Civic Intelligence

Physicians Practice Group

990 • Fiscal year 2017 • EIN 58-0705892

Jul 01, 2016 to Jun 30, 2017 • Filed on May 14, 2018

1499 WALTON WAY STE 1400 Suite SteAugusta, GA 30901

(706) 724-1600

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

76th percentile

0.65x

Higher debt load relative to assets than 76% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

38th percentile

0.34x

Higher debt load relative to revenue than 38% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

13th percentile

-9.8%

Higher net margin than 13% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

80th percentile

$1,051,288

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

24th percentile

0.3%

Faster asset growth than 24% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

76th percentile

16%

Faster revenue growth than 76% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$96,682,544

Up $336,285 (+0.3%) from 2016

Net Assets

Down

$34,074,593

Down $19,869,644 (-37%) from 2016

Liabilities

Up

$62,607,951

Up $20,205,929 (+48%) from 2016

Revenue

Up

$183,431,159

Up $25,065,814 (+16%) from 2016

Expenses

Up

$201,489,449

Up $36,597,788 (+22%) from 2016

Net Income

Down

-$18,058,290

Down $11,531,974 (-177%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0-$100M-$200MAssets 2011: $125,045,374Liabilities 2011: $39,987,218Net Assets 2011: $85,058,1562011Assets 2012: $123,771,487Liabilities 2012: $34,864,310Net Assets 2012: $88,907,1772012Assets 2013: $115,613,544Liabilities 2013: $36,803,091Net Assets 2013: $78,810,4532013Assets 2014: $115,211,797Liabilities 2014: $40,326,337Net Assets 2014: $74,885,4602014Assets 2015: $102,301,297Liabilities 2015: $40,142,196Net Assets 2015: $62,159,1012015Assets 2016: $96,346,259Liabilities 2016: $42,402,022Net Assets 2016: $53,944,2372016Assets 2017: $96,682,544Liabilities 2017: $62,607,951Net Assets 2017: $34,074,5932017Assets 2018: $80,874,470Liabilities 2018: $52,998,911Net Assets 2018: $27,875,5592018Assets 2019: $76,400,768Liabilities 2019: $78,897,211Net Assets 2019: -$2,496,4432019Assets 2020: $85,230,065Liabilities 2020: $110,673,675Net Assets 2020: -$25,443,6102020Assets 2021: $105,089,351Liabilities 2021: $157,860,715Net Assets 2021: -$52,771,3642021Assets 2022: $106,450,597Liabilities 2022: $192,049,260Net Assets 2022: -$85,598,6632022Assets 2023: $98,151,707Liabilities 2023: $217,808,843Net Assets 2023: -$119,657,1362023Assets 2024: $100,137,421Liabilities 2024: $40,765,808Net Assets 2024: $59,371,6132024

Highlighted filing

2017

Assets$96,682,544
Liabilities$62,607,951
Net Assets$34,074,593

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2011: $111,697,6242011Expenses 2012: $112,692,3142012Expenses 2013: $142,946,1882013Revenue 2014: $154,256,342Expenses 2014: $161,387,700Net Income 2014: -$7,131,3582014Revenue 2015: $159,590,391Expenses 2015: $167,887,135Net Income 2015: -$8,296,7442015Revenue 2016: $158,365,345Expenses 2016: $164,891,661Net Income 2016: -$6,526,3162016Revenue 2017: $183,431,159Expenses 2017: $201,489,449Net Income 2017: -$18,058,2902017Revenue 2018: $157,225,922Expenses 2018: $130,417,919Net Income 2018: $26,808,0032018Revenue 2019: $139,905,106Expenses 2019: $170,867,016Net Income 2019: -$30,961,9102019Revenue 2020: $145,298,033Expenses 2020: $168,994,476Net Income 2020: -$23,696,4432020Revenue 2021: $157,030,283Expenses 2021: $185,690,511Net Income 2021: -$28,660,2282021Revenue 2022: $181,842,735Expenses 2022: $213,991,491Net Income 2022: -$32,148,7562022Revenue 2023: $211,071,871Expenses 2023: $245,028,695Net Income 2023: -$33,956,8242023Revenue 2024: $177,655,226Expenses 2024: $216,194,506Net Income 2024: -$38,539,2802024

Highlighted filing

2017

Revenue$183,431,159
Expenses$201,489,449
Net Income-$18,058,290
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 14, 2018
Return Version
2016v3.1
Gross Receipts
$228,960,969
Mission and Program Overview

Mission

The objects and purposes of this corporation are, either directly or through subsidiaries or partnerships, to administer the practice of medicine, to manage ambulatory care services and other clinical services, and to acquire and administer funds and property, which after the payment of necessary expenses, shall be devoted exclusively to the charitable, scientific, and educational missions of augusta university and its nonprofit affiliates.

