Civic Intelligence

Centennial Medical Staff Association

990 • Fiscal year 2019 • EIN 45-4756708

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 11, 2020

Organization ProfileN/A
2300 Patterson StreetNashville, TN 37203

(615) 342-1072

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

63rd percentile

0.01x

Higher debt load relative to assets than 63% of similar nonprofits.

2019 filings • 501(c)4 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

63rd percentile

0.01x

Higher debt load relative to revenue than 63% of similar nonprofits.

2019 filings • 501(c)4 • <$500k nonprofits • Source year 2019

Net Margin

87th percentile

31%

Higher net margin than 87% of similar nonprofits.

2019 filings • 501(c)4 • <$500k nonprofits • Source year 2019

Top Officer Pay

86th percentile

$0

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2019 filings • 501(c)4 • <$500k nonprofits • Source year 2019

Asset Growth

28th percentile

-8.2%

Faster asset growth than 28% of similar nonprofits.

2019 filings • 501(c)4 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

91st percentile

51%

Faster revenue growth than 91% of similar nonprofits.

2019 filings • 501(c)4 • <$500k nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Down

$459,212

Down $41,001 (-8.2%) from 2018

Net Assets

Down

$455,228

Down $44,812 (-9.0%) from 2018

Liabilities

Up

$3,984

Up $3,811 (+2203%) from 2018

Revenue And Expenses
Liabilities / Revenue63rd percentileNet Margin87th percentile

Revenue

Up

$398,588

Up $134,766 (+51%) from 2018

Expenses

Up

$273,100

Up $21,983 (+8.8%) from 2018

Net Income

Up

$125,488

Up $112,783 (+888%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth28th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0Assets 2013: $225,285Liabilities 2013: $0Net Assets 2013: $225,2852013Assets 2014: $252,939Liabilities 2014: $0Net Assets 2014: $252,9392014Assets 2015: $358,357Liabilities 2015: $0Net Assets 2015: $358,3572015Assets 2016: $379,617Liabilities 2016: $400Net Assets 2016: $379,2172016Assets 2017: $491,323Liabilities 2017: $4,300Net Assets 2017: $487,0232017Assets 2018: $500,213Liabilities 2018: $173Net Assets 2018: $500,0402018Assets 2019: $459,212Liabilities 2019: $3,984Net Assets 2019: $455,2282019Assets 2020: $454,197Liabilities 2020: $4,400Net Assets 2020: $449,7972020Assets 2021: $426,023Liabilities 2021: $14,584Net Assets 2021: $411,4392021Assets 2022: $376,596Liabilities 2022: $5,091Net Assets 2022: $371,5052022Assets 2023: $306,748Liabilities 2023: $2,541Net Assets 2023: $304,2072023Assets 2024: $338,290Liabilities 2024: $26,816Net Assets 2024: $311,4742024Assets 2025: $267,432Liabilities 2025: $7,694Net Assets 2025: $259,7382025

Highlighted filing

2019

Assets$459,212
Liabilities$3,984
Net Assets$455,228
Open 2019 Filing

Operations Trend

Revenue Growth91st percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0-$200KRevenue 2013: $351,550Expenses 2013: $229,173Net Income 2013: $122,3772013Revenue 2014: $286,250Expenses 2014: $258,596Net Income 2014: $27,6542014Revenue 2015: $416,900Expenses 2015: $311,482Net Income 2015: $105,4182015Revenue 2016: $368,875Expenses 2016: $348,015Net Income 2016: $20,8602016Revenue 2017: $212,350Expenses 2017: $104,544Net Income 2017: $107,8062017Revenue 2018: $263,822Expenses 2018: $251,117Net Income 2018: $12,7052018Revenue 2019: $398,588Expenses 2019: $273,100Net Income 2019: $125,4882019Revenue 2020: $251,354Expenses 2020: $256,494Net Income 2020: -$5,1402020Revenue 2021: $195,189Expenses 2021: $233,547Net Income 2021: -$38,3582021Revenue 2022: $254,110Expenses 2022: $284,680Net Income 2022: -$30,5702022Revenue 2023: $232,586Expenses 2023: $299,734Net Income 2023: -$67,1482023Revenue 2024: $319,009Expenses 2024: $311,944Net Income 2024: $7,0652024Revenue 2025: $295,455Expenses 2025: $347,175Net Income 2025: -$51,7202025

Highlighted filing

2019

Revenue$398,588
Expenses$273,100
Net Income$125,488
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 11, 2020
Return Version
2019v5.1
Gross Receipts
$398,588
Mission and Program Overview

Mission

Further the advancement in medicine for the physicians and staff of the centennial medical center's middle tennessee community through education and association.

