2025-08-07T10:20:07-04:00 2024-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2023-10-01 580566121 JOHN D ARCHBOLD MEMORIAL HOSPITAL INC JOHN 2292282853 P O BOX 1018 THOMASVILLE GA 317991018 DARCY M CRAVEN PRESIDENT/CEO 2292282737 2025-07-24 true false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2025-07-24 2023 2025-03-06 01:10:19Z DARCY M CRAVEN P O BOX 1018 THOMASVILLE GA 317991018 514153247 false X WWW.ARCHBOLD.ORG X 1923 GA HEALTHCARE SERVICES 19 7 0 209078 6577639 6937846 415821829 480597443 37257967 19787653 3247615 4213727 462905050 511536669 375843 255767 0 167565305 188700578 0 0 232457095 267276699 400398243 456233044 62506807 55303625 1005536729 1122703892 173069940 169869495 832466789 952834397 X HEALTHCARE SERVICES false false 338241682 255767 391093631 ARCHBOLD MEMORIAL IN THOMASVILLE GEORGIA OPERATES WITH 264 LICENSED BEDS; OF WHICH 226 ARE MED/SURG, 18 BEDS ARE DESIGNATED TO A PSYCH UNIT, 20 BEDS ARE REHAB. IN ADDITION, IT OPERATES A 64 BED SKILLED NURSING FACILITY, ARCHBOLD LIVING THOMASVILLE. ARCHBOLD MEMORIAL IS A RURAL REFERRAL CENTER COVERING THOMAS COUNTY AND SURROUNDING COUNTIES IN SOUTHERN GEORGIA AND NORTHERN FLORIDA. 65% OF PATIENTS WERE COVERED BY MEDICARE AND MEDICAID, AND 3.0% OF PATIENT REVENUE WAS PROVIDED AS INDIGENT CARE. IN FY 2024, ARCHBOLD MEMORIAL PROVIDED AN ESTIMATED 32.8 MILLION IN INDIGENT CARE CHARGES. ARCHBOLD MEMORIAL TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ARCHBOLD MEMORIAL PROVIDED APPROXIMATELY 32.8 MILLION IN ADDITIONAL UNCOMPENSATED CARE. THROUGHOUT THE YEAR, ARCHBOLD MEMORIAL PRODUCES OR SPONSORS MANY SPECIAL PROGRAMS FOR THE COMMUNITY TO EDUCATE THEM ON IMPORTANT HEALTH NEEDS. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. ALSO OPERATES HOSPITALS IN GRADY, BROOKS, AND MITCHELL COUNTIES OF GEORGIA FILING UNDER EIN 58- 0566121. 31266584 38945992 ARCHBOLD MITCHELL OPERATES IN CAMILLA, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS. ARCHBOLD LIVING CAMILLA, AND ARCHBOLD LIVING PELHAM (LOCATED IN CAMILLA, GEORGIA AND PELHAM, GEORGIA, RESPECTIVELY) OPERATE AS LONG-TERM CARE FACILITIES WITH COMBINED 156 NURSING HOME BEDS. THESE FACILITIES SERVE MITCHELL COUNTY, AND 57% OF THE PATIENTS WERE MEDICARE/MEDICAID. IN FY 2024, APPROXIMATELY 4.9 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, ARCHBOLD'S MITCHELL COUNTY FACILITIES PROVIDED AN ESTIMATED 5.6 MILLION IN ADDITIONAL UNCOMPENSATED CARE. THE HOSPITAL AUTHORITY OF MITCHELL COUNTY (EIN 58-6001307) IS FILED UNDER EIN 58-0566121 FOR FORM 990 PURPOSES. 10948639 38245627 ARCHBOLD GRADY IN CAIRO, GEORGIA OPERATES A 60 LICENSED BED ACUTE CARE FACILITY. TEN BEDS CAN BE USED AS SWING BEDS. IN ADDITION, IT OPERATES A 75 BED SKILLED NURSING FACILITY, ARCHBOLD LIVING CAIRO. THESE FACILITIES SERVE GRADY COUNTY, AND 55% OF THE PATIENTS WERE MEDICARE/MEDICAID. IN FY 2024, ARCHBOLD GRADY PROVIDED APPROXIMATELY 6.2 MILLION IN INDIGENT CARE. ARCHBOLD GRADY PROVIDED AN ESTIMATED 5.9 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58-1646537 IS FILED UNDER EIN 58-0566121 FOR FORM 990 PURPOSES. 