STRATEGY STUDIO / PUBLIC DATA EXPLORER

MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM (EIN 90-0795269)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202133199349331503
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-11-15T19:38:04-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RONALD F PERRYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1150 S PINE ISLAND RD STE 300AddressLine1Txt
CityPLANTATIONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33324ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900795269EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOREHOUSE CHOICE ACCOUNTABLE CARE ORG AND EDUCATION SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOREBusinessNameControlTxt
Phone7702170997PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11046 RIDGE AVENUEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30315ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE BROWNPersonNm
Person TitleCEOPersonTitleTxt
Phone7702170997PhoneNum
Signature2021-10-20SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastBROWNPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRonald PerryPreparerPersonNm
PTINP00358670PTIN
Phone4044255375PhoneNum
Preparation2021-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE BROWNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11046 RIDGE AVENUEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30315ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$724,984GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$743,806PYProgramServiceRevenueAmt
CY Program Service Revenue$724,984CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$743,806PYTotalRevenueAmt
CY Total Revenue$724,984CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$175,087PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$173,204CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$598,223PYOtherExpensesAmt
CY Other Expenses$535,031CYOtherExpensesAmt
PY Total Expenses$773,310PYTotalExpensesAmt
CY Total Expenses$708,235CYTotalExpensesAmt
PY Revenues Less Expenses-$29,504PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,749CYRevenuesLessExpensesAmt
Total Assets BOY$725,003TotalAssetsBOYAmt
Total Assets EOY$1,835,367TotalAssetsEOYAmt
Total Liabilities BOY$673,752TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,481,600TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,251NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$353,767NetAssetsOrFundBalancesEOYAmt
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$664,406ExpenseAmt
Grant$0GrantAmt
Revenue$724,984RevenueAmt
DescMEDICARE 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$664,406TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIELLE DYER-TYLERPersonNm
Phone7702170997PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11046 RIDGE AVENUE SUITE 4AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30315ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR MICHAEL W BROOKS
BOARD SECRETARY2.00Yes (X)Yes (X)$0$0$0
MR WILLIAM BLEDSOE
DIRECTOR2.00Yes (X)$0$0$0
MR CLAUDIO AZZARITI
DIRECTOR, TREASURER3.00Yes (X)Yes (X)$0$0$0
DR VALERIE MONTGOMERY-RICE
DIRECTOR2.00Yes (X)$0$0$0
DR DAVID M WILLIAMS MD
BOARD CHAIR3.00Yes (X)Yes (X)$0$0$0
MR FRANKIE BARNES
DIRECTOR2.00Yes (X)$0$0$0
BISHOP FLYNN JOHNSON
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
DR BRIAN WILLIAMS
DIRECTOR2.00Yes (X)$0$0$0
MS MICHELLE BROWN
CEO40.00Yes (X)$178,800$0$0
DR CHERYL FRANKLIN
DIRECTOR2.00Yes (X)$0$0$0
MS SHELLY SPIRES
DIRECTOR2.00Yes (X)$0$0$0
CARLA BELCHER
DIRECTOR2.00Yes (X)$0$0$0
MS JENNIE WREN DENMARK
DIRECTOR2.00Yes (X)$0$0$0
MR DAVE WARD
DIRECTOR2.00Yes (X)$0$0$0
DR ELIZABETH OFILI
DIRECTOR2.00Yes (X)$0$0$0
MS JILL SORRELLS
PROXY2.00Yes (X)$0$0$0
ROLAND MATTHEWS
PROXY FOR DR. CHERYL FRANKLIN2.00Yes (X)$0$0$0
GREGORY ANTOINE
PROXY FOR DR. VALERIE MONTGOMERY-RICE2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$178,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACHIEVA SOLUTIONSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11046 RIDGE AVENUE SUITE 4AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30315ZIPCd
FieldValueIRS element (for citing)
ServicesCEOServicesDesc
Compensation$178,800CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMANAGEMENT ORGANIZATION FEESDesc
Business541610BusinessCd
Total Revenue Column$724,984TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$724,984TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$724,984TotalRevenueColumnAmt
Related Or Exempt Func Income$724,984RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$173,204TotalAmt
Program Services$173,204ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$204,900TotalAmt
Program Services$204,900ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,110TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,110ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$48,587TotalAmt
Program Services$48,587ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$717TotalAmt
Program Services$717ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$101,197TotalAmt
Program Services$101,197ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$38,615TotalAmt
Program Services$38,615ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$143TotalAmt
Program Services$143ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BANK FEES$5,874$0$5,874$0
DUES & SUBSCRIPTIONS$4,759$4,759$0$0
MOBILE TELEPHONE SERVICE$5,603$5,603$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$119,526TotalAmt
Program Services$86,681ProgramServicesAmt
Management And General$32,845ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$708,235TotalAmt
Program Services$664,406ProgramServicesAmt
Management And General$43,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$480,868BOYAmt
EOY$1,483,282EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$206,428EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$244,135BOYAmt
EOY$145,657EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$725,003BOYAmt
EOY$1,835,367EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$907,848EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$573,752BOYAmt
EOY$573,752EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$673,752BOYAmt
EOY$1,481,600EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$51,251BOYAmt
EOY$353,767EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,251BOYAmt
EOY$353,767EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$725,003BOYAmt
EOY$1,835,367EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,749ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,605,551CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,067,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$591,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$743,806CurrentTaxYearMinus1YearAmt
Current Tax Year$724,984CurrentTaxYearAmt
Total$4,732,936TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,605,551CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,067,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$591,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$743,806CurrentTaxYearMinus1YearAmt
Current Tax Year$724,984CurrentTaxYearAmt
Total$4,732,936TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,732,936PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$4,732,936TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SHARED SAVINGS RESERVE$150,002
DUE TO RELATED PARTY$200,000
ACO RESERVE$223,750
FieldValueIRS element (for citing)
Total Liability$573,752TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMS MICHELLE BROWNPersonNm
Base Compensation Filing Org$178,800BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$178,800TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonACHIEVA SOLUTIONSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOFFICERRelationshipDescriptionTxt
Transaction$178,800TransactionAmt
TransactionMANAGEMENT SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Reference1FormAndLineReferenceDesc
ExplanationMICHELLE BROWN IS CEO AND OWNER OF ACHIEVA SOLUTIONS, WHICH IS THE MANAGEMENT COMPANY FOR THE ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 1aAUTHORITY 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 2RELATED PARTY INFORMATION AMONG OFFICERS - DR DAVID WILLIAMS - DIRECTOR AND DR MICHAEL BROOKS - DIRECTOR; BUSINESS RELATIONSHIP
Pt VI, Line 3MANAGEMENT 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 6CLASSES 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 7aELECTION 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 7bDECISIONS 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 11bORGANIZATION'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 12cENFORCEMENT 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 19GOVERNING DOCUMENTS DISCLOSURES - DOCUMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 24eOther Consulting Expenses 28600. 0. 28600. 0.
Form 990, Part IX, Line 24ePayroll Related Expenses 1091. 0. 1091. 0.
Form 990, Part IX, Line 24eMeals And Entertainment 2353. 0. 2353. 0.
Form 990, Part IX, Line 24eOther Business Expenses 2181. 2181. 0. 0.
Form 990, Part IX, Line 24ePostage And Delivery 12. 0. 12. 0.
Form 990, Part IX, Line 24eTaxes and Fees 375. 0. 375. 0.
Form 990, Part IX, Line 24eMisc Expenses 414. 0. 414. 0.
Form 990, Part IX, Line 24eIncentive Payments 84500. 84500. 0. 0.