Skip to content
Governance Register
US nonprofit · EIN 843430446 · Tifton, GAiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 843430446) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 30 September 2025: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Southwell Ambulatory Inc's network

4 people3 organisationsi4 people and 3 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (4). Violet dotted lines (5) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

4 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 3 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
William Bowen ChairChairman2021
5 yrs
Cameron Nixon MDSecretary/Ph2021
5 yrs
Fortson TurnerMember2021
5 yrs
George M D Hunt IVMember(Term2020
6 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

9 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Carl Woods MDPhysician2022
Christopher DormanCEOsince 2023
Edward Fricker MDPhysiciansince 2022
Eric Ward MDPhysiciansince 2022
Guillermo Saurina MDPhysiciansince 2022
Joe Clifton MDPhysiciansince 2022
Pamela Temples MDPhysiciansince 2023
Sara Yarbrough MDPhysician2024
Troy BrooksCFOsince 2021

Pay and hours

year to 30 September 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Eric Ward MDPhysician40$894k$61k
Joe Clifton MDPhysician40$679k$60k
Edward Fricker MDPhysician40$519k$14k
Lynn S Lee MDPhysician40$431k$17k
Nancy RoeNurse Practi40$129k$3k
Christopher DormanCEO1$0$1.2m$85k
Cameron Nixon MDSecretary/Ph1$0$582k$79k
Troy BrooksCFO1$0$597k$58k
William BowenChairman1$0
Kaine Brown MDMember1$0
Fortson TurnerMember1$0

About

Legal name
Southwell Ambulatory Inc
EIN
843430446
Address
Po Box 2650, Tifton, GA, 31793-2650
State
Georgia
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. (as filed on the Form 990)
Activity (NTEE)
E30 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
7 (IRS master file code)
Formed
2019
Principal officer
Christopher Dorman (as named on the Form 990)
IRS ruling date
1 July 2021
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2024
IRS Publication 78
PC (contributions deductible)

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥6years on the filingsGeorge M D Hunt IV
≥5years on the filingsWilliam Bowen
≥5years on the filingsCameron Nixon MD
≥5years on the filingsFortson Turner

Latest return

year to 30 September 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 September 2025. US dollars, as filed.
Total assets
$5.4m
Total liabilities
$936k
Net assets or fund balances
$4.5m
Contributions and grants received
$201k
Program service revenue
$4.7m
Employees
61

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2023$4.8m$9.4mDeficit $4.6m

As filed on the IRS Form 990. US dollars.