GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INC (EIN 59-2013140)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2013-02-15
- IRS object ID
- 201300469349301900
- 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 | 2013-02-15T12:45:36-06:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221478099 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 6TH AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592013140 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GEOR | NameControl |
| Phone | 4046592831 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 WEST PONCE DE LEON AVENUE NO | AddressLine1 |
| Address Line2 | 1000 | AddressLine2 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30030 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GWEN HARPER | Name |
| Title | FINANCE DIRECTOR | Title |
| Phone | 4046592831 | Phone |
| Date Signed | 2013-02-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GWEN HARPER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 WEST PONCE DE LEON AVENUE NO | AddressLine1 |
| Address Line2 | 1000 | AddressLine2 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30030 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3628272 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GAPHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION'S MISSION IS TO IMPROVE ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR ALL MEDICALLY UNDERSERVED GEORGIANS AND SUPPORT THE CONTINUED DEVELOPMENT AND EXPANSION OF COMMUNITY-BASED HEALTH CENTER PRACTICE SYSTEMS THROUGHOUT THE STATE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 28 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 28 | NbrIndependentVotingMembers |
| Total Nbr Employees | 9 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3795624 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3334425 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 222946 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 161 | InvestmentIncomePriorYear |
| Investment Income Current Year | 60 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 76052 | OtherRevenuePriorYear |
| Other Revenue Current Year | 70841 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3871837 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3628272 | 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 | 955200 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 836030 | 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 | 3091616 | OtherExpensePriorYear |
| Other Expenses Current Year | 2563323 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4046816 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3399353 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -174979 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 228919 | RevenuesLessExpensesCY |
| Total Assets BOY | 1041142 | TotalAssetsBOY |
| Total Assets EOY | 1072902 | TotalAssetsEOY |
| Total Liabilities BOY | 1199829 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1002670 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -158687 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 70232 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION WAS FOUNDED AS A NOT-FOR-PROFIT CORPORATION IN 1979 THROUGH THE COOPERATIVE EFFORTS OF A BROAD COALITION OF PRIMARY HEALTH CARE ADVOCATES IN OUR STATE. THROUGHOUT ITS HISTORY, THE ORGANIZATION HAS ENGAGED IN A STRONG PUBLIC ADVOCACY AGENDA IN SUPPORT OF ITS MISSION TO IMPROVE ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR ALL MEDICALLY UNDERSERVED GEORGIANS AND SUPPORT THE CONTINUED DEVELOPMENT AND EXPANSION OF COMMUNITY-BASED HEALTH CENTER PRACTICE SYSTEMS THROUGHOUT THE STATE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2885560 | Expense |
| Revenue | 293787 | Revenue |
| Description | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT PROVIDES A FORUM FOR DISCUSSION, INTERACTION AND INFORMATION SHARING ON A STATEWIDE BASIS FOR INDIVIDUALS, GROUPS AND ORGANIZATIONS CONCERNED WITH PRIMARY HEALTH CARE. | Description |
| Total Program Service Expense | 2885560 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 25 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 9 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 28 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 28 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GWEN HARPER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4046592861 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 WEST PONCE DE LEON AVENUE NO | AddressLine1 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30030 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| AJAY GEHLOT MD | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| ANN ADDISON PHD | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| ARETHA R JONES | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| BRIAN WILLIAMS | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| C ALEX SMITH | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| CARLA BELCHER | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| DAVID WILLIAMS MD | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| DIANA ALLEN | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| DONNA NEWSOME | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| DR MICHAEL BROOKS | ||||||
| BOARD PRESIDENT | 4.00 | X | 0 | 0 | 0 | X |
| JACKIE GRIFFIN | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| JANICE SHERMAN | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| JEFF DRAKE | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| JEFFERY TAYLOR | ||||||
| PRESIDENT | 4.00 | X | 0 | 0 | 0 | X |
| JENNIE WREN DENMARK | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| JON WOLLENZIEN JR | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| KATHERINE MCLEOD MSPH | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| LEON L BURTON | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| LISA BROWN | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| MELLINDA CRAIG | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| OLA SMITH | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| RB TUCKER | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| SARAH LANG | ||||||
| TREASURER | 4.00 | X | 0 | 0 | 0 | X |
| STEVEN MIRACLE | ||||||
| SECRETARY | 4.00 | X | 0 | 0 | 0 | X |
| TARY BROWN | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| THOMAS ANDREWS | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| VICKI SMITH | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| YVETTE HAGINS | ||||||
| ORGANIZATIONAL MEMBER | 4.00 | X | 0 | 0 | 0 | |
| DUANE A KAVKA | ||||||
| EXECUTIVE DIRECTOR | 40.00 | 191685 | 0 | 59612 | X | |
| GWEDNOLYN HARPER | ||||||
| CFO | 40.00 | 129156 | 0 | 10508 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 320841 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 70120 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRITRONIX | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4194 GRAMERCY MAIN NW | AddressLine1 |
| City | KENNESAW | City |
| State | GA | State |
| ZIP Code | 30144 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | HIT/EHR CONTRACTUAL SERVICES | DescriptionOfServices |
| Compensation | 192160 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Membership Dues | 133072 | MembershipDues |
| Government Grants | 2315964 | GovernmentGrants |
| All Other Contributions | 885389 | AllOtherContributions |
| Total Contributions | 3334425 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONFERENCE | Description |
| Business Code | 620000 | BusinessCode |
| Total Revenue Column | 222946 | TotalRevenueColumn |
| Related Or Exempt Function Income | 222946 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 222946 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60 | TotalRevenueColumn |
| Exclusion | $60 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| FQHC REBATES | 900099 | 33185 | 33185 |
| MISC INCOME | 900099 | 31680 | 31680 |
| TRAINING & WORKSHOPS | 900099 | 5976 | 5976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 70841 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3628272 | TotalRevenueColumn |
| Related Or Exempt Function Income | 293787 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $60 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436795 | Total |
| Program Services | 362540 | ProgramServices |
| Management And General | 74255 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302157 | Total |
| Program Services | 250790 | ProgramServices |
| Management And General | 51367 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97078 | Total |
| Program Services | 80575 | ProgramServices |
| Management And General | 16503 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36048 | Total |
| Management And General | 36048 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33700 | Total |
| Management And General | 33700 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1661196 | Total |
| Program Services | 1495076 | ProgramServices |
| Management And General | 166120 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58843 | Total |
| Program Services | 54140 | ProgramServices |
| Management And General | 4703 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181909 | Total |
| Program Services | 163718 | ProgramServices |
| Management And General | 18191 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88766 | Total |
| Program Services | 76818 | ProgramServices |
| Management And General | 11948 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250347 | Total |
| Program Services | 176920 | ProgramServices |
| Management And General | 73427 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52844 | Total |
| Program Services | 44458 | ProgramServices |
| Management And General | 8386 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSUMABLE SUPPLIES | 69289 | 60254 | 9035 |
| OTHER | 63868 | 59353 | 4515 |
| STAFF TRAINING & DEVELO | 51569 | 47923 | 3646 |
| EQUIPMENT,REPAIRS & MAI | 14944 | 12995 | 1949 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3399353 | Total |
| Program Services | 2885560 | ProgramServices |
| Management And General | 513793 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101508 | BOY |
| EOY | 31314 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 669935 | BOY |
| EOY | 819537 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231148 | BOY |
| EOY | 189841 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38551 | BOY |
| EOY | 3838 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 28372 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1041142 | BOY |
| EOY | 1072902 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1139677 | BOY |
| EOY | 954106 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60152 | BOY |
| EOY | 48564 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1199829 | BOY |
| EOY | 1002670 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -158687 | BOY |
| EOY | -21936 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 92168 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -158687 | BOY |
| EOY | 70232 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1041142 | BOY |
| EOY | 1072902 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 228919 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3288041 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3920750 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5731522 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3691442 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3334425 | CurrentTaxYear |
