ANDERSON PHYSICIAN ALLIANCE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ANDERSON PHYSICIAN ALLIANCE INC (EIN 27-3274203)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-15
- IRS object ID
- 201312279349300446
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-08-15T11:05:51-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N GREENE STREET SUITE 400 | AddressLine1 |
| City | GREENSBORO | City |
| State | NC | State |
| ZIP Code | 27401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273274203 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anderson Physician Alliance Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % L RAY HUMPHREYS | InCareOfName |
| Name Control | ANDE | NameControl |
| Phone | 6015536000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1 |
| City | MERIDIAN | City |
| State | MS | State |
| ZIP Code | 39301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | A KEITH HEARTSILL | Name |
| Title | CFO | Title |
| Date Signed | 2013-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3362753394 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | L RAY HUMPHREYS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1 |
| City | MERIDIAN | City |
| State | MS | State |
| ZIP Code | 39301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6700305 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.jarmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2010 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | Anderson Physician Alliance, INC. offers family practice and specialty clinics to provide quality healthcare for East Mississippi and West Alabama. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 88 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3453335 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6653066 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 617 | InvestmentIncomePriorYear |
| Investment Income Current Year | 427 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 728 | OtherRevenuePriorYear |
| Other Revenue Current Year | 46812 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3454680 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6700305 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5040416 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7558542 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3018710 | OtherExpensePriorYear |
| Other Expenses Current Year | 4481747 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8059126 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12040289 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4604446 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5339984 | RevenuesLessExpensesCY |
| Total Assets BOY | 3783723 | TotalAssetsBOY |
| Total Assets EOY | 2721683 | TotalAssetsEOY |
| Total Liabilities BOY | 8422437 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12631438 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -4638714 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9909755 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O, GENERAL STATEMENT 1 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9198704 | Expense |
| Grants | 0 | Grants |
| Revenue | 6653066 | Revenue |
| Description | SEE SCHEDULE O, GENERAL STATEMENT 2 | Description |
| Total Program Service Expense | 9198704 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 38 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 88 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | L RAY HUMPHREYS | NamePerson |
| Telephone Number | 6015536000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2124 14TH STREET | AddressLine1 |
| City | MERIDIAN | City |
| State | MS | State |
| ZIP Code | 39301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WANDA COOPER | |||||||
| Secretary/Treasurer | 1.0 | X | X | 0 | 172350 | 56432 | |
| JOHN ANDERSON | |||||||
| CHAIRMAN | 1.0 | X | 0 | 174416 | 54089 | ||
| ANN LUNDY | |||||||
| DIRECTOR - RESIGNED MAY 2012 | 1.0 | X | 0 | 164094 | 27304 | ||
| PHILLIP BROOKS | |||||||
| DIRECTOR | 1.0 | X | 0 | 12792 | 0 | ||
| RICHARD HIGHTOWER | |||||||
| President - resigned jan 2012 | 1.0 | X | 0 | 135088 | 26699 | ||
| LELAND RAY HUMPHREYS | |||||||
| PRESIDENT | 1.0 | X | 0 | 376523 | 79303 | ||
| DREW MATTHEW HUFFMAN | |||||||
| Physician | 40.0 | 364779 | 0 | 18171 | X | ||
| ROBERT E DILWORTH | |||||||
| Physician | 40.0 | 321229 | 0 | 12621 | X | ||
| JESSE P PENICO | |||||||
