MEDLINK GEORGIA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEDLINK GEORGIA INC (EIN 58-1394645)
- Tax period
- 2012-04-01 to 2013-03-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349305459
- Schema version
- 2012v2.1
- 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 | 2013-11-15T11:57:45-06:00 | Timestamp |
| Tax Period End Date | 2013-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580692043 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mauldin & Jenkins LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Galleria Pkwy SE Ste 1700 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 303395946 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581394645 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MedLink Georgia Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDL | NameControl |
| Phone | 7067883234 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 459 | AddressLine1 |
| City | Colbert | City |
| State | GA | State |
| ZIP Code | 30628 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jackie R Griffin PhD | Name |
| Title | CEO | Title |
| Phone | 7067883234 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeff T Fucito | Name |
| PTIN | P00120748 | PTIN |
| Phone | 7709558600 | Phone |
| Date Prepared | 2013-11-13 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Jackie R Griffin PhD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 459 | AddressLine1 |
| City | Colbert | City |
| State | GA | State |
| ZIP Code | 30628 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10234775 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.medlinkga.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O for the complete description.MedLink Georgia is a Community Health Center that not only treats illness, but also provides preventive services to keep patients well. We coordinate with other local health care and social service providers both public and private to serve the needs of each individual and address broad community issues.MedLink is dedicated to detecting illness early to minimize the effect on the lives of patients, in order to maximize our patients' ability to live their lives. In doing so, MedLink decreases the need for costly specialty and inpatient care and reduce the length of hospital stays. Such care is not only cost effective; it improves the quality of our patients' lives. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 129 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5452990 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5096515 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5483502 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5133528 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10110 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3294 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 17336 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1438 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10963938 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10234775 | 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 | 6668597 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5714140 | 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 | 4517718 | OtherExpensePriorYear |
| Other Expenses Current Year | 4718998 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11186315 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10433138 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -222377 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -198363 | RevenuesLessExpensesCY |
| Total Assets BOY | 4444587 | TotalAssetsBOY |
| Total Assets EOY | 4234784 | TotalAssetsEOY |
| Total Liabilities BOY | 1797732 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1818350 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2646855 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2416434 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Medlink Georgia's Mission is to enhance the quality of life in our communities through the delivery of compassionate, effective, and responsible health care. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8580873 | Expense |
| Revenue | 5133528 | Revenue |
| Description | See Schedule O for complete description of Program Accomplishment.MedLink Georgia is a Federally Qualified Community Health Center that not only treats illness, but also provides preventive services to keep patients well. We coordinate with other local health care and social service providers - both public and private - to serve the needs of each individual and address broad community issues. Our goal is to enhance the quality of life in our communities by providing accessible, affordable primary healthcare and related services effectively, efficiently, and responsibly. Our physicians' specialties range from Family Practice, Internal Medicine, Pediatrics, and more. Our sites are community practices, serving everyone from newborns to the elderly, including those with commerical and public insurance, as well as those without insurance. | Description |
| Total Program Service Expense | 8580873 | 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 | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | 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 | 1 | 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 |
| 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 | 129 | 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 | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 | 1 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | 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 | Dave Ward CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7067883234 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 Charlie Morris Rd | AddressLine1 |
| City | Colbert | City |
| State | GA | State |
| ZIP Code | 30628 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Bobby Berryman | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Robin Booker | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Doug Bridges | |||||||
| Board Chair Elect | 1.00 | X | 0 | 0 | 0 | X | |
| Marilyn Favors | |||||||
| Corporate Secretary | 1.00 | X | 0 | 0 | 0 | X | |
| Jose Gonzalez | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Ann Herring | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Lucy McCannon | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Al Stone Jr | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X | |
| Robin Trotter | |||||||
| Board Chair | 1.00 | X | 0 | 0 | 0 | X | |
