ATLANTA NEUROSCIENCE INSTITUTE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ATLANTA NEUROSCIENCE INSTITUTE INC (EIN 55-0821471)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-13
- IRS object ID
- 201301339349303185
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T13:54:17-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721396621 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAMLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4360 CHAMBLEE DUNWOODY RD STE 420 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30341 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550821471 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MULTIPLE SCLEROSIS CENTER OF GA INC | BusinessNameLine1 |
| Business Name Line2 | THE PALISADES BUILDING | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MULT | NameControl |
| Phone | 4043510205 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW NO 550 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 303271624 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R TERRY SMITH | Name |
| Title | CEO | Title |
| Phone | 4043510205 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TARA WHITE | Name |
| PTIN | P00910505 | PTIN |
| Phone | 7704576606 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | R TERRY SMITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW NO 550 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 303271624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7100892 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MSCATL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE HEALTH CARE CLINICS AND FACILITIES THAT PROVIDE MEDICAL TREATMENT AND HEALTH CARE SERVICES FOR INDIVIDUALS WITH MULTIPLE SCLEROSIS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 47 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 186842 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 248356 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9570247 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5074068 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7382314 | InvestmentIncomePriorYear |
| Investment Income Current Year | 249958 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4171 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4688 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17143574 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5577070 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2910445 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3146775 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 33880 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 50000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 50000 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8983541 | OtherExpensePriorYear |
| Other Expenses Current Year | 3997420 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11927866 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7200695 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5215708 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1623625 | RevenuesLessExpensesCY |
| Total Assets BOY | 8479686 | TotalAssetsBOY |
| Total Assets EOY | 6165380 | TotalAssetsEOY |
| Total Liabilities BOY | 1035147 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 980935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7444539 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5184445 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 CARE, THE CENTER OFFERS PATIENTS AND FAMILIES ACCESS TO PEER-SUPPORT, SELF-HELP GROUPS, VOLUNTEER VISITOR NETWORK AND PATIENT SUPPORT SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4843323 | Expense |
| Grants | 6500 | Grants |
| Revenue | 4518466 | Revenue |
| Description | TO OPERATE HEALTH CARE CLINICS AND FACILITIES THAT PROVIDE MEDICAL TREATMENT AND HEALTH CARE SERVICES FOR INDIVIDUALS WITH MULTIPLE SCLEROSIS ("MS") AND RELATED DISEASES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 518587 | Expense |
| Revenue | 555602 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 129017 | Expense |
| Description | OTHER PROGRAMS RELATED TO THE PROMULGATION OF MS TREATMENT, RESEARCH AND EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5490927 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 47 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | R TERRY SMITH CEO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4043510205 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE SUITE 550 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30327 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WILLIAM H STUART MD | |||||||
| CHAIRMAN/MEDICAL DIRECTOR | 40.00 | X | X | 678135 | 0 | 6915 | |
| JAMES G POPE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CLAYTON F JACKSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN F MCMULLAN | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| W HOWARD HUDSON MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| R TERRY SMITH | |||||||
| CEO | 40.00 | X | X | 437043 | 0 | 20658 | |
| MARTIN H STECKEL ESQ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN DECKER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM ROQUEMORE JR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DORIS SHAHEEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER BAKER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES H LOKEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| EILEEN GALLAGHER RN | |||||||
| NURSE PRACTITIONER | 40.00 | 133909 | 0 | 5962 | X | ||
| DONNA COURT | |||||||
| DIRECTOR OF CLINICAL RESEA | 40.00 | 108752 | 0 | 11209 | X | ||
| MITZI WILLIAMS MD | |||||||
| NEUROLOGIST | 40.00 | 200475 | 0 | 8877 | X | ||
| BEVERLY BAKER-NEWSHOLME RN | |||||||
| NURSE PRACTITIONER | 40.00 | 134007 | 0 | 12075 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1692321 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 65696 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACHTREE NEUROLOGICAL CLINIC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW STE 550 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30327 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PHYSICIAN SERVICES | DescriptionOfServices |
| Compensation | 362399 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 158000 | FundraisingEvents |
| All Other Contributions | 90356 | AllOtherContributions |
| Total Contributions | 248356 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MS PATIENT CARE | 621300 | 3617536 | 3617536 |
| INFUSION THERAPY MANAGEMENT | 900099 | 900930 | 900930 |
| RESEARCH | 900099 | 555602 | 555602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5074068 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102924 | TotalRevenueColumn |
| Exclusion | $102,924 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1625000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1477966 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 147034 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 147034 | TotalRevenueColumn |
| Exclusion | $147,034 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 50544 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 158000 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 45856 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4688 | TotalRevenueColumn |
