Totals
- Total revenue
- $617,850
- Total expenses
- $617,910
- Contributions and grants received
- $0
- Grants paid
- $617,850
- Program service revenue
- $0
- Investment income
- $617,850
- Other revenue
- $0
- Total assets, end of year
- $111,979
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $111,979
- Program services expenses (Part IX)
- $617,850
- Management and general expenses
- $60
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $617,850
Program services were 100.0% 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.
-
3 · Investment income
total $617,850 · excluded $617,850
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $617,850 · program services $617,850
-
13 · Office expenses
total $60 · management and general $60
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $187 · end of year $127
-
12 · Investments: other securities
beginning of year $82,068 · end of year $111,852
-
27 · Net assets without donor restrictions
beginning of year $82,255 · end of year $111,979
Mission and programs · 2022
Mission
SOUTHWELL, INC. (SOUTHWELL) OPERATES FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF TIFT REGIONAL HEALTH SYSTEM, INC. (A TAX-EXEMPT REGIONAL REFERRAL HOSPITAL) AND SOUTHWELL AMBULATORY, INC., (A TAX-EXEMPT PROVIDER OF SPECIALTY PHYSICIAN AND MEDICAL SERVICES). SOUTHWELL IS THE PARENT ORGANIZATION OF THE MULTI-ENTITY HEALTHCARE SYSTEM AND IS RESPONSIBLE FOR STRATEGIC PLANNING, RESOURCE ALLOCATION AND FINANCIAL PLANNING FOR THE SYSTEM.
-
SOUTHWELL IS THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTHCARE SYSTEM THAT INCLUDES TIFT REGIONAL HEALTH SYSTEM, INC, TAX-EXEMPT A REGIONAL REFERRAL HOSPITAL AND TIFT AMBULATORY, INC, A TAX-EXEMPT PROVIDER OF SPECIALTY PHYSICIAN AND MEDICAL SERVICES. THE HEALTHCARE SYSTEM SERVES THE COMMUNITY OF TIFTON, GA AND THE SURROUNDING AREAS.
Expenses $617,850 · Grants $617,850
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Christopher DormanCHRISTOPHER DORMAN
PRESIDENT &
- Total calculated
- $871,004
- From this org
- $0
- From related orgs
- $842,627
- Other
- $28,377
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $643,600 related
- Bonus
- not reported + $108,741 related
- Other
- not reported + $90,286 related
- Deferred
- not reported + $15,250 related
- Nontaxable benefits
- not reported + $13,127 related
- Filer's total
- not reported + $871,004 related
-
Jessica Beier MDJESSICA BEIER MD
TRUSTEE
- Total calculated
- $748,330
- From this org
- $0
- From related orgs
- $721,080
- Other
- $27,250
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- not reported + $704,600 related
- Bonus
- not reported + $15,514 related
- Other
- not reported + $966 related
- Deferred
- not reported + $15,250 related
- Nontaxable benefits
- not reported + $12,000 related
- Filer's total
- not reported + $748,330 related
-
Kim WillsKIM WILLS
CFO (LEFT 5/
- Total calculated
- $230,759
- From this org
- $0
- From related orgs
- $218,516
- Other
- $12,243
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $144,864 related
- Bonus
- not reported + $45,053 related
- Other
- not reported + $28,599 related
- Deferred
- not reported + $7,243 related
- Nontaxable benefits
- not reported + $5,000 related
- Filer's total
- not reported + $230,759 related
-
Troy BrooksTROY BROOKS
CFO
- Total calculated
- $194,060
- From this org
- $0
- From related orgs
- $184,425
- Other
- $9,635
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported + $168,270 related
- Bonus
- not reported
- Other
- not reported + $16,155 related
- Deferred
- not reported + $3,635 related
- Nontaxable benefits
- not reported + $6,000 related
- Filer's total
- not reported + $194,060 related
-
James AllenJAMES ALLEN
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1
-
William BowenWILLIAM BOWEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Wasdon GraydonWASDON GRAYDON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
George M D Hunt IVGEORGE M D HUNT IV
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Joyce MimsJOYCE MIMS
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
William RichardsonWILLIAM RICHARDSON
TRUSTEE (FOR
- Total calculated
- $0
- Hours/week
- 1
-
Fortson TurnerFORTSON TURNER
TRUSTEE
- 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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
- THE OFFICERS OF SOUTHWELL, INC. ARE EMPLOYED AND COMPENSATED BY TIFT REGIONAL HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION. SOUTHWELL RELIES UPON THE COMPENSATION PROCESSES ESTABLISHED BY TIFT REGIONAL HEALTH SYSTEM TO DETERMINE REASONABLENESS OF COMPENSATION.
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
-
TIFT REGIONAL HEALTH SYSTEM INC
$617,850
FINANCIAL SUPPORT
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.
-
TIFT REGIONAL HEALTH SYSTEM INC
501C3 · HOSPITAL · GA · controlled entity
Directly controlled by SOUTHWELL
-
501C3 · MED. SERV. · GA · controlled entity
Directly controlled by SOUTHWELL
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.
-
TIFT ENTERPRISES INC
HOLDING CO · GA · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442259349301754
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