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Centennial Medical Staff Association

Organization summary

Organization summary might be incomplete or out of date

This organization is not listed in the IRS's most recent list of tax exempt organizations, but we have data associated with this Employer Identification Number.

Type of Nonprofit

Designated as a Civic leagues, social welfare organizations and local associations of employees, created to promote community welfare for charitable, educational or recreational purposes.

Summary charts: organization finances over time

Revenue
$233k (2023)

Expenses
$300k (2023)

Total Assets
$307k (2023)

Total Liabilities
$2.54k (2023)

Source: Form 990 tax filings from 2013 to 2023

Tax Filings by Year

Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. If this organization filed an amended return, it may not be reflected below. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Form 990 data is from the IRS.

Fiscal Year Ending Dec.
2023

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$232,586
Expenses
$299,734
Net Income
-$67,148
Net Assets
$304,207
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $218,050
93.8%
Investment Income $14,536
6.2%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $306,748
Total Liabilities $2,541
Net Assets $304,207
Compensation
Key Employees and Officers Compensation Related Other
Dr Bassam Helou (President) $45,000 $0 $0
Dr Michael Numnum (Vice President) $10,000 $0 $0
Dr Jackson Wray (Treasurer) $4,650 $0 $0
Dr Michael Hasty (Director) $2,400 $0 $0
Dr Paul Bryant (Director) $2,400 $0 $0
Dr Tammy Baxter (Director) $2,200 $0 $0
Dr Alexander Koumtchev (Director) $2,000 $0 $0
Dr David Doung (Director) $1,800 $0 $0
Dr Adam Kingeter (Director) $1,800 $0 $0
Dr Alanna Patsiokas (Director) $1,600 $0 $0
Dr Jeffrey Hodrick (Director) $1,400 $0 $0
Dr Alison Stoner (Director) $1,000 $0 $0
Dr Andrew Goodman (Director) $1,000 $0 $0
Dr Britney Friesen (Director) $1,000 $0 $0
Dr David Reichstein (Director) $1,000 $0 $0
Dr John Fasig (Director) $1,000 $0 $0
Dr Josh Heck (Director) $1,000 $0 $0
Dr Minocher Battiwalla (Director) $1,000 $0 $0
Dr William Polk (Director) $1,000 $0 $0
Dr Christopher Jones (Director) $0 $0 $0
Dr Cole Barfield (Director) $0 $0 $0
Dr Elliot Cohen (Director) $0 $0 $0
Dr Jeffrey Gibson (Director) $0 $0 $0
Dr Laura Binkley (Director) $0 $0 $0
Dr Melissa Johnson (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2022

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$254,110
Expenses
$284,680
Net Income
-$30,570
Net Assets
$371,505
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $250,625
98.6%
Investment Income $3,485
1.4%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $376,596
Total Liabilities $5,091
Net Assets $371,505
Compensation
Key Employees and Officers Compensation Related Other
Dr Bassam Helou (President) $45,000 $0 $0
Dr Michael Numnum (Vice President) $10,000 $0 $0
Dr Jackson Wray (Treasurer) $6,400 $0 $0
Dr Seenu Reddy (Director) $3,900 $0 $0
Dr Tammy Baxter (Director) $2,800 $0 $0
Dr David Reichstein (Director) $2,400 $0 $0
Dr Jennifer Domm (Director) $2,400 $0 $0
Dr Michael Hasty (Director) $2,400 $0 $0
Dr Nicole Heidemann (Director) $2,400 $0 $0
Dr Alexander Koumtchev (Director) $2,000 $0 $0
Dr Andrea Couch (Director) $2,000 $0 $0
Dr Britney Friesen (Director) $2,000 $0 $0
Dr Alison Stoner (Director) $1,800 $0 $0
Dr William Polk (Director) $1,800 $0 $0
Dr Chris Glattes (Director) $1,600 $0 $0
Dr Jonathan Schneider (Director) $1,600 $0 $0
Dr Andrew Goodman (Director) $1,600 $0 $0
Dr Melissa Johnson (Director) $1,600 $0 $0
Dr Jeffrey Hodrick (Director) $1,400 $0 $0
Dr Elliot Cohen (Director) $1,200 $0 $0
Dr William Lizarraga (Secretary) $1,150 $0 $0
Dr Christopher Jones (Director) $800 $0 $0
Dr Cole Barfield (Director) $800 $0 $0
Dr Paul Bryant (Director) $600 $0 $0
Dr Jason Shipman (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2021