32243971 14965486 ARCHBOLD BROOKS OPERATES IN QUITMAN, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS. IT SERVES BROOKS COUNTY AND 56% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN FY 2024, AN ESTIMATED 3.1 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, ARCHBOLD BROOKS PROVIDED APPROXIMATELY 1.4 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58- 6002830 IS FILED UNDER EIN 58-0566121 FOR FORM 990 PURPOSES. 32243971 14965486 412700876 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false true true true false false false false false false false true true true false false false false false true false false false true 185 0 0 true true false false false false false false false false false false false X 19 7 true false false false true true true true true false false true true true true true true true true false GA X GREG HEMBREE 2292282853 PO BOX 1018 THOMASVILLE GA 317991018 DARCY M CRAVEN PRESIDENT/CE 1.00 51.00 X X 0 1074520 173293 JOSH D SIMMONS MD TRUSTEE 1.00 X 0 691683 23602 GREG HEMBREE ASST SEC/SR 1.00 51.00 X 0 596644 82864 DINESH B PATEL MD PHYSICIAN 40.00 X 546356 0 27201 JIM CARTER COO 40.00 X 454659 0 74761 AMY GRIFFIN VP PATIENT C 40.00 X 432868 0 68286 STEPHEN RUBENDALL MD PHYSICIAN 40.00 X 456429 0 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A PERMANENT HEALTHCARE ENDOWMENT FUND WHICH WAS ESTABLISHED TO SUPPORT HEALTH CARE SERVICES. 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. ARCHBOLD MEDICAL ENTERPRISES, INC. WAS DISSOLVED EFFECTIVE JANUARY 1, 2023. 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 POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. 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ARCHBOLD MEM HOSP - PART V, LINE 3E THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2022- 2023 FOR EACH COUNTY IN THE SERVICE AREA. THE TOP 3 SIGNIFICANT HEALTH NEEDS FOR BROOKS, GRADY, MITCHELL AND THOMAS COUNTIES WERE - DIABETES, OBESITY AND HIGH BLOOD PRESSURE. OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE COMMUNITY INCLUDE HEART DISEASE, MENTAL HEALTH, CANCER, DRUG ADDICTION, BACK OR JOINT PAIN, COVID-19, ALCOHOL ABUSE, AND ACCESS TO VACCINES. A COMPLETE DISCUSSION OF THE HEALTH NEEDS FOR EACH COUNTY MAY BE FOUND AT - HTTPS://WWW.ARCHBOLD.ORG/ABOUT/COMMUNITY-HEALTH-NEEDSASSESSMENTS/. THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED IN 2025. GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 5 INPUT FROM COMMUNITY MEMBERS REPRESENTING THE BROADER INTERESTS OF THE COUNTY WAS GATHERED THROUGH A COMBINATION OF ONLINE AND WRITTEN SURVEYS. THESE EFFORTS YIELDED INFORMATION THAT WILL BE USED IN ADDRESSING BARRIERS, ALLOCATING RESOURCES AND ASSETS AND DETERMINING OPPORTUNITIES TO SUPPORT. INPUT WAS CONSIDERED IN DETERMINING GAPS IN SERVICES AND TO IDENTIFY WHETHER DEVELOPING NEW RELATIONSHIPS AND PARTNERSHIPS WAS NECESSARY TO MEET THE NEEDS OF THE COMMUNITY. THIS YEAR WE ENHANCED OUR APPROACH TO OBTAINING THIS INFORMATION FROM OUR COMMUNITIES. AN ONLINE SURVEY WAS ACCESSIBLE THROUGH OUR WEBSITE (ARCHBOLD.ORG), ARCHBOLD SOCIAL MEDIA CHANNELS INCLUDING FACEBOOK, INSTAGRAM AND TWITTER. A PRESS RELEASE WAS SENT TO THE THOMASVILLE TIMES-ENTERPRISE ASKING FOR THE COMMUNITY'S PARTICIPATION. A WEBSITE LINK AND/OR PAPER COPIES OF THE SURVEY WERE SENT TO THE FOLLOWING ENTITIES: O DOUGLASS HIGH SCHOOL ALUMNI ASSOCIATION- SURVEY LINK O MAGNOLIA HIGH SCHOOL ALUMNI-SURVEY LINK O SOUTHWEST GEORGIA TECHNICAL COLLEGE-SURVEY LINK O THOMAS COUNTY FAMILY CONNECTION-SURVEY LINK O THOMAS/GRADY UGA EXTENSION-SURVEY LINK O THOMAS COUNTY HEALTH DEPARTMENT-PAPER COPIES AND SURVEY LINK O PRIMARY CARE OF SOUTHWEST GEORGIA-PAPER COPIES AND SURVEY LINK O ARCHBOLD EMPLOYEES-SURVEY LINK O THOMAS COUNTY EMPLOYEES-SURVEY LINK O CITY OF THOMASVILLE EMPLOYEES-SURVEY LINK O THOMASVILLE-THOMAS COUNTY CHAMBER OF COMMERCE-SURVEY LINK O COMMUNITY OUTREACH TRAINING CENTER-SURVEY LINK O JACK HADLEY BLACK HISTORY MUSEUM-SURVEY LINK GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 6A THE NEEDS ASSESSMENT WAS CONDUCTED FOR ARCHBOLD MEMORIAL, ALONG WITH ARCHBOLD GRADY, ARCHBOLD BROOKS, AND ARCHBOLD MITCHELL. GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 7D DISTRIBUTED COPIES TO THE COMMUNITY; AVAILABLE ONLINE GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 11 QUALITATIVELY, THE GREATEST MEDICAL NEEDS ACCORDING TO COMMUNITY PERCEPTION INCLUDED: 1. DIABETES 2. OBESITY 3. HIGH BLOOD PRESSURE 4. HEART DISEASE 5. MENTAL HEALTH ISSUES 6. CANCER 7. DRUG ADDICTION 8. BACK/JOINT PAIN 9. COVID-19 10. ALCOHOL ABUSE 11. LUNG DISEASE 12. ACCESS TO VACCINES NEEDS NOT ADDRESSED NOT ALL HEALTH NEEDS ARE EASILY ADDRESSED BY ARCHBOLD. FURTHER, KEEPING TOO BROAD OF A FOCUS WILL DILUTE THE IMPACT WE CAN HAVE ON EACH HEALTH NEED. THESE ARE SOME OF THE PRIMARY REASONS WE AREN'T ADDRESSING SOME HEALTH NEEDS IN OUR IMPLEMENTATION PLAN. OUR BIGGEST OPPORTUNITY IS TO HELP WITH IMPROVING DISEASE STATES BY ADDRESSING OBESITY AND REMAINING AVAILABLE FOR ASSISTANCE WITH OTHER HEALTH NEEDS AS REQUESTED AND AS TIME AND FINANCES PERMIT. 9 ARCHBOLD LIVING 10629 US HIGHWAY 19S THOMASVILLE GA 31792 SKILLED NURSING HOME JDA PSYCHIATRIC UNIT DBA ARCHBOLD NORTHSIDE P O BOX 1018 THOMASVILLE GA 31792 PSYCHIATRIC UNIT JDA REHABILITATION UNIT DBA ARCHBOLD MEMORIAL REHAB P O BOX 1018 THOMASVILLE GA 31792 REHABILITATION UNIT ARCHBOLD LIVING CAMILLA 90 STEPHENS STREET CAMILLA GA 31728 SKILLED NURSING HOME CAMILLA PEDIATRICS CENTER DBA ARCHBOLD PEDIATRICS CAMILLA P O BOX 360 CAMILLA GA 31728 RURAL HEALTH CLINIC MEDICAL GROUP OF MITCHELL COUNTY DBA ARCHBOLD PRIMARY CARE CAMILLA P O BOX 360 CAMILLA GA 31728 RURAL HEALTH CLINIC ARCHBOLD PELHAM PRIMARY CARE CLINIC DBA ARCHBOLD PRIMARY CARE PELHAM P O BOX 360 CAMILLA GA 31728 RURAL HEALTH CLINIC ARCHBOLD LIVING PELHAM 608 DOGWOOD DRIVE NE PELHAM GA 31797 SKILLED NURSING HOME ARCHBOLD LIVING CAIRO 1155 FIFTH STREET SE CAIRO GA 31728 SKILLED NURSING HOME SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USES THE COST TO CHARGE RATIO USING THE IRS' RECOMMENDED FORMAT IN WORKSHEET 2. OTHER COSTS IN PART I LINES 7E THROUGH 7I WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AND INCLUDES IMPLICIT PRICE CONCESSIONS. SEE THE DISCUSSION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE 2 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 4 SEE THE DISCUSSION OF PRICE CONCESSIONS AND NET PATIENT SERVICE REVENUE IN FOOTNOTE 2 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B PATIENTS THAT ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR A PERIOD OF 6 MONTHS. THE PATIENTS ARE REQUIRED TO CONTACT THE FINANCIAL ASSISTANCE OFFICE DURING THIS POINT IF THEY INCUR ADDITIONAL CHARGES THAT QUALIFY FOR FINANCIAL ASSISTANCE DURING THIS TIME PERIOD. THE SAME PROCESS IS IN EFFECT FOR THE PATIENTS WHO QUALIFY FOR THE SLIDING FEE DISCOUNT. THIS DISCOUNT WILL LIMIT THE PATIENTS TO AN OUT OF POCKET MAXIMUM AMOUNT IN THE GIVEN TIME PERIOD. WE DO NOT HAVE ANY AUTOMATIC ADJUSTMENTS OR AN AUTOMATED SYSTEM TO TRACK THE PREVIOUSLY APPROVED PATIENTS. SCHEDULE H, PART VI, LINE 2 REVIEW OF ASSESSMENTS OF OTHER ORGANIZATIONS THAT IDENTIFY NEEDS AND HAVE ON-GOING PARTICIPATION WITH THOSE ORGANIZATIONS. COLLECT, REVIEW AND USE PRIMARY, SECONDARY AND QUALITATIVE DATA IN DETERMINING NEEDS. UPDATE COMMUNITY HEALTH STATUS AS LOCAL, STATE AND FEDERAL DATA IS REPORTED. REVIEW INTERNAL DATA SUCH AS SCREENING OUTCOMES AND PATIENT VOLUMES FOR SERVICES. RESPONSE TO REQUESTS FROM COMMUNITY, INPUT FROM A GROUP MEETING OF THE DOUGLASS HIGH SCHOOL ALUMNI ASSOCIATION, SEVERAL WRITTEN SURVEYS AND A TELEPHONE INTERVIEW. THE ORGANIZATION ANALYZES QUANTITATIVE FEDERAL, STATE AND LOCAL DATA AS WELL AS SEEKS QUALITATIVE INPUT FROM MEMBERS OF THE COMMUNITY, ESPECIALLY THE UNDERSERVED. THE ORGANIZATION ALSO ASSESSES THE NEEDS OF THE COMMUNITY THROUGH UTILIZING ASSESSMENTS CONDUCTED BY OTHER COMMUNITY ORGANIZATIONS, REVIEWING INTERNAL DATA ON PATIENT VOLUMES AND SCREENING OUTCOMES, PARTICIPATING IN COMMUNITY ORGANIZATIONS THAT IDENTIFY NEEDS, AND RESPONDING TO SPECIFIC REQUESTS FROM COMMUNITY MEMBERS. COPIES OF THE 2022-2023 CHNA'S AND THE RELATED IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING WEB ADDRESSES: HTTPS://WWW.ARCHBOLD.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ SCHEDULE H, PART VI, LINE 3 ANNUAL NOTICES ARE PLACED IN THE NEWSPAPERS FOR THE COUNTIES WE SERVE WITH HEALTHCARE. NOTICE OF THE FAP PROGRAM IS CONTAINED IN THE PATIENT HANDBOOK, SIGNS AND BROCHURES OUTLINING THE AVAILABILITY OF THE FAP PROGRAM ARE AVAILABLE AT POINTS OF ACCESS FOR PATIENTS, PAPER APPLICATIONS ARE AVAILABLE AT ALL ADMISSION AREAS AND BUSINESS OFFICES, ELECTRONIC VERSION OF THE APPLICATION CAN BE DOWNLOADED FREE OF CHARGE VIA WEBSITE AND THE ASSISTANCE PROGRAM IS DISCUSSED IN DETAIL DURING COLLECTION CALLS WITH PATIENTS. SCHEDULE H, PART VI, LINE 4 COUNTIES SERVED IN GEORGIA INCLUDE BROOKS, GRADY, MITCHELL, THOMAS. DISPROPORTIONATE HEALTHCARE NEEDS, FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS(MUA) OR HEALTH PROFESSIONAL SHORTAGE AREAS(HSPA), LOW INCOME, PUBLIC HOUSING RESIDENTS, SENIORS, MIGRANT WORKERS, UNINSURED, UNDERINSURED, MIXTURE OF ETHNICITIES, ALL AGES, MIXTURE OF EDUCATIONAL LEVELS. BROOKS COUNTY: ESTIMATED POPULATION 16,245, 60.8% WHITE/35.2% BLACK, MEDIAN HH INCOME 47,656, 22.8% LIVING IN POVERTY, 15.1% UNDER 65 UNINSURED GRADY COUNTY: ESTIMATED POPULATION 26,066, 66.0% WHITE/29.5% BLACK, MEDIAN HH INCOME 54,312, 19.7% LIVING IN POVERTY, 17.7% UNDER 65 UNINSURED MITCHELL COUNTY: ESTIMATED POPULATION 21,114, 50.1% WHITE/46.5% BLACK, MEDIAN HH INCOME 51,908, 23.8% LIVING IN POVERTY, 14.1% UNDER 65 UNINSURED THOMAS COUNTY: ESTIMATED POPULATION 45,649, 60.3% WHITE/36.3% BLACK, MEDIAN HH INCOME 60,140, 18.4% LIVING IN