2026-08-12T13:38:07-04:00 2025-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2024-10-01 581793634 COLQUITT REGIONAL MEDICAL FOUNDATION INC COLQ 2299853420 3131 SOUTH MAIN STREET MOULTRIE GA 317686925 JULIE BHAVNANI CFO 2299853420 2026-08-12 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2026-08-12 2024 2025-03-06 01:10:19Z NICOLE STRINGER 3131 SOUTH MAIN STREET MOULTRIE GA 317686925 3118683 false X HTTPS://COLQUITTREGIONAL.COM/HOME/FOUN X 1990 GA FUNDRAISING AND SUPPORT FOR COLQUITT REGIONAL MEDICAL CENTER, A 501(C)(3) ACUTE CARE HOSPITAL. 15 15 0 0 772054 2190502 0 552435 610422 58829 256281 1383318 3057205 208040 555421 0 0 0 218240 53709 308338 261749 863759 1121569 2193446 13586116 16817016 576 482194 13585540 16334822 FUNDRAISING AND SUPPORT FOR COLQUITT REGIONAL MEDICAL CENTER, A 501(C)(3) ACUTE CARE HOSPITAL. false false 555421 555421 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. 555421 true true false false false false false false false true true false false false true true true false false false false false false false true false false true true true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false false false X 15 15 false false false false false true true true true false false true true true true true true false false false GA X JULIE BHAVNANI 2299853420 3131 SOUTH MAIN STREET MOULTRIE GA 317686925 SHAMB PUROHIT FORMER CFO X 0 548616 116209 DAWN JOHNS FDN VP X 0 440775 80530 JULIE BHAVNANI CFO 1.00 X 0 453131 68145 NICOLE STRINGER EXEC DIRECTO X 0 160722 12017 QUENTIN BATES MEMBER X 0 0 0 DOROTHY BLOUNT MEMBER X 0 0 0 CHAS CANNON VICE CHAIR X X 0 0 0 ANNA DAVIS MEMBER X 0 0 0 TONY DEROSSO MEMBER X 0 0 0 ROSS DEKLE SECRETARY/TR X X 0 0 0 CYNTHIA HARRISON MEMBER X 0 0 0 TERESA HUFSTETLER MEMBER X 0 0 0 JUDD LASSETER CHAIRMAN X X 0 0 0 DANIELLE MOBLEY MEMBER X 0 0 0 LISA PERRY MEMBER X 0 0 0 DOUG STRANGE MEMBER X 0 0 0 RJ TAYLOR MEMBER X 0 0 0 LANE WEAR MEMBER X 0 0 0 LISA ZEANAH MEMBER X 0 0 0 1603244 276901 true true false 70992 505185 1614325 2190502 246159 246159 178775 178775 178775 178775 364263 364263 364263 364263 138984 70992 61478 77506 77506 3057205 866703 470796 470796 84625 84625 2833 2833 63377 63377 PLEDGE ALLOWANCE 208779 208779 TAXES AND LICENSES 23813 23813 MISCELLANEOUS FUNDRAISING 9461 9461 MAINTENANCE 75 75 863759 555421 90098 218240 838144 583575 16000 1124072 2344203 225439 1492140 2118764 11234347 12990605 5485 13586116 16817016 576 475 481719 576 482194 X 11491683 12771417 2093857 3563405 13585540 16334822 13586116 16817016 2193446 555836 X false false X X 1 COLQUITT REGIONAL MEDICAL CENTER 580607088 3 true 387462 0 1 387462 0 true false false false false false false false false false false false false false false true true PART IV, SECTION B, LINE 2 THE ORGANIZATION PROVIDED FINANCIAL CONTRIBUTIONS TO ORGANIZATIONS INVOLVED IN ACTIVITIES THAT SUPPORT THE MISSION OF COLQUITT REGIONAL MEDICAL CENTER. THE CONTRIBUTIONS WERE TO 501C3 ENTITIES THAT BENEFIT THE HEALTHCARE MISSION OF CRMC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2093857 1989798 66261 46650 539461 3563405 1643259 409446 102238 61086 2093857 1298613 372381 22543 50278 1643259 1210745 194006 -52075 28000 26063 1298613 1547119 341568 27938 27500 678380 1210745 0.09430 0.90570 false false 617706 617706 1725869 224811 1501058 628 628 2118764 DUE TO RELATED PARTIES 481719 481719 X 4004740 555836 539000 61478 1156314 2848426 208779 208779 3057205 1255458 539000 61478 600478 654980 208779 208779 863759 SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS ARE MAINTAINED IN ACCORDANCE WITH THE WISHES OF THE DONORS WHICH INCLUDE SCHOLARSHIPS; DIABETIC, CANCER, AND DIALYSIS PATIENT ASSISTANCE; CAPITAL EXPENDITURES AND OTHER HEALTHCARE RELATED USES. SCHEDULE D, PAGE 3, PART X THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE FOUNDATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING STATEMENTS OF FINANCIAL POSITION FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2025 AND 2024 OR FOR THE YEARS THEN ENDED. 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 OF THOSE RETURNS. SCHEDULE D, PAGE 4, PART XI, LINE 2D RECLASSIFIED RENTAL EXP 0 RECLASSIFIED FUNDRAISING EXP. 61,478 SCHEDULE D, PAGE 4, PART XI, LINE 4B PLEDGE ALLOWANCE 208,779 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSES 0 SPECIAL EVENT EXPENSES 61,478 SCHEDULE D, PAGE 4, PART XII, LINE 4B PLEDGE ALLOWANCE 208,779 GOLF TOURNAMENT 138984 138984 5700 11891 9695 31236 PINK OUT 44552 44552 1 26440 26440 750 2206 209976 70992 138984 6450 11891 9695 33442 61478 77506 false COLQUITT REGIONAL MEDICAL CENTER PO BOX 40 MOULTRIE GA 31776 580607088 501C3 387462 FINANCIAL SUPPORT SOUTHERN REGIONAL TECH COLLEGE FDN 15689 US HIGHWAY 19 NORTH THOMASVILLE GA 31792 581899079 501C3 33334 NURSING SUPPORT PHILADELPHIA COLLEGE OF OSTEOPATHIC 4170 CITY AVENUE PHILADELPHIA PA 19131 231355135 501C3 50000 MEDICAL SCHOOL SUPPT 3 SCHOLARSHIP/TUITION 30 58500 WHEELCHAIR RAMP 39 14570 CHAPLAIN FUND 8 6266 HOSPICE 2 970 OTHER ASSISTANCE 4319 SCHEDULE I, PAGE 1, PART I, LINE 2 PART II ASSISTANCE TO OTHER ORGANIZATIONS COLQUITT REGIONAL MEDICAL CENTER FOUNDATION IS A SUPPORTING ORGANIZATION FOR COLQUITT REGIONAL MEDICAL CENTER (CRMC). THE FOUNDATION ACCEPTS GRANT REQUESTS IN THE FORM OF A LETTER, WHICH INCLUDES A SPECIFIC GRANT AMOUNT AND A DESCRIPTION OF PROPOSED SERVICES OR PURCHASES. THE GRANT REQUEST IS REVIEWED ON A QUARTERLY BASIS BY THE BOARD OF DIRECTORS PRIOR TO APPROVAL. PART III INDIVIDUAL ASSISTANCE SCHOLARSHIP PROGRAM THE FOUNDATION SPONSORS THE KATE JETER SCHOLARSHIP FUND WHICH IS AWARDED ANNUALLY BY THE PARENTS OF KATE JETER. THE RECIPIENT MUST MAINTAIN A 3.0 GPA OR BETTER AND SUBMIT COLLEGE TRANSCRIPTS SHOWING ENROLLMENT IN GOOD STANDING AND THE REQUIRED CUMULATIVE GPA OF 3.0 OR HIGHER. WHEELCHAIR RAMP POLICY THE PROGRAM FOR WHEELCHAIR RAMP CONSTRUCTION PROVIDES RAMPS AT NO COST TO PERSONS WITH LONG-TERM DISABILITIES WHO