ATLANTA NEUROSCIENCE INSTITUTE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ATLANTA NEUROSCIENCE INSTITUTE INC (EIN 55-0821471)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-04-18
- IRS object ID
- 201701089349300525
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-18T09:43:51-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4360 CHAMBLEE DUNWOODY RD STE 420 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30341 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550821471 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MULTIPLE SCLEROSIS CENTER OF GA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MULT | BusinessNameControlTxt |
| Phone | 4043510205 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW NO 550 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303271624 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R TERRY SMITH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4043510205 | PhoneNum |
| Signature | 2017-04-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STANLEY M SMITH II | PreparerPersonNm |
| PTIN | P00319916 | PTIN |
| Phone | 7704576606 | PhoneNum |
| Preparation | 2017-04-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.166.245.140 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-04-04 | IPDt |
| IP Tm | 15:49:36 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A9D9A1C147DE29A3B549467827CA442B43A4D23B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A9D9A1C147DE29A3B549467827CA442B43A4D23B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | R TERRY SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW NO 550 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303271624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,022,447 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MSCATL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE HEALTH CARE CLINICS AND FACILITIES THAT PROVIDE MEDICAL TREATMENT AND HEALTH CARE SERVICES FOR INDIVIDUALS WITH MULTIPLE SCLEROSIS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 52 | TotalEmployeeCnt |
| Total Volunteers | 46 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,571,011 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,602,357 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,001,285 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,358,735 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$157,028 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,226 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$9,273 | PYOtherRevenueAmt |
| CY Other Revenue | -$33,323 | CYOtherRevenueAmt |
| PY Total Revenue | $7,405,995 | PYTotalRevenueAmt |
| CY Total Revenue | $7,926,543 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,683,109 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,070,181 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,613,525 | PYOtherExpensesAmt |
| CY Other Expenses | $3,502,197 | CYOtherExpensesAmt |
| PY Total Expenses | $7,296,634 | PYTotalExpensesAmt |
| CY Total Expenses | $7,572,378 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $109,361 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $354,165 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,409,905 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,919,073 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,174,590 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,329,593 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,235,315 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,589,480 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MULTIPLE SCLEROSIS CENTER OF GEORGIA IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION PROVIDING COMPREHENSIVE HEALTH CARE SERVICES FOR PEOPLE LIVING WITH MULTIPLE SCLEROSIS. THE ORGANIZATION PROVIDES PATIENTS AND THEIR FAMILIES WITH ACCESS TO THE LATEST IN RESEARCH, EDUCATION, AND TREATMENT OPTIONS. IN ADDITION TO MEDICAL AND PHARMACEUTICAL CARE, THE CENTER OFFERS PATIENTS AND FAMILIES ACCESS TO PEER-SUPPORT, SELF-HELP GROUPS, VOLUNTEER VISITOR NETWORK, AND PATIENT SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,591,934 | ExpenseAmt |
| Revenue | $6,043,246 | RevenueAmt |
| Desc | TO OPERATE HEALTH CARE CLINICS AND FACILITIES THAT PROVIDE MEDICAL TREATMENT AND HEALTH CARE SERVICES FOR INDIVIDUALS WITH MULTIPLE SCLEROSIS ("MS") AND RELATED DISEASES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $344,133 | ExpenseAmt |
| Revenue | $315,489 | RevenueAmt |
| Desc | TO CONDUCT RESEARCH OF MS AND RELATED DISEASES. THE CENTER DESIGNS AND IMPLEMENTS VARIOUS STUDIES OF MS PATIENTS THAT PLACE SPECIAL EMPHASIS ON PHARMACOLOGICAL SURVEILLANCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,936,067 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 52 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | R TERRY SMITH CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4043510205 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE SUITE 550 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30327 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM H STUART MD | ||||||||
| CHAIRMAN/MEDICAL DIRECTOR | 40.00 | 0.00 | Yes (X) | Yes (X) | $674,317 | $0 | $7,003 | |
| R TERRY SMITH | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $389,747 | $0 | $17,654 | |
| JOHN F MCMULLAN CPA | ||||||||
