MERCY MEDICAL MINISTRY: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL MINISTRY (EIN 63-1228501)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-06-27
- IRS object ID
- 201211799349200406
- Schema version
- 2011v1.2
- 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 | 2012-06-27T09:21:58-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | 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 | 2012-06-13 | 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 | 2012-06-18 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 128348 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 119668 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 8667 | ProgramServiceRevenue |
| Investment Income | 13 | InvestmentIncome |
| Total Revenue | 128348 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 65600 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 2125 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 28537 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 47094 | OtherExpensesTotal |
| Total Expenses | 143356 | TotalExpenses |
| Excess Or Deficit For Year | -15008 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 56034 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 41026 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52490 | BOY |
| EOY | 39787 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5139 | BOY |
| EOY | 6207 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57629 | BOY |
| EOY | 45994 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1595 | BOY |
| EOY | 4968 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56034 | BOY |
| EOY | 41026 | 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 | 143356 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 143356 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JAMES DELL CROSBY | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| BECKY RODEKOHR | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | EXECUTIVE DIRECTOR | 30.00 | 26124 | 0 | 0 |
| ROBERT HAM | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| JERE COLLEY | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| DAVID SCOTT | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| CLIFFORD JONES | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| JEAN CAUSEY | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| RUEL A OVERFELT | ||||||||
| 1702 CATHERINE COURT SUITE 1A | AUBURN | AL | 36830 | 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 | 133864 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 106107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 131309 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 108615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121521 | CurrentTaxYear |
| Total | 601416 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24843 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17866 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10203 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9276 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6432 | CurrentTaxYear |
| Total | 68620 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 158707 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 123973 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 141512 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117891 | CurrentTaxYearMinus1Year |
| Current Tax Year | 127953 | CurrentTaxYear |
| Total | 670036 | 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 | 670036 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 13 | CurrentTaxYear |
| Total | 13 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 13 | CurrentTaxYear |
| Total | 13 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1122 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3979 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2273 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2435 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2235 | CurrentTaxYear |
| Total | 12044 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 159829 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 127952 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 143785 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 120326 | CurrentTaxYearMinus1Year |
| Current Tax Year | 130201 | CurrentTaxYear |
| Total | 682093 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98230 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98420 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | 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 13.. |
| OCCUPANCY, RENT, UTILITIES AND MAINTENENCE | FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: DEPRECIATION. AMOUNT: 2,432. DESCRIPTION: OTHER EXPENSES. AMOUNT: 26,105. TOTAL TO FORM 990-EZ, LINE 14: 28,537. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: MEDICAL SUPPLIES. AMOUNT: 1,817. DESCRIPTION: MISCELLANEOUS. AMOUNT: 288. DESCRIPTION: INSURANCE. AMOUNT: 3,053. DESCRIPTION: SUPPLIES. AMOUNT: 4,109. DESCRIPTION: UTILITIES. AMOUNT: 6,370. DESCRIPTION: LAB AND X-RAY. AMOUNT: 16,883. DESCRIPTION: CONTRACT LABOR. AMOUNT: 2,450. DESCRIPTION: GIFTS AND MEMORIALS. AMOUNT: 897. DESCRIPTION: REPAIRS AND MAINTENANCE. AMOUNT: 998. DESCRIPTION: TELEPHONE. AMOUNT: 3,858. DESCRIPTION: PAYROLL TAX EXPENSE. AMOUNT: 5,644. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 135. DESCRIPTION: MEALS AND ENTERTAINMENT. AMOUNT: 153. DESCRIPTION: CONFERENCES AND MEMBERSHIPS. AMOUNT: 365. DESCRIPTION: INTEREST. AMOUNT: 74. TOTAL TO FORM 990-EZ, LINE 16: 47,094. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 5,139. END OF YEAR AMOUNT: 6,207. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: PAYROLL LIABILITIES. BEG. OF YEAR AMOUNT: 1,595. END OF YEAR AMOUNT: 1,921. DESCRIPTION: OBLIGATIONS UNDER CAPITAL LEASE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 3,047. |
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 |
Comments