MADISON COUNTY MEDICAL GROUP INC: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MADISON COUNTY MEDICAL GROUP INC (EIN 20-5180288)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-04-15
- IRS object ID
- 201431059349200638
- Schema version
- 2013v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-04-15T11:26:38-00:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jackson Marvin Tax and Accounting | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 E Spring Street | AddressLine1 |
| City | Fayetteville | City |
| State | AR | State |
| ZIP Code | 72701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205180288 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON COUNTY MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MADI | BusinessNameControlTxt |
| Phone | 4797386230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 860 | AddressLine1 |
| City | HUNTSVILLE | City |
| State | AR | State |
| ZIP Code | 72740 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY MARSH | PersonNm |
| Person Title | SECRETARY TREASURER | PersonTitleTxt |
| Signature | 2014-04-15 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Melissa Marvin | PreparerPersonNm |
| Phone | 4795279999 | PhoneNum |
| Preparation | 2014-04-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Type Of Organization Other | NON-PROFIT | TypeOfOrganizationOtherDesc |
| Gross Receipts | $91,595 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $15,000 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $44 | InvestmentIncomeAmt |
| Other Revenue Total | $76,551 | OtherRevenueTotalAmt |
| Total Revenue | $91,595 | TotalRevenueAmt |
| Occupancy Rent Utlts And Maint | $21,870 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $46 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $84,850 | OtherExpensesTotalAmt |
| Total Expenses | $106,766 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$15,171 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $55,587 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | -$13,878 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $26,538 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,587 | BOYAmt |
| EOY | $26,538 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,587 | BOYAmt |
| EOY | $26,538 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,587 | BOYAmt |
| EOY | $26,538 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE ACCESS FOR MEDICAL EDUCATIONAL CARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt |
|---|
| WITH DONATIONS, PURCHASED A CTSCAN FOR USE THAT WAS NOT AVAVAILABLE IN THE RURAL COMMUNITY OF HUNTSVILLE. |
| PROVIDED HEALTH CLASSES FOR DIABETES AND HIGH BLOOD PRESSURE. |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| ODELL DAVIS | ||
| CHAIRMAN | 003.00 | $0 |
| LUCINA BRASHEARS | ||
| BOARD MEMBER | 001.00 | $0 |
| DAVID PEMBERTON | ||
| VICE-CHAIRMAN | 006.00 | $0 |
| NANCY MARSH | ||
| SECRETARY-TREASURER | 010.00 | $0 |
| DWIGHT STEELE | ||
| BOARD MEMBER | 001.00 | $0 |
| PHILLIP CAIN | ||
| BOARD MEMBER | 001.00 | $0 |
| PAT STROUD | ||
| BOARD MEMBER | 001.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY MARSH | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 860 | AddressLine1 |
| City | HUNTSVILLE | City |
| State | AR | State |
| ZIP Code | 72740 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4797386230 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Form720 Filed | false | Form720FiledInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $42 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,000 | CurrentTaxYearAmt |
| Total | $20,042 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $42 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,000 | CurrentTaxYearAmt |
| Total | $20,042 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $20,042 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $42 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,000 | CurrentTaxYearAmt |
| Total | $20,042 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 8, Other Revenue | RENTAL INCOME 76,550 |
| Form 990-EZ, Part I, Line 8, Other Revenue | REFUND 1 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Meals and entertainment 100 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 2,590 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Telephone 2,225 |
| Form 990-EZ, Part I, Line 16, Other Expenses | REPAIRS AND MAINTENANCE 21,909 |
| Form 990-EZ, Part I, Line 16, Other Expenses | JANITORIAL SERVICES 31,800 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PROPERTY INSURANCE 12,272 |
| Form 990-EZ, Part I, Line 16, Other Expenses | POST OFFICE BOX RENTAL 64 |
| Form 990-EZ, Part I, Line 16, Other Expenses | MEDICAL SUPPLIES 291 |
| Form 990-EZ, Part I, Line 16, Other Expenses | ADVERTISING 4,362 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PROMOTIONAL ITEMS FOR HEALTH FAIRS 191 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PEST CONTROL 600 |
| Form 990-EZ, Part I, Line 16, Other Expenses | CT SCAN PROTOCOL SURVEY FOR 2012 AND 2013 2,400 |
| Form 990-EZ, Part I, Line 16, Other Expenses | MALPRACTICE INSURANCE 1,689 |
| Form 990-EZ, Part I, Line 16, Other Expenses | SPONSORSHIPS/DONATIONS 100 |
| Form 990-EZ, Part I, Line 16, Other Expenses | MEMBERSHIP DUES 50 |
| Form 990-EZ, Part I, Line 16, Other Expenses | PRIOR YEAR BANK BALANCE CORRECTION BROUGHT FORWARD TO 2012 4,207 |
| Form 990-EZ, Part I, Line 20, Net Assets | OFFICE CHAIRS -389 |
| Form 990-EZ, Part I, Line 20, Net Assets | MEDICAL EQUIPMENT -11,843 |
| Form 990-EZ, Part I, Line 20, Net Assets | CT SCAN CIRCUIT BOARD -1,646 |
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