Civic Intelligence

Centennial Medical Staff Association

990 • Fiscal year 2023 • EIN 45-4756708

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 15, 2024

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.

2023 filings • 501(c)4 • <$500k nonprofits • Source year 2023

Liabilities / Revenue

63rd percentile

0.01x

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

2023 filings • 501(c)4 • <$500k nonprofits • Source year 2023

Net Margin

14th percentile

-29%

Higher net margin than 14% of similar nonprofits.

2023 filings • 501(c)4 • <$500k nonprofits • Source year 2023

Top Officer Pay

96th percentile

$45,000

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 19.3% of source-year revenue.

2023 filings • 501(c)4 • <$500k nonprofits • Source year 2023

Asset Growth

20th percentile

-19%

Faster asset growth than 20% of similar nonprofits.

2023 filings • 501(c)4 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

31st percentile

-8.5%

Faster revenue growth than 31% of similar nonprofits.

2023 filings • 501(c)4 • <$500k nonprofits • Annualized from 2022 to 2023

Assets

Down

$306,748

Down $69,848 (-19%) from 2022

Net Assets

Down

$304,207

Down $67,298 (-18%) from 2022

Liabilities

Down

$2,541

Down $2,550 (-50%) from 2022

Revenue

Down

$232,586

Down $21,524 (-8.5%) from 2022

Expenses

Up

$299,734

Up $15,054 (+5.3%) from 2022

Net Income

Down

-$67,148

Down $36,578 (-120%) from 2022

Historical Trend

Balance Sheet Trend

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

2023

Assets$306,748
Liabilities$2,541
Net Assets$304,207

Operations Trend

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

2023

Revenue$232,586
Expenses$299,734
Net Income-$67,148
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 15, 2024
Return Version
2023v5.1
Gross Receipts
$232,586
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$364,574$265,580▼ $98,994
Cash and Non-Interest-Bearing Accounts$12,022$41,168▲ $29,146
Total Assets$376,596$306,748▼ $69,848
Liabilities
Other Liabilities$5,091$2,541▼ $2,550
Total Liabilities$5,091$2,541▼ $2,550
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$371,505$304,207▼ $67,298
Total Net Assets Fund Balance$371,505$304,207▼ $67,298
Total Liabilities and Net Assets / Fund Balance$376,596$306,748▼ $69,848
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Dr Bassam HelouPresidentPT$45,000$45,000
Dr Michael NumnumVice President-$10,000$10,000
Dr Jackson WrayTreasurer-$4,650$4,650
Dr Michael HastyDirector-$2,400$2,400
Dr Paul BryantDirector-$2,400$2,400
Dr Tammy BaxterDirector-$2,200$2,200
Dr Alexander KoumtchevDirector-$2,000$2,000
Dr Adam KingeterDirector-$1,800$1,800
Dr David DoungDirector-$1,800$1,800
Dr Alanna PatsiokasDirector-$1,600$1,600
Dr Jeffrey HodrickDirector-$1,400$1,400
Dr Alison StonerDirector-$1,000$1,000
Dr Andrew GoodmanDirector-$1,000$1,000
Dr Britney FriesenDirector-$1,000$1,000
Dr David ReichsteinDirector-$1,000$1,000
Dr John FasigDirector-$1,000$1,000
Dr Josh HeckDirector-$1,000$1,000
Dr Minocher BattiwallaDirector-$1,000$1,000
Dr William PolkDirector-$1,000$1,000

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$218,050
Investment Income
$14,536
Other Revenue
$0
Change in Net Assets
$-67,148
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$286,234
Grants and Similar Amounts Paid$13,500
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$139,250--$139,250
Conferences and Meetings$75,531--$75,531
Fees for Services Accounting-$30,078-$30,078
Grants to Domestic Orgs$7,500--$7,500
Travel$7,383--$7,383
All Other Expenses$6,676--$6,676
Grants to Domestic Individuals$6,000--$6,000
Other Expenses$2,825--$2,825
Insurance$2,608--$2,608
Office Expenses$1,250--$1,250
Advertising$843--$843
Total Functional Expenses$269,656$30,078$0$299,734
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$2,541
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 Jackson Wray
Title
Treasurer
Phone
6153421072
Signed
2024-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Jackson Wray
Formed
2012
Legal Domicile
Tn
Voting Board Members
27
Independent Board Members
27
Employees
0
Volunteers
0

Preparer

Firm
Crosslin Pllc
Address
3803 BEDFORD AVENUE SUITE 201, NASHVILLE, TN 37215
Preparer
Rodney C Brower
Phone
6153205500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Prior year adjustment -150.

