2017-03-13T09:24:51-05:00 2016-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-06-01 581344015 ALBANY AREA PRIMARY HEALTH CARE INC % MILTON JORDAN ALBA 2298886559 204 NORTH WESTOVER BLVD ALBANY GA 31707 MILTON JORDAN CFO 2017-01-05 true Brian D Todd P00422601 4178658701 2015 2021-01-29 14:40:06Z SHELLEY SPIRES CEO 204 NORTH WESTOVER BLVD ALBANY GA 317072983 36343072 false X WWW.AAPHC.ORG X 1978 GA TO PROVIDE PRIMARY HEALTH CARE TO THE UNDERSERVED, INDIGENT POPULATION OF ALBANY, GEORGIA AND SURROUNDING AREA AS A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCH O. 18 18 294 18 10379 6245817 6324458 27033795 29966084 15508 17847 13765 10054 33308885 36318443 0 0 0 0 18343947 21274494 17750 19000 19000 12614371 14323927 30976068 35617421 2332817 701022 19483516 21820671 6629996 8266129 12853520 13554542 X SEE SCHEDULE O. false false 26597129 29515796 ALBANY AREA PRIMARY HEALTH CARE PROVIDES A FULL COMPLEMENT OF COMPREHENSIVE PRIMARY HEALTH CARE SERVICES ACROSS THE LIFE CYCLES. SIGNIFICANT EFFORT IS MADE TO REACH LOW INCOME, UNINSURED, UNDER INSURED, AND VULNERABLE POPULATIONS AS WELL AS MEDICAID AND MEDICARE PATIENTS. DURING FY 2016, THE ORGANIZATION HAD 131,216 CLINIC ENCOUNTERS. 1153002 441096 ALBANY AREA PRIMARY HEALTH CARE OPERATES TWO RYAN WHITE PART C SERVICE DELIVERY LOCATIONS IN SOUTHWEST GEORGIA (ALBANY AND THOMASVILLE) PROVIDING HIV EARLY INTERVENTION AND PRIMARY CARE SERVICES. SERVICES INCLUDE CASE MANAGEMENT, COUNSELING, TESTING, PARTNER COUNSELING, LABORATORY SERVICES, PHARMACY ASSISTANCE, ELIGIBILITY ASSISTANCE, HOUSING ASSISTANCE, FOOD ASSISTANCE, ORAL HEALTH CARE, MENTAL HEALTH CARE, HEALTH EDUCATION, NUTRITIONAL COUNSELING, PERMANENCY PLANNING, TRANSPORTATION SERVICES, AND COMPREHENSIVE OUTREACH. DURING FY 2016, THE ORGANIZATION HAD 4,733 ENCOUNTERS OF THIS TYPE. 27750131 true true false true false false false false false false true false false true true false true false false false false false false true true false false false false true false false false false false false false false false false false false false false false false false true 35 0 true 294 true true true false false false false false false false false false X 18 18 false false false false false false false true true false false true true true true true true true true false GA X MILTON JORDAN 2298886659 204 NORTH WESTOVER BLVD ALBANY GA 31707 VICTORIA DARRISAW DIRECTOR 1.0 0.0 X 0 0 0 MILTON FOSTER DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER JONES DIRECTOR 1.0 0.0 X 0 0 0 STEVE KITCHENS MD DIRECTOR 1.0 0.0 X 0 0 0 SHELVIA KOONTZ DIRECTOR BEGINNING 3/2016 1.0 0.0 X 0 0 0 KUANITA MURPHY VICE PRESIDENT 1.0 0.0 X X 0 0 0 ADOLPHUS TONY MAJORS DIRECTOR BEGINNING 2/2016 1.0 0.0 X 0 0 0 MARY OSEI DIRECTOR 1.0 0.0 X 0 0 0 DENNIS PARKER SECRETARY 1.0 0.0 X X 0 0 0 DOUG PATTEN MD DIRECTOR 1.0 0.0 X 0 0 0 JIM QUINN DIRECTOR 1.0 0.0 X 0 0 0 GAIL SOLOMON DIRECTOR BEGINNING 4/2016 1.0 0.0 X 0 0 0 BRAD STAFFORD PRESIDENT 1.0 0.0 X X 0 0 0 ROBERT STERNENBERG TREASURER 1.0 0.0 X X 0 0 0 SYBIL THOMAS DIRECTOR 1.0 0.0 X 0 0 0 CHARLES TIPPER STRATEGIC PLANNING 1.0 0.0 X 0 0 0 ELIZABETH WEST DIRECTOR 1.0 0.0 