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Nonprofiteer
← ARCHBOLD HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by ARCHBOLD HEALTH SERVICES INC.

Totals

Total revenue
$6,149,975
Total expenses
$5,898,325
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,478,261
Investment income
$0
Other revenue
$4,671,714
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$4,966,613
Management and general expenses
$931,712
Fundraising expenses
$0
Program service expenses (Part III)
$4,966,613

Program services were 84.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $1,478,261 · related or exempt $1,478,261

  • 10a · Gross sales of inventory

    $4,580,818

  • 10b · Cost of goods sold

    $124,860

  • 10c · Net income from sales of inventory

    total $4,455,958 · related or exempt $4,455,958

  • 11a · Other revenue: EMPLOYEE PHARMACY

    total $214,663 · excluded $214,663

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $1,093 · related or exempt $1,093

  • 11e · Other revenue, total

    $215,756

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $879,618 · program services $817,397 · management and general $62,221

  • 8 · Pension plan contributions

    total $16,891 · program services $15,033 · management and general $1,858

  • 9 · Other employee benefits

    total $124,936 · program services $116,221 · management and general $8,715

  • 10 · Payroll taxes

    total $65,556 · program services $60,449 · management and general $5,107

  • 11a · Fees: management

    total $362,466 · management and general $362,466

  • 11c · Fees: accounting

    total $1,500 · management and general $1,500

  • 11f · Fees: investment management

    total $38,628 · management and general $38,628

  • 11g · Fees: other

    total $16,965 · program services $16,965

  • 12 · Advertising and promotion

    total $352 · program services $352

  • 13 · Office expenses

    total $240,075 · program services $237,752 · management and general $2,323

  • 16 · Occupancy

    total $24,472 · program services $16,233 · management and general $8,239

  • 17 · Travel

    total $14,707 · program services $14,014 · management and general $693

  • 19 · Conferences, conventions and meetings

    total $2,994 · program services $2,954 · management and general $40

  • 22 · Depreciation, depletion and amortization

    total $144,624 · program services $95,925 · management and general $48,699

  • 23 · Insurance

    total $30,173 · program services $28,131 · management and general $2,042

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $3,520,609 · program services $3,520,609

  • 24b · Other expenses: MISCELLANEOUS

    total $379,891 · program services $5,363 · management and general $374,528

  • 24c · Other expenses: LICENSES & TAXES

    total $17,146 · program services $16,874 · management and general $272

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $14,637 · program services $256 · management and general $14,381

  • 24e · All other expenses

    total $2,085 · program services $2,085

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,898,133

  • 2 · Savings and temporary cash investments

    beginning of year $191,362

  • 4 · Accounts receivable

    beginning of year $1,733,130

  • 8 · Inventories for sale or use

    beginning of year $891,861

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,552

  • 10c · Land, buildings and equipment, net

    beginning of year $1,573,934

  • 11 · Investments: publicly traded securities

    beginning of year $8,690,570

  • 12 · Investments: other securities

    beginning of year $856,378

  • 15 · Other assets

    beginning of year $79,646

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,058,641

  • 25 · Other liabilities

    beginning of year $1,995,150

  • 27 · Net assets without donor restrictions

    beginning of year $15,862,775

Mission and programs · 2022

Mission

AHS IS ORGANIZED AS A NONPROFIT HEALTH CARE CORPORATION TO CARRY OUT CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES, TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES, AND SPECIFICALLY, BUT NOT BY WAY OF LIMITATION, TO PROVIDE FACILITIES AND SUPPORT FOR THE PROVISION OF HOME HEALTH AND AMBULATORY HEALTH CARE SERVICES.

  • ARCHBOLD PINETREE PHARMACY-OUTPATIENT PROGRAM TO PROVIDE HOME INFUSION THERAPY. THERAPIES INCLUDE NUTRITION, REHYDRATION, ANTIBIOTICS, CHEMOTHERAPY, AND PAIN MANAGEMENT. CHARGES FOR FREEWORK WERE 22,674. ARCHBOLD PINETREE PHARMACY ALSO PROVIDES EMPLOYEE AND RETAIL PHARMACY SERVICES.

    Expenses $4,135,560 · Revenue $4,894,144

  • HOSPICE OF SOUTHWEST GA-PROVIDES OUTPATIENT CARE TO MEET THE MEDICAL, SOCIAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PATIENTS. TOTAL CARE DAYS FOR THE YEAR WERE 3,555. CHARGES FOR FREEWORK WERE 4,240.

    Expenses $461,685 · Revenue $531,442

  • HOME CARE CENTERS-PROVIDES MEDICAL EQUIPMENT, OXYGEN THERAPY, AND MEDICAL SUPPLIES FOR SALE/OR RENTAL TO BE USED IN PATIENTS' HOMES. CHARGES FOR FREEWORK WERE 7,811.

