Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 1,116,084 | 2,057,283 | 4,348,936 | 3,548,434 | 6,300,237 | 17,370,974 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 1,116,084 | 2,057,283 | 4,348,936 | 3,548,434 | 6,300,237 | 17,370,974 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 894,075 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 16,476,899 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,116,084 | 2,057,283 | 4,348,936 | 3,548,434 | 6,300,237 | 17,370,974 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 24,762 | 68,385 | 57,805 | 29,050 | 81,145 | 261,147 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 306 | 63 | 10,205 | 146,307 | 7,223 | 164,104 |
| 11 | Total support. Add lines 7 through 10 | 17,796,225 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER REVENUE - 2017 AMOUNT: $ 306. 2018 AMOUNT: $ 63. 2019 AMOUNT: $ 10,205. 2021 AMOUNT: $ 4,708. INSURANCE PROCEEDS - 2020 AMOUNT: $ 146,307. 2021 AMOUNT: $ 2,515. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE, COMPRISED OF THE BOARD OFFICERS INCLUDING THE PRESIDENT, PRESIDENT ELECT, PAST PRESIDENT, TREASURER, SECRETARY AND SISTERS OF MERCY REPRESENTATIVE, HAS ALL THE POWERS OF THE FULL BOARD OF DIRECTORS, EXCEPT THAT IT MAY NOT REVERSE AN ACTION OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS, AT ITS NEXT REGULAR MEETING, MUST RATIFY ACTIONS OF THE EXECUTIVE COMMITTEE, EXCEPT WHEN ADVANCE AUTHORITY FOR SUCH ACTION HAS BEEN GRANTED. THE EXECUTIVE COMMITTEE MUST INCLUDE AT MINIMUM ONE SISTER OF MERCY REPRESENTATIVE, IF NO OFFICER OF THE BOARD IS A SISTERS OF MERCY REPRESENTATIVE AN ADDITIONAL SISTERS OF MERCY REPRESENTATIVE SHALL BE ADDED TO THE EXECUTIVE COMMITTEE IN ADDITION TO THE OFFICERS. A SIMPLE MAJORITY CONSTITUTES A QUORUM. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS CONSIST OF THE LEADERSHIP TEAM OF THE SISTERS OF MERCY WEST MIDWEST COMMUNITY (OR ITS SUCCESSOR IN INTEREST). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS HAVE THE RIGHT TO APPROVE ALL NOMINEES FOR THE BOARD AND ACT WITH THE BOARD TO REMOVE ANY ONE OR MORE OF THE DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS HAVE THE RIGHT TO APPROVE THE FOLLOWING: A. APPROVE CHANGES IN THE MISSION, PURPOSE, PHILOSOPHY OF THE CORPORATION OR A CHANGE TO THE GENERAL STRUCTURE OF THE CORPORATION AS A VOLUNTARY NON-PROFIT CORPORATION FOR EDUCATION AND HOUSING. THIS RESERVED POWER IS INTENDED TO INSURE FIDELITY TO THE TEACHINGS OF THE CATHOLIC CHURCH AND FIDELITY TO THE MERCY CHARISM, CORE VALUES AND TRADITION OF MERCY. B. APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND TO THE BYLAWS OF THE CORPORATION. C. DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION AND DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH DISSOLUTION OR TERMINATION IN ACCORDANCE WITH THE ARTICLES OF INCORPORATION AND AFTER CONSULTATION WITH THE BOARD. D. APPROVE THE SALE OF ALL, OR SUBSTANTIALLY ALL, OF THE CORPORATION'S ASSETS. E. APPROVE ALL NOMINEES FOR THE BOARD AND ACT WITH THE BOARD TO REMOVE ANY ONE OR MORE OF THE DIRECTORS. F. APPROVE OR DENY THE RECOMMENDATION OF THE BOARD OF THE APPOINTMENT OR REMOVAL OF THE EXECUTIVE DIRECTOR OF THE CORPORATION. G. APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. H. APPROVE CAPITAL EXPENDITURES IN EXCESS OF $1 MILLION. I. RECEIVE THE ANNUAL AUDIT. J. INITIATE THE REQUIRED PROCESS FOR CANONICAL APPROVAL OF THE SALE OR DISSOLUTION OF ASSETS IN EXCESS OF THE AMOUNT SPECIFIED FROM TIME TO TIME BY THE COMPETENT AUTHORITY OF THE ROMAN CATHOLIC CHURCH. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. ONCE PREPARED, A DRAFT WAS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW. AFTER THEIR REVIEW, THE ENTIRE BOARD WAS PROVIDED A CURRENT DRAFT TO REVIEW PRIOR TO THE RETURN BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES AND BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS WHEN JOINING THE BOARD AND THEN DISCLOSE ANY IF THEY ARISE WHILE SERVING ON THE BOARD. ANNUAL DISCLOSURE FORMS ARE PROVIDED BY BOARD MEMBERS. IF A CONFLICT IS IDENTIFIED, THE DISCLOSURE FORM WILL BE COMPLETED AND DIRECTED TO THE PRESIDENT OF THE BOARD OF DIRECTORS. ALL DISCLOSURES REQUIRED UNDER THIS POLICY MUST BE DIRECTED IN WRITING TO THE PRESIDENT OF THE BOARD WHO, TOGETHER WITH THE EXECUTIVE COMMITTEE, SHALL BE RESPONSIBLE FOR THE ADMINISTRATION OF THIS POLICY. MATTERS UNDER THIS POLICY CONCERNING BOARD OR COMMITTEE MEMBERS SHALL BE REPORTED INITIALLY TO THE PRESIDENT OF THE BOARD FOR APPROPRIATE ACTION. INFORMATION DISCLOSED TO THE PRESIDENT SHALL BE HELD IN CONFIDENCE EXCEPT WHEN THE BEST INTEREST OF THE INSTITUTION WOULD BE SERVED BY DISCLOSING THE INFORMATION TO BOARD IN EXECUTIVE SESSION. BOARD MEMBERS, OFFICERS, OR COMMITTEE MEMBERS WHO HAVE DECLARED OR BEEN FOUND TO HAVE A CONFLICT OF INTEREST IN ANY MATTER BEFORE THE ADMINISTRATION OR THE BOARD SHALL REFRAIN FROM PARTICIPATING IN CONSIDERATION OF THE PROPOSED TRANSACTION, UNLESS FOR SPECIAL REASONS THE BOARD OR ADMINISTRATION REQUESTS INFORMATION OR INTERPRETATION FROM THE PERSON OR PERSONS INVOLVED. THE PERSON OR PERSONS INVOLVED SHOULD NOT VOTE ON SUCH MATTERS AND SHOULD NOT BE PRESENT AT THE TIME OF VOTE. ANY BOARD MEMBER, OFFICER, OR COMMITTEE MEMBER WHO IS UNCERTAIN ABOUT A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER, MAY REQUEST THE BOARD TO DETERMINE WHETHER A POSSIBLE CONFLICT PREVAILS; THE BOARD SHALL RESOLVE THE QUESTION BY MAJORITY VOTE. WHEN POSSIBLE, THE QUESTION OF POTENTIAL CONFLICT SHOULD BE REFERRED TO COUNSEL FOR AN OPINION PRIOR TO THE BOARD'S VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE, LED BY THE BOARD PRESIDENT, RECOMMENDS THE EXECUTIVE DIRECTOR'S COMPENSATION FOLLOWING A REVIEW PROCESS AND COMPARISON OF COMPARABLE NON-PROFIT EXECUTIVE DIRECTOR SALARIES IN THE AREA. THE HR COMMITTEE IS CONSULTED FOR AGREEMENT. THE DECISION IS DOCUMENTED IN A LETTER SIGNED BY THE BOARD PRESIDENT FROM THE EXECUTIVE COMMITTEE. THIS PROCESS WAS LAST COMPLETED IN 2022. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE CENTER. |
| FORM 990, PART XII, LINE 2C | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ARRANGING FOR AN ANNUAL AUDIT FROM A QUALIFIED ACCOUNTING FIRM AND HAVE OVERSIGHT OF THE PROCESS. THIS PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART XII, LINE 3B | THE SINGLE AUDIT IS BEING PERFORMED AT THE TIME OF THIS FILING. |
| Software ID: | |
| Software Version: |