Totals
- Total revenue
- $68,199,123
- Total expenses
- $49,193,702
- Contributions and grants received
- $1,869,206
- Grants paid
- $0
- Program service revenue
- $65,625,973
- Investment income
- $663,707
- Other revenue
- $40,237
- Total assets, end of year
- $96,604,967
- Total liabilities, end of year
- $14,584,628
- Net assets or fund balances, end of year
- $82,020,339
- Program services expenses (Part IX)
- $46,835,048
- Management and general expenses
- $2,358,654
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $46,835,048
Program services were 95.2% 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.
-
1e · Government grants (contributions)
$1,477,335
-
1f · All other contributions, gifts and grants
$391,871
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $65,506,084 · related or exempt $65,465,373 · unrelated business $40,711
-
2b · Program service revenue: OTHER HEALTHCARE REVENUE
total $119,889 · related or exempt $119,889
-
3 · Investment income
total $571,773 · excluded $571,773
-
7a · Gross sales of assets other than inventory
securities $91,934
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $91,934
-
7d · Net gain or loss
total $91,934 · excluded $91,934
-
11a · Other revenue: GIFT SHOP REVENUE
total $40,237 · excluded $40,237
-
11e · Other revenue, total
$40,237
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $28,588 · program services $14,294 · management and general $14,294
-
7 · Other salaries and wages
total $14,464,292 · program services $13,136,181 · management and general $1,328,111
-
9 · Other employee benefits
total $509,703 · program services $462,392 · management and general $47,311
-
10 · Payroll taxes
total $1,072,380 · program services $973,914 · management and general $98,466
-
11c · Fees: accounting
total $69,800 · management and general $69,800
-
11d · Fees: lobbying
total $931 · program services $931
-
11f · Fees: investment management
total $64,650 · program services $43,660 · management and general $20,990
-
11g · Fees: other
total $3,394,621 · program services $3,059,112 · management and general $335,509
-
12 · Advertising and promotion
total $6,766 · program services $5,738 · management and general $1,028
-
13 · Office expenses
total $35,367 · program services $31,341 · management and general $4,026
-
14 · Information technology
total $42,711 · program services $37,849 · management and general $4,862
-
16 · Occupancy
total $1,622,249 · program services $1,437,582 · management and general $184,667
-
17 · Travel
total $33,959 · program services $30,093 · management and general $3,866
-
19 · Conferences, conventions and meetings
total $6,463 · program services $5,727 · management and general $736
-
20 · Interest
total $102,532 · program services $69,243 · management and general $33,289
-
22 · Depreciation, depletion and amortization
total $2,448,300 · program services $2,282,353 · management and general $165,947
-
23 · Insurance
total $331,241 · program services $293,535 · management and general $37,706
-
24a · Other expenses: INCOME TAXES
total $3,436 · program services $3,436
-
24b · Other expenses: BAD DEBT
total $22,176,329 · program services $22,176,329
-
24c · Other expenses: MEDICAL SUPPLIES
total $2,708,684 · program services $2,708,684
-
24d · Other expenses: MISC
total $38,466 · program services $34,089 · management and general $4,377
-
24e · All other expenses
total $32,234 · program services $28,565 · management and general $3,669
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $5,106,578 · end of year $6,129,966
-
2 · Savings and temporary cash investments
beginning of year $18,023,413 · end of year $24,190,031
-
4 · Accounts receivable
beginning of year $5,718,470 · end of year $7,492,259
-
8 · Inventories for sale or use
beginning of year $282,120 · end of year $281,177
-
9 · Prepaid expenses and deferred charges
beginning of year $585,975 · end of year $222,226
-
10a · Land, buildings and equipment: cost or other basis
$58,439,596
-
10b · Land, buildings and equipment: accumulated depreciation
$26,902,980
-
10c · Land, buildings and equipment, net
beginning of year $32,861,142 · end of year $31,536,616
-
11 · Investments: publicly traded securities
beginning of year $30,190,041 · end of year $23,680,692
-
15 · Other assets
beginning of year $5,056,303 · end of year $3,072,000
-
17 · Accounts payable and accrued expenses
beginning of year $2,485,342 · end of year $1,816,182
-
18 · Grants payable
end of year $32,999
-
19 · Deferred revenue
beginning of year $1,657,523 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $2,687,881 · end of year $0
-
25 · Other liabilities
beginning of year $25,761,820 · end of year $12,735,447
-
27 · Net assets without donor restrictions
beginning of year $65,231,476 · end of year $82,020,339
Mission and programs · 2022
Mission
POLK MEDICAL CENTER IS A 25 BED CRITICAL ACCESS HOSPITAL WHOSE MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING TO THE COMMUNITY IT SERVES.
Activities or mission (Part I)
TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING - FOR ALL.