| VICE CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JENNIFER A BAKER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE A CASSIDY MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN R DECKER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| W HOWARD HUDSON MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES H LOKEY JR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STACEY SIMONE BRONNER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAULA SMITH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM SCOULLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| H TATE JONES | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MITZI J WILLIAMS MD | ||||||||
| NEUROLOGIST | 40.00 | 0.00 | $258,290 | $0 | $17,314 | Yes (X) | ||
| DOUGLAS S STUART MD | ||||||||
| NEUROLOGIST | 40.00 | 0.00 | $474,662 | $0 | $7,054 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,797,016 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $49,025 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACHTREE NEUROLOGICAL CLINIC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOODY CIRCLE NW STE 550 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30327 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PHYSICIAN SERVICES | ServicesDesc |
| Compensation | $370,630 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $116,500 | FundraisingAmt |
| All Other Contributions | $1,485,857 | AllOtherContributionsAmt |
| Noncash Contributions | $250,000 | NoncashContributionsAmt |
| Total Contributions | $1,602,357 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MS PATIENT CARE | 621300 | $3,103,323 | $3,103,323 |
| INFUSION THERAPY MANAG | 900099 | $2,907,887 | $2,907,887 |
| RESEARCH | 900099 | $315,489 | $315,489 |
| INCOME FROM PHARMACY | 900099 | $32,036 | $32,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,358,735 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $790 | TotalRevenueColumnAmt |
| Exclusion | $790 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,016 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,016 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,016 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$2,016 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $45,189 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $116,500 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $93,888 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48,699 | TotalRevenueColumnAmt |
| Exclusion | -$48,699 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICARE PROGRAM INCEN | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $15,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,376 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,376 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,926,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,372,095 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$47,909 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,722 | TotalAmt |
| Program Services | $1,056,058 | ProgramServicesAmt |
| Management And General | $32,664 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,727,825 | TotalAmt |
| Program Services | $2,643,074 | ProgramServicesAmt |
| Management And General | $84,751 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,483 | TotalAmt |
| Program Services | $37,894 | ProgramServicesAmt |
| Management And General | $16,589 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,151 | TotalAmt |
| Program Services | $171,877 | ProgramServicesAmt |
| Management And General | $27,274 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,921 | TotalAmt |
| Program Services | $604,916 | ProgramServicesAmt |
| Management And General | $139,005 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,513 | TotalAmt |
| Management And General | $1,513 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,699 | TotalAmt |
| Program Services | $65,699 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,261 | TotalAmt |
| Program Services | $1,720 | ProgramServicesAmt |
| Management And General | $48,541 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,433 | TotalAmt |
| Program Services | $533,119 | ProgramServicesAmt |
| Management And General | $21,314 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,937 | TotalAmt |
| Program Services | $12,762 | ProgramServicesAmt |
| Management And General | $175 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,785 | TotalAmt |
| Program Services | $1,828 | ProgramServicesAmt |
| Management And General | $4,957 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,246 | TotalAmt |
| Program Services | $37,862 | ProgramServicesAmt |
| Management And General | $384 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,161 | TotalAmt |
| Program Services | $244,303 | ProgramServicesAmt |
| Management And General | $12,858 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,232 | TotalAmt |
| Program Services | $306,294 | ProgramServicesAmt |
| Management And General | $25,938 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SCANNER FEES | $407,116 | $407,116 | |
| CALL COVERAGE | $223,025 | $223,025 | |
| SERVICE CONTRACTS | $218,054 | $116,211 | $101,843 |
| MEDICATION | $178,687 | $178,687 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,127 | TotalAmt |
| Program Services | $293,622 | ProgramServicesAmt |
| Management And General | $118,505 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,572,378 | TotalAmt |
| Program Services | $6,936,067 | ProgramServicesAmt |
| Management And General | $636,311 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,656 | BOYAmt |
| EOY | $33,339 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,430 | BOYAmt |
| EOY | $647,428 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $840,000 | BOYAmt |
