2024-02-13T17:52:23-07:00 2023-03-31 990 2022-04-01 453841621 MISSION TRAVIS MERCY MISS 8178403501 PO Box 11557 Fort Worth TX 76110 Rebekah Naylor Board Chair 8178403501 2024-02-13 Rebekah Naylor 999009999 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Mercy Clinic of Fort Worth Aly Layman P O Box 11557 Fort Worth TX 76110 504011 0 X www.mercy-clinic.org X 2011 TX Mercy Clinic exists to show Christ's love and compassion by providing free health care, spiritual care and assistance in self-help to the underserved population of south Fort Worth. 13 13 8 263 0 0 1460505 478458 0 0 427 12301 -9994 -14565 1450938 476194 47527 60734 0 0 128269 191345 24000 121500 153040 194477 235714 394273 609293 1056665 -133099 2478037 2342656 2918 641 2475119 2342015 Mercy Clinic exists to show Christ's love and compassion by providing free health care, spiritual care and assistance in self-help to the underserved population of south Fort Worth. 0 0 199143 53552 0 Mercy Clinic of Fort Worth provides health care to uninsured adults in south Fort Worth. Open five days per week, the medical providers and other health professionals are largely volunteers. The estimated value of their services during fiscal year 2023 is $514,325. Medical services include lab (on site and in partnership with local laboratory), physical exams, well woman exams, health education, and pharmacy. In fiscal year 2023, approximately 1435 unduplicated patients received medical and dental services. Estimates for labs performed and RX dispensed are 1750 and 2500, respectively. COVID vaccines administered in partnership with community stakeholders approximated 150. Spiritual and emotional needs of patients are also addressed. 145298 5711 0 Dental care is provided at least eight times per month. Such care is especially difficult to obtain among the uninsured and underinsured population. Care provided includes complete examination with x-rays, a treatment plan, follow-up appointments for extractions, fillings, root canals, and hygiene services. Additional services in FY23 are dentures, crowns and bridges. All dental care is provided free of charge to the patient and is provided by volunteer dentists. In fiscal year 2023 Mercy Clinic service 153 unduplicated dental patients. 7129 1471 0 Mercy Clinic's commitment to community service is traditionally accomplished by regularly scheduled Health Fair events. Mammogram and Women's Health clinics were provided and facilitated onsite in partnership with community stakeholders four times in fiscal year 2023. Vision Screening and diabetic eye exam events were held onsite five times during fiscal year 2023. 0 0 0 351570 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 11 0 1 8 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Peggy A Leitch 8178403501 PO Box 11557 Fort Worth TX 76110 Paul Blevins Director 2 0 X 0 0 0 Brad Dowell Director 2 0 X 0 0 0 Christian Ellis Director 2 0 X 0 0 0 Jamie Erwin MD Director 2 0 X 0 0 0 Jack Keen MD Medical Director 15 0 X 0 0 0 Shawn Powers Director 10 0 X 0 0 0 Bill Rice Director 15 0 X 0 0 0 Melanie Simpson Director 2 0 X 0 0 0 Anna Spencer DDS Director 5 0 X 0 0 0 Xavier Vasquez Director 5 0 X 0 0 0 David Watts MD Director 2 0 X 0 0 0 Peggy Leitch Executive Director 40 0 X X 0 0 0 Rebekah Naylor MD Board Chair 15 0 X X 0 0 0 Mark Shelton MD Secretary 5 0 X X 0 0 0 Michele Smith Treasurer 15 0 X X 0 0 0 Aly Layman Executive Director 40 0 X 0 0 0 0 0 0 0 0 0 0 MGale & Associates LLC 3000 Race Street Suite 108 Fort Worth TX 76111 Professional Fundraising Services 143500 1 0 0 47343 0 0 431115 38441 478458 0 12301 12301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13252 47343 27817 -14565 0 -14565 0 476194 12301 0 -14565 0 0 60734 60734 0 0 0 0 6923 4500 1038 1385 0 0 0 0 170803 138439 13870 18494 0 0 0 0 0 0 0 0 13619 10950 1144 1525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121500 121500 0 0 0 0 53286 10811 42084 391 0 0 0 0 45040 24965 14217 5858 26996 10167 15004 1825 0 0 0 0 24253 17171 5544 1538 0 0 0 0 0 0 0 0 1855 260 1595 0 0 0 0 0 0 0 0 0 17241 11162 5925 154 5345 3834 1511 0 Medical Supplies 44366 44366 0 0 Food Services 8832 8832 0 0 Janitorial (incl Medical Cleaning) 8500 5379 2751 370 609293 351570 104683 153040 340133 191892 1359539 1375806 0 0 0 0 0 0 155 880211 105253 778210 774958 0 0 0 0 0 2478037 2342656 2918 641 0 0 0 0 0 0 0 2918 641 X 482519 389558 1992600 1952457 2475119 2342015 2478037 2342656 -133099 0 0 0 -5 0 X 0 0 0 X 337782 236106 297535 929699 349430 2150552 0 0 0 0 0 0 0 0 0 337782 236106 297535 929699 349430 2150552 638615 1511937 7786 10164 12018 511 12301 42780 0 0 0 0 0 0 0 0 0 0 2193332 0 0.68933 0.69262 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 367075 367075 0 253051 0 253051 0 74195 18783 55412 0 129240 85211 44029 0 56650 1259 55391 774958 X X X X 1 MGale and Associates 329 Main Street Suite 201 Fort Worth TX 76104 Campaign planning 0 0 121500 -121500 0 121500 -121500 All States Clay Shoot 60595 47343 13252 0 5959 11673 3076 0 7109 0 0 60595 47343 13252 0 5959 11673 3076 0 7109 27817 -14565 1 Health and Dental Clinic 2850 0 59029 cost Health and Dental Supplies Community Outreach 500 0 1705 cost vaccines, tests, education Schedule I, Part I, Line 2 Patients of the Health and Dental Clinics must be over 18 years old; have no access to health or dental insurance; and live in Fort Worth in a zip code currently served by the Clinic. First time patients are asked to provide a photo ID, proof of residency such as a current utility bill and a current pay stub, if employed. No cash assistance is provided to patients. Pharmaceuticals and lab work are available at no cost to patients. The value of all non-cash assistance, including volunteer professional services, is estimated at $635,800 for fiscal year 2023. X 12 38441 cost 0 0 1 0 Form 990, Part VI, Section B, Line 11b All Board members are provided a copy of the Form 990 and accompanying schedules in advance of filing. Each is encouraged to review and direct all questions to the Executive Director, Board Chair or Treasurer. Form 990, Part VI, Section B, Line 12c Each board member annually completes a conflict of interest disclosure form. Completed forms are then reviewed and relationships which may create a conflict of interest or the appearance of a conflict of interest are noted. Throughout the year, if a conflict of interest or the appearance of a conflict of interest arises, action is taken, including recusal, as needed. Form 990, Part VI, Section C, Line 19 No documents available to the public