2022-08-09T08:35:12-05:00 2021-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2020-10-01 581552650 ARCHBOLD MEDICAL CENTER INC ARCH 2292282229 P O BOX 1018 THOMASVILLE GA 317991018 DARCY M CRAVEN PRES/CEO 2292282200 2022-07-31 true DARCY CRAVEN 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2022-08-08 2020 2022-09-23 18:48:47Z DARCY M CRAVEN P O BOX 1018 THOMASVILLE GA 317991018 35950051 false X WWW.ARCHBOLD.ORG X 1983 GA HEALTHCARE MANAGEMENT OF A MULTI-ENTITY TAX-EXEMPT HEALTHCARE SYSTEM. 23 14 3171 0 0 34423546 35950051 0 0 34423546 35950051 0 0 16662214 17690050 0 0 17761332 18260001 34423546 35950051 0 34639707 27646643 34639707 27646643 0 HEALTHCARE MANAGEMENT OF A MULTI-ENTITY TAX-EXEMPT HEALTHCARE SYSTEM. false false 35950051 35950051 HEALTHCARE MANAGEMENT OF A MULTI-ENTITY TAX-EXEMPT HEALTHCARE SYSTEM OF PROVIDERS. 35950051 true false false true false false false false false false false false false true true true 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 true true false false true 0 0 3171 true false false false false false false false false false false false false X 23 14 true false false false true true false true true false false true true true true true true true true false GA X GREG HEMBREE 2292282853 PO BOX 1018 THOMASVILLE GA 317991018 J PERRY MUSTIAN PRES/CEO-LEF 40.00 0.00 X 895220 0 810070 GREG HEMBREE ASST SEC/CFO 40.00 12.00 X 473627 0 73420 CIANNA PENDER MD TRUSTEE 41.00 X 492272 0 15348 TRACY L GRAY VP INFORMATI 40.00 X 394710 0 48579 ZACH WHEELER VP HUMAN RES 40.00 X 345885 0 26269 DARCY M CRAVEN PRES/CEO 40.00 12.00 X X 269113 0 12285 LYNNE FRITZ BYRD VP REV MANAG 40.00 X 234994 0 34420 CARLA PEARCE CHIEF ACCT O 40.00 1.00 X 183535 0 18519 SAM CARNLINE TRUSTEE 1.00 1.00 X 0 0 0 DAVID I MEDEROS DO TRUSTEE 1.00 1.00 X 0 0 0 CRAIG R WENTWORTH EDD TRUSTEE 1.00 1.00 X 0 0 0 W GREGORY HAMIL TRUSTEE 1.00 1.00 X 0 0 0 BRAD JACKSON TRUSTEE 1.00 1.00 X 0 0 0 NATHANIEL H ABRAMS JR SECRETARY 1.00 1.00 X X 0 0 0 GATES KIRKHAM TRUSTEE 1.00 1.00 X 0 0 0 BENJAMIN J WILDS MD TRUSTEE 1.00 X 0 0 0 DARYL CRENSHAW MD TRUSTEE 1.00 1.00 X 0 0 0 JOHN B CARICO MD TRUSTEE 1.00 X 0 0 0 KAREN BRAMBLETT MD TRUSTEE 1.00 X 0 0 0 MICHAEL CROWLEY MD TRUSTEE 1.00 X 0 0 0 ROBERT D MILES JR MD TRUSTEE 1.00 X 0 0 0 VICTOR M MCMILLAN MD TRUSTEE (LEF 1.00 X 0 0 0 KHA THOMAS MCDONALD TRUSTEE 1.00 X 0 0 0 MARK PARKER CHAIRMAN/TRE 1.00 2.00 X X 0 0 0 GINA SHUMAKE TRUSTEE 1.00 X 0 0 0 RICHARD SINGLETARY TRUSTEE 1.00 X 0 0 0 CHARLES M STAFFORD TRUSTEE 1.00 X 0 0 0 SUE STEPHENSON TRUSTEE 1.00 1.00 X 0 0 0 LEE TY TURNER TRUSTEE 1.00 1.00 X 0 0 0 ALSTON WATT VICE CHAIRMA 1.00 X X 0 0 0 3289356 1038910 15 false true false CERNER HEALTH SERVICES INC P O BOX 959167 ST LOUIS MO 631959167 SOFTWARE MAINT 3589425 MAXORPLUS LTD P O BOX 1903 AMARILLO TX 79105 MGMT SVCS 1170019 3M HEALTH INFORMATION SYSTEMS P O BOX 120881 DALLAS TX 75312 SOFTWARE MAINT 732609 SOFT COMPUTER CONSULTANTS 5400 TECH DATA DRIVE CLEARWATER FL 337603116 SOFTWARE MAINT 724729 INFOR (US) INC 13560 MORRIS ROAD SUITE 4100 ALPHARETTA GA 30004 SOFTWARE MAINT 532304 29 HEALTHCARE MANAGEMENT FEES 561000 35950051 35950051 35950051 35950051 35950051 X 1312652 1312652 12561020 12561020 175508 175508 2665357 2665357 975513 