2024-05-10T16:45:54-04:00 2023-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-07-01 582191830 ELBERT MEMORIAL HOSPITAL FOUNDATION INC ELBE 7062132558 4 MEDICAL DRIVE ELBERTON GA 306351830 NANCY SEYMOUR EXECUTIVE DIRECTOR 7062132558 2024-05-02 true NANCY SEYMOUR 999009999 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-05-02 2022 2023-04-26 12:10:37Z NANCY SEYMOUR 4 MEDICAL DRIVE ELBERTON GA 306351830 338916 false X HTTPS://EMHCARE.NET/ABOUT/FOUNDATION/ X 1995 GA THE PURPOSE OF THE FOUNDATION IS TO OPERATE AS A CHARITABLE CORPORATION UNDER THE LAWS OF THE STATE OF GEORGIA FOR THE PURPOSES TO RECEIVE, HOLD, MANAGE, INVEST OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF THE ELBERT MEMORIAL HOSPITAL. 22 19 0 75 0 304109 124592 0 58771 -58657 17437 16428 380317 82363 57349 138139 0 25000 16667 0 27548 56026 61299 138375 216105 241942 -133742 2886463 2723223 5607 5077 2880856 2718146 X THE PURPOSE OF THE FOUNDATION IS TO OPERATE AS A CHARITABLE CORPORATION UNDER THE LAWS OF THE STATE OF GEORGIA FOR THE PURPOSES TO RECEIVE, HOLD, MANAGE, INVEST OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF THE ELBERT MEMORIAL HOSPITAL. false false 154921 138139 THE FOUNDATION PROVIDES SERVICES AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF THE ELBERT MEMORIAL HOSPITAL, INCLUDING: - THE SCHOLARSHIP FUND WHICH PROVIDES SCHOLARSHIPS TO OUTSTANDING LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PURSUING THE FIELD OF HEALTHCARE. AFTER GRADUATION, THESE STUDENTS ARE ACTIVELY RECRUITED BY ELBERT MEMORIAL HOSPITAL. - THE WELLNESS CENTER FUND WHICH PROVIDES EQUIPMENT FOR USE IN THE WELLNESS CENTER OPERATED BY ELBERT MEMORIAL HOSPITAL, THE SUPPORTED ORGANIZATION. - OTHER CHARITABLE OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 154921 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 5 2 false 0 false false false false false true true false false false false false false X 22 19 true false false false false false false true true false false true true true true false false false false false GA X NANCY SEYMOUR 7062132558 4 MEDICAL DRIVE ELBERTON GA 306351830 TAMMY HARLOW TERM 323 BD MBR/COO 2.00 40.00 X 0 150713 12286 HANNAH WILLIAMS BD MBR/DIR O 2.00 40.00 X 0 79058 3618 NANCY SEYMOUR EXECUTIVE DI 32.00 8.00 X 0 75510 3591 SARAH LAVERE BD MBR/ 2.00 40.00 X 0 60969 3565 LEANNE LAYNE TERM 122022 PASTCHAIRMAN 2.00 X X 0 0 0 COURTNEY BLACKMON SECRETARY 2.00 X 0 0 0 STAN BROWN BOARD MEMBER 2.00 X 0 0 0 TAMMY DALTON BOARD MEMBER 2.00 X 0 0 0 SUSAN FORTSON CHAIR 2.00 X 0 0 0 STACEY HEARD BOARD MEMBER 2.00 X 0 0 0 REBECCA HOLLIDAY BOARD MEMBER 2.00 X 0 0 0 SHAHEEN JALIL BOARD MEMBER 2.00 X 0 0 0 BETH JENKINS VICE CHAIR 2.00 X 0 0 0 JENNY JENKINS TREASURER 2.00 X 0 0 0 ANNA GRANT JONES BOARD MEMBER 2.00 X 0 0 0 JEAN LITTLE BOARD MEMBER 2.00 X 0 0 0 TREY MCAVOY BOARD MEMBER 2.00 X 0 0 0 PARI MEHRABI BOARD MEMBER 2.00 X 0 0 0 JESSICA MOBLEY BOARD MEMBER 2.00 X 0 0 0 TANNER MOORE BOARD MEMBER 2.00 X 0 0 0 SURAIYA RAZZAK BOARD MEMBER 2.00 X 0 0 0 REGINA ROUTH CHAIR-ELECT 2.00 X 0 0 0 TYLER TAYLOR BD MBR/CEO 2.00 40.00 X 0 0 0 MEGAN TURNER SECRETARY/TR X X 0 0 0 MEGAN TURNER BOARD MEMBER 2.00 X 0 0 0 KEVIN VAUGHN BOARD MEMBER 2.00 X 0 0 0 366250 23060 false true false 29128 95464 124592 81133 81133 95210 235000 -139790 -139790 -139790 37981 29128 21553 16428 16428 82363 -42229 131829 131829 6310 6310 16667 1666 8334 6667 24074 24074 9876 9876 389 39 195 155 1734 173 867 694 166 166 OTHER FUNDR./DONOR RECOG 20032 20032 MISCELLANEOUS EXPENSE 5028 5028 216105 154921 33636 27548 94236 4997 9729 250 598 235598 598 2546900 2717378 2886463 2723223 5607 5077 5607 5077 X 778216 740423 2102640 1977723 2880856 2718146 2886463 2723223 X -133742 -28968 X false true X true false X 138291 216999 234518 304109 124592 1018509 138291 216999 234518 304109 124592 1018509 443216 575293 101504 33547 27138 58771 81133 302093 