Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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...... | 2,411,922 | 2,127,661 | 1,907,263 | 1,815,421 | 1,582,383 | 9,844,650 |
| 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. | 2,411,922 | 2,127,661 | 1,907,263 | 1,815,421 | 1,582,383 | 9,844,650 |
| 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.) | 9,844,650 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,411,922 | 2,127,661 | 1,907,263 | 1,815,421 | 1,582,383 | 9,844,650 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 11,084 | 31,736 | 30,840 | 31,971 | 59,285 | 164,916 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 11,084 | 31,736 | 30,840 | 31,971 | 59,285 | 164,916 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 40,048 | 11,721 | 20,375 | 15,095 | 0 | 87,239 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 115,295 | 100,736 | 128,913 | 2,334,252 | 639,875 | 3,319,071 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 2,578,349 | 2,271,854 | 2,087,391 | 4,196,739 | 2,281,543 | 13,415,876 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2011 AMOUNT: $ 115,295. 2012 AMOUNT: $ 100,736. 2013 AMOUNT: $ 128,913. 2014 AMOUNT: $ 2,334,252. 2015 AMOUNT: $ 35,859. BP DEEPWATER HORIZON PROCEEDS - 2011 AMOUNT: $ 0. 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 604,016. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS SEVERAL DIFFERENT LEVELS OF MEMBERSHIP. ACTIVE MEMBERS ARE BY INVITATION TO PHYSICIANS WHO ARE ELIGIBLE TO BE MEMBERS OF THE STATE MEDICAL SOCIETIES OF ANY STATE MEDICAL SOCIETY IN THE UNITED STATES, DISTRICT OF COLUMBIA, CANADA, MEXICO AND PUERTO RICO; TO MEDICAL OFFICERS OF THE UNIFORMED SERVICES ON ACTIVE DUTY AND VETERANS ADMINISTRATION, AND ALSO TO THOSE INTERNATIONAL PHYSICIANS WHO ARE ELIGIBLE FOR MEMBERSHIP IN MEDICAL ASSOCIATIONS IN THE COUNTRY WHERE THEY RESIDE AND PRACTICE. CLASS ONE ASSOCIATE MEMBERS ARE THOSE WHO ARE LICENSED ALLIED HEALTH PROFESSIONALS WHO ARE MEMBERS OF HIS/HER PROFESSIONAL ASSOCIATION; OR A PHYSICIAN ASSISTANT OR NURSE PRACTITIONER. CLASS TWO ASSOCIATE MEMBERS ARE INTERNS, RESIDENTS, OR FELLOWS, NOT YET A MEMBER OF A STATE MEDICAL SOCIETY AND MEDICAL STUDENTS OF ACCREDITED MEDICAL SCHOOLS AS WELL AS INTERNS, RESIDENTS AND FELLOWS AT ACCREDITED OSTEOPATHIC TRAINING PROGRAMS IN THE UNITED STATES, DISTRICT OF COLUMBIA, CANADA, MEXICO AND PUERTO RICO. INTERIM MEMBERS ARE PHYSICIANS WHO OTHERWISE ARE ELIGIBLE FOR MEMBERSHIP IN THE ASSOCIATION OR AN ASSOCIATE MEMBER IN CLASS 1 OR 2 AND WHO HAVE BEEN INVITED BY THE ASSOCIATION TO BECOME AN INTERIM MEMBER. HONORARY MEMBERS ARE COMPOSED OF THOSE PHYSICIANS WHOSE CONTRIBUTIONS TO THE PROMOTION OF MEDICAL SCIENCE IS RECOGNIZED BY THE ASSOCIATION IN CONFERRING SUCH MEMBERSHIP. EX OFFICIO MEMBERS ARE COMPOSED OF THOSE PERSONS WHO BY VIRTUE OF THEIR POSITIONS AS ACTIVE DEANS OF MEDICAL SCHOOLS OR OTHER INSTITUTIONS OF LEARNING ARE CONFERRED MEMBERSHIP BY THE COUNCIL OF ASSOCIATION. EMERITUS MEMBERS ARE ACTIVE MEMBERS IN GOOD STANDING WHO ARE 70 YEARS OF AGE AND WHO HAVE BEEN MEMBERS FOR A PERIOD OF 25 YEARS. MEDICAL PRACTICE SERVICES MEMBERS ARE AVAILABLE TO ANY MEDICAL PRACTICE WHERE AT LEAST ONE PHYSICIAN OF THE PRACTICE IS AN ACTIVE MEMBER OF THE ASSOCIATION. CORPORATE MEMBERSHIPS ARE AVAILABLE TO ANY MEDICAL PRACTICE WHERE ALL OF THE PHYSICIANS ARE INDIVIDUAL MEMBERS OF THE ASSOCIATION AND NON-PHYSICIAN STAFF ARE ELIGIBLE TO PARTICIPATE IN THE PROGRAMS AND SERVICES OFFERED THROUGH THE MEDICAL PRACTICE MEMBERSHIP. INSTITUTIONAL MEMBERS ARE COMPOSED OF PHYSICIANS WHO ARE MEMBERS OF MEDICAL ASSOCIATIONS, WHICH HAVE ENTERED INTO AFFILIATION AGREEMENTS WITH THE ASSOCIATION FOR EDUCATIONAL PROGRAMS, AND OTHER PROGRAMS OF THE ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ACTIVE AND EMERITUS MEMBERS ARE THE ONLY MEMBERS WITH VOTING RIGHTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR WILL CONDUCT A REVIEW OF THE 990 RETURN PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE BY REQUIRING OFFICERS AND DIRECTORS TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MANAGEMENT COMPENSATION COMMITTEE, WHICH CONSISTS OF THE EXECUTIVE COMMITTEE (PRESIDENT, PRESIDENT-ELECT, PRESIDENT-ELECT DESIGNEE, IMMEDIATE PAST PRESIDENT), DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THE COMPENSATION OF THE REMAINING STAFF ARE DETERMINED BY THE EXECUTIVE DIRECTOR AND PART OF THE BUDGET REVIEW AND APPROVAL PROCESS BY THE BUDGET AND ADMIN COMMITTEE AND THE COUNCIL. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE ON RECORD FOR REVIEW BY ANY MEMBER ON REQUEST. REVIEWED MONTHLY BY THE BUDGET AND ADMIN COMMITTEE AND PRESENTED TO THE COUNCIL. PART OF THE MINUTES ARE AVAILABLE TO ALL MEMBERSHIP. THE ANNUAL YEARBOOK HAS ALL GOVERNING DOCUMENTS AND MEETING MINUTES IN IT AND IS AVAILABLE ON REQUEST TO THE MEMBERSHIP. |
| FORM 990, PART VI, SECTION B, LINE 13 | THE ORGANIZATION ADOPTED A WHISTLEBLOWER POLICY AFTER THEIR JUNE 30, 2016 YEAR END. |
| FORM 990, PART XI, LINE 9: | EQUITY IN SMA SERVICES 330,734. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN THE PROCESS OF OVERSIGHT IN THE AUDIT. |
| SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION | SOUTHERN MEDICAL ASSOCIATION 3500 BLUE LAKE DRIVE, SUITE 360 BIRMINGHAM, AL 35243 EMPLOYER IDENTIFICATION NUMBER: 63-0196615 FOR THE YEAR ENDING JUNE 30, 2016 SOUTHERN MEDICAL ASSOCIATION IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F). |
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