ALBANY AREA PRIMARY HEALTH CARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ALBANY AREA PRIMARY HEALTH CARE INC (EIN 58-1344015)
Tax period
2009-06-01 to 2010-05-31
Filed
2011-01-13
IRS object ID
201110139349300626
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-01-13T16:16:14-05:00Timestamp
Tax Period End Date2010-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581344015EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALBANY AREA PRIMARY HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALBANameControl
Phone2298886559Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH WESTOVER BLVDAddressLine1
CityALBANYCity
StateGAState
ZIP Code31707ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTARY L BROWNName
TitleCEOTitle
Date Signed2010-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTARY L BROWN CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1204 NORTH WESTOVER BLVDAddressLine1
CityALBANYCity
StateGAState
ZIP Code317072983ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21492314GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.aaphc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionALBANY AREA PRIMARY HEALTH CARE, INC. PROVIDES PRIMARY HEALTH CARE TO THE UNDERSERVED, INDIGENT POPULATION OF ALBANY, GEORGIA AND SURROUNDING AREA AS A FEDERALLY QUALIFIED HEALTH CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI1916TotalGrossUBI
Net Unrelated Business Txbl Income861NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3530659ContributionsGrantsPriorYear
Contributions Grants Current Year5473676ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14758325ProgramServiceRevenuePriorYear
Program Service Revenue CY15935171ProgramServiceRevenueCY
Investment Income Prior Year107170InvestmentIncomePriorYear
Investment Income Current Year56673InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year1916OtherRevenueCurrentYear
Total Revenue Prior Year18396154TotalRevenuePriorYear
Total Revenue Current Year21467436TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11012764SalariesEtcPriorYear
Salaries Etc Current Year12882312SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6433834OtherExpensePriorYear
Other Expenses Current Year7321611OtherExpensesCurrentYear
Total Expenses Prior Year17446598TotalExpensesPriorYear
Total Expenses Current Year20203923TotalExpensesCurrentYear
Revenues Less Expenses Prior Year949556RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1263513RevenuesLessExpensesCY
Total Assets BOY10306126TotalAssetsBOY
Total Assets EOY11731180TotalAssetsEOY
Total Liabilities BOY2029120TotalLiabilitiesBOY
Total Liabilities EOY2190168TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8277006NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9541012NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11927035Expense
Revenue13446112Revenue
DescriptionALBANY AREA PRIMARY HEALTH CARE PROVIDES A FULL COMPLEMENT OF COMPREHENSIVE PRIMARY HEALTH CARE SERVICES ACROSS THE LIFECYCLES INCLUDING: ORAL HEALTH, EDUCATION, AND PHARMACY ASSISTANCE. THESE SERVICES ARE PROVIDED REGARDLESS OF LANGUAGE, GENDER, SOCIO-ECONOMIC STATUS, SEXUAL ORIENTATION, PHYSICAL AND MENTAL CAPACITY, AGE, RELIGION, HOUSING STATUS OR THE ABILITY TO PAY. SIGNIFICANT EFFORT IS MADE TO REACH LOW INCOME, UNINSURED, UNDER INSURED, AND VULNERABLE POPULATIONS AS WELL AS MEDICAID AND MEDICARE PATIENTS. DURING FY 2010, THE ORGANIZATION HAD 98,283 CLINIC ENCOUNTERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2985864Expense
Revenue2489059Revenue
DescriptionALBANY 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 2010, THE ORGANIZATION HAD 5,228 ENCOUNTERS OF THIS TYPE.Description
FieldValueIRS element (for citing)
Total Program Service Expense14912899TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees211NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN RAKELNamePerson
Telephone Number2298886659TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1204 NORTH WESTOVER BLVDAddressLine1
CityALBANYCity
StateGAState
ZIP Code31707ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM WALTON
PRESIDENT1.0XX000
ELIZABETH WEST
VICE-PRESIDENT1.0XX000
MIRIAN WORTHY
FINANCE1.0X000
LARRY WILLSON
TREASURER1.0XX000
ROBERT MARSHALL
SECRETARY1.0X000
LARRY ATHERTON
DIRECTOR1.0X000
BRENDA WILLIAMS
DIRECTOR1.0X000
MURRAY STEPHENS
DIRECTOR- BEGINNING MAY 20101.0X000
BILL ANDREWS
DIRECTOR1.0X000
AMY MASTERS
DIRECTOR1.0X000
DENNIS PARKER
DIRECTOR1.0X000
SYBIL THOMAS
DIRECTOR1.0X000
CHARLES SCOTTY TIPPER
DIRECTOR1.0X000
CAITLYN COOPER
DIRECTOR1.0X000
CHRIS HENDERSON
DIRECTOR1.0X000
DOUG PATTEN MD
DIRECTOR1.0X000
JIM QUINN
DIRECTOR1.0X000
BRAD STAFFORD
DIRECTOR1.0X000
CHARLES STRIPLING
DIRECTOR1.0X000
EMMA QUIMBLEY
DIRECTOR- THROUGH MARCH 20101.0X000
TARY L BROWN
CEO40.0X186929012023
ELLIS HARRIS
COO40.0X1080830103
SUSAN RAKEL
CFO- BEGINNING AUGUST 200940.0X3422501540
SHELLEY SPIRES
DEPUTY DIRECTOR40.0X8287607820
ANGIE JORDAN
CFO- THROUGH JULY 200940.0X4447206504
JAMES HOTZ MD
CLINICAL SERV DIR40.021240009923X
BERNARD SCOGGINS MD
MEDICAL DIRECTOR40.0207341012613X
PHILLIP POULOS MD
PHYSICIAN40.0195369013256X
