Civic Intelligence

Midtown Urology Health & Education

EIN 92-0199341 • 501(c)3 • Atlanta, GA

Profile

To provide health care services to the medically underserved communities in the state of georgia.

1924 Piedmont RoadAtlanta, GA 30324

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2019

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2019

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2018 to 2019

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,110 (-100%) from 2018

Liabilities

Down

$0

Down $3,008 (-100%) from 2018

Net Assets

Up

$0

Up $1,898 (+100%) from 2018

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Flat

$0

Flat from 2018

Expenses

Flat

$0

Flat from 2018

Net Income

Flat

$0

Flat from 2018

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15K$10K$5.0K$0-$5.0KAssets 2010: $8,652Liabilities 2010: $0Net Assets 2010: $8,6522010Assets 2011: $5,625Liabilities 2011: $4,413Net Assets 2011: $1,2122011Assets 2012: $8,844Liabilities 2012: $5,137Net Assets 2012: $3,7072012Assets 2013: $14,918Liabilities 2013: $0Net Assets 2013: $14,9182013Assets 2014: $14,428Liabilities 2014: $1,401Net Assets 2014: $13,0272014Assets 2015: $1,468Liabilities 2015: $3,038Net Assets 2015: -$1,5702015Assets 2016: $1,110Liabilities 2016: $3,008Net Assets 2016: -$1,8982016Assets 2017: $1,110Liabilities 2017: $3,008Net Assets 2017: -$1,8982017Assets 2018: $1,110Liabilities 2018: $3,008Net Assets 2018: -$1,8982018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0
Open 2019 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40K$20K$0-$20KExpenses 2010: $13,2952010Expenses 2011: $8,9402011Revenue 2012: $26,973Expenses 2012: $24,478Net Income 2012: $2,4952012Revenue 2013: $20,011Expenses 2013: $8,800Net Income 2013: $11,2112013Revenue 2014: $10Expenses 2014: $1,901Net Income 2014: -$1,8912014Revenue 2015: $100Expenses 2015: $14,697Net Income 2015: -$14,5972015Revenue 2016: $1,154Expenses 2016: $1,482Net Income 2016: -$3282016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2019

Revenue$0
Expenses$0
Net Income$0
Open 2019 Filing

Filings

Most recent year

2019 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.11$3.01$1.90$0.00$0.00$0.00
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.11$3.01$1.90$0.00$0.00$0.00
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.11$3.01$1.90$1.15$1.48$0.33
2015Detailed filing. Detailed filing data is available for this year.$1.47$3.04$1.57$0.10$14.7$14.6
2014Detailed filing. Detailed filing data is available for this year.$14.4$1.40$13.0$0.01$1.90$1.89
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.9$0.00$14.9$20.0$8.80$11.2
2012Summary only. Only limited summary data is available for this year.$8.84$5.14$3.71$27.0$24.5$2.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.63$4.41$1.21$8.94
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.65$0.00$8.65$13.3
Latest Detailed Filing

The latest 2019 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 11, 2016
Return Version
2015v2.1
Gross Receipts
$100
Mission and Program Overview

Mission

To provide health care services to the medically underserved communities in the state of georgia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$14,428$1,468▼ $12,960
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$14,428$1,468▼ $12,960
Liabilities
Other Liabilities$1,371$3,008▲ $1,637
Accounts Payable and Accrued Expenses$30$30→ $0
Total Liabilities$1,401$3,038▲ $1,637
Net Assets / Fund Balance
Unrestricted Net Assets$13,027$-1,570▼ $14,597
Total Net Assets Fund Balance$13,027$-1,570▼ $14,597
Total Liabilities and Net Assets / Fund Balance$14,428$1,468▼ $12,960

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$4,565-
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Jenelle E Foote MdPresident
James K Bennett MdGeneral
Adwoa Asare-kwakyeSecretary
H Christine WilliamsonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$100
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$100
Change in Net Assets
$-14,597
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$14,697
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting-$1,350-$1,350
Other Expenses$13,257$60-$60
Office Expenses-$30-$30
Total Functional Expenses$13,257$1,440$0$14,697
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
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Midtown Urology$3,008
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“Jennelle e. Foote, md is related to james k. Bennett, md. Both are shareholders in midtown urology. H. Christine williamson is an employee of midtown urology. Adwoa asare-kwakye is an employee of midtown urology and is the director of clinical reseach and community outreach.”

Form 990, Part VI, Section B, Line 11

“The form 990 is reviewed by the governing body and officers of midtown urology health and education foundation. All questions regarding the form 990 are directed to the cpa firm who prepared the return.”

Form 990, Part VI, Section C, Line 19

“No documentation is available to the public unless requested.”