| PHYSICIAN | 40.0 | 405570 | 0 | 16236 | X | ||
| KATHERINE A HENSLEIGH | |||||||
| Physician | 40.0 | 261936 | 0 | 27385 | X | ||
| MARK T PHILLIPS | |||||||
| Physician | 40.0 | 420869 | 0 | 31057 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1774383 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1035263 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 349297 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MED3000 HEALTH SOLUTIONS | NamePerson |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 E ALVON ROAD SUITE 7 | AddressLine1 |
| City | WHITE SULPHUR SPRINGS | City |
| State | WV | State |
| ZIP Code | 24986 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | BILLING SERVICES | DescriptionOfServices |
| Compensation | 139022 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621990 | 6624964 | 6624964 |
| HEALTH PROF. SHORTAGE AREA PAYMENTS | 621990 | 28102 | 28102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6653066 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 427 | TotalRevenueColumn |
| Exclusion | $427 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 46812 | TotalRevenueColumn |
| Exclusion | $46,812 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 46812 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6700305 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6653066 | RelatedOrExemptFunctionIncome |
| Exclusion | $47,239 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6978959 | Total |
| Program Services | 6219905 | ProgramServices |
| Management And General | 759054 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87757 | Total |
| Program Services | 78212 | ProgramServices |
| Management And General | 9545 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112260 | Total |
| Program Services | 100050 | ProgramServices |
| Management And General | 12210 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379566 | Total |
| Program Services | 338283 | ProgramServices |
| Management And General | 41283 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 589 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 589 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1052598 | Total |
| Program Services | 510413 | ProgramServices |
| Management And General | 542185 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30314 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 30314 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 395237 | Total |
| Program Services | 320142 | ProgramServices |
| Management And General | 75095 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 845769 | Total |
| Program Services | 685073 | ProgramServices |
| Management And General | 160696 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43084 | Total |
| Program Services | 34898 | ProgramServices |
| Management And General | 8186 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365184 | Total |
| Program Services | 295799 | ProgramServices |
| Management And General | 69385 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62803 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 62803 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 1048777 | 0 | 1048777 | 0 |
| PHARMACEUTICAL SUPPLIES | 511416 | 511416 | 0 | 0 |
| EQUIPMENT MAINTENANCE | 61609 | 49906 | 11703 | 0 |
| LICENSES & PERMITS | 27146 | 21988 | 5158 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37221 | Total |
| Program Services | 32619 | ProgramServices |
| Management And General | 4602 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12040289 | Total |
| Program Services | 9198704 | ProgramServices |
| Management And General | 2841585 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1630 | BOY |
| EOY | 2446 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166108 | BOY |
| EOY | 274488 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1667535 | BOY |
| EOY | 584695 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59125 | BOY |
| EOY | 50381 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2332863 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 523190 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1889325 | BOY |
| EOY | 1809673 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3783723 | BOY |
| EOY | 2721683 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 856979 | BOY |
| EOY | 883559 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7565458 | BOY |
