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MERCY FOUNDATION NORTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MERCY FOUNDATION NORTH (EIN 94-3136799)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-04-29
IRS object ID
202411209349301031
Schema version
2022v5.0
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)
Return2024-04-29T16:30:18-04:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680397834PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DH SCOTT & COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1900 MARKET STAddressLine1Txt
CityREDDINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP960010530ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943136799EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY FOUNDATION NORTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone5302473424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 EDITH AVENUE SUITE EAddressLine1Txt
CityREDDINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAKE MANGASPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone5302473424PhoneNum
Signature2024-04-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAKEPersonFirstNm
Person LastMANGASPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH F HUNTING CPAPreparerPersonNm
PTINP00735073PTIN
Phone5302434300PhoneNum
Preparation2024-04-29PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 EDITH AVENUE SUITE EAddressLine1Txt
CityREDDINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,999,197GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.SUPPORTMERCYNORTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionRAISING PHILANTHROPIC SUPPORT AND COMMUNITY AWARENESS FOR THE MINISTRIES OF THE SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY, INC.ActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent29VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,664,464PYContributionsGrantsAmt
CY Contributions Grants$3,997,026CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$459,461PYInvestmentIncomeAmt
CY Investment Income$254,083CYInvestmentIncomeAmt
PY Other Revenue-$26,955PYOtherRevenueAmt
CY Other Revenue$4,700CYOtherRevenueAmt
PY Total Revenue$6,096,970PYTotalRevenueAmt
CY Total Revenue$4,255,809CYTotalRevenueAmt
PY Grants And Similar Paid$2,346,457PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,198,617CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,843PYOtherExpensesAmt
CY Other Expenses$22,305CYOtherExpensesAmt
PY Total Expenses$2,364,300PYTotalExpensesAmt
CY Total Expenses$1,220,922CYTotalExpensesAmt
PY Revenues Less Expenses$3,732,670PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,034,887CYRevenuesLessExpensesAmt
Total Assets BOY$13,114,294TotalAssetsBOYAmt
Total Assets EOY$15,878,208TotalAssetsEOYAmt
Total Liabilities BOY$112,928TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,001,366NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,866,392NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMERCY FOUNDATION NORTH RAISES, MANAGES AND DISTRIBUTES PHILANTHROPIC SUPPORT TO BENEFIT THE SPONSORED AND SUPPORTED WORKS OF THE SISTERS OF MERCY WEST MIDWEST COMMUNITY, INC. IN THE COUNTIES OF SHASTA, TEHAMA AND SISKIYOU, IN NORTHERN CALIFORNIA. THIS PHILANTHROPIC SUPPORT PRIMARILY BENEFITS PROGRAMS AND SERVICES OF THE FOLLOWING HOSPITALS/ORGANIZATIONS OF DIGNITY HEALTH, A CALIFORNIA PUBLIC BENEFIT CORPORATION: MERCY MEDICAL CENTER REDDING,ST. ELIZABETH COMMUNITY HOSPITAL, MERCY MEDICAL CENTER MT. SHASTA, AND DIGNITY HEALTH CONNECTED LIVING. SUPPORTED PROGRAMS BENEFIT THE POOR, SICK, UNEDUCATED, ELDERLY AND/OR DISTRESSED, INCLUDING HEALTHCARE, EDUCATION, SOCIAL SERVICES, ELDERLY AND/OR ASSISTANCE TO THE DISADVANTAGED AND OR/DISTRESSED. THE FOUNDATION MANAGES A FUND DEVELOPMENT PROGRAM THAT IS MULTIFACETED. THE MAIN OFFICE IS LOCATED IN REDDING, CA. OUTLYING OFFICES ARE LOCATED IN RED BLUFF, CA AND MT. SHASTA, CA. THE FOUNDATION IMPLEMENTS ANNUAL GIVING, MAJOR GIVING AND PLANNED GIVINGMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,083,198ExpenseAmt
Grant$1,083,198GrantAmt
DescDIGNITY HEALTH GRANT - ENGAGE IN RAISING FUNDS AND CARRYING ON ACTIVITIES ON BEHALF OF THE CONGREGATION OF THE SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY, INC., PROVIDE GRANTS TO DIGNITY HEALTH FOR MEDICAL EQUIPMENT AND PROVISION OF MEDICAL CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$115,419ExpenseAmt
Grant$115,419GrantAmt
DescCONNECTED LIVING - ASSIST SENIORS AND DISABLED INDIVIDUALS TO INDEPENDENCE BY PROVIDING MEALS, TRANSPORTATION, AND RECREATIONAL ACTIVITIES TO ENHANCE THEIR DIGNITY AND ENCOURAGE CONTINUED INVOLVEMENT IN THE COMMUNITY, PROVIDE SERVICES THAT PROMOTE INDEPENDENT LIVING TO SENIORS AND DISABLED ADULTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,198,617TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member29IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY FOUNDATION NORTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5302473424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 EDITH AVENUE SUITE EAddressLine1Txt
CityREDDINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96001ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
MAGGIE REDMON
FORMER PRESI0.00Yes (X)$0$237,302$55,262
MICHELLE MARTIN STREEBY
DIR. OF PHIL40.00$0$99,111$38,850Yes (X)
ALISA JOHNSON
DIR. OF PHIL40.00$0$101,266$32,629Yes (X)
SUSAN CRESTO BAKER
MEMBER0.25$0$0$0Yes (X)
ZACH BAY
MEMBER0.25$0$0$0Yes (X)
JOE BOWERS
MEMBER0.25$0$0$0Yes (X)
MARJORIE CARNEIRO
MEMBER0.25$0$0$0Yes (X)
PENNY COSTA
MEMBER0.25$0$0$0Yes (X)
MIKE DAVIS
CHAIR0.25$0$0$0Yes (X)Yes (X)
SANDY DOLE
MEMBER0.25$0$0$0Yes (X)
ROSS DOMKE
MEMBER0.25$0$0$0Yes (X)
MARIE DOTSONPSYDLP
SECRETARY0.25$0$0$0Yes (X)Yes (X)
MIRANDA EDWARDS
MEMBER0.25$0$0$0Yes (X)
THOMAS RICHARD RICK GOYNE
MEMBER0.25$0$0$0Yes (X)
RICK HILL
MEMBER0.25$0$0$0Yes (X)
LENA JESRANI
MEMBER0.25$0$0$0Yes (X)
MARK KOENIG
MEMBER0.25$0$0$0Yes (X)
ROB LOWES
TREASURER0.25$0$0$0Yes (X)Yes (X)
PATRICK FOWLER MD
MEMBER0.25$0$0$0Yes (X)
DAVID CIVALIER MD
VICE-CHAIR0.25$0$0$0Yes (X)Yes (X)
JAKE MANGAS
PRESIDENT/CE40.00$0$0$0Yes (X)Yes (X)
DEAN MOYER
MEMBER0.25$0$0$0Yes (X)
DAVE DENNIS OD
MEMBER0.25$0$0$0Yes (X)
RODGER PAGE
MEMBER0.25$0$0$0Yes (X)
SANDY POPE
MEMBER0.25$0$0$0Yes (X)
SISTER PAT MANOLI RSM
WMW COMMUNIT0.25$0$0$0Yes (X)
SR BRENDA O'KEEFFE RSM
MEMBER0.25$0$0$0Yes (X)
G TODD SMITH
PRESIDENT, M0.25$0$0$0Yes (X)
KRISTI STEADMAN
MEMBER0.25$0$0$0Yes (X)
MICHELLE TEGERSTRAND
MEMBER0.25$0$0$0Yes (X)
HEATHER VANHORN
MEMBER0.25$0$0$0Yes (X)
KEN WOOD
MEMBER0.25$0$0$0Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$437,679TotReportableCompRltdOrgAmt
Total Other Compensation$126,741TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$7,200FundraisingAmt
Government Grants$90,000GovernmentGrantsAmt
All Other Contributions$3,899,826AllOtherContributionsAmt
Noncash Contributions$29,030NoncashContributionsAmt
Total Contributions$3,997,026TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,844TotalRevenueColumnAmt
Exclusion$127,844ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,741,227SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,614,988SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$126,239SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,239TotalRevenueColumnAmt
Exclusion$126,239ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$133,100FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$7,200ContriRptFundraisingEventAmt
Fundraising Direct Expenses$128,400FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,700TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,255,809TotalRevenueColumnAmt
Exclusion$254,083ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,198,617TotalAmt
Program Services$1,198,617ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,305TotalAmt
Management And General$22,305ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,220,922TotalAmt
Program Services$1,198,617ProgramServicesAmt
Management And General$22,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$32,437BOYAmt
EOY$9,406EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,467,205BOYAmt
EOY$3,841,181EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,640,785BOYAmt
EOY$2,384,123EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$150,000LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$413,028BOYAmt
EOY$150,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,560,839BOYAmt
EOY$9,493,498EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,114,294BOYAmt
EOY$15,878,208EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,928BOYAmt
EOY$11,816EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,928BOYAmt
EOY$11,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,270,406BOYAmt
EOY$1,248,616EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,730,960BOYAmt
EOY$14,617,776EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,001,366BOYAmt
EOY$15,866,392EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,114,294BOYAmt
EOY$15,878,208EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,034,887ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$143,826NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,035OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

Business Name Line2SupportedOrganizationName/BusinessNameLine2TxtEINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
DIGNITY HEALTH
DIGNITY HEALTH9411962033Yes (true)$878,216$0
SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY
SISTERS OF MERCY OF THE AMERICAS MIDWEST COMMUNITY2624008001Yes (true)$204,982$0
DIGNITY HEALTH CONNECTED LIVING
DIGNITY HEALTH CONNECTED LIVING2371153717Yes (true)$115,419$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$1,198,617SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,164,353BeginningYearBalanceAmt
End Year Balance$3,164,353EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,164,353BeginningYearBalanceAmt
End Year Balance$3,164,353EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,164,353BeginningYearBalanceAmt
End Year Balance$3,164,353EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,164,353BeginningYearBalanceAmt
End Year Balance$3,164,353EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,164,353BeginningYearBalanceAmt
End Year Balance$3,164,353EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$150,000InvestmentCostOrOtherBasisAmt
Book Value$150,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$150,000TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMANAGED FUNDS & INSURANCEDesc
Book Value$9,493,498BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$9,493,498TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescANNUITY PAYABLEDesc
Amt$11,816Amt
FieldValueIRS element (for citing)
Total Liability$11,816TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,436,854TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$143,826NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,373,211DonatedServicesAndUseFcltsAmt
Other Revenue-$26,035OtherRevenueAmt
Revenue Not Reported$1,203,350RevenueNotReportedAmt
Revenue Subtotal$4,233,504RevenueSubtotalAmt
Investment Expenses Not Incld$22,305InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$22,305RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,255,809TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,571,828TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,373,211DonatedServicesUseFcltsAmt
Expenses Not Reported$1,373,211ExpensesNotReportedAmt
Expenses Subtotal$1,198,617ExpensesSubtotalAmt
Investment Expenses Not Incld2$22,305InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$22,305ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,220,922TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO GENERATE INCOME TO BE DISTRIBUTED TO THE SPECIFIC PROGRAMS OR NEEDS AS DETERMINED BY THE DONORS. IN THE ABSENCE OF DONOR INTENTION, THE ORGANIZATION WILL USE THE ENDOWMENT INCOME TO FURTHER THE WORKS OF THE SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY.
SCHEDULE D, PAGE 3, PART XGENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT OF THE NON PROFIT HAS EVALUATED THE UNCERTAIN TAX POSITIONS AND RELATED INCOME TAX CONTINGENCIES. MANAGEMENT DOES NOT BELIEVE THAT ANY MATERIAL UNCERTAIN TAX POSITIONS EXIST.
