SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MOUNTAINS COMMUNITY HOSPITAL
AUXILIARY INC
Employer identification number

33-0533986
Return Reference Explanation
Grants and Similar Amounts Paid In Excess of $5,000.1 | Donee's Name: MOUNTAINS COMMUNITY HOSPITAL | Donee's Address: PO BOX 70 LAKE ARROWHEAD, CA 92352 | Cash Amount Given: $30000
Other Expenses.1002 Office Expenses $5748
Other Expenses.1007 Conferences, Conventions, and Meetings $3676
Other Expenses.1 GIFT SHOP REMODEL EXP $8323
Other Expenses.2 INSTALLATION LUNCHEON $1788
Other Expenses.3 ROSE GARDEN & MEMORIAL SUPPLIE $610
Other Expenses.5 EMPLOYEE LUNCHEON $261
Other Expenses.6 TRAY FAVORS $157
Other Expenses.7 AMENITIES $140
Other Expenses.8 BEARS & DOLLS $97
Other Assets.1009 Notes and Loans Receivable - Beginning $3499 Notes and Loans Receivable - Ending $1317
Other Assets.1010 Inventories - Beginning $3092 Inventories - Ending $0
Total Liabilities.1001 Accounts Payable and Accrued Expenses - Beginning $363 Accounts Payable and Accrued Expenses - Ending $0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000170
Software Version: 2013v3.1