ANDERSON HOSPITAL PROVIDERS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ANDERSON HOSPITAL PROVIDERS INC (EIN 46-1305481)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201832269349300428
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T09:21:06-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461305481 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL PROVIDERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANDE | BusinessNameControlTxt |
| Phone | 6015536000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | signing officer | PersonNm |
| Person Title | VP OF FINANCE | PersonTitleTxt |
| Phone | 6015536000 | PhoneNum |
| Signature | 2018-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2018-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,230,644 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ANDERSONREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | ANDERSON HOSPITAL PHYSICIANS, INC. IS ORGANIZED EXCLUSIVELY FOR HOSPITAL PHYSICIAN BILLING FOR ANDERSON REGIONAL MEDICAL CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,495,457 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,230,644 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,495,457 | PYTotalRevenueAmt |
| CY Total Revenue | $2,230,644 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,294,174 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,555,002 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,849,695 | PYOtherExpensesAmt |
| CY Other Expenses | $3,948,761 | CYOtherExpensesAmt |
| PY Total Expenses | $11,143,869 | PYTotalExpensesAmt |
| CY Total Expenses | $6,503,763 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,648,412 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,273,119 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $310,885 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,771,989 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,608,217 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$27,461,104 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$31,608,217 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ANDERSON HOSPITAL PHYSICIANS, INC. IS ORGANIZED EXCLUSIVELY FOR HOSPITAL PHYSICIAN BILLING FOR ANDERSON REGIONAL MEDICAL CENTER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,447,571 | ExpenseAmt |
| Revenue | $2,378,334 | RevenueAmt |
| Desc | ANDERSON HOSPITAL PROVDERS, INC. SPECIFIC PURPOSES AND OBJECTIVES OF THE CORPORATION SHALL INCLUDE BUT NOT BE LIMITED TO EMPLOYING PHYICIANS AND OTHER MEDICAL PERSONNEL TO CARRY OUT THE PURPOSES AND OBJECTIVES OF ANDERSON REGIONAL MEDICAL CENTER, AS FOLLOWS: - PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS- CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH- CARRY ON SCIENTIFIC RESEARCH- PARTICIPATE IN ACTIVITIES THAT PROMOTE THE GENERAL HEALTH OF THE COMMUNITY- ESTABLISH, MAINTAIN, AND SUPPORT AND ONGOING HOSPITAL-WIDE TOTAL QUALITY MANAGEMENT PROGRAM | Desc |
| Total Program Service Expenses | $6,447,571 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN BROWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6015536647 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Wanda Cooper | ||||||||
| Director(Chairman) | 1.00 | 50.00 | Yes (X) | $0 | $196,187 | $1,950 | ||
| William Bell | ||||||||
| Director | 1.00 | 50.00 | Yes (X) | $0 | $455,945 | $42,000 | ||
| Phillip McDonald | ||||||||
| Director (PHYSICIAN) | 1.00 | 50.00 | Yes (X) | $556,976 | $0 | $105,289 | ||
| Steven Brown | ||||||||
| Director(Sec/Trea) | 1.00 | 50.00 | Yes (X) | $0 | $155,711 | $15,520 | ||
| James Cady Jr | ||||||||
| Physician | 40.00 | $621,811 | $0 | $121,324 | Yes (X) | |||
| Bruce Brown | ||||||||
| Physician | 40.00 | $527,371 | $0 | $2,499 | Yes (X) | |||
| John Dickson | ||||||||
| Physician | 40.00 | $450,895 | $0 | $21,584 | Yes (X) | |||
| David Geer | ||||||||
| Physician | 40.00 | $445,997 | $0 | $17,061 | Yes (X) | |||
| DEANNA KARY | ||||||||
| Physician | 40.00 | $413,386 | $0 | $5,496 | Yes (X) | |||
| John Anderson | ||||||||
| President/CEO-Ex-Officio | 1.00 | 50.00 | $0 | $392,603 | $78,947 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,016,436 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,200,446 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $411,670 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MERIDIAN EMERGENCY PHYSICIANS LLP | |||||
| 4075 Copper Ridge Dr | Traverse City | MI | 496844796 | Contract Physician Fees | $1,903,009 |
| CHG COMPANIES INC DBA COPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | Contract Physician Fees | $669,186 |
| DANIEL & YEAGER LLC | |||||
| 6767 OLD MADISON PIKE STE 690 | HUNTSVILLE | AL | 35806 | Contract Physician Fees | $455,297 |
| VISTA STAFFING SOLUTIONS INC | |||||
| 275 EAST 200 SOUTH | SALT LAKE CITY | UT | 841112002 | Contract Physician Fees | $368,740 |
| ERIC V PLOTT | |||||
| 101 PATTON AVE | BILOXI | MS | 39531 | Contract Physician Fees | $153,675 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE RE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $2,230,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,230,644 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,230,644 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,230,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,230,644 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,250 | TotalAmt |
| Program Services | $561,577 | ProgramServicesAmt |
| Management And General | $5,673 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,868,642 | TotalAmt |
| Program Services | $1,820,743 | ProgramServicesAmt |
| Management And General | $47,899 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,274 | TotalAmt |
| Program Services | $10,048 | ProgramServicesAmt |
| Management And General | $226 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,836 | TotalAmt |
| Program Services | $106,442 | ProgramServicesAmt |
| Management And General | $2,394 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,199,522 | TotalAmt |
| Program Services | $3,199,522 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780 | TotalAmt |
| Program Services | $780 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,918 | TotalAmt |
| Program Services | $35,918 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,986 | TotalAmt |
| Program Services | $89,986 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,558 | TotalAmt |
| Program Services | $11,558 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,789 | TotalAmt |
| Program Services | $2,789 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,311 | TotalAmt |
| Program Services | $13,311 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BAD DEBT EXPENSE | Desc |
| Total | $594,897 | TotalAmt |
| Program Services | $594,897 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,503,763 | TotalAmt |
| Program Services | $6,447,571 | ProgramServicesAmt |
| Management And General | $56,192 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,072 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,813 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,885 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,206 | BOYAmt |
| EOY | $43,399 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,702,783 | BOYAmt |
| EOY | $31,564,818 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,771,989 | BOYAmt |
| EOY | $31,608,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,461,104 | BOYAmt |
| EOY | -$31,608,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,461,104 | BOYAmt |
| EOY | -$31,608,217 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,885 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,273,119 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $126,006 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED ORGANIZATION | Desc |
| Amt | $31,564,818 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,564,818 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | ANDERSON HOSPITAL PROVIDERS IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3); ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. ANDERSON HOSPITAL PROVIDERS HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017 AND 2016. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wanda Cooper | ||||||||||||||
| Director(Chairman) | $0 | $191,950 | $0 | $0 | $0 | $4,237 | $0 | $34,570 | $0 | $3,050 | $0 | $233,807 | $0 | $0 |
| William Bell | ||||||||||||||
| Director | $0 | $453,323 | $0 | $0 | $0 | $2,622 | $0 | $53,175 | $0 | $9,639 | $0 | $518,759 | $0 | $0 |
| Phillip McDonald | ||||||||||||||
| Director (PHYSICIAN) | $553,254 | $0 | $0 | $0 | $3,722 | $0 | $84,180 | $0 | $21,109 | $0 | $662,265 | $0 | $0 | $0 |
| Steven Brown | ||||||||||||||
| Director(Sec/Trea) | $0 | $154,989 | $0 | $0 | $0 | $722 | $0 | $22,898 | $0 | $9,884 | $0 | $188,493 | $0 | $0 |
| James Cady Jr | ||||||||||||||
| Physician | $619,546 | $0 | $0 | $0 | $2,265 | $0 | $102,711 | $0 | $18,613 | $0 | $743,135 | $0 | $0 | $0 |
| Bruce Brown | ||||||||||||||
| Physician | $526,287 | $0 | $0 | $0 | $1,084 | $0 | $0 | $0 | $2,499 | $0 | $529,870 | $0 | $0 | $0 |
| John Dickson | ||||||||||||||
| Physician | $450,315 | $0 | $0 | $0 | $580 | $0 | $0 | $0 | $21,584 | $0 | $472,479 | $0 | $0 | $0 |
| David Geer | ||||||||||||||
| Physician | $441,671 | $0 | $0 | $0 | $4,326 | $0 | $0 | $0 | $17,061 | $0 | $463,058 | $0 | $0 | $0 |
| DEANNA KARY | ||||||||||||||
| Physician | $412,806 | $0 | $0 | $0 | $580 | $0 | $0 | $0 | $5,496 | $0 | $418,882 | $0 | $0 | $0 |
| John Anderson | ||||||||||||||
