NORTH CAROLINA AMBULATORY SURGICAL CENTER ASSOCIATION: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA AMBULATORY SURGICAL CENTER ASSOCIATION (EIN 81-4361908)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-13
- IRS object ID
- 202211339349204326
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2022-05-13T15:36:04-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 581304721 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANIGAN & ASSOCIATES P C | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2630 CENTENNIAL PLACE SUITE 1 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814361908 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA AMBULATORY SURGICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER ASSOCIATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8502223000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 VILLAGE SQUARE BLVD 3-175 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32312 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER LOHRENGEL | PersonNm |
| Person Title | ADMINISTRATIVE DIRECTOR | PersonTitleTxt |
| Phone | 8502223000 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PETER | PersonFirstNm |
| Person Last | LOHRENGEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK FLETCHER | PreparerPersonNm |
| PTIN | P00105179 | PTIN |
| Phone | 8508938418 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.NC-ASCA.ORG | WebsiteAddressTxt |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $131,997 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Program Service Revenue | $8,412 | ProgramServiceRevenueAmt |
| Membership Dues | $122,500 | MembershipDuesAmt |
| Other Revenue Total | $1,085 | OtherRevenueTotalAmt |
| Total Revenue | $131,997 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $76,646 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $923 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $1,000 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $12,094 | OtherExpensesTotalAmt |
| Total Expenses | $90,663 | TotalExpensesAmt |
| Excess Or Deficit For Year | $41,334 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $140,813 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $182,147 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,813 | BOYAmt |
| EOY | $182,147 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,813 | BOYAmt |
| EOY | $182,147 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,813 | BOYAmt |
| EOY | $182,147 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE NORTH CAROLINA AMBULATORY SURGICAL CENTER ASSOCIATION IS DEDICATED TO PURSUING MEDICAL, LEGAL, NURSING AND PATIENT CARE ISSUES IMPACTING THE CITIZENS AND AMBULATORY SURGERY CENTERS IN THE STATE OF NORTH CAROLINA. OUR GOAL IS TO PROVIDE A STRONG, UNIFIED VOICE ON ISSUES OF CONCERN TO AMBULATORY SURGERY CENTERS. WE SUPPORT THE GROWTH OF AMBULATORY SURGERY CENTERS AND WORK TO PROMOTE EXCELLENCE IN OUTPATIENT CARE WITH A COMMITMENT TO ACCESS, QUALITY, AND COST CONTAINMENT. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| CONDUCTED SEMI-ANNUAL MEETINGS TO PROVIDE MEMBERS WITH AN OPPORTUNITY TO NETWORK AND RECEIVE CURRENT INDUSTRY UPDATES AND EDUCATION THROUGH MULTIPLE SESSIONS. | $0 | $0 |
| PUBLISH QUARTERLY NEWSLETTER TO MORE THAN 100 AMBULATORY SURGERY CENTERS AND MEMBERS IN NORTH CAROLINA. THE NEWSLETTER PROVIDES PERTINENT UPDATES IN REGULATORY AND LEGISLATIVE CHANGES IN THE INDUSTRY. | $0 | $0 |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| JAMIE RIDOUT | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| CHRISTY SHELTON | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| DEBBIE MURPHY | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRANDI CUNNINGHAM | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| KELLI COLLINS | ||||
| PAC TREASURER, IMMEDIATE P | 5.00 | $0 | $0 | $0 |
| ROBERT BASHORE | ||||
| PRESIDENT | 5.00 | $0 | $0 | $0 |
| JAMES SHAFER | ||||
| TREASURER | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | Yes (1) | OrganizationHadUBIInd |
| Organization Filed990 T | Yes (1) | OrganizationFiled990TInd |
| Subject To Proxy Tax | Yes (1) | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER LOHRENGEL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 VILLAGE SQUARE BLVD 3-175 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8502223000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
Schedule C IRS990ScheduleC
Section527 Political Org Section527PoliticalOrgGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NC AMBULATORY SURGICAL CENTER ASSOCIATION PAC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 VILLAGE SQUARE BLVD STE 3-175 | AddressLine1Txt |
| City | TALLAHASSEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32312 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611864249 | EIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | Yes (1) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | 0 | AgreeCarryoverPriorYearInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: NEWSLETTER ADVERTISING. AMOUNT: 1,085. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: STAFF TRAVEL. AMOUNT: 1,110. DESCRIPTION: WEBSITE EXPENSE. AMOUNT: 3,432. DESCRIPTION: MEMBERSHIP MEETINGS. AMOUNT: 3,269. DESCRIPTION: INSURANCE. AMOUNT: 1,423. DESCRIPTION: BANK CHARGES. AMOUNT: 860. DESCRIPTION: CONSULTANT EXPENSE. AMOUNT: 2,000. TOTAL TO FORM 990-EZ, LINE 16: 12,094. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |