2012-09-24T12:27:52-07:00 2012-05-31 GRACE & ASSOCIATES PC 29 LENOX POINTE NE ATLANTA GA 303243172 990 2011-06-01 581338038 Georgia Highlands Medical Services Inc GEOR 7708871668 260 Elm Street P O Box 307 Cumming GA 30028 C Alex Smith 2012-09-24 true J N Grace 4043649000 2011 2016-02-24 21:20:13Z C Alex Smith 260 Elm Street PO Box 307 Cumming GA 30028 4784569 false false X www.georgiahighlandsmedical.org X 1978 GA To develop and administer a comprehensive primary health care system for citizens of Forsyth County, Georgia, surrounding communities and their citizens, regardless of the citizen's ability to pay for services. 9 9 59 0 2580362 2129962 2335465 2638811 4148 796 15000 15000 4934975 4784569 0 0 3417262 3416917 0 0 1495091 1329940 4912353 4746857 22622 37712 2652321 2640441 1276871 1227279 1375450 1413162 To develop and administer a comprehensive primary health care system for citizens of Forsyth County, Georgia, surrounding communities and their citizens, regardless of the citizen's ability to pay for services. false false 3686101 2503106 The program provides health services to low income individuals. Patients are charged for medical services based on their income level. During the year 43,792 patient visits were provided. 3686101 true false 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 5 0 true 59 false false false false false false false false false false false false 0 false false false false false false false false false false false X 9 9 false false false false false false false true true false false false true true true true true true true true false false GA X Mrs Linda Howell 7708871668 260 Elm Street Cumming GA 30040 Gina Santos 1.00 X 0 0 0 Burma Parks 1.00 X 0 0 0 Jesann Hendrix 1.00 X 0 0 0 Marie Thompson 1.00 X 0 0 0 Pamela Kay Thompson 1.00 X 0 0 0 Dr Scott Henderson 1.00 X 0 0 0 Scott Hansard 1.00 X 0 0 0 Ruth Baumann 1.00 X 0 0 0 Nida Poole 1.00 X 0 0 0 Linda Howell 40.00 X 105960 0 0 C Alex Smith 40.00 X 0 0 0 Dr Arif Patni DO 40.00 X 194247 0 0 Safia Pirani MD 40.00 X 147867 0 0 Brinkley Goodson DO 40.00 X 169535 0 0 Swapna Madhavan MD 32.00 X 140609 0 0 David Derrer MD 40.00 X 165070 0 0 Magdy Rezk MD 40.00 X 158523 0 0 1081811 8 false true false Wilmington Trust 1100 North Market Street Wilmington DE 198900001 Employee 403(b) 150868 State Health Benefit Plan PO Box 931550 Atlanta GA 311931550 Employee health ins. 315389 2 1910443 219519 99519 2129962 Patient fees, net 2503106 2503106 Other support and revenue 135705 135705 2638811 796 796 0 0 15000 15000 15000 15000 0 0 0 0 0 4784569 2653811 796 0 0 0 0 368480 161698 206782 0 2418315 2169775 248540 0 630122 537603 92519 0 0 0 0 0 0 0 0 0 0 0 0 132930 122056 10874 19639 9082 10557 0 0 53004 53004 0 188145 164885 23260 16944 16944 Supplies 306529 231817 74712 Repairs and Maintenance 80390 2308 78082 Donated pharmaceuticals 99519 99519 Contractual 287712 161156 126556 Communication 59544 6093 53451 85584 20109 65475 4746857 3686101 1060756 0 57783 239368 109039 109671 0 379116 316261 0 0 0 17520 24241 8791 5637 4047365 2133463 2080072 1913902 0 0 0 31361 0 2652321 2640441 301426 320750 973911 905246 1534 1283 1276871 1227279 X 1375450 1413162 1375450 1413162 2652321 2640441 37712 X false true false X true true X 1980778 2158369 2535369 2580362 2129962 11384840 0 0 1980778 2158369 2535369 2580362 2129962 11384840 0 11384840 35384 32717 23590 19148 15796 126635 0 79584 19257 49572 58649 14498 221560 11733035 7209683 0.97030 0.96790 X 200000 200000 2904535 1409512 1495023 78144 49626 28518 864686 674325 190361 1913902 Rounding 1 Accrued interest 1282 1283 4784569 4746857 37712 37712 4784569 4784569 4784569 4746857 4746857 4746857 X X false false false false false false false false false false Magdy Rezk MD 158523 158523 Dr Arif Patni DO 194247 194247 206472 David Derrer MD 165070 165070 Brinkley Goodson DO 169535 169535 X 1 99519 FMV false false false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available These documents are available on site and can be reviewed upon request. Form 990, Part VI, Line 15b 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 12c 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 11 Form 990, Part VI, Line 11: 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. Client Note 1 - Georgia Highlands Medical Services, Inc. did not have any fundraising expenses during the year ended May 31, 2011.