MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC (EIN 58-1494136)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202203149349305010
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T14:29:58-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450491842PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLANKENSHIP CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1215 WARD CIRCLEAddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP370272304ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581494136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIDDLE TENNESSEE SCHOOL OFBusinessNameLine1Txt
Business Name Line2ANESTHESIABusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMIDDBusinessNameControlTxt
Phone6158686503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 417AddressLine1Txt
CityMADISONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37116ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS HULINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6158686503PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTOPHERPersonFirstNm
Person LastHULINPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonABIGAIL L CAMPBELL CPAPreparerPersonNm
PTINP01296738PTIN
Phone6153733771PhoneNum
Preparation2022-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS HULINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 417AddressLine1Txt
CityMADISONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37116ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,993,345GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MTSA.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO PROVIDE A CHRISTIAN, SEVENTH-DAY ADVENTIST LEARNING ENVIRONMENT THAT FOSTERS THE PURSUIT OF TRUTH, EXCELLENCE IN AND ACCESS TO GRADUATE NURSE ANESTHESIA EDUCATION, AND A LIFE OF SERVICE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee47TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$120,424PYContributionsGrantsAmt
CY Contributions Grants$184,940CYContributionsGrantsAmt
PY Program Service Revenue$7,596,578PYProgramServiceRevenueAmt
CY Program Service Revenue$7,580,345CYProgramServiceRevenueAmt
PY Investment Income$173,332PYInvestmentIncomeAmt
CY Investment Income$196,234CYInvestmentIncomeAmt
PY Other Revenue$31,017PYOtherRevenueAmt
CY Other Revenue-$24,128CYOtherRevenueAmt
PY Total Revenue$7,921,351PYTotalRevenueAmt
CY Total Revenue$7,937,391CYTotalRevenueAmt
PY Grants And Similar Paid$117,582PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$29,450CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,154,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,475,006CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,946,348PYOtherExpensesAmt
CY Other Expenses$2,144,507CYOtherExpensesAmt
PY Total Expenses$6,218,121PYTotalExpensesAmt
CY Total Expenses$6,648,963CYTotalExpensesAmt
PY Revenues Less Expenses$1,703,230PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,288,428CYRevenuesLessExpensesAmt
Total Assets BOY$19,954,647TotalAssetsBOYAmt
Total Assets EOY$22,533,334TotalAssetsEOYAmt
Total Liabilities BOY$1,999,779TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,834,737TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,954,868NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,698,597NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A CHRISTIAN, SEVENTH-DAY ADVENTIST LEARNING ENVIRONMENT THAT FOSTERS THE PURSUIT OF TRUTH, EXCELLENCE IN AND ACCESS TO GRADUATE NURSE ANESTHESIA EDUCATION, AND A LIFE OF SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,492,481ExpenseAmt
Grant$29,450GrantAmt
Revenue$7,580,345RevenueAmt
DescTHE SCHOOL IS A GRADUATE-LEVEL EDUCATIONAL INSTITUTION WHOSE PRIMARY PURPOSE IS TO EDUCATE AND TRAIN QUALIFIED NURSES TO BECOME CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA).Desc
Total Program Service Expenses$4,492,481TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingYes (true)SchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee47EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJON RONNINGPersonNm
Phone6158686503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 HOSPITAL DRIVEAddressLine1Txt
CityMADISONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37115ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRIS HULIN
PRESIDENT40.00Yes (X)$415,562$0$82,865
RUSTY GENTRY
PROGRAM ADMI40.00$250,258$0$54,669Yes (X)
MARIA OVERSTREET
VP, ACADEMIC40.00Yes (X)$243,683$0$47,690
BILL JOHNSON
PROGRAM DIRE40.00$241,339$0$46,502Yes (X)
JON RONNING
VP, FINANCE40.00Yes (X)$111,513$0$43,461
JEAN BARON-WHITE
BOT RECORDIN40.00Yes (X)$69,437$0$19,107
VIC MARTIN
BOARD CHAIRM0.25Yes (X)$0$0$0Yes (X)
VICKI DAVIES
INTERIM VICE0.25$0$0$0Yes (X)
JEFF KING
TRUSTEE0.25$0$0$0Yes (X)
JOHN BUTORAC
TRUSTEE0.25$0$0$0Yes (X)
KENNETH SCHWAB
TRUSTEE0.25$0$0$0Yes (X)
JONATHAN GROOMS
TRUSTEE0.25$0$0$0Yes (X)
PAUL MAZZONI
TRUSTEE0.25$0$0$0Yes (X)
NICHOLAS HOWALD
TRUSTEE0.25$0$0$0Yes (X)
ELIZABETH LEMONS
TRUSTEE0.25$0$0$0Yes (X)
KEN HOLROYD
TRUSTEE0.25$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,331,792TotalReportableCompFromOrgAmt
Total Other Compensation$294,294TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonM3 TECHNOLOGYPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 AIRPARK CENTER DRIVEAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37217ZIPCd
FieldValueIRS element (for citing)
ServicesTECH SERVICESServicesDesc
Compensation$100,333CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$77,572FundraisingAmt
Government Grants$92,544GovernmentGrantsAmt
All Other Contributions$14,824AllOtherContributionsAmt
Total Contributions$184,940TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TUITION AND FEES611430$6,840,645$6,840,645
AFFILIATION REVENUES611430$589,080$589,080
ADVANCED PHYSIOLOGIC INSTRUCT611430$149,625$149,625
MISCELLANEOUS INCOME611430$995$995
FieldValueIRS element (for citing)
Total Program Service Revenue$7,580,345TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,333TotalRevenueColumnAmt
Exclusion$167,333ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,901SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$28,901SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,901TotalRevenueColumnAmt
Exclusion$28,901ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$14,526FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$77,572ContriRptFundraisingEventAmt
Fundraising Direct Expenses$55,954FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$41,428TotalRevenueColumnAmt
Exclusion-$41,428ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDISTRIBUTION FROM PARTNERSHIPDesc
Business611430BusinessCd
Total Revenue Column$17,300TotalRevenueColumnAmt
Related Or Exempt Func Income$17,300RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,300OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,937,391TotalRevenueColumnAmt
Related Or Exempt Func Income$7,597,645RelatedOrExemptFuncIncomeAmt
Exclusion$154,806ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$29,450TotalAmt
Program Services$29,450ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,626,086TotalAmt
Program Services$1,139,007ProgramServicesAmt
Management And General$487,079ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,148,176TotalAmt
Program Services$1,718,541ProgramServicesAmt
Management And General$429,635ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$472,920TotalAmt
Program Services$120,316ProgramServicesAmt
Management And General$352,604ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$227,824TotalAmt
Program Services$182,259ProgramServicesAmt
Management And General$45,565ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$58,368TotalAmt
Management And General$58,368ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,500TotalAmt
Management And General$15,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,943TotalAmt
Program Services$67,881ProgramServicesAmt
Management And General$12,062ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$153,548TotalAmt
Management And General$153,548ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$291,016TotalAmt
Program Services$188,034ProgramServicesAmt
Management And General$102,982ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$241,577TotalAmt
Program Services$156,491ProgramServicesAmt
Management And General$85,086ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$49,137TotalAmt
Program Services$45,537ProgramServicesAmt
Management And General$3,600ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$333,952TotalAmt
Program Services$66,790ProgramServicesAmt
Management And General$267,162ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$100,787TotalAmt
Program Services$42,570ProgramServicesAmt
Management And General$58,217ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STUDENT EDUCATION$362,435$362,435
STUDENT SERVICES$148,134$148,134
ACCREDITATION AND ASSOCIA$97,042$68,280$28,762
BOOKS AND JOURNALS$79,273$79,273

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$133,795TotalAmt
Program Services$77,483ProgramServicesAmt
Management And General$56,312ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,648,963TotalAmt
Program Services$4,492,481ProgramServicesAmt
Management And General$2,156,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,987,513BOYAmt
EOY$4,663,443EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,027,117BOYAmt
EOY$3,237,396EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,210BOYAmt
EOY$44,030EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$72,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$267,870BOYAmt
EOY$277,463EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,999,574LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,894,835LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,249,851BOYAmt
