Form 990, Page 6, Part VI, Line 11B
“Form 990 is reviewed by cfo prior to filing.”
990 • Fiscal year 2019 • EIN 58-1772605
Scores are not available for this record yet.
Assets
Flat$209,657
Flat from 2019
Net Assets
Flat$209,657
Flat from 2019
Liabilities
Flat$0
Flat from 2019
Revenue
Down$558,863
Down $9,381 (-1.7%) from 2019
Expenses
Flat$568,304
Flat from 2019
Net Income
Down-$9,441
Down $9,381 (-15635%) from 2019
MEDICAL CARE TO PUBLIC
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $427 | $367 | ▼ $60 |
| Total Assets | $219,098 | $209,657 | ▼ $9,441 |
| Other Assets Total | $218,671 | $209,290 | ▼ $9,381 |
| Liabilities | |||
| Total Liabilities | $0 | $0 | → $0 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $219,098 | $209,657 | ▼ $9,441 |
| Total Net Assets Fund Balance | $219,098 | $209,657 | ▼ $9,441 |
| Total Liabilities and Net Assets / Fund Balance | $219,098 | $209,657 | ▼ $9,441 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Assets Org | $1,000 | - | - |
| Name | Title |
|---|---|
| James L Allen | CEO |
| Kim Wills | CFO |
| Joyce Mims | Secretary |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $566,634 |
| Other Expenses | $1,670 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $566,634 | - | - | $566,634 |
| Fees for Services Accounting | $1,610 | - | - | $1,610 |
| Other Expenses | $60 | - | - | $60 |
| Total Functional Expenses | $568,304 | $0 | $0 | $568,304 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Tift Regional Health System Inc | Tifton, GA | - | Local Hospital | $566,634 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Form 990 is reviewed by cfo prior to filing.”
“Officers are required to annually affirm that any possible conflicts of interest have been disclosed to the governing body. The governing body will determine whether significant conflicts of interest do occur and take the necessary steps to protect the organization.”
“Governing documents available to members of the public upon request.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | MEDICAL CARE TO PUBLIC |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | KIM WILLS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2293533804 |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TIFTON |
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| IRS990/BusinessRlnWithFamMemInd | 0 | false |
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| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
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| IRS990/CompensationProcessOtherInd | 0 | false |
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| IRS990/ConservationEasementsInd | 0 | false |
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| IRS990/CreditCounselingInd | 0 | false |
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| IRS990/CYOtherExpensesAmt | 0 | 1670 |
| IRS990/CYOtherRevenueAmt | 0 | 558863 |
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| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
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| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/Desc | 0 | TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE CHARITABLE PURPOSES OF, TIFT REGIONAL HEALTH SYSTEM, INC., A GEORGIA NONPROFIT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS SUCCESSOR(S) IN INTEREST ("TRHS") AND SOUTHWELL AMBULATORY GROUP, INC., A GEORGIA NONPROFIT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS SUCCESSOR(S) IN INTEREST ("SOUTHWELL AMBULATORY") IN SUCH WAYS AS THE BOARD OF DIRECTORS OF THE CORPORATION SHALL DETERMINE IN ITS DISCRETION. |
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| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
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| IRS990/FamilyOrBusinessRlnInd | 0 | false |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1610 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JAMES L ALLEN |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
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| IRS990/GamingActivitiesInd | 0 | false |
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| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
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| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
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| IRS990/OfficerMailingAddressInd | 0 | false |
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| IRS990/OtherExpensesGrp/Desc | 0 | BANK SERVICE CHARGES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 60 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 60 |
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| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrincipalOfficerNm | 0 | JAMES L ALLEN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
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| IRS990/ReconcilationRevenueExpnssAmt | 0 | -9441 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
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| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | false |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
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| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
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| IRS990/ScheduleBRequiredInd | 0 | false |
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| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 65299 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 2 | 1000 |
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| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 2 | COMMON STOCK-TE |
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| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 586001719 |
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| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | TIFTON |
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| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | FORM 990 IS REVIEWED BY CFO PRIOR TO FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | OFFICERS ARE REQUIRED TO ANNUALLY AFFIRM THAT ANY POSSIBLE CONFLICTS OF INTEREST HAVE BEEN DISCLOSED TO THE GOVERNING BODY. THE GOVERNING BODY WILL DETERMINE WHETHER SIGNIFICANT CONFLICTS OF INTEREST DO OCCUR AND TAKE THE NECESSARY STEPS TO PROTECT THE ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | GOVERNING DOCUMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990ScheduleR/AssetExchangeInd | 0 | false |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | false |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | false |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | false |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN | 0 | 581986064 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt | 0 | C CORP |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 0 | HEALTHCARE |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | TIFT ENTERPRISES INC |
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| IRS990/TotalAssetsGrp/EOYAmt | 0 | 209657 |
| IRS990/TotalCompGreaterThan150KInd | 0 | false |
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| IRS990/UponRequestInd | 0 | X |
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| IRS990/USAddress/CityNm | 0 | ADEL |
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| IRS990/VotingMembersIndependentCnt | 0 | 8 |
| IRS990/WhistleblowerPolicyInd | 0 | true |
| IRS990/WrittenPolicyOrProcedureInd | 0 | true |
| ReturnHeader/BuildTS | 0 | 2020-09-23 17:36:50Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | KIM WILLS |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CFO |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 2293536146 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2020-01-20 |
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| ReturnHeader/Filer/BusinessNameControlTxt | 0 | SOUT |
| ReturnHeader/Filer/EIN | 0 | 581772605 |
| ReturnHeader/Filer/PhoneNum | 0 | 2293533804 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | PO BOX 747 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | TIFTON |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | GA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 31793 |
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| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
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| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2020-01-21 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | CS |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 08:53:49 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 581382220 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | ALLEN PRITCHETT & BASSETT LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | PO BOX 349 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | TIFTON |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | GA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 317930349 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 2293826960 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2020-01-20 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | MARCUS E OWEN CPA |
| ReturnHeader/ReturnTs | 0 | 2020-01-21T08:53:49-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2018-10-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2019-09-30 |
| ReturnHeader/TaxYr | 0 | 2018 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
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