| EOY | 11747879 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8422437 | BOY |
| EOY | 12631438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4638714 | BOY |
| EOY | -9909755 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4638714 | BOY |
| EOY | -9909755 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3783723 | BOY |
| EOY | 2721683 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -5339984 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 68943 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 425105 | OtherCostOrOtherBasis |
| Depreciation | 75105 | Depreciation |
| Book Value | 350000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1907758 | OtherCostOrOtherBasis |
| Depreciation | 448085 | Depreciation |
| Book Value | 1459673 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 1809673 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $11,747,879 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11747879 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information 1 | Identifier |
| Return Reference | Schedule D, Part X, Line 2: ASC Topic 740 (FIN 48) FOOTNOTE | ReturnReference |
| Explanation | THE ANDERSON PHYSICIAN ALLIANCE, INC. IS PART OF THE COMBINED AUDITED FINANCIAL STATEMENTS OF ANDERSON REGIONAL MEDICAL CENTER AND SUBSIDIARIES (THE SYSTEM). The System applies FASB ASC Topic 740, Accounting for Uncertainty in Income Taxes (Topic 740), which clarifies the accounting for uncertainty in income tax positions and provides guidance on when tax positions are recognized in an entitys financial statements and how the values of these positions are determined. There has been no impact on the Systems combined financial statements as a result of Topic 740. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WANDA COOPER | |||||||||||||
| 0 | 169652 | 0 | 25 | 0 | 2673 | 0 | 42192 | 0 | 14240 | 0 | 228782 | 0 | 0 |
| DREW MATTHEW HUFFMAN | |||||||||||||
| 219661 | 0 | 144902 | 0 | 216 | 0 | 0 | 0 | 18171 | 0 | 382950 | 0 | 0 | 0 |
| ROBERT E DILWORTH | |||||||||||||
| 300488 | 0 | 25 | 0 | 20716 | 0 | 12250 | 0 | 371 | 0 | 333850 | 0 | 0 | 0 |
| JESSE P PENICO | |||||||||||||
| 337557 | 0 | 66594 | 0 | 1419 | 0 | 0 | 0 | 16236 | 0 | 421806 | 0 | 0 | 0 |
| KATHERINE A HENSLEIGH | |||||||||||||
| 197308 | 0 | 63792 | 0 | 836 | 0 | 12250 | 0 | 15135 | 0 | 289321 | 0 | 0 | 0 |
| MARK T PHILLIPS | |||||||||||||
| 386353 | 0 | 17731 | 0 | 16785 | 0 | 12250 | 0 | 18807 | 0 | 451926 | 0 | 0 | 0 |
| RICHARD HIGHTOWER | |||||||||||||
| 0 | 132133 | 0 | 25 | 0 | 2930 | 0 | 14389 | 0 | 12310 | 0 | 161787 | 0 | 0 |
| JOHN ANDERSON | |||||||||||||
| 0 | 172914 | 0 | 25 | 0 | 1477 | 0 | 40533 | 0 | 13556 | 0 | 228505 | 0 | 0 |
| ANN LUNDY | |||||||||||||
| 0 | 147072 | 0 | 25 | 0 | 16997 | 0 | 25922 | 0 | 1382 | 0 | 191398 | 0 | 0 |
| LELAND RAY HUMPHREYS | |||||||||||||
| 0 | 345520 | 0 | 25 | 0 | 30978 | 0 | 63309 | 0 | 15994 | 0 | 455826 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION 1 | SCHEDULE J, PART I, LINE 4B: NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN | THE FILING ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER (ARMC). ARMC PROVIDES TO CERTAIN EXECUTIVES AN IRC SEC. 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE PURPOSE OF THIS PLAN IS TO OFFER PARTICIPATING EXECUTIVES TAXABLE DEFERRED COMPENSATION BENEFITS TO SUPPLEMENT SUCH EXECUTIVE'S RETIREMENT BENEFITS UNDER ARMC'S TAX-QUALIFIED RETIREMENT PLAN. THIS PLAN SHALL BE UNFUNDED FOR TAX PURPOSES AND FOR PURPOSE OF TITLE I OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1975 ("ERISA"). THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THE PLAN AND RECEIVED THE CONTRIBUTIONS BELOW DURING THE YEAR: LELAND RAY HUMPHREYS: $ 63,309 RICHARD HIGHTOWER: $ 14,389 JOHN ANDERSON: $ 32,064 WANDA COOPER: $ 33,006 ANN LUNDY: $ 17,537 |
| SUPPLEMENTAL INFORMATION 2 | ARMC ALSO PROVIDES TO CERTAIN EXECUTIVES AN IRC SEC. 457(B), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THE IRC SEC. 457(B) PLAN AND MADE THE CONTRIBUTIONS BELOW DURING THE YEAR: LELAND RAY HUMPHREYS: $16,500 ANN LUNDY: $16,500 MARK T PHILLIPS: $15,750 ROBERT E DILWORTH: $16,449 | |
| SUPPLEMENTAL INFORMATION 3 | SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS | MARK T. PHILLIPS, JESSE P. PENICO, DREW MATTHEW HUFFMAN AND KATHERINE A. HENSLEIGH RECEIVED A PRODUCTION BONUS FOR PHYSICIAN SERVICES. THE BONUS IS BASED UPON RELATIVE VALUE UNITS THAT GENERALLY INCLUDES PHYSICIAN WORK, PRACTICE EXPENSE, AND MALPRACTICE EXPENSE. JESSE P. PENICO AND KATHERINE A. HENSLEIGH RECEIVED A SIGN ON BONUS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (20 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GENERAL STATEMENT 1 | PART III, LINE 1: THE ORGANIZATION'S MISSION | Anderson Physician Alliance, INC. (APA) is organized exclusively for charitable, educational, and scientific purposes. The specific purposes and objectives of the Corporation shall include but not be limited to employing physicians and other medical personnel to carry out the purposes and objectives of Anderson Regional Medical Center, as follows: a. To establish and maintain an institution or institutions, within or without the state where incorporated, with permanent facilities to provide diagnosis and treatment for patients; b. To carry on any education activities related to rendering care to the sick and injured, or to the promotion of health; c. To promote and carry on scientific research related to the care of the sick and injured; d. To participate in any activity designed and carried on to promote the general health of the community. |
| GENERAL STATEMENT 2 | PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS | Anderson Physician Alliance, Inc. offers family practice and specialty clinics to provide quality healthcare for East Mississippi and West Alabama. Anderson Physician Alliance, Inc. operates 5 primary care clinics in the East Mississippi and West Alabama area. The Physicians, Nurse Practitioners and staff focus on primary healthcare needs of the community. The clinics in Mississippi include: Anderson Family Medical Center - Riverbirch Anderson Family Medical Center - Airpark (Philadelphia, MS) Anderson Family Medical Center - Enterprise (Enterprise, MS) The Alabama clinics include: Anderson Family Medical Center - Butler (Butler, Alabama) Anderson Family Medical Center - Livingston (Livingston, AL) Anderson Physician Alliance, Inc. operates 7 medical specialty clinics including: Anderson Arthritis and Rheumatology, focuses on providing patients with assistance in achieving a higher quality of life through aggressive attention to rheumatologic disease and arthritic conditions. The clinic specializes in the diagnosis and treatment of rheumatoid arthritis, lupus and mixed connective tissue diseases, sjorgens syndrome, myositis, vacuities and osteoarthritis. Anderson Infectious Disease Center offers treatment in the diagnosis and treatment of infectious diseases. The Physician and Nurse Practitioners extensive training guides patients in the treatment of infections, including those caused by bacteria, viruses, fungi, parasites and human immunodeficiency virus, the cause of AIDS. Anderson Neurology Center focuses on the diagnosis and treatment of Alzheimer's disease, Parkinson's disease, stroke and neurological disorders. Anderson Endocrinology Center provides treatment of diabetes, thyroid disease, metabolic disorders, cholesterol disorders and endocrine disorders. Anderson Urology Center of Meridian provides urologic care specializing in overactive bladder, kidney stones, and urinary tract infections. Surgical treatments include: minimally invasive prostatectomy surgery using the DaVinci surgical robot. Anderson Premier Women's Clinic provides quality care to women in Meridian and the surrounding communities. The dedicated Physician's and staff take pride in providing a genuine concerned environment for women from adolescence, to child bearing years and through maternity. Anderson Children's Medical Clinic, (Opening August 1, 2013) The Children's Medical Clinic will be devoted to providing the highest quality care for newborns, young children and adolescents seven days a week. |
| GENERAL STATEMENT 3 | PART VI, SECTION A: GOVERNING BODY AND MANAGEMENT | PART VI, LINE 6,7A, AND 7B - ANDERSON REGIONAL MEDICAL CENTER (ARMC) IS THE SOLE MEMBER OF ANDERSON PHYSICIAN ALLIANCE, INC. AS SUCH, IT HAS THE POWER (1) TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS, (2) TO EXERCISE ALL VOTING RIGHTS OF THE MEMBERS, (3) TO APPROVE APA'S PHYSICIAN COMPENSATION MODELS, PHYSICIAN COMPENSATION PLANS, PHYSICIAN COMPENSATION AND/OR ANY REVIEW OF PHYSICIAN COMPENSATION AND PHYSICIAN COMPENSATION POLICIES, (4) TO APPROVE PHYSICIAN EMPLOYMENT AGREEMENTS, AND (5) TO INITIATE AND/OR APPROVE VARIOUS OTHER ACTIONS AND POLICIES AS ENUMERATED IN APA'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND AS REQUIRED BY STATE LAW. |