| Exclusion | $4,688 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5577070 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5074068 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $254,646 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6500 | Total |
| Program Services | 6500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1758017 | Total |
| Program Services | 1205774 | ProgramServices |
| Management And General | 552243 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1167545 | Total |
| Program Services | 800786 | ProgramServices |
| Management And General | 366759 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56832 | Total |
| Program Services | 30201 | ProgramServices |
| Management And General | 26631 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164381 | Total |
| Program Services | 135151 | ProgramServices |
| Management And General | 29230 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18642 | Total |
| Program Services | 9321 | ProgramServices |
| Management And General | 9321 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72110 | Total |
| Program Services | 28844 | ProgramServices |
| Management And General | 43266 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50000 | Total |
| Fundraising | 50000 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 877155 | Total |
| Program Services | 875962 | ProgramServices |
| Management And General | 1193 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1546 | Total |
| Management And General | 1546 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131391 | Total |
| Program Services | 41004 | ProgramServices |
| Management And General | 90387 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 586832 | Total |
| Program Services | 465210 | ProgramServices |
| Management And General | 121622 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13623 | Total |
| Program Services | 6279 | ProgramServices |
| Management And General | 7344 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49628 | Total |
| Program Services | 37221 | ProgramServices |
| Management And General | 12407 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343511 | Total |
| Program Services | 257633 | ProgramServices |
| Management And General | 85878 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236726 | Total |
| Program Services | 77060 | ProgramServices |
| Management And General | 159666 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SCANNER FEES | 689637 | 689637 | 0 | 0 |
| EQUIPMENT RENTAL & SERV | 255680 | 148310 | 107370 | 0 |
| MEDICATION | 252623 | 252039 | 584 | 0 |
| MEDICAL SUPPLIES | 166683 | 166678 | 5 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301633 | Total |
| Program Services | 257317 | ProgramServices |
| Management And General | 44316 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7200695 | Total |
| Program Services | 5490927 | ProgramServices |
| Management And General | 1659768 | ManagementAndGeneral |
| Fundraising | 50000 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29657 | BOY |
| EOY | 65082 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608362 | BOY |
| EOY | 312076 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 528104 | BOY |
| EOY | 372692 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15515 | BOY |
| EOY | 17849 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61275 | BOY |
| EOY | 78362 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3334063 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2017466 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1601203 | BOY |
| EOY | 1316597 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4851849 | BOY |
| EOY | 4002722 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783721 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8479686 | BOY |
| EOY | 6165380 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345985 | BOY |
| EOY | 240200 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 685089 | BOY |
| EOY | 738421 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4073 | BOY |
| EOY | 2314 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1035147 | BOY |
| EOY | 980935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6660818 | BOY |
| EOY | 5135300 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 49145 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783721 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7444539 | BOY |
| EOY | 5184445 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8479686 | BOY |
| EOY | 6165380 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1623625 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 147252 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -783721 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 585496 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 892006 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60638 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 186842 | CurrentTaxYearMinus1Year |
| Current Tax Year | 214652 | CurrentTaxYear |
| Total | 1939634 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17800037 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20011580 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22303329 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9570247 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5074068 | CurrentTaxYear |
| Total | 74759261 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18385533 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20903586 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22363967 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9757089 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5288720 | CurrentTaxYear |
| Total | 76698895 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 76698895 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1649 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1766 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3011 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 59911 | CurrentTaxYearMinus1Year |
| Current Tax Year | 102924 | CurrentTaxYear |
| Total | 169261 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1649 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1766 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3011 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 59911 | CurrentTaxYearMinus1Year |
| Current Tax Year | 102924 | CurrentTaxYear |
| Total | 169261 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 109674 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 122270 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 129235 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38392 | CurrentTaxYear |
| Total | 399571 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18387182 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21015026 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22489248 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9946235 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5430036 | CurrentTaxYear |