SCHEDULE D, PAGE 4, PART XI, LINE 2DCHANGE IN SPLIT-INTEREST AGRMT -26,035

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FESTIVAL OF TREEvent1Nm
Gross Receipts Event1$130,518GrossReceiptsEvent1Amt
Charitable Contri Event1$7,200CharitableContriEvent1Amt
Gross Revenue Event1$123,318GrossRevenueEvent1Amt
Other Direct Expenses Event1$128,400OtherDirectExpensesEvent1Amt
Event2RAFFLE TICKETEvent2Nm
Gross Receipts Event2$9,782GrossReceiptsEvent2Amt
Gross Revenue Event2$9,782GrossRevenueEvent2Amt
Gross Receipts Total$140,300GrossReceiptsTotalAmt
Charitable Contributions Tot$7,200CharitableContributionsTotAmt
Gross Revenue Total Events$133,100GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$128,400OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$128,400DirectExpenseSummaryEventsAmt
Net Income Summary$4,700NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
DIGNITY HEALTH
185 BERRY STREETSAN FRANCISCOCA94107941196203501C3$878,216COSTVARIOUSMED EQUIP & CARE
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DR BLDG 1REDDINGCA96003237115371501C3$115,419COSTVARIOUSSNRS & DISBLED SVCS
SISTER OF MERCY
8380 COLESVILLE ROAD 300SILVER SPRINGSMD20910262400800501C3$204,982COSTVARIOUSCHARITABLE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationINVOICES REQUESTING PAYMENT ARE REVIEWED BY STAFF AND CHECKED FOR ALLOWABILITY AND AUTHORIZATION WITH THE SIGNED GRANT AGREEMENT PRIOR TO PAYMENT. THE FOUNDATION MAKES SURE THE GRANTEE HAS NOT EXHAUSTED THE GRANT. IN THE EVENT THAT EXPENSES PAID EXCEED THE GRANT TOTAL, THE FOUNDATION REFUSES THE BILL AND NOTIFIES THE GRANTEE THAT THE GRANT HAS BEEN FULLY EXPENDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMAGGIE REDMONPersonNm
TitleFORMER PRESIDENT/CEOTitleTxt
Compensation Based On Rltd Orgs$203,448CompensationBasedOnRltdOrgsAmt
Bonus Related Organizations$30,988BonusRelatedOrganizationsAmt
Other Compensation Rltd Orgs$2,866OtherCompensationRltdOrgsAmt
Deferred Comp Rltd Orgs$28,355DeferredCompRltdOrgsAmt
Nontaxable Benefits Rltd Orgs$26,907NontaxableBenefitsRltdOrgsAmt
Total Compensation Rltd Orgs$292,564TotalCompensationRltdOrgsAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$10,956NoncashContributionsRptF990Amt
Method Of Determining RevenuesPURCHASE PRICEMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$550NoncashContributionsRptF990Amt
Method Of Determining RevenuesPURCHASE PRICEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$3,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesPURCHASE PRICEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)USE OF PROPERTY4$10,900PURCHASE PRICE
Yes (X)GIFT/SUPPLIES8$2,824PURCHASE PRICE
Yes (X)TIME AND SERVIC1$300PURCHASE PRICE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PAGE 2, PART IIFormAndLineReferenceDesc