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$195,189
Expenses
$233,547
Net Income
-$38,358
Net Assets
$411,439
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $191,900
98.3%
Investment Income $1,089
0.6%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $2,200
1.1%
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $426,023
Total Liabilities $14,584
Net Assets $411,439
Compensation
Key Employees and Officers Compensation Related Other
Dr Alexander Koumtchev (Director) $0 $0 $0
Dr Alison Stoner (Director) $0 $0 $0
Dr Bassam Helou (President) $0 $0 $0
Dr Chris Glattes (Director) $0 $0 $0
Dr Christopher Jones (Director) $0 $0 $0
Dr David Reichstein (Director) $0 $0 $0
Dr Jackson Wray (Treasurer) $0 $0 $0
Dr Jason Shipman (Director) $0 $0 $0
Dr Jennifer Domm (Director) $0 $0 $0
Dr Jonathan Schneider (Director) $0 $0 $0
Dr Michael Hasty (Director) $0 $0 $0
Dr Michael Numnum (Vice President) $0 $0 $0
Dr Nicole Heidemann (Director) $0 $0 $0
Dr Seenu Reddy (Director) $0 $0 $0
Dr Cole Barfield (Director) $0 $0 $0
Dr Tammy Baxter (Director) $0 $0 $0
Dr Paul Bryant (Director) $0 $0 $0
Dr Elliot Cohen (Director) $0 $0 $0
Dr Andrea Couch (Director) $0 $0 $0
Dr Andrew Goodman (Director) $0 $0 $0
Dr Josh Heck (Director) $0 $0 $0
Dr Jeffrey Hodrick (Director) $0 $0 $0
Dr Melissa Johnson (Director) $0 $0 $0
Dr Kelly Newton (Director) $0 $0 $0
Dr William Polk (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2020

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$251,354
Expenses
$256,494
Net Income
-$5,140
Net Assets
$449,797
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $240,350
95.6%
Investment Income $4,354
1.7%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $6,650
2.6%
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $454,197
Total Liabilities $4,400
Net Assets $449,797
Compensation
Key Employees and Officers Compensation Related Other
Dr Alexander Koumtchev (Director) $0 $0 $0
Dr Alison Stoner (Director) $0 $0 $0
Dr Bassam Helou (President) $0 $0 $0
Dr Brian Jefferson (Director) $0 $0 $0
Dr Chris Glattes (Director) $0 $0 $0
Dr Christopher Jones (Director) $0 $0 $0
Dr David Reichstein (Director) $0 $0 $0
Dr Douglas Linfert (Director) $0 $0 $0
Dr Jackson Wray (Director) $0 $0 $0
Dr Jason Shipman (Director) $0 $0 $0
Dr Jefferson Morrison (Director) $0 $0 $0
Dr Jennifer Domm (Director) $0 $0 $0
Dr Jody Junia (Director) $0 $0 $0
Dr Jonathan Schneider (Director) $0 $0 $0
Dr Khan Li (Director) $0 $0 $0
Dr Michael Hasty (Director) $0 $0 $0
Dr Michael Nottidge (Director) $0 $0 $0
Dr Michael Numnum (Vice President) $0 $0 $0
Dr Michael Stabile (Director) $0 $0 $0
Dr Nicole Heidemann (Director) $0 $0 $0
Dr Seenu Reddy (Director) $0 $0 $0
Dr Sreekumar Subramanian (Director) $0 $0 $0
Dr Thomas Lind (Director) $0 $0 $0
Dr Thomas Tesauro (Director) $0 $0 $0
Dr Todd Bauer (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2019

