Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990 | FORM 990, PART IX, LINE 24B SUBSIDY TO PHYSICIAN CLINICS FOR LOSSES ASSOCIATED WITH LOW-INCOME PATIENTS. SERVING THE COMMUNITY, CONTINUED V. COMMUNITY BUILDING ACTIVITIES A. ECONOMIC DEVELOPMENT THE CORPORATION SUPPORTS THE ECONOMIC DEVELOPMENT COMMISSION OF DOUGHERTY COUNTY WITH FUNDING TO SUPPORT IMPROVED EMPLOYMENT AND HEALTH COVERAGE AS A WAY TO IMPROVE THE OVERALL HEALTH OF THE RESIDENTS OF THE REGION. TO ADDRESS LONG-STANDING NURSING AND MEDICAL OCCUPATIONAL SHORTAGES, THE CORPORATION SPENT 852,766 IN DEVELOPING AND EXPANDING ENROLLMENT IN NURSING AND OTHER MEDICAL OCCUPATIONAL PROGRAMS IN 2025. THIS FUNDING WAS PROVIDED TO MOREHOUSE SCHOOL OF MEDICINE, ALBANY STATE UNIVERSITY, ALBANY TECHNICAL COLLEGE, AND 4C ACADEMY. SIMULATION LAB OTHER EDUCATIONAL OPPORTUNITIES THE CORPORATIONS 5.3 MILLION DOLLAR SIMULATION PLAN BECAME OPERATIONAL IN 2021. IT WAS BUILT TO TRAIN WORKERS IN A VARIETY OF HEALTHCARE ROLES AND DUPLICATES HOSPITAL ENVIRONMENTS EXACTLY, INCLUDING PATIENT AND OPERATING ROOMS, INTENSIVE CARE UNITS, AND THE EMERGENCY CENTER. THE FOLLOWING ARE SOME TRAINING HIGHLIGHTS FOR 2025: A. WORKFORCE DEVELOPMENT: THROUGH VARIOUS INVESTMENTS WITH OUR ACADEMIC PARTNERS, THE CORPORATION HAS ENABLED THE NURSING PROGRAMS TO INCREASE STUDENT ENROLLMENT BY PROVIDING FUNDING FOR FULL AND/OR PART-TIME FACULTY FOR EACH OF THE NURSING PROGRAMS, AS WELL AS FOR THREE FULL TIME CLINICAL FACULTY WHO ARE LOCATED IN THE SIMULATION & INNOVATION CENTER. B. ALBANY STATE UNIVERSITY (ASU) SUMMER HEALTH AND STEM CAMP: THIS CAMP PROVIDED EXPERIENTIAL LEARNING OPPORTUNITIES TO HIGH SCHOOL STUDENTS IN THE AREAS OF BIOLOGY, CHEMISTRY/PHYSICS AND BIOMEDICAL/HEALTHCARE FIELDS. STUDENTS ENGAGED IN SCIENTIFIC EXPERIMENTATION AND DEMONSTRATIONS WITH ASU FACULTY IN THE AFOREMENTIONED AREAS. ADDITIONALLY, STUDENTS MEET WITH KEYNOTE MOTIVATIONAL SPEAKERS AND PERSONNEL AT PPMH FOR A TOUR OF MEDICAL FACILITIES. HELD IN THE SUMMER OF 2025, THERE WERE APPROXIMATELY 41 STUDENT PARTICIPANTS. C. PHOEBE ACADEMY FOR TEENS IN HEALTHCARE (PATH): THE PHOEBE ACADEMY FOR TEENS IN HEALTHCARE (PATH) IS A HANDS-ON LEARNING EXPERIENCE DESIGNED TO INTRODUCE HIGH SCHOOL STUDENTS TO CAREERS IN HEALTHCARE. THROUGH INTERACTIVE SIMULATIONS, PROFESSIONAL MENTORSHIP, AND EXPOSURE TO A VARIETY OF MEDICAL SPECIALTIES, STUDENTS GAIN REAL-WORLD INSIGHT INTO HEALTHCARE PROFESSIONS WHILE BUILDING LEADERSHIP SKILLS AND PROFESSIONAL CONNECTIONS. PATH IS IDEAL FOR STUDENTS WHO HAVE A STRONG INTEREST IN HEALTHCARE AND ARE EAGER TO EXPLORE FUTURE CAREER OPPORTUNITIES IN A MEANINGFUL AND ENGAGING WAY. LAUNCHED IN THE SUMMER OF 2025, THERE WERE 14 STUDENTS THAT PARTICIPATED. D. CLINICAL INSTRUCTOR TRAINING: STUDENT SERVICES, IN COLLABORATION WITH THE EDUCATION DEPARTMENT HOSTS CLINICAL INSTRUCTOR TRAINING FOR ACADEMIC PARTNERS WHO BRING STUDENTS INTO THE FACILITY FOR CLINICAL ROTATIONS. MEMBERS OF THE PPMH SIMULATION AND INNOVATION TEAM