Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE MULTIPLE SCLEROSIS CENTER OF GA INC THE PALISADES BUILDING
Employer identification number
55-0821471
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
892,006
60,638
186,842
214,652
370,578
1,724,716
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
20,011,580
22,303,329
9,570,247
5,074,068
4,670,841
61,630,065
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
20,903,586
22,363,967
9,757,089
5,288,720
5,041,419
63,354,781
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
63,354,781
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
20,903,586
22,363,967
9,757,089
5,288,720
5,041,419
63,354,781
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,766
3,011
59,911
102,924
50,330
217,942
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,766
3,011
59,911
102,924
50,330
217,942
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
109,674
122,270
129,235
38,392
140,836
540,407
13
Total support. (Add lines 9, 10c, 11, and 12.)..
21,015,026
22,489,248
9,946,235
5,430,036
5,232,585
64,113,130
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
98.820 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.260 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.340 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.220 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE MULTIPLE SCLEROSIS CENTER OF GA INC THE PALISADES BUILDING
Employer identification number
55-0821471
Return Reference
Explanation
FORM 990, PART III, LINE 2
THE CENTER HAS ENTERED INTO TALKS WITH LOCAL PHARMACISTS TO DEVELOP AN ON-SITE PHARMACY DESIGNED SPECIFICALLY FOR THE CENTER'S PATIENTS ONLY. THE PHARMACY WILL PROVIDE PHARMACEUTICALS DESIGNED FOR THE TREATMENT OF MULTIPLE SCLEROSIS AND OTHER RELATED CONDITIONS. THE CENTER'S PROFITS WILL BE REINVESTED TO EXTEND CARE TO THE CENTER'S PATIENTS.
FORM 990, PART VI, SECTION A, LINE 2
DR. WILLIAM H. STUART IS THE MS CENTER MEDICAL DIRECTOR AND CHAIRMAN OF THE BOARD. HIS SON, DR. DOUGLAS S. STUART, IS AN AD HOC BOARD MEMBER WITH NO VOTING PRIVILEGES AS WELL AS A PARTNER OF PEACHTREE NEUROLOGICAL CLINIC FROM WHICH DR. WILLIAM H. STUART RETIRED JUNE 30, 2006. DR. JEFFREY B. ENGLISH IS AN AD HOC BOARD MEMBER WITH NO VOTING PRIVILEGES AS WELL AS A MEMBER OF PEACHTREE NEUROLOGICAL CLINIC. DR. ENGLISH IS ALSO THE MS CENTER'S RESEARCH MEDICAL DIRECTOR. THE MS CENTER OF GEORGIA RENTS THREE SUITES FROM CORPORATIONS IN WHICH DR. WILLIAM STUART, DR. DOUGLAS STUART, AND DR. JEFFREY ENGLISH ARE OFFICERS. ALSO, THE MS CENTER HAS CLINICAL SERVICES AND MRI IMAGING SERVICES AGREEMENTS WITH PEACHTREE NEUROLOGICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11
AT THE COMPLETION OF THE ANNUAL OUTSIDE AUDIT, EACH DIRECTOR IS PROVIDED WITH A COPY OF THE UNAUDITED, YEAR-END FINANCIALS AND THE FIRST DRAFT OF THE QUESTIONNAIRE USED TO COMPLETE THE FORM 990. AFTER REVIEW BY EACH DIRECTOR, EACH DIRECTOR IS PROVIDED WITH THE FINAL COPY OF THE 990 TAX RETURN TO REVIEW AND AUTHORIZE FOR RELEASE.
FORM 990, PART VI, SECTION B, LINE 12C
PRIOR TO EACH BOARD MEETING, A CONFLICT OF INTEREST DECLARATION IS COMPLETED BY EACH BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 15
THE COMPENSATION FOR THE MEDICAL DIRECTOR AND CEO IS REVIEWED, DISCUSSED, AND AUTHORIZED ANNUALLY BY THE VOTING MEMBERS OF THE BOARD OF DIRECTORS. SALARIES ARE COMPARED USING PUBLIC INFORMATION AVAILABLE FROM OTHER HEALTHCARE SETTINGS THAT ARE NOT-FOR-PROFIT AND THROUGH FOR-FEE REPORTS THAT PROVIDE INDUSTRY STANDARDS FOR SIMILIAR POSITIONS. DURING THE COMPENSATION REVIEW PROCESS, ANY MEMBER OF MANAGEMENT UNDER REVIEW WILL RECUSE HIMSELF FROM THE BOARD MEETING. OTHER KEY EMPLOYEES HAVE ANNUAL PERFORMANCE AND COMPENSATION REVIEWS CONDUCTED JOINTLY BY THE MEDICAL DIRECTOR, CEO, AND PRACTICE ADMINISTRATOR.
FORM 990, PART VI, SECTION C, LINE 18
COPIES OF THE ORGANIZATION'S FORMS 990 ARE AVAILABLE UPON REQUEST EITHER IN PERSON OR BY MAIL.
FORM 990, PART VI, SECTION C, LINE 19
COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G
OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,051. MANAGEMENT AND GENERAL EXPENSES 3,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,102. PHYSICIAN FEES - CONTRACTED: PROGRAM SERVICE EXPENSES 417,661. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,661. PHYSICIAN FEES - VARIOUS INTERNAL MEDICINE SPECIALISTS: PROGRAM SERVICE EXPENSES 408,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,806. NON-VOTING DIRECTOR FEES: PROGRAM SERVICE EXPENSES 60,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,000.
FORM 990, PART XI, LINE 9:
DIRECT FUNDRAISING EXPENSES 67,272.
FORM 990, PART XII, LINE 2C
THERE HAS BEEN NO CHANGE TO THIS PROCESS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.