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$398,588
Expenses
$273,100
Net Income
$125,488
Net Assets
$455,228
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $389,050
97.6%
Investment Income $9,538
2.4%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $459,212
Total Liabilities $3,984
Net Assets $455,228
Compensation
Key Employees and Officers Compensation Related Other
Dr Adam Pitts (Director) $0 $0 $0
Dr Adrian Jarquin Valdivia (Director) $0 $0 $0
Dr Alexander Koumtchev (Director) $0 $0 $0
Dr Amanda Daniel (Director) $0 $0 $0
Dr Bassam Helou (Vice President) $0 $0 $0
Dr Brian Jefferson (Director) $0 $0 $0
Dr Bryan Fischer (Director) $0 $0 $0
Dr Christopher Jones (President) $0 $0 $0
Dr Claude Vachon (Director) $0 $0 $0
Dr Donald Griffin (Director) $0 $0 $0
Dr Douglas Linfert (Director) $0 $0 $0
Dr Franco Recchia (Director) $0 $0 $0
Dr Gautum Jayramm (Director) $0 $0 $0
Dr Jackson Wray (Director) $0 $0 $0
Dr Jefferson Craig Morrison (Director) $0 $0 $0
Dr Jeffrey Jobe (Director) $0 $0 $0
Dr John Fasig (Director) $0 $0 $0
Dr John Wilters (Director) $0 $0 $0
Dr Jonathan Schneider (Director) $0 $0 $0
Dr Khan Li (Director) $0 $0 $0
Dr Marek Grzeszczak (Director) $0 $0 $0
Dr Mark Deaton (Director) $0 $0 $0
Dr Michael Nottidge (Director) $0 $0 $0
Dr Michael Numnum (Director) $0 $0 $0
Dr R Steve Young (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2018

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$263,822
Expenses
$251,117
Net Income
$12,705
Net Assets
$500,040
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $259,888
98.5%
Investment Income $3,934
1.5%
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $500,213
Total Liabilities $173
Net Assets $500,040
Compensation
Key Employees and Officers Compensation Related Other
Dr Adam Pitts (Director) $0 $0 $0
Dr Adrian Jarquin Valdivia (Director) $0 $0 $0
Dr Alexander Koumtchev (Director) $0 $0 $0
Dr Amanda Daniel (Director) $0 $0 $0
Dr Bassam Helou (Vice President) $0 $0 $0
Dr Brian Jefferson (Director) $0 $0 $0
Dr Bryan Fischer (Director) $0 $0 $0
Dr Christopher Jones (President) $0 $0 $0
Dr Claude Vachon (Director) $0 $0 $0
Dr Donald Griffin (Director) $0 $0 $0
Dr Douglas Linfert (Director) $0 $0 $0
Dr Franco Recchia (Director) $0 $0 $0
Dr Gautum Jayramm (Director) $0 $0 $0
Dr Jackson Wray (Director) $0 $0 $0
Dr Jefferson Craig Morrison (Director) $0 $0 $0
Dr Jeffrey Jobe (Director) $0 $0 $0
Dr John Fasig (Director) $0 $0 $0
Dr John Wilters (Director) $0 $0 $0
Dr Jonathan Schneider (Director) $0 $0 $0
Dr Khan Li (Director) $0 $0 $0
Dr Marek Grzeszczak (Director) $0 $0 $0
Dr Mark Deaton (Director) $0 $0 $0
Dr Michael Nottidge (Director) $0 $0 $0
Dr Michael Numnum (Director) $0 $0 $0
Dr R Steve Young (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2017

