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GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INC (EIN 59-2013140)
Tax period
2010-04-01 to 2011-03-31
Filed
2012-03-03
IRS object ID
201240639349300134
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2012-03-03T15:07:50-06:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592013140EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGEORNameControl
Phone4046592831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 WEST PONCE DE LEON AVENUE NOAddressLine1
Address Line21000AddressLine2
CityDECATURCity
StateGAState
ZIP Code30030ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGWEN HARPERName
TitleFINANCE DIRECTORTitle
Phone4046592831Phone
Date Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGWEN HARPERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1315 WEST PONCE DE LEON AVENUE NOAddressLine1
Address Line21000AddressLine2
CityDECATURCity
StateGAState
ZIP Code30030ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3871837GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GAPHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE 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 Body33NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5731522ContributionsGrantsPriorYear
Contributions Grants Current Year3795624ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year161InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year76052OtherRevenueCurrentYear
Total Revenue Prior Year5731522TotalRevenuePriorYear
Total Revenue Current Year3871837TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year874780SalariesEtcPriorYear
Salaries Etc Current Year955200SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4893688OtherExpensePriorYear
Other Expenses Current Year3091616OtherExpensesCurrentYear
Total Expenses Prior Year5768468TotalExpensesPriorYear
Total Expenses Current Year4046816TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-36946RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-174979RevenuesLessExpensesCY
Total Assets BOY1461534TotalAssetsBOY
Total Assets EOY1041142TotalAssetsEOY
Total Liabilities BOY1445242TotalLiabilitiesBOY
Total Liabilities EOY1199829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16292NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-158687NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3497039Expense
Revenue3795624Revenue
DescriptionTHE 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 Expense3497039TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members33NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GWEN HARPERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4046592861TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1315 WEST PONCE DE LEON AVENUE NOAddressLine1
CityDECATURCity
StateGAState
ZIP Code30030ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
OLA SMITH
ORGANIZATIONAL MEMBER4.00X000
DIANA ALLEN
ORGANIZATIONAL MEMBER4.00X000
CARLA BELCHER
ORGANIZATIONAL MEMBER4.00X000
THOMAS ANDREWS
ORGANIZATIONAL MEMBER4.00X000
RB TUCKER
ORGANIZATIONAL MEMBER4.00X000
LEON BURTON
ORGANIZATIONAL MEMBER4.00X000
JENNIE WREN DENMARK
ORGANIZATIONAL MEMBER4.00X000
MELINDA CRAIG
ORGANIZATIONAL MEMBER4.00X000
STEVE SMITH
ORGANIZATIONAL MEMBER4.00X000
TARY BROWN
ORGANIZATIONAL MEMBER4.00X000
DONNA NEWSOME
ORGANIZATIONAL MEMBER4.00X000
CARLOS STAPLETON
ORGANIZATIONAL MEMBER4.00X000
DAVID WILLIAMS MD
ORGANIZATIONAL MEMBER4.00X000
AJAY GEHLOT
ORGANIZATIONAL MEMBER4.00X000
JON WOLLENZIEN JR
ORGANIZATIONAL MEMBER4.00X000
LISA BROWN
ORGANIZATIONAL MEMBER4.00X000
ARETHA R JONES
ORGANIZATIONAL MEMBER4.00X000
ANN ADDISON PHD
ORGANIZATIONAL MEMBER4.00X000
YVETTE HAGINS
ORGANIZATIONAL MEMBER4.00X000
SHEILA FULTZ
ORGANIZATIONAL MEMBER4.00X000
KATHERINE MCLEOD MSPH
ORGANIZATIONAL MEMBER4.00X000
MELINDA RIDER
ORGANIZATIONAL MEMBER4.00X000
VICKI SMITH
ORGANIZATIONAL MEMBER4.00X000
TOM UNDERWOOD
AT-LARGE MEMBER4.00X000
THERESA JACOBS MD
AT-LARGE MEMBER4.00X000
FRANK A BONATI DRPH
AT-LARGE MEMBER4.00X000
LLOYD HOFER MD
AT-LARGE MEMBER4.00X000
SARAH LANG
TREASURER4.00000X
DR MICHAEL BROOKS
BOARD PRESIDENT4.00000X
JEFFREY TAYLOR
PRESIDENT4.00000X
STEVEN MIRACLE
SECRETARY4.00000X
DUANE A KAVKA
EXECUTIVE DIRECTOR40.00173971093225X
GWENDOLYN HARPER
CFO40.0010686808156X
FieldValueIRS element (for citing)
Total Reportable Comp From Org280839TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation101381TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRITRONXBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14194 GRAMERCY MAIN NWAddressLine1
CityKENNESAWCity
StateGAState
ZIP Code30144ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHIT/EHR CONTRACTUAL SERVICESDescriptionOfServices
Compensation176364Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Membership Dues143645MembershipDues
Government Grants3154976GovernmentGrants
All Other Contributions497003AllOtherContributions
Total Contributions3795624TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column161TotalRevenueColumn
Exclusion$161ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TRAINING AND WORKSHOPS9000996839268392
MISC REIMBURSEMENT FRO90009976607660
FieldValueIRS element (for citing)
Total Other Revenue76052TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3871837TotalRevenueColumn
Related Or Exempt Function Income76052RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$161ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total340698Total
Program Services282779ProgramServices
Management And General57919ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total381971Total
Program Services317036ProgramServices
Management And General64935ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total40166Total
Program Services33338ProgramServices
