MADISON COUNTY MEDICAL GROUP INC: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MADISON COUNTY MEDICAL GROUP INC (EIN 20-5180288)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-09-10
- IRS object ID
- 201232549349200768
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-09-10T14:42:18-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jackson Marvin Tax and Accounting | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205180288 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADISON COUNTY MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MADI | NameControl |
| Phone | 4797386230 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY MARSH | Name |
| Title | TREASURER | Title |
| Date Signed | 2012-09-10 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Melissa Marvin | Name |
| Phone | 4795279999 | Phone |
| Date Prepared | 2012-09-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 86363 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 42 | ContributionsGiftsGrantsEtc |
| Investment Income | 169 | InvestmentIncome |
| Other Revenue Total | 86152 | OtherRevenueTotal |
| Total Revenue | 86363 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 160 | SalariesOtherCompEmplBenefits |
| Occupancy Rent Utilities And Maint | 14751 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 104 | PrintingPublicationsPostage |
| Other Expenses Total | 51884 | OtherExpensesTotal |
| Total Expenses | 66899 | TotalExpenses |
| Excess Or Deficit For Year | 19464 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 97357 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | -20767 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 96054 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97357 | BOY |
| EOY | 96054 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97357 | BOY |
| EOY | 96054 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97357 | BOY |
| EOY | 96054 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE ACCESS FOR MEDICAL EDUCATIONAL CARE. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom |
|---|
| 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 Key Empl OfficerDirectorTrusteeKeyEmpl (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| ODELL DAVIS | ||||||
| 1908 MADISON 8615 | HUNTSVILLE | AR | 72740 | CHAIRMAN | 003.00 | 0 |
| LUCINA BRASHEARS | ||||||
| 805 SOUTH PARROTT DR | HUNTSVILLE | AR | 72740 | BOARD MEMBER | 001.00 | 0 |
| DAVID PEMBERTON | ||||||
| 21893 HIGHWAY 23 | HUNTSVILLE | AR | 72740 | VICE-CHAIRMAN | 006.00 | 0 |
| NANCY MARSH | ||||||
| 10401 HIGHWAY 412 | HUNTSVILLE | AR | 72740 | SECRETARY-TREASURER | 010.00 | 0 |
| DWIGHT STEELE | ||||||
| PO BOX 369 | HUNTSVILLE | AR | 72740 | BOARD MEMBER | 001.00 | 0 |
| PHILLIP CAIN | ||||||
| 558 MADISON 2565 | HUNTSVILLE | AR | 72740 | BOARD MEMBER | 001.00 | 0 |
| PAT STROUD | ||||||
| 16547 HWY 412 | HUNTSVILLE | AR | 72740 | BOARD MEMBER | 001.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NANCY MARSH | NamePerson |
Address US AddressUS
| 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) |
|---|---|---|
| Telephone Number | 4797386230 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 42 | CurrentTaxYear |
| Total | 42 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 42 | CurrentTaxYear |
| Total | 42 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 42 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 42 | CurrentTaxYear |
| Total | 42 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Form 990-EZ, Part I, Line 8, Other Revenue RENTAL INCOME 85,380 Form 990-EZ, Part I, Line 8, Other Revenue BANK REVENUE RECONCILATION PRIOR YEAR TO CORRECT 2011 BALANCES 772 Form 990-EZ, Part I, Line 16, Other Expenses Meals and entertainment 259 Form 990-EZ, Part I, Line 16, Other Expenses Supplies 3,302 Form 990-EZ, Part I, Line 16, Other Expenses Telephone 2,302 Form 990-EZ, Part I, Line 16, Other Expenses REPAIRS AND MAINTENANCE 2,707 Form 990-EZ, Part I, Line 16, Other Expenses JANITORIAL SERVICES 28,200 Form 990-EZ, Part I, Line 16, Other Expenses PROPERTY INSURANCE 5,426 Form 990-EZ, Part I, Line 16, Other Expenses POST OFFICE BOX RENTAL 60 Form 990-EZ, Part I, Line 16, Other Expenses MEDICAL SUPPLIES 2,006 Form 990-EZ, Part I, Line 16, Other Expenses ADVERTISING 3,476 Form 990-EZ, Part I, Line 16, Other Expenses PROMOTIONAL ITEMS FOR HEALTH FAIRS 463 Form 990-EZ, Part I, Line 16, Other Expenses PEST CONTROL 594 Form 990-EZ, Part I, Line 16, Other Expenses REAPPLICATION FOR EXEMPT STATUS FOR NON-PROFIT ORGANIZATION 750 Form 990-EZ, Part I, Line 16, Other Expenses REMODELING COSTS 1,385 Form 990-EZ, Part I, Line 16, Other Expenses DUES 85 Form 990-EZ, Part I, Line 16, Other Expenses MALPRACTICE INSURANCE 869 Form 990-EZ, Part I, Line 20, Net Assets LAB MACHINE -1,995 Form 990-EZ, Part I, Line 20, Net Assets MEDICAL EQUIPMENT -680 Form 990-EZ, Part I, Line 20, Net Assets PRINTER -313 Form 990-EZ, Part I, Line 20, Net Assets CT SCAN AND INSTALLATION -5,936 Form 990-EZ, Part I, Line 20, Net Assets MEDICAL EQUIPMENT -11,843 | Explanation |
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