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$212,350
Expenses
$104,544
Net Income
$107,806
Net Assets
$487,023
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $212,350
100%
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $491,323
Total Liabilities $4,300
Net Assets $487,023
Compensation
Key Employees and Officers Compensation Related Other
Dr Michael Stabile (President) $0 $0 $0
Dr Christopher Jones (President Elect) $0 $0 $0
Dr Todd Bauer (Director) $0 $0 $0
Dr John Fasig (Director) $0 $0 $0
Dr William Gibson (Director) $0 $0 $0
Dr Marek Grzeszczak (Director) $0 $0 $0
Dr Bassam Helou (Director) $0 $0 $0
Dr Sydney Hester (Director) $0 $0 $0
Dr Brian Jefferson (Director) $0 $0 $0
Dr Jody Junia (Director) $0 $0 $0
Dr Alexandre Koumtchev (Director) $0 $0 $0
Dr Khan Li (Director) $0 $0 $0
Dr William Lizarraga (Director) $0 $0 $0
Dr Robert Lowe (Director) $0 $0 $0
Dr Jefferson Craig Morrison (Director) $0 $0 $0
Dr John Moyers (Director) $0 $0 $0
Dr Michael Nottidge (Director) $0 $0 $0
Dr Tomas Rauth (Director) $0 $0 $0
Dr Franco Recchia (Director) $0 $0 $0
Dr Seenu Reddy (Director) $0 $0 $0
Dr Thomas Tesauro (Director) $0 $0 $0
Dr Claude Vachon (Director) $0 $0 $0
Dr John Wilters (Director) $0 $0 $0
Dr Jackson Wray (Director) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2016

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$368,875
Expenses
$348,015
Net Income
$20,860
Net Assets
$379,217
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $368,875
100%
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $379,617
Total Liabilities $400
Net Assets $379,217
Compensation
Key Employees and Officers Compensation Related Other
Dr Michael Stabile (President) $0 $0 $0
Dr Christopher Jones (Vice President) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2015

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$416,900
Expenses
$311,482
Net Income
$105,418
Net Assets
$358,357
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $416,900
100%
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $358,357
Total Liabilities $0
Net Assets $358,357
Compensation
Key Employees and Officers Compensation Related Other
Dr Michael Stabile (President) $0 $0 $0
Dr Christopher Jones (Vice President) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2014

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$286,250
Expenses
$258,596
Net Income
$27,654
Net Assets
$252,939
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $286,250
100%
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $252,939
Total Liabilities $0
Net Assets $252,939
Compensation
Key Employees and Officers Compensation Related Other
Dr John Wilters (President) $0 $0 $0
Dr Michael Schlosser (Vice President/Treasurer) $0 $0 $0
Dr David Reyes (Secretary) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2013

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$351,550
Expenses
$229,173
Net Income
$122,377
Net Assets
$225,285
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $351,550
100%
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $225,285
Total Liabilities $0
Net Assets $225,285
Compensation
Key Employees and Officers Compensation Related Other
Dr John Wilters (President) $0 $0 $0
Dr Michael Schlosser (Vice President/Treasurer) $0 $0 $0
Dr David Reyes (Secretary) $0 $0 $0

Document Links

Fiscal Year Ending Dec.
2012

No Extracted Financial Data

Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.

Document Links

About This Data

Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.

The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. This data release includes only a subset of what can be found in the full Form 990s.

In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.

We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.

Which Organizations Are Here?

Every organization that has been recognized as tax exempt by the IRS has to file Form 990 every year, unless they make less than $200,000 in revenue and have less than $500,000 in assets, in which case they have to file form 990-EZ. Organizations making less than $50,000 don’t have to file either form but do have to let the IRS they’re still in business via a Form 990N "e-Postcard."

Nonprofit Explorer has organizations claiming tax exemption in each of the 27 subsections of the 501(c) section of the tax code, and which have filed a Form 990, Form 990EZ or Form 990PF. Taxable trusts and private foundations that are required to file a form 990PF are also included. Small organizations filing a Form 990N "e-Postcard" are not included in this data.

Types of Nonprofits

There are 27 nonprofit designations based on the numbered subsections of section 501(c) of the tax code. See the list »

Get the Data

For those interested in acquiring the original data from the source, here’s where our data comes from:

  • Raw filing data. Includes EINs and summary financials as structured data.
  • Exempt Organization profiles. Includes organization names, addresses, etc. You can merge this with the raw filing data using EIN numbers.
  • Form 990 documents. Prior to 2017, these documents were obtained and processed by Public.Resource.org and ProPublica. Bulk PDF downloads since 2017 are available from the IRS.
  • Form 990 documents as XML files. Includes complete filing data (financial details, names of officers, tax schedules, etc.) in machine-readable format. Only available for electronically filed documents. Electronic data released prior to October 2021 is also available through Amazon Web Services.
  • Audits. PDFs of single or program-specific audits for nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year. Available for fiscal year 2015 and later.

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