ExplanationORGANIZATION IS REPORTING IN PART I THE NUMBER OF NON-CASH CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONMERCY FOUNDATION NORTH RAISES, MANAGES AND DISTRIBUTES PHILANTHROPIC SUPPORT TO BENEFIT THE SPONSORED AND SUPPORTED WORKS OF THE SISTERS OF MERCY WEST MIDWEST COMMUNITY, INC. IN THE COUNTIES OF SHASTA, TEHAMA AND SISKIYOU, IN NORTHERN CALIFORNIA. THIS PHILANTHROPIC SUPPORT PRIMARILY BENEFITS PROGRAMS AND SERVICES OF THE FOLLOWING HOSPITALS/ORGANIZATIONS OF DIGNITY HEALTH, A CALIFORNIA PUBLIC BENEFIT CORPORATION: MERCY MEDICAL CENTER REDDING,ST. ELIZABETH COMMUNITY HOSPITAL, MERCY MEDICAL CENTER MT. SHASTA, AND DIGNITY HEALTH CONNECTED LIVING. SUPPORTED PROGRAMS BENEFIT THE POOR, SICK, UNEDUCATED, ELDERLY AND/OR DISTRESSED, INCLUDING HEALTHCARE, EDUCATION, SOCIAL SERVICES, ELDERLY AND/OR ASSISTANCE TO THE DISADVANTAGED AND OR/DISTRESSED. THE FOUNDATION MANAGES A FUND DEVELOPMENT PROGRAM THAT IS MULTIFACETED. THE MAIN OFFICE IS LOCATED IN REDDING, CA. OUTLYING OFFICES ARE LOCATED IN RED BLUFF, CA AND MT. SHASTA, CA. THE FOUNDATION IMPLEMENTS ANNUAL GIVING, MAJOR GIVING AND PLANNED GIVING ACTIVITIES. THE FOUNDATION IS COMPRISED OF A BOARD OF TRUSTEES WHO ARE REPRESENTATIVES OF SHASTA, SISKIYOU AND/OR TEHAMA COUNTIES, IN NORTHERN CALIFORNIA. COMMITTEES OF THE BOARD INCLUDE AN EXECUTIVE COMMITTEE, AUDIT COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, PLANNED GIVING COMMITTEE, SHASTA COUNTY DEVELOPMENT COUNCIL, SISKIYOU COUNTY DEVELOPMENT COUNCIL, TEHAMA COUNTY DEVELOPMENT COUNCIL. THE PRESIDENT, FOUR STAFF MEMBERS AND A CONTRACTED PLANNED GIVING SPECIALIST PROVIDE SUPPORT TO THE OPERATIONS OF MERCY FOUNDATION NORTH. STAFF AND BOARD/COMMITTEE MEMBERS WORK TO RAISE FINANCIAL SUPPORT TO BENEFIT THE PROJECTS (CAPITAL, PROGRAMS AND OPERATIONS) OF THE ORGANIZATIONS LISTED. THE FOUNDATION ENGAGES IN KEY CAPITAL CAMPAIGNS TO GARNER SIGNIFICANT SUPPORT FOR THESE ORGANIZATIONS. THE FOUNDATION STRIVES TO BE DONOR CENTERED IN ITS APPROACH. GIFTS COME FROM ONE-ON-ONE CONTACT WITH DONORS, MAIL, GRANTS, PLANNED GIFTS (BEQUESTS, CHARITABLE GIFT ANNUITIES, LIFE ESTATES, CHARITABLE REMAINDER TRUSTS), ON-LINE GIFTS, OTHER ORGANIZATIONS, AND BUSINESSES. THE FOUNDATION MAINTAINS CLOSE CONTACT WITH LEADERSHIP, STAFF, VOLUNTEERS AND/OR PHYSICIANS AT THE FOUR ORGANIZATIONS REFERENCED ABOVE.
FORM 990, PAGE 2, PART III, LINE 4DSEE SCHEDULE O
FORM 990, PAGE 6, PART VI, LINE 6THE MEMBERS CONSIST OF FIVE INDIVIDUALS (THREE ARE APPOINTED BY THE SISTERS OF MERCY AND TWO ARE APPOINTED BY DIGNITY HEALTH).
FORM 990, PAGE 6, PART VI, LINE 7ATHE CORPORATE MEMBERS MAY APPOINT AND REMOVE EACH MEMBER OF THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 7BTHE CORPORATE MEMBERS OF THE FOUNDATION HAVE RESERVED RIGHTS. THEIR RESERVED RIGHTS ARE AS FOLLOWS: I. APPROVE THE MISSION, PHILOSOPHY, LONG-RANGE GOALS, STRAGEGIC PLANS AND MAJOR STANDARDS OF THE FOUNDATION II. APPOINT AND REMOVE EACH MEMBER OF THE BOARD OF TRUSTEES III. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES IV. APPROVE THE APPOINTMENT OF THE CHAIR AND SECRETARY OF THE FOUNDATION V. APPOINT AND/OR REMOVE THE FOUNDATION PRESIDENT VI. APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE FOUNDATION VII. RECEIVE THE ANNUAL AUDITORS REPORT TO THE FOUNDATION VIII. APPROVE THE SELECTION OF THE AUDITORS AND GENERAL LEGAL COUNSEL FOR THE FOUNDATION IX. APPROVE ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FOUNDATION X. APPROVE ANY MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION XI. APPROVE THE ESTABLISHMENT OF ANY NEW CONSTITUENT FOUNDATION OR ANY SUBSIDIARY CORPORATION OR OPERATING CORPORATION OF THE FOUNDATION XII. APPROVE ANY BORROWING OF MONEY OR INCURRING OF INDEBTEDNESS BY THE FOUNDATION XIII. APPROVE THE PURCHASE OF REAL ESTATE ASSETS OR ANY INTEREST THEREIN XIV. APPROVE THE EXPENDITURES OR TRANSFERS OF ASSETS TO A PERSON OR ORGANIZAITON OUTSIDE DIGNITY HEALTH AND/OR THE MERCY COMMUNITY WHERE SUCH EXPENDITURES OR TRANSFERS EXCEEDS 10% OF THE ASSETS OF THE FOUNDATION'S BALANCE SHEET, OTHER THAN TRANSFERS TO A BENEFICIARY PURSUANT TO A DESIGNATED "RESTRICTED GIFT"
FORM 990, PAGE 6, PART VI, LINE 11BTHE MERCY FOUNDATION AUDIT COMMITTEE WILL REVIEW THE 990 BEFORE SUBMISSION. THEN THE 990 WILL BE MADE AVAILABLE TO THE BOARD UPON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 12CTO ENSURE COMPLIANCE WITH THIS POLICY,INDIVIDUALS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. ALL OTHER EMPLOYEES ARE REQUIRED TO DISCLOSE TO THEIR IMMEDIATE SUPERVISORS, OR TO THE DIGNITY HEALTH COMPLIANCE OFFICER, ANY REAL OR POTENTIAL CONFLICTS OF INTEREST PRIOR TO MAKING ANY DECISION OR TAKING ANY ACTION THAT IS OR MAY BE AFFECTED BY THE CONFLICT. SUPERVISORS MAY CONSULT WITH THE DIGNITY HEALTH COMPLIANCE OFFICER FOR ASSISTANCE IN RESOLVING SUCH CONFLICTS. MERCY FOUNDATION NORTH BOARD MEMBERS ALL COMPLETE AN ANNUAL "CONFLICT OF INTEREST" DISCLOSURE FORM. RESPONSES ARE REVIEWED BY THE PRESIDENT AND BOARD CHAIR AND ACTED UPON APPROPRIATELY. THE DIGNITY HEALTH LEGAL COUNSEL REVIEWS THE BOARD CONFLICT OF INTEREST FORM ON A PERIODIC BASIS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE PRESIDENT IS AN EMPLOYEE OF DIGNITY HEALTH AND HAS A DIRECT REPORTING RELATIONSHIP TO THE PRESIDENT OF DIGNITY HEALTH. THE COMPENSATION REVIEW PROCESS IS COORDINATED BY THE PRESDIENT OF DIGNITY HEALTH IN CONSULTATION WITH THE DIGNITY HEALTH DIRECTOR OF HR.
FORM 990, PAGE 6, PART VI, LINE 15BTHE PRESIDENT IS AN EMPLOYEE OF DIGNITY HEALTH AND HAS A DIRECT REPORTING RELATIONSHIP TO THE PRESIDENT OF DIGNITY HEALTH. THE COMPENSATION REVIEW PROCESS IS COORDINATED BY THE PRESIDENT OF DIGNITY HEALTH IN CONSULTATION WITH THE DIGNITY HEALTH DIRECTOR OF HR.
FORM 990, PAGE 6, PART VI, LINE 19COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND TAX RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S OFFICE AT ANY TIME.
FORM 990, PART XI, LINE 9CHANGE IN SPLIT-INTEREST AGRMT -26,035

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SISTERS OF MERCY OF THE AMERICAS
8380 COLESVILLE RD 300SILVER SPRINGSMD20910262400800CHARITABLEMD501C31NAfalse
DIGNITY HEALTH
185 BERRY STREETSAN FRANCISCOCA94107941196203CHARITABLECA501C33NAfalse
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DR BLDG 1REDDINGCA96003237115371CHARITABLECA501C37falseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DIGNITY HEALTH
B$1,373,211CASH AND SUPPLIES PAID
DIGNITY HEALTH
M$29,030COST OF DONATED SERVICES