EOY$6,104,739EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,237,152BOYAmt
EOY$8,002,863EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$125,867BOYAmt
EOY$125,867EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$10,067BOYAmt
EOY$5,033EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,954,647BOYAmt
EOY$22,533,334EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,079,548BOYAmt
EOY$1,469,662EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$920,231BOYAmt
EOY$1,128,900EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$236,175EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,999,779BOYAmt
EOY$2,834,737EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,927,313BOYAmt
EOY$19,671,028EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,555BOYAmt
EOY$27,569EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,954,868BOYAmt
EOY$19,698,597EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,954,647BOYAmt
EOY$22,533,334EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,288,428ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$486,746NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$31,445OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
SchoolYes (X)SchoolInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,555BeginningYearBalanceAmt
Investment Earnings Or Losses$14InvestmentEarningsOrLossesAmt
End Year Balance$27,569EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,527BeginningYearBalanceAmt
Investment Earnings Or Losses$28InvestmentEarningsOrLossesAmt
End Year Balance$27,555EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,499BeginningYearBalanceAmt
Investment Earnings Or Losses$28InvestmentEarningsOrLossesAmt
End Year Balance$27,527EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,501BeginningYearBalanceAmt
Investment Earnings Or Losses-$2InvestmentEarningsOrLossesAmt
End Year Balance$27,499EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,014BeginningYearBalanceAmt
Investment Earnings Or Losses$1,487InvestmentEarningsOrLossesAmt
End Year Balance$27,501EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$711,358OtherCostOrOtherBasisAmt
Book Value$711,358BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,536,629OtherCostOrOtherBasisAmt
Depreciation$2,485,026DepreciationAmt
Book Value$5,051,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,751,587OtherCostOrOtherBasisAmt
Depreciation$2,409,809DepreciationAmt
Book Value$341,778BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,104,739TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNFLP LOAN FUNDDesc
Amt$236,175Amt
FieldValueIRS element (for citing)
Total Liability$236,175TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,448,646TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$486,746NetUnrealizedGainsInvstAmt
Other Revenue$55,954OtherRevenueAmt
Revenue Not Reported$542,700RevenueNotReportedAmt
Revenue Subtotal$7,905,946RevenueSubtotalAmt
Other Revenues Not Included$31,445OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$31,445RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,937,391TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,704,917TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$55,954OtherExpensesIncludedAmt
Expenses Not Reported$55,954ExpensesNotReportedAmt
Expenses Subtotal$6,648,963ExpensesSubtotalAmt
Total Expenses Per Form990$6,648,963TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EVENT EXPENSES 55,954
SCHEDULE D, PAGE 4, PART XI, LINE 4BRECLASS OF EVENT REVENUE 31,445
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT EXPENSES 55,954

Schedule E IRS990ScheduleE

FieldValueIRS element (for citing)
Nondiscriminatory Policy StmtYes (true)NondiscriminatoryPolicyStmtInd
Policy Stmt In Brochures EtcYes (true)PolicyStmtInBrochuresEtcInd
Plcy Pblczd Via Broadcast MediaYes (true)PlcyPblczdViaBroadcastMediaInd
Maintain Racial Comp RecsYes (true)MaintainRacialCompRecsInd
Maintain Scholarships RecsYes (true)MaintainScholarshipsRecsInd
Maintain Cpy Of Brochures EtcYes (true)MaintainCpyOfBrochuresEtcInd
Maintain Cpy Of All SolYes (true)MaintainCpyOfAllSolInd
Discriminate Race Stdnts RghtsfalseDiscriminateRaceStdntsRghtsInd
Discriminate Race Admiss PlcyfalseDiscriminateRaceAdmissPlcyInd
Discriminate Race Emplm FcultyfalseDiscriminateRaceEmplmFcultyInd
Discriminate Race SchsfalseDiscriminateRaceSchsInd
Discriminate Race Educ PlcyfalseDiscriminateRaceEducPlcyInd
Discriminate Race Use Of FcltsfalseDiscriminateRaceUseOfFcltsInd
Discriminate Race Athlt ProgfalseDiscriminateRaceAthltProgInd
Discriminate Race Other ActyfalseDiscriminateRaceOtherActyInd
Government Financial Aid RcvdYes (true)GovernmentFinancialAidRcvdInd
Government Financial Aid RvkdfalseGovernmentFinancialAidRvkdInd
Compliance With Rev Proc7550Yes (true)ComplianceWithRevProc7550Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE E, LINE 3THE NONDISCRIMINATION POLICY IS PUBLISHED IN THE STUDENT CATALOG.
SCHEDULE E, LINE 6THE SCHOOL ACTS AS A PASS-THROUGH ORGANIZATION FOR FEDERAL FINANCIAL AID RECEIVED THROUGH THE FEDERAL DIRECT STUDENT LOANS AND THE POST-9/11 VETERANS EDUCATIONAL ASSISTANCE. THE SCHOOL ALSO RECEIVES SMALL GRANTS FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO BE DISTRIBUTED TO STUDENTS IN THE FORM OF STIPENDS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$48,046GrossReceiptsEvent1Amt
Charitable Contri Event1$38,873CharitableContriEvent1Amt
Gross Revenue Event1$9,173GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,106NonCashPrizesEvent1Amt
Rent Facility Costs Event1$11,726RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,044FoodAndBeverageEvent1Amt
Entertainment Event1$5,594EntertainmentEvent1Amt
Other Direct Expenses Event1$1,892OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$35,674GrossReceiptsEvent2Amt
Charitable Contri Event2$32,301CharitableContriEvent2Amt
Gross Revenue Event2$3,373GrossRevenueEvent2Amt
Non Cash Prizes Event2$266NonCashPrizesEvent2Amt
Rent Facility Costs Event2$10,182RentFacilityCostsEvent2Amt
Food And Beverage Event2$298FoodAndBeverageEvent2Amt
Entertainment Event2$193EntertainmentEvent2Amt
Other Direct Expenses Event2$1,882OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$8,378GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$6,398CharitableContriOtherEventsAmt
Gross Revenue Other Events$1,980GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,529NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$7,209RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$1,349FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$684OthDirectExpnssOtherEventsAmt
Gross Receipts Total$92,098GrossReceiptsTotalAmt
Charitable Contributions Tot$77,572CharitableContributionsTotAmt
Gross Revenue Total Events$14,526GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,901NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$29,117RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,691FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,787EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,458OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$55,954DirectExpenseSummaryEventsAmt
Net Income Summary-$41,428NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Cash Grant$29,450CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE SCHOOL RECEIVES FUNDS FROM THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES THROUGH HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) GRANTS AS PART OF THEIR "NURSE ANESTHETIST TRAINEESHIPS- AND "PROFESSIONAL NURSE TRAINEESHIPS" PROGRAMS. ALL FUNDS RECEIVED BY THE SCHOOL ARE DISTRIBUTED PROPORTIONATELY TO STUDENTS IN THE FORMS OF STIPENDS, FOLLOWING THE REQUIREMENTS LAID OUT IN THE TERMS OF THE HRSA GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CHRIS HULIN
PRESIDENT$415,562$82,865$498,427
RUSTY GENTRY
PROGRAM ADMIN$250,258$54,669$304,927
MARIA OVERSTREET
VP, ACADEMICS & INST$243,683$47,690$291,373
BILL JOHNSON
PROGRAM DIRECTOR$241,339$46,502$287,841
JON RONNING
VP, FINANCE & ADMIN$111,513$43,461$154,974

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6SOME MEMBERS OF THE BOARD OF TRUSTEES ARE VOLUNTEERS
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS E-MAILED TO THE BOARD MEMBERS FOR REVIEW BEFORE THE FORM IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CEACH YEAR TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE. THIS FORM REQUESTS DOCUMENTATION OF ANY POTENTIAL CONFLICT OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE PRESIDENT IS DETERMINED PER A WRITTEN CONTRACT AND APPROVED BY THE BOARD TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED AND DETERMINED ANNUALLY BY THE PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 19THE SCHOOL'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9FUNDRAISING EVENT EXPENSES 55,954 RECLASS OF EVENT REVENUE -31,445 FUNDRAISING EVENT EXPENSES -55,954 TOTAL -31,445

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MTSA HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 HOSPITAL DRIVEAddressLine1Txt
CityMADISONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37115ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesHOLDING COPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Total Income$17,318TotalIncomeAmt
End Of Year Assets$125,867EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MTSABusinessNameLine1Txt
Business Name Line2MIDDLE TENNESSEE SCHOOL OF ANESTHESBusinessNameLine2Txt

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