Raw XML AppendixShowing 400 of 459 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/Desc0CENTENNIAL MEDICAL STAFF ASSOCIATES IS A PREMIER MEDICAL STAFF ASSOCIATION IN MIDDLE TENNESSEE. WITH OVER 1200 PHYSICIANS AND STAFF AS MEMBERS OF THE ASSOCIATION, IT WAS ABLE TO RAISE OVER $190,000 IN MEMBERSHIP DUES. THE ASSOCIATION PROVIDES TRAINING TO PHYSICIANS THROUGH MULTIPLE CONTINUING MEDICAL EDUCATION EVENTS. ADDITIONALLY, THE ASSOCIATION PROVIDES ASSISTANCE TO MEMBERS OF THE ORGANIZATION IN FILING REQUIRED MEDICAL DOCUMENTATION TO PRACTICE MEDICINE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02012
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt027
IRS990/GrantAmt013500
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt06000
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt06000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt07500
IRS990/GrantsToDomesticOrgsGrp/TotalAmt07500
IRS990/GrantsToIndividualsInd01
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0232586
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt027
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt02608
IRS990/InsuranceGrp/TotalAmt02608
IRS990/InvestmentIncomeGrp/ExclusionAmt014536
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt014536
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt048
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/NetAssetsOrFundBalancesBOYAmt0371505
IRS990/NetAssetsOrFundBalancesEOYAmt0304207
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0371505
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0304207
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt01250
IRS990/OfficeExpensesGrp/TotalAmt01250
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-150
IRS990/OtherExpensesGrp/Desc0MEALS & ENTERTAINMENT
IRS990/OtherExpensesGrp/Desc1PHYSICIAN REWARD PROGRA
IRS990/OtherExpensesGrp/Desc2MEMBER APPRECIATION GIF
IRS990/OtherExpensesGrp/Desc3BOOKS, SUBSCRIPTIONS, R
IRS990/OtherExpensesGrp/ProgramServicesAmt011795
IRS990/OtherExpensesGrp/ProgramServicesAmt15000
IRS990/OtherExpensesGrp/ProgramServicesAmt22995
IRS990/OtherExpensesGrp/ProgramServicesAmt32825
IRS990/OtherExpensesGrp/TotalAmt011795
IRS990/OtherExpensesGrp/TotalAmt15000
IRS990/OtherExpensesGrp/TotalAmt22995
IRS990/OtherExpensesGrp/TotalAmt32825
IRS990/OtherLiabilitiesGrp/BOYAmt05091
IRS990/OtherLiabilitiesGrp/EOYAmt02541
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0DR JACKSON WRAY
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0611430
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAL ASSN. DUES/APP
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0218050
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0218050
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt017600
IRS990/PYInvestmentIncomeAmt03485
IRS990/PYOtherExpensesAmt0267080
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0250625
IRS990/PYRevenuesLessExpensesAmt0-30570
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0284680
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0254110
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-67148
IRS990/RegularMonitoringEnfrcInd00
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0218050
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0364574
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0265580
IRS990/ScheduleBRequiredInd00
IRS990ScheduleC/AgreeCarryoverPriorYearInd00
IRS990ScheduleC/OnlyInHouseLobbyingInd00
IRS990ScheduleC/SubstantiallyAllDuesNondedInd01
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt02541
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0OTHER LIABILITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt02541
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt06000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0CASH ASSIATANCE FOR TORNADO VICTIMS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/NonCashAssistanceDesc0GRANTS TO INDIVIDUALS FOR TORNADO LOSSES
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt02
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/ExplanationTxt2PRIOR YEAR ADJUSTMENT -150.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd01
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0376596
IRS990/TotalAssetsEOYAmt0306748
IRS990/TotalAssetsGrp/BOYAmt0376596
IRS990/TotalAssetsGrp/EOYAmt0306748
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt030078
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0269656
IRS990/TotalFunctionalExpensesGrp/TotalAmt0299734
IRS990/TotalGrossUBIAmt00

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