2013-08-15T11:05:51-05:00 2012-09-30 KPMG LLP 300 N GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2011-10-01 273274203 Anderson Physician Alliance Inc % L RAY HUMPHREYS ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 A KEITH HEARTSILL 2013-08-15 true 3362753394 2011 2016-02-25 16:41:14Z L RAY HUMPHREYS 2124 14TH STREET MERIDIAN MS 39301 6700305 false X www.jarmc.org X 2010 MS Anderson Physician Alliance, INC. offers family practice and specialty clinics to provide quality healthcare for East Mississippi and West Alabama. 3 0 88 0 0 0 0 0 3453335 6653066 617 427 728 46812 3454680 6700305 0 0 0 0 5040416 7558542 0 0 0 3018710 4481747 8059126 12040289 -4604446 -5339984 3783723 2721683 8422437 12631438 -4638714 -9909755 X SEE SCHEDULE O, GENERAL STATEMENT 1 false false 9198704 0 6653066 SEE SCHEDULE O, GENERAL STATEMENT 2 9198704 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 38 0 true 88 true false false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true false false false false false X L RAY HUMPHREYS 6015536000 2124 14TH STREET MERIDIAN MS 39301 X WANDA COOPER 1.0 X X 0 172350 56432 JOHN ANDERSON 1.0 X 0 174416 54089 ANN LUNDY 1.0 X 0 164094 27304 PHILLIP BROOKS 1.0 X 0 12792 0 RICHARD HIGHTOWER 1.0 X 0 135088 26699 LELAND RAY HUMPHREYS 1.0 X 0 376523 79303 DREW MATTHEW HUFFMAN 40.0 X 364779 0 18171 ROBERT E DILWORTH 40.0 X 321229 0 12621 JESSE P PENICO 40.0 X 405570 0 16236 KATHERINE A HENSLEIGH 40.0 X 261936 0 27385 MARK T PHILLIPS 40.0 X 420869 0 31057 1774383 1035263 349297 8 false true false MED3000 HEALTH SOLUTIONS 5 E ALVON ROAD SUITE 7 WHITE SULPHUR SPRINGS WV 24986 BILLING SERVICES 139022 1 0 NET PATIENT REVENUE 621990 6624964 6624964 HEALTH PROF. SHORTAGE AREA PAYMENTS 621990 28102 28102 6653066 427 427 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 46812 46812 46812 6700305 6653066 47239 0 0 0 0 0 0 6978959 6219905 759054 0 87757 78212 9545 0 112260 100050 12210 0 379566 338283 41283 0 0 589 0 589 0 0 0 0 0 1052598 510413 542185 0 30314 0 30314 0 395237 320142 75095 0 0 0 845769 685073 160696 0 43084 34898 8186 0 0 0 0 0 365184 295799 69385 0 62803 0 62803 0 BAD DEBTS 1048777 0 1048777 0 PHARMACEUTICAL SUPPLIES 511416 511416 0 0 EQUIPMENT MAINTENANCE 61609 49906 11703 0 LICENSES & PERMITS 27146 21988 5158 0 37221 32619 4602 12040289 9198704 2841585 0 1630 2446 166108 274488 0 0 1667535 584695 0 0 0 0 0 0 0 0 59125 50381 2332863 523190 1889325 1809673 0 0 0 0 0 0 0 0 0 0 3783723 2721683 856979 883559 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7565458 11747879 8422437 12631438 X -4638714 -9909755 0 0 0 0 -4638714 -9909755 3783723 2721683 X -5339984 68943 X X false true true X false X 425105 75105 350000 1907758 448085 1459673 1809673 0 DUE TO AFFILIATES 11747879 11747879 Supplemental Information 1 Schedule D, Part X, Line 2: ASC Topic 740 (FIN 48) FOOTNOTE 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. false true false false false false false true false 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 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. 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: 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 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 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 false false false false true false false false false false false false false true false true false false