Form 990 for tax year 2022
Filed by JOHN D ARCHBOLD MEMORIAL HOSPITAL INC.
Totals
- Total revenue
- $462,905,050
- Total expenses
- $400,398,243
- Contributions and grants received
- $6,577,639
- Grants paid
- $375,843
- Program service revenue
- $415,821,829
- Investment income
- $37,257,967
- Other revenue
- $3,247,615
- Total assets, end of year
- $1,005,536,729
- Total liabilities, end of year
- $173,069,940
- Net assets or fund balances, end of year
- $832,466,789
- Program services expenses (Part IX)
- $359,068,811
- Management and general expenses
- $41,329,432
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $359,068,811
Program services were 89.7% 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.
-
1d · Related organizations
$3,806,158
-
1e · Government grants (contributions)
$434,834
-
1f · All other contributions, gifts and grants
$2,336,647
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $408,777,543 · related or exempt $408,777,543
-
2b · Program service revenue: DSH MEDICAID
total $6,754,747 · related or exempt $6,754,747
-
2c · Program service revenue: LAB SERVICES
total $289,539 · unrelated business $289,539
-
3 · Investment income
total $37,205,916 · excluded $37,205,916
-
6a · Gross rents
real property $1,772,430
-
6b · Less rental expenses
real property $752,322
-
6c · Rental income or loss
real property $1,020,108
-
6d · Net rental income or loss
total $1,020,108 · excluded $1,020,108
-
7a · Gross sales of assets other than inventory
other assets $770,164
-
7b · Less cost or other basis and sales expenses
other assets $718,113
-
7c · Gain or loss
other assets $52,051
-
7d · Net gain or loss
total $52,051 · excluded $52,051
-
10a · Gross sales of inventory
$526,616
-
10b · Cost of goods sold
$430,932
-
10c · Net income from sales of inventory
total $95,684 · excluded $95,684
-
11a · Other revenue: RESIDENCY
total $1,551,970 · related or exempt $1,551,970
-
11b · Other revenue: MEDICAL RECORD TRANSCRIPT FEE
total $167,557 · related or exempt $167,557
-
11c · Other revenue: RESEARCH STUDIES
total $118,665 · related or exempt $118,665
-
11d · All other revenue
total $293,631 · related or exempt $197,744 · excluded $95,887
-
11e · Other revenue, total
$2,131,823
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $96,000 · program services $96,000
-
2 · Grants to domestic individuals
total $279,843 · program services $279,843
-
5 · Compensation of officers, directors and key employees
total $5,893,178 · program services $3,122,281 · management and general $2,770,897
-
7 · Other salaries and wages
total $128,185,966 · program services $110,503,012 · management and general $17,682,954
-
8 · Pension plan contributions
total $2,528,697 · program services $2,087,186 · management and general $441,511
-
9 · Other employee benefits
total $18,801,959 · program services $15,519,139 · management and general $3,282,820
-
10 · Payroll taxes
total $12,155,505 · program services $10,033,154 · management and general $2,122,351
-
11a · Fees: management
total $357,365 · management and general $357,365
-
11b · Fees: legal
total $4,794 · management and general $4,794
-
11c · Fees: accounting
total $95,235 · management and general $95,235
-
11g · Fees: other
total $83,711,882 · program services $79,255,827 · management and general $4,456,055
-
12 · Advertising and promotion
total $331,403 · program services $73,876 · management and general $257,527
-
13 · Office expenses
total $9,995,679 · program services $8,028,071 · management and general $1,967,608
-
14 · Information technology
total $892,530 · program services $663,798 · management and general $228,732
-
16 · Occupancy
total $7,292,462 · program services $6,326,211 · management and general $966,251
-
17 · Travel
total $809,289 · program services $630,607 · management and general $178,682
-
19 · Conferences, conventions and meetings
total $32,547 · program services $32,547
-
20 · Interest
total $785,293 · program services $49,315 · management and general $735,978
-
22 · Depreciation, depletion and amortization
total $25,784,535 · program services $22,368,084 · management and general $3,416,451
-
23 · Insurance
total $3,416,751 · program services $3,416,751
-
24a · Other expenses: MEDICAL SUPPLIES JDAMH
total $81,431,127 · program services $81,430,982 · management and general $145
-
24b · Other expenses: PROVIDER FEES
total $5,100,106 · program services $5,100,106
-
24c · Other expenses: R&M JDAM
total $3,466,757 · program services $3,095,528 · management and general $371,229
-
24d · Other expenses: MEDICAL SUPPLIES GRADY
total $2,338,324 · program services $2,338,324
-
24e · All other expenses
total $6,611,016 · program services $4,618,169 · management and general $1,992,847
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $36,608,568 · end of year $38,585,952
-
2 · Savings and temporary cash investments
beginning of year $102,989
-
4 · Accounts receivable
beginning of year $45,565,775 · end of year $58,762,350
-
8 · Inventories for sale or use
beginning of year $3,886,515 · end of year $4,829,286
-
9 · Prepaid expenses and deferred charges
beginning of year $5,758,346 · end of year $7,114,758
-
10a · Land, buildings and equipment: cost or other basis
$638,980,216
-
10b · Land, buildings and equipment: accumulated depreciation
$418,015,838
-
10c · Land, buildings and equipment, net
beginning of year $215,786,090 · end of year $220,964,378
-
11 · Investments: publicly traded securities
beginning of year $383,166,127 · end of year $399,602,566
-
12 · Investments: other securities
beginning of year $1,229,669 · end of year $2,106,572
-
15 · Other assets
beginning of year $233,163,142 · end of year $273,570,867
-
17 · Accounts payable and accrued expenses
beginning of year $36,439,456 · end of year $43,050,698
-
19 · Deferred revenue
beginning of year $1,552,015 · end of year $1,426,018
-
20 · Tax-exempt bond liabilities
beginning of year $90,395,000 · end of year $84,185,000
-
23 · Secured mortgages and notes payable
beginning of year $50,000,000 · end of year $43,100,000
-
25 · Other liabilities
end of year $1,308,224
-
27 · Net assets without donor restrictions
beginning of year $744,557,902 · end of year $829,809,288
-
28 · Net assets with donor restrictions
beginning of year $2,322,848 · end of year $2,657,501
Mission and programs · 2022
Mission
HEALTHCARE SERVICES
-
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. 67% OF PATIENTS WERE COVERED BY MEDICARE AND MEDICAID, AND 4.0% OF PATIENT REVENUE WAS PROVIDED AS INDIGENT CARE. IN 2023, ARCHBOLD MEMORIAL PROVIDED AN ESTIMATED 40.7 MILLION IN INDIGENT CARE CHARGES. ARCHBOLD MEMORIAL TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ARCHBOLD MEMORIAL PROVIDED APPROXIMATELY 26.7 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.
Expenses $294,331,405 · Grants $375,843 · Revenue $337,955,294
-
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 2023, APPROXIMATELY 4.5 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, ARCHBOLD'S MITCHELL COUNTY FACILITIES PROVIDED AN ESTIMATED 4.7 MILLION IN ADDITIONAL UNCOMPENSATED CARE. HOSPITAL AUTHORITY OF MITCHELL COUNTY (EIN 58-6001307) FILED UNDER EIN 58-0566121.
Expenