MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC (EIN 58-1494136)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201923199349304272
Schema version
2018v3.1
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)
Return2019-11-15T09:39:27-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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)
PersonCHRISTOPHER HULINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6158686503PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT A FELTS CPAPreparerPersonNm
PTINP01547515PTIN
Phone6153733771PhoneNum
Preparation2019-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.95.147.121IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-15IPDt
IP Tm09:39:27IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6865D9B00E23A994D8B728C97FA93DEE7C243F3FAtSubmissionCreationDeviceId
At Submission Filing Device Id4A709C110149BEA4F749A93E42455E1C39D32C05AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER HULINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 417AddressLine1Txt
CityMADISONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37116ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,478,360GrossReceiptsAmt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee47TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$166,457PYContributionsGrantsAmt
CY Contributions Grants$347,980CYContributionsGrantsAmt
PY Program Service Revenue$6,347,431PYProgramServiceRevenueAmt
CY Program Service Revenue$7,245,623CYProgramServiceRevenueAmt
PY Investment Income$48,787PYInvestmentIncomeAmt
CY Investment Income-$210,556CYInvestmentIncomeAmt
PY Other Revenue$52,967PYOtherRevenueAmt
CY Other Revenue$76,769CYOtherRevenueAmt
PY Total Revenue$6,615,642PYTotalRevenueAmt
CY Total Revenue$7,459,816CYTotalRevenueAmt
PY Grants And Similar Paid$92,851PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$274,538CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,388,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,840,222CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,899,212PYOtherExpensesAmt
CY Other Expenses$1,866,909CYOtherExpensesAmt
PY Total Expenses$5,380,991PYTotalExpensesAmt
CY Total Expenses$5,981,669CYTotalExpensesAmt
PY Revenues Less Expenses$1,234,651PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,478,147CYRevenuesLessExpensesAmt
Total Assets BOY$13,590,701TotalAssetsBOYAmt
Total Assets EOY$14,837,037TotalAssetsEOYAmt
Total Liabilities BOY$882,384TotalLiabilitiesBOYAmt
Total Liabilities EOY$650,573TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,708,317NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,186,464NetAssetsOrFundBalancesEOYAmt
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$4,071,905ExpenseAmt
Grant$274,538GrantAmt
Revenue$7,245,623RevenueAmt
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$4,071,905TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
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 Document32IRPDocumentCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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)
PersonSAM MINTENPersonNm
Phone6158686503PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER HULIN
PRESIDENT40.00Yes (X)$346,029$0$87,370
JAMES CLOSSER
VP OF ADVANC40.00Yes (X)$128,169$0$35,037
SAM MINTEN
VP OF FINANC40.00Yes (X)$119,578$0$34,247
REBECCA TALLEY
SECRETARY40.00Yes (X)$60,492$0$16,758
MARIA OVERSTREET
DEAN40.00$224,324$0$36,416Yes (X)
RUSSELL GENTRY
PROGRAM ADMI40.00$211,872$0$52,694Yes (X)
TRUITT ELLIS
TRUSTEE0.25$0$0$0Yes (X)
VIC MARTIN
TRUSTEE0.25$0$0$0Yes (X)
VICKI DAVIES
TRUSTEE0.25$0$0$0Yes (X)
MATT O'CONNOR
TRUSTEE0.25$0$0$0Yes (X)
KEN SCHWAB
TRUSTEE0.25$0$0$0Yes (X)
JONATHAN GROOMS
TRUSTEE0.25$0$0$0Yes (X)
JEFF WHITEHORN
TRUSTEE0.25$0$0$0Yes (X)
BRIAN GELFAND
TRUSTEE0.25$0$0$0Yes (X)
TATYANA AULTMAN
EMPLOYEE$137,289$0$0Yes (X)
WILLIAM JOHNSON
EMPLOYEE$178,975$0$0Yes (X)
LEIGH TAYLOR
EMPLOYEE$118,130$0$0Yes (X)
MICHAEL VOLLMAN
EMPLOYEE$154,499$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,679,357TotalReportableCompFromOrgAmt
Total Other Compensation$262,522TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$274,539GovernmentGrantsAmt
All Other Contributions$73,441AllOtherContributionsAmt
Total Contributions$347,980TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TUITION AND FEES$6,555,510$6,555,510
AFFILIATION REVENUES$577,613$577,613
ADVANCED PHYSIOLOGIC INSTRUCT$112,500$112,500
FieldValueIRS element (for citing)
Total Program Service Revenue$7,245,623TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$210,556TotalRevenueColumnAmt
Exclusion-$210,556ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$46,250FundraisingGrossIncomeAmt
Fundraising Direct Expenses$18,544FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,706TotalRevenueColumnAmt
Exclusion$27,706ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS$32,413$32,413
DISTRIBUTION FROM PARTNERSHIP$16,650$16,650
FieldValueIRS element (for citing)
Other Revenue Total$49,063OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,459,816TotalRevenueColumnAmt
Related Or Exempt Func Income$7,294,686RelatedOrExemptFuncIncomeAmt
Exclusion-$182,850ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$274,538TotalAmt
Program Services$274,538ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,346,878TotalAmt
Program Services$930,409ProgramServicesAmt
Management And General$416,469ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,868,372TotalAmt
Program Services$1,494,698ProgramServicesAmt
Management And General$373,674ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$428,912TotalAmt
Program Services$102,809ProgramServicesAmt
Management And General$326,103ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$196,060TotalAmt
Program Services$156,848ProgramServicesAmt
Management And General$39,212ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,998TotalAmt
Management And General$28,998ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,190TotalAmt
Program Services$13,165ProgramServicesAmt
Management And General$13,025ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$140,006TotalAmt
Management And General$140,006ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$752,751TotalAmt
Program Services$503,453ProgramServicesAmt
Management And General$249,298ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$104,468TotalAmt
Program Services$83,266ProgramServicesAmt
Management And General$21,202ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$94,088TotalAmt
Program Services$90,488ProgramServicesAmt
Management And General$3,600ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$323,326TotalAmt
Program Services$64,665ProgramServicesAmt
Management And General$258,661ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$102,870TotalAmt
Program Services$63,354ProgramServicesAmt
Management And General$39,516ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescSTUDENT EDUCATIONDesc
Total$294,212TotalAmt
Program Services$294,212ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,981,669TotalAmt
Program Services$4,071,905ProgramServicesAmt
Management And General$1,909,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,789,555BOYAmt
EOY$5,551,030EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,563BOYAmt
EOY$52,304EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$141,431BOYAmt
EOY$132,956EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,637,855LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,947,440LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,836,614BOYAmt
EOY$4,690,415EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$595,399BOYAmt
EOY$4,254,016EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,900BOYAmt
EOY$2,950EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$171,239BOYAmt
EOY$153,366EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,590,701BOYAmt
EOY$14,837,037EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$343,126BOYAmt
EOY$398,090EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$539,258BOYAmt
EOY$252,483EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$882,384BOYAmt
EOY$650,573EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,680,816BOYAmt
EOY$14,158,965EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,501BOYAmt
EOY$2,499EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,708,317BOYAmt
EOY$14,186,464EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,590,701BOYAmt
EOY$14,837,037EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,478,147ReconcilationRevenueExpnssAmt
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$27,501BeginningYearBalanceAmt
Investment Earnings Or Losses-$2InvestmentEarningsOrLossesAmt
End Year Balance$27,499EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,014BeginningYearBalanceAmt
Investment Earnings Or Losses$1,487InvestmentEarningsOrLossesAmt
End Year Balance$27,501EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,011BeginningYearBalanceAmt
Investment Earnings Or Losses$3InvestmentEarningsOrLossesAmt
End Year Balance$26,014EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,004BeginningYearBalanceAmt
Investment Earnings Or Losses$7InvestmentEarningsOrLossesAmt
End Year Balance$26,011EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,997BeginningYearBalanceAmt
Investment Earnings Or Losses$7InvestmentEarningsOrLossesAmt
End Year Balance$26,004EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.96000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,645OtherCostOrOtherBasisAmt
Book Value$151,645BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,164,332OtherCostOrOtherBasisAmt
Depreciation$1,841,774DepreciationAmt
Book Value$4,322,558BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,912,428OtherCostOrOtherBasisAmt
Depreciation$1,754,353DepreciationAmt
Book Value$158,075BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,632,278TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$7,478,360TotalRevEtcAuditedFinclStmtAmt
Other Revenue$18,544OtherRevenueAmt
Revenue Not Reported$18,544RevenueNotReportedAmt
Revenue Subtotal$7,459,816RevenueSubtotalAmt
Total Revenue Per Form990$7,459,816TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,000,213TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$18,544OtherExpensesIncludedAmt
Expenses Not Reported$18,544ExpensesNotReportedAmt
Expenses Subtotal$5,981,669ExpensesSubtotalAmt
Total Expenses Per Form990$5,981,669TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EVENT EXPENSES 18,544
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT EXPENSES 18,544