POVERTY, 13.4% UNDER 65 UNINSURED INFORMATION OBTAINED FROM WWW.CENSUS.GOV - QUICK FACTS UPDATED 01/20/25 SCHEDULE H, PART VI, LINE 5 LIVE BETTER IS THE ARCHBOLD-LED INITIATIVE FOCUSED ON IMPROVING THE HEALTH OF THE CITIZENS OF THOMAS COUNTY. LIVE BETTER WORKS PRIMARILY WITH LOCAL SCHOOL SYSTEMS IN PROVIDING MONTHLY HEALTH EDUCATION MATERIAL TO ALL K-5 STUDENTS IN THOMAS COUNTY. LIVE BETTER ALSO PROVIDES OPPORTUNITIES FOR BOTH KIDS AND ADULTS TO STAY ACTIVE THROUGH ANNUAL 5K AND ONE-MILE FUN RUNS. OUTSIDE OF THE LIVE BETTER INITIATIVE, ARCHBOLD PROVIDES FREE HEALTH SCREENS AND EDUCATIONAL HEALTH TALKS TO THE COMMUNITY THROUGHOUT THE YEAR. OBESITY IS A PREVENTABLE CONDITION, YET THE COMMON RISK FACTOR WITH THE MOST PROMINENT HEALTH ISSUES IN THOMAS COUNTY: HEART DISEASE, HYPERTENSION, STROKE, COPD, VASCULAR DISEASE, DIABETES AND CANCER. SCHEDULE H, PART VI, LINE 6 ARCHBOLD MEDICAL CENTER, INC. AS THE PARENT CORPORATION, HAS SOLE CONTROL OVER ITS NONPROFIT SUBSIDIARIES: JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC., ARCHBOLD FOUNDATION, INC., AND ARCHBOLD MEDICAL GROUP, INC. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. OPERATES HOSPITALS (ARCHBOLD MEMORIAL, ARCHBOLD GRADY, ARCHBOLD BROOKS, AND ARCHBOLD MITCHELL), AND LONG-TERM CARE FACILITIES ARCHBOLD LIVING THOMASVILLE, ARCHBOLD LIVING CAMILLA, ARCHBOLD LIVING PELHAM, AND ARCHBOLD LIVING CAIRO. ARCHBOLD FOUNDATION, INC. IS A SUPPORT FOUNDATION WITH THE SOLE PURPOSE OF BUILDING AND SUSTAINING A FINANCIAL LEGACY THAT SUPPORTS JOHN D. ARCHBOLD MEMORIAL HOSPITAL AND ITS AFFILIATED ENTITIES. ARCHBOLD MEDICAL GROUP, INC. EMPLOYS PHYSICIANS AND OTHER SUPPORT PERSONNEL TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES ESSENTIAL TO THE PREVENTION AND TREATMENT OF DISEASE FOR THE BENEFIT OF ALL INDIVIDUALS IN THE SERVICE AREA. ARCHBOLD MEDICAL GROUP, INC. ALSO SERVES AS THE SOLE MEMBER OF CCSG, INC. AND AMGIR, INC., BOTH OF WHICH ARE 501(C)(3) ORGANIZATIONS THAT OPERATE MEDICAL CLINICS. true 1 SCHOLARSHP/TUITION PROG 136934 MED STUDENT HOUSING 268 118833 FMV HOUSING/UTIL. SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION OFFERS A TUITION REIMBURSEMENT PROGRAM AND A SCHOLARSHIP PROGRAM FOR QUALIFIED INDIVIDUALS BASED ON SATISFACTORY COMPLETION OF APPROVED COURSES. THE PURPOSE IS TO ENCOURAGE AND ENABLE EMPLOYEES TO ACQUIRE ADDITIONAL EDUCATION IN A HEALTH CARE OR JOB-RELATED FIELD WHICH WILL PROMOTE CAREER ADVANCEMENT AND/OR PROVIDE ADVANCED CREDENTIALING OF EMPLOYEES IN AREAS OF NEED. THE ORGANIZATION EVALUATES CERTAIN MEDICAL EDUCATION PROGRAMS AT AREA EDUCATIONAL INSTITUTIONS (SOUTHERN REGIONAL TECHNICAL COLLEGE AND THOMAS UNIVERSITY) AND PROVIDES FINANCIAL SUPPORT DIRECTLY TO THE EDUCATIONAL INSTITUTIONS AS APPROVED BY MANAGEMENT. CONDITIONS OF ELIGIBILITY: FOR THE TUITION REIMBURSEMENT PROGRAM, INDIVIDUALS MUST BE A FULL-TIME EMPLOYEE FOR AT LEAST SIX MONTHS WITH SATISFACTORY WORK RECORD AND PERFORMANCE EVALUATION. SCHOLARSHIP PROGRAM RECIPIENTS DO NOT HAVE TO BE EMPLOYEES; HOWEVER, THEY MUST AGREE TO A WORK-COMMITMENT UPON COMPLETION OF THE SCHOLARSHIP PROGRAM. COMPLETION OF THE RELEVANT EDUCATION PROGRAM REQUIRES THE APPLICANT TO COMMIT TO: -ONE YEAR, FULL-TIME WORK REQUIREMENT