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 990-EZ 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
2016
Open to Public
Inspection
Name of the organization
CUMBERLAND MEDICAL CENTER AUXILIARY
 
Employer identification number

62-0988311
Return Reference Explanation
FORM 990-EZ, PART I, LINE 10 CUMBERLAND MEDICAL CENTER 421 S MAIN ST CROSSVILLE, TN 38555 75,362 0 0
FORM 990-EZ, PART I, LINE 16 OFFICE 6,876 TRAVEL 4,015 CONFERENCES/MEETINGS 1,843 OTHER EXPENSES 221 TAXES/LICENSES 286 COST OF GOODS SOLD 63,744 TOTAL 76,985
FORM 990-EZ, PART II, LINE 24 INVENTORIES FOR SALE OR USE 24,435 32,220 279,611 279,611 LESS ACCUMULATED DEPRECIATION 279,611 279,611 TOTAL 24,435 32,220
FORM 990-EZ, PART II, LINE 26 ACCOUNTS PAYABLE AND ACCRUED EXPENSES 357 578
FORM 990-EZ, PART III TO ADVANCE AND PROMOTE THE WELFARE OF CUMBERLAND MEDICAL CENTER HOSPITAL BY OPERATING A GIFT SHOP, OFFERING LIFELINE UNITS AND RAISING MONEY FOR OTHER CHARITABLE CAUSES WITHIN THE HOSPITAL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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