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Nonprofiteer
← POLK MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by POLK MEDICAL CENTER INC.

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 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 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 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 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 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 Jr

    BOARD MEMBER

    Total calculated
    $2,750
    From this org
    $2,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Neil 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 Vest

    BOARD MEMBER

    Total calculated
    $2,750
    From this org
    $2,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Lee 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 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 Elliott

    BOARD MEMBER

    Total calculated
    $2,000
    From this org
    $2,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Darrin Kines

    BOARD MEMBER

    Total calculated
    $500
    From this org
    $500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Mary Miller

    BOARD MEMBER

    Total calculated
    $500
    From this org
    $500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Darcy Morris

    BOARD MEMBER

    Total calculated
    $2,500
    From this org
    $2,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • E 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 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 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 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 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 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 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 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 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 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 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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349305679

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