MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM (EIN 90-0795269)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201933189349310518
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T13:05:02-08:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	AUXANO LTD	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2302 PARKLAKE DRIVE NE SUITE 685	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30345	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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 SUITE 4	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	2019-10-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Ronald Perry	PreparerPersonNm
PTIN	P00358670	PTIN
Phone	4044255375	PhoneNum
Preparation	2019-11-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.30.49.95	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	13:04:52	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6C42C716A86EBB59AF579D12BF298625E893C090	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6C42C716A86EBB59AF579D12BF298625E893C090	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$591,052	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	3	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$1,067,543	PYProgramServiceRevenueAmt
CY Program Service Revenue	$591,052	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,067,543	PYTotalRevenueAmt
CY Total Revenue	$591,052	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$191,432	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$198,593	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$822,085	PYOtherExpensesAmt
CY Other Expenses	$503,845	CYOtherExpensesAmt
PY Total Expenses	$1,013,517	PYTotalExpensesAmt
CY Total Expenses	$702,438	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,026	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$111,386	CYRevenuesLessExpensesAmt
Total Assets BOY	$783,648	TotalAssetsBOYAmt
Total Assets EOY	$711,634	TotalAssetsEOYAmt
Total Liabilities BOY	$619,002	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$573,752	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$164,646	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$137,882	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	$671,981	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$591,052	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	$671,981	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	3	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	DANIELLE DYER-TYLER	PersonNm
Phone	7702170997	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 (16 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, MEDICARE BENEFICIARY	2.00	Yes (X)		$0	$0	$0
BISHOP FLYNN JOHNSON
DIRECTOR, MEDICARE BENEFICIARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
DR BRIAN WILLIAMS
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MS MICHELLE BROWN
CEO, EX-OFFICIO	40.00		Yes (X)	$178,800	$0	$0
DR CHERYL FRANKLIN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MS SHELLY SPIRES
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DR AJAY GEHLOT
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, EX-OFFICIO	2.00		Yes (X)	$0	$0	$0
MS JILL SORRELLS
PROXY	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$178,800	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	$178,800	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	$591,052	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$591,052	TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$591,052	TotalRevenueColumnAmt
Related Or Exempt Func Income	$591,052	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$198,593	TotalAmt
Program Services	$198,593	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$321,748	TotalAmt
Program Services	$321,748	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$55,514	TotalAmt
Program Services	$55,514	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,331	TotalAmt
Program Services	$3,331	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$49,162	TotalAmt
Program Services	$49,162	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$16,759	TotalAmt
Program Services	$16,759	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BANK FEES	$326	$0	$326	$0
DUES & SUBSCRIPTIONS	$9,543	$9,543	$0	$0
MOBILE TELEPHONE SERVICE	$3,831	$3,831	$0	$0
CUSTOMER SATISFACTION SURVEY	$5,000	$5,000	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,631	TotalAmt
Program Services	$8,500	ProgramServicesAmt
Management And General	$27,131	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$702,438	TotalAmt
Program Services	$671,981	ProgramServicesAmt
Management And General	$30,457	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$589,014	BOYAmt
EOY	$593,381	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$194,634	BOYAmt
EOY	$118,253	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$783,648	BOYAmt
EOY	$711,634	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$600,002	BOYAmt
EOY	$573,752	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$619,002	BOYAmt
EOY	$573,752	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$164,646	BOYAmt
EOY	$137,882	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$164,646	BOYAmt
EOY	$137,882	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$783,648	BOYAmt
EOY	$711,634	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$111,386	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$84,623	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	$375,542	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$565,537	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,605,551	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,067,543	CurrentTaxYearMinus1YearAmt
Current Tax Year	$591,052	CurrentTaxYearAmt
Total	$4,205,225	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	$375,542	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$565,537	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,605,551	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,067,543	CurrentTaxYearMinus1YearAmt
Current Tax Year	$591,052	CurrentTaxYearAmt
Total	$4,205,225	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	$4,205,225	PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Total	$4,205,225	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	1.00000	PublicSupportCY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SHARED SAVINGS RESERVE	$373,752
DUE TO RELATED PARTY	$200,000

Field	Value	IRS element (for citing)
Total Liability	$573,752	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	$0	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	$178,800	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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ACHIEVA SOLUTIONS
OFFICER	$178,800	MANAGEMENT SERVICES	false
OCEAN MANAGEMENT SERVICES
OFFICER	$96,815	MANAGEMENT SERVICES	false

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. THE ORGANIZATION ALSO PROVIDES COMPENSATION TO OCEAN MANAGEMENT SERVICES FOR THE PROVISION OF MANAGEMENT SERVICES; OCEAN MANAGEMENT SERVICES IS OWNED BY SOUTHSIDE MEDICAL CENTER AND THE FAMILY HEALTH CENTERS OF GEORGIA, WHOSE MEMBERS ARE BOARD OFFICERS.
Pt VI, Line 6	CLASSES OF MEMBERS OR STOCKHOLDERS - THE MEMBERS OF THE ORGANIZATION ARE SOUTHSIDE MEDICAL CENTER, INC (SSMC), A GEORGIA NONPROFIT CORPORATION; THE FAMILY HEALTH CENTERS OF GEORGIA, INC (FHC), FORMERLY KNOWN AS 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. IF THERE ARE ANY CHANGES, THE FORM 990 WILL BE AMENDED TO REFLECT THOSE CHANGES APPROVED BY THE BOARD OF DIRECTORS IF THOSE CHANGES CANNOT BE MADE ON TIME TO MEET CURRENT FILING DEADLINE.
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	MEDICARE SHARES SAVINGS 8000. 8000. 0. 0.
Form 990, Part IX, Line 24e	GIFT CARDS 500. 500. 0. 0.
Form 990, Part IX, Line 24e	OTHER CONSULTING 27131. 0. 27131. 0.