MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOREHOUSE CHOICE ACCOUNTABLE CARE ORGANIZATION AND EDUCATION SYSTEM (EIN 90-0795269)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-25
- IRS object ID
- 201721459349300812
- Schema version
- 2016v3.0
- 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 | 2017-05-25T18:15:28-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 464313414 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARTER & PERRY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2970 CLAIRMONT RD NE STE 100 | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303291634 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | 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 | BusinessNameLine1Txt |
| Business Name Line2 | ORG AND EDUCATION SYSTEM INC | BusinessNameLine2Txt |
| 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 | 2017-05-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RONALD F PERRY | PreparerPersonNm |
| PTIN | P00358670 | PTIN |
| Phone | 4046001600 | PhoneNum |
| Preparation | 2017-05-25 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | AFB5F2223C4B292A982AB18322EFE325887FE94D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 679AEE731951ABB8C6DC16E3F044C99F2366BB8A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 SUITE 4 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30315 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,605,551 | 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 |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $565,537 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,605,551 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $565,537 | PYTotalRevenueAmt |
| CY Total Revenue | $1,605,551 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $81,230 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $462,800 | PYOtherExpensesAmt |
| CY Other Expenses | $1,365,428 | CYOtherExpensesAmt |
| PY Total Expenses | $462,800 | PYTotalExpensesAmt |
| CY Total Expenses | $1,446,658 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $102,737 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $158,893 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $487,919 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,661,843 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,069,029 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $456,119 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $592,814 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE HEALTH CARE QUALITY, CONTROL COSTS AND INCREASE PATIENT ENGAGEMENT AND SATISFACTION FOR MEDICARE AND DUAL ELIGIBLE 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 | $1,386,174 | ExpenseAmt |
| Revenue | $1,605,551 | 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 | $1,386,174 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| 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 | TAMIRAH OWENS | 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 (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| MEREDITH O'KEEFE | ||||||
| DIRECTOR, CO | 3.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL W BROOKS | ||||||
| BOARD SECRET | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR DAVID JANSEN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BLEDSOE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SHANNON SALE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CLAUDIO AZZARITI | ||||||
| DIRECTOR, TR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| VALERIE MONTGOMERY-RICE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR DAVID M WILLIAMS MD | ||||||
| BOARD CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| FRANKIE BARNES | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR LEON HALEY | ||||||
| BOARD DIRECT | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BISHOP FLYNN JOHNSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BRIAN WILLIAMS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE BROWN | ||||||
| CEO | 40.00 | $228,800 | $0 | $0 | Yes (X) | |
| DERRICK J BEECH | ||||||
| CHIEF MEDICA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| PRISCILLA PEMU | ||||||
| QUALITY OFFI | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $228,800 | TotalReportableCompFromOrgAmt |
| 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 | $1,605,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,605,551 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,605,551 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,605,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,605,551 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,230 | TotalAmt |
| Program Services | $40,000 | ProgramServicesAmt |
| Management And General | $41,230 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,800 | TotalAmt |
| Program Services | $333,800 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,900 | TotalAmt |
| Management And General | $4,900 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,000 | TotalAmt |
| Program Services | $26,000 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,845 | TotalAmt |
| Program Services | $1,845 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,658 | TotalAmt |
| Program Services | $111,658 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,082 | TotalAmt |
| Management And General | $9,082 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICARE SHARES SAVINGS | $867,002 | $867,002 | |
| DUES & SUBSCRIPTIONS | $5,869 | $5,869 | |
| OTHER CONSULTING SERVICES | $2,500 | $2,500 | |
| TRAINING | $1,374 | $1,374 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,398 | TotalAmt |
| Management And General | $1,398 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,658 | TotalAmt |
| Program Services | $1,386,174 | ProgramServicesAmt |
| Management And General | $60,484 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,677 | BOYAmt |
| EOY | $1,165,153 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,624 | BOYAmt |
| EOY | $461,072 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,618 | BOYAmt |
| EOY | $35,618 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,919 | BOYAmt |
| EOY | $1,661,843 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,800 | BOYAmt |
| EOY | $310,036 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $758,993 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,800 | BOYAmt |
| EOY | $1,069,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,119 | BOYAmt |
| EOY | $592,814 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,119 | BOYAmt |
| EOY | $592,814 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,919 | BOYAmt |
| EOY | $1,661,843 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $158,893 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$22,198 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $260,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,537 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,605,551 | CurrentTaxYearAmt |
| Total | $2,807,541 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $260,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,537 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,605,551 | CurrentTaxYearAmt |
| Total | $2,807,541 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,807,541 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $260,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,537 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,605,551 | CurrentTaxYearAmt |
| Total | $2,807,541 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHARED SAVINGS RESERVE | Desc |
| Amt | $758,993 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $758,993 | 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 | MICHELLE BROWN | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $228,800 | BaseCompensationFilingOrgAmt |
| Total Compensation Filing Org | $228,800 | TotalCompensationFilingOrgAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACHIEVA SOLUTIONS | BusinessNameLine1Txt |
| 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 | SCHEDULE L, PART V | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO IMPROVE HEALTH CARE QUALITY, CONTROL COSTS AND INCREASE PATIENT ENGAGEMENT AND SATISFACTION FOR MEDICARE AND DUAL ELIGIBLE BENEFICIARIES AND THEIR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH INTEGRATED MODELS THAT SUPPORT THE "MEDICARE SHARED SAVINGS PROGRAM". |
| FORM 990, PAGE 6, PART VI, LINE 1A | EXECUTIVE COMMITTEE: 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. |
| FORM 990, PAGE 6, PART VI, LINE 2 | DR. DAVID WILLIAMS DR. MICHAEL BROOKS DIRECTOR DIRECTOR BUSINESS RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION PROVIDES COMPENSATION TO ACHIEVA SOLUTIONS FOR THE PROVISION OF MANAGEMENT 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. |
| FORM 990, PAGE 6, PART VI, LINE 6 | 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 NONPROFIT CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | 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. |
| FORM 990, PAGE 6, PART VI, LINE 7B | 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 SOLEY THE RIGHT TO ELECT, REPLACE, AND TO REMOVE, WITH OR WITHOUT CAUSE, THESE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 WAS REVIEWED BY THE TREASURER AND THEN PROVIDED TO THE BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS THE RESPONSES TO THE CONFLICT OF INTEREST QUESTIONAIRE ON AN ANNUAL BASIS. IF CONFLICTS ARE IDENTIFIED, THEY ARE HANDLED ON A CASE BY CASE BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |