTOMER SVCES	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3044243468	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	GARFIELD AVE	AddressLine1
City	PARKERSBURG	City
State	WV	State
ZIP Code	26101	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
MARY DAYHOFF
PRESIDENT	X	0	0	0
RICHARD HAYHURST
VICE PRESIDE	X	0	0	0
FLORENCE WHITE
RECORDING SE	X	0	0	0
EVA FLETCHER
CORRESPONDIN	X	0	0	0
CHERYLL WILSON
TREASURER	X	0	0	0
RUTH GUTSKE
TREASURER	X	0	0	0
TERESA COLEMAN
TREASURER	X	0	0	0
TED MAYBERRY
PRES.-ELECT	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Membership Dues	1150	MembershipDues
All Other Contributions	622	AllOtherContributions
Total Contributions	1772	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	GIFT SHOP	Description
Total Revenue Column	526792	TotalRevenueColumn
Related Or Exempt Function Income	526792	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	526792	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	228	TotalRevenueColumn
Related Or Exempt Function Income	228	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESTAURANT CLUB BOOKS	11385	11385
UNIFORM SALES	8685	8685
COMMISSIONS	8639	8639

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16577	TotalRevenueColumn
Related Or Exempt Function Income	16577	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	45286	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	574078	TotalRevenueColumn
Related Or Exempt Function Income	572306	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	100500	Total
Program Services	100500	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	3850	Total
Management And General	3850	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2036	Total
Program Services	2036	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4810	Total
Management And General	4810	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	640	Total
Management And General	640	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
COGS	432519	432519
FUNDRAISING EXPENSES	17859	17859
OTHER EXPENSES	2801	2801
LICENSES	530	530

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	565545	Total
Program Services	556245	ProgramServices
Management And General	9300	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	220	BOY
EOY	220	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	59217	BOY
EOY	60987	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9645	BOY
EOY	208	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	48021	BOY
EOY	64221	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	117103	BOY
EOY	125636	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	113735	BOY
EOY	125636	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3368	BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	117103	BOY
EOY	125636	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	117103	BOY
EOY	125636	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	8533	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR
Total Revenue	574078	TotalRevenue
Total Expenses	565545	TotalExpenses
Excess Or Deficit For Year	8533	ExcessOrDeficitForYear
Excess Or Deficit Per FS	8533	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	574078	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	574078	RevenueSubtotal
Total Revenue Per Form990	574078	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	565545	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	565545	ExpensesSubtotal
Total Expenses Per Form990	565545	TotalExpensesPerForm990

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CAMDEN CLARK MEMORIAL HOSPITAL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 GARFIELD AVE	AddressLine1
City	PARKERSBURG	City
State	WV	State
ZIP Code	26101	ZIPCode

Field	Value	IRS element (for citing)
Amount Of Cash Grant	100500	AmountOfCashGrant
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS PREPARED DURING THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS UNDER THE DIRECTION OF THE CPA FIRM. THE FORM 990 IS REVIEWED BY THE OFFICERS BEFORE SIGNING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC