2020-08-10T07:38:10-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-10-01 273274203 ANDERSON PHYSICIAN ALLIANCE INC ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 STEVEN BROWN VP OF FINANCE 6015536000 2020-08-10 1 AMY BIBBY P00445891 8282542254 2020-08-10 99.47.28.203 2020-08-10 07:07:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-09-23 17:36:50Z STEVEN BROWN 2124 14TH STREET MERIDIAN MS 39301 5377714 0 X WWW.ANDERSONREGIONAL.ORG X 2010 MS ANDERSON PHYSICIAN ALLIANCE, INC. OFFERS FAMILY PRACTICE AND SPECIALTY CLINICS TO PROVIDE QUALITY HEALTHCARE FOR EAST MISSISSIPPI AND WEST ALABAMA. 4 0 33 0 0 0 0 0 5676819 5377555 34 42 76292 117 5753145 5377714 0 0 0 0 5741551 5376108 0 0 0 3100500 1935159 8842051 7311267 -3088906 -1933553 1146000 1256207 28071965 30115725 -26925965 -28859518 X SEE SCHEDULE O:ANDERSON PHYSICIAN ALLIANCE, INC. 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:1.) TO ESTABLISH AND MAINTAIN AN INSTITUTION OR INSTITUTIONS, WITHIN OR WITHOUT THE STATE WHERE INCORPORATED, WITH PERMANENT FACILITIES TO PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS2.) TO CARRY ON ANY EDUCATION ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH3.) TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED4.) TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY 0 0 7038190 5377555 SEE SCHEDULE O:ANDERSON PHYSICIAN ALLIANCE, INC. OFFERS FAMILY PRACTICE AND SPECIALTY CLINICS TO PROVIDE QUALITY HEALTHCARE FOR EAST MISSISSIPPI AND WEST ALABAMA. THE PHYSICIANS, NURSE PRACTITIONERS AND STAFF FOCUS ON PRIMARY HEALTHCARE NEEDS OF THE COMMUNITY.ANDERSON PHYSICIAN ALLIANCE, INC. PRIMARY CARE CLINICS:- ANDERSON FAMILY MEDICAL CENTER - LIVINGSTON (LIVINGSTON, AL) ANDERSON PHYSICIAN ALLIANCE, INC. SPECIALTY CLINICS:- ANDERSON EAR NOSE & THROAT CLINIC FOCUSES ON THE ADULT AND PEDIATRIC DIAGNOSIS AND TREATMENT OF ENT RELATED ILLNESS.- 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.EFFECTIVE MAY 2015, ANDERSON ARTHRITIS AND RHEUMATOLOGY, ANDERSON INFECTIOUS DISEASE CENTER, AND ANDERSON ENDOCRINOLOGY CENTER CEASED OPERATIONS AS ANDERSON PHYSICIAN ALLIANCE, INC. CLINICS. 7038190 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 33 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEVEN BROWN 6015536647 2124 14TH STREET MERIDIAN MS 39301 X JOHN ANDERSON PRESIDENT/CEO-EX-OFFICIO 1.00 47.00 X X 0 473341 93746 WANDA COOPER DIRECTOR(SEC/TREAS) 1.00 47.00 X X 0 762969 3016 GEORGE DENTON FARR DIRECTOR(CHAIRMAN) 1.00 47.00 X X 0 186142 38369 SHAWN ANDERSON DIRECTOR 1.00 X X 0 0 0 STEVEN BROWN DIRECTOR 1.00 47.00 X X 0 206362 40147 CODY AULL PHYSICIAN 40.00 X 754627 0 42231 RONNYE PURVIS PHYSICIAN 40.00 X 654847 0 12589 MARK PHILLIPS PHYSICIAN 40.00 X 558131 0 38557 AWAD EL-ASHRY PHYSICIAN 40.00 X 526554 0 18983 JAMES WALLACE PHYSICIAN 40.00 X 469962 0 21553 2964121 1628814 309191 11 0 1 0 MEDICAL ARTS SURGICAL GROUP 2111 14TH ST MERIDIAN MS 39301 CONTRACT PHYSICIAN FEES 563444 NTT DATA SERVICES LLC POB 534118 ATLANTA GA 303534118 EMR - BILLING SOFTWARE 239747 BUSINESS SYSTEMS & CONSULTANTS INC 113 LITTLE VALLEY CT BIRMINGHAM AL 35244 UROLOGY MEDICAL SERVICES 113993 ERIC PLOTT 101 PATTON AVENUE BILOXI MS 39531 CONTRACT PHYSICIAN FEES 101620 4 NET PATIENT 621990 5377555 5377555 5377555 42 42 LIVINGSTON MOVABLE EQU 900099 117 117 117 5377714 5377672 0 42 5057648 4862391 195257 27479 25133 2346 97234 94778 2456 193747 190099 3648 700711 672479 28232 206 206 199893 186679 13214 418021 417156 865 48140 40342 7798 7018 7018 99971 82729 17242 95930 95930 MEDICAL SUPPLIES 189443 187424 2019 BAD DEBT EXPENSE 175826 175826 7311267 7038190 273077 0 200481 189721 482108 356577 26667 26667 1776152 1092910 436744 683242 1146000 1256207 483133 513482 27588832 29602243 28071965 30115725 X -26925965 -28859518 -26925965 -28859518 1146000 1256207 -1933553 0 X X 0 1 X 1 0 X 806911 285515 521396 29777 26848 2929 939464 780547 158917 683242 DUE TO