SOUTHEAST MISSOURI HOSPITAL FOUNDATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHEAST MISSOURI HOSPITAL FOUNDATION (EIN 43-1122759)
- Tax period
- 2024-01-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202531349349304153
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-14T09:51:59-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 EAST 4TH STREET | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431122759 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST MISSOURI HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 BROADWAY | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTA BERRY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3145796100 | PhoneNum |
| Signature | 2025-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE L SPARKS | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH FOUNDATION SOUTHEAST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CURT BUCHHEIT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1849 BROADWAY | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,161,674 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYHEALTHFOUNDATION.NET/SOUTHEAST | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $734,049 | PYContributionsGrantsAmt |
| CY Contributions Grants | $834,539 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $122,342 | PYInvestmentIncomeAmt |
| CY Investment Income | -$605,636 | CYInvestmentIncomeAmt |
| PY Other Revenue | $116,060 | PYOtherRevenueAmt |
| CY Other Revenue | -$71,059 | CYOtherRevenueAmt |
| PY Total Revenue | $972,451 | PYTotalRevenueAmt |
| CY Total Revenue | $157,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $235,930 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $63,852 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $273,722 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,432 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $37,507 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $412,780 | PYOtherExpensesAmt |
| CY Other Expenses | $72,966 | CYOtherExpensesAmt |
| PY Total Expenses | $922,432 | PYTotalExpensesAmt |
| CY Total Expenses | $172,250 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $50,019 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,406 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,752,211 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,138,397 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,300,510 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,451,701 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,138,397 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $63,852 | ExpenseAmt |
| Grant | $63,852 | GrantAmt |
| Revenue | $37,821 | RevenueAmt |
| Desc | MERCY HEALTH FOUNDATION SOUTHEAST HELPED LIVE MERCY'S MISSION TO PROVIDE CARE TO EVERYONE WHO NEEDED IT BY SUPPORTING CHARITY CARE AND COMMUNITY OUTREACH SERVICES. DONATIONS SUPPORTED THE PROVISION OF CHARITY CARE AT MERCY FACILITIES, CAPITAL NEEDS, AND PROGRAMS IDENTIFIED TO BENEFIT PATIENTS CARED FOR AT MERCY HOSPITALS AND OUTREACH LOCATIONS. | Desc |
| Total Program Service Expenses | $63,852 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRISTA BERRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5733316028 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY STREET | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BLATTNER RICK | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BUCHHEIT CURT | |||||||
| CHAIR & BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ICAZA-GAST JENNIFER | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MILLER MD JOSEPH | |||||||
| BOARD MEMBER | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| OCHS MIKE | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PENROD TERRI | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| POE PETE | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BATEMAN KENNETH | |||||||
| CEO & BOARD MEMBER (THRU 4/30/2024) | 1.00 | 54.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| FINDLAY PAUL | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KIEFNER TOM | |||||||
| VICE CHAIR & BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PARSONS MD ADELAIDE | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCHAEFER PATTY | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THOMPSON KYLE | |||||||
| TREASURER & BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| UZOARU JOE | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GEIB RYAN C | |||||||
| PRESIDENT, MERCY SE COMMUNITIES | 1.00 | 49.00 | $0 | $0 | $0 | Yes (X) | |
| BERRY KRISTA | |||||||
| CFO | 1.00 | 49.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $239,356 | FundraisingAmt |
| Related Organizations | $15,799 | RelatedOrganizationsAmt |
| All Other Contributions | $579,384 | AllOtherContributionsAmt |
| Noncash Contributions | $47,278 | NoncashContributionsAmt |
| Total Contributions | $834,539 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $311 | TotalRevenueColumnAmt |
| Exclusion | $311 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,241,825 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,847,772 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$605,947 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$605,947 | TotalRevenueColumnAmt |
| Exclusion | -$605,947 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $47,178 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $239,356 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $156,058 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$108,880 | TotalRevenueColumnAmt |
| Exclusion | -$108,880 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $37,821 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,821 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,821 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,821 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$714,516 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,621 | TotalAmt |
| Program Services | $22,621 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,231 | TotalAmt |
| Program Services | $41,231 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,785 | TotalAmt |
| Management And General | $18,032 | ManagementAndGeneralAmt |
| Fundraising | $14,753 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168 | TotalAmt |
| Management And General | $92 | ManagementAndGeneralAmt |
| Fundraising | $76 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28 | TotalAmt |
| Management And General | $15 | ManagementAndGeneralAmt |
| Fundraising | $13 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,451 | TotalAmt |
| Management And General | $1,348 | ManagementAndGeneralAmt |
| Fundraising | $1,103 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,067 | TotalAmt |
| Management And General | $4,067 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,051 | TotalAmt |
| Fundraising | $16,051 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,318 | TotalAmt |
| Management And General | $5,675 | ManagementAndGeneralAmt |
| Fundraising | $4,643 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549 | TotalAmt |
| Management And General | $302 | ManagementAndGeneralAmt |
| Fundraising | $247 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315 | TotalAmt |
| Management And General | $173 | ManagementAndGeneralAmt |
| Fundraising | $142 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,175 | TotalAmt |
| Management And General | $16,175 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,396 | TotalAmt |
| Management And General | $14,396 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| EDUCATION/SEMINAR | $1,064 | $585 | $479 |
| BOARD EXPENSES | $495 | $495 | |
| DUES & LICENSES | $455 | $455 | |
| REPAIRS & MAINTENANCE | $100 | $100 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,481 | TotalAmt |
| Management And General | $8,481 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,250 | TotalAmt |
| Program Services | $63,852 | ProgramServicesAmt |
| Management And General | $70,891 | ManagementAndGeneralAmt |
| Fundraising | $37,507 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,823 | BOYAmt |
| EOY | $35,699 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,223 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,154 | BOYAmt |
| EOY | $507,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,891,075 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,890,936 | BOYAmt |
| EOY | $4,561,553 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $33,911 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,752,211 | BOYAmt |
| EOY | $5,138,397 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,672 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,246 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,592 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,300,510 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,734,265 | BOYAmt |
| EOY | -$1,035,463 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,717,436 | BOYAmt |
| EOY | $6,173,860 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,451,701 | BOYAmt |
| EOY | $5,138,397 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,752,211 | BOYAmt |
| EOY | $5,138,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,406 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $175,123 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$474,021 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $834,716 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $835,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,108,730 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,079,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,568,588 | CurrentTaxYearAmt |
| Total | $5,426,396 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $834,716 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $835,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,108,730 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,079,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,568,588 | CurrentTaxYearAmt |
| Total | $5,426,396 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $535,998 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,890,398 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $620,588 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $506,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $517,295 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $321,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $314,834 | CurrentTaxYearAmt |
| Total | $2,280,211 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,706,607 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $214,498 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.63460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.65610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, SECTIONS A-B | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS FILING THIS SHORT PERIOD RETURN TO CHANGE ITS ACCOUNTING PERIOD FROM ENDING DECEMBER 31, 2023, TO JUNE 30, 2024. THE $1,568,588 OF CONTRIBUTIONS REPORTED IN PART II, SECTION A, COLUMN E, LINE 1 INCLUDES $734,049 OF CONTRIBUTIONS RECEIVED FOR PERIOD ENDED DECEMBER 31, 2023, AND $834,539 OF CONTRIBUTIONS RECEIVED FOR SHORT PERIOD ENDED JUNE 30, 2024. THE $314,834 REPORTED IN PART II, SECTION B, COLUMN E, LINE 8 INCLUDES $314,523 OF INTEREST AND DIVIDENDS REPORTED FOR PERIOD ENDED DECEMBER 31, 2023, AND $311 OF INTEREST AND DIVIDENDS REPORTED FOR THE SHORT PERIOD ENDED JUNE 30, 2024. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $576,347 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $21,400 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,750 | GrantsOrScholarshipsAmt |
| End Year Balance | $595,997 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,669,382 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $71,203 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $33,500 | GrantsOrScholarshipsAmt |
| Other Expenditures | $8,358 | OtherExpendituresAmt |
| Administrative Expenses | $15,684 | AdministrativeExpensesAmt |
| End Year Balance | $1,683,043 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,962,553 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $82,331 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $42,495 | GrantsOrScholarshipsAmt |
| Other Expenditures | $326,696 | OtherExpendituresAmt |
| Administrative Expenses | $16,311 | AdministrativeExpensesAmt |
| End Year Balance | $1,669,382 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,820,029 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $194,147 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $31,500 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,400 | OtherExpendituresAmt |
| Administrative Expenses | $17,723 | AdministrativeExpensesAmt |
| End Year Balance | $1,962,553 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,645,065 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $217,493 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,226 | GrantsOrScholarshipsAmt |
| Other Expenditures | $5,468 | OtherExpendituresAmt |
| Administrative Expenses | $14,835 | AdministrativeExpensesAmt |
| End Year Balance | $1,820,029 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE VARIOUS ENDOWMENT FUNDS ARE INTENDED FOR GENERAL CHARITABLE PURPOSES OF THE FOUNDATION, SCHOLARSHIPS FOR NURSING AND OTHER MEDICAL FIELD EDUCATION, SUPPORT FOUNDATION EXPENSES, AND TO BENEFIT THE PEDIATRIC DEPARTMENT OF SOUTHEAST HOSPITAL. |
| FORM 990, SCHEDULE D, PART X, LINE 2 | ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $245,344 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $206,511 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $38,833 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $58,339 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $47,633 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,249 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $12,150 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $17,261 | OtherDirectExpensesEvent1Amt |
| Event2 | WINE AND CHOCOLATE | Event2Nm |
| Gross Receipts Event2 | $30,190 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,845 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,345 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $8,998 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $7,787 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,641 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $11,000 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $11,000 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $286,534 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $239,356 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $47,178 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $67,337 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $47,633 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,036 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $12,150 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,902 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $156,058 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$108,880 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| BURIAL ASSISTANCE | 1 | $500 | |||
| CANCER PATIENT SUPPORT | 27 | $3,304 | |||