WILLIAM MCPETERS MD
PHYSICIAN40.0177619013292X
OLALEKAN ARIYO MD
PHYSICIAN40.017015407812X
MICHAEL SEIN DO
PHYSICIAN40.0192688011698X
TRACY ROSENBAUM-SEIN DO
PHYSICIAN40.0193547010574X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1805703TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation107158TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
LRA CONSTRUCTORS INC
CONSTRUCTION578644
ALCON ASSOCIATES INC
CONSTRUCTION279365
LABORATORY CORP OF AMERICA
CONTRACT LAB SERVICE162201
GENEVA'S CLEANING SERVICE
CLEANING SERVICE141196
PHOEBE PUTNEY HEALTH SYSTEM
CONTRACT PHYSICIAN104554
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants4884176GovernmentGrants
All Other Contributions589500AllOtherContributions
Noncash Contributions589500NoncashContributions
Total Contributions5473676TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6241001275863512758635
PHARMACY REVENUE44611022833642283364
OTHER INCOME624100893172893172
FieldValueIRS element (for citing)
Total Program Service Revenue15935171TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column75067TotalRevenueColumn
Exclusion$75,067ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8400Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real6484Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1916Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1916TotalRevenueColumn
Unrelated Business Revenue1916UnrelatedBusinessRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other18394Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-18394Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-18394TotalRevenueColumn
Exclusion-$18,394ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21467436TotalRevenueColumn
Related Or Exempt Function Income15935171RelatedOrExemptFunctionIncome
Unrelated Business Revenue1916UnrelatedBusinessRevenue
Exclusion$56,673ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total926852Total
Program Services442277ProgramServices
Management And General484575ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9894115Total
Program Services7206032ProgramServices
Management And General2688083ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total322142Total
Program Services231141ProgramServices
Management And General91001ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1019878Total
Program Services732285ProgramServices
Management And General287593ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total719325Total
Program Services509302ProgramServices
Management And General210023ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14521Total
Management And General14521ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54069Total
Management And General54069ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3150360Total
Program Services2747530ProgramServices
Management And General402830ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total69095Total
Management And General69095ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1618358Total
Program Services1266663ProgramServices
Management And General351695ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total247541Total
Program Services163963ProgramServices
Management And General83578ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total120840Total
Program Services55752ProgramServices
Management And General65088ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total164084Total
Program Services124453ProgramServices
Management And General39631ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13999Total
Management And General13999ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total313440Total
Program Services214492ProgramServices
Management And General98948ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total64207Total
Management And General64207ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT11394871139487
REPAIRS & MAINTENANCE1161207952236598
RECRUITMENT111765111765
DUES & SUBSCRIPTIONS5098550985
EMPLOYEE/BRD RELATED EXP4719647196

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25544Total
Management And General25544ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20203923Total
Program Services14912899ProgramServices
Management And General5291024ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY820753BOY
EOY1174051EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4025469BOY
EOY3884774EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1723937BOY
EOY1961418EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY308933BOY
EOY295391EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY116555BOY
EOY143606EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6943616LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2696568LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2748979BOY
EOY4247048EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29161BOY
EOY24892EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY532339BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10306126BOY
EOY11731180EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1438332BOY