975513 638020 638020 300912 300912 320099 320099 4108351 4108351 3236 3236 1587854 1587854 10309356 10309356 152459 152459 10436 10436 DUES & SUBSCRIPTIONS 307446 307446 CONTINGENCY 276700 276700 RECRUITMENT 177084 177084 REPAIRS & MAINTENANCE 42229 42229 25819 25819 35950051 35950051 0 0 6321804 3767703 28317903 23878940 34639707 27646643 29884355 21451277 4755352 6195366 34639707 27646643 X 0 0 34639707 27646643 0 X false true X true true true X X 3 JOHN D ARCHBOLD MEMORIAL HOSPITAL INC 580566121 3 true 34607022 0 ARCHBOLD HEALTH SERVICES INC 581376434 10 true 1160178 0 ARCHBOLD MEDICAL GROUP INC 262988454 3 false 405542 0 3 36172742 0 false false false false false false false false false false false false false false false true true true X true true PART IV, SECTION A, LINE 1 ARCHBOLD MEDICAL CENTER, INC. (AMC) IS ORGANIZED AS A NONPROFIT CORPORATION TO CARRY OUT CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES. AMC PROVIDES FINANCIAL AND MANAGEMENT ASSISTANCE TO JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. (JDAMH), ARCHBOLD HEALTH SERVICES, INC. (AHS), AND OTHER HEALTH CARE RELATED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1954, WHICH ARE OR MAY BECOME AFFILIATED WITH AMC, JDAMH, OR AHS. ALTHOUGH ARCHBOLD MEDICAL GROUP, INC. (AMG) IS NOT NAMED SPECIFICALLY IN AMC'S ARTICLES OF INCORPORATION, THE FILING ORGANIZATION HAS BEEN SPPORTING THE ORGANIZATION IN THE SAME MANNER AS OTHER SUPPORTED ORGANIZATIONS SINCE AMG'S CREATION IN 2008. THUS AMC AND AMG HAVE AN HISTORIC AND CONTINUING RELATIONSHIP. PART IV, SECTION D, LINE 3 ARCHBOLD MEDICAL CENTER, INC. IS THE PARENT OF A MULTI-ENTITY HEALTHCARE SYSTEM AND THE SUPPORTING ORGANIZATION OF JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC., ARCHBOLD HEALTH SERVICES, INC. AND ARCHBOLD MEDICAL GROUP, INC. IN ADDITION TO HAVING OVERLAPPING MEMBERS ON THE BOARD OF DIRECTORS, THE CEO AND CFO OF THE SUPPORTED ORGANIZATION AND THE SUPPORTING ORGANIZATIONS ARE THE SAME INDIVIDUALS IN ORDER TO ENSURE THE SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF THE SUPPORTING ORGANIZATIONS' ASSETS. PART IV, SECTION E, LINE 3A AS SOLE MEMBER OF EACH SUPPORTED ORGANIZATION, AMC HAS THE POWER TO ELECT OR REPLACE AND TO REMOVE ALL MEMBERS OF THE GOVERNING BODY. PART IV, SECTION E, LINE 3B AS SOLE MEMBER, AMC HAS THE AUTHORITY TO APPROVE THE DECISIONS OF THE GOVERNING BODY FOR EACH OF ITS SUPPORTED ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO, CAPITAL AND OPERATING BUDGETS, MERGERS OR ACQUISITIONS, CONTRACTS AND TRANSACTIONS OVER A CERTAIN AMOUNT, DISSOLUTION, ETC. SUPPLEMENTAL INFORMATION ARCHBOLD MEDICAL CENTER, INC., AS THE PARENT CORPORATION, PROVIDES MANAGEMENT SERVICES FOR ITS SUPPORTED ORGANIZATIONS. false true false false false false false false true 80639 80639 false SCHEDULE C, PART II-B, LINE 1 LOBBYING ACTIVITIES INCLUDE THE MEDICAL CENTER'S MEMBERSHIP IN THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS AS WELL AS A PORTION OF BOTH THE AMERICAN HOSPITAL ASSOCIATION AND GEORGIA HOSPITAL ASSOCIATION DUES. DUE FROM RELATED PARTIES 23878940 23878940 DUE TO RELATED PARTIES 6195366 6195366 X SCHEDULE D, PAGE 3, PART X THE MEDICAL CENTER, WITH THE EXCEPTION OF ARCHBOLD MEDICAL