2015-09-16T10:31:46-07:00 2015-05-31 GRACE & ASSOCIATES PC 29 LENOX POINTE NE ATLANTA GA 303243172 990 2014-06-01 581338038 Georgia Highlands Medical Services Inc GEOR 7708871668 260 Elm Street P O Box 307 Cumming GA 30028 Todd Shifflet CEO 2015-09-16 true J N Grace P00579388 4043649000 2014 2016-02-25 16:41:14Z 7696366 false false X www.georgiahighlandsmedical.org X 1978 GA To develop and administer a comprehensive primary health care system for the citizens of Forsyth County, Bartow County and Cherokee County, Georgia, their surrounding communities and their citizens, regardless of the citizen's ability to pay for services. 9 9 104 0 2397496 3557342 3439258 3970528 885 1885 10000 166611 5847639 7696366 0 0 4133882 4838499 0 0 1606198 2796254 5740080 7634753 107559 61613 2769081 5050137 943045 3162488 1826036 1887649 To develop and administer a comprehensive primary health care system for the citizens of Forsyth County, Bartow County and Cherokee County, Georgia, their surrounding communities and their citizens, regardless of the citizen's ability to pay for services. false false 5681089 3434939 The program provides health services to low income individuals. Patients are charged for medical services based on their income level. During the year 44,256 patient visits were provided. 5681089 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false true 12 0 true 104 true false false false false false false false false 0 false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false GA X Mrs Linda Howell 7708871668 260 Elm Street Cumming GA 30040 Ruth Baumann Director 1.00 0.00 X 0 0 0 Raymond DiPaula President 1.00 0.00 X 0 0 0 David Keith Pruitt Director 1.00 0.00 X 0 0 0 Elba Montalvo Secretary 1.00 0.00 X 0 0 0 George Arguelles Treasurer 1.00 0.00 X 0 0 0 Jesann Hendrix Imm. Past Pres. 1.00 0.00 X 0 0 0 Deborah Sexton Director 1.00 0.00 X 0 0 0 Gina Santos Director 1.00 0.00 X 0 0 0 Marianne de Vargas President Elect 1.00 0.00 X 0 0 0 Todd Shifflet CEO 40.00 0.00 X 0 0 0 Linda Howell COO/CFO 40.00 0.00 X 125550 0 3708 Dr Safia Pirani MD Medical Director 12.00 0.00 X 76400 0 0 Nandor A Kalli MD Physician 40.00 0.00 X 165085 0 4944 Brinkley Goodson DO Physician 40.00 0.00 X 147801 0 1672 Lee Harris Battle MD Physician 40.00 0.00 X 170843 0 0 Arif Patni DO Physician 40.00 0.00 X 288084 0 3825 Paola J Suarez MD Physician 40.00 0.00 X 165729 0 4944 C Alex Smith CEO 40.00 0.00 X 112141 0 3237 Scott Handsard President 1.00 0.00 X 0 0 0 1251633 22330 7 true true false State Health Benefit Plan PO Box 931550 Atlanta GA 311931550 Employee health ins. 381078 Wilmington Trust NA co Lincoln Financial PO Box 7876 Fort Wayne IN 46801 403(b) EE/ER Contrib 243154 Laboratory Corporation of America PO Box 12140 Burlington NC 27216 Laboratory services 197778 AmerisourceBergen Drug Corp PO Box 905223 Charlotte NC 282905223 Medication/Supplies 141307 Amo Construction LLC PO Box 460 Grayson GA 30017 Construction 132799 5 2656440 900902 780402 3557342 Other support and revenue 778492 778492 Patient fees, net 3192036 3192036 3970528 1885 1885 0 0 166611 166611 166611 166611 0 0 0 0 0 7696366 4139024 0 0 0 0 327720 63949 263771 0 3768308 3129498 638810 0 742471 704152 38319 0 0 0 0 0 0 0 0 0 0 0 0 226388 219479 6909 29951 14609 15342 0 0 111825 111825 0 258902 15825 243077 22942 22942 Donated pharmaceuticals 767439 767439 Supplies 635678 492766 142912 Contractual 419366 240807 178559 Repairs and Maintenance 162047 162047 161716 32565 129151 7634753 5681089 1953664 0 14882 56829 387460 266417 20000 134412 531198 453390 0 0 0 69710 120869 4985 40224 6748174 2791226 1718446 3956948 0 0 0 22400 21048 0 2769081 5050137 271072 303487 670391 2852826 1582 6175 943045 3162488 X 1826036 1887649 1826036 1887649 2769081 5050137 61613 X false true X true true true X 2580362 2129962 2118066 2397496 3557342 12783228 0 0 2580362 2129962 2118066 2397496 3557342 12783228 0 12783228 19148 15796 16054 10885 168496 230379 0 58649 14498 578979 509566 778493 1940185 14953792 13650752 0.85480 0.90070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 495000 495000 5080219 1826371 3253848 120029 66558 53471 1052926 898297 154629 3956948 Accrued interest 6119 Accrued sales tax 56 6175 7696366 7696366 7696366 7634753 7634753 7634753 X X X false false false false false false false false false false Arif Patni DO Physician 288084 3825 291909 C Alex Smith CEO 112141 3237 115378 Lee Harris Battle MD Physician 170843 170843 Nandor A Kalli MD Physician 165085 4944 170029 Paola J Suarez MD Physician 165729 4944 170673 X 1 767439 Fair Market Value X Medical Equipment 1 12963 Fair Market Value false false false Client Note 1 Client Note 1 - Georgia Highlands Medical Services, Inc. did not have any fundraising expenses during the year ended May 31, 2015. Form 990, Part VI, Line 11b: Form 990 Review Process After the return is prepared by the outside CPA firm, and before being submitted to the Internal Revenue Service, it is reviewed by the CEO/CFO and forwarded to the Finance Committee and Board of Directors for review. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The conflict of interest policy is found in our organization ethics policy and the board member by-laws and is discussed in annual Board retreats each year. Members of the Board of Directors are prohibited from realizing any financial gain from their service as board members. No member of the Board shall be an employee of the Center, or spouse or child, parent, brother or sister by blood or marriage of such an employee. No members of the Board may have an employer-employee relationship. No members of the Board may be relatives such as spouse, brother, sister, son, daughter, cousin or in-laws. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The organization utilizes a wage and salary scale that is approved by the Board of Directors for the CEO. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The organization utilizes a wage and salary scale for all employees. The scale is periodically revised and approved by the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available These documents are available on site and can be reviewed upon request.