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← COLQUITT REGIONAL MEDICAL FOUNDATION INC

Form 990 for tax year 2022

Filed by COLQUITT REGIONAL MEDICAL FOUNDATION INC.

Totals

Total revenue
$895,836
Total expenses
$229,818
Contributions and grants received
$640,411
Grants paid
$175,385
Program service revenue
$0
Investment income
$230,402
Other revenue
$25,023
Total assets, end of year
$11,123,379
Total liabilities, end of year
$149,613
Net assets or fund balances, end of year
$10,973,766
Program services expenses (Part IX)
$175,385
Management and general expenses
$54,266
Fundraising expenses
$167
Program service expenses (Part III)
$175,385

Program services were 76.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $112,657

  • 1d · Related organizations

    $164,937

  • 1f · All other contributions, gifts and grants

    $362,817

  • 3 · Investment income

    total $230,402 · excluded $230,402

  • 6a · Gross rents

    real property $96,000

  • 6b · Less rental expenses

    real property $49,591

  • 6c · Rental income or loss

    real property $46,409

  • 6d · Net rental income or loss

    total $46,409 · excluded $46,409

  • 8a · Fundraising events: gross income

    $21,320

  • 8a · Fundraising events: contributions included on line 1c

    $112,657

  • 8b · Fundraising events: direct expenses

    $42,706

  • 8c · Net income from fundraising events

    total -$21,386 · excluded -$21,386

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $93,871 · program services $93,871

  • 2 · Grants to domestic individuals

    total $81,514 · program services $81,514

  • 11f · Fees: investment management

    total $52,078 · management and general $52,078

  • 13 · Office expenses

    total $2,355 · management and general $2,188 · fundraising $167

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $338,564 · end of year $316,992

  • 3 · Pledges and grants receivable

    beginning of year $11,875 · end of year $17,000

  • 10a · Land, buildings and equipment: cost or other basis

    $1,654,203

  • 10b · Land, buildings and equipment: accumulated depreciation

    $121,308

  • 10c · Land, buildings and equipment, net

    beginning of year $1,236,523 · end of year $1,532,895

  • 11 · Investments: publicly traded securities

    beginning of year $8,145,926 · end of year $9,256,492

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,230 · end of year $779

  • 19 · Deferred revenue

    beginning of year $15,816 · end of year $7,259

  • 25 · Other liabilities

    beginning of year $255,337 · end of year $141,575

  • 27 · Net assets without donor restrictions

    beginning of year $8,161,892 · end of year $9,330,507

  • 28 · Net assets with donor restrictions

    beginning of year $1,298,613 · end of year $1,643,259

Mission and programs · 2022

Mission

FUNDRAISING AND SUPPORT FOR COLQUITT REGIONAL MEDICAL CENTER, A 501(C)(3) ACUTE CARE HOSPITAL.

  • THE FOUNDATION IS VOLUNTEER-LED AND STAFF-SUPPORTED. IT WORKS TO MAKE A DIFFERENCE IN THE LEVEL OF CARE AND COMFORT AFFORDED TO PATIENTS AT COLQUITT REGIONAL MEDICAL CENTER (CRMC), THE SUPPORTED ORGANIZATION, THROUGH DEDICATED FUNDRAISING EFFORTS. ADDITIONALLY, THE FOUNDATION AIDS PATIENTS THROUGH THE DONATIONS FOR CAPITAL EQUIPMENT TO CRMC.

    Expenses $175,385 · Grants $175,385

As filed on the 2022 return.

Listed in Part VII

  • Shamb Purohit

    FORMER CFO

    Total calculated
    $713,392
    From this org
    $0
    From related orgs
    $604,807
    Other
    $108,585

    Schedule J breakdown matched by us

    Base
    not reported + $502,909 related
    Bonus
    not reported + $72,535 related
    Other
    not reported + $29,363 related
    Deferred
    not reported + $107,685 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $713,392 related

  • Dawn Johns

    FDN VP

    Total calculated
    $442,843
    From this org
    $0
    From related orgs
    $373,057
    Other
    $69,786
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $300,312 related
    Bonus
    not reported + $43,616 related
    Other
    not reported + $29,129 related
    Deferred
    not reported + $68,886 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $442,843 related

  • Julie Bhavnani

    CFO

    Total calculated
    $367,497
    From this org
    $0
    From related orgs
    $313,021
    Other
    $54,476
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $250,856 related
    Bonus
    not reported + $34,049 related
    Other
    not reported + $28,116 related
    Deferred
    not reported + $53,576 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $367,497 related

  • Nicole Gilbert

    EXEC DIRECTO

    Total calculated
    $154,685
    From this org
    $0
    From related orgs
    $144,236
    Other
    $10,449
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $130,197 related
    Bonus
    not reported + $13,643 related
    Other
    not reported + $396 related
    Deferred
    not reported + $9,549 related
    Nontaxable benefits
    not reported + $900 related
    Filer's total
    not reported + $154,685 related

  • Beth Bates

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Dorothy Blount

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Chas Cannon

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Anna Davis

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tony Derosso

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Ross Dekle

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    1

  • Cynthia Harrison

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Teresa Hufstetler

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Judd Lasseter

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Danielle Mobley

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lisa Perry

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Doug Strange

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Rj Taylor

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lane Wear

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lisa Zeanah

    MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 3
NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, COLQUITT REGIONAL MEDICAL CENTER (CRMC), TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY CRMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION SURVEY, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
SCHEDULE J, PAGE 1, PART I, LINE 4
SHAMB PUROHIT 0 57,467 0 DAWN JOHNS 0 37,305 0 JULIE BHAVNANI 0 31,302 0
SCHEDULE J, PART III
BONUSES/INCENTIVE PAYMENTS INCENTIVE BONUSES AWARDED TO OFFICERS BASED ON MEASURES OF SUCCESS IN ACHIEVING ANNUAL CORPORATE AND INDIVIDUAL GOALS AND IN ACCORDANCE WITH POLICY.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COLQUITT REGIONAL MEDICAL INC

    PHYS OFC · GA

Provenance

Return type
form_990
Tax year
2022
Filed
30 July 2024
IRS schema version
2022v5.0
Source object
202432139349301008

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