MERCY MEDICAL MINISTRY: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL MINISTRY (EIN 63-1228501)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-12
- IRS object ID
- 201321639349200012
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-06-12T13:06:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630834838 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACHEN MCCHESNEY & CHASTAIN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1820 EAST UNIVERSITY DRIVE | AddressLine1 |
| City | AUBURN | City |
| State | AL | State |
| ZIP Code | 36830 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 631228501 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL MINISTRY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 3345011081 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 CATHERINE COURT NO 1A | AddressLine1 |
| City | AUBURN | City |
| State | AL | State |
| ZIP Code | 36830 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BECKY RODEKOHR | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 3345011081 | Phone |
| Date Signed | 2013-06-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MIKE MACHEN | Name |
| PTIN | P00026450 | PTIN |
| Phone | 3348877022 | Phone |
| Date Prepared | 2013-06-04 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | WWW.ALMERCYMEDICAL.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 158145 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 148553 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 9267 | ProgramServiceRevenue |
| Investment Income | 325 | InvestmentIncome |
| Total Revenue | 158145 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 63642 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 1975 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 26320 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 47540 | OtherExpensesTotal |
| Total Expenses | 139477 | TotalExpenses |
| Excess Or Deficit For Year | 18668 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 41026 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 59694 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39787 | BOY |
| EOY | 59838 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6207 | BOY |
| EOY | 3913 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45994 | BOY |
| EOY | 63751 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4968 | BOY |
| EOY | 4057 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41026 | BOY |
| EOY | 59694 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | ADDRESS SPIRITUAL AND PHYSICAL NEEDS OF LOW-INCOME RESIDENTS OF LEE COUNTY. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | MINISTRY ADDRESSES SPIRITUAL AND PHYSICAL NEEDS OF LOW-INCOME RESIDENTS OF LEE COUNTY. THE CLINIC DEPENDS ON VOLUNTEERS FROM LOCAL MEDICAL COMMUNITY. | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 139477 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 139477 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| JAMES DELL CROSBY | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| BECKY RODEKOHR | ||||
| EXECUTIVE DIRECTOR | 30.00 | 22937 | 0 | 0 |
| ROBERT HAM | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| JERE COLLEY | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| DAVID SCOTT | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| CLIFFORD JONES | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| JEAN CAUSEY | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| RUEL A OVERFELT | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| RICK FREEMAN | ||||
| DIRECTOR | 0.25 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BECKY RODEKOHR | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 CATHERINE CT SUITE 1A | AddressLine1 |
| City | AUBURN | City |
| State | AL | State |
| ZIP Code | 36830 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3348871809 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 106107 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 131309 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 108615 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 121521 | CurrentTaxYearMinus1Year |
| Current Tax Year | 148553 | CurrentTaxYear |
| Total | 616105 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17866 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10203 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9276 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6432 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7084 | CurrentTaxYear |
| Total | 50861 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 123973 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 141512 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 117891 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 127953 | CurrentTaxYearMinus1Year |
| Current Tax Year | 155637 | CurrentTaxYear |
| Total | 666966 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 666966 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 13 | CurrentTaxYearMinus1Year |
| Current Tax Year | 325 | CurrentTaxYear |
| Total | 338 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 13 | CurrentTaxYearMinus1Year |
| Current Tax Year | 325 | CurrentTaxYear |
| Total | 338 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3979 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2435 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2235 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2184 | CurrentTaxYear |
| Total | 13106 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 127952 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 143785 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 120326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 130201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 158146 | CurrentTaxYear |
| Total | 680410 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98020 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98230 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | DIVIDEND INCOME 325.. |
| OCCUPANCY, RENT, UTILITIES AND MAINTENENCE | FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 2,294. DESCRIPTION: OTHER EXPENSES. AMOUNT: 24,026. TOTAL TO FORM 990-EZ, LINE 14: 26,320. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: MEDICAL SUPPLIES. AMOUNT: 2,322. DESCRIPTION: MISCELLANEOUS. AMOUNT: 509. DESCRIPTION: INSURANCE. AMOUNT: 3,558. DESCRIPTION: SUPPLIES. AMOUNT: 6,514. DESCRIPTION: UTILITIES. AMOUNT: 6,817. DESCRIPTION: LAB AND X-RAY. AMOUNT: 13,921. DESCRIPTION: CONTRACT LABOR. AMOUNT: 2,600. DESCRIPTION: GIFTS AND MEMORIALS. AMOUNT: 675. DESCRIPTION: REPAIRS AND MAINTENANCE. AMOUNT: 1,424. DESCRIPTION: TELEPHONE. AMOUNT: 3,303. DESCRIPTION: PAYROLL TAX EXPENSE. AMOUNT: 4,869. DESCRIPTION: MEALS AND ENTERTAINMENT. AMOUNT: 16. DESCRIPTION: COMPUTER SOFTWARE LEASE. AMOUNT: 877. DESCRIPTION: INTEREST. AMOUNT: 135. TOTAL TO FORM 990-EZ, LINE 16: 47,540. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 6,207. END OF YEAR AMOUNT: 3,913. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: PAYROLL LIABILITIES. BEG. OF YEAR AMOUNT: 1,921. END OF YEAR AMOUNT: 2,140. DESCRIPTION: OBLIGATIONS UNDER CAPITAL LEASE. BEG. OF YEAR AMOUNT: 3,047. END OF YEAR AMOUNT: 1,917. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE 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. | Declaration |
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