MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM (EIN 90-0795269)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349318455
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T12:21:34-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 820547105 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD F PERRY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 S PINE ISLAND RD STE 300 | AddressLine1Txt |
| City | PLANTATION | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33324 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900795269 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOREHOUSE CHOICE ACCOUNTABLE CARE ORG AND EDUCATION SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MORE | BusinessNameControlTxt |
| Phone | 7702170997 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 RIDGE AVENUE | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30315 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE BROWN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7702170997 | PhoneNum |
| Signature | 2022-09-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHELLE | PersonFirstNm |
| Person Last | BROWN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ronald Perry | PreparerPersonNm |
| PTIN | P00358670 | PTIN |
| Phone | 4044255375 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELLE BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 RIDGE AVENUE | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30315 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,680,122 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH CARE QUALITY, CONTROL COSTS AND INCREASE PATIENT ENGAGEMENT AND SATISFACTION FOR MEDICARE AND DUAL ELEGIBLE BENEFICIARIES AND THEIR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH INTEGRATED MODELS THAT SUPPORT THE "MEDICARE SHARED SAVINGS PROGRAM". | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $724,984 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,680,122 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $724,984 | PYTotalRevenueAmt |
| CY Total Revenue | $2,680,122 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $173,204 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $177,516 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $535,031 | PYOtherExpensesAmt |
| CY Other Expenses | $2,501,813 | CYOtherExpensesAmt |
| PY Total Expenses | $708,235 | PYTotalExpensesAmt |
| CY Total Expenses | $2,679,329 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,749 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $793 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,835,367 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,731,892 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,481,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,524,582 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $353,767 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $207,310 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE HEALTH CARE QUALITY, CONTROL COSTS AND INCREASE PATIENT ENGAGEMENT AND SATISFACTION FOR MEDICARE AND DUAL ELEGIBLE BENEFICIARIES AND THEIR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH INTEGRATED MODELS THAT SUPPORT THE "MEDICARE SHARED SAVINGS PROGRAM". | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,606,980 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,680,122 | RevenueAmt |
| Desc | MEDICARE SHARED SAVINGS PROGRAM AS A PARTICIPANT ACO: WE WORK TO ACHIEVE CMS-APPROVED SHARED SAVINGS AND TO REACH QUALITY IMPROVEMENT GOALS. WE ACCOMPLISH THIS HEALTHCARE DELIVERY USING INTEGRATED MODELS THAT STREAMLINE CARE AND REDUCES WASTE AND DUPLICATION OF SERVICES. | Desc |
| Total Program Service Expenses | $2,606,980 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD PERRY | PersonNm |
| Phone | 4044255375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 RIDGE AVENUE SUITE 4 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30315 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DR MICHAEL W BROOKS | ||||||
| BOARD SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MR WILLIAM BLEDSOE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MR CLAUDIO AZZARITI | ||||||
| DIRECTOR, TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR VALERIE MONTGOMERY-RICE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR DAVID M WILLIAMS MD | ||||||
| BOARD CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MR FRANKIE BARNES | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BISHOP FLYNN JOHNSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR BRIAN WILLIAMS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MS MICHELLE BROWN | ||||||
| CEO | 40.00 | Yes (X) | $228,800 | $0 | $0 | |
| DR CHERYL FRANKLIN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MS SHELLY SPIRES | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CARLA BELCHER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MS JENNIE WREN DENMARK | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MR DAVE WARD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR ELIZABETH OFILI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MS JILL SORRELLS | ||||||
| PROXY | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROLAND MATTHEWS | ||||||
| PROXY FOR DR. CHERYL FRANKLIN | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $228,800 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACHIEVA SOLUTIONS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 RIDGE AVENUE SUITE 4 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30315 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CEO | ServicesDesc |
| Compensation | $228,800 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT ORGANIZATION FEES | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $2,680,122 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,680,122 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,680,122 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,680,122 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,516 | TotalAmt |
| Program Services | $177,516 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,700 | TotalAmt |
| Program Services | $433,700 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $770 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,100 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,100 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,891 | TotalAmt |
