MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC (EIN 58-1494136)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-14
IRS object ID
201343189349307604
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T13:06:29-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Parker Parker & AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11000 NorthChase Dr - Suite 260AddressLine1
CityGoodlettsvilleCity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581494136EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Middle Tennesse School of AnesthesiaBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDDNameControl
Phone6158686503Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 417AddressLine1
CityMadisonCity
StateTNState
ZIP Code37116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKenneth L Schwab EdDName
TitlePresidentTitle
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKaren R Stephens CPAName
PTINP00293352PTIN
Phone6158598800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts5166151GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.mtsa.eduWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionMiddle Tennessee School of Anesthesia's mission is to provide a Christian, Seventh-day Adventist learning environment that fosters the pursuit of truth, excellence in and access to graduate nurse anesthesia education, and a life of service.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees48TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year381299ContributionsGrantsPriorYear
Contributions Grants Current Year219082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4689472ProgramServiceRevenuePriorYear
Program Service Revenue CY4887241ProgramServiceRevenueCY
Investment Income Prior Year11387InvestmentIncomePriorYear
Investment Income Current Year30568InvestmentIncomeCurrentYear
Other Revenue Prior Year7060OtherRevenuePriorYear
Other Revenue Current Year7286OtherRevenueCurrentYear
Total Revenue Prior Year5089218TotalRevenuePriorYear
Total Revenue Current Year5144177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year48485GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY85750GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2574071SalariesEtcPriorYear
Salaries Etc Current Year2879396SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1758314OtherExpensePriorYear
Other Expenses Current Year1709570OtherExpensesCurrentYear
Total Expenses Prior Year4380870TotalExpensesPriorYear
Total Expenses Current Year4674716TotalExpensesCurrentYear
Revenues Less Expenses Prior Year708348RevenuesLessExpensesPriorYear
Revenues Less Expenses CY469461RevenuesLessExpensesCY
Total Assets BOY8370584TotalAssetsBOY
Total Assets EOY9010213TotalAssetsEOY
Total Liabilities BOY859620TotalLiabilitiesBOY
Total Liabilities EOY1029788TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7510964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7980425NetAssetsOrFundBalancesEOY
Mission DescriptionMiddle Tennessee School of Anesthesia's mission is to provide a Christian, Seventh-day Adventist learning environment that fosters the pursuit of truth, excellence in and access to graduate nurse anesthesia education, and a life of service.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3303192Expense
Grants85750Grants
Revenue3781809Revenue
DescriptionThe School is a graduate-level educational institution whose primary purpose is to educate and train qualified nurses to become Certified Registered Nurse Anesthetists (CRNA).Description
Total Program Service Expense3303192TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchooltrueSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees48NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSam MintenNamePerson
Telephone Number6158686503TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1315 Hospital DriveAddressLine1
CityMadisonCity
StateTNState
ZIP Code37115ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
Larry Burkhart SPHR
Trustee0.250.00X000
Nila Sherrill MA
Trustee0.250.00X000
David Netterville MD
Trustee0.250.00X000
C William McKee EdD
Trustee0.250.00X000
Vic Martin CRNA
Trustee0.250.00X000
Scott Hoffman MD
Trustee0.250.00X000
Allen Hamilton CRNA
Trustee0.250.00X000
Mark Haffey CRNA
Trustee0.250.00X000
Truitt Ellis MD
Trustee0.250.00X000
Melvin Christian CRNA APN
Trustee0.250.00X000
Duane Brown CPA
Trustee0.250.00X000
Jon Burks CRNA APN
Trustee0.250.00X000
Matthew Demaree CRNA
Trustee0.250.00X000
Art Runyon-Hass MD PhD
Vice Chair0.250.00X000
Steven Dickerson MD
Chairman0.250.00X000
Robin Taylor MD
Medical Consult0.250.002500000X
Shelley Solomon
Bd Secretary40.000.0019473010657X
Sam Minten
Oper Dir/Brd TR40.000.0080381016201X
Jim Closser CFRE
VP Advancement40.000.0098382018479X
Chris Hulin CRNA MBA DNP A
Dean40.000.00187166045683X
Kenneth L Schwab EdD
President40.000.00306040033577X
Amy Gideon EdD
Director of Ins40.000.0075741016765X
Mary E DeVasher
Vice President40.000.00203555029491X
FieldValueIRS element (for citing)
Total Reportable Comp From Org995738TotalReportableCompFromOrg
Total Other Compensation170853TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Powell Building GroupBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 Northchase Drive Suite 307AddressLine1
CityGoodlettsvilleCity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesConstruction ServiceDescriptionOfServices
Compensation780260Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events49083FundraisingEvents
Government Grants85750GovernmentGrants
All Other Contributions84249AllOtherContributions
Total Contributions219082TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Tuition and Fees37818093781809
Affiliation Revenue10484821048482
Advanced Physiologic Fees5695056950
FieldValueIRS element (for citing)
Total Program Service Revenue4887241TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30568TotalRevenueColumn
Related Or Exempt Function Income30568RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real15630Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15630Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15630TotalRevenueColumn
Related Or Exempt Function Income15630RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events9610GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events49083CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21974FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-12364TotalRevenueColumn
Exclusion-$12,364ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous RevenueDescription
Total Revenue Column4020TotalRevenueColumn
Related Or Exempt Function Income4020RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4020TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5144177TotalRevenueColumn
Related Or Exempt Function Income4937459RelatedOrExemptFunctionIncome
Exclusion-$12,364ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total85750Total
Program Services85750ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total943473Total
Program Services754778ProgramServices
Management And General188695ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1420577Total
Program Services1136462ProgramServices
Management And General284115ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total117088Total
Program Services70253ProgramServices
Management And General46835ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total243681Total
Program Services36330ProgramServices
Management And General207351ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total154577Total
Program Services123662ProgramServices
Management And General30915ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9510Total
Management And General9510ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33640Total
Management And General33640ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48601Total
Management And General48601ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total47648Total
Management And General47648ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74694Total
Program Services65976ProgramServices
Management And General8718ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total78927Total
Program Services78562ProgramServices
Management And General365ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total312381Total
Program Services62476ProgramServices
Management And General249905ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total80180Total
Program Services45990ProgramServices
Management And General34190ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Accreditation and Association814894542036069
Repairs & Maintenance947574743047327
Utilities1004557984420611
Student Education359060359060

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total388228Total
Program Services311199ProgramServices
Management And General77029ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4674716Total
Program Services3303192ProgramServices
Management And General1371524ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1509806BOY
EOY1234303EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3821645BOY
EOY3653565EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3734BOY
EOY11700EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY123969BOY
EOY154187EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY53841BOY
EOY100496EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5700543LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2135546LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2613812BOY
EOY3564997EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY119726EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY243777BOY
EOY171239EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8370584BOY
EOY9010213EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY194282BOY
EOY288789EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY663792BOY
EOY734592EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1546BOY
EOY6407EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY859620BOY
EOY1029788EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7090654BOY
EOY7952217EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY395310BOY
EOY3208EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25000BOY
EOY25000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7510964BOY
EOY7980425EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8370584BOY
EOY9010213EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses469461ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
School170b1 AiiXSchool170b1Aii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance25972BeginningOfYearBalance
Investment Earnings Or Losses18InvestmentEarningsOrLosses
End Of Year Balance25990EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance25931BeginningOfYearBalance
Investment Earnings Or Losses41InvestmentEarningsOrLosses
End Of Year Balance25972EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25841BeginningOfYearBalance
Investment Earnings Or Losses90InvestmentEarningsOrLosses
End Of Year Balance25931EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25755BeginningOfYearBalance
Investment Earnings Or Losses86InvestmentEarningsOrLosses
End Of Year Balance25841EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions137Contributions
End Of Year Balance25755EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis151645OtherCostOrOtherBasis
Book Value151645BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1457102OtherCostOrOtherBasis
Depreciation258642Depreciation
Book Value1198460BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2392266OtherCostOrOtherBasis
Depreciation560062Depreciation
Book Value1832204BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1381510OtherCostOrOtherBasis
Depreciation1044861Depreciation
Book Value336649BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis318020OtherCostOrOtherBasis
Depreciation271981Depreciation
Book Value46039BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3564997TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLoan Proceeds Held for StudentsDescription
Amount$6,407Amount
FieldValueIRS element (for citing)
Total Of Amounts6407TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt5166151TotRevenueEtcAuditedFinclStmt
Revenue Subtotal5166151RevenueSubtotal
Other Revenues Not Included-21974OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-21974RevenueNotRptdOnFinStmt
Total Revenue Per Form9905144177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4696690TotExpensesEtcAuditedFinclStmt
Other Expenses Included21974OtherExpensesIncluded
Expenses Not Rptd F99021974ExpensesNotRptdF990
Expenses Subtotal4674716ExpensesSubtotal
Total Expenses Per Form9904674716TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SSpecial Events Expenses $21974
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The initial donation of the permanent endowment is to remain intact with the earnings on this balance to be used for scholarships.

Schedule E IRS990ScheduleE

FieldValueIRS element (for citing)
Nondiscriminatory Policy StmttrueNondiscriminatoryPolicyStmt
Policy Statement In Brochures EtctruePolicyStatementInBrochuresEtc
Policy Publ Via Broadcast MediatruePolicyPublViaBroadcastMedia
Maint Racial Composition RecordstrueMaintRacialCompositionRecords
Maint Scholarships RecordstrueMaintScholarshipsRecords
Maint Copies Of Brochures EtctrueMaintCopiesOfBrochuresEtc
Maint Copies Of All SolicitationstrueMaintCopiesOfAllSolicitations
Discriminate Race Students RightsfalseDiscriminateRaceStudentsRights
Discriminate Race Admiss PoliciesfalseDiscriminateRaceAdmissPolicies
Discriminate Race Emplmn FacultyfalseDiscriminateRaceEmplmnFaculty
Discriminate Race ScholarshipsfalseDiscriminateRaceScholarships
Discriminate Race Educ PoliciesfalseDiscriminateRaceEducPolicies
Discriminate Race Use Of FcltsfalseDiscriminateRaceUseOfFclts
Discriminate Race Athletic ProgfalseDiscriminateRaceAthleticProg
Discriminate Race Other ActyfalseDiscriminateRaceOtherActy
Government Financial Aid ReceivedtrueGovernmentFinancialAidReceived
Government Financial Aid RevokedfalseGovernmentFinancialAidRevoked
Compliance With Rev Proc7550trueComplianceWithRevProc7550

Form990 Schedule E Part II Form990ScheduleEPartII

FieldValueIRS element (for citing)
IdentifierSchedule E, Line 6 - Explanation of Aid or Assistance from Governmental AgencyIdentifier
ExplanationThe School acts as a pass-through organization for federal financial aid received through the Federal Direct Student Loans and the Post-9/11 Veterans Educational Assistance. The School also receives small grants from the Department of Health and Human Services to be distributed to students in the form of stipends.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event158693GrossReceiptsEvent1
Charitable Contributions Event149083CharitableContributionsEvent1
Gross Revenue Event19610GrossRevenueEvent1
Non Cash Prizes Event18089NonCashPrizesEvent1
Rent Facility Costs Event17590RentFacilityCostsEvent1
Food And Beverage Event14059FoodAndBeverageEvent1
Other Direct Expenses Event12236OtherDirectExpensesEvent1
Gross Receipts Total58693GrossReceiptsTotal
Charitable Contributions Total49083CharitableContributionsTotal
Gross Revenue Total Events9610GrossRevenueTotalEvents
Non Cash Prizes Total Events8089NonCashPrizesTotalEvents
Rent Facility Costs Total Events7590RentFacilityCostsTotalEvents
Food And Beverage Total Events4059FoodAndBeverageTotalEvents
Other Direct Expenses Total Events2236OtherDirectExpensesTotalEvents
Direct Expense Summary Events21974DirectExpenseSummaryEvents
Net Income Summary-12364NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients203NumberOfRecipients
Amount Of Cash Grant85750AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Mary E DeVasher
Vice President2035551153217959233046
Kenneth L Schwab EdD
President30604033577339617
Chris Hulin CRNA MBA DNP A
Dean18716645683232849

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Debbie Rose
Employee60204Compensation for Serfalse
Mary Minten
Employee57498Compensation for Servicesfalse
Anesthesia Medical Group
Trustees/Owners124320Affiliation Revenuefalse
Bernard DeVasher
Employee49650Compensation for Servicesfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe School's governing documents, policies, and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation for the President is determined per a written contract. The contract is recommended by the Executive Committee and approved by the Board. Compensation for all other Officers is recommended by the President and approved by the Board.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is e-mailed to the board members for review before the form is filed.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDr. Art Runyon-Hass,a Trustee of MTSA, has a relationship through their involvement with Anesthesia Group.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MTSA Holdings LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1315 Hospital DriveAddressLine1
CityMadisonCity
StateTNState
ZIP Code37115ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHolding CompanyPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Total Income15630TotalIncome

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Middle Tennessee School of AnesthesiaBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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