2013-11-15T11:57:45-06:00 2013-03-31 580692043 Mauldin & Jenkins LLC 200 Galleria Pkwy SE Ste 1700 Atlanta GA 303395946 990 2012-04-01 581394645 MedLink Georgia Inc MEDL 7067883234 PO Box 459 Colbert GA 30628 Jackie R Griffin PhD 7067883234 2013-11-13 1 Jeff T Fucito P00120748 7709558600 2013-11-13 X 2012 2015-11-30 17:44:51Z Jackie R Griffin PhD PO Box 459 Colbert GA 30628 10234775 0 X www.medlinkga.org X 1976 GA 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. 10 10 129 14 0 0 5452990 5096515 5483502 5133528 10110 3294 17336 1438 10963938 10234775 0 0 0 0 6668597 5714140 0 0 0 4517718 4718998 11186315 10433138 -222377 -198363 4444587 4234784 1797732 1818350 2646855 2416434 X Medlink Georgia's Mission is to enhance the quality of life in our communities through the delivery of compassionate, effective, and responsible health care. 0 0 8580873 5133528 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. 8580873 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 25 0 1 129 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X Dave Ward CFO 7067883234 11 Charlie Morris Rd Colbert GA 30628 Bobby Berryman 1.00 X 0 0 0 Robin Booker 1.00 X 0 0 0 Doug Bridges 1.00 X X 0 0 0 Marilyn Favors 1.00 X X 0 0 0 Jose Gonzalez 1.00 X 0 0 0 Ann Herring 1.00 X 0 0 0 Lucy McCannon 1.00 X 0 0 0 Al Stone Jr 1.00 X X 0 0 0 Robin Trotter 1.00 X X 0 0 0 Calvin Turner 1.00 X 0 0 0 Iris Walker 1.00 X 0 0 0 Sue Willis 1.00 X 0 0 0 Steven Smith 50.00 X 86547 0 6223 Jackie Griffin PhD 50.00 X 98540 0 0 David Ward 50.00 X 87999 0 7403 Samuel Sencil 40.00 X 192967 0 5090 Thomas Jones 40.00 X 185011 0 7313 Syed Zaidi 40.00 X 176000 0 7674 Ifeoma Nnaji 40.00 X 167662 0 7424 Jeralyn Smith 40.00 X 150156 0 5428 1144882 0 46555 5 0 1 0 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 8 3726290 1370225 1370225 5096515 Patient Fees 621110 5129462 5129462 Other Contractural Revenue 621110 4066 4066 5133528 3294 3294 Other Revenue 900099 1438 1438 1438 10234775 5133528 0 4732 301245 301245 4719686 4006207 713479 316138 234913 81225 377071 301542 75529 20826 20826 19875 19875 704329 391107 313222 689052 566982 122070 584266 554563 29703 109187 49786 59401 46394 22999 23395 337781 298854 38927 34399 20551 13848 Medical Supplies and Dr 1903989 1903989 Lab Expense 190835 190835 Dues & Subscriptions 41437 11672 29765 Equipment Rent & Mainte 26529 17305 9224 10099 9568 531 10433138 8580873 1852265 0 41714 415308 769577 739729 974335 685752 52998 70364 3821760 1514658 2585911 2307102 20052 16529 4444587 4234784 583091 625109 1214641 1161183 0 32058 1797732 1818350 X 2646855 2416434 2646855 2416434 4444587 4234784 -198363 -32058 0 X X 0 1 X 1 1 1 X 4754250 5642955 5517345 5452990 5096515 26464055 4754250 5642955 5517345 5452990 5096515 26464055 768743 25695312 8528 36511 18416 10110 3294 76859 17336 1438 18774 26559688 32252020 0.96750 0.99630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 1300000 213958 1086042 235733 101313 134420 1986027 1199387 786640 2307102 INTEREST RATE SWAP AGREEMENT 32058 32058 X 10226717 -32058 24000 -8058 10234775 0 10234775 10457138 24000 24000 10433138 0 10433138 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: There are no uncertain tax positions reported on the audited financial statements under FIN 46(ASC 740). X X X 0 0 0 0 0 0 0 0 0 Samuel Sencil 192967 0 0 0 0 0 0 0 5090 0 198057 0 0 0 Thomas Jones 185011 0 0 0 0 0 0 0 7313 0 192324 0 0 0 Syed Zaidi 176000 0 0 0 0 0 0 0 7674 0 183674 0 0 0 Ifeoma Nnaji 167662 0 0 0 0 0 0 0 7424 0 175086 0 0 0 Jeralyn Smith 150156 0 0 0 0 0 0 0 5428 0 155584 0 0 0 X 2 1370225 FMV 0 0 0 0 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). Form 990, Part VI, Section B, line 11 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 12c 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 C, line 19 Medlink Georgia makes these documents available upon request. The CEO and CFO oversee fiancial statement preparation and audit engagement. Form 990 Part XII, Line 2c The process for auditor selection and audit oversight has not changed.