EOY1664745EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5546BOY
EOY5557EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY565242BOY
EOY519866EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY20000BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2029120BOY
EOY2190168EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8277006BOY
EOY9541012EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8277006BOY
EOY9541012EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10306126BOY
EOY11731180EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITYIdentifier
Return ReferenceSCHEDULE C, PART II-B, QUESTION 1IReturnReference
ExplanationA PORTION OF DUES PAID IN FY 2010 TO THE NACHC AND GAPHC MAY BE ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis270060OtherCostOrOtherBasis
Book Value270060BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4630174OtherCostOrOtherBasis
Depreciation1371056Depreciation
Book Value3259118BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Depreciation0Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1773232OtherCostOrOtherBasis
Depreciation1325512Depreciation
Book Value447720BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis270150OtherCostOrOtherBasis
Book Value270150BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4247048TotalOfBookValueLandBuildings
Total Revenue21467436TotalRevenue
Total Expenses20203923TotalExpenses
Excess Or Deficit For Year1263513ExcessOrDeficitForYear
Excess Or Deficit Per FS1263513ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21532887TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments493NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities40080DonatedSrvcAndUseOfFacilities
Other Revenues24878OtherRevenues
Revenue Not Rptd F99065451RevenueNotRptdF990
Revenue Subtotal21467436RevenueSubtotal
Total Revenue Per Form99021467436TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20268881TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities40080DonatedServicesUseOfFacilities
Other Expenses Included24878OtherExpensesIncluded
Expenses Not Rptd F99064958ExpensesNotRptdF990
Expenses Subtotal20203923ExpensesSubtotal
Total Expenses Per Form99020203923TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART XII, LINE 2DRECLASS LOSS ON F/A TO INCOME
PART XIII, LINE 2DRECLASS LOSS ON F/A TO INCOME
PART XII, LINE 2DRECLASS RENTAL EXPENSES TO INCOME
PART XIII, LINE 2DRECLASS RENTAL EXPENSES TO INCOME
FIN 48 DISCLOSURETHE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. BECAUSE NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED, A DISCLOSURE WAS NOT INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS.SCHEDULE D, PART X, LINE 2

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TARY L BROWN
175758059710520005628063950198952000
JAMES HOTZ MD
18262301327701650006459034640222323000
BERNARD SCOGGINS MD
1853460549501650006219063940219954000
PHILLIP POULOS MD
1698910254780005925073310208625000
WILLIAM MCPETERS MD
1597410137801650005652076400190911000
OLALEKAN ARIYO MD
158171011983000431073810177966000
MICHAEL SEIN DO
16381101237701650005793059050204386000
TRACY ROSENBAUM-SEIN DO
16476901227801650005790047840204121000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART 1, LINE 1BCEO IS PAID $440/MONTH CAR ALLOWANCE (INCLUDED IN W-2)-DISCRETIONARY SPENDING ACCOUNT AS APPROVED BY BOARD
PART 1, LINE 7AAPHC'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. THE TOTAL ANNUAL AWARD WILL NOT EXCEED $150,000.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990533000NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMINOR EQ/SUPP121900MARKET VALUE
XMEDICAL EQUIP134600MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1AS THE LARGEST PRIMARY CARE PHYSICIAN PRACTICE IN SOUTHWEST GEORGIA, ALBANY AREA PRIMARY HEALTH CARE PROVIDES HEALTH CARE SERVICES TO MORE THAN 30,000 PATIENTS IN BAKER, CALHOUN, 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. 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'S 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.
BOARD REVIEW OF 990FORM 990, PART VI, LINE 10CFO WILL REVIEW IN DETAIL WITH INDEPENDENT ACCOUNTING FIRM, THEN CFO WILL REVIEW WITH FINANCE COMMITTEE. A COPY OF THE 990 AND AN EXECUTIVE SUMMARY WILL BE PRESENTED TO THE FULL BOARD PRIOR TO THE RETURN BEING FILED.
CONFLICT OF INTERESTFORM 990, PART VI, LINE 12A&CTHE 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. IT IS ALSO RESOLVED THAT 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 THAT 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.
COMPENSATION SETTING PROCEDUREFORM 990, PART VI, LINE 15A & 15BTHE SALARIES OF THE CEO AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. COMPARABILITY DATA FROM NACHC, MGMA, AND OTHER ONLINE RESOURCES ARE USED TO REINFORCE SALARY RANGES. THIS REVIEW AND APPROVAL PROCESS TOOK PLACE AT THE MAY 2009 PERSONNEL COMMITTEE AND BOARD MEETING. THE PROCESS IS DOCUMENTED IN THE PERSONNEL COMMITTEE MEETING MINUTES.
DOCUMENT DISCLOSUREFORM 990, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE FOR VIEWING ON-SITE UPON REQUEST.

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