MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MIDDLE TENNESSEE SCHOOL OF ANESTHESIA INC (EIN 58-1494136)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201233209349304883
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

FieldValueIRS element (for citing)
Timestamp2012-11-15T11:40:12-08:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSteven B Parker CPAName
Phone6158598800Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts5110046GrossReceipts
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 Employees47TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year137426ContributionsGrantsPriorYear
Contributions Grants Current Year381299ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5191891ProgramServiceRevenuePriorYear
Program Service Revenue CY4689472ProgramServiceRevenueCY
Investment Income Prior Year10834InvestmentIncomePriorYear
Investment Income Current Year11387InvestmentIncomeCurrentYear
Other Revenue Prior Year-7048OtherRevenuePriorYear
Other Revenue Current Year7060OtherRevenueCurrentYear
Total Revenue Prior Year5333103TotalRevenuePriorYear
Total Revenue Current Year5089218TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year39015GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY48485GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2434094SalariesEtcPriorYear
Salaries Etc Current Year2574071SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1719382OtherExpensePriorYear
Other Expenses Current Year1758314OtherExpensesCurrentYear
Total Expenses Prior Year4192491TotalExpensesPriorYear
Total Expenses Current Year4380870TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1140612RevenuesLessExpensesPriorYear
Revenues Less Expenses CY708348RevenuesLessExpensesCY
Total Assets BOY7485478TotalAssetsBOY
Total Assets EOY8370584TotalAssetsEOY
Total Liabilities BOY854271TotalLiabilitiesBOY
Total Liabilities EOY859620TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6631207NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7510964NetAssetsOrFundBalancesEOY
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
Expense3139944Expense
Grants48485Grants
Revenue3642203Revenue
DescriptionThe School is a graduate-level educational institution whose primary purpose is to educate and train qualified nurses to become Certified Registered Nurse Anesthestists (CRNA).Description
Total Program Service Expense3139944TotalProgramServiceExpense
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 With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees47NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
Larry Burkhart SPHR
Trustee0.25X000
Nila Sherrill MA
Trustee0.25X000
David Netterville MD
Trustee0.25X000
C William McKee EdD
Trustee0.25X000
Vic Martin CRNA
Trustee0.25X000
Scott Hoffman MD
Trustee0.25X000
Judith Hodges MLn
Trustee0.25X000
Doug Hilliard BA BS
Trustee0.25X000
Mark Haffey CRNA
Trustee0.25X000
Melvin Christian CRNA APN
Trustee0.25X000
Duane Brown CPA
Trustee0.25X000
Jon Burks CRNA APN
Trustee0.25X000
Hampton Bisalski CRNA
Trustee0.25X000
Art Runyon-Hass MD PhD
Vice Chair0.25X000
Steven Dickerson MD
Chairman0.25X000
Robin Taylor MD
Medical Consult0.252472000X
Martie Hansen
Bd Secretary40.0054840010653X
Sam Minten
Oper Dir/Brd TR40.0076010018097X
Jim Closser CFRE
VP Advancement40.0097573022915X
Mary Elizabeth DeVasher CRNA
Vice President40.00200429033973X
Chris Hulin CRNA MBA DNP A
Associate Progr40.00179834041696X
Kenneth L Schwab EdD
President40.00256365021111X
Alescia DeVasher
Associate VP0.00200429047477X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1090200TotalReportableCompFromOrg
Total Other Compensation195922TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events44328FundraisingEvents
Government Grants48485GovernmentGrants
All Other Contributions288486AllOtherContributions
Total Contributions381299TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Tuition and Fees36422033642203
Affiliation Revenue10472691047269
FieldValueIRS element (for citing)
Total Program Service Revenue4689472TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11387TotalRevenueColumn
Related Or Exempt Function Income11387RelatedOrExemptFunctionIncome

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)
Real13263Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13263Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13263TotalRevenueColumn
Related Or Exempt Function Income13263RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events7873GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events44328CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20828FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-12955TotalRevenueColumn
Exclusion-$12,955ExclusionAmount

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 Column6752TotalRevenueColumn
Related Or Exempt Function Income6752RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6752TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5089218TotalRevenueColumn
Related Or Exempt Function Income4720874RelatedOrExemptFunctionIncome
Exclusion-$12,955ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total48485Total
Program Services48485ProgramServices

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)
Total1009151Total
Program Services807321ProgramServices
Management And General201830ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1085972Total
Program Services868777ProgramServices
Management And General217195ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115325Total
Program Services69195ProgramServices
Management And General46130ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total230437Total
Program Services34903ProgramServices
Management And General195534ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total133186Total
Program Services106549ProgramServices
Management And General26637ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15304Total
Management And General15304ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29918Total
Management And General29918ManagementAndGeneral

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)
Total22961Total
Management And General22961ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35076Total
Management And General35076ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total46290Total
Program Services41197ProgramServices
Management And General5093ManagementAndGeneral