To conduct programs in support of the research, clinical and educational missions of augusta university (au)

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$50,602,666$38,810,211▼ $11,792,455
Investments Other Securities$27,244,104$26,532,837▼ $711,267
Accounts Receivable$442,836$13,815,574▲ $13,372,738
Land, Buildings, and Equipment, Net$7,309,479$6,725,011▼ $584,468
Cash and Non-Interest-Bearing Accounts$5,657,340$6,539,256▲ $881,916
Savings and Temporary Cash Investments$2,244,746$3,213,023▲ $968,277
Prepaid Expenses and Deferred Charges$0$538,736▲ $538,736
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$96,346,259$96,682,544▲ $336,285
Other Assets Total$2,845,088$507,896▼ $2,337,192
Liabilities
Other Liabilities$12,755,825$33,849,270▲ $21,093,445
Tax Exempt Bond Liabilities$25,745,931$24,719,028▼ $1,026,903
Accounts Payable and Accrued Expenses$3,900,266$4,039,653▲ $139,387
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$42,402,022$62,607,951▲ $20,205,929
Net Assets / Fund Balance
Unrestricted Net Assets$53,944,237$34,074,593▼ $19,869,644
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$53,944,237$34,074,593▼ $19,869,644
Total Liabilities and Net Assets / Fund Balance$96,346,259$96,682,544▲ $336,285

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,226,426$9,044,084$10,270,510
Land$4,044,523-$4,044,523
Buildings$1,222,692$876,367$2,099,059
Leasehold Improvements$231,370$1,254,771$1,486,141
Other Securities$1,675,545--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Anastasios PolimenakosAUMA EmployeeFT$637,345$62,705$700,050
Michael Sumner MDAUMA EmployeeFT$362,276$56,505$418,781
Ian Davis MDAUMA EmployeeFT$358,130$54,973$413,103
Ricardo D Milian MDAUMA EmployeeFT$347,572$45,758$393,330
Charles Linder MDBOT MemberPT$345,853$12,362$358,215
Edward Foley MDAUMA EmployeeFT$315,122$28,040$343,162
Amanda Hopkins-TirrellCOOFT$266,030$40,892$306,922
Christie Somers AriettFormer AUMA EmployeeFT$258,070$41,962$300,032
Patricia BrownlowFORMER AUMA CFO until 03/16FT$230,039$27,097$257,136
Alma PearlAUMA Interim CFO AS OF 04/16FT$198,207$21,433$219,640
Swapna Velamakanni MDFormer AUMA EmployeeFT$119,127$20,979$140,106
Amyn Rojiani MDBOT Member-$46,383$20,629$67,012
David Hess MDChair Bot Auma as of 02/17-$46,968$16,125$63,093
W Vaughn McCallBOT Member-$47,860$8,826$56,686
Michael Diamond MDBOT Member-$20,904$23,308$44,212
Richard Schwartz MDBOT Member-$25,514$16,099$41,613
Anthony Mulloy MDFORMER Interim COO-$36,958$2,606$39,564
Peter Buckley MDChair Bot Auma Until 01/17-$12,555$22,615$35,170
Ivan Florentino MDSecretary/treasurer Auma-$13,431$21,606$35,037
Stilanos Kountakis MDBOT Member-$13,740$18,677$32,417
Joseph Hobbs MDBOT Member-$31,617$196$31,813
Steffen Meiler MDBOT Member-$13,704$17,695$31,399
Jack Yu MDBOT Member-$24,596$6,411$31,007
James Rawson MDBOT Member-$11,218$18,497$29,715
Daniel Albo MDBOT Member-$12,250$16,923$29,173
Ricardo Azziz MDFormer President Auhs-$12,259$9,108$21,367
Jeff Thad Wilkins MDBOT Member-$11,855$8,303$20,158
David Bogorad MDBOT Member-$12,750$6,650$19,400
Walter Pipkin MDBOT Member-$9,593$8,817$18,410
Jatinder Bhatia MDChair of the Foundation Auma-$14,813$2,852$17,665
Charles Howell MDBOT Member-$15,227$2,432$17,659
David Monte Hunter MDBOT Member-$13,022$3,611$16,633
Adam BermanChair-elect of Foundation Auma-$11,785$4,818$16,603
Julian Nussbaum MDBOT Member-$15,067$1,049$16,116
Walter Moore MDBOT Member-$14,883$1,086$15,969
Michael Madaio MDBOT Member-$6,684$8,548$15,232
Cargill Alleyne MDBOT Member-$10,078$3,327$13,405
Reda Bassali MDBOT Member-$11,789$1,593$13,382
Barbara R Henley MDBOT Member-$7,568$5,171$12,739

Board Members and Trustees

NameTitle
Brooks Keel PHDPresident Au Health System

Highest Paid Contractors

ContractorServicesLocationCompensation
Locum-TenensComCon. Clinical CarePO Box 405547, Atlanta, GA 30384-5547$3,424,451
CompHealthCon. Clinical CarePO Box 972651, Dallas, TX 75397-2651$1,364,984
IntermedixOutsourced BillingPO Box 94116, Oklahoma City, OK 73143$762,409
Professional Solutions StatOutsourced Billing10167 Corporate Square Drive, St Louis, MO 63132$667,857
CaptureNetOutsourced Collect.4835 E Cactus Road Ste 430, Scottsdale, AZ 85254$564,017
Revenue and Support

Revenue Composition

Contributions and Grants
$73,045
Program Service Revenue
$141,525,841
Investment Income
$4,131,769
Other Revenue
$37,700,504
All Other Contributions
$73,045
Change in Net Assets
$-18,058,290

Audited Revenue Reconciliation

Revenue per Audited Statements
$146,081,951
Revenue Not Reported on Financial Statements
$37,349,208
Revenue Not Reported on Form 990
$-1,811,355
Other Revenue Adjustments
$37,135,807
Total Revenue per Audited Statements
$144,270,596
Total Revenue per Form 990
$183,431,159
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$132,818,998
Other Expenses$33,514,145
Grants and Similar Amounts Paid$27,122,579
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$106,595,654$5,610,298-$112,205,952
Grants to Domestic Orgs$27,122,579--$27,122,579
Other Employee Benefits$12,211,670$642,719-$12,854,389
Fees for Services Other$8,144,276$428,646-$8,572,922
Benefits to Members$8,033,727--$8,033,727
Office Expenses$4,196,854$220,887-$4,417,741
Current Officers, Directors, Trustees, and Key Employees$3,968,005$208,842-$4,176,847
Travel$3,343,174$175,957-$3,519,131
Payroll Taxes$1,730,986$91,105-$1,822,091
Pension Plan Contributions$1,515,935$79,786-$1,595,721
Occupancy$1,323,643$69,665-$1,393,308
Information Technology$998,587$52,557-$1,051,144
Interest$748,858$39,414-$788,272
Depreciation Depletion$742,202$39,063-$781,265
Conferences and Meetings$301,944$15,892-$317,836
Fees for Services Legal$227,964$11,998-$239,962
Fees for Service Investment Mgmnt Fees$221,322$11,649-$232,971
Other Expenses$193,155$10,166-$203,321
Comp Disqual Persons$155,798$8,200-$163,998
Fees for Services Accounting$91,510$4,816-$96,326
Advertising$48,202$2,537-$50,739
Insurance$11,381$599-$11,980
All Other Expenses$-2,334,706$-122,883-$-2,457,589
Total Functional Expenses$193,172,795$8,316,654$0$201,489,449

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$201,489,449
Total Expenses per Audited Statements$188,761,005
Expenses per Audited Statements$188,753,706
Expenses Not Reported on Financial Statements$12,735,743
Other Expense Adjustments$12,522,342
Expenses Not Reported on Form 990$7,299
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Augusta UniversityAugusta, GAState of GaAU Medical Expansion$25,076,005
Augusta UniversityAugusta, GAState of GAMed School Scholarships$1,870,574
Augusta UniversityAugusta, GAState of GAFaculty Sponsored$176,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$19,513,589
Other Post Employment Benefits Liability$11,531,792
Accrued Professional Liability Costs$2,803,889

Bond Issues

BondIssuerIssuedIssue PricePurpose
ADevelopment Authority of Richmond County2014-10-30$26,877,101Construct cancer research bldg

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$26,877,101$26,384,716$835,000$411,655

Bond Financing Compliance

Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
AU Medical Associates
EIN
58-0705892
In Care Of
% ALMA PEARL CPA
Phone
7067241600
Address
1499 WALTON WAY STE 1400 Suite Ste, AUGUSTA, GA 30901

Signing Officer

Name
Julian Nussbaum
Title
CEO
Phone
7068286406
Signed
2018-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Julian Nussbaum Md
Formed
1958
Legal Domicile
Ga
Voting Board Members
28
Independent Board Members
0
Employees
891
Volunteers
0

Preparer

Firm
Grant Thornton LLP
Address
201 S COLLEGE ST STE 2500, CHARLOTTE, NC 28244
Preparer
Michele N Melchior
Phone
7046323500
Supplemental Narrative

Additional Explanations

Members or Stockholders

Form 990, part vi, line 6 au medical associates or auma is a membership organization. Membership in the foundation is open to any natural person who is employed by the board of regents as a faculty member of au medical college of georgia or is employed by the charlie norwood veterans administration medical center, and who holds at least a 0.5 full-time equivalent tenure track or non-tenure-track faculty appointment in the au medical college of georgia, and who is licensed to practice medicine in the state of georgia, and who has no other medical practice. Any such person shall be considered an active member in good standing and may exercise voting rights in the foundation. Any person meeting these conditions shall automatically become a member without the necessity of filing an application.