X 0 0 0 BRENDA WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 KATIE HUGHEY GATEWOOD DIRECTOR ENDING 10/2015 1.0 0.0 X 0 0 0 LARRY WILLSON DIRECTOR ENDING 10/2015 1.0 0.0 X 0 0 0 ALIA CARTER DIRECTOR ENDING 1/2016 1.0 0.0 X 0 0 0 BILL ANDREWS DIRECTOR ENDING 9/2015 1.0 0.0 X 0 0 0 MURRAY STEPHENS DIRECTOR ENDING 1/2016 1.0 0.0 X 0 0 0 TARY BROWN CEO ENDING 9/2015 40.0 0.0 X 191027 0 10087 MILTON JORDAN CFO 40.0 0.0 X 138279 0 3283 SHELLEY SPIRES ASST CEO/CEO BEGINNING 9/2015 40.0 0.0 X 149686 0 10390 CLIFTON BUSH COO 40.0 0.0 X 93828 0 8826 BERNARD SCOGGINS MD MEDICAL DIRECTOR 40.0 0.0 X 230476 0 9655 JAMES HOTZ MD CLINICAL SERVICES DIRECTOR 40.0 0.0 X 238130 0 12272 FRANCIS KWARTENG PHYSICIAN 40.0 0.0 X 329074 0 14694 DONALD JONES PHYSICIAN 40.0 0.0 X 316982 0 5845 KEISHA CALLINS PHYSICIAN 40.0 0.0 X 276576 0 17083 RUPERT DYER PHYSICIAN 40.0 0.0 X 235352 0 13134 PHILLIP POULOS PHYSICIAN 40.0 0.0 X 240693 0 16199 2440103 0 121468 50 false true false LRA CONSTRUCTORS ALBANY GA 31721 CONSTRUCTION 583197 NEOS TECHNOLOGIES INC ALBANY GA 31708 IT SUPPORT 459114 GENEVA'S CLEANING SERVICE ALBANY GA 31701 CLEANING SERVICE 217380 3 24050 5644152 656256 6324458 PATIENT SERVICES 624100 18116634 18116634 PHARMACY REVENUE 446110 9757668 9757668 OTHER INCOME 624100 459107 449915 9192 EHR INCENTIVE REVENUE 624100 233750 233750 CONTRACT REVENUE 624100 1398925 1398925 29966084 17847 17847 0 0 28733 13592 15141 0 15141 1187 13954 0 5950 24050 11037 -5087 -5087 0 0 0 36318443 29956892 10379 26714 0 0 0 0 1095939 490533 605406 0 16960800 13052439 3908361 523825 403892 119933 1585629 1208185 377444 1108301 836874 271427 0 16535 16535 90239 90239 0 19000 19000 0 3265176 2483963 781213 100457 100457 1091450 638524 452926 0 0 360574 263082 97492 167867 37042 130825 0 426322 194443 231879 61901 26674 35227 0 559100 432931 126169 104784 104784 MEDICAL SUPPLIES & DRUGS 5671561 5671561 BAD DEBT 1921257 1921257 RECRUITING & RETENTION 230270 230270 MISCELLANEOUS 151700 87854 63846 104734 877 103857 35617421 27750131 7848290 19000 1143985 984631 4281293 4584517 58564 257984 2037391 3033409 0 0 0 0 0 0 410404 458198 88807 90728 13182277 4689864 7680124 8492413 0 0 0 0 0 0 0 0 3782948 3918791 19483516 21820671 2606613 3805119 0 0 35106 22423 0 0 0 0 0 0 1681597 1990720 0 0 2306680 2447867 6629996 8266129 X 11779178 12514858 1074342 1039684 0 0 12853520 13554542 19483516 21820671 701022 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, QUESTION 1I OTHER LOBBYING ACTIVITIES A PORTION OF DUES PAID IN FY 2016 TO THE NACHC AND GAPHC MAY BE ATTRIBUTABLE TO LOBBYING. 658292 658292 9500012 2637218 6862794 0 0 3023973 2052646 971327 8492413 Other Receivables 1470924 Deferred Plan Assets 2447867 3918791 0 457 (B) PLAN LIABILITY 2447867 2447867 34466805 10332 -1849099 -1838767 36305572 12871 12871 36318443 33731125 10332 24629 34961 33696164 1921257 1921257 35617421 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $(1,921,257) BAD DEBT EXPENSE 72,158 NET ASSETS RELEASED FROM RESTRICTION ----------- $(1,849,099) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ (13,592) RENTAL EXPENSE (11,037) SPECIAL EVENT EXPENSES 