| President/CEO-Ex-Officio | $0 | $381,701 | $0 | $0 | $0 | $10,902 | $0 | $66,447 | $0 | $12,500 | $0 | $471,550 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | ARMC PROVIDES CERTAIN EXEUCTIVES AN IRC SEC 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN: - WANDA COOPER 34,570 - SCOT BELL 53,175 - PHILLIP MCDONALD 84,180 - STEVEN BROWN 22,898 - JAMES CADY, JR 102,711 - JOHN ANDERSON 66,447 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | UNLESS PROHIBITED OR LIMITED BY THE ARTICLES OF INCORPORATION OR THESE BYLAWS, THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE AND ONE OR MORE OTHER COMMITTEES OF THE BOARD AND APPOINT MEMBERS OF THE BOARD OF DIRECTORS TO SERVE ON THEM. |
| Form 990, Part VI, Section A, line 6 | ANDERSON REGIONAL MEDICAL CENTER SHALL BE THE SOLE MEMBER OF THE CORPORATION. |
| Form 990, Part VI, Section A, line 7a | THE MEMBER THROUGH ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER, OR THE BOARD OR DIECTORS OR ITS COMMITTEE RESPONSIBLE FOR PHYSICIAN COMPENSATION, SHALL HAVE THE AUTHORITY TO EXERCISE ANY AND ALL MEMBERSHIP RIGHTS OR POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION. |
| Form 990, Part VI, Section A, line 7b | THE MEMBER SHALL HAVE FINAL DECISION MAKING AUTHORITY WITH RESPECT TO THE FOLLOWING CORPORATE POWERS AND RESPONSIBLITIES: (A) TO APPROVE THE CORPORATION'S PHYSICIAN COMPENSATION MODELS, PHYSICIAN COMPENSATION PLANS, PHYSICIAN COMPENSATION AND/OR ANY REVIEW OF PHYSICIAN COMPENSATION AND PHYSICIAN COMPENSATION POLICIES AND ANY AMENDMENTS THERETO. (B) TO APPROVE PHYSICIAN EMPLOYMENT AGREEMENTS AND ANY AMENDMENTS THERETO. |
| Form 990, Part VI, Section B, line 11b | EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PROIR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | The organization has a written conflict of interest policy and request all board members to annually disclose any possible conflict of interest. |
| Form 990, Part VI, Section B, line 15 | The organization is a subisdiary of Anderson Regional Medical Center. Officers and Directors of Anderson Hospital Physician's, Inc. are compensated by Anderson Regional Medical Center. As such Anderson Hosptial Physician's, Inc. follows the policies of Anderson Regional Medical Center. Anderson Regional Medical Center has a designated three person committee and has an outside contracted organziation to study and recommend compensation for executives. |
| Form 990, Part VI, Section C, line 18 | IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, LINE: INDEPENDENCE OF VOTING BOARD MEMBERS: | THE ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER, A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A FIFTY PERCENT INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. |
| Form 990, Part IX, line 11g | PHYSICIAN FEES: Program service expenses 1,299,922. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,299,922. PURCHASED SERVICES: Program service expenses 1,899,600. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,899,600. |
| Form 990, Part XI, line 9: | ADJUSTMENT TO NET ASSETS -21,684. ADJUSTMENTS TO DEPRECIATION 147,690. |
| Form 990, Part XII, Line 2c: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDERSON REGIONAL MEDICAL CENTER | |||||||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 640362400 | HEALTHCARE | MS | 501(c)(3) | Line 3 | N/A | 0 | |
| MEDICAL SUPPORT AND DEVELOPMENT ORGANIZATION | |||||||||||
| 122 WOODMONT WAY | RIDGELAND | MS | 39157 | 640722433 | SUPPORTING ORGANIZATION | MS | 501(c)(3) | Line 12c, III-FI | 0 | ANDERSON REGIONAL MEDICAL CENTER | |
| ANDERSON SUPPORT AND DEVELOPMENT FOUNDATION | |||||||||||
| 7651 POPLAR SPRINGS DR | MERIDIAN | MS | 39305 | 640730109 | SUPPORTING ORGANIZATION | MS | 501(c)(3) | Line 12d, III-O | 0 | ANDERSON REGIONAL MEDICAL CENTER | |
| MIRACLES OF GRACE FOUNDATION | |||||||||||
| 1827 SUNRISE LANE | TOOMSUBA | MS | 39364 | 640730366 | SUPPORTING ORGANIZATION | MS | 501(c)(3) | Line 12c, III-FI | 0 | ANDERSON REGIONAL MEDICAL CENTER | |
| CARE CONSISTENCY FOUNDATION INC | |||||||||||
| 7761 MEADOW CIRCLE | MERIDIAN | MS | 39305 | 640730846 | SUPPORTING ORGANIZATION | MS | 501(c)(3) | Line 12d, III-O | 0 | ANDERSON REGIONAL MEDICAL CENTER | |
| ANDERSON PHYSICIAN ALLIANCE INC | |||||||||||
| 2124 14TH STREET | mERIDIAN | MS | 39301 | 273274203 | sUPPORTING ORGANIZATION | MS | 501(c)(3) | Line 3 | 0 | aNDERSON REGIONAL MEDICAL CENTER | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| EAST MISSISSIPPI ENDOSCOPY CENTER | |||||||
| 1926 23RD AVENUE | MERIDIAN | MS | 39301 | 440884792 | HEALTHCARE | MS | N/A |
| JARMC LEVERAGE LLC | |||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 272284311 | INVESTMENTS | MS | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ANDERSON PHYSICIAN HOSPITAL ORGANIZATIONS | |||||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 640850305 | PHYSICIAN ORGANIZATION | MS | N/A | C | 0 |
| ARMC HOSPITAL PROF & GEN LLFT | |||||||||
| 512 22ND AVENUE | MERIDIAN | MS | 39301 | 206131090 | TRUST | MS | N/A | T | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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