FOR EVERY 5,000 RECEIVED FROM THE TUITION REIMBURSEMENT PROGRAM. -FULL-TIME WORK COMMITMENT DEPENDENT ON THE AMOUNT OF SCHOLARSHIP RECEIVED. (RECIPIENTS OF A 10,000 SCHOLARSHIP HAVE A 3 YEAR WORK COMMITMENT; A 5,000 SCHOLARSHIP HAS A 1.5 YEAR WORK COMMITMENT). FAILURE TO COMPLY WITH THE REQUIREMENTS OF ELIGIBILITY SUBJECTS THE EMPLOYEE TO FULL OR PARTIAL REIMBURSEMENT OF THE FUNDS RECEIVED FROM THE ORGANIZATION. FAILURE TO FULFILL WORK COMMITMENT REQUIRES PAYBACK FOR BOTH PROGRAMS. TO BE REIMBURSED THROUGH THE TUITION REIMBURSEMENT PROGRAM, THE EMPLOYEE MUST PROVIDE A COPY OF A RECEIPT SHOWING ACTUAL PAYMENT OF TUITION FEES. APPLICANTS MUST MAINTAIN A C OR HIGHER GRADE AND SUBMIT A RECORD OF GRADES AND HOURS CREDIT (TRANSCRIPT) TO THE ORGANIZATION. X X true true X X X X X true true false false false false false false false DARCY M CRAVEN PRESIDENT/CEO 807430 263088 4002 163745 9548 1247813 JOSH D SIMMONS MD TRUSTEE 519277 171866 540 13200 10402 715285 GREG HEMBREE ASST SEC/SR VP/CFO 425607 115943 55094 69576 13288 679508 DINESH B PATEL MD PHYSICIAN 232840 312536 980 16799 10402 573557 JIM CARTER COO 356201 97216 1242 64303 10458 529420 AMY GRIFFIN VP PATIENT CARE 312565 84272 36031 60578 7708 501154 STEPHEN RUBENDALL MD PHYSICIAN 261765 194286 378 13544 10402 480375 KRISTOPHER PALMER DO VP MEDICAL AFFAIRS 130673 122310 166640 54360 473983 JASON NESMITH MD TRUSTEE 221089 227571 2216 9168 10402 470446 EUGENE SUN MD PHYSICIAN 287747 56750 443 14793 10402 370135 MARK L CATTERSON PHYSICIAN 287739 28466 1948 13313 10402 341868 CHRIS NEWMAN VP ANCILLARY SVCS 232558 49137 540 31061 678 313974 SHANE HERRIN MD PHYSICIAN 279232 4700 646 13126 10402 308106 JAMIE WOMACK VP CRITICAL ACCESS 216168 46056 540 27696 10458 300918 JAMES BUE VP FACILITY SERVICES 189057 39516 18618 13263 678 261132 COY IRVIN MD VP MEDICAL AFFAIRS 246667 246667 JULIE DUMAS VP QUALITY 156237 32320 540 21362 11498 221957 SCHEDULE J, PAGE 1, PART I, LINE 4 DARCY M. CRAVEN 0 150,545 0 GREG HEMBREE 0 53,076 0 JIM CARTER 0 44,503 0 AMY GRIFFIN 0 38,578 0 KRISTOPHER PALMER, D.O. 0 54,360 0 CHRIS NEWMAN 0 19,281 0 JAMIE WOMACK 0 18,603 0 COY IRVIN, M.D. 246,667 0 0 JULIE DUMAS 0 13,184 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 NONQUALIFIED 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 ITS BASE SALARY INTO AN INDIVIDUAL EXECUTIVE'S 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. A HOSP AUTH OF THE CITY OF THOMASVILL 2017C REVENUE BONDS 581719301 NONENONEN 2017-07-12 82750000 CONSTRUCTION BLDG AND EQUIPMENT false true false B HOSP AUTH OF THE CITY OF THOMASVILL 2017A REVENUE BONDS 581719301 NONENONEN 2017-07-12 17985000 CONSTRUCTION PROJECT DEPOSIT false true false A 22865000 82850000 82522324 327676 2017 false true false true B 17985000 17985000 2017 false false true true A false false false false false false true B false false false false false false true A false false true false false false false false true B false false true false true false false false true A false B false DIFFERENCES IN ISSUE PRICE EXPLANATION HOSP AUTH OF THE CITY OF THOMASVILLE THE PROCEEDS OF THE ORIGINAL ISSUE INCLUDE A 100,000 PREMIUM. PURPOSE OF ISSUE DESCRIPTION HOSP AUTH OF THE CITY OF