2025-11-12T14:06:28-05:00 2024-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2024-01-01 872546864 FLOYD-POLK HEALTHCARE FOUNDATION IN FLOY 7065093295 304 TURNER MCCALL BLVD ROME GA 30165 MARY HELEN HEANER CHAIR/PRESIDENT 3107121310 2025-11-10 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2025-11-11 2024 2025-03-06 01:10:19Z MARY HELEN HEANER 304 TURNER MCCALL BLVD ROME GA 30165 74254254 false X X 2021 GA THE FLOYD-POLK HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION"), IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF FLOYD HEALTHCARE MANAGEMENT, INC., POLK MEDICAL CENTER, INC., THE HOSPITAL AUTHORITY OF FLOYD COUNTY AND THE CEDARTOWN-POLK COUNTY HOSPITAL AUTHORITY. THE FOUNDATION WILL PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY EACH OF THE SUPPORTED ORGANIZATIONS, PROVIDE RELIEF TO THE POOR, DISTRESSED AND UNDERPRIVILEGED AND LESSEN THE BURDENS OF GOVERNMENT BY ENGAGING IN ACTIVITIES SUCH AS THE FOLLOWING: 1) PROVIDING FUNDING TO THE SUPPORTED ORGANIZATIONS TO ESTABLISH OR EXPAND PROGRAMS THAT ADDRESS HEALTH DISPARITIES; 2) MAKING CONTRIBUTIONS TO THE SUPPORTED ORGANIZATIONS TO FACILITATE THE DELIVERY OF HEALTHCARE SERVICES TO THE UNDERINSURED OR UNINSURED; AND 3) SAFEGUARDING ASSETS TO ENSURE THE CONTINUED OPERATION OF FLOYD MEDICAL CENTER AND POLK MEDICAL CENTER. 17 11 0 0 8926741 5572739 0 3877004 11772887 0 12803745 17345626 670000 2109072 0 180582 400460 0 0 406982 546056 1257564 3055588 11546181 14290038 186668999 212945533 500 186668999 212945033 X THE FLOYD-POLK HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION"), IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF FLOYD HEALTHCARE MANAGEMENT, INC., POLK MEDICAL CENTER, INC., THE HOSPITAL AUTHORITY OF FLOYD COUNTY AND THE CEDARTOWN-POLK COUNTY HOSPITAL AUTHORITY. THE FOUNDATION WILL PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY EACH OF THE SUPPORTED ORGANIZATIONS, PROVIDE RELIEF TO THE POOR, DISTRESSED AND UNDERPRIVILEGED AND LESSEN THE BURDENS OF GOVERNMENT BY ENGAGING IN ACTIVITIES SUCH AS THE FOLLOWING: 1) PROVIDING FUNDING TO THE SUPPORTED ORGANIZATIONS TO ESTABLISH OR EXPAND PROGRAMS THAT ADDRESS HEALTH DISPARITIES; 2) MAKING CONTRIBUTIONS TO THE SUPPORTED ORGANIZATIONS TO FACILITATE THE DELIVERY OF HEALTHCARE SERVICES TO THE UNDERINSURED OR UNINSURED; AND 3) SAFEGUARDING ASSETS TO ENSURE THE CONTINUED OPERATION OF FLOYD MEDICAL CENTER AND POLK MEDICAL CENTER. false false 2509532 2109072 THE FOUNDATION WILL PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY EACH OF THE 4 SUPPORTED ORGANIZATIONS, PROVIDE RELIEF TO THE POOR, DISTRESSED AND UNDERPRIVILEGED AND LESSEN THE BURDENS OF GOVERNMENT BY ENGAGING IN ACTIVITIES THAT FURTHER PUBLIC HEALTH IN THE COMMUNITIES SERVED, PROVIDE FUNDS TO THE 4 SUPPORTED ORGANIZATIONS, AND SAFEGUARD ASSETS TO ENSURE THE CONTINUED OPERATION OF FLOYD MEDICAL CENTER AND POLK MEDICAL CENTER. 2509532 true true false false false false false false false true false true false false false true true false false false true false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false false false false false false false false X 17 11 false false false false true true false true true false false true true true false false false false false false GA X DONNA MARTIN 7065093295 304 TURNER MCCALL BLVD ROME GA 30165 KURT STEUNKEL SECRETARY 1.00 39.00 X X 0 2012980 57514 PHILIP WHEELER CFO 1.00 39.00 X 0 524897 45844 BRIDGETTE DINGLE MD TRUSTEE 1.00 40.00 X X 0 489197 58121 NEIL GORDON MD TRUSTEE 1.00 40.00 X X 0 310944 34470 KAY CHUMBLER TRUSTEE 1.00 X X 0 10500 0 LAURIE ATKINS TRUSTEE 1.00 X X 0 0 0 DAN BAKER TRUSTEE 1.00 X X 0 0 0 JOEY BALDWIN TRUSTEE 1.00 X X 0 0 0 DENISE DOWNER-MCKINNEY TRUSTEE 1.00 X 0 0 0 ROGER GOSS TREASURER 1.00 X X 0 0 0 MARY HELEN HEANER CHAIR/PRESID 1.00 X X 0 0 0 DAVID JOHNSON TRUSTEE 1.00 X X 0 0 0 DONALD JONAS TRUSTEE 1.00 X X 0 0 0 STEPHEN R BRIGGS MD TRUSTEE 1.00 X 0 0 0 CHANTZ MCCLINIC TRUSTEE 1.00 X X 0 0 0 MARY MILLER TRUSTEE 1.00 X 0 0 0 SCOTT TUCKER TRUSTEE 1.00 X 0 0 0 CHRIS TWYMAN TRUSTEE 1.00 X 0 0 0 PAUL C WHITE PRESIDENT 1.00 X 0 0 0 3348518 195949 false true false 5572739 5572739 4346950 4346950 64334565 56908628 7425937 7425937 7425937 17345626 11772887 2109072 2109072 400460 400460 52000 52000 347908 347908 93 93 2741 2741 MISCELLANEOUS 142469 142469 DUES AND SUBSCRIPTIONS 845 845 3055588 2509532 546056 0 1704 478063 1354096 3884835 156908459 153556111 28404740 55026524 186668999 212945533 500 0 500 X 186668999 212945033 186668999 212945033 186668999 212945533 14290038 11985996 X false true X true false X X 4 FLOYD HEALTHCARE MANAGEMENT INC 581973570 3 true 1583824 0 POLK MEDICAL CENTER INC 453957368 3 true 525248 0 HOSPITAL AUTHORITY OF FLOYD COUNTY 586001173 6 true 0 0 CEDARTOWN-POLK COUNTY HOSPITAL AUTHORITY 580603152 6 true 0 0 4 2109072 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 186669000 5572739 23758883 2109072 946517 212945033 154780467 8926741 23969355 420000 587563 186669000 152772439 2291238 283210 154780467 0.78550 0.21450 false false 55026524 F 55026524 X 29331622 11985996 11985996 17345626 17345626 3055588 3055588 3055588 SCHEDULE D, PAGE 3, PART X THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE FOUNDATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES. IN THE OPINION OF MANAGEMENT, THERE IS NO UNRELATED BUSINESS INCOME AT THIS TIME AND MANAGEMENT BELIEVES ALL TAX POSITIONS WOULD BE SUSTAINED UPON EXAMINATION. NO INTEREST OR PENALTIES HAVE BEEN RECORDED FOR THE YEARS ENDING DECEMBER 31, 2024 AND 2023. false CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 16297848 16297848 16297848 true false true true false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA & THE CARIBBEAN 0 16,297,848 SCHEDULE F, PAGE 5, PART V FLOYD-POLK HEALTHCARE FOUNDATION HAS DIRECT AND INDIRECT INVESTMENTS IN A NUMBER OF PASSIVE FOREIGN INVESTMENT COMPANIES. FLOYD-POLK HEALTHCARE FOUNDATION IS A TAX-EXEMPT ENTITY DESCRIBED IN IRC SECTION 501(C)(3). PURSUANT TO TREASURY REGULATIONS SECTION 1.1298-1(C), FORM 8621 IS NOT REQUIRED TO BE FILED WITH RESPECT TO THESE INVESTMENTS. false FLOYD HEALTHCARE MANAGEMENT 304 TURNER MCCALL BLVD ROME GA 30162 581973570 501C3 1583824 FINANCIAL SUPPORT POLK MEDICAL CENTER 420 E SECOND AVENUE SUITE 102 ROME GA 30162 453957368 501C3 525248 FINANCIAL SUPPORT 2 SCHEDULE I, PAGE 1, PART I, LINE 2 GRANTS WERE MADE TO OR FOR THE BENEFIT OF TWO RELATED-PARTY SUPPORTED ORGANIZATIONS. false true false false false false false false false KURT STEUNKEL SECRETARY 881703 843176 288101 24150 33364 2070494 PHILIP WHEELER CFO 356148 155365 13384 36143 9701 570741 5701 BRIDGETTE DINGLE MD TRUSTEE 434262 54001 934 9281 48840 547318 NEIL GORDON MD TRUSTEE 244449 62156 4339 34470 345414 SCHEDULE J, PAGE 1, PART I, LINE 3 THE FILING ORGANIZATION RELIES ON METHODS USED BY FHMI, THE SOLE MEMBER, AND THE CHARLOTTE MECKENLENBURG HOSPITAL AUTHORITY TO ESTABLISH COMPENSATION FOR ALL OFFICERS. NONE OF THE OFFICERS ARE COMPENSATED DIRECTLY BY THE FILING ORGANIZATION. SCHEDULE J, PART III CERTAIN DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION MAY PARTICIPATE IN AND/OR RECEIVE PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN. THE DETERMINATION OF THE PAYMENT AMOUNT FROM A NON- QUALIFIED PLAN FOLLOWS THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. PAYMENTS TO PARTICIPANTS RESULTING FROM PRIOR YEAR DEFERRED COMPENSATION IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. FORM 990 - ORGANIZATION'S MISSION THE FLOYD-POLK HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION"), IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF FLOYD HEALTHCARE MANAGEMENT, INC., POLK MEDICAL CENTER, INC., THE HOSPITAL AUTHORITY OF FLOYD COUNTY AND THE CEDARTOWN-POLK COUNTY HOSPITAL AUTHORITY. THE FOUNDATION WILL PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY EACH OF THE SUPPORTED ORGANIZATIONS, PROVIDE RELIEF TO THE POOR, DISTRESSED AND UNDERPRIVILEGED AND LESSEN THE BURDENS OF GOVERNMENT BY ENGAGING IN ACTIVITIES SUCH AS THE FOLLOWING: 1) PROVIDING FUNDING TO THE SUPPORTED ORGANIZATIONS TO ESTABLISH OR EXPAND PROGRAMS THAT ADDRESS HEALTH DISPARITIES; 2) MAKING CONTRIBUTIONS TO THE SUPPORTED ORGANIZATIONS TO FACILITATE THE DELIVERY OF HEALTHCARE SERVICES TO THE UNDERINSURED OR UNINSURED; AND 3) SAFEGUARDING ASSETS TO ENSURE THE CONTINUED OPERATION OF FLOYD MEDICAL CENTER AND POLK MEDICAL CENTER. FORM 990, PAGE 6, PART VI, LINE 6 THE FLOYD-POLK HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION"), IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF FLOYD HEALTHCARE MANAGEMENT, INC. ("FLOYD"), POLK MEDICAL CENTER, INC. ("POLK"), THE HOSPITAL AUTHORITY OF FLOYD COUNTY ("FLOYD HA") AND THE CEDARTOWN-POLK COUNTY HOSPITAL AUTHORITY ("POLK HA"). FLOYD, POLK, THE FLOYD HA AND THE POLK HA ARE EACH MEMBERS OF THE FOUNDATION AND, AS SET FORTH IN THE BYLAWS, APPOINT A MAJORITY OF THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7A THE INITIAL BOARD OF DIRECTORS OF THE CORPORATION SHALL CONSIST OF BETWEEN TEN (10) AND SEVENTEEN (17) DIRECTORS, ALL OF WHICH SHALL BE APPOINTED BY THE MEMBERS. FOLLOWING THE EFFECTIVE DATE, THE MEMBERS MAY APPOINT ADDITIONAL INDIVIDUALS TO THE INITIAL BOARD OF DIRECTORS UP TO A MAXIMUM NUMBER OF SEVENTEEN (17) DIRECTORS. THEREAFTER, THE BOARD OF DIRECTORS SHALL CONSIST OF SEVENTEEN (17) DIRECTORS AND WILL BE COMPOSED OF THE FOLLOWING: - TWO (2) DIRECTORS APPOINTED BY THE FLOYD HA, BOTH OF WHOM SHALL BE MEMBERS OF THE FLOYD HA, AND AT LEAST ONE OF WHOM SHALL ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF FLOYD; - TWO (2) DIRECTORS APPOINTED BY THE FLOYD HA, BOTH OF WHOM SHALL BE RESIDENTS OF FLOYD COUNTY AND NOT MEMBERS OF THE FLOYD HA; - TWO (2) DIRECTORS APPOINTED BY THE POLK HA, BOTH OF WHOM SHALL BE MEMBERS OF THE POLK HA, AND AT LEAST ONE OF WHOM SHALL ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF POLK; - TWO (2) DIRECTORS APPOINTED BY THE POLK HA, BOTH OF WHOM SHALL BE RESIDENTS OF POLK COUNTY AND NOT MEMBERS OF THE POLK HA; PROVIDED, HOWEVER, THAT AT THE POLK HA'S SOLE OPTION AND ABSOLUTE DISCRETION, NOT MORE THAN ONE (1) MEMBER OF THE DIRECTORS MAY BE A NON-RESIDENT OF POLK COUNTY; - THREE (3) DIRECTORS APPOINTED BY FLOYD, ALL OF WHOM SHALL BE SELECTED FROM NOMINATIONS MADE BY THE NOMINATING COMMITTEE; - ONE (1) DIRECTOR APPOINTED BY POLK WHO SHALL BE SELECTED FROM NOMINATIONS MADE BY THE NOMINATING COMMITTEE; - FOUR (4) DIRECTORS WHO ARE NON-INTERESTED PERSONS, AS DEFINED BELOW, ELECTED BY THE BOARD FROM NOMINATIONS MADE BY THE NOMINATING COMMITTEE; AND - ONE (1) DIRECTOR WHO SHALL BE THE CHIEF EXECUTIVE OFFICER OF FLOYD (OR HIS/HER DESIGNEE), AND WHO SHALL SERVE AS A VOTING EX OFFICIO MEMBER. FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT CPA FROM INFORMATION PROVIDED BY THE BOARD OF DIRECTORS. THE BOARD REVIEWED THE RETURN PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FLOYD HEALTHCARE MANAGEMENT INC 304 TURNER MCCALL BLVD ROME GA 301620233 581973570 HOSPITAL GA 501C3 3 N/A false POLK MEDICAL CENTER INC 420 E SECOND AVENUE SUITE 102 ROME GA 301613210 453957368 HOSPITAL GA 501C3 3 N/A false HOSPITAL AUTHORITY OF FLOYD COUNTY 304 TURNER MCCALL BLVD ROME GA 301620233 586001173 HEALTHCARE GA 501C3 3 N/A false CEDARTOWN-POLK COUNTY HOSP AUTHORIT 424 N MAIN STREET CEDARTOWN GA 30125 580603152 HEALTHCARE GA 115 N/A false false true true false false false false false false false false true true false false true false false false