PROVIDE DEMONSTRATION AND HANDS ON TRAINING TO INSTRUCTORS. STUDENT SERVICES DELIVERS INFORMATION AND GUIDELINES TO INSTRUCTORS ON STUDENT EXPECTATIONS, POLICIES AND PROCEDURES, AND HIGH RELIABILITY PROTOCOLS. IN JULY OF 2025, 43 CLINICAL INSTRUCTORS ATTENDED THE SESSION. E. PHOEBE WORK BASED LEARNING INTERNSHIP PROGRAM: PHOEBES HIGH SCHOOL SENIOR INTERNSHIP PROGRAM OFFERS STUDENTS WHO HAVE COMPLETED HEALTHCARE PATHWAY COURSEWORK THE OPPORTUNITY TO APPLY THEIR CLASSROOM LEARNING IN REAL-WORLD CLINICAL ENVIRONMENTS. THROUGH STRUCTURED ROTATIONS IN VARIOUS HOSPITAL DEPARTMENTS, STUDENTS GAIN EXPOSURE TO DIVERSE HEALTHCARE ROLES, HELPING THEM CLARIFY OR CONFIRM THEIR CAREER INTERESTS. THIS INITIATIVE NOT ONLY DEEPENS STUDENTS UNDERSTANDING OF HEALTHCARE PROFESSIONS BUT ALSO EMPHASIZES PROFESSIONAL DEVELOPMENT AND THE CULTIVATION OF ESSENTIAL EMPLOYABILITY SKILLS SUCH AS COMMUNICATION, TEAMWORK, AND ADAPTABILITY. BY BRIDGING ACADEMIC PREPARATION WITH HANDS-ON EXPERIENCE, THE PROGRAM SUPPORTS CAREER READINESS AND STRENGTHENS THE FUTURE HEALTHCARE WORKFORCE. STUDENT SERVICES HAD 15 HIGH SCHOOL SENIORS TOTAL FROM LEE COUNTY AND DOUGHERTY COUNTY THAT PARTICIPATED IN 2025. F. 4C ACADEMY PHOEBE HEALTH SCIENCE PATHWAY INTERNSHIP PROGRAM: THE PHOEBE HIGH SCHOOL HEALTHCARE INTERNSHIP PROGRAM PROVIDES GRADUATING HIGH SCHOOL SENIORS WHO HAVE PREVIOUSLY PARTICIPATED IN HEALTHCARE PATHWAY PROGRAMS WITH A STRUCTURED OPPORTUNITY TO GAIN HANDS-ON EXPERIENCE IN CLINICAL SETTINGS. THROUGH THIS INITIATIVE, STUDENTS CHOOSE BETWEEN TWO FOCUSED TRACKS: A CERTIFIED NURSING ASSISTANT (CNA) INTERNSHIP OR A MEDICAL ASSISTANT (MA) CLINIC INTERNSHIP. THIS EXPERIENTIAL LEARNING MODEL ALLOWS STUDENTS TO APPLY FOUNDATIONAL KNOWLEDGE, DEVELOP ESSENTIAL CLINICAL SKILLS, AND GAIN EXPOSURE TO REAL-WORLD HEALTHCARE ENVIRONMENTS. THE PROGRAM IS DESIGNED NOT ONLY TO SUPPORT CAREER READINESS BUT ALSO TO SERVE AS A PIPELINE FOR FUTURE EMPLOYMENT AT PHOEBE PUTNEY MEMORIAL HOSPITAL. UPON SUCCESSFUL COMPLETION AND GRADUATION, STUDENTS ARE CONSIDERED FOR ENTRY-LEVEL CNA AND MA ROLES, WITH ACCESS TO EDUCATIONAL ASSISTANCE AS THEY PURSUE POST-SECONDARY DEGREES IN HEALTHCARE. THIS INITIATIVE STRENGTHENS THE LOCAL HEALTHCARE WORKFORCE, PROMOTES CAREER ADVANCEMENT, AND SUPPORTS THE LONG-TERM PROFESSIONAL DEVELOPMENT OF YOUTH IN THE COMMUNITY. THERE WERE 16 STUDENTS FROM 4C THAT PARTICIPATED IN 2025. G. SOWEGA-AHEC PATHWAY TO MEDICINE: SOWEGA-AHEC, IN COLLABORATION WITH AAPHC AND THE PPMH FAMILY MEDICINE RESIDENCY PROGRAM, CREATED THE PATHWAY TO MED SCHOOL PROGRAM TO ADDRESS THE CRITICAL NEED FOR PRIMARY CARE PHYSICIANS IN SOUTHWEST GEORGIA. KNOWING THAT STUDENTS FROM RURAL COMMUNITIES ARE MORE LIKELY TO RETURN TO A RURAL AREA TO PRACTICE AND UNDERSTANDING THE NEED TO INCREASE THE PIPELINE OF RURAL STUDENTS ENROLLED IN GEORGIA MEDICAL SCHOOLS, IT WAS DETERMINED THAT STUDENTS FROM THE 38- COUNTY REGION NEEDED TO BECOME MORE COMPETITIVE IN THE APPLICATION PROCESS. THIS YEAR, PPMH HOSTED