| Total | 19966180 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 104182 | CurrentTaxYearMinus1Year |
| Current Tax Year | 222946 | CurrentTaxYear |
| Total | 327128 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3288041 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3920750 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5731522 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3795624 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3557371 | CurrentTaxYear |
| Total | 20293308 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 20293308 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 161 | CurrentTaxYearMinus1Year |
| Current Tax Year | 60 | CurrentTaxYear |
| Total | 221 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 161 | CurrentTaxYearMinus1Year |
| Current Tax Year | 60 | CurrentTaxYear |
| Total | 221 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 76052 | CurrentTaxYearMinus1Year |
| Current Tax Year | 70901 | CurrentTaxYear |
| Total | 146953 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3288041 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3920750 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5731522 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3871837 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3628332 | CurrentTaxYear |
| Total | 20440482 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99280 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99590 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 3628272 | TotalRevenue |
| Total Expenses | 3399353 | TotalExpenses |
| Excess Or Deficit For Year | 228919 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 228919 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3628272 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 3628272 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3628272 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3399353 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3399353 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3399353 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE ASSOCIATION WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF GEORGIA AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2012. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DUANE A KAVKA | NamePerson |
| Base Compensation Filing Org | 191685 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 43937 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 15675 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 251297 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 49242 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATIONAL MEMBERS OF THE GAPHC BOARD ARE DETERMINED BY VIRTUE OF 2 CRITERIA - THEIR ORGANIZATION BEING FEDERALLY QUALIFIED HEALTH CENTERS ("FQHC")AND PAYING DUES TO GAPHC. THERE IS AN ADDITIONAL CLASS OF GAPHC BOARD MEMBER, IE - AT-LARGE MEMBER. THESE BOARD POSITIONS ARE INDIVIDUALS COMING FROM OTHER NON-FQHC TYPE HEALTH CARE ORGANIZATIONS. THE NAMES OF INTERESTED INDIVIDUALS ARE SUBMITTED TO THE NOMINATING COMMITTEE WHO IN TURN PREPARES THE ACTUAL SLATE OF AT-LARGE MEMBERS FOR A 2 YEAR TERM AND THAT SLATE IS PRESENTED TO THE ORGANIZATIONAL MEMBERS. THAT SLATE IS THEN VOTED ON BY THE ORGANIZATIONAL BOARD MEMBERS. THERE ARE A TOTAL OF 4 AT-LARGE MEMBERS ELECTED FOR 2 YEAR TERMS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATIONAL MEMBERS OF THE GAPHC BOARD ARE DETERMINED BY VIRTUE OF 2 CRITERIA - THEIR ORGANIZATION BEING FEDERALLY QUALIFIED HEALTH CENTERS ("FQHC")AND PAYING DUES TO GAPHC. THERE IS AN ADDITIONAL CLASS OF GAPHC BOARD MEMBER, IE - AT-LARGE MEMBER. THESE BOARD POSITIONS ARE INDIVIDUALS COMING FROM OTHER NON-FQHC TYPE HEALTH CARE ORGANIZATIONS. THE NAMES OF INTERESTED INDIVIDUALS ARE SUBMITTED TO THE NOMINATING COMMITTEE WHO IN TURN PREPARES THE ACTUAL SLATE OF AT-LARGE MEMBERS FOR A 2 YEAR TERM AND THAT SLATE IS PRESENTED TO THE ORGANIZATIONAL MEMBERS. THAT SLATE IS THEN VOTED ON BY THE ORGANIZATIONAL BOARD MEMBERS. THERE ARE A TOTAL OF 4 AT-LARGE MEMBERS ELECTED FOR 2 YEAR TERMS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 RETURN IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE CHIEF FINANCIAL OFFICER BEFORE IT IS FILED. THE FORM 990 IS PRESENTED TO THE BOARD AFTER THE FILING OF THE DOCUMENT AS PART OF THE REGULAR FINANCIAL REPORTS IN CONJUNCTION WITH OUR BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY WITH THE BOARD OF DIRECTORS ON AN AS NEEDED BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES SALARY DATA PREPARED BY THE NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS FOR SIMILAR (PRIMARY CARE ASSOCIATIONS) AROUND THE COUNTRY. THIS DATA IS USED BY BOTH THE BOARD FOR THE CEO AND BY THE CEO FOR THE REMAINDER OF STAFF REGARDING SALARY COMPARABILITY FOR SPECIFIC TYPES OF POSITIONS. ADDITIONALLY, AN ANNUAL EVALUATION IS PREPARED FOR EACH EMPLOYEE. FOR THE CEO THE EVALUATION IS DONE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHO IS CHARGED VIA THE ORGANIZATIONAL BY-LAWS WITH THIS TASK. FOR THE REMAINDER OF THE STAFF - ALL OTHER EMPLOYEES - THE EVALUATION IS COMPLETED BY THE CEO AS THE SUPERVISOR FOR ALL SUCH STAFF. ALL DECISIONS REGARDING COMPENSATION ARE APPROPRIATELY DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION ANNUAL REPORT, WHICH INCLUDES THE FINANCIAL STATEMENTS, IS AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE BOARD IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS, AS WELL AS THE SELECTION OF THE INDEPENDANT ACCOUNTANT. |