2013-07-12T15:15:53-05:00 2012-12-31 CANADY RICHBOURG WOODWARD LLP 5302 FREDERICK ST SUITE 200 SAVANNAH GA 314054823 990 2012-01-01 200314897 FAYETTE CARE CLINIC INC FAYE 7707199620 1260 HIGHWAY 54 W FAYETTEVILLE GA 302144514 SHERYL WATFORD 7707199620 2013-06-25 false JOHN F WOODWARD 9123542910 2013-07-10 2012 2016-02-24 21:20:13Z MS SHERYL WATFORD 1260 HWY 54 W FAYETTEVILLE GA 30214 227425 false X WWW.FAYETTECARECLINIC.COM X 2003 GA PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES. 11 11 4 159 0 190785 181259 903 688 104 0 38051 43762 229843 225709 0 0 105535 155429 0 33886 137210 116537 242745 271966 -12902 -46257 182115 134122 2828 1092 179287 133030 PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES. false false 160491 OUR MISSION IS TO PROMOTE HEALTH AND WELL-BEING BY REDUCING THE BARRIERS TO ACCESS HEALTHCARE FOR THE WORKING POOR AND UNINSURED POPOLATION OF FAYETTE COUNTY, THAT MEET INCOME REQUIREMENTS, THROUGH COMPASSIONATE HEALTH CARE AND EDUCATION AND TO PROVIDE A GATEWAY TO OTHER COMMUNITY RESOURCES. 160491 true true false false false false false false false false true false false false false false true false false false false false false false true false false false false false false false false false false true false false false false false false false false false false false true 5 0 4 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true false false false false true true false GA X SHERYL WATFORD 7707194620 1260 HWY 54 W SUITE 101 FAYETTEVILLE GA 30214 DR CHARLES BARBER 1.00 X 0 0 0 DAYE BEXLEY 1.00 X X 0 0 0 ELIZABETH J CARAWAY 1.00 X 0 0 0 DR NIMISH DHRUVA 1.00 X 0 0 0 ANTHONY FREEMAN 1.00 X X 0 0 0 MEGAN LIDDY 1.00 X 0 0 0 GREGORY ALVAREZ MD 1.00 X 0 0 0 JOHN MILES 1.00 X 0 0 0 MARYANNE MUJICA 1.00 X X 0 0 0 JIMMY PACE 1.00 X 0 0 0 SCOTT ROWLAND 1.00 X 0 0 0 SHERYL WATFORD 45.00 X 67730 0 9007 67730 9007 false false false 36524 144735 4125 181259 PATIENT RECORD COPIES 480 480 MISC 208 208 688 45478 1716 43762 43762 225709 688 43762 76737 7674 38368 30695 66807 66807 11885 6500 2992 2393 6081 6081 5061 3290 1771 1404 1404 1028 1028 49942 44948 4994 1237 1237 13580 11737 1843 2766 2766 SUPPLIES 11807 9983 1339 485 VOLUNTEER MEALS & APPREC 9202 3750 5452 DUES AND MEMBERSHIP 4134 4134 EQUIP REPAIR/MAINT 3745 3745 6550 2057 4180 313 271966 160491 77589 33886 80536 36195 56971 57099 96766 55938 44608 40828 182115 134122 2828 1092 2828 1092 X 179287 133030 179287 133030 182115 134122 -46257 X false true X false false X 128200 125624 282663 190785 181259 908531 128200 125624 282663 190785 181259 908531 908531 1408 74 1482 41768 42085 45478 129331 1039344 688 0.87410 0.91150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 96766 55938 40828 40828 1312176 1086467 1086467 225709 225709 1358433 1086467 1086467 271966 271966 DANCE 33993 33993 750 GOLF TOURNMENT 11485 11485 966 45478 45478 1716 1716 43762 GROUP SIX PROPERTIES 1 LTD LP MEMBER 49942 RENT OF FACILITIES false EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 FATETTE CARE CLINIC, INC IS DEPENDENT ON ITS VOLUNTEERS. VOLUNTEERS PROVIDE MEDICAL, DENTAL, EDUCATIONAL AND ADMINISTRATIVE SERVICES. TOTAL VOLUNTEER SERVICES ARE VALUED AT APPROXIMATELY 271,879. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE RETURN IS GIVEN TO EACH MEMBER OF THE BOARD BEFORE THE RETURN IS FILED. IF NO CORRECTIONS ARE SUGGESTED, THE RETURN IS FILED. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. REFERENCE IS MADE TO COMPENSATION PAID BY COMPARABLE ORGANIZATIONS,BUT LIMITED BY BUDGET RESTRAINTS. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B N/A GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIED AND DISTRIBUTED UPON REQUEST.