| EMPLOYEE ASSISTANCE | 49 | $7,491 | |||
| MAMMOGRAM | 60 | $6,499 | |||
| PATIENT ASSISTANCE | 172 | $5,167 | |||
| PATIENT TRANSPORTATION | 206 | $9,578 | |||
| CHILDREN'S BOOKS | 1551 | $4,306 | FMV | BOOKS FOR CHILDREN |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING PRESCRIPTION ASSISTANCE, THE PRESCRIPTIONS ARE PROVIDED TO THE PATIENT, WITH THE FOUNDATION COVERING THE COSTS OF THE PRESCRIPTION. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING TRANSPORTATION ASSISTANCE, TAXI RIDES ARE PROVIDED TO THE PATIENT, WITH THE FOUNDATION COVERING THE COSTS OF THE TAXI FARES. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING VARIOUS OTHER ASSISTANCE, NUTRITION SERVICES, LODGING, UTILITIES, MAMMOGRAMS, AND VARIOUS OTHER SUPPORT ARE PROVIDED TO THE PATIENT WITH THE FOUNDATION COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN SOCIAL WORKERS IDENTIFY PATIENTS NEEDING HOSPICE SUPPORT (SUCH AS CREMATION SERVICES, MORTGAGE PAYMENTS, UTILITIES), THE SERVICES ARE PROVIDED TO THE PATIENT, WITH THE FOUNDATION COVERING THE COSTS OF THE SERVICES. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. THE FOUNDATION ALSO PROVIDES COWORKER ASSISTANCE IN THE FORM OF CHILD CARE, RENT ASSISTANCE, AND UTILITY ASSISTANCE WITH THE FOUNDATION COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. ADDITIONALLY, BOOKS WERE PROVIDED TO CHILDREN IN NEED, WITH THE FOUNDATION COVERING THE COST OF THE CHILDRENS BOOKS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | AUCTION ITEMS | 185 | $44,728 | COST/SELLING PRICE |
| Yes (X) | GIFT CERT | 20 | $2,200 | COST/SELLING PRICE |
| Yes (X) | DECORATIONS | 1 | $250 | COST/SELLING PRICE |
| Yes (X) | MISC | 1 | $100 | COST/SELLING PRICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, QUESTION 1A | FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY SOUTHEAST HOSPITAL (EIN 43-0654874). REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE (WITH LIMITED EXCEPTIONS) UNDER THE SOUTHEAST HOSPITAL EIN. |
| FORM 990, PART V, QUESTION 2A | W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, SOUTHEAST HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION AND OF ANY CONTROLLED AFFILIATES; AND -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE EXECUTIVE DIRECTOR OF THE CORPORATION AND OF ANY CONTROLLED AFFILIATES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: -TO ESTABLISH AND APPROVE ANY AMENDMENTS TO THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL CONTROLLED AFFILIATES SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND THESE BYLAWS IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY CONTROLLED AFFILIATES; -TO APPROVE AND AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY CONTROLLED AFFILIATES; -TO APPROVE AND AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION AND ANY CONTROLLED AFFILIATES AND UNBUDGETED EXPENDITURES IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION AND ANY CONTROLLED AFFILIATES IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CONTROLLED AFFILIATES; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND ANY CONTROLLED AFFILIATES (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT. -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION AND ANY CONTROLLED AFFILIATES, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE MISSOURI NONPROFIT CORPORATION ACT; AND -TO APPROVE THE CREATION, OWNERSHIP, OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. |
| FORM 990, PART XI, LINE 9: | NET TRANSFERS (TO)/FROM AFFILIATES -474,021. |
| FORM 990, PART XII, QUESTION 2C | AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. |
| FORM 990, PART XII, QUESTION 3A AND 3B | SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASA DE MISERICORDIA | |||||||||||
| 1000 MIER ST | LAREDO | TX | 78040 | 742912461 | WOMEN'S DOMESTIC VIOLENCE SHELTER | TX | 501(C)(3) | LINE 7 | MERCY MINISTRIES OF LAREDO | Yes (1) | |
| MCAULEY PORTFOLIO MANAGEMENT COMPANY | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 261708048 | PORTFOLIO MANAGEMENT. | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY ACO CLINICAL SERVICES INC | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 464504901 | VIRTUAL CARE CENTER | MO | 501(C)(3) | LINE 3 | MERCY HEALTH | Yes (1) | |
| MERCY CLINIC EAST COMMUNITIES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431771217 | PHYSICIAN GROUP | MO | 501(C)(3) | LINE 10 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY CLINIC FORT SMITH COMMUNITIES | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 261318597 | PHYSICIAN CLINIC | AR | 501(C)(3) | LINE 3 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY CLINIC OKLAHOMA COMMUNITIES INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 270473057 | PHYSICIAN GROUP | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY CLINIC SPRINGFIELD COMMUNITIES | |||||||||||
| 1965 S FREMONT SUITE 200 | SPRINGFIELD | MO | 65804 | 431560263 | PHYSICIAN GROUP | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY FAMILY CENTER | |||||||||||