| Program Services | $60,891 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,312 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,312 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,324 | TotalAmt |
| Program Services | $25,324 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,400 | TotalAmt |
| Program Services | $38,400 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607 | TotalAmt |
| Program Services | $607 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $285 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BANK FEES | $963 | $0 | $963 | $0 |
| DUES & SUBSCRIPTIONS | $9,138 | $9,138 | $0 | $0 |
| MOBILE TELEPHONE SERVICE | $6,097 | $6,097 | $0 | $0 |
| Consulting Expesenses | $49,966 | $0 | $49,966 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,260 | TotalAmt |
| Program Services | $1,855,307 | ProgramServicesAmt |
| Management And General | $7,953 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,679,329 | TotalAmt |
| Program Services | $2,606,980 | ProgramServicesAmt |
| Management And General | $72,349 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,483,282 | BOYAmt |
| EOY | $2,525,464 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,428 | BOYAmt |
| EOY | $206,428 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,657 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,367 | BOYAmt |
| EOY | $2,731,892 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,848 | BOYAmt |
| EOY | $1,000,566 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,752 | BOYAmt |
| EOY | $1,524,016 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,481,600 | BOYAmt |
| EOY | $2,524,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,767 | BOYAmt |
| EOY | $207,310 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,767 | BOYAmt |
| EOY | $207,310 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,367 | BOYAmt |
| EOY | $2,731,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $793 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$147,250 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,067,543 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $591,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $743,806 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $724,984 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,680,122 | CurrentTaxYearAmt |
| Total | $5,807,507 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,067,543 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $591,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $743,806 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $724,984 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,680,122 | CurrentTaxYearAmt |
| Total | $5,807,507 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,807,507 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,807,507 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SHARED SAVINGS RESERVE | $272,583 |
| DUE TO RELATED PARTY | $200,000 |
| ACO RESERVE | $1,051,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,524,016 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MS MICHELLE BROWN | PersonNm |
| Base Compensation Filing Org | $178,800 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $50,000 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $228,800 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ACHIEVA SOLUTIONS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OFFICER | RelationshipDescriptionTxt |
| Transaction | $228,800 | TransactionAmt |
| Transaction | MANAGEMENT SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | 1 | FormAndLineReferenceDesc |
| Explanation | MICHELLE BROWN IS CEO AND OWNER OF ACHIEVA SOLUTIONS, WHICH IS THE MANAGEMENT COMPANY FOR THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 1a | AUTHORITY DELEGATED TO EXECUTIVE COMMITTEE EXPLANATION; IN ACCORDANCE WITH THE BYLAWS, THE ORGANIZATION'S EXECUTIVE COMMITTEE SHALL, IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, HAVE AND EXERCISE SUCH POWER AND AUTHORITY OF THE BOARD OF DIRECTORS UNDER SECTION 14-3-801 (OF THE GEORGIA NON-PROFIT CORPORATION CODE)IN THE MANAGEMENT OF THE AFFAIRS OF THE ORGANIZATION AS ARE DELEGATED BY THE BOARD OF DIRECTORS. |
| Pt VI, Line 2 | RELATED PARTY INFORMATION AMONG OFFICERS - DR DAVID WILLIAMS - DIRECTOR AND DR MICHAEL BROOKS - DIRECTOR; BUSINESS RELATIONSHIP |
| Pt VI, Line 3 | MANAGEMENT DELEGATED - THE ORGANIZATION PROVIDES COMPENSATION TO ACHIEVA SOLUTIONS FOR THE PROVISION OF MANANGEMENT SERVICES, INCLUDING THE SERVICES OF CEO OF THIS ORGANIZATION (SEE ALSO PART VII, SECTION B). THE CEO OF THIS ORGANIZATION IS ALSO THE CEO AND OWNER OF ACHIEVA SOLUTIONS AND IS COMPENSATED FOR HER SERVICES TO THIS ORGANIZATION BY ACHIEVA SOLUTIONS. |
| Pt VI, Line 6 | CLASSES OF MEMBERS OR STOCKHOLDERS - THE MEMBERS OF THE ORGANIZATION ARE SOUTHSIDE MEDICAL CENTER, INC (SSMC), A GEORGIA NONPROFIT CORPORATION; WEST END MEDICAL CENTERS, INC (WEMC), A GEORGIA NONPROFIT CORPORATION; AND MOREHOUSE HEALTHCARE FORMERLY KNOWN AS MOREHOUSE MEDICAL ASSOCIATES INC. (MMA), A GEORGIA NON-PROFIT CORPORATION. |
| Pt VI, Line 7a | ELECTION OF MEMBERS AND THEIR RIGHTS - EACH OF THE THREE MEMBERS, AS DESCRIBED IN THE RESPONSE TO PART VI, LINE 6, HAS THE RIGHT TO DESIGNATE ONE INDIVIDUAL TO THE BOARD OF DIRECTORS. THE MEMBERS JOINTLY HAVE THE RIGHT TO APPOINT THE REMAINING 6 INDIVIDUALS TO THE BOARD OF DIRECTORS. |
| Pt VI, Line 7b | DECISIONS SUBJECT TO THE APPROVAL OF MEMBERS - EACH OF THE THREE MEMBERS, AS DESCRIBED IN THE RESPONSE TO PART VI, LINE 6, HAS THE RIGHT TO DESIGNATE ONE INDIVIDUAL TO THE BOARD OF DIRECTORS. EACH SHALL HAVE SOLELY THE RIGHT TO ELECT, REPLACE, AND TO REMOVE, WITH OR WITHOUT CAUSE, THESE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS. |
| Pt VI, Line 11b | ORGANIZATION'S PROCESS TO REVIEW FORM 990 - THE FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AND THEN PROVIDED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO THE FILING. |
| Pt VI, Line 12c | ENFORCEMENT OF CONFLICTS POLICY - THE BOARD REVIEWS THE RESPONSES TO THE CONFLICTS OF INTEREST QUESTIONAIRE ON AN ANNUAL BASIS. IF CONFLICTS ARE IDENTIFIED, THEY ARE HANDLED ON A CASE BY CASE BASIS. |
| Pt VI, Line 19 | GOVERNING DOCUMENTS DISCLOSURES - DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, Line 24e | Training 6085. 0. 6085. 0. |
| Form 990, Part IX, Line 24e | Payroll Related Expenses 1868. 0. 1868. 0. |
| Form 990, Part IX, Line 24e | Member Organizations Performance 1855307. 1855307. 0. 0. |