Further the advancement in medicine for the centennial medical center's middle tennessee community through education and association.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$457,199$424,898▼ $32,301
Cash and Non-Interest-Bearing Accounts$41,696$32,985▼ $8,711
Total Assets$500,213$459,212▼ $41,001
Other Assets Total$1,318$1,329▲ $11
Liabilities
Other Liabilities$173$3,984▲ $3,811
Total Liabilities$173$3,984▲ $3,811
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$500,040$455,228▼ $44,812
Total Net Assets Fund Balance$500,040$455,228▼ $44,812
Total Liabilities and Net Assets / Fund Balance$500,213$459,212▼ $41,001
Compensation and Service Providers
Top Officer Pay86th percentile

Board Members and Trustees

NameTitle
Dr Christopher JonesPresident
Dr Bassam HelouVice President
Dr Adam PittsDirector
Dr Adrian Jarquin-valdiviaDirector
Dr Alexander KoumtchevDirector
Dr Amanda DanielDirector
Dr Brian JeffersonDirector
Dr Bryan FischerDirector
Dr Claude VachonDirector
Dr Donald GriffinDirector
Dr Douglas LinfertDirector
Dr Franco RecchiaDirector
Dr Gautum JayrammDirector
Dr Jackson WrayDirector
Dr Jefferson Craig MorrisonDirector
Dr Jeffrey JobeDirector
Dr John FasigDirector
Dr John WiltersDirector
Dr Jonathan SchneiderDirector
Dr Khan LiDirector
Dr Marek GrzeszczakDirector
Dr Mark DeatonDirector
Dr Michael NottidgeDirector
Dr Michael NumnumDirector
Dr R Steve YoungDirector
Dr Sheila Mcmorrow-jonesDirector
Dr Todd BauerDirector
Dr William GibsonDirector
Dr William LizarragaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$389,050
Investment Income
$9,538
Other Revenue
$0
Change in Net Assets
$125,488
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$262,900
Grants and Similar Amounts Paid$10,200
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$178,413--$178,413
Conferences and Meetings$42,070--$42,070
Fees for Services Legal-$30,296-$30,296
Grants to Domestic Orgs$10,200--$10,200
Insurance$2,406--$2,406
Office Expenses$1,297--$1,297
Other Expenses$280--$280
Travel$217--$217
Total Functional Expenses$242,804$30,296$0$273,100
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
American Heart AssociationDallas, TX501(c)(3)Donation$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liabilities$3,984
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The 990 is presented to each of the members of the governing body for review and comment. Upon approval the return is cleared for filing.”

Form 990, Part VI, Section C, Line 19

“The company makes it's documents available upon request.”

Filing and Contact Details

Filer

Filer Name
Centennial Medical Staff Association
EIN
45-4756708
Phone
6153421072
Address
2300 PATTERSON STREET, NASHVILLE, TN 37203

Signing Officer

Name
Dr William Lizarraga
Title
Treasurer
Phone
6153421072
Signed
2020-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr William Lizarraga
Formed
2012
Legal Domicile
Tn
Voting Board Members
29
Independent Board Members
29
Employees
0
Volunteers
0