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)
Total62075Total
Program Services62075ProgramServices

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)
Total293609Total
Program Services58722ProgramServices
Management And General234887ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62950Total
Program Services24469ProgramServices
Management And General38481ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities958167618019636
Student Services8373283732
Student Education449904449904
Contract Labor138861138481380
Accreditation and Association885674741741150

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total333251Total
Program Services222537ProgramServices
Management And General110714ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4380870Total
Program Services3139944ProgramServices
Management And General1240926ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2351971BOY
EOY1509806EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2113421BOY
EOY3821645EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16085BOY
EOY3734EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY90209BOY
EOY123969EOY

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)
BOY16754BOY
EOY53841EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4465876LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1852064LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2869220BOY
EOY2613812EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27818BOY
EOY243777EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7485478BOY
EOY8370584EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY312517BOY
EOY194282EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY540042BOY
EOY663792EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1712BOY
EOY1546EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY854271BOY
EOY859620EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6539560BOY
EOY7090654EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY66647BOY
EOY395310EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25000BOY
EOY25000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6631207BOY
EOY7510964EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7485478BOY
EOY8370584EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses708348ReconcilationRevenueExpenses
Reconcilation Other Changes171409ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Balance25931BeginningOfYearBalance
Investment Earnings Or Losses41InvestmentEarningsOrLosses
End Of Year Balance25972EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25755BeginningOfYearBalance
Investment Earnings Or Losses86InvestmentEarningsOrLosses
End Of Year Balance25841EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
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
Depreciation222214Depreciation
Book Value1234888BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1463581OtherCostOrOtherBasis
Depreciation471457Depreciation
Book Value992124BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1102732OtherCostOrOtherBasis
Depreciation923641Depreciation
Book Value179091BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis290816OtherCostOrOtherBasis
Depreciation234752Depreciation
Book Value56064BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2613812TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLoan Proceeds Held for StudentsDescription
Amount$1,546Amount
FieldValueIRS element (for citing)
Total Of Amounts1546TotalOfAmounts
Total Revenue5089218TotalRevenue
Total Expenses4380870TotalExpenses
Excess Or Deficit For Year708348ExcessOrDeficitForYear
Prior Period Adjustments171409PriorPeriodAdjustments
Total Adjustments171409TotalAdjustments
Excess Or Deficit Per FS879757ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5110046TotRevenueEtcAuditedFinclStmt
Revenue Subtotal5110046RevenueSubtotal
Other Revenues Not Included-20828OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-20828RevenueNotRptdOnFinStmt
Total Revenue Per Form9905089218TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4401698TotExpensesEtcAuditedFinclStmt
Other Expenses Included20828OtherExpensesIncluded
Expenses Not Rptd F99020828ExpensesNotRptdF990
Expenses Subtotal4380870ExpensesSubtotal
Total Expenses Per Form9904380870TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SSpecial Events Expenses $20828
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 Event152201GrossReceiptsEvent1
Charitable Contributions Event144328CharitableContributionsEvent1
Gross Revenue Event17873GrossRevenueEvent1
Non Cash Prizes Event17481NonCashPrizesEvent1
Rent Facility Costs Event16517RentFacilityCostsEvent1
Food And Beverage Event14059FoodAndBeverageEvent1
Other Direct Expenses Event12771OtherDirectExpensesEvent1
Gross Receipts Total52201GrossReceiptsTotal
Charitable Contributions Total44328CharitableContributionsTotal
Gross Revenue Total Events7873GrossRevenueTotalEvents
Non Cash Prizes Total Events7481NonCashPrizesTotalEvents
Rent Facility Costs Total Events6517RentFacilityCostsTotalEvents
Food And Beverage Total Events4059FoodAndBeverageTotalEvents
Other Direct Expenses Total Events2771OtherDirectExpensesTotalEvents
Direct Expense Summary Events20828DirectExpenseSummaryEvents
Net Income Summary-12955NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
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 Recipients210NumberOfRecipients
Amount Of Cash Grant48485AmountOfCashGrant

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 (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Mary Elizabeth DeVasher CRNA
2004291153222441234402
Kenneth L Schwab EdD
25636521111277476
Chris Hulin CRNA MBA DNP A
17983441696221530
Alescia DeVasher
2004291118736290247906

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Mary Minten
Employee42521Compensation for Servicesfalse
Anesthesia Medical Group
Trustees/Owners267981Affiliation Revenuefalse
Bernard DeVasher
Employee58600Compensation 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 Officiers is recommended by the President and approved by the Board.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: 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, EtMary Elizabeth DeVasher, Vice President, Dean, and Program Administrator, is the mother of Alescia Bethea, Associate VP of IE & Program Development.Dr. 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 Income13263TotalIncome

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
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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