AFFILIATES 29602243 29602243 X PART X, LINE 2: ANDERSON PHYSICIAN ALLIANCE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3); ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. ANDERSON PHYSICIAN ALLIANCE HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2019 AND 2018. X 0 0 X X X X X 0 1 0 0 0 0 0 0 0 JOHN ANDERSON PRESIDENT/CEO-EX-OFFICIO 0 379421 0 79300 0 14620 0 88159 0 5587 0 567087 0 0 WANDA COOPER DIRECTOR(SEC/TREAS) 0 191984 0 32375 0 538610 0 0 0 3016 0 765985 0 0 GEORGE DENTON FARR DIRECTOR(CHAIRMAN) 0 152870 0 28000 0 5272 0 31245 0 7124 0 224511 0 0 STEVEN BROWN DIRECTOR 0 201222 0 0 0 5140 0 30866 0 9281 0 246509 0 0 CODY AULL PHYSICIAN 690933 0 63091 0 603 0 23400 0 18831 0 796858 0 0 0 RONNYE PURVIS PHYSICIAN 493038 0 161809 0 0 0 0 0 12589 0 667436 0 0 0 MARK PHILLIPS PHYSICIAN 458379 0 96679 0 3073 0 23900 0 14657 0 596688 0 0 0 AWAD EL-ASHRY PHYSICIAN 526035 0 0 0 519 0 0 0 18983 0 545537 0 0 0 JAMES WALLACE PHYSICIAN 469451 0 0 0 511 0 0 0 21553 0 491515 0 0 0 PART I, LINE 1A EXECUTIVE TEAM MEMBERS ARE OFFERED FREE MEMBERSHIPS TO ANDERSON HEALTH AND FITNESSS CENTER. WANDA COOPER, GEORGE DENTON FARR, AND JOHN ANDERSON RECEIVED FREE MEMBERSHIPS. PART I, LINE 4B ARMC PROVIDES TO CERTAIN EXECUTIVES AN IRS 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 UNDER ARMC'S TAX-QUALIFIED RETIREMENT PLAN. THE PLAN SHALL BE UNFUNDED FOR TAX PURPOSES AND FOR PURPOSE OF TITLE I OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1975 ("ERISA"). SEE COMPENSATION SECTION FOR DETAIL INFORMATION ON PERSONS AND AMOUNTS. FORM 990, PART VI, SECTION A, LINE 1 UNLESS PROHIBITED OR LIMITED BY THE ARTICLES OF INCORPORATION OR THESE BYLAWS, THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE AND ONE OR MORE THAN OTHER COMMITTEES OF THE BOARD AND APPOINT MEMBERS OF THE BOARD OF DIRECTORS TO SERVE ON THEM. FORM 990, PART VI, SECTION A, LINE 2 GEORGE DENTON FARR AND SHAWN ANDERSON ARE FIRST COUSINS. JOHN ANDERSON AND SHAWN ANDERSON ARE UNCLE AND NEPHEW. FORM 990, PART VI, SECTION A, LINE 3 MEDICAL MANAGEMENT SERVICES IS RESPONSIBLE FOR THE DAILY MANAGEMENT OPERATIONS OF THE APA CLINICS AND APA BUSINESS OFFICE INCLUDING PERFOMRING BUDGETS AND EXPENSE APPROVAL. MEDICAL MANAGEMENT SERVICES RECOMMENDS STAFFING PERSONNAL TO THE FACILITY BUT THE FACILITY HAS THE FINAL APPROVAL FOR ALL HIRING AND FIRING OF EMPLOYEES INCLUDING PHYSICIANS. FORM 990, PART VI, SECTION A, LINE 6 ANDERSON REGIONAL MEDICAL CENTER (ARMC) IS THE SOLE MEMBER OF ANDERSON PHYSICIAN ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A ANDERSON REGIONAL MEDICAL CENTER HAS THE POWER (1) TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS, (2) TO EXERCICE ALL VOTING RIGHTS OF THE MEMBERS FORM 990, PART VI, SECTION A, LINE 7B ANDERSON REGIONAL MEDICAL CENTER HAS THE POWER (1) TO APRROVE APA'S PHYSICIAN COMPENSATION MODELS, PHYSICIAN COMPENSATION AND PHYSICIAN COMPENSATION POLICIES, (2) TO APPROVE PHYSICIAN EMPLOYMENT AGREEMENTS, AND (3) 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. FORM 990, PART VI, SECTION B, LINE 11B EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PROIR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REQUESTS ALL BOARD MEMBERS TO ANNUALLY DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER (ARMC). OFFICERS AND DIRECTORS OF ANDERSON PHYSICIAN ALLIANCE ARE COMPENSATED BY ARMC. AS SUCH APA FOLLOWS THE POLICIES OF ARMC. ARMC HAS A DESIGNATED THREE PERSON COMMITTEE AND HAS AN OUTSIDE CONTRACTED ORGANIZATION TO STUDY AND RECOMMEND COMPENSATION FOR EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 18 IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 1: INDEPENDENCE OF VOTING BOARD MEMBERS: THE ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER, A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A FIFTY PERCENT INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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