Civic Intelligence

Georgia Professional Health Program Inc.

990 • Fiscal year 2016 • EIN 27-4592137

Jan 01, 2016 to Dec 31, 2016 • Filed on May 11, 2017

675 Seminole Ave Ste 108Atlanta, GA 30307

(678) 825-3764

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

55th percentile

4.8%

Higher net margin than 55% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

96th percentile

$208,000

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 28.7% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

84th percentile

30%

Faster asset growth than 84% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

67th percentile

13%

Faster revenue growth than 67% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Up

$152,863

Up $35,064 (+30%) from 2015

Net Assets

Up

$152,863

Up $35,064 (+30%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$724,476

Up $82,382 (+13%) from 2015

Expenses

Up

$689,412

Up $114,116 (+20%) from 2015

Net Income

Down

$35,064

Down $31,734 (-48%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0Assets 2013: $14,171Liabilities 2013: $0Net Assets 2013: $14,1712013Assets 2014: $51,001Liabilities 2014: $0Net Assets 2014: $51,0012014Assets 2015: $117,799Liabilities 2015: $0Net Assets 2015: $117,7992015Assets 2016: $152,863Liabilities 2016: $0Net Assets 2016: $152,8632016Assets 2017: $268,911Liabilities 2017: $0Net Assets 2017: $268,9112017Assets 2018: $299,185Liabilities 2018: $0Net Assets 2018: $299,1852018Assets 2019: $350,553Liabilities 2019: $0Net Assets 2019: $350,5532019Assets 2020: $458,409Liabilities 2020: $59,020Net Assets 2020: $399,3892020Assets 2021: $503,844Liabilities 2021: $0Net Assets 2021: $503,8442021Assets 2022: $431,394Liabilities 2022: $0Net Assets 2022: $431,3942022Assets 2023: $423,105Liabilities 2023: $0Net Assets 2023: $423,1052023Assets 2024: $378,675Liabilities 2024: $0Net Assets 2024: $378,6752024

Highlighted filing

2016

Assets$152,863
Liabilities$0
Net Assets$152,863

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500KRevenue 2013: $462,095Expenses 2013: $466,608Net Income 2013: -$4,5132013Revenue 2014: $529,367Expenses 2014: $492,537Net Income 2014: $36,8302014Revenue 2015: $642,094Expenses 2015: $575,296Net Income 2015: $66,7982015Revenue 2016: $724,476Expenses 2016: $689,412Net Income 2016: $35,0642016Revenue 2017: $804,038Expenses 2017: $687,990Net Income 2017: $116,0482017Revenue 2018: $797,834Expenses 2018: $767,560Net Income 2018: $30,2742018Revenue 2019: $791,530Expenses 2019: $741,737Net Income 2019: $49,7932019Revenue 2020: $816,233Expenses 2020: $765,702Net Income 2020: $50,5312020Revenue 2021: $876,287Expenses 2021: $783,658Net Income 2021: $92,6292021Revenue 2022: $779,136Expenses 2022: $806,733Net Income 2022: -$27,5972022Revenue 2023: $788,930Expenses 2023: $813,835Net Income 2023: -$24,9052023Revenue 2024: $765,030Expenses 2024: $830,366Net Income 2024: -$65,3362024

Highlighted filing

2016

Revenue$724,476
Expenses$689,412
Net Income$35,064
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
May 11, 2017
Return Version
2016v3.0
Gross Receipts
$724,476
Mission and Program Overview

Mission

The organization is dedicated to the well being of medical professionals in georgia, providing confidential referral, treatment oversight, and monitoring of potentially impairing conditions, mental illness, and substance use disorders. This improves patient care and safety through early detection, treatment, and management of potentially impairing conditions in georgia physicians and physician assistants.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$91,893$144,737▲ $52,844
Cash and Non-Interest-Bearing Accounts$23,596$5,816▼ $17,780
Total Assets$117,799$152,863▲ $35,064
Other Assets Total$2,310$2,310→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$117,799$152,863▲ $35,064
Total Net Assets Fund Balance$117,799$152,863▲ $35,064
Total Liabilities and Net Assets / Fund Balance$117,799$152,863▲ $35,064
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Paul Earley MdMedical DireFT$208,000$208,000
Paul Earley MdMedical Director-$208,000$208,000
Robin MccownExecutive DiFT$140,000$140,000

Board Members and Trustees

NameTitle
Judy Rivenbark MdChair
Roland Summers MdVice Chair
Jamie HaleyDirector
Kathy Kinlaw M DivDirector
Lynn M WilsonSecretary/tr
Revenue and Support

Revenue Composition

Contributions and Grants
$8,351
Program Service Revenue
$716,090
Investment Income
$35
Other Revenue
$0
All Other Contributions
$5,000
Change in Net Assets
$35,064
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$404,409
Other Expenses$285,003
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$295,800$52,200-$348,000
Occupancy$44,115$6,024-$50,139
Other Salaries and Wages$28,954$5,109-$34,063
Insurance$26,661$6,291-$32,952
Travel$20,950$4,688-$25,638
Payroll Taxes$18,994$3,352-$22,346
Office Expenses$5,035$4,317-$9,352
Other Expenses$3,080$3,081-$6,161
All Other Expenses$2,154$3,349-$5,503
Fees for Services Accounting$1,015$1,016-$2,031
Fees for Services Legal$702$701-$1,403
Fees for Services Other$906$160-$1,066
Information Technology$63$64-$127
Total Functional Expenses$599,060$90,352$0$689,412
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Paul Earley MdMed. DirectorRentNo$12,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

990 is reviewed by the board and/or the executive committee prior to filing

Form 990, Page 6, Part VI, Line 12C

Annual, signed certification is required of each board membewr

Form 990, Page 6, Part VI, Line 15A

Board provides annual review and approves raises, documented in the minutes

Form 990, Page 6, Part VI, Line 15B

Board provides annual review and approves raises, documented in the minutes

Form 990, Page 6, Part VI, Line 19

Forms are available upon request

Filing and Contact Details

Filer

Filer Name
Georgia Professional Health Program
EIN
27-4592137
Phone
6788253764
Address
675 SEMINOLE AVE STE 108, ATLANTA, GA 30307

Signing Officer

Name
Lynn M Wilson
Title
Secretary/treasurer
Phone
6788253764
Signed
2017-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Judy Rivenbark Md
Formed
2010
Legal Domicile
Ga
Voting Board Members
7
Independent Board Members
5
Employees
3
Volunteers
7

Preparer

Firm
Carmichael Brasher Tuvell & Company
Address
1647 MOUNT VERNON RD, ATLANTA, GA 30338-4205
Preparer
Ben W Carmichael Jr CPA
Phone
6784439200
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The organization is dedicated to the well being of medical professionals in georgia, providing confidential referral, treatment oversight, and monitoring of potentially impairing conditions, mental illness, and substance use disorders. This improves patient care and safety through early detection, treatment, and management of potentially impairing conditions in georgia physicians and physician assistants.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PAUL EARLEY MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEDICAL DIRECTOR
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt012000
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IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION RENTS OFFICE SPACE FROM THE MEDICAL DIRECTOR'S MEDICAL PRACTICE IN ATLANTA. THE RENT CHARGED IS LESS THAN OR EQUAL TO RENT CHARGED BY OTHER ENTITIES IN THE METRO-ATLANTA AREA.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE L, PART V
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS DEDICATED TO THE WELL BEING OF MEDICAL PROFESSIONALS IN GEORGIA, PROVIDING CONFIDENTIAL REFERRAL, TREATMENT OVERSIGHT, AND MONITORING OF POTENTIALLY IMPAIRING CONDITIONS, MENTAL ILLNESS, AND SUBSTANCE USE DISORDERS. THIS IMPROVES PATIENT CARE AND SAFETY THROUGH EARLY DETECTION, TREATMENT, AND MANAGEMENT OF POTENTIALLY IMPAIRING CONDITIONS IN GEORGIA PHYSICIANS AND PHYSICIAN ASSISTANTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1990 IS REVIEWED BY THE BOARD AND/OR THE EXECUTIVE COMMITTEE PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ANNUAL, SIGNED CERTIFICATION IS REQUIRED OF EACH BOARD MEMBEWR
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD PROVIDES ANNUAL REVIEW AND APPROVES RAISES, DOCUMENTED IN THE MINUTES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOARD PROVIDES ANNUAL REVIEW AND APPROVES RAISES, DOCUMENTED IN THE MINUTES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FORMS ARE AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0689412
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0724476
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0152863
IRS990/TravelGrp/ManagementAndGeneralAmt04688
IRS990/TravelGrp/ProgramServicesAmt020950
IRS990/TravelGrp/TotalAmt025638
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IRS990/TypeOfOrganizationCorpInd0X
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IRS990/UnrestrictedNetAssetsGrp/EOYAmt0152863
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0675 SEMINOLE AVE STE 108
IRS990/USAddress/CityNm0ATLANTA
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd030307
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IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0WWW.GAPHP.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LYNN M WILSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY/TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum06788253764
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GEORGIA PROFESSIONAL HEALTH PROGRAM
ReturnHeader/Filer/BusinessNameControlTxt0GEOR
ReturnHeader/Filer/EIN0274592137
ReturnHeader/Filer/PhoneNum06788253764
ReturnHeader/Filer/USAddress/AddressLine1Txt0675 SEMINOLE AVE STE 108
ReturnHeader/Filer/USAddress/CityNm0ATLANTA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030307
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0614066D88425E04266174B394A7A15593D42AD9D
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0614066D88425E04266174B394A7A15593D42AD9D
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0581696247
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CARMICHAEL BRASHER TUVELL & COMPANY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01647 MOUNT VERNON RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ATLANTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0303384205
ReturnHeader/PreparerPersonGrp/PhoneNum06784439200
ReturnHeader/PreparerPersonGrp/PreparationDt02017-05-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BEN W CARMICHAEL JR CPA
ReturnHeader/ReturnTs02017-05-15T08:36:00-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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