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Nonprofit · EIN 84-3430446

SOUTHWELL AMBULATORY INC

Tax-exempt · TIFTON, GA 31793

Financials

$8.3M$14M2022$4.8M$9.4M2023$4.9M$9.4M2024
Revenue Expenses · by fiscal year end
Financials of SOUTHWELL AMBULATORY INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
September 30, 2025990$4,879,064$9,371,586-$4,492,522$5,408,253$935,802$4,472,451
September 30, 2024990$4,774,374$9,357,279-$4,582,905$6,572,082$792,749$5,779,333
September 30, 2023990$8,258,393$13,977,028-$5,718,635$8,021,707$1,202,929$6,818,778
Financial details: 990 for the year ended September 30, 2025

Revenue

Contributions, gifts and grants
$200,927
of which government grants
$200,927
Program service revenue
$4,676,859
Investment income
$0
Other revenue
$1,278

Expenses

Grants and similar amounts paid
$0
Other salaries and wages
$5,865,877
Salaries, compensation and benefits (total)
$7,138,900
Professional fundraising fees
$0
Accounting fees
$7,965
Occupancy
$90,093
Travel
$2,896
Depreciation
$726,321
Program services (functional)
$8,371,711
Management and general (functional)
$999,875

Balance sheet and other

Total assets, start of year
$6,572,082
Total assets, end of year
$5,408,253
Total liabilities, end of year
$935,802
Net assets, end of year
$4,472,451
Land, buildings and equipment
$4,779,610
Net assets without donor restrictions
$4,472,451
Gross receipts
$4,879,064
Employees
61
Year formed
2019
State of legal domicile
GA

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended September 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
CHRISTOPHER DORMANCEO
Officer
1$0$1,174,864$85,407
ERIC WARD MDPHYSICIAN
Highest-paid employee
40$894,335$0$61,345
JOE CLIFTON MDPHYSICIAN
Highest-paid employee
40$678,725$0$59,912
CAMERON NIXON MDSECRETARY/PH
Trustee or director, Officer
1$0$581,911$79,234
TROY BROOKSCFO
Officer
1$0$596,787$58,144
EDWARD FRICKER MDPHYSICIAN
Highest-paid employee
40$518,572$0$13,687
LYNN S LEE MDPHYSICIAN
Highest-paid employee
40$431,026$0$17,250
NANCY ROENURSE PRACTI
Highest-paid employee
40$128,800$0$3,220
WILLIAM BOWENCHAIRMAN
Trustee or director, Officer
1$0$0$0
KAINE BROWN MDMEMBER
Trustee or director
1$0$0$0
FORTSON TURNERMEMBER
Trustee or director
1$0$0$0
990 for the year ended September 30, 2024: 11 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
EDWARD FRICKER MDPHYSICIAN
Highest-paid employee
40$1,014,882$0$28,500
CHRISTOPHER DORMANCEO
Officer
1$0$856,256$29,627
ERIC WARD MDPHYSICIAN
Highest-paid employee
40$785,453$0$28,500
PAMELA TEMPLES MDPHYSICIAN
Highest-paid employee
40$735,029$0$28,500
JOE CLIFTON MDPHYSICIAN
Highest-paid employee
40$608,599$0$28,500
SARA YARBROUGH MDPHYSICIAN
Highest-paid employee
40$606,167$0$26,616
CAMERON NIXON MDSECRETARY/PH
Trustee or director, Officer
1$514,321$0$28,500
TROY BROOKSCFO
Officer
1$0$384,907$23,984
WILLIAM BOWENCHAIRMAN
Trustee or director, Officer
1$0$0$0
GEORGE M D HUNT IVMEMBER(TERM
Trustee or director
1$0$0$0
FORTSON TURNERMEMBER
Trustee or director
1$0$0$0
990 for the year ended September 30, 2023: 12 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
GUILLERMO SAURINA MDPHYSICIAN
Highest-paid employee
40$899,345$0$27,250
CHRISTOPHER DORMANCEO
Officer
1$0$842,627$28,377
PAMELA TEMPLES MDPHYSICIAN
Highest-paid employee
40$763,413$0$27,250
ERIC WARD MDPHYSICIAN
Highest-paid employee
40$755,026$0$27,250
EDWARD FRICKER MDPHYSICIAN
Highest-paid employee
40$727,412$0$27,250
JOE CLIFTON MDPHYSICIAN
Highest-paid employee
40$683,700$0$27,250
CAMERON NIXON MDSECRETARY
Trustee or director, Officer
1$0$514,045$27,250
KIM WILLSCFO/TREAS(LE
Former
1$0$218,516$12,243
TROY BROOKSCFO
Officer
1$0$184,425$9,635
WILLIAM BOWENCHAIRMAN
Trustee or director, Officer
1$0$0$0
GEORGE M D HUNT IVMEMBER
Trustee or director
1$0$0$0
FORTSON TURNERMEMBER
Trustee or director
1$0$0$0