| Calvin Turner | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Iris Walker | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Sue Willis | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Steven Smith | |||||||
| Chief Executive Officer | 50.00 | 86547 | 0 | 6223 | X | ||
| Jackie Griffin PhD | |||||||
| Chief Executive Officer | 50.00 | 98540 | 0 | 0 | X | ||
| David Ward | |||||||
| CFO | 50.00 | 87999 | 0 | 7403 | X | ||
| Samuel Sencil | |||||||
| Physician | 40.00 | 192967 | 0 | 5090 | X | ||
| Thomas Jones | |||||||
| Physician | 40.00 | 185011 | 0 | 7313 | X | ||
| Syed Zaidi | |||||||
| Physician | 40.00 | 176000 | 0 | 7674 | X | ||
| Ifeoma Nnaji | |||||||
| Physician | 40.00 | 167662 | 0 | 7424 | X | ||
| Jeralyn Smith | |||||||
| Physician | 40.00 | 150156 | 0 | 5428 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1144882 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 46555 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| American Express | |||||
| PO Box 650448 | Dallas | TX | 75265 | Corporate Purchasing Card | 427469 |
| Nextgen | |||||
| 3340 Peachtree Road | Atlanta | GA | 30326 | Electronic Healthcare & Billing Fees | 324389 |
| McKesson Medical - Surgical | |||||
| PO Box 933027 | Atlanta | GA | 31193 | Medical Supplies | 200367 |
| Windstream-11 | |||||
| PO Box 9001908 | Louisville | KY | 40290 | Telephone and Internet Fees | 161443 |
| R&S Northeast LLC | |||||
| PO Box 935485 | Atlanta | GA | 31193 | Medical Supplies | 142275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 3726290 | GovernmentGrants |
| All Other Contributions | 1370225 | AllOtherContributions |
| Noncash Contributions | 1370225 | NoncashContributions |
| Total Contributions | 5096515 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Fees | 621110 | 5129462 | 5129462 |
| Other Contractural Revenue | 621110 | 4066 | 4066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5133528 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3294 | TotalRevenueColumn |
| Exclusion | $3,294 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1438 | TotalRevenueColumn |
| Exclusion | $1,438 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1438 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10234775 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5133528 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,732 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301245 | Total |
| Management And General | 301245 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4719686 | Total |
| Program Services | 4006207 | ProgramServices |
| Management And General | 713479 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316138 | Total |
| Program Services | 234913 | ProgramServices |
| Management And General | 81225 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377071 | Total |
| Program Services | 301542 | ProgramServices |
| Management And General | 75529 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20826 | Total |
| Management And General | 20826 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19875 | Total |
| Management And General | 19875 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 704329 | Total |
| Program Services | 391107 | ProgramServices |
| Management And General | 313222 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 689052 | Total |
| Program Services | 566982 | ProgramServices |
| Management And General | 122070 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584266 | Total |
| Program Services | 554563 | ProgramServices |
| Management And General | 29703 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109187 | Total |
| Program Services | 49786 | ProgramServices |
| Management And General | 59401 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46394 | Total |
| Program Services | 22999 | ProgramServices |
| Management And General | 23395 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337781 | Total |
| Program Services | 298854 | ProgramServices |
| Management And General | 38927 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34399 | Total |
| Program Services | 20551 | ProgramServices |
| Management And General | 13848 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies and Dr | 1903989 | 1903989 | |
| Lab Expense | 190835 | 190835 | |
| Dues & Subscriptions | 41437 | 11672 | 29765 |
| Equipment Rent & Mainte | 26529 | 17305 | 9224 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10099 | Total |
| Program Services | 9568 | ProgramServices |
| Management And General | 531 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10433138 | Total |
| Program Services | 8580873 | ProgramServices |
| Management And General | 1852265 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41714 | BOY |
| EOY | 415308 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 769577 | BOY |
| EOY | 739729 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 974335 | BOY |
| EOY | 685752 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52998 | BOY |
| EOY | 70364 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3821760 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1514658 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2585911 | BOY |
| EOY | 2307102 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20052 | BOY |
| EOY | 16529 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4444587 | BOY |
| EOY | 4234784 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 583091 | BOY |
| EOY | 625109 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1214641 | BOY |
| EOY | 1161183 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 32058 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1797732 | BOY |
| EOY | 1818350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2646855 | BOY |
| EOY | 2416434 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2646855 | BOY |
| EOY | 2416434 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4444587 | BOY |
| EOY | 4234784 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -198363 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -32058 | ReconciliationUnrealizedInvest |
| 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 |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4754250 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5642955 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5517345 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5452990 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5096515 | CurrentTaxYear |
| Total | 26464055 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4754250 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5642955 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5517345 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5452990 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5096515 | CurrentTaxYear |
| Total | 26464055 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 768743 | AmountsSubstContributorsTotal |
| Public Support Total170 | 25695312 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8528 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 36511 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18416 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10110 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3294 | CurrentTaxYear |
| Total | 76859 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 17336 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1438 | CurrentTaxYear |
| Total | 18774 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 26559688 | TotalSupport |
| Gross Receipts From Admissions Etc | 32252020 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96750 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99630 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 300000 | OtherCostOrOtherBasis |
| Book Value | 300000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1300000 | OtherCostOrOtherBasis |
| Depreciation | 213958 | Depreciation |
| Book Value | 1086042 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 235733 | OtherCostOrOtherBasis |
| Depreciation | 101313 | Depreciation |
| Book Value | 134420 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1986027 | OtherCostOrOtherBasis |
| Depreciation | 1199387 | Depreciation |
| Book Value | 786640 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2307102 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST RATE SWAP AGREEMENT | Description |
| Amount | $32,058 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32058 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 10226717 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -32058 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 24000 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | -8058 | RevenueNotRptdF990 |
| Revenue Subtotal | 10234775 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10234775 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10457138 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 24000 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 24000 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10433138 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10433138 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | There are no uncertain tax positions reported on the audited financial statements under FIN 46(ASC 740). | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samuel Sencil | ||||||||||||||
| Physician | 192967 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5090 | 0 | 198057 | 0 | 0 | 0 |
| Thomas Jones | ||||||||||||||
| Physician | 185011 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7313 | 0 | 192324 | 0 | 0 | 0 |
| Syed Zaidi | ||||||||||||||
| Physician | 176000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7674 | 0 | 183674 | 0 | 0 | 0 |
| Ifeoma Nnaji | ||||||||||||||
| Physician | 167662 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7424 | 0 | 175086 | 0 | 0 | 0 |
| Jeralyn Smith | ||||||||||||||
| Physician | 150156 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5428 | 0 | 155584 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1370225 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| ExplanationExplanation | Return ReferenceReturnReference |
|---|---|
| MedLink Georgia is an important part of the network of community-based health centers making a difference in the lives of more than 358,000 Georgians each year. We are a unique healthcare provider for Northeast Georgia and have chosen locations with you in mind - in Bowman, Clayton, Colbert, Gainesville, Hartwell, Homer, Lexington, Royston, Washington, and Winder. Medlink Georgia was founded in 1976. Our goal is to enhance the quality of life in our communities by providing accessible, affordable primary healthcare and related services effectively, efficiently, and responsibly. Our physicians' specialties range from Family Practice, Internal Medicine, Pediatrics, and more. We can serve you and become the healthcare network that meets your needs. No one is refused services because of lack of insurance. MedLink provides a broad set of services based on the needs of the communities we serve and pride ourselves on being the healthcare provider that works best with your financial situation. Our sites are community practices, serving everyone from newborns to the elderly, including those with commerical and public insurance, as well as those without insurance. MedLink's goal is to keep the lack of insurance from being a roadblock to quality health care. We accept Medicare, Medicaid including Amerigroup, PeachState, and WellCare-, PeachCare, Most Major Insurance, State Health Benefit Plans, and offer payment on a sliding fee schedule. This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n). | |
| The full board received a complete copy of Form 990 and all supporting schedules and has reviewed the Form 990 at a board of directors meeting prior to it being filed with the IRS. | Form 990, Part VI, Section B, line 11 |
| MedLink Georgia has an approved conflict of interest policy which requires its employees and Board members to always act in the best interest of the Company. Board members have a special duty to act in the public interest and to avoid dealing for personal compensation. Employees and the Board are encouraged to ask questions in all instances where there is a question related to the policy. The Board and employees are required to make full disclosure of existing or potential Conflicts of Interest situations in accordance with the guidelines below. Any improper transfer of material or disclosure of information, even though it is not apparent that an employee has personally gained by such action constitutes unacceptable conduct. Further, any undisclosed Conflict of Interest situations shall be considered unacceptable conduct. Any Board member or employee who participates in such a practice will be subject to disciplinary action. | Form 990, Part VI, Section B, line 12c |
| Medlink Georgia makes these documents available upon request. | Form 990, Part VI, Section C, line 19 |
| The CEO and CFO oversee fiancial statement preparation and audit engagement. | |
| The process for auditor selection and audit oversight has not changed. | Form 990 Part XII, Line 2c |