Management And General6828ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total192365Total
Program Services159663ProgramServices
Management And General32702ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20432Total
Program Services2247ProgramServices
Management And General18185ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20118Total
Program Services2213ProgramServices
Management And General17905ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1419760Total
Program Services1277784ProgramServices
Management And General141976ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total77694Total
Program Services71154ProgramServices
Management And General6540ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total303553Total
Program Services273198ProgramServices
Management And General30355ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total207518Total
Program Services179586ProgramServices
Management And General27932ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83680Total
Program Services59137ProgramServices
Management And General24543ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73182Total
Program Services51717ProgramServices
Management And General21465ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total33166Total
Program Services27903ProgramServices
Management And General5263ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT,REPAIRS & MAI45570239627859424
OTHER21480719962015187
CONSUMABLE SUPPLIES963308376912561
STAFF TRAINING & DEVELO85674796176057

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4046816Total
Program Services3497039ProgramServices
Management And General549777ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY101508EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY908759BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY348682BOY
EOY669935EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY203993BOY
EOY231148EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY38551EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1461534BOY
EOY1041142EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1402284BOY
EOY1139677EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27641BOY
EOY60152EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY15317BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1445242BOY
EOY1199829EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1170BOY
EOY-158687EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17462BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16292BOY
EOY-158687EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1461534BOY
EOY1041142EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-174979ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1768187CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3288041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3920750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5731522CurrentTaxYearMinus1Year
Current Tax Year3795624CurrentTaxYear
Total18504124Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1768187CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3288041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3920750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5731522CurrentTaxYearMinus1Year
Current Tax Year3795624CurrentTaxYear
Total18504124Total
FieldValueIRS element (for citing)
Public Support Total17018504124PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year161CurrentTaxYear
Total161Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year76052CurrentTaxYear
Total76052Total
FieldValueIRS element (for citing)
Total Support18580337TotalSupport
Public Support Pertcentage1700.99590PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99720PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue3871837TotalRevenue
Total Expenses4046816TotalExpenses
Excess Or Deficit For Year-174979ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-174979ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3795624TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3795624RevenueSubtotal
Other Revenues Not Included76213OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt76213RevenueNotRptdOnFinStmt
Total Revenue Per Form9903871837TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3970603TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3970603ExpensesSubtotal
Other Expenses Not Included76213OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt76213ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904046816TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MISCELLANEOUS INCOME INCLUDED IN EXPENSES ON FINANCIAL STATEMENTS 76,213.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:MISCELLANEOUS INCOME INCLUDED IN EXPENSES ON FINANCIAL STATEMENTS 76,213.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDUANE A KAVKANamePerson
Base Compensation Filing Org167645BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org6326OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org6559DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org86666NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org267196TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org51648CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 11THE 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.
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 12C
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 B, LINE 15
THE ORGANIZATION ANNUAL REPORT, WHICH INCLUDES THE FINANCIAL STATEMENTS, IS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C
REASONABLE CAUSE FOR LATE FILINGTHIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012 AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE RESPECTFULLY REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FIING OF THIS RETURN.FORM 990