Civic Intelligence

Centennial Medical Staff Association

990 • Fiscal year 2020 • EIN 45-4756708

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 02, 2021

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

62nd percentile

0.01x

Higher debt load relative to assets than 62% of similar nonprofits.

2020 filings • 501(c)4 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

64th percentile

0.02x

Higher debt load relative to revenue than 64% of similar nonprofits.

2020 filings • 501(c)4 • <$500k nonprofits • Source year 2020

Net Margin

39th percentile

-2.0%

Higher net margin than 39% of similar nonprofits.

2020 filings • 501(c)4 • <$500k nonprofits • Source year 2020

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.

2020 filings • 501(c)4 • <$500k nonprofits • Source year 2020

Asset Growth

44th percentile

-1.1%

Faster asset growth than 44% of similar nonprofits.

2020 filings • 501(c)4 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

28th percentile

-37%

Faster revenue growth than 28% of similar nonprofits.

2020 filings • 501(c)4 • <$500k nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Down

$454,197

Down $5,015 (-1.1%) from 2019

Net Assets

Down

$449,797

Down $5,431 (-1.2%) from 2019

Liabilities

Up

$4,400

Up $416 (+10%) from 2019

Revenue And Expenses
Liabilities / Revenue64th percentileNet Margin39th percentile

Revenue

Down

$251,354

Down $147,234 (-37%) from 2019

Expenses

Down

$256,494

Down $16,606 (-6.1%) from 2019

Net Income

Down

-$5,140

Down $130,628 (-104%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth44th 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

2020

Assets$454,197
Liabilities$4,400
Net Assets$449,797
Open 2020 Filing

Operations Trend

Revenue Growth28th 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

2020

Revenue$251,354
Expenses$256,494
Net Income-$5,140
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 2, 2021
Return Version
2020v4.1
Gross Receipts
$251,354
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$424,898$450,189▲ $25,291
Cash and Non-Interest-Bearing Accounts$32,985$2,663▼ $30,322
Total Assets$459,212$454,197▼ $5,015
Other Assets Total$1,329$1,345▲ $16
Liabilities
Other Liabilities$3,984$4,400▲ $416
Total Liabilities$3,984$4,400▲ $416
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$455,228$449,797▼ $5,431
Total Net Assets Fund Balance$455,228$449,797▼ $5,431
Total Liabilities and Net Assets / Fund Balance$459,212$454,197▼ $5,015
Compensation and Service Providers
Top Officer Pay86th percentile

