2021-08-30T08:10:22-05:00 2021-03-31 580692043 Mauldin & Jenkins LLC 200 Galleria Pkwy SE Ste 1700 Atlanta GA 303395946 990 2020-04-01 581394645 Medlink Georgia Inc MEDL 7067883234 6754 Hwy 72 West Colbert GA 30628 Dave Ward CEO 7067883234 2021-08-27 1 Dave Ward XXX-XX-XXXX Mary Jo Alexander P00002534 7709558600 2021-08-27 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Dave Ward 6754 Hwy 72 West Colbert GA 30628 36996101 0 X www.medlinkga.org X 1976 GA MedLink Georgia is a Federally Qualified Community Health Center inNorth East Georgia that serves over 48,500 patients. MedLink not onlytreats illness, but also provides preventive services to keep patientswell. MedLink is a NCQA Recognized Patient Center Medical Home thatis focused on improving the health of our patients. Through ourPopulation Health Management, MedLink is dedicated to prevention anddetecting illness early to minimize the effect on the lives ofpatients, in order to maximize our patients' ability to live healthierlives. In doing so, there is a decrease in costly specialty andinpatient care and reduces the length of hospital stays. Such care isnot only cost effective; it improves the quality of our patients'lives. 11 11 382 11 0 0 8243623 8780103 23445182 28212211 -7254 3787 0 0 31681551 36996101 0 0 0 0 20194107 21695341 0 0 0 11058660 10885382 31252767 32580723 428784 4415378 13673314 20791845 9530152 12233305 4143162 8558540 X To partner with patients to support their wellness through compassionate quality healthcare. 0 0 27552594 28212211 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.MedLink Georgia, founded in 1976, is an important part of the network of community-based health centers making a difference in the lives of more than 600,000 Georgians each year. We are a unique healthcare provider for Northeast Georgia with locations in Bowman, Clayton, Cleveland, Colbert, Commerce, Demorest, Duluth, Gainesville, Hartwell, Homer, Jefferson, Lexington, Monroe, Royston, and Winder.MedLink Georgia provides a broad range of services based on the needs of the communities we serve. We strive to be the healthcare provider of choice that will serve anyone, regardless of their financial situation. No one is refused services because of lack of insurance. We maintain a sliding fee schedule that is based on the Federal Poverty Guidelines. It is MedLink's goal to keep the lack of insurance or ability to pay from being a roadblock to quality health care.MedLink Georgia is a Health Center Program grantee as defined by 42 U.S.C. 245b, and deemed a Public Health Service employer under 42 U.S.C. 233(g) - (n). 27552594 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 37 0 1 382 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X Dave Ward CEO 7067883234 6754 Hwy 72 West Colbert GA 30628 Dr Derek Klemm Physician 40.00 X 304201 0 12702 Dr Daniel Gordon Physician 40.00 X 295569 0 6535 Dr Mushtaq Ahmed Physician 40.00 X 277759 0 11830 Dr Syed Zaidi Physician 40.00 X 273317 0 12362 Dr Theodore Schock Physician 40.00 X 241346 0 11884 Dave Ward CEO 40.00 X 208156 0 11389 Susan Clark COO 40.00 X 150143 0 5009 Steve Barber CFO 40.00 X 138250 0 10657 Doug Bridges Chair 1.00 X X 0 0 0 Faye S Burnett Chair-Elect 1.00 X X 0 0 0 Larry Walker Past-Chair 1.00 X 0 0 0 Gary Morris Treasurer 1.00 X X 0 0 0 Nancy Lord Secretary 1.00 X X 0 0 0 Al Stone Jr Board Member 1.00 X 0 0 0 Bobby Berryman Board Member 1.00 X 0 0 0 Merlin Mejia Board Member 1.00 X 0 0 0 Joe Fernandez Board Member 1.00 X 0 0 0 Marilyn Favors Board Member 1.00 X 0 0 0 Sandi Saffold Board Member 1.00 X 0 0 0 1888741 0 82368 49 0 1 0 CARDINAL HEALTH 110 LLC 2512 WESTCOTT BLVD KNOXVILLE TN 37931 MEDICAL SUPPLIES 1027325 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 022415615 EHR 1013342 MCKESSON MEDICAL - SURGICAL P O BOX 933027 ATLANTA GA 31193 MEDICAL SUPPLIES 596775 R&S NORTHEAST LLC PO BOX 935485 ATLANTA GA 311935485 MEDICAL SUPPLIES 374368 SNODON VILLAGE LLC PO BOX 547 WINDER GA 30680 RENT/LEASE 317742 17 8514971 265132 248022 8780103 Patient Fees 621110 24522558 24522558 Other Contractual Revenue 621110 3689653 3689653 28212211 3787 3787 36996101 28212211 0 3787 518418 362893 155525 18596501 15451866 3144635 333998 304486 29512 934059 848824 85235 1312365 1086026 226339 4053 4053 51593 51593 1659186 1474432 184754 1064401 770875 293526 1206983 1158951 48032 168962 73254 95708 196710 165704 31006 586438 419934 166504 158977 45357 113620 Consumable Medical Supp 5388096 5024885 363211 Lab Expense 302910 302910 Equipment Rent & Mainte 60738 52427 8311 Dues & Subscriptions 27931 1605 26326 8404 8165 239 32580723 27552594 5028129 0 1387445 6664287 351919 1162622 2026130 2154459 103116 124014 52183 54931 13980008 3369699 9735855 10610309 16666 21223 13673314 20791845 3338583 3147462 263643 29000 5927926 5787583 3269260 9530152 12233305 X 4134414 8542791 8748 15749 4143162 8558540 13673314 20791845 4415378 0 X X 0 1 X 1 1 1 X 6849383 6847784 8101318 8243623 8780103 38822211 24000 13000 37000 6873383 6860784 8101318 8243623 8780103 38859211 1378281 37480930 13 634 1017 3787 5451 458 69085 69543 38934205 71827840 0.96270 0.94140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1317742 1317742 8319237 1267303 7051934 523914 316498 207416 3378635 1757058 1621577 440480 28840 411640 10610309 X 36996101 0 36996101 0 36996101 32580723 0 32580723 0 32580723 Part X, Line 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENTS EFFECTS FROM A TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION.EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE ASSESSMENT OF THE TECHNICAL MERITS OF A TAX POSITION IS A MATER OF JUDGEMENT. THE ORGANIZATION BELIEVES THAT ALL ITS TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF GEORGIA. X X X X X 0 0 0 0 0 0 0 1 0 Dr Derek Klemm Physician 268443 0 35758 0 0 0 3600 0 9102 0 316903 0 0 0 Dr Daniel Gordon Physician 269028 0 26541 0 0 0 3600 0 2935 0 302104 0 0 0 Dr Mushtaq Ahmed Physician 277759 0 0 0 0 0 3600 0 8230 0 289589 0 0 0 Dr Syed Zaidi Physician 273317 0 0 0 0 0 3600 0 8762 0 285679 0 0 0 Dr Theodore Schock Physician 241346 0 0 0 0 0 3600 0 8284 0 253230 0 0 0 Dave Ward CEO 208156 0 0 0 0 0 3600 0 7789 0 219545 0 0 0 Susan Clark COO 150143 0 0 0 0 0 3600 0 1409 0 155152 0 0 0 Part I, Line 7 Board-approved Bonuses were paid to the following employees: Dr. Mushtaq Ahmed $ XXXX Dr. Derek Klemm XXXX Dr. Karen Frank XXXX Dr. Samuel Sencil XXXX Dr. Ambrous Findley XXX X 2 248022 FMV 0 0 0 0 Part I, Column (b): Number of contributors Form 990, Part VI, Section B, line 11b Full Board receives a full copy of the 990 and all accompanying schedules at a regularly scheduled board meeting. A Motion and vote is made to accept the 990 and authorize to file. 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 B, line 15 The process for determining compensation of key officers included a compensation study, comparison to other exempt organizations, and board approval. Form 990, Part VI, Section C, line 19 Documents are available upon request. Form 990 Part XII, Line 2c The CEO and CFO oversee financial statement preparation and audit engagement. Form 990 Part XII, Line 2c The process for auditor selection and audit oversight has not changed.