Skip to content
Nonprofiteer
← MERCY HEALTH FOUNDATION FORT SCOTT

Form 990 for tax year 2022

Filed by MERCY HEALTH FOUNDATION FORT SCOTT.

Totals

Total revenue
$288,960
Total expenses
$299,456
Contributions and grants received
$288,960
Grants paid
$299,446
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$299,446
Management and general expenses
$10
Fundraising expenses
$0
Program service expenses (Part III)
$299,446

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $288,960

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $299,446 · program services $299,446

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $10 · program services $0 · management and general $10 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,471 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $9,750 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $1,721 · end of year $0

Mission and programs · 2022

Mission

AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.

  • THE SUPPORTED ENTITY, MERCY FORT SCOTT HOSPITAL, WAS CLOSED IN JANUARY 2019 AND THE FOUNDATION IS USING THE FINAL FUNDS. MERCY HEALTH FOUNDATION FORT SCOTT HAS HAD MINIMAL ACTIVITY TO DATE AND THIS ENTITY IS IN PROCESS OF BEING DISSOLVED.

    Expenses $299,446 · Grants $299,446

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James Barber

    President, Foundation

    Total calculated
    $455,596
    From this org
    $0
    From related orgs
    $433,356
    Other
    $22,240
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,187 related
    Bonus
    $0 + $43,950 related
    Other
    $0 + $18,219 related
    Deferred
    $0 + $14,314 related
    Nontaxable benefits
    $0 + $7,926 related
    Filer's total
    $0 + $455,596 related

  • Jeremy Drinkwitz

    President

    Total calculated
    $889,966
    From this org
    $0
    From related orgs
    $805,318
    Other
    $84,648
    Hours/week
    1 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,393 related
    Bonus
    $0 + $400,482 related
    Other
    $0 + $41,443 related
    Deferred
    $0 + $65,298 related
    Nontaxable benefits
    $0 + $19,350 related
    Filer's total
    $0 + $889,966 related

  • Tyler Sturgeon

    Chief Financial Officer (THRU 8/2023)

    Total calculated
    $301,382
    From this org
    $0
    From related orgs
    $271,539
    Other
    $29,843
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,051 related
    Bonus
    $0 + $32,634 related
    Other
    $0 + $44,854 related
    Deferred
    $0 + $10,417 related
    Nontaxable benefits
    $0 + $19,426 related
    Filer's total
    $0 + $301,382 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
MERCY HEALTH FOUNDATION FORT SCOTT RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
Schedule J, Part II
THE AMOUNTS REPORTED FOR JEREMY DRINKWITZ IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Fort Smith Emergency Medical Services

    Emergency Medical Services · AR

    Directly controlled by NA

  • Plaza Surgery Services Company LLC

    Inactive · MO

    Directly controlled by NA

  • St Edward Mercy MC M-P Office Bldg

    Office Building · AR

    Directly controlled by NA

  • Platinum CPS Holdings LLC

    Holding Company · MO

    Directly controlled by NA

  • Maryville Cancer Center LLC

    Outpatient Center · IL

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Frontenac Properties Inc

    C Corporation · Holding company · DE

    Directly controlled by NA

  • Mercy Commercial Services Inc

    C Corporation · CORPORATE PARENT OF VCC TAXABLE COMMERCIAL SERVICES · MO

    Directly controlled by NA

  • Mercy Health Center Condominium Inc

    C Corporation · Real estate · OK

    Directly controlled by NA

  • Mercy Managed Care Corporation

    C Corporation · Holding company · OK

    Directly controlled by NA

  • St Anthony's Physician Organization of Illinois

    C Corporation · Health Care · MO

    Directly controlled by NA

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

1 distribution to a recipient named as a person, $975. Counted where the filer named the recipient as a person, as filed. Who received them, and what, are not published.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202441349349308629

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.