| 110 VETERANS BLVD | METAIRIE | LA | 70005 | 721069468 | FAMILY COUNSELING SERVICE | LA | 501(C)(3) | LINE 7 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431423050 | CORPORATE OFFICE | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| MERCY HEALTH EAST COMMUNITIES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431718408 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FORT SMITH COMMUNITIES | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318515 | HOLDING COMPANY | AR | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 200901499 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION ADA | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 463596274 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL ADA INC | Yes (1) | |
| MERCY HEALTH FOUNDATION ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 710962525 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HEALTH FOUNDATION BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759301 | FOUNDATION | AR | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL BERRYVILLE | Yes (1) | |
| MERCY HEALTH FOUNDATION FORT SCOTT | |||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481077073 | FOUNDATION | KS | 501(C)(3) | LINE 7 | MERCY KANSAS COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 237330425 | FOUNDATION | AR | 501(C)(3) | LINE 7 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||||||
| 1400 US HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 462797051 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITAL JEFFERSON | Yes (1) | |
| MERCY HEALTH FOUNDATION JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270906136 | FOUNDATION | MO | 501(C)(3) | LINE 7 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 822514567 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITAL LEBANON | Yes (1) | |
| MERCY HEALTH FOUNDATION LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 811477159 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITALS EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 710601687 | FOUNDATION | AR | 501(C)(3) | LINE 7 | MERCY HOSPITAL ROGERS | Yes (1) | |
| MERCY HEALTH FOUNDATION OF OKLAHOMA | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 463184231 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HEALTH FOUNDATION SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 320195818 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION ST FRANCIS | |||||||||||
| 100 W US HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 431873914 | FOUNDATION | MO | 501(C)(3) | LINE 12A, I | MERCY ST FRANCIS HOSPITAL | Yes (1) | |
| MERCY HEALTH FOUNDATION ST LOUIS | |||||||||||
| 615 SOUTH NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 562410020 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION WASHINGTON | |||||||||||
| 901 E FIFTH STREET | WASHINGTON | MO | 63090 | 562410022 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 621684203 | PHYSICIAN GROUP | AR | 501(C)(3) | LINE 10 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH OKLAHOMA COMMUNITIES INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731453048 | HEALTH SYSTEM | OK | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 300584463 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SPRINGFIELD COMMUNITIES | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 431856028 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HOSPITAL ADA INC | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 462288155 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL ARDMORE INC | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731500629 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL AURORA | |||||||||||
| 500 PORTER AVENUE | AURORA | MO | 65605 | 431936696 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759299 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL BOONEVILLE | |||||||||||
| 880 WEST MAIN STREET | BOONEVILLE | AR | 72927 | 463851119 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL CARTHAGE | |||||||||||
| 3125 DR RUSSELL SMITH WAY | CARTHAGE | MO | 64836 | 453808607 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL CASSVILLE | |||||||||||
| 94 MAIN STREET | CASSVILLE | MO | 65625 | 431936699 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL COLUMBUS | |||||||||||
| 220 PENNSYLVANIA AVENUE | COLUMBUS | KS | 66725 | 270842031 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL EL RENO INC | |||||||||||
| 2115 PARKVIEW DRIVE | EL RENO | OK | 73036 | 272716065 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710240352 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL HEALDTON INC | |||||||||||
| 3462 HOSPITAL RD | HEALDTON | OK | 73438 | 263173902 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HOSPITAL JEFFERSON | |||||||||||
| 1400 HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 430687077 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270814858 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL KINGFISHER INC | |||||||||||
| 1000 KINGFISHER REGIONAL HOSPITAL C | KINGFISHER | OK | 73750 | 463433074 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 431767432 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 472219204 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HOSPITALS EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LOGAN COUNTY INC | |||||||||||