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)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$46,250GrossReceiptsEvent1Amt
Gross Revenue Event1$46,250GrossRevenueEvent1Amt
Non Cash Prizes Event1$6,336NonCashPrizesEvent1Amt
Rent Facility Costs Event1$4,800RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,600FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,808OtherDirectExpensesEvent1Amt
Gross Receipts Total$46,250GrossReceiptsTotalAmt
Gross Revenue Total Events$46,250GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$6,336NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,800RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,600FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$4,808OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,544DirectExpenseSummaryEventsAmt
Net Income Summary$27,706NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtCash GrantCashGrantAmt
SCHOLARSHIPS
GRANTS IN US-INDIVIDUALS-$274,538

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CHRISTOPHER HULIN
PRESIDENT$346,029$87,370$433,399
JAMES CLOSSER
VP OF ADVANCEMENT$128,169$35,037$163,206
SAM MINTEN
VP OF FINANCE$119,578$34,247$153,825
MARIA OVERSTREET
DEAN$224,324$36,416$260,740
RUSSELL GENTRY
PROGRAM ADMINISTRATO$211,872$52,694$264,566
WILLIAM JOHNSON
EMPLOYEE$178,975$178,975
MICHAEL VOLLMAN
EMPLOYEE$154,499$154,499

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDEBBIE ROSEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBERRelationshipDescriptionTxt
Transaction$67,907TransactionAmt
TransactionCOMPENSATION FOR SVCTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 12CTHE ORGANIZATION PERFORMS AN ANNUAL REVIEW AND DISCLOURES OF POTENTIAL CONFLICTSOF 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 DETERMINED BY THE PRESIDENT'S REVIEW.
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 18,544 FUNDRAISING EVENT EXPENSES -18,544

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$17,489TotalIncomeAmt
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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