2024-11-15T14:26:27-06:00 2023-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 435 N WHITTINGTON PKWY STE 400 LOUISVILLE KY 40222 990 2023-01-01 310933781 FLOYD MEMORIAL FOUNDATION INC FLOY 8129495519 2626 CHARLESTOWN RD NEW ALBANY IN 47150 JESSICA TANDY STATEN EXECUTIVE DIRECTOR 8126205422 2024-11-15 1 0 AMELIA SEBASTIAN P01251828 5025896050 2023 2024-10-15 13:58:12Z JESSICA TANDY STATEN 2626 CHARLESTOWN RD NEW ALBANY IN 47150 4975450 0 X WWW.FLOYDFOUNDATION.ORG X 1978 IN TO PROVIDE PHILANTHROPIC SUPPORT TO BAPTIST HEALTH FLOYD HOSPITAL TO ENHANCE THE QUALITY OF HEALTH OF THE COMMUNITY THROUGH HEALTHIER COMMUNITY INITIATIVE PROGRAMS, SCHOLARSHIPS, AND SUPPORT OF OTHER HOSPITAL PROGRAMS. 15 15 1 23 0 0 1011571 495308 0 0 107131 1197523 64479 -36264 1183181 1656567 637989 636516 0 0 0 69321 0 0 6954 108901 225359 746890 931196 436291 725371 17885178 20272186 531964 401706 17353214 19870480 THE MISSION OF THE FOUNDATION IS TO PROVIDE PHILANTHROPIC SUPPORT TO BAPTIST HEALTH FLOYD AND SOUTHERN INDIANA HEALTHCARE INITIATIVES THAT ENHANCE THE QUALITY OF CARE AVAILABLE TO THE COMMUNITY. 0 0 640204 636516 THE FOUNDATION FINANCIALLY SUPPORTS THE HOSPITAL BY FUNDING VARIOUS PROGRAMS RELATED TO THE HOSPITAL'S EXEMPT PURPOSE, INCLUDING FUNDS FOR HCI, EDUCATIONAL PROGRAMS, MEDICAL RESOURCES, TECHNOLOGY AND HEALTH SCREENINGS WHICH ARE PROVIDED TO THE COMMUNITY TO PROMOTE WELLNESS AND A HEALTHIER LIFESTYLE. THE FOUNDATION USES FUNDS TO HELP HOSPITAL EMPLOYEES EXPERIENCING PERSONAL HARDSHIP. THE FOUNDATION PROVIDES SCHOLARSHIPS TO HOSPITAL EMPLOYEES PURSUING CAREERS IN HEALTHCARE. 640204 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 IN X JESSICA TANDY STATEN 8129495519 2626 CHARLESTOWN RD NEW ALBANY IN 47150 MATT MILLIES CHAIRMAN 1.00 X 0 0 0 CORY COCHRAN VICE CHAIR 1.00 X 0 0 0 JAKE ARCHIBALD SECRETARY 1.00 X 0 0 0 JOE DABLOW TREASURER 1.00 X 0 0 0 JASON APPLEGATE DIRECTOR 1.00 X 0 0 0 AMBER BANET DIRECTOR 1.00 X 0 0 0 SENIOR JUDGE J TERRENCE CODY DIRECTOR 1.00 X 0 0 0 LACIE COUZIN PHD RN DIRECTOR 1.00 X 0 0 0 HON MARIA GRANGER DIRECTOR 1.00 X 0 0 0 DR KRISHNA KONIJETI MD DIRECTOR 1.00 X 0 0 0 CHRISTOPHER LANE ESQ DIRECTOR 1.00 X 0 0 0 SARA LOPP DIETRICH DIRECTOR 1.00 X 0 0 0 CLAYTON ROSE DIRECTOR 1.00 X 0 0 0 TINA WALTERS DIRECTOR 1.00 X 0 0 0 BEAU ZOELLER ESQ DIRECTOR 1.00 X 0 0 0 JESSICA TANDY STATEN EXECUTIVE DIRECTOR 40.00 X 64135 0 0 64135 0 0 0 0 0 0 0 39519 455789 495308 345176 345176 4112665 3260318 852347 852347 852347 22301 39519 58565 -36264 -36264 1656567 0 0 1161259 636516 636516 64135 64135 5186 5186 26568 26568 21000 21000 90055 90055 33914 33914 4056 4056 14170 14170 3469 3469 1594 408 1186 77 77 8176 8176 MISCELLANEOUS 19000 12046 6954 PROGRAM 3280 3280 931196 640204 284038 6954 1663510 1845327 6155 6335 16168133 18366056 47380 54468 17885178 20272186 2194 2712 529770 398994 531964 401706 X 16710769 19229070 642445 641410 17353214 19870480 17885178 20272186 725371 1791895 0 X 0 1 X 0 0 X 997743 3827884 261857 359754 495308 5942546 997743 3827884 261857 359754 495308 5942546 5942546 99274 298575 372201 163505 345176 1278731 17156 12013 291 30373 59833 7281110 0.81620 0.83860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 627976 68466 559510 754472 126496 627976 670861 150144 66533 754472 636083 153984 119206 670861 453240 262824 79981 636083 0.06000 0.29000 0.65000 0 0 0 3416972 1791895 58565 1850460 1566512 90055 90055 1656567 899706 58565 58565 841141 90055 90055 931196 PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISER EXPENSES 58,565. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISER EXPENSES 58,565. GOLF CLASSIC 61145 39519 21626 1470 10080 3390 6177 WHITE COAT DINNER 675 675 2000 20791 2000 12657 61820 39519 22301 1470 12080 24181 2000 18834 58565 -36264 0 BAPTIST HEALTH FLOYD 1850 STATE STREET NEW ALBANY IN 47150 610444707 378237 0 CASH MEDICAL EQUIPMENT, TECHNOLOGY, RESOURCES BEACON HOUSE 965 S 2ND STREET LOUISVILLE KY 40203 311497608 21280 0 CASH SUPPORT NEW RESIDENTS EXPENSES DURING 1ST MONTH OF TREATMENT & OTHER ADDICTION RECOVERY SERVICES FOR MEMBERS FROM FLOYD, HARRISON, CLARK, CRAWFORD, WASHINGTON AND SCOTT COUNTIES. BEAUTIFUL AS YOU ARE (BAYA) 757 E LEWIS AND CLARK PKWY SUITE 806 CLARKSVILLE IN 47129 812853453 15000 0 CASH PROVIDE SUPPORT FOR CURRICULUM SUPPLIES (JOURNALS, WEEKLY WORKSHOP SUPPLIES) AND FACILITATOR EXPENSES TO SERVE NAFCS AND NAHA & 2 MIDDLE SCHOOLS. BIG BROTHERS BIG SISTERS OF KENTUCKIANA 1519 GARDINER LANE LOUISVILLE KY 40218 616057856 20000 0 CASH PROVIDE SUPPORT FOR ENROLLMENT, SCREENING, AND TRAINING OF VOLUNTEERS FOR MENTOR PROGRAM AND OTHER PROGRAM NEEDS FOR CHILDREN IN FLOYD, CLARK AND HARRISON COUNTIES. CHRISTIAN FORMATION MINISTRIES PO BOX 1575 NEW ALBANY IN 47150 760785022 20000 0 CASH SCHOLARSHIPS FOR 32 CHILDREN OF INCARCERATED PARENTS TO ATTEND SUMMER 2023 SESSION OF MYCAMP. FAMILY & CHILDREN'S PLACE 525 ZANE STREET LOUISVILLE KY 40203 610549561 17000 0 CASH PURCHASE CURVED STAIR LIFT TO ACCOMMODATE DISABLED CHILDREN BEING TREATED AT FACILITY IN JEFFERSONVILLE. FAMILY HEALTH CENTER 1319 DUNCAN AVENUE JEFFERSONVILLE IN 47130 351842342 28000 0 CASH SUPPORT FOR OVERHEAD EXPENSES, BUILDING MAINTENANCE EXPENSES, WOMENS HEALTH PROVIDER FOR PRE-NATAL CARE IN FLOYD COUNTY, AND MOBILE DENTAL UNIT SUPPLIES. HCIPURDUE PRODUCE RX PROGRAM 403 WEST WOOD STREET WEST LAFAYETTE IN 47907 356002041 10000 0 CASH PROVIDE RESOURCES FOR THE PROGRAM INCLUDING FOOD, CLASS SUPPLIES, INCENTIVE AND PROGRAM COSTS, AND PROGRAM INSTRUCTOR FEES. LET US LEARN 427 HIGHLAND AVENUE NEW ALBANY IN 47150 814032329 15000 0 CASH FUND RESOURCES AND INSTRUCTORS FOR BREAKING BREAD AND BARRIERS MEAL PREP CLASS PROGRAM TO HELP FAMILIES EAT THRIVE 825 N HIGHWAY 31 AUSTIN IN 47102 920314925 68425 0 CASH PROVIDE SUPPORT TO COVER SALARY FOR ONE FT PEER RECOVERY COACH FOR FLOYD COUNTY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS FORM 990, PART VI, SECTION A, LINE 7A THE NON-HOSPITAL MEMBERS, VOTING AS A CLASS, SHALL ELECT THE REMAINING BOARD OF DIRECTORS. EACH NON-HOSPITAL MEMBER SHALL BE ENTITLED TO ONE VOTE IN THE ELECTION OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE NON-HOSPITAL MEMBERS, VOTING AS A CLASS, SHALL ELECT THE REMAINING BOARD OF DIRECTORS. EACH NON-HOSPITAL MEMBER SHALL BE ENTITLED TO ONE VOTE IN THE ELECTION OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEW OF THE FORM 990 CONSISTS OF A DETAILED REVIEW BY THE FOUNDATION'S MANAGEMENT. THE GOVERNING BODY RECEIVES A COPY VIA EMAIL OF THE FORM 990 FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION ABIDES BY THE POLICIES OF BAPTIST HEALTH FLOYD WHICH INCLUDES THE HOSPITAL'S CONFLICT OF INTEREST POLICY. THAT POLICY IS REGULARLY AND CONSISTENTLY ENFORCED AND MONITORED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOSPITAL. THE SCOPE OF THE POLICY INCLUDES TRUSTEES; DIRECTORS; MEDICAL EXECUTIVE COMMITTEE MEMBERS; AND ADMINISTRATORS. THE POLICY SERVES TO IDENTIFY AND PREVENT CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFRAIN FROM ACCEPTING GIFTS THAT MIGHT INFLUENCE ONE'S JUDGEMENT CONCERNING ISSUES BEFORE THE HOSPITAL AND THE FOUNDATION; USING INSIDE INFORMATION RELATING TO THE HOSPITAL OR THE FOUNDATION FOR PERSONAL PROFIT AND ADVANTAGE; AND ANY OTHER ACTIVITY WHICH WOULD BE PERCEIVED AS A CONFLICT OF INTEREST. A WRITTEN DISCLOSURE FORM IS REQUIRED OF EACH COVERED PERSON WHICH IS SUBMITTED TO THE HOSPITAL'S GENERAL LEGAL COUNSEL ON ANY POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.