Filing and Contact Details

Filer

Filer Name
Midtown Urology Health & Education
EIN
92-0199341
Phone
4048810966
Address
1924 PIEDMONT ROAD, ATLANTA, GA 30324

Signing Officer

Name
Jenelle E Foote Md
Title
President
Phone
4048810966
Signed
2016-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jenelle E Foote Md
Formed
2005
Legal Domicile
Ga
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Hlb Gross Collins Pc
Address
3330 CUMBERLAND BOULEVARD 900, ATLANTA, GA 30339
Preparer
Wayne Gilmore
Phone
7704331711
Raw XML Appendix330 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt030
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt030
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES IN THE STATE OF GEORGIA.
IRS990/AllOtherContributionsAmt0100
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0H CHRISTINE WILLIAMSON
IRS990/BooksInCareOfDetail/PhoneNum04048810966
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01924 PIEDMONT ROAD
IRS990/BooksInCareOfDetail/USAddress/CityNm0ATLANTA
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0GA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd030324
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt014428
IRS990/CashNonInterestBearingGrp/EOYAmt01468
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0100
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt014697
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-14597
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt014697
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0100
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0OUTREACH PROGRAMS, SUCH AS HEALTH FAIRS, PERFORMED IN ORDER TO EDUCATE THE GENERAL PUBLIC OF CERTAIN HEALTH RISKS.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt013257
IRS990/FamilyOrBusinessRlnInd01
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt01350
IRS990/FeesForServicesAccountingGrp/TotalAmt01350
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0JENELLE E FOOTE MD
IRS990/Form990PartVIISectionAGrp/PersonNm1JAMES K BENNETT MD
IRS990/Form990PartVIISectionAGrp/PersonNm2ADWOA ASARE-KWAKYE
IRS990/Form990PartVIISectionAGrp/PersonNm3H CHRISTINE WILLIAMSON
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1GENERAL
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02005
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0100
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt04565
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LandBldgEquipCostOrOtherBssAmt04565
IRS990/LegalDomicileStateCd0GA
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO PROVIDE HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES IN THE STATE OF GEORGIA.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt013027
IRS990/NetAssetsOrFundBalancesEOYAmt0-1570
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt030
IRS990/OfficeExpensesGrp/TotalAmt030
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0SPECIAL EVENTS
IRS990/OtherExpensesGrp/Desc1BANK FEES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt060
IRS990/OtherExpensesGrp/ProgramServicesAmt013257
IRS990/OtherExpensesGrp/TotalAmt013257
IRS990/OtherExpensesGrp/TotalAmt160
IRS990/OtherLiabilitiesGrp/BOYAmt01371
IRS990/OtherLiabilitiesGrp/EOYAmt03008
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JENELLE E FOOTE MD
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt010
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0500
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt01401
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-1891
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01901
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt010
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-14597
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0100
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt010
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt020011
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt026973
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt01500
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt048594
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt048594
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0100
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt010
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt020011
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt026973
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01500
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt048594
IRS990ScheduleA/TotalSupportAmt048594
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/DepreciationAmt04565
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt04565
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03008
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO MIDTOWN UROLOGY
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt03008
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0JENNELLE E. FOOTE, MD IS RELATED TO JAMES K. BENNETT, MD. BOTH ARE SHAREHOLDERS IN MIDTOWN UROLOGY. H. CHRISTINE WILLIAMSON IS AN EMPLOYEE OF MIDTOWN UROLOGY. ADWOA ASARE-KWAKYE IS AN EMPLOYEE OF MIDTOWN UROLOGY AND IS THE DIRECTOR OF CLINICAL RESEACH AND COMMUNITY OUTREACH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS REVIEWED BY THE GOVERNING BODY AND OFFICERS OF MIDTOWN UROLOGY HEALTH AND EDUCATION FOUNDATION. ALL QUESTIONS REGARDING THE FORM 990 ARE DIRECTED TO THE CPA FIRM WHO PREPARED THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTATION IS AVAILABLE TO THE PUBLIC UNLESS REQUESTED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0582022094
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1582022093
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MEDICAL PRACTICE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1MEDICAL PRACTICE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0MIDTOWN UROLOGY SURGICAL CENTER PC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1MIDTOWN UROLOGY PC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01924 PIEDMONT ROAD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt11924 PIEDMONT ROAD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0ATLANTA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm1ATLANTA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd1GA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd030324
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd130324
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt014428
IRS990/TotalAssetsEOYAmt01468
IRS990/TotalAssetsGrp/BOYAmt014428
IRS990/TotalAssetsGrp/EOYAmt01468
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0100
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01440
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt013257
IRS990/TotalFunctionalExpensesGrp/TotalAmt014697
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01401
IRS990/TotalLiabilitiesEOYAmt03038
IRS990/TotalLiabilitiesGrp/BOYAmt01401
IRS990/TotalLiabilitiesGrp/EOYAmt03038
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt013027
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-1570
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt013257
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0100
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt014428
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01468
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt013027
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-1570
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01924 PIEDMONT ROAD
IRS990/USAddress/CityNm0ATLANTA
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd030324
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JENELLE E FOOTE MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum04048810966
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-08-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MIDTOWN UROLOGY HEALTH & EDUCATION
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0MIDT
ReturnHeader/Filer/EIN0920199341
ReturnHeader/Filer/PhoneNum04048810966
ReturnHeader/Filer/USAddress/AddressLine1Txt01924 PIEDMONT ROAD
ReturnHeader/Filer/USAddress/CityNm0ATLANTA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030324
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0581367012
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HLB GROSS COLLINS PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03330 CUMBERLAND BOULEVARD 900
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ATLANTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd030339
ReturnHeader/PreparerPersonGrp/PhoneNum07704331711
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0WAYNE GILMORE
ReturnHeader/ReturnTs02016-08-15T14:37:58-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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