DEMONSTRATE FINANCIAL NEED AND HAVE EXHAUSTED ALL OTHER FINANCIAL AND CONSTRUCTION SOURCES. THE ORGANIZATION DOES NOT SUBMIT CHECKS TO THE INDIVIDUALS REQUESTING ASSISTANCE. CHECKS ARE PAID TO THE CONTRACTOR SUPPLY COMPANIES. CHAPLAIN FUND PATIENTS NEEDING FINANCIAL ASSISTANCE WITH NEEDED PHARMACEUTICALS, MEDICAL EQUIPMENT, AND TRANSPORTATION ARE IDENTIFIED BY THE HOSPITAL'S CHAPLAIN. HE, IN TURN, PRESENTS A REQUEST TO THE FOUNDATION FOR THE FUNDS NEEDED TO COVER THE PATIENT'S NEEDS. THE ORGANIZATION DOES NOT SUBMIT CHECKS TO THE INDIVIDUALS REQUESTING ASSISTANCE. CHECKS ARE MADE PAYABLE TO THE SPECIFIC VENDORS. DIALYSIS, HOSPICE PATIENT EMERGENCY FUNDS & OTHER ASSISTANCE REQUESTS ON BEHALF OF PATIENTS NEEDING FINANCIAL ASSISTANCE WITH PHARMACEUTICALS AND OTHER MEDICAL EXPENSES ARE PRESENTED TO FOUNDATION. ONCE APPROVED, CHECKS ARE PAID DIRECTLY TO THE SUPPLIERS. false true false false false false false false false SHAMB PUROHIT FORMER CFO 466508 82108 115909 300 664825 DAWN JOHNS FDN VP 371377 69398 79630 900 521305 JULIE BHAVNANI CFO 369949 83182 67245 900 521276 NICOLE STRINGER EXEC DIRECTOR 117201 43521 11117 900 172739 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. SCHEDULE J, PAGE 1, PART I, LINE 4 SHAMB PUROHIT 0 64,482 0 DAWN JOHNS 0 44,484 0 JULIE BHAVNANI 0 39,518 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. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF TRUSTEES OF THE HOSPITAL AUTHORITY OF COLQUITT COUNTY DBA COLQUITT REGIONAL MEDICAL CENTER (CRMC), A 501(C)(3) ORGANIZATION, HAS THE POWER TO ELECT THE BOARD OF DIRECTORS FOR THE FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 7B THE FILING ORGANIZATION'S GOVERNING DOCUMENTS REQUIRE ALL CRMC PROJECTS FUNDED BY THE FOUNDATION BE APPROVED BY CRMC, THE SUPPORTED ORGANIZATION. ADDITIONALLY, THE FOUNDATION EXECUTIVE DIRECTOR MAY BE REMOVED FROM OFFICE AT ANY TIME FOR CAUSE BY JOINT DECISION OF THE FOUNDATION CHAIRMAN OF THE BOARD AND THE CEO OF THE HOSPITAL AUTHORITY (CRMC). FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE AS FILED FORM 990 ARE E-MAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. THE REVIEW OF THE RETURN IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF CRMC AND WILL INCLUDE REVIEW OF ALL MAJOR COMPONENTS OF THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, ALL VOTING MEMBERS AND OFFICERS OF THE ORGANIZATION ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY. MEMBERS MUST IDENTIFY ANY CONFLICT OR POTENTIAL CONFLICT AT THE BOARD MEETINGS AND ANY MEMBER DETERMINED TO HAVE SUCH A CONFLICT IS RECUSED FROM PARTICIPATION IN ACTION ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COLQUITT REGIONAL MEDICAL CENTER 3131 S MAIN ST MOULTRIE GA 317686925 580607088 AUTHORITY GA 501C3 3 NA false COLQUITT REGIONAL MEDICAL INC P O BOX 40 MOULTRIE GA 317760040 260259807 PHYS OFC GA N/A false false true true false true false false false false false false true false true true true true false false