Preparer

Firm
Crosslin Pllc
Address
3803 BEDFORD AVENUE SUITE 103, NASHVILLE, TN 37215
Preparer
Steven D Warren
Phone
6153205500
Raw XML AppendixShowing 400 of 489 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt250
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt280
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt28TREASURER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02012
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt029
IRS990/GrantAmt010200
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt010200
IRS990/GrantsToDomesticOrgsGrp/TotalAmt010200
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0398588
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt029
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt02406
IRS990/InsuranceGrp/TotalAmt02406
IRS990/InvestmentIncomeGrp/ExclusionAmt09538
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt09538
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt046
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0TN
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0FURTHER THE ADVANCEMENT IN MEDICINE FOR THE PHYSICIANS AND STAFF OF THE CENTENNIAL MEDICAL CENTER'S MIDDLE TENNESSEE COMMUNITY THROUGH EDUCATION AND ASSOCIATION.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0500040
IRS990/NetAssetsOrFundBalancesEOYAmt0455228
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0500040
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0455228
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt01297
IRS990/OfficeExpensesGrp/TotalAmt01297
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01318
IRS990/OtherAssetsTotalGrp/EOYAmt01329
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0CONTINUING EDUCATION
IRS990/OtherExpensesGrp/Desc1MEMBER APPRECIATION GIF
IRS990/OtherExpensesGrp/Desc2MERCHANT DEPOSIT FEES
IRS990/OtherExpensesGrp/Desc3BOOKS, SUBSCRIPTIONS, R
IRS990/OtherExpensesGrp/ProgramServicesAmt05863
IRS990/OtherExpensesGrp/ProgramServicesAmt11144
IRS990/OtherExpensesGrp/ProgramServicesAmt2914
IRS990/OtherExpensesGrp/ProgramServicesAmt3280
IRS990/OtherExpensesGrp/TotalAmt05863
IRS990/OtherExpensesGrp/TotalAmt11144
IRS990/OtherExpensesGrp/TotalAmt2914
IRS990/OtherExpensesGrp/TotalAmt3280
IRS990/OtherLiabilitiesGrp/BOYAmt0173
IRS990/OtherLiabilitiesGrp/EOYAmt03984
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0DR WILLIAM LIZARRAGA
IRS990/PriorPeriodAdjustmentsAmt0-170300
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0611430
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAL ASSN. DUES/APP
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0389050
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0389050
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
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IRS990/PYInvestmentIncomeAmt03934
IRS990/PYOtherExpensesAmt0236117
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0259888
IRS990/PYRevenuesLessExpensesAmt012705
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0251117
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0263822
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0125488
IRS990/RegularMonitoringEnfrcInd00
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0389050
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0457199
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0424898
IRS990/ScheduleBRequiredInd00
IRS990ScheduleC/AgreeCarryoverPriorYearInd00
IRS990ScheduleC/OnlyInHouseLobbyingInd00
IRS990ScheduleC/SubstantiallyAllDuesNondedInd01
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03984
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0OTHER LIABILITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt03984
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt010000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0DONATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0AMERICAN HEART ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientEIN0135613797
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt07272 GREENVILLE AVENUE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0DALLAS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0TX
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd075231
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS PRESENTED TO EACH OF THE MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT. UPON APPROVAL THE RETURN IS CLEARED FOR FILING.

Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$459,212
Liabilities
$3,984
Net assets
$455,228
Revenue
$398,588
Expenses
$273,100
Net income
$125,488
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2.67$0.08$2.60$2.95$3.47$0.52
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.38$0.27$3.11$3.19$3.12$0.07
2023Detailed filing. Detailed filing data is available for this year.$3.07$0.03$3.04$2.33$3.00$0.67
2022Detailed filing. Detailed filing data is available for this year.$3.77$0.05$3.72$2.54$2.85$0.31
2021Detailed filing. Detailed filing data is available for this year.$4.26$0.15$4.11$1.95$2.34$0.38
2020Detailed filing. Detailed filing data is available for this year.$4.54$0.04$4.50$2.51$2.56$0.05
2019Detailed filing. Detailed filing data is available for this year.$4.59$0.04$4.55$3.99$2.73$1.25
2018Detailed filing. Detailed filing data is available for this year.$5.00$0.00$5.00$2.64$2.51$0.13
2017Detailed filing. Detailed filing data is available for this year.$4.91$0.04$4.87$2.12$1.05$1.08
2016Detailed filing. Detailed filing data is available for this year.$3.80$0.00$3.79$3.69$3.48$0.21
2015Detailed filing. Detailed filing data is available for this year.$3.58$0.00$3.58$4.17$3.11$1.05
2014Detailed filing. Detailed filing data is available for this year.$2.53$0.00$2.53$2.86$2.59$0.28
2013Detailed filing. Detailed filing data is available for this year.$2.25$0.00$2.25$3.52$2.29$1.22