THOMASVILLE CONSTRUCTION BLDG AND EQUIPMENT PURPOSE OF ISSUE DESCRIPTION HOSP AUTH OF THE CITY OF THOMASVILLE CONSTRUCTION PROJECT DEPOSIT JAMES W FALCONER III MD BOARD TRUSTEE 317695 RENTAL, PATIENT SVCS false JAMI STEPHENSON FAMILY MEMBER 138560 COMPENSATION false DAVID MEDEROS DO BOARD TRUSTEE 5563510 PROFESSIONAL MED SVC false TIMOTHY B DANIEL MD BOARD TRUSTEE 5314031 SERVICE AGREEMENT false JESSE R WARREN DO BOARD TRUSTEE 8436211 PROFESSIONAL MED SVC false KAREN M BRAMBLETT MD BOARD TRUSTEE 8436211 PROFESSIONAL MED SVC false CHRISTOPHER L DANIELS MD BOARD TRUSTEE 17240852 PROFESSIONAL MED SVC false SCHEDULE L, PART V JAMES W. FALCONER, III, MD - RENT OF PROPERTY; MEDICAL SERVICES TO PRACTICE; PAYMENTS TO TREAT UNINSURED EMERGENCY PATIENTS. JAMI STEPHENSON IS THE SON OF SUE STEPHENSON, FORMER BOARD TRUSTEE, AND IS EMPLOYED AND COMPENSATED BY JDAMH. DAVID MEDEROS, D.O., FORMER BOARD TRUSTEE, PROVIDES HOSPITALIST COVERAGE FOR HOSPITAL, INPATIENT REHAB AND IS A MEMBER OF THE MEDICAL STAFF LEADERSHIP COMMITTEE. TIMOTHY B. DANIEL, M.D. SERVED ON THE BOARD AS A TRUSTEE DURING FY 2022, AND HE WAS A PRACTICE PARTNER IN AN INTERVENTIONAL RADIOLOGY PRACTICE WHICH HAS A PROFESSIONAL SERVICES AGREEMENT WITH THE HOSPITAL. AMOUNT REFLECTS PAYMENTS ASSOCIATED WITH INTERVENTIONAL RADIOLOGY SERVICES PERFORMED UNDER THE PROFESSIONAL SERVICES AGREEMENT AND A MEDICAL SERVICES AGREEMENT, ALLOCATED PAYMENTS FROM STATE OF GEORGIA TRAUMA FUNDING, AND PHYSICIAN RECRUITMENT INCOME GUARANTEE FOR AN INTERVENTIONAL PRACTICE PARTNER. KAREN L. BRAMBLETT, MD, SERVED ON THE BOARD AS A TRUSTEE DURING FY 2024 AND SHE WAS A PRACTICE PARTNER IN AN ANESTHESIA SERVICES AND MEDICAL DIRECTORSHIP WHICH HAS A PROFESSIONAL SERVICES AGREEMENT WITH THE HOSPITAL. JESSE R. WARREN, DO, SERVED ON THE BOARD AS A TRUSTEE DURING FY 2024 AND SHE WAS A PRACTICE PARTNER IN AN ANESTHESIA SERVICES AND MEDICAL DIRECTORSHIP WHICH HAS A PROFESSIONAL SERVICES AGREEMENT WITH THE HOSPITAL. CHRISTOPHER L. DANIELS, MD, SERVED ON THE BOARD AS A TRUSTEE DURING FY 2024 AND HE WAS A PRACTICE PARTNER IN AN CARDIOVASCULAR SERVICES AND MEDICAL DIRECTORSHIP WHICH HAS A PROFESSIONAL SERVICES AGREEMENT WITH THE HOSPITAL FORM 990, PAGE 2, PART III, LINE 4A ARCHBOLD MEMORIAL IN THOMASVILLE GEORGIA OPERATES WITH 264 LICENSED BEDS; OF WHICH 226 ARE MED/SURG, 18 BEDS ARE DESIGNATED TO A PSYCH UNIT, 20 BEDS ARE REHAB. IN ADDITION, IT OPERATES A 64 BED SKILLED NURSING FACILITY, ARCHBOLD LIVING THOMASVILLE. ARCHBOLD MEMORIAL IS A RURAL REFERRAL CENTER COVERING THOMAS COUNTY AND SURROUNDING COUNTIES IN SOUTHERN GEORGIA AND NORTHERN FLORIDA. 65% OF PATIENTS WERE COVERED BY MEDICARE AND MEDICAID, AND 3.0% OF PATIENT REVENUE WAS PROVIDED AS INDIGENT CARE. IN FY 2024, ARCHBOLD MEMORIAL PROVIDED AN ESTIMATED 32.8 MILLION IN INDIGENT CARE CHARGES. ARCHBOLD MEMORIAL TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ARCHBOLD MEMORIAL PROVIDED APPROXIMATELY 32.8 MILLION IN ADDITIONAL UNCOMPENSATED CARE. THROUGHOUT THE YEAR, ARCHBOLD MEMORIAL PRODUCES OR SPONSORS MANY SPECIAL PROGRAMS FOR THE COMMUNITY TO EDUCATE THEM ON IMPORTANT HEALTH NEEDS. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. ALSO OPERATES HOSPITALS IN GRADY, BROOKS, AND MITCHELL COUNTIES OF GEORGIA FILING UNDER EIN 58- 0566121. FORM 990, PAGE 2, PART III, LINE 4D ARCHBOLD BROOKS OPERATES IN QUITMAN, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS. IT SERVES BROOKS COUNTY AND 56% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN FY 2024, AN ESTIMATED 3.1 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, ARCHBOLD BROOKS PROVIDED APPROXIMATELY 1.4 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58- 6002830 IS FILED UNDER EIN 58-0566121 FOR FORM 990 PURPOSES. FORM 990, PAGE 6, PART VI, LINE 2 KAREN L. BRAMBLETT, MD JESSE R. WARREN, DO TRUSTEE BUSINESS FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS A SOLE MEMBER, ARCHBOLD MEDICAL CENTER, INC. (AMC), WITH THE POWER TO ELECT OR REPLACE AND TO REMOVE THE TRUSTEES OF THE GOVERNING BODY, AS WELL AS THE AUTHORITY TO APPROVE THE DECISIONS OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF TRUSTEES OF THE FILING ENTITY ARE ELECTED ANNUALLY BY THE SOLE MEMBER, AMC. IN ADDITION, AMC HAS THE POWER TO ELECT OR REPLACE AND TO REMOVE THE TRUSTEES OF THE GOVERNING BODY. THE CEO OF AMC SHALL BE A MEMBER OF THE BOARD WITH THE POWER TO VOTE. FORM 990, PAGE 6, PART VI, LINE 7B THE SOLE MEMBER, AMC, HAS THE AUTHORITY TO APPROVE THE DECISIONS OF THE GOVERNING BODY, INCLUDING BUT NOT LIMITED TO, CAPITAL AND OPERATING BUDGETS, MERGERS OR ACQUISITIONS, CONTRACTS AND TRANSACTIONS OVER A CERTAIN AMOUNT, DISSOLUTION, ETC 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 IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. RESPONSES ARE SUMMARIZED AND COLLECTIVELY REVIEWED BY THE BOARD OF TRUSTEES OF ARCHBOLD MEDICAL CENTER, INC., THE SOLE MEMBER. 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 MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONSULTANT FEES JDAMH 0 126,523 0 CONTRACT SERVICES JDAMH 41,843,482 1,774,404 0 CONTRACT SERVICES BROOKS 1,510,293 0 0 CONTRACT SERVICES GRADY 6,577,558 201,532 0 CONTRACT SERVICES MITCHELL 4,888,352 74,121 0 OUTSIDE LAB REFERRAL FEES JDA 1,554,361 0 0 OUTSIDE LAB REFERRAL GRADY 22,694 0 0 OUTSIDE LAB REFERRAL BROOKS 1,405 0 0 PROFESSIONAL FEES JDAMH 19,636,412 1,640,338 0 PROFESSIONAL FEES GRADY 3,427,037 181,686 0 PROFESSIONAL FEES BROOKS 1,206,917 57,661 0 PROFESSIONAL FEES MITCHELL 2,010,337 148,755 0 TOTAL 82,678,848 4,205,020 0 FORM 990, PART XI, LINE 9 RELATED PARTY TRANSFER 199,707 TRANSFER TO FOUNDATION -25,345 TOTAL 174,362 ARCHBOLD FOUNDATION INC PO BOX 620 THOMASVILLE GA 317990620 581559677 FOUNDATION GA 501C3 12B AMC ARCHBOLD MEDICAL CENTER INC false ARCHBOLD MEDICAL CENTER INC PO BOX 1018 THOMASVILLE GA 317991018 581552650 H/C MGMT GA 501C3 12C NA false ARCHBOLD MEDICAL GROUP INC P O BOX 620 THOMASVILLE GA 317990620 262988454 PHYSICIANS GA 501C3 3 AMC ARCHBOLD MEDICAL CENTER INC false CCSG INC 915 GORDON AVENUE THOMASVILLE GA 317926614 473501366 MED CLINIC GA 501C3 3 AMG false AMGIR INC 915 GORDON AVENUE THOMASVILLE GA 317926614 821188691 MED CLINIC GA 501C3 3 AMG false GEORGIA-FLORIDA PREFERRED INC 915 GORDON AVE THOMASVILLE GA 31792 581744334 HEALTHCARE GA JDAMH C CORP 6006 188932 1.00000 true false true true true false false false false false true false true true true true false false true false