| GENERAL STATEMENT 4 | PART VI, SECTION B: POLICIES | PART VI, 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 PRIOR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING. |
| GENERAL STATEMENT 5 | PART VI, SECTION B: POLICIES | PART VI, LINE 15 A&B - THE FILING ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER (ARMC). OFFICERS AND DIRECTORS OF ANDERSON PHYSICIAN ALLIANCE, INC. ARE COMPENSATED BY ARMC. AS SUCH, APA FOLLOWS THE POLICIES OF ARMC. THE BOARD OF ARMC HAS A DESIGNATED THREE (3) PERSON COMMITTEE OF INDEPENDENT BOARD MEMBERS AND IT HAS CONTRACTED FOR AND USED THE PROFESSIONAL SERVICES OF MERCER (USA), INC. TO STUDY AND RECOMMEND COMPENSATION FOR THE CEO, THE VICE-PRESIDENTS, AND THE DIRECTORS OF THE HOSPITAL. MERCER PROVIDES COMPARABILITY DATA AND RESULTS FROM MARKET SURVEY SOURCES IN MAKING ITS RECOMMENDATION AND FROM WHICH THE INDEPENDENT COMPENSATION COMMITTEE MAKES ITS DECISIONS AS TO COMPENSATION FOR THE EXECUTIVES. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH PERSON IN MAY 2011. |
| GENERAL STATEMENT 6 | PART VI, SECTION B: CONFLICT OF INTEREST POLICY | PART VI, LINE 12 - THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REQUESTS ALL BOARD MEMBERS TO ANNUALLY DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. |
| GENERAL STATEMENT 7 | PART VI, SECTION C: DISCLOSURE | PART VI, LINE 19 - THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| GENERAL STATEMENT 8 | PART XI: OTHER CHANGES IN NET ASSETS OR FUND BALANCES | THE OTHER CHANGES IN NET ASSETS OF $68,943 IS ATTRIBUTABLE TO PRIOR PERIOD AUDIT ADJUSTMENTS. |
| GENERAL STATEMENT 9 | PART XII: FINANCIAL STATEMENTS AND REPORTING | PART XII: QUESTION 2A AND 2B - AN OUTSIDE ACCOUNTING FIRM PERFORMS AN ANNUAL AUDIT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF ANDERSON REGIONAL MEDICAL CENTER, A RELATED CORPORATION. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FINANCIAL INFORMATION FOR ANDERSON PHYSICIAN ALLIANCE, INC. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WANDA COOPER TITLE:Secretary/Treasurer HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN ANDERSON TITLE:CHAIRMAN HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANN LUNDY TITLE:DIRECTOR - RESIGNED MAY 2012 HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHILLIP BROOKS TITLE:DIRECTOR HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD HIGHTOWER TITLE:President - resigned jan 2012 HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LELAND RAY HUMPHREYS TITLE:PRESIDENT HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DREW MATTHEW HUFFMAN TITLE:Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT E DILWORTH TITLE:Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JESSE P PENICO TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHERINE A HENSLEIGH TITLE:Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK T PHILLIPS TITLE:Physician HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ANDERSON REGIONAL MEDICAL CENTER | ||||||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 640362400 | HEALTH CARE | MS | 501(c)(3) | 3 | NA | false |
| MEDICAL SUPPORT AND DEVELOPMENTORG | ||||||||||
| 122 WOODMONT WAY | RIDGELAND | MS | 39157 | 640722433 | SUP. ORG. | MS | 501(c)(3) | 11C,III-FI | ARMC | false |
| ANDERSON SUPPORT AND DEVELOPMENTFDN | ||||||||||
| 7651 POPLAR SPRINGS DRIVE | MERIDIAN | MS | 39305 | 640730109 | SUP. ORG. | MS | 501(c)(3) | 11D,III-O | ARMC | false |
| MIRACLES OF GRACE FOUNDATIONINC | ||||||||||
| 1827 SUNRISE LANE | TOOMSUBA | MS | 39364 | 640730366 | SUP. ORG. | MS | 501(c)(3) | 11C,III-FI | ARMC | false |
| CARE CONSISTENCY FOUNDATIONINC | ||||||||||
| 7761 MEADOW CIRCLE | MERIDIAN | MS | 39305 | 640730846 | SUP. ORG. | MS | 501(c)(3) | 11D,III-O | ARMC | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| EAST MISSISSIPPI ENDOSCOPY CTR | |||||||
| 1926 23rd Avenue | MERIDIAN | MS | 39301 | 440884792 | HEALTH CARE | MS | NA |
| JARMC LEVERAGELLC | |||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 272284311 | INVESTMENTS | MS | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| ANDERSON PHYSICIAN HOSPITAL ORG | ||||||||
| 2124 14TH STREET | MERIDIAN | MS | 39301 | 640850305 | PHYS. ORG | MS | NA | C |
| ARMC HOSPITAL PROF & GEN LLFT | ||||||||
| 512 22ND AVENUE | MERIDIAN | MS | 39301 | 206131090 | TRUST | MS | NA | T |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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