ENTERPRISES, INC., IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX- EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE CONSOLIDATED FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITION ACCOMPANYING CONSOLIDATED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. NOTE, "THE MEDICAL CENTER" REFERS TO ARCHBOLD MEDICAL CENTER, INC. THE PARENT ORGANIZATION OF THE MULTI-ENTITY HEALTHCARE SYSTEM. X X true true X X X X X false true false false false false false false false J PERRY MUSTIAN PRES/CEO-LEFT 8/20 711714 167063 16443 797100 12970 1705290 GREG HEMBREE ASST SEC/CFO/SN VP 372834 96251 4542 60450 12970 547047 CIANNA PENDER MD TRUSTEE 410027 75545 6700 8550 6798 507620 TRACY L GRAY VP INFORMATION SVC 305466 61200 28044 41580 6999 443289 ZACH WHEELER VP HUMAN RESOURCES 272483 68500 4902 19269 7000 372154 DARCY M CRAVEN PRES/CEO 244064 25049 3155 9130 281398 LYNNE FRITZ BYRD VP REV MANAGEMENT 180159 36622 18213 27526 6894 269414 CARLA PEARCE CHIEF ACCT OFFICER 165864 17239 432 8660 9859 202054 SCHEDULE J, PAGE 1, PART I, LINE 1A SOCIAL CLUB DUES ARE PAID BY THE ORGANIZATION ON BEHALF OF OFFICERS AND EXECUTIVES. THESE AMOUNTS ARE INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME AND REPORTED ON THEIR FORM W-2. THE ORGANIZATION'S POLICY FOR TRAVEL INCLUDES THE REIMBURSEMENT OF REGISTRATION, TRAVEL, AND ENTERTAINMENT EXPENSES FOR GUESTS WHO ACCOMPANY BOARD MEMBERS TO EITHER OF TWO TRUSTEE CONFERENCES WHERE THE PRESENCE OF GUESTS IS CONSIDERED BUSINESS RELATED. RECEIPTS MUST BE SUBMITTED PRIOR TO REIMBURSEMENT AND THE AMOUNTS REIMBURSED ARE NOT INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME. SCHEDULE J, PAGE 1, PART I, LINE 3 SEE RESPONSE TO PART VI, QUESTIONS 15A AND 15B ON SCHEDULE O FOR A DETAILED DISCUSSION OF THE COMPENSATION PROCESS FOR EXECUTIVES. SCHEDULE J, PAGE 1, PART I, LINE 4 J. PERRY MUSTIAN 0 780,000 0 GREG HEMBREE 0 46,200 0 TRACY L. GRAY 0 24,480 0 LYNNE FRITZ BYRD 0 14,649 0 SCHEDULE J, PART III THE IRS RULES & REGULATIONS REQUIRE THAT CERTAIN NON-CURRENT, NON-CASH ITEMS ARE REPORTED IN PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS, OF THE CORE FORM 990 REGARDLESS OF THE CURRENT BENEFIT TO THE EMPLOYEE. THESE SAME RULES, IN SOME CASES, REQUIRE THE COMPENSATION AND BENEFITS TO BE REPORTED TWICE IN PART VII, ONCE WHEN THE ENTITY ACCRUES FOR A FUTURE PAYMENT AND ONCE WHEN THE PAYMENT IS ACTUALLY MADE TO THE EMPLOYEE. THEREFORE, AN EMPLOYEE'S STATED TOTAL COMPENSATION AND BENEFITS REPORTED ON PART VII ARE SUBSTANTIALLY HIGHER THAN THE ACTUAL CASH COMPENSATION RECEIVED IN THE CURRENT YEAR. AMOUNTS REPORTED AS BENEFITS INCLUDE AMOUNTS FOR LIFE INSURANCE, HEALTH INSURANCE, THRIFT PLAN CONTRIBUTIONS, AND PENSION CONTRIBUTIONS. BENEFITS RELATED TO PENSION AND RETIREMENT PLANS REFLECT AMOUNTS ACCUMULATED, BUT NOT PAID, TO THE INDIVIDUAL IN RECOGNITION OF TOTAL YEARS OF EMPLOYMENT, NOT JUST THE CURRENT YEAR. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ONE EXECUTIVE PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH IS ACCRUED BUT UNFUNDED IN AN AMOUNT WHICH, WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME, WILL AFFORD A RETIREMENT INCOME AT A TARGETED PERCENTAGE OF PRE-RETIREMENT COMPENSATION. THE SERP IS A NON- QUALIFIED RETIREMENT PLAN. AMC 457(F) RETIREMENT PLAN CERTAIN EXECUTIVES WHO ARE NOT ELIGIBLE FOR THE SERP MAY BE ELIGIBLE TO PARTICIPATE IN A 457(F) PLAN TO HELP THEM ACCUMULATE FUNDS FOR THEIR LONG TERM FINANCIAL NEEDS. THE ORGANIZATION MAY CONTRIBUTE A PERCENTAGE OF BASE SALARY INTO AN INDIVIDUAL EXECUTIVES ACCOUNT IF THE ORGANIZATION MEETS CERTAIN FINANCIAL TARGETS. THE ORGANIZATION OWNS ANY PLAN ASSETS UNTIL THEY ARE PAID TO THE EMPLOYEE AND ALL FUNDS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. VESTING BEGINS AT AGE 55 WITH FIVE YEARS OF SERVICE AT A RATE OF 90% AND THEN INCREASES TO 100% AT AGE 60. PAYMENTS ARE MADE ANNUALLY UPON VESTING. BONUS AWARDS OFFICERS AND PHYSICIANS ARE AWARDED BONUSES/INCENTIVES CONTINGENT IN PART ON MEETING MANAGEMENT-BY-OBJECTIVE INCENTIVE PLAN GOALS AND EXCESS OF REVENUE OVER EXPENSES. FORM 990, PAGE 6, PART VI, LINE 2 W. GREGORY HAMIL LEE "TY" TURNER BD MEMBER BD MEMBER BUSINESS RELATIONSHIP W. GREGORY HAMIL ALSTON WATT BD MEMBER BD MEMBER BUSINESS RELATIONSHIP LEE "TY" TURNER ALSTON WATT BD MEMBER BD MEMBER BUSINESS RELATIONSHIP NATHANIEL ABRAMS, JR. RICHARD L. SINGLETARY, JR. BD MEMBER BD MEMBER BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERS WHICH SHALL BE LIFE MEMBERS. THE RIGHTS OF THE LIFE MEMBERS SHALL BE AS PROVIDED IN THE LAWS OF THE STATE OF GEORGIA, THE ARTICLES OF INCORPORATION AND THE BYLAWS OF ARCHBOLD MEDICAL CENTER, INC. ("AMC"). EACH LIFE MEMBER HAS ONE VOTE WITH RESPECT TO THE ELECTION OF TRUSTEES OF AMC. FORM 990, PAGE 6, PART VI, LINE 7A THE LIFE MEMBERS OF THE FILING ORGANIZATION ANNUALLY ELECT THE TRUSTEES OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT REVIEWS THE FORM 990 AS PREPARED BY ITS EXTERNAL AUDITOR, AND THEN MAKES A COMPLETE COPY AVAILABLE ELECTRONICALLY TO TRUSTEES PRIOR TO FILING THE RETURN. IF TRUSTEES HAVE QUESTIONS ABOUT THE RETURN, MANAGEMENT IS AVAILABLE AND ACCESSIBLE TO PROVIDE APPLICABLE EXPLANATIONS TO TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 12C ON AN ANNUAL BASIS, THE ORGANIZATION DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE AND DISCLOSURE STATEMENT TO EACH TRUSTEE. THIS QUESTIONNAIRE INCLUDES QUESTIONS RELATED TO FINANCIAL INTERESTS, OUTSIDE INTERESTS OR ACTIVITIES, AND GIFTS, MEALS, AND ENTERTAINMENT. IN ADDITION TO DISCLOSING ANY APPLICABLE INFORMATION ON THE QUESTIONNAIRE, THE TRUSTEE ACKNOWLEDGES THAT (S)HE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ, UNDERSTANDS, AND AGREES TO COMPLY WITH IT, AND UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION STATUS IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. RESPONSES ARE SUMMARIZED AND COLLECTIVELY REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE OF ARCHBOLD MEDICAL CENTER, INC. DURING EACH BOARD MEETING, THE CHAIRMAN INQUIRES IF ANY TRUSTEE HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST RELATED TO ANY AGENDA ITEM. IF THE TRUSTEE DISCLOSES ANY SUCH INTEREST, THE TRUSTEE IS EXCUSED FROM THE MEETING WHILE THE DETERMINATION AS TO WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS IS DISCUSSED AND VOTED UPON BY DISINTERESTED MEMBERS OF THE BOARD AND COMMITTEE. IF INVITED TO DO SO, THE TRUSTEE WITH A POTENTIAL CONFLICT MAY RESPOND TO QUESTIONS PUT FORTH BY FELLOW DISINTERESTED TRUSTEES REGARDING ANY PROPOSED TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS DOCUMENTS THE NAME OF ANY INTERESTED PERSON/TRUSTEE WHO DISCLOSED OR WAS FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH A TRANSACTION OR ARRANGEMENT RESULTING IN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; AND THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATED TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSIONS, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. FORM 990, PAGE 6, PART VI, LINE 15A ARCHBOLD MEDICAL CENTER'S (AMC) COMPENSATION COMMITTEE (COMMITTEE) OF THE AMC BOARD OF TRUSTEES MAKES RECOMMENDATIONS TO THE FULL AMC BOARD ON THE FOLLOWING POSITIONS: THE PRESIDENT OF AMC AND THE PRESIDENT OF THE ARCHBOLD FOUNDATION. AMC'S PRESIDENT PRESENTS RECOMMENDATIONS FOR ALL SENIOR VICE PRESIDENTS, VICE PRESIDENTS, AND OTHER KEY EMPLOYEES OF AMC AND ALL RELATED ARCHBOLD ENTITIES TO THE COMMITTEE. SINCE AMC HAS RESERVE POWERS FOR ARCHBOLD RELATED ENTITIES, THE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR EACH APPLICABLE ARCHBOLD ENTITY. THE COMMITTEE CONSIDERS THE AMC PRESIDENT'S RECOMMENDATIONS, BUT IT ALSO CONSIDERS RECOMMENDATIONS AND INDEPENDENT MARKET DATA ANALYSIS FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE AMC BOARD UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS REGARDING PLAN DESIGN AND ACTUAL COMPENSATION INCLUDING BENEFITS. FORM 990, PAGE 6, PART VI, LINE 15B SEE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS ARE OR WILL BE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G SERVICE CONTRACTS 4,108,351 0 0 JOHN D ARCHBOLD MEM HOSPITAL INC P O BOX 1018 THOMASVILLE GA 317991018 580566121 ACUTE CARE GA 501C3 3 AMC ARCHBOLD MEDICAL CENTER INC true ARCHBOLD HEALTH SERVICES INC P O BOX 620 THOMASVILLE GA 317990620 581376434 HEALTHCARE GA 501C3 10 AMC ARCHBOLD MEDICAL CENTER INC true ARCHBOLD FOUNDATION INC P O BOX 620 THOMASVILLE GA 317990620 581559677 FOUNDATION GA 501C3 12B AMC ARCHBOLD MEDICAL CENTER INC true ARCHBOLD MEDICAL GROUP INC P O BOX 620 THOMASVILLE GA 317990620 262988454 PHYSICIANS GA 501C3 3 AMC ARCHBOLD MEDICAL CENTER INC true CCSG INC 915 GORDON AVENUE THOMASVILLE GA 317926614 473501366 MED CLINIC GA 501C3 3 AMG false AMGIR INC 915 GORDON AVENUE THOMASVILLE GA 31792 821188691 PHYSICIANS GA 501C3 3 AMG false ARCHBOLD MEDICAL ENTERPRISES 400 OLD ALBANY RD THOMASVILLE GA 31792 581494513 HEALTHCARE GA AMC ARCHBOLD MEDICAL CENTER INC C CORP 1.00000 true GEORGIA-FLORIDA PREFERRED INC 915 GORDON AVE THOMASVILLE GA 31792 581744334 HEALTHCARE GA N/A false false false false true true false false false false false false true true true true false true false false ARCHBOLD HEALTH SERVICES L 904267 G/L BALANCE ARCHBOLD MEDICAL GROUP L 2780512 G/L BALANCE JOHN D ARCHBOLD MEM HOSP INC L 32265272 G/L BALANCE ALL ENTITIES M UNDETERMINED ALL ENTITIES N UNDETERMINED ALL ENTITIES O UNDETERMINED ALL ENTITIES Q UNDETERMINED JOHN D ARCHBOLD MEM HOSP INC D 23426199 G/L ACCOUNT ARCHBOLD HEALTH SERVICES INC D 2530903 G/L ACCOUNT ARCHBOLD FOUNDATION INC D 1526569 G/L ACCOUNT ARCHBOLD MEDICAL ENTERPRISES D 24672 G/L ACCOUNT ARCHBOLD MEDICAL GROUP D 188228558 G/L ACCOUNT JOHN D ARCHBOLD MEM HOSP INC E 192412790 G/L ACCOUNT