37,500 TEMPORARILY RESTRICTED CONTRIBUTIONS ------------ $ 12,871 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 13,592 RENTAL EXPENSE 11,037 SPECIAL EVENT EXPENSES ----------- $ 24,629 SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 1,921,257 BAD DEBT EXPENSE X X true JOANNE M ROSS KALAMAZOO MI 49009 GRANT WRITING false 5644151 19000 5625151 5644151 19000 5625151 GA RUN FOR HOPE 30000 24050 5950 2051 5089 91 933 2873 0 30000 24050 5950 2051 5089 91 933 2873 11037 -5087 X X false false false false false false false true false TARY BROWN CEO ENDING 9/2015 183133 0 7894 0 0 0 5731 0 4356 0 201114 0 0 0 SHELLEY SPIRES ASST CEO/CEO BEGINNING 9/2015 143863 0 5823 0 0 0 3941 0 6449 0 160076 0 0 0 FRANCIS KWARTENG PHYSICIAN 278073 0 51001 0 0 0 8849 0 5845 0 343768 0 0 0 DONALD JONES PHYSICIAN 285219 0 31763 0 0 0 0 0 5845 0 322827 0 0 0 KEISHA CALLINS PHYSICIAN 234869 0 41707 0 0 0 5915 0 11168 0 293659 0 0 0 RUPERT DYER PHYSICIAN 208691 0 26661 0 0 0 7221 0 5913 0 248486 0 0 0 PHILLIP POULOS PHYSICIAN 216007 0 24686 0 0 0 7343 0 8856 0 256892 0 0 0 BERNARD SCOGGINS MD MEDICAL DIRECTOR 226164 0 4312 0 0 0 0 0 9655 0 240131 0 0 0 JAMES HOTZ MD CLINICAL SERVICES DIRECTOR 229669 0 8461 0 0 0 6923 0 5349 0 250402 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: AAPHC'S ANNUAL INCENTIVE PROGRAM WAS ESTABLISHED TO REWARD EMPLOYEES FOR MEETING BOTH INDIVIDUAL AND CORPORATE GOALS. TO BE ELIGIBLE TO PARTICIPATE, EMPLOYEES MUST HAVE COMPLETED ONE FULL YEAR OF SERVICE AS OF THE END OF THE FISCAL YEAR; PART-TIME EMPLOYEES ARE PAID ONE-HALF OF THE AMOUNT OF EMPLOYEES WHO ARE FULL-TIME. ANNUAL AWARD WILL NOT EXCEED $150,000 FOR THE ORGANIZATION. AAPHC ALSO AWARDS BONUSES TO MEDICAL PROVIDERS FOR ADDITIONAL SERVICES PROVIDED, SUCH AS OB DELIVERIES AND SEEING A DESIGNATED NUMBER OF PATIENTS DURING A CONTINUOUS TIME PERIOD. FORM 990, PART I, LINE 1 ORGANIZATION'S MOST SIGNIFICANT ACTIVITIES: AS THE LARGEST PRIMARY CARE PHYSICIAN PRACTICE IN SOUTHWEST GEORGIA, ALBANY AREA PRIMARY HEALTH CARE PROVIDES HEALTH CARE SERVICES TO MORE THAN 36,000 PATIENTS IN BAKER, CALHOUN, DOOLY, DOUGHERTY, LEE AND TERRELL COUNTIES. OUR RURAL MODEL CLINIC, SPECIALIZING IN HIV MANAGEMENT, HAS EARNED NATIONAL RECOGNITION AND WE TAKE PRIDE IN OUR ACCREDITATION BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE PURPOSES OF THIS CORPORATION ARE AS FOLLOWS: (A) TO MAKE HEALTH CARE DELIVERY AND ITS SUPPORTING ACTIVITIES A COMMON RESOURCE; (B) TO CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH, THAT IN THE OPINION OF THE BOARD OF DIRECTORS MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS, AND OTHER REQUIREMENTS THAT ARE, OR CAN BE, MADE AVAILABLE; (C) TO PARTICIPATE, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (D) TO DEVELOP HEALTH SERVICES WHICH WILL MAKE QUALITY HEALTH CARE DELIVERY AVAILABLE, ACCESSIBLE AND ACCEPTABLE TO THE RESIDENTS OF THE AREAS SERVED; (E) TO PROVIDE PRIMARY HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: (1) DIAGNOSTIC, TREATMENT, CONSULTATIVE, REFERRAL AND OTHER SERVICES RENDERED BY PHYSICIANS, AND, WHERE FEASIBLE, BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE CLINICIANS AND NURSE PRACTITIONERS; (2) DIAGNOSTIC LABORATORY SERVICES; AND (3) PREVENTIVE HEALTH SERVICES, INCLUDING CHILDREN EYE AND EAR EXAMINATIONS, PRENATAL AND POSTPARTUM CARE, PRENATAL SERVICES, WELL CHILD CARE, AND VOLUNTARY FAMILY PLANNING SERVICES; (F) TO COOPERATE AND COORDINATE WITH ORGANIZATIONS, AGENCIES, AND INSTITUTIONS, WHETHER THE SAME BE PUBLIC, PRIVATE OR GOVERNMENTAL, WHICH HAVE AS THEIR OBJECTIVE IMPROVEMENT OF HEALTH AND GENERAL WELFARE; (G) TO IMPROVE AND DISSEMINATE UPON RESIDENTS EDUCATIONAL INFORMATION PERTAINING TO GOOD HEALTH PRACTICES; AND (H) TO ENCOURAGE AND FOSTER THROUGH COMMUNITY EDUCATION THE IMPROVEMENT OF HEALTH CONDITIONS IN THE AREA. FORM 990, PART VI, SECTION B, LINE 11B BOARD REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO WILL REVIEW IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM, THEN THE CFO WILL REVIEW WITH THE FINANCE COMMITTEE. A COPY OF THE 990 AND AN EXECUTIVE SUMMARY WILL BE PRESENTED TO THE FULL BOARD PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION REQUIRES WRITTEN DISCLOSURE CONFIRMATIONS TO BE SUBMITTED AND REVIEWED ANNUALLY WITH RESPECT TO CONFLICTS OF INTEREST. NO BOARD MEMBER MAY BE IN ANY MANNER INTERESTED, EITHER DIRECTLY OR INDIRECTLY, IN HIS OWN NAME OR ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO ACT OR VOTE. NO SUCH BOARD MEMBER MAY REPRESENT EITHER AS AGENT OR OTHERWISE ANY PERSON, ASSOCIATION, TRUST, OR CORPORATION, WITH RESPECT TO ANY APPLICATION OR BID FOR ANY CONTRACT OR WORK IN REGARD TO WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO VOTE. NOR MAY ANY SUCH BOARD MEMBER TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS VOTE OR ACTION IN HIS OFFICIAL CHARACTER. ANY CONTRACT MADE AND PROCURED IN VIOLATION HEREOF IS VOID. NO EMPLOYEE SHALL TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS ACTION IN HIS OFFICIAL CHARACTER AND NO EMPLOYEE MAY BE IN ANY MANNER INTERESTED EITHER DIRECTLY OR INDIRECTLY IN HIS OWN NAME OR IN THE NAME OF ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH EMPLOYEE MAY BE CALLED UPON TO ACT. VIOLATION OF THIS RESOLUTION BY ANY EMPLOYEE WILL RESULT IN THE TERMINATION OF SAID PARTY'S EMPLOYMENT BY AAPHC. FORM 990, PART VI, SECTION B, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION: SALARY SURVEYS FROM NACHC, MGMA, AND OTHER ONLINE RESOURCES ARE EVALUATED FOR ALL KEY POSITIONS ANNUALLY BY THE CEO AND THE DEPUTY DIRECTOR. IF THERE IS A RECOMMENDATION THE PAY SCALE BE ADJUSTED TO FALL WITHIN THE RANGE SET BY THE MARKET, THE RECOMMENDATION IS TAKEN BEFORE THE BOARD. THE BOARD DOES NOT APPROVE THE PAY SCALE ANNUALLY, ONLY WHEN ADJUSTMENTS ARE MADE. THE BOARD DOCUMENTS THE REVIEW AND APPROVAL OF ALL ADJUSTMENTS. THE MOST RECENT CEO SALARY REVIEW WAS TAKEN BEFORE THE BOARD IN 2015. AFTER THE MEETING, THE BOARD HELD AN EXECUTIVE SESSION WHERE THEY APPROVED THE ADJUSTMENT OF THE CEO PAY SCALE. THE PROCESS IS DOCUMENTED IN THE PERSONNEL COMMITTEE MEETING MINUTES. CEO, SHELLEY SPIRES, REVIEWS COO & CFO ANNUALLY. THEY WERE LAST REVIEWED IN CALENDAR YEAR 2015. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE FOR VIEWING ON-SITE UPON REQUEST.