Members or Stockholders Who May Elect

Form 990, part vi, line 7a association members elect the following governing body members: chair of the foundation, chair-elect of the foundation, secretary-treasurer, and six (6) general membership board trustees.

Decisions Subject to Approval

Form 990, part vi, line 7b items requiring approval by members include items that (a) determine that the reimbursement of the judgment and expenses of litigation of a current or former trustee is appropriate, (b) approve a transaction where a trustee has an interest conflicting with the foundation, (c) amend the articles of association, (d) amend the by laws, except as limited in these by laws, (e) merge the foundation with another entity, (f) sell all or substantially all of the assets of the foundation in other than the usual course of business, (g) dissolve and terminate the foundation, (h) take an action that a member intends to present at a membership meeting, when that member has requested that notice be given to the membership in the notice of meeting by the transmission of a document by any reasonable means to the chair of the foundation or secretary-treasurer at least ten days prior to the dispatch of the prior notice of meeting, and (i) remove a trustee from office when required by the by laws.

Form 990 Review Process

Form 990, part vi, line 11b the form 990 is reviewed in detail first by management and then at a higher level by the ways and means committee, a committee of the board charged in the by laws to oversee the financial operations of the foundation. The ways and means committee makes a report concerning its review to the board of trustees.

Conflict of Interest Policy Monitoring & Enforcement

Form 990, part vi, line 12c conflict of interest forms are completed by all trustees, directors, officers, key employees and other members of management or individuals with signature authority to expend funds of auma. The forms are reviewed for conflicts by the chief integrity officer, and if conflicts exist, processes are put in place to ensure the individual with the conflict is not allowed to make decisions on behalf of the organization when the conflict is involved.

Process for Determining Compensation

Form 990, part vi, line 15 a & b the organization's compensation committee, which is comprised of individuals with no conflicts of interest with respect to the ceo and officers' salaries, reviews the salary at risk component of the organization's ceo, coo and cfo. Independent data is used to evaluate total salary and minutes of the meeting are kept. In addition, compensation consultants sullivan cotter participated in the review of the ceo's total compensation.

How Documents Are Made Available to the Public

Form 990, part vi, line 19 the organization makes its governing documents, conflict of interest policy, and financial statements available upon request.

Change in Accounting Method

Part XII - Accounting Method, Line 1: Effective July 1, 2016, the Company converted from the modified cash basis of accounting to the accrual basis of accounting. The change to accrual is reflected on the return as follows: Part VIII Revenue, Line 11: Method Change: Supporting Org Services 450,376 Method Change: Net Patient Service Revenue 14,937,946 Method Change: Other Income 21,681,739 TOTAL 37,070,061 Part IX Functional Expenses, Line 24: Method Change: Compensation and employee costs (7,369,056) Method Change: Insurance costs (4,182,704) Method Change: Other Costs (897,537) TOTAL (12,449,297) Net effect of change to accrual method: $24,620,765

Financial Statement Notes

Reconciliation of Revenue Per Audited Financial Statements

SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSES RECLASSIFICATION ($7,299) Change in Method of Accounting 37,070,061 Reclass of Contribution from Exp. 73,045 TOTAL 37,135,807

Schedule D, Part XII, Line 2D

RENTAL EXPENSES RECLASSIFICATION - $7,299 SCHEDULE D, PART XII, LINE 4B Change in Method of Accounting 12,449,297 Reclass of Contribution from Exp. 73,045 TOTAL 12,522,342

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$100$40.8$59.4$178$216$38.5
2023Detailed filing. Detailed filing data is available for this year.$98.2$218$120$211$245$34.0
2022Detailed filing. Detailed filing data is available for this year.$106$192$85.6$182$214$32.1
2021Detailed filing. Detailed filing data is available for this year.$105$158$52.8$157$186$28.7
2020Detailed filing. Detailed filing data is available for this year.$85.2$111$25.4$145$169$23.7
2019Detailed filing. Detailed filing data is available for this year.$76.4$78.9$2.50$140$171$31.0
2018Detailed filing. Detailed filing data is available for this year.$80.9$53.0$27.9$157$130$26.8
2017Detailed filing. Detailed filing data is available for this year.$96.7$62.6$34.1$183$201$18.1
2016Detailed filing. Detailed filing data is available for this year.$96.3$42.4$53.9$158$165$6.53
2015Detailed filing. Detailed filing data is available for this year.$102$40.1$62.2$160$168$8.30
2014Detailed filing. Detailed filing data is available for this year.$115$40.3$74.9$154$161$7.13
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$116$36.8$78.8$143
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$34.9$88.9$113
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$125$40.0$85.1$112