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MERCY MEDICAL MINISTRY: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MERCY MEDICAL MINISTRY (EIN 63-1228501)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349201120
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-11-17T09:00:09-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN630834838PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MACHEN MCCHESNEY & CHASTAIN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11820 EAST UNIVERSITY DRIVEAddressLine1
CityAUBURNCity
StateALState
ZIP Code36830ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN631228501EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEDICAL MINISTRYBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3345011081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11702 CATHERINE COURT NO 1AAddressLine1
CityAUBURNCity
StateALState
ZIP Code36830ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBECKY RODEKOHRPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3345011081PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE MACHENPreparerPersonNm
PTINP00026450PTIN
Phone3348877022PhoneNum
Preparation2014-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressWWW.ALMERCYMEDICAL.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$105,865GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$99,900ContributionsGiftsGrantsEtcAmt
Program Service Revenue$5,730ProgramServiceRevenueAmt
Investment Income$75InvestmentIncomeAmt
Other Revenue Total$160OtherRevenueTotalAmt
Total Revenue$105,865TotalRevenueAmt
Salaries Other Comp Empl Bnft$62,937SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,335FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$21,175OccupancyRentUtltsAndMaintAmt
Other Expenses Total$37,907OtherExpensesTotalAmt
Total Expenses$124,354TotalExpensesAmt
Excess Or Deficit For Year-$18,489ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$59,694NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$41,205NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$59,838BOYAmt
EOY$39,969EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$3,913BOYAmt
EOY$2,560EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,751BOYAmt
EOY$42,529EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,057BOYAmt
EOY$1,324EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$59,694BOYAmt
EOY$41,205EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeADDRESS SPIRITUAL AND PHYSICAL NEEDS OF LOW-INCOME RESIDENTS OF LEE COUNTY.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomMINISTRY ADDRESSES SPIRITUAL AND PHYSICAL NEEDS OF LOW-INCOME RESIDENTS OF LEE COUNTY. THE CLINIC DEPENDS ON VOLUNTEERS FROM LOCAL MEDICAL COMMUNITY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$124,354ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$124,354TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JAMES DELL CROSBY
DIRECTOR0.25$0$0$0
BECKY RODEKOHR
EXECUTIVE DIRECTOR30.00$21,725$0$0
ROBERT HAM
DIRECTOR0.25$0$0$0
JERE COLLEY
DIRECTOR0.25$0$0$0
DAVID SCOTT
DIRECTOR0.25$0$0$0
CLIFFORD JONES
DIRECTOR0.25$0$0$0
JEAN CAUSEY
DIRECTOR0.25$0$0$0
RUEL A OVERFELT
DIRECTOR0.25$0$0$0
RICK FREEMAN
DIRECTOR0.25$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NELDA SIPESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11702 CATHERINE CT SUITE 1AAddressLine1
CityAUBURNCity
StateALState
ZIP Code36830ZIPCode
FieldValueIRS element (for citing)
Phone3348871809PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,309CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$108,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,553CurrentTaxYearMinus1YearAmt
Current Tax Year$99,900CurrentTaxYearAmt
Total$609,898TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,276CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,084CurrentTaxYearMinus1YearAmt
Current Tax Year$4,385CurrentTaxYearAmt
Total$37,380TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,512CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117,891CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,953CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$155,637CurrentTaxYearMinus1YearAmt
Current Tax Year$104,285CurrentTaxYearAmt
Total$647,278TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$647,278PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$13CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$325CurrentTaxYearMinus1YearAmt
Current Tax Year$235CurrentTaxYearAmt
Total$573TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$13CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$325CurrentTaxYearMinus1YearAmt
Current Tax Year$235CurrentTaxYearAmt
Total$573TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,184CurrentTaxYearMinus1YearAmt
Current Tax Year$1,343CurrentTaxYearAmt
Total$10,470TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$143,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$130,201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$158,146CurrentTaxYearMinus1YearAmt
Current Tax Year$105,863CurrentTaxYearAmt
Total$658,321TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98320PublicSupportCY509Pct
Public Support PY5090.98020PublicSupportPY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: DIVIDEND INCOME. AMOUNT: 75.
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUEDESCRIPTION: OTHER INCOME-EZ . AMOUNT: 160.
FORM 990-EZ, PART I, LINE 14DESCRIPTION: DEPRECIATION. AMOUNT: 1,353. DESCRIPTION: OTHER EXPENSES. AMOUNT: 19,822. TOTAL TO FORM 990-EZ, LINE 14: 21,175.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: MEDICAL SUPPLIES . AMOUNT: 1,598. DESCRIPTION: REPAIRS AND MAINTENANCE . AMOUNT: 1,362. DESCRIPTION: TELEPHONE . AMOUNT: 2,732. DESCRIPTION: PAYROLL TAX EXPENSE . AMOUNT: 4,782. DESCRIPTION: DUES AND SUBSCRIPTIONS . AMOUNT: 35. DESCRIPTION: MEALS AND ENTERTAINMENT . AMOUNT: 15. DESCRIPTION: MISCELLANEOUS . AMOUNT: 2,253. DESCRIPTION: INSURANCE . AMOUNT: 3,811. DESCRIPTION: COMPUTER SOFTWARE LEASE . AMOUNT: 1,440. DESCRIPTION: SUPPLIES . AMOUNT: 2,588. DESCRIPTION: UTILITIES . AMOUNT: 4,927. DESCRIPTION: LAB AND X-RAY . AMOUNT: 9,727. DESCRIPTION: GIFTS AND MEMORIALS . AMOUNT: 1,364. DESCRIPTION: INTEREST EXPENSE . AMOUNT: 73. DESCRIPTION: CONTRIBUTIONS EXPENSE . AMOUNT: 1,200. TOTAL TO FORM 990-EZ, LINE 16: 37,907.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 3,913. END OF YEAR AMOUNT: 2,560.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: PAYROLL LIABILITIES. BEG. OF YEAR AMOUNT: 2,140. END OF YEAR AMOUNT: 0. DESCRIPTION: OBLIGATIONS UNDER CAPITAL LEASE . BEG. OF YEAR AMOUNT: 1,917. END OF YEAR AMOUNT: 0. DESCRIPTION: PAYROLL LIABILITES . BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 599. DESCRIPTION: CURRENT PORTION OF LONG-TERM DEBT . BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 725.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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