5876 15392 15007 15428 51703 1372305 4080 0.41920 0.42830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2102640 290564 31214 446695 1977723 1830161 359986 56792 144299 2102640 1391819 576447 11543 149648 1830161 1848000 27125 6804 490110 1391819 1823345 25849 3806 5000 1848000 0.73440 0.26560 false false 598 598 598 ANNUITY PAYABLE 5077 5077 X 40206 -168758 105048 -63710 103916 -21553 -21553 82363 342706 105048 21553 126601 216105 216105 SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUND CONSISTS OF SEVERAL SEPARATE ENDOWMENTS ESTABLISHED FOR A VARIETY OF PURPOSES. THERE ARE FIVE SCHOLARSHIP ENDOWMENTS, NINETEEN NAMED ENDOWMENTS, AND THE FOUNDER'S ENDOWMENT SUPPORTING THE MISSION OF ELBERT MEMORIAL HOSPITAL, INC. AND FOR OVERALL SUPPORT OF THE WELLNESS AND HEALTH CARE OF THE CITIZENS OF ELBERT COUNTY. SCHEDULE D, PAGE 3, PART X PART X - FIN 48 FOOTNOTE 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. NO PROVISION FOR INCOME TAXE HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. FURTHER, SHOULD ANY PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. SCHEDULE D, PAGE 4, PART XI, LINE 4B FUNDRAISING EVENT EXPENSE -21,553 SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING EVENT EXPENSES 21,553 GOLF TOURNAMENT 34728 29128 5600 1200 3508 1863 627 CASINO NIGHT 23003 23003 200 3184 7623 472 1 9378 9378 925 1951 67109 29128 37981 2125 3708 5047 7623 3050 21553 16428 true ELBERT MEMORIAL HOSPITAL INC 4 MEDICAL DRIVE ELBERTON GA 30635 586002491 GOV 123413 CAPITAL PURCH/CNSLT GRANITE CITY LIFE SKILLS P O BOX 354 ELBERTON GA 30635 300783689 501C3 8416 OPERATIONS 2 SCHOLARSHIPS 6 6000 BENEVOLENT FUND 1 310 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION WORKS DIRECTLY WITH ELBERT MEMORIAL HOSPITAL (EMH) TO DETERMINE AVAILABLE FUNDS TO BE DISTRIBUTED. EMH WILL MAKE REQUESTS FOR FUNDING TO WHICH THE FOUNDATION RESPONDS. FOR THE SCHOLARSHIP PROGRAM, THE ORGANIZATION MANAGES THE GRANTS AND DISTRIBUTES DIRECTLY TO THE COLLEGES. THE FOUNDATION ALSO CONSIDERS GRANT/ASSISTANCE REQUESTS FROM OTHER NONPROFIT ORGANIZATIONS WITH LIKE MISSIONS. false false false false false false false false false TAMMY HARLOW TERM 323 BD MBR/COO 150713 2600 9686 162999 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 A RELATED ORGANIZATION, ELBERT MEMORIAL HOSPITAL, TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. FORM 990 - ORGANIZATION'S MISSION THE PURPOSE OF THE FOUNDATION IS TO OPERATE AS A CHARITABLE CORPORATION UNDER THE LAWS OF THE STATE OF GEORGIA FOR THE PURPOSES TO RECEIVE, HOLD, MANAGE, INVEST OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF THE ELBERT MEMORIAL HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 2 AL MCCALL RACHEL MCCALL BOARD MEMBER BOARD MEMBER FAMILY RELATIONSHIP SRAIYA RAZZAK SHAHEEN JALIL BOARD MEMBER BOARD MEMBER FAMILY RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS REVIEWED BY EXECUTIVE DIRECTOR AND ACCOUNTING AND THE FULL BOARD WILL RECEIVE A COPY PRIOR TO FILING. THE ORGANIZATION'S MANAGEMENT TEAM PERFORMS A COMPLETE DETAILED REVIEW OF ALL FINANCIAL AND DISCLOSURE DATA PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS AND OFFICERS SIGN A CONFLICT OF INTEREST POLICY STATEMENT AT THE START OF THEIR TERM. BOARD MEMBERS AND OFFICERS ARE RESPONSIBLE FOR MAKING ANY POTENTIAL CONFLICT OF INTERESTS KNOWN WHILE THE DETERMINATION OF A CONFLICT IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD OR COMMITTEE MEMBERS. CONFLICTED INDIVIDUALS MUST RECUSE THEMSELVES FROM ANY DISCUSSION AND/OR VOTE WHEN A CONFLICT EXISTS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 FUNDRAISING EVENT EXPENSE 21,553 FUNDRAISING EVENT EXPENSES -21,553 ELBERT MEMORIAL HOSPITAL 4 MEDICAL DRIVE ELBERTON GA 306351830 586002491 HOSPITAL GA 509A1 6 N/A false false true false true false false false false false false false true false true true false false false false