    Expenses $345,531 · Revenue $531,293

  • HOME HEALTH SERVICES-PROVIDES SKILLED NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, HOME HEALTH AID, AND MEDICAL SOCIAL WORKER SERVICES TO HOME BOUND PATIENTS.

    Expenses $23,837 · Revenue -$21,565

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Darcy M Craven

    PRESIDENT/CE

    Total calculated
    $1,173,464
    From this org
    $0
    From related orgs
    $1,014,016
    Other
    $159,448
    Hours/week
    4 + 48 related

    Schedule J breakdown matched by us

    Base
    not reported + $768,124 related
    Bonus
    not reported + $243,270 related
    Other
    not reported + $2,622 related
    Deferred
    not reported + $149,900 related
    Nontaxable benefits
    not reported + $9,548 related
    Filer's total
    not reported + $1,173,464 related
  • Greg Hembree

    ASST SEC/TRE

    Total calculated
    $888,150
    From this org
    $0
    From related orgs
    $808,862
    Other
    $79,288
    Hours/week
    1 + 52 related

    Schedule J breakdown matched by us

    Base
    not reported + $416,937 related
    Bonus
    not reported + $388,361 related
    Other
    not reported + $3,564 related
    Deferred
    not reported + $66,780 related
    Nontaxable benefits
    not reported + $12,508 related
    Filer's total
    not reported + $888,150 related
  • Jason Griffin MD

    SECRETARY/TR

    Total calculated
    $440,904
    From this org
    $0
    From related orgs
    $420,928
    Other
    $19,976
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $222,499 related
    Bonus
    not reported + $197,949 related
    Other
    not reported + $480 related
    Deferred
    not reported + $13,412 related
    Nontaxable benefits
    not reported + $6,564 related
    Filer's total
    not reported + $440,904 related
  • Jackson Hatfield MD

    VICE CHAIRMA

    Total calculated
    $296,464
    From this org
    $0
    From related orgs
    $278,364
    Other
    $18,100
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $212,313 related
    Bonus
    not reported + $65,863 related
    Other
    not reported + $188 related
    Deferred
    not reported + $6,706 related
    Nontaxable benefits
    not reported + $11,394 related
    Filer's total
    not reported + $296,464 related
  • Jamie Womack

    VP CRITICAL

    Total calculated
    $293,285
    From this org
    $257,191
    From related orgs
    $0
    Other
    $36,094

    Schedule J breakdown matched by us

    Base
    $211,940
    Bonus
    $44,711
    Other
    $540
    Deferred
    $26,601
    Nontaxable benefits
    $9,493
    Filer's total
    $293,285
  • Earnestine Tucker

    PHARMACY MGR

    Total calculated
    $167,717
    From this org
    $147,668
    From related orgs
    $0
    Other
    $20,049
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,823
    Bonus
    $3,022
    Other
    $823
    Deferred
    $10,740
    Nontaxable benefits
    $9,309
    Filer's total
    $167,717
  • Patrick Sullivan

    PHARMACIST

    Total calculated
    $156,759
    From this org
    $143,308
    From related orgs
    $0
    Other
    $13,451
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,847
    Bonus
    $2,738
    Other
    $723
    Deferred
    $7,057
    Nontaxable benefits
    $6,394
    Filer's total
    $156,759
  • Megan Mills

    PHARMACY MGR

    Total calculated
    $150,821
    From this org
    $137,894
    From related orgs
    $0
    Other
    $12,927

    Schedule J breakdown matched by us

    Base
    $136,909
    Bonus
    $895
    Other
    $90
    Deferred
    $3,647
    Nontaxable benefits
    $9,280
    Filer's total
    $150,821
  • Tara King

    ASST. VP

    Total calculated
    $134,359
    From this org
    $123,799
    From related orgs
    $0
    Other
    $10,560
    Hours/week
    40
  • Jameisha J Jones

    PHARMACY MAN

    Total calculated
    $121,969
    From this org
    $112,720
    From related orgs
    $0
    Other
    $9,249
    Hours/week
    40
  • John Everett

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Jami Porter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 1A
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
DARCY M. CRAVEN 0 137,700 0 GREG HEMBREE 0 51,530 0 JAMIE WOMACK 0 17,707 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 ARE AWARDED BONUSES/INCENTIVES CONTINGENT IN PART ON MEETING MANAGEMENT-BY-OBJECTIVE INCENTIVE PLAN GOALS AND EXCESS OF REVENUE OVER EXPENSES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ARCHBOLD MEDICAL ENTERPRISES

    HEALTHCARE · GA

  • GEORGIA-FLORIDA PREFERRED INC

    HEALTHCARE · GA

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

5 distributions to recipients named as people, $19,522,740 in total. Counted where the filer named the recipient as a person, as filed. Who received them, and what, are not published.

Provenance

Return type
form_990
Tax year
2022
Filed
8 September 2023
IRS schema version
2022v5.0
Source object
202302729349300005

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