| EOY | $810,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,953 | BOYAmt |
| EOY | $537,749 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,634 | BOYAmt |
| EOY | $22,914 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,819 | BOYAmt |
| EOY | $99,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,401,563 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,668,303 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,276,181 | BOYAmt |
| EOY | $3,733,260 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,232 | BOYAmt |
| EOY | $34,768 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,409,905 | BOYAmt |
| EOY | $5,919,073 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,682 | BOYAmt |
| EOY | $228,177 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,908 | BOYAmt |
| EOY | $3,101,416 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,590 | BOYAmt |
| EOY | $3,329,593 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,617 | BOYAmt |
| EOY | $1,760,750 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $864,698 | BOYAmt |
| EOY | $828,730 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,235,315 | BOYAmt |
| EOY | $2,589,480 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,409,905 | BOYAmt |
| EOY | $5,919,073 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $354,165 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $214,652 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $370,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $481,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $491,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $522,357 | CurrentTaxYearAmt |
| Total | $2,079,931 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,074,068 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,670,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,074,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,001,285 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,358,735 | CurrentTaxYearAmt |
| Total | $26,179,767 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,288,720 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,041,419 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,556,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,492,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,881,092 | CurrentTaxYearAmt |
| Total | $28,259,698 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $265,250 | CurrentTaxYearAmt |
| Total | $285,500 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $265,250 | CurrentTaxYearAmt |
| Total | $285,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,974,198 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,924 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,330 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,084 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $790 | CurrentTaxYearAmt |
| Total | $176,321 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,924 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,330 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,084 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $790 | CurrentTaxYearAmt |
| Total | $176,321 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,392 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140,836 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,947 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,376 | CurrentTaxYearAmt |
| Total | $342,642 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,430,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,232,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,635,311 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,583,471 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,897,258 | CurrentTaxYearAmt |
| Total | $28,778,661 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97200 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00610 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00740 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION: CASH DATE: 11/30/16 AMOUNT: 1080000. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,650,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,650,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,983,915 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,913,771 | DepreciationAmt |
| Book Value | $70,144 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,767,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $754,532 | DepreciationAmt |
| Book Value | $1,013,116 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,733,260 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,020,431 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $93,888 | OtherRevenueAmt |
| Revenue Not Reported | $93,888 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,926,543 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,926,543 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,666,266 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $93,888 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $93,888 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,572,378 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,572,378 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FASB ASC 740, INCOME TAXES (ASC 740), REQUIRES THE USE OF A TWO STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN INCOME TAX POSITIONS. ONLY TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE RECOGNIZED IN ACCORDANCE WITH ASC 740. MANAGEMENT DOES NOT BELIEVE THAT THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 93,888. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 93,888. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $91,349 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $57,500 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $33,849 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $39,876 | OtherDirectExpensesEvent1Amt |
