2024-02-02T10:14:38-06:00 2023-05-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-06-01 464828720 CHOICE HEALTHCARE FOUNDATION INC % CLAUDIO AZZARITI CFO CHOI 4045647009 1046 RIDGE AVENUE SW Suite 5 ATLANTA GA 30315 CLAUDIO AZZARITI CFO 4045647009 2023-09-05 true CLAUDIO AZZARITI 999009999 Krystal K Creach P01248198 4178658701 3 2022 2023-04-26 12:10:37Z DAVID WILLIAMS PRESIDENT 1046 RIDGE AVENUE SW ATLANTA GA 30315 0 false X N/A X 1996 GA CHOICE HEALTHCARE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL SUPPORT TO THE HEALTHCARE PROGRAMS OF SOUTHSIDE MEDICAL CENTER, INC. 5 3 0 5 0 0 0 0 72000 0 0 0 1760097 0 1832097 0 0 0 0 0 0 0 0 0 0 295100 1988 295100 1988 1536997 -1988 3742 1754 0 0 3742 1754 CHOICE HEALTHCARE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL SUPPORT TO THE HEALTHCARE PROGRAMS OF SOUTHSIDE MEDICAL CENTER, INC. false false 1988 CHOICE HEALTHCARE FOUNDATION FACILITATES SOUTHSIDE MEDICAL CENTER TO BE A LEADER IN PROVIDING AFFORDABLE CARE TO THE UNINSURED AND UNDERINSURED BY THE FACILITATION OF FINANCIAL SUPPORT WHICH INCLUDES RENTING A STATE OF THE ART PRIMARY CARE FACILITY. 1988 true false false false false false false false false false false false false false false false false true false false false false false false false false false false false 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 false false false false false false false X 5 3 false false false false false false false true true false false true true true true true true false false false GA X CLAUDIO AZZARITI CFO 4045647009 1046 RIDGE AVENUE SW ATLANTA GA 30315 DR DAVID WILLIAMS PRESIDENT & CEO 1.0 40.0 X X 0 488968 12205 CLAUDIO AZZARITI SECRETARY/TREASURER 1.0 40.0 X X 0 336870 9838 JANIS WARE BOARD MEMBER 1.0 1.0 X 0 0 0 MELVIN PRESTON BOARD MEMBER 1.0 1.0 X 0 0 0 VAUGHN REID BOARD MEMBER 1.0 1.0 X 0 0 0 0 825838 22043 0 false true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LICENSES, DUES, SUBSCRIPTIONS 1988 1988 1988 1988 0 0 3742 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3742 1754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3742 1754 0 0 3742 1754 3742 1754 -1988 X false true X true false X X 1 SMC 581131002 3 false 0 0 1 0 0 false false false false false false false false false false false false false false false true SCHEDULE A, PART I, LINE 11G SUPPORTING ORGANIZATION'S NAME: THE FULL NAME OF THE SUPPORTED ORGANIZATION IS SOUTHSIDE MEDICAL CENTER INC. SCHEDULE A, PART IV, SECTION A, LINE 1 HISTORIC AND CONTINUING RELATIONSHIP: PER THE CHOICE HEALTHCARE FOUNDATION'S MISSION, THE ORGANIZATION WAS FORMED TO PROVIDE FINANCIAL SUPPORT TO THE HEALTHCARE PROGRAMS OF SOUTHSIDE MEDICAL CENTER, THE SUPPORTED ORGANIZATION. CHOICE HEALTHCARE FOUNDATION'S SUPPORT ALLOWS SOUTHSIDE MEDICAL CENTER TO BE A LEADER IN PROVIDING AFFORDABLE CARE TO THE UNINSURED AND UNDER INSURED. 1988 1988 1988 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false false false false false DR DAVID WILLIAMS PRESIDENT & CEO 0 303164 0 177914 0 7890 0 7585 0 4620 0 501173 0 0 CLAUDIO AZZARITI SECRETARY/TREASURER 0 199486 0 132433 0 4951 0 5218 0 4620 0 346708 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY SOUTHSIDE MEDICAL CENTER, A RELATED ORGANIZATION. SOUTHSIDE MEDICAL CENTER USES THE FOLLOWING RESOURCES TO ESTABLISH THE COMPENSATION OF THE CEO: - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE CFO REVIEWS A TENTATIVE DRAFT OF THE FORM 990 IN DETAIL WITH THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM. A FINAL DRAFT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN REVIEWS AND APPROVES THE FORM 990. IN THE EVENT THAT THE NEXT BOARD MEETING IS NOT SCHEDULED UNTIL AFTER THE FILING DATE, THE FINAL RETURN IS ELECTRONICALLY MAILED TO ALL BOARD MEMBERS AND THE PRESENTATION OCCURS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: BOARD MEMBERS MUST GUARD AGAINST ANY POSSIBILITY OF CONFLICTS THAT DEVELOP BETWEEN THEIR PERSONAL INTERESTS AND THOSE OF THE CORPORATION. TO ENSURE THAT CONFLICTS OF INTEREST ARE AVOIDED, A BOARD MEMBER MUST ANNUALLY DECLARE HIS OR HER PERSONAL INTEREST IN A MATTER OR TRANSACTION BEFORE IT IS CONSIDERED BY THE BOARD; DESCRIBE THE NATURE OF THE INTEREST AND ANY SIGNIFICANT REASONS AS TO WHY THE TRANSACTION MAY NOT BE IN THE BOARD'S BEST INTEREST; AND REFRAIN FROM VOTING OR INFLUENCING THE BOARD'S DELIBERATIONS IN THE MATTER. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW POLICY: TO DETERMINE, REVIEW AND APPROVE COMPENSATION OF THE CEO, THE EXECUTIVE COMMITTEE OF THE SOUTHSIDE MEDICAL CENTER BOARD OF DIRECTORS REVIEWS COMPARABLE CHC DATA FROM THE AREA ON AN ANNUAL BASIS AND THIS PROCESS IS DOCUMENTED ACCORDINGLY. ADDITIONALLY THE CEO REVIEWS COMPARABLE CHC SALARY DATA FROM THE AREA TO DETERMINE, REVIEW AND APPROVE COMPENSATION OF TOP MANAGEMENT AND OFFICERS. THIS PROCESS IS DOCUMENTED AND CONDUCTED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND/OR FINANCIAL STATEMENTS WILL BE PROVIDED, VIA MAIL, UPON REQUEST. ALL REQUESTS MUST BE FOR A LEGITIMATE BUSINESS PURPOSE, AS DETERMINED BY TOP MANAGEMENT. SOUTHSIDE MEDICAL CENTER 1046 RIDGE AVE SW ATLANTA GA 30315 581131002 HEALTH CARE GA 501(C)(3) 3 NA false false false false false false false false false false false false false false false true false false false false