| Total | 77267727 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99260 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99490 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00220 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00080 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1903280 | OtherCostOrOtherBasis |
| Depreciation | 1049318 | Depreciation |
| Book Value | 853962 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1430783 | OtherCostOrOtherBasis |
| Depreciation | 968148 | Depreciation |
| Book Value | 462635 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1316597 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FLEXIBLE SPENDING ACCOUNT | Description |
| Amount | $2,314 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2314 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 5770178 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 147252 | NetUnrealizedGainsInvestments |
| Other Revenues | 45856 | OtherRevenues |
| Revenue Not Rptd F990 | 193108 | RevenueNotRptdF990 |
| Revenue Subtotal | 5577070 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5577070 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8030272 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 829577 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 829577 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7200695 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7200695 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | MANAGEMENT DOES NOT BELIEVE THAT THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012; HOWEVER, THE ORGANIZATION'S TAX RETURNS FOR THE YEARS ENDING DECEMBER 31, 2011, 2010, AND 2009 ARE STILL AVAILABLE FOR EXAMINATION BY RELEVANT TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISER EXPENSES 45,856. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISER EXPENSES 45,856. WRITE-OFF OF GOODWILL 783,721. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSPRING NONPROFIT RESOURCE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2870 PEACHTREE RD STE 614 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | E-NEWSLETTER, SPECIAL EVENTS, GRANT WRITING | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 209544 | GrossReceipts |
| Amount Retained By Contractor | 50000 | AmountRetainedByContractor |
| Net To Organization | 159544 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 209544 | TotalGrossReceipts |
| Total Retained By Contractors | 50000 | TotalRetainedByContractors |
| Total Net To Organization | 159544 | TotalNetToOrganization |
| Licensed States | GA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 120694 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 80000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 40694 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 24660 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MS FESTIVAL | NameOfEvent2 |
| Gross Receipts Event2 | 72525 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 67000 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 5525 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 13908 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 15325 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 11000 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 4325 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 7288 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 208544 | GrossReceiptsTotal |
| Charitable Contributions Total | 158000 | CharitableContributionsTotal |
| Gross Revenue Total Events | 50544 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 45856 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 45856 | DirectExpenseSummaryEvents |
| Net Income Summary | 4688 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF FUNDRAISING PAYMENTS | Identifier |
| Return Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (V) | ReturnReference |
| Explanation | CONTRACT FOR SERVICES | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION DONATES FUNDS TO ESTABLISHED INSTITUTIONS IT HAS VETTED IN ADVANCE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H STUART MD | ||||||||||||||
| CHAIRMAN/MEDICAL DIRECTOR | 460575 | 0 | 0 | 0 | 217560 | 0 | 0 | 0 | 6915 | 0 | 685050 | 0 | 0 | 0 |
| R TERRY SMITH | ||||||||||||||
| CEO | 437043 | 0 | 0 | 0 | 0 | 0 | 13671 | 0 | 6987 | 0 | 457701 | 0 | 0 | 0 |
| MITZI WILLIAMS MD | ||||||||||||||
| NEUROLOGIST | 200475 | 0 | 0 | 0 | 0 | 0 | 1894 | 0 | 6983 | 0 | 209352 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DOWNWOOD OFFICE PARTNERS LLC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 382581 | RENTAL OF OFFICE SPACE | 0 |
| MS PROPERTIES ASSOCIATES LLC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 387714 | RENTAL OF OFFICE SPACE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 107510 | EQUIPMENT & FACILITY LEASE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 114900 | CALL COVERAGE | 0 |
| PEACHTREE NEUROLOGICAL CLINIC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 1059046 | PHYSICIAN & MRI TECH SERVICES | 0 |
| PEACHTREE NEUROLOGICAL CLINIC | |||
| OWNED BY MS CENTER BOARD MEMBERS | 60775 | RESEARCH | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DR. WILLIAM H. STUART IS THE MS CENTER MEDICAL DIRECTOR AND CHAIRMAN OF THE BOARD. HIS SON, DR. DOUGLAS S. STUART, IS AN AD HOC BOARD MEMBER WITH NO VOTING PRIVILEGES AS WELL AS A PARTNER OF PEACHTREE NEUROLOGICAL CLINIC FROM WHICH DR. WILLIAM H. STUART RETIRED JUNE 30, 2006. DR. JEFFREY B. ENGLISH IS AN AD HOC BOARD MEMBER WITH NO VOTING PRIVILEGES AS WELL AS A MEMBER OF PEACHTREE NEUROLOGICAL CLINIC. DR. ENGLISH IS ALSO THE MS CENTER'S RESEARCH MEDICAL DIRECTOR. THE MS CENTER OF GEORGIA RENTS THREE SUITES FROM CORPORATIONS IN WHICH DR. WILLIAM STUART, DR. DOUGLAS STUART, AND 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 11 | AT THE COMPLETION OF THE ANNUAL OUTSIDE AUDIT, EACH DIRECTOR IS PROVIDED WITH A COPY OF THE UNAUDITED, 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 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 IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,783. MANAGEMENT AND GENERAL EXPENSES 1,193. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,976. PHYSICIAN FEES - PEACHTREE NEUROLOGICAL CLI: PROGRAM SERVICE EXPENSES 362,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 362,399. PHYSICIAN FEES - VARIOUS INTERNAL MEDICINE SPECIALISTS: PROGRAM SERVICE EXPENSES 342,518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 342,518. NON-VOTING DIRECTOR FEES: PROGRAM SERVICE EXPENSES 168,262. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 168,262. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | WRITE-OFF OF GOODWILL -783,721. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE TO THIS PROCESS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACHTREE NEUROLOGICAL CLINIC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 DOWNWOOD CIRCLE NW STE 550 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30327 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582139816 | EIN |
| Primary Activity | MEDICAL SERVICES | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PEACHTREE NEUROLOGICAL CLINIC | ||
| J | 107510 | FMV |
| PEACHTREE NEUROLOGICAL CLINIC | ||
| O | 1173946 | FMV |
| DOWNWOOD OFFICE PARTNERS | ||
| K | 382581 | FMV |
| MS PROPERTIES ASSOCIATES LLC | ||
| K | 387714 | FMV |
| PEACHTREE NEUROLOGICAL CLINIC | ||
| M | 60775 | FMV |
Comments