Address and contacts

Address (IRS master file)
PO BOX 2650, TIFTON, GA 31793-2650
Principal officer (990 for 2024)
CHRISTOPHER DORMAN, PO BOX 2650, TIFTON, GA 31793
Signed the 990
TROY BROOKS, CFO
Phone
(229) 353-3804
Return prepared by
DRAFFIN & TUCKER LLP

Mission

THE MISSION OF THE ORGANIZATION IS TO PROVIDE SPECIALTY PHYSICIAN AND MEDICAL SERVICES TO THE COMMUNITY IN A MANNER CONSISTENT WITH BEING A TAX- EXEMPT ORGANIZATION.

990 for the year ended September 30, 2025

Program accomplishments

  • SOUTHWELL AMBULATORY, INC. IS A NON-PROFIT CORPORATION FORMED UNDER THE LAWS OF THE STATE OF GEORGIA TO PROVIDE SPECIALTY PHYSICIAN AND MEDICAL SERVICES TO THE COMMUNITY. THE ORGANIZATION BEGAN PROVIDES GASTROENTEROLOGY, ENDOSCOPY, PEDIATRIC AND INFECTIOUS DISEASES MEDICAL SERVICES.
    Expenses $8,371,711 · revenue $4,678,137

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025September 30, 2026February 15, 2027Not due yet
2024September 30, 2025February 16, 2026990 on file
2023September 30, 2024February 17, 2025990 on file

IRS record

EIN
84-3430446
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2021
Accounting year ends
September
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E30)
Assets (IRS master file)
$5,408,253
Income (IRS master file)
$4,879,064

Filing history

FormYear endedRevenueExpensesAssetsReturn
990September 2025$4,879,064$9,371,586$5,408,253XML
990September 2024$4,774,374$9,357,279$6,572,082XML
990September 2023$8,258,393$13,977,028$8,021,707XML
990September 2022$8,360,758$14,793,306$10,162,854IRS
990September 2021–––IRS
990September 2020–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 84-3430446).

Questions about SOUTHWELL AMBULATORY INC

What is the EIN of SOUTHWELL AMBULATORY INC?
The employer identification number (EIN) of SOUTHWELL AMBULATORY INC is 84-3430446.
Is SOUTHWELL AMBULATORY INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2021.
Are donations to SOUTHWELL AMBULATORY INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does SOUTHWELL AMBULATORY INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of SOUTHWELL AMBULATORY INC due?
The return for tax year 2025 (the year ending September 30, 2026) is due February 15, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
When did SOUTHWELL AMBULATORY INC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended September 2025.
Who is the principal officer of SOUTHWELL AMBULATORY INC?
The 990 for the year ended September 30, 2025 names CHRISTOPHER DORMAN.
Who are the officers and directors of SOUTHWELL AMBULATORY INC?
The 990 for the year ended September 30, 2025 lists 11 people; 5 received compensation from the organization.
How much revenue does SOUTHWELL AMBULATORY INC have?
On its 990 for the year ended September 30, 2025 it reported revenue of $4,879,064, expenses of $9,371,586 and total assets of $5,408,253 at year end.

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