Board Members and Trustees

NameTitle
Dr Bassam HelouPresident
Dr Michael NumnumVice President
Dr Alexander KoumtchevDirector
Dr Alison StonerDirector
Dr Brian JeffersonDirector
Dr Chris GlattesDirector
Dr Christopher JonesDirector
Dr David ReichsteinDirector
Dr Douglas LinfertDirector
Dr Jackson WrayDirector
Dr Jason ShipmanDirector
Dr Jefferson MorrisonDirector
Dr Jennifer DommDirector
Dr Jody JuniaDirector
Dr Jonathan SchneiderDirector
Dr Khan LiDirector
Dr Michael HastyDirector
Dr Michael NottidgeDirector
Dr Michael StabileDirector
Dr Nicole HeidemannDirector
Dr Seenu ReddyDirector
Dr Sreekumar SubramanianDirector
Dr Thomas LindDirector
Dr Thomas TesauroDirector
Dr Todd BauerDirector
Dr William LizarragaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$240,350
Investment Income
$4,354
Other Revenue
$6,650
Change in Net Assets
$-5,140
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$220,494
Grants and Similar Amounts Paid$36,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$141,933--$141,933
Grants to Domestic Orgs$36,000--$36,000
Conferences and Meetings$25,301--$25,301
Fees for Services Accounting-$24,000-$24,000
Office Expenses$2,677--$2,677
Insurance$2,429--$2,429
Other Expenses$1,176--$1,176
All Other Expenses$472--$472
Total Functional Expenses$232,494$24,000$0$256,494
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hca Hope FundNashville, TN501(c)(3)Donation$20,000
United Way WorldwideAlexandria, VA501(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$4,400
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
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 association 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
2021-11-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr William Lizarraga
Formed
2012
Legal Domicile
Tn
Voting Board Members
26
Independent Board Members
26
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 478 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/TitleTxt2PRESIDENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25TREASURER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02012
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt026
IRS990/GrantAmt036000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt036000
IRS990/GrantsToDomesticOrgsGrp/TotalAmt036000
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0251354
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt026
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt02429
IRS990/InsuranceGrp/TotalAmt02429
IRS990/InvestmentIncomeGrp/ExclusionAmt04354
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt04354
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
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/NetAssetsOrFundBalancesBOYAmt0455228
IRS990/NetAssetsOrFundBalancesEOYAmt0449797
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0455228
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0449797
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt02677
IRS990/OfficeExpensesGrp/TotalAmt02677
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01329
IRS990/OtherAssetsTotalGrp/EOYAmt01345
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0BUSINESS LICENSES
IRS990/OtherExpensesGrp/Desc1MEMBER APPRECIATION GIF
IRS990/OtherExpensesGrp/Desc2CONTINUING EDUCATION
IRS990/OtherExpensesGrp/Desc3MERCHANT DEPOSIT FEES
IRS990/OtherExpensesGrp/ProgramServicesAmt010389
IRS990/OtherExpensesGrp/ProgramServicesAmt17747
IRS990/OtherExpensesGrp/ProgramServicesAmt24370
IRS990/OtherExpensesGrp/ProgramServicesAmt31176
IRS990/OtherExpensesGrp/TotalAmt010389
IRS990/OtherExpensesGrp/TotalAmt17747
IRS990/OtherExpensesGrp/TotalAmt24370
IRS990/OtherExpensesGrp/TotalAmt31176
IRS990/OtherLiabilitiesGrp/BOYAmt03984
IRS990/OtherLiabilitiesGrp/EOYAmt04400
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0OTHER INCOME
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt06650
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt06650
IRS990/OtherRevenueTotalAmt06650
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0DR WILLIAM LIZARRAGA
IRS990/PriorPeriodAdjustmentsAmt0-291
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0611430
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAL ASSN. DUES/APP
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0240350
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0240350
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt010200
IRS990/PYInvestmentIncomeAmt09538
IRS990/PYOtherExpensesAmt0262900
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0389050
IRS990/PYRevenuesLessExpensesAmt0125488
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0273100
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0398588
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-5140
IRS990/RegularMonitoringEnfrcInd00
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0247000
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0424898
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0450189
IRS990/ScheduleBRequiredInd00
IRS990ScheduleC/AgreeCarryoverPriorYearInd00
IRS990ScheduleC/OnlyInHouseLobbyingInd00
IRS990ScheduleC/SubstantiallyAllDuesNondedInd01
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04400
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0OTHER LIABILITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt04400
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt020000
IRS990ScheduleI/RecipientTable/CashGrantAmt110000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0DONATION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1DONATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HCA HOPE FUND
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1UNITED WAY WORLDWIDE
IRS990ScheduleI/RecipientTable/RecipientEIN0470957872
IRS990ScheduleI/RecipientTable/RecipientEIN1131635294
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0P O BOX 550
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt1701 N FAIRFAX STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0NASHVILLE
IRS990ScheduleI/RecipientTable/USAddress/CityNm1ALEXANDRIA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0TN
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1VA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd037202
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd122314
IRS990ScheduleI/Total501c3OrgCnt02
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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ASSOCIATION MAKES IT'S DOCUMENTS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$454,197
Liabilities
$4,400
Net assets
$449,797
Revenue
$251,354
Expenses
$256,494
Net income
-$5,140
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