ELEVEN PATHWAYS TO MEDICINE STUDENTS. TO DETERMINE HOW TO MAKE THE STUDENTS MORE COMPETITIVE, AHEC POLLED THE ADMISSIONS COMMITTEES FROM EACH OF THE MEDICAL SCHOOLS IN GEORGIA TO DETERMINE WHAT, BEYOND MCAT SCORES AND GPA WOULD INCREASE THEIR CHANCES OF BEING ACCEPTED. THE OVERWHELMING CONSENSUS WAS A MUCH NEEDED AND SIGNIFICANT STRUCTURED CLINICAL SHADOWING AND MEDICAL RESEARCH EXPERIENCE. THE ALBANY BASED PATHWAY TO MEDICAL SCHOOL PROGRAM WAS STRUCTURED ACCORDINGLY AS A 4-WEEK RESIDENTIAL EXPERIENCE TO INCLUDE 50 HOURS OF CLINICAL SHADOWING IN A PRIMARY CARE SETTING AND 75 HOURS OF COMMUNITY- BASED RESEARCH TO INCLUDE DATA COLLECTION, INTERPRETATION, AND PRESENTATION.SOUTHWEST GEORGIA IS A MEDICALLY UNDERSERVED AREA (MUA) AND BY SUPPORTING THE EFFORTS OF LOCAL ASPIRING MEDICAL STUDENTS AT THE PRE-MED ACADEMIC LEVEL, WE CAN IMPROVE ACCESS TO HEALTHCARE IN OUR COMMUNITIES. H. COLONY BANK LEADERSHIP ACADEMY: THE COLONY BANK LEADERSHIP ACADEMY AIMS TO ENCOURAGE HIGH SCHOOL JUNIORS TO RECOGNIZE THEIR OWN POTENTIAL AND DEVELOP THEIR LEADERSHIP SKILLS. AS PART OF THE CURRICULA, 43 STUDENTS ATTENDED A DAY IN THE SIMULATION CENTER TO PARTICIPATE IN HANDS ON SKILLS (SUCH AS LISTENING TO HEART TONES AND RESPIRATIONS) TO EDUCATE THEM ON MEDICAL SKILLS AND CAREERS IN HOPES OF ENCOURAGING THEM TO SEEK A CAREER IN HEALTHCARE.I. JUNIOR LEADERSHIP LEE:JUNIOR LEADERSHIP LEE COUNTY DRAWS TOGETHER RISING HIGH SCHOOL SOPHOMORES, JUNIORS, AND SENIORS WHO ARE DEEPLY COMMITTED TO OUR FUTURE AND EMPOWERS THEM WITH THE ESSENTIAL KNOWLEDGE ABOUT EVERY ELEMENT OF OUR COMMUNITY FROM GOVERNMENT, HEALTHCARE, AND EDUCATION TO NEWS, HISTORY, AND CHARITY. AS PART OF THE CURRICULA, 24 STUDENTS ATTENDED A DAY IN THE SIMULATION CENTER TO PARTICIPATE IN HANDS ON SKILLS (SUCH AS LISTENING TO HEART TONES AND RESPIRATIONS) TO EDUCATE THEM ON MEDICAL SKILLS AND CAREERS IN HOPES OF ENCOURAGING THEM TO SEEK A CAREER IN HEALTHCARE. DR. TRACY SUBER FACILITATED THEIR SESSION REGARDING COMMUNICATION. I. VARIOUS COMMUNITY LEADERS AND ORGANIZATIONS 1.DURING 2025, PPMH BEGAN HOSTING HANDS ON TRAINING AND DEMONSTRATIONS FOR NON-MEDICAL COMMUNITY MEMBERS TO STEP INTO THE LIFE OF A HEALTH CARE PROFESSIONAL. FIVE OF THESE EVENTS WERE HOSTED THIS YEAR AT THE PPMH SIMULATION AND INNOVATION CENTER. 2. PPMH HOSTED MULTIPLE OTHER COMMUNITY ORGANIZATIONS IN THEIR SIMULATION CENTER AND PROVIDED HANDS ON OPPORTUNITIES TO EXPERIENCE MEDICAL SKILLS TRAINING. OVER 400 INDIVIDUALS FROM AROUND THE COMMUNITY AND STATE ATTENDED SUCH EVENTS, MORE THAN 10 OF SUCH EVENTS WERE HELD. 3. PPMH HOSTED 9 HIGH SCHOOL AND ONE MIDDLE SCHOOL EVENT COVERING HANDS- ON TRAINING AND DEMONSTRATIONS THAT ALLOW THE NON-MEDICAL COMMUNITY MEMBER TO STEP INTO THE LIFE AND TRAINING REQUIRED OF OUR STAFF. ACTIVITIES INCLUDE: IV SKILLS, TOURNIQUET PLACEMENT, HEART, LUNG, LISTENING TO BOWEL SOUNDS, PULSE POINT CHECKS AND VIRTUAL REALITY HEALTH CARE SIMULATION. C. COALITION BUILDING IN 2025, PHOEBE MADE THE DECISION TO PAY FOR EACH EMPLOYEE TO VOLUNTEER IN THE COMMUNITY FOR A MAXIMUM OF FOUR HOURS ANNUALLY. THIS IS A VOLUNTARY OP |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. SHALL BE PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS). |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF PPHS HAS THE RIGHT TO APPOINT DIRECTORS OF THE FILING ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBER SHALL HAVE THE FOLLOWING RESPONSIBILITIES: - THE MEMBER SHALL APPOINT OR REMOVE THE ORGANIZATION'S DIRECTORS. - THE MEMBER SHALL SELECT OR REMOVE THE ORGANIZATION'S OFFICERS. - THE MEMBER SHALL APPROVE ALL AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. - THE MEMBER SHALL APPROVE ANY ANNUAL OPERATING OR CAPITAL BUDGETS. - THE MEMBER SHALL APPOINT OR REMOVE THE INDEPENDENT AUDITORS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 (BASED UPON INFORMATION PROVIDED BY THE ORGANIZATION) PROVIDES A COMPLETE COPY OF THE RETURN WITH APPLICABLE SCHEDULES TO BE REVIEWED BY MANAGEMENT. MANAGEMENT PERFORMS A DETAILED REVIEW WHICH CONSISTS OF REVIEWING THE FINANCIAL DATA, THE NARRATIVES DISCLOSED, AND OTHER FACTS PRESENTED ON THE RETURN. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW, TO GAIN THEIR COMMENTS AND APPROVAL. UPON APPROVAL FROM THE FINANCE COMMITTEE, THE FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND FEEDBACK. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES, A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ON AN ANNUAL BASIS, PHOEBE PUTNEY MEMORIAL HOSPITAL (PPMH) BOARD MEMBERS AS WELL AS ALL OFFICERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS ADMINISTERED BY THE PHOEBE PUTNEY HEALTH SYSTEM (PPHS) COMPLIANCE DEPARTMENT AND THE DOCUMENT ASKS EACH INDIVIDUAL TO DISCLOSE ANY PERSONAL, BUSINESS, OR OTHER AFFILIATIONS AND MONETARY AMOUNT IF APPLICABLE THAT THEY OR THEIR IMMEDIATE FAMILY MEMBERS HAVE HAD WITHIN THE PAST 12 MONTHS WITH PPMH OR ANY RELATED ENTITIES. ALL RESPONSES ARE THEN EVALUATED BY THE PPHS COMPLIANCE DEPARTMENT. IN THE CASE OF AN EXISTING CONFLICT, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL SO SUCH TRANSACTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ITS CONFLICT OF INTEREST AND AUDITED FINANCIAL STATEMENTS ON THE ORGANIZATION'S WEBSITE, BY PROVIDING COPIES UPON REQUEST, AND BY INSPECTION AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | CONTRACT STAFFING FEES 6,532,849 5,468,873 0 INTERCOMPANY ALLOCATED COST 119,110,817 29,568,598 0 OTHER PATIENT RELATED SERV 10,132,598 1,642,385 0 CONTRACT SERVICE FEES 61,834,130 2,672,738 0 CONSULTANT FEES 244,098 3,907,563 0 PROFESSIONAL FEES 407,390 0 0 COLLECTION FEES 0 2,134,783 0 TOTAL 198,261,882 45,394,940 0 |
| FORM 990, PART XI, LINE 9 | AMORTIZATION OF NET LOSS - PENSION 958,746 CHANGE IN VALUE OF INTEREST RATE SWAP 663,567 NET ACTUARIAL LOSS - PENSION -622,264 CHANGE IN INTEREST IN NET ASSETS OF PHOEBE FND -1,378,289 TOTAL -378,240 |
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| Software Version: |