| Event2 | MS FESTIVAL | Event2Nm |
| Gross Receipts Event2 | $49,160 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $40,000 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,160 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $21,877 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $21,180 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $19,000 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $2,180 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $32,135 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $161,689 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $116,500 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $45,189 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $93,888 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $93,888 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$48,699 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H STUART MD | ||||||||||||||
| CHAIRMAN/MEDICAL DIRECTOR | $674,317 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,003 | $0 | $681,320 | $0 | $0 | $0 |
| R TERRY SMITH | ||||||||||||||
| CEO | $389,747 | $0 | $0 | $0 | $0 | $0 | $10,600 | $0 | $7,054 | $0 | $407,401 | $0 | $0 | $0 |
| MITZI J WILLIAMS MD | ||||||||||||||
| NEUROLOGIST | $258,290 | $0 | $0 | $0 | $0 | $0 | $10,260 | $0 | $7,054 | $0 | $275,604 | $0 | $0 | $0 |
| DOUGLAS S STUART MD | ||||||||||||||
| NEUROLOGIST | $474,662 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,054 | $0 | $481,716 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DOWNWOOD OFFICE PARTNERS LLC | |||
| OWNED BY MS CENTER BOARD MEMBERS | $389,071 | RENTAL OF OFFICE SPACE | 0 |
| MS PROPERTIES ASSOCIATES LLC | |||
| OWNED BY MS CENTER BOARD MEMBERS | $376,249 | RENTAL OF OFFICE SPACE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC (PNC) | |||
| THE MS CENTER DIRECTOR OF RESEARCH IS ONE OF SIX PHYSICIAN PARTNERS IN PNC | $114,632 | EQUIPMENT & FACILITY LEASE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC (PNC) | |||
| THE MS CENTER DIRECTOR OF RESEARCH IS ONE OF SIX PHYSICIAN PARTNERS IN PNC | $83,175 | CALL COVERAGE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC (PNC) | |||
| THE MS CENTER DIRECTOR OF RESEARCH IS ONE OF SIX PHYSICIAN PARTNERS IN PNC | $776,906 | PHYSICIAN & MRI TECH SERVICES | 0 |
| PEACHTREE NEUROLOGICAL CLINIC (PNC) | |||
| THE MS CENTER DIRECTOR OF RESEARCH IS ONE OF SIX PHYSICIAN PARTNERS IN PNC | $11,360 | RESEARCH | 0 |
| WILLIAM H STUART MD | |||
| CHAIRMAN AND BOARD MEMBER OF THE ORGANIZATION | $2,400,000 | PURCHASE OF REAL PROPERTY | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $250,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE MS CENTER OF GEORGIA RENTS THREE SUITES FROM CORPORATIONS IN WHICH DR. WILLIAM STUART, DR. DOUGLAS STUART, AND DR. JEFFREY ENGLISH ARE OFFICERS. ALSO, THE MS CENTER HAS CLINICAL SERVICES AND MRI IMAGING SERVICES AGREEMENTS WITH PEACHTREE NEUROLOGICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | AT THE COMPLETION OF THE ANNUAL OUTSIDE AUDIT, EACH DIRECTOR IS PROVIDED WITH A COPY OF THE AUDITED, YEAR-END FINANCIALS AND THE FIRST DRAFT OF THE QUESTIONNAIRE USED TO COMPLETE THE FORM 990. AFTER REVIEW BY EACH DIRECTOR, EACH DIRECTOR IS PROVIDED WITH THE FINAL COPY OF THE 990 TAX RETURN TO REVIEW AND AUTHORIZE FOR RELEASE. |
| FORM 990, PART VI, SECTION B, LINE 12C | PRIOR TO THE START OF EACH BOARD MEETING, A CONFLICT OF INTEREST DECLARATION IS COMPLETED BY EACH BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION FOR THE MEDICAL DIRECTOR AND CEO IS REVIEWED, DISCUSSED, AND AUTHORIZED ANNUALLY BY THE VOTING MEMBERS OF THE BOARD OF DIRECTORS. SALARIES ARE COMPARED USING PUBLIC INFORMATION AVAILABLE FROM OTHER HEALTHCARE SETTINGS THAT ARE NOT-FOR-PROFIT AND THROUGH FOR-FEE REPORTS THAT PROVIDE INDUSTRY STANDARDS FOR SIMILIAR POSITIONS. DURING THE COMPENSATION REVIEW PROCESS, ANY MEMBER OF MANAGEMENT UNDER REVIEW WILL RECUSE HIMSELF FROM THE BOARD MEETING. OTHER KEY EMPLOYEES HAVE ANNUAL PERFORMANCE AND COMPENSATION REVIEWS CONDUCTED JOINTLY BY THE MEDICAL DIRECTOR, CEO, AND PRACTICE ADMINISTRATOR. |
| FORM 990, PART VI, SECTION C, LINE 18 | COPIES OF THE ORGANIZATION'S FORMS 990 ARE AVAILABLE UPON REQUEST EITHER IN PERSON OR BY MAIL. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| DOWNWOOD OFFICE PARTNERS LLC | |||||||
| 3200 DOWNWOOD CIRCLE NW STE 550 | ATLANTA | GA | 30327 | 251923418 | REAL ESTATE RENTAL | GA | N/A |
| MS PROPERTIES ASSOCIATES LLC | |||||||
| 3200 DOWNWOOD CIRCLE NW STE 550 | ATLANTA | GA | 30327 | 113679456 | REAL ESTATE RENTAL | GA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACHTREE NEUROLOGICAL CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW STE 550 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30327 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582139816 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PEACHTREE NEUROLOGICAL CLINIC | ||
| J | $114,632 | FMV |
| PEACHTREE NEUROLOGICAL CLINIC | ||
| O | $860,081 | FMV |
| DOWNWOOD OFFICE PARTNERS | ||
| K | $389,071 | FMV |
| MS PROPERTIES ASSOCIATES LLC | ||
| K | $376,249 | FMV |
| PEACHTREE NEUROLOGICAL CLINIC | ||
| M | $11,360 | FMV |
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