| 200 SOUTH ACADEMY | GUTHRIE | OK | 73044 | 452998842 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL OKLAHOMA CITY INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 730579285 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL OZARK | |||||||||||
| 801 W RIVER STREET | OZARK | AR | 72949 | 710689680 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL PARIS | |||||||||||
| 500 E ACADEMY | PARIS | AR | 72855 | 710655753 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL ROGERS | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 710294390 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 440552485 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL TISHOMINGO INC | |||||||||||
| 1000 SOUTH BYRD | TISHOMINGO | OK | 73460 | 274433830 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL ADA INC | Yes (1) | |
| MERCY HOSPITAL WALDRON | |||||||||||
| 1341 W 6TH STREET | WALDRON | AR | 72958 | 710557895 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL WATONGA INC | |||||||||||
| 500 CLARENCE NASH BLVD | WATONGA | OK | 73772 | 455199762 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITALS EAST COMMUNITIES | |||||||||||
| 615 S NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 430653493 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY KANSAS COMMUNITIES INC | |||||||||||
| 401 WOODLAND HILLS BLVD | FT SCOTT | KS | 66701 | 480956045 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY MINISTRIES OF LAREDO | |||||||||||
| 2500 ZACATECAS ST | LAREDO | TX | 78046 | 200198462 | OUTREACH | TX | 501(C)(3) | LINE 7 | MERCY HEALTH | Yes (1) | |
| MERCY RESEARCH | |||||||||||
| 524 NORTH BOONEVILLE AVENUE | SPRINGFIELD | MO | 65802 | 870796305 | RESEARCH | MO | 501(C)(3) | LINE 4 | MERCY HEALTH | Yes (1) | |
| MERCY ST FRANCIS HOSPITAL | |||||||||||
| 100 W US HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 440607149 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MHM SUPPORT SERVICES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 202553101 | CENTRALIZED HEALTH SYSTEM FUNCTIONS | MO | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MISSION CLINICAL SERVICES | |||||||||||
| 216 MCAULEY COURT | HOT SPRINGS | AR | 71913 | 134239691 | CHILD ADVOCACY CENTER | AR | 501(C)(3) | LINE 3 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 261516789 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL SOUTH | Yes (1) | |
| MERCY HOSPITAL SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 430980256 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| ST ANTHONY'S PHYSICIAN ORGANIZATION | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 431784536 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | MERCY HOSPITAL SOUTH | Yes (1) | |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | |||||||||||
| 1619 W 7TH STREET | GALENA | KS | 66739 | 843730625 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL PERRY | |||||||||||
| 434 N WEST STREET | PERRYVILLE | MO | 63775 | 923065473 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 430654874 | HOSPITAL | MO | 501(C)(3) | LINE 3 | SOUTHEASTHEALTH SYSTEM | Yes (1) | |
| SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 273868479 | HOSPITAL | MO | 501(C)(3) | LINE 3 | SOUTHEAST HOSPITAL | Yes (1) | |
| SOUTHEASTHEALTH SYSTEM | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 474890906 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12C, III-FI | MERCY HEALTH | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| PLAZA SURGERY SERVICES COMPANY LLC | |||||||||
| 12700 SOUTHFORK ROAD | ST LOUIS | MO | 63128 | 204709312 | INACTIVE | MO | MERCY HOSPITAL SOUTH | 0 | 0 |
| ST EDWARD MERCY MC M-P OFFICE BLDG | |||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710554050 | OFFICE BUILDING | AR | MERCY HOSPITAL FORT SMITH | 0 | 0 |
| PLATINUM CPS HOLDINGS LLC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 842493007 | HOLDING COMPANY | MO | MERCY MANAGED CARE CORP MERCY HEALTH | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FRONTENAC PROPERTIES INC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 521914421 | HOLDING COMPANY | DE | MERCY HEALTH | C | 0 |
| MERCY HEALTH CENTER CONDOMINIUMS INC | |||||||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 680640970 | REAL ESTATE | OK | MERCY HOSPITAL OKLAHOMA CITY INC | C | 0 |
| MERCY MANAGED CARE CORPORATION | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 731441665 | HOLDING COMPANY | OK | MERCY HEALTH | C | 0 |
| UHL CORP INC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 742499535 | HOLDING COMPANY | MO | MERCY HOSPITALS EAST COMMUNITIES | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | G | TransactionTypeTxt |
| Involved | $1,241,825 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE R, PART II | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. |
| FORM 990, SCHEDULE R, PART V | LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. |