-
THE ORGANIZATION OPERATES A 25-BED, CRITICAL ACCESS HOSPITAL THAT PROVIDES HEALTH CARE SERVICES TO POLK COUNTY AND NORTHERN HARALSON COUNTY WITH SUPPORT FROM ATRIUM HEALTH FLOYD HEALTH SYSTEM'S COMPREHENSIVE NETWORK OF CARE. THE ORGANIZATION PROVIDES A LEVEL IV TRAUMA CENTER, INPATIENT REHABILITATION, IMAGING, LAB WORK, AND INFUSION THERAPY. DURING 2022, ATRIUM HEALTH POLK MEDICAL CENTER HAD APPROXIMATELY 7,900 PATIENT DAYS AND OVER 26,400 EMERGENCY ROOM VISITS.
Expenses $46,835,048 · Revenue $65,625,973
As filed on the 2022 return.
Listed in Part VII
-
Kurt StuenkelKURT STUENKEL
BOARD MEMBER, PRES/SCRTY
- Total calculated
- $1,438,385
- From this org
- $0
- From related orgs
- $1,395,359
- Other
- $43,026
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $842,379 related
- Bonus
- $0 + $357,510 related
- Other
- $0 + $195,470 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $30,826 related
- Filer's total
- $0 + $1,438,385 related
-
Frank ShelleyFRANK SHELLEY
CHAIR
- Total calculated
- $5,875
- From this org
- $2,500
- From related orgs
- $3,375
- Other
- $0
- Hours/week
- 1 + 2 related
-
George A Bosworth MDGEORGE A BOSWORTH MD
BOARD MEMBER
- Total calculated
- $4,875
- From this org
- $2,000
- From related orgs
- $2,875
- Other
- $0
- Hours/week
- 1 + 2 related
-
Kay ChumblerKAY CHUMBLER
BOARD MEMBER
- Total calculated
- $8,525
- From this org
- $2,700
- From related orgs
- $5,825
- Other
- $0
- Hours/week
- 1 + 2 related
-
Todd BusseyTODD BUSSEY
BOARD MEMBER
- Total calculated
- $5,000
- From this org
- $2,250
- From related orgs
- $2,750
- Other
- $0
- Hours/week
- 1 + 1 related
-
Britt Madden JrBRITT MADDEN JR
BOARD MEMBER
- Total calculated
- $2,750
- From this org
- $2,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Neil E Gordon MDNEIL E GORDON MD
BOARD MEMBER
- Total calculated
- $2,750
- From this org
- $2,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Sondi Smith VestSONDI SMITH VEST
BOARD MEMBER
- Total calculated
- $2,750
- From this org
- $2,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Lee CummingsLEE CUMMINGS
BOARD MEMBER (TO 6/22)
- Total calculated
- $1,000
- From this org
- $1,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Darroll FreemanDARROLL FREEMAN
BOARD MEMBER (TO 6/22)
- Total calculated
- $1,750
- From this org
- $1,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Douglas E ElliottDOUGLAS E ELLIOTT
BOARD MEMBER
- Total calculated
- $2,000
- From this org
- $2,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Darrin KinesDARRIN KINES
BOARD MEMBER
- Total calculated
- $500
- From this org
- $500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Mary MillerMARY MILLER
BOARD MEMBER
- Total calculated
- $500
- From this org
- $500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Darcy MorrisDARCY MORRIS
BOARD MEMBER
- Total calculated
- $2,500
- From this org
- $2,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
E Clarice CableE CLARICE CABLE
INTERIM CFO (TO 6/22)
- Total calculated
- $490,817
- From this org
- $0
- From related orgs
- $429,809
- Other
- $61,008
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $282,814 related
- Bonus
- $0 + $110,300 related
- Other
- $0 + $36,695 related
- Deferred
- $0 + $39,504 related
- Nontaxable benefits
- $0 + $21,504 related
- Filer's total
- $0 + $490,817 related
-
Philip WheelerPHILIP WHEELER
CFO (FR 6/22)
- Total calculated
- $197,346
- From this org
- $0
- From related orgs
- $190,650
- Other
- $6,696
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $154,104 related
- Bonus
- $0 + $25,000 related
- Other
- $0 + $11,546 related
- Deferred
- $0 + $2,776 related
- Nontaxable benefits
- $0 + $3,920 related
- Filer's total
- $0 + $197,346 related
-
Tifani KinardTIFANI KINARD
ADMINISTRATOR
- Total calculated
- $286,822
- From this org
- $0
- From related orgs
- $252,408
- Other
- $34,414
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $232,393 related
- Bonus
- $0 + $13,718 related
- Other
- $0 + $6,297 related
- Deferred
- $0 + $21,645 related
- Nontaxable benefits
- $0 + $12,769 related
- Filer's total
- $0 + $286,822 related
-
Warren Sonny RigasWARREN SONNY RIGAS
COO (TO 6/22)
- Total calculated
- $696,087
- From this org
- $0
- From related orgs
- $653,472
- Other
- $42,615
- Hours/week
- 15 + 25 related
Schedule J breakdown matched by us
- Base
- $0 + $197,637 related
- Bonus
- $0 + $88,100 related
- Other
- $0 + $367,735 related
- Deferred
- $0 + $36,931 related
- Nontaxable benefits
- $0 + $5,684 related
- Filer's total
- $0 + $696,087 related
-
Tommy ManningTOMMY MANNING
CORP COUNSEL
- Total calculated
- $643,575
- From this org
- $0
- From related orgs
- $565,628
- Other
- $77,947
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $408,451 related
- Bonus
- $0 + $86,200 related
- Other
- $0 + $70,977 related
- Deferred
- $0 + $54,988 related
- Nontaxable benefits
- $0 + $22,959 related
- Filer's total
- $0 + $643,575 related
-
Matthew GormanMATTHEW GORMAN
VP CORP/NTWRK ST
- Total calculated
- $538,093
- From this org
- $0
- From related orgs
- $475,437
- Other
- $62,656
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $0 + $357,076 related
- Bonus
- $0 + $79,000 related
- Other
- $0 + $39,361 related
- Deferred
- $0 + $41,053 related
- Nontaxable benefits
- $0 + $21,603 related
- Filer's total
- $0 + $538,093 related
-
Deana OwenDEANA OWEN
PHARMACY DIRECTOR
- Total calculated
- $206,950
- From this org
- $0
- From related orgs
- $188,135
- Other
- $18,815
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $175,216 related
- Bonus
- $0 + $11,960 related
- Other
- $0 + $959 related
- Deferred
- $0 + $8,263 related
- Nontaxable benefits
- $0 + $10,552 related
- Filer's total
- $0 + $206,950 related
-
Leah S AshmoreLEAH S ASHMORE
THERAPIST
- Total calculated
- $188,296
- From this org
- $0
- From related orgs
- $162,459
- Other
- $25,837
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $115,947 related
- Bonus
- $0 + $15,958 related
- Other
- $0 + $30,554 related
- Deferred
- $0 + $6,909 related
- Nontaxable benefits
- $0 + $18,928 related
- Filer's total
- $0 + $188,296 related
-
Lovejoy LeighLOVEJOY LEIGH
PHARMACIST
- Total calculated
- $173,096
- From this org
- $0
- From related orgs
- $150,553
- Other
- $22,543
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $148,812 related
- Bonus
- $0 + $1,073 related
- Other
- $0 + $668 related
- Deferred
- $0 + $6,309 related
- Nontaxable benefits
- $0 + $16,234 related
- Filer's total
- $0 + $173,096 related
-
Phillip RobertsPHILLIP ROBERTS
ER NURSE
- Total calculated
- $178,678
- From this org
- $0
- From related orgs
- $171,485
- Other
- $7,193
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $130,260 related
- Bonus
- $0 + $24,920 related
- Other
- $0 + $16,305 related
- Deferred
- $0 + $6,830 related
- Nontaxable benefits
- $0 + $363 related
- Filer's total
- $0 + $178,678 related
-
Kenya TeemsKENYA TEEMS
RESP THERAPIST
- Total calculated
- $165,851
- From this org
- $0
- From related orgs
- $150,588
- Other
- $15,263
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $115,841 related
- Bonus
- $0 + $11,383 related
- Other
- $0 + $23,364 related
- Deferred
- $0 + $6,196 related
- Nontaxable benefits
- $0 + $9,067 related
- Filer's total
- $0 + $165,851 related
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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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)
- PART I, LINES 4A-B
- CERTAIN DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND KEY EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: WARREN "SONNY" RIGAS $304,866 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: TOMMY MANNING $46,173 WARREN "SONNY" RIGAS $37,893 MATTHEW GORMAN $38,535 E. CLARICE CABLE $14,651 KURT STUENKEL $168,949
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
No itemized grants to organizations 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.
-
FLOYD HEALTHCARE MANAGEMENT INC
501C3 · HEALTHCARE · GA
Directly controlled by AH GEORGIA
-
FLOYD HEALTH CARE FOUNDATION INC
501C3 · FOUNDATION · GA
Directly controlled by FHMI
-
501C3 · EDUCATION · GA
Directly controlled by FHMI
-
501C3 · HOLDING CO. · NC
Directly controlled by CMHA
-
THE CHARLOTE-MECKLENBURG HOSPITAL AUTHORITY
NC POLITICAL SUBDIVI · HEALTHCARE · NC
-
FLOYD-POLK HEALTHCARE FOUNDATION
501C3 · FOUNDATION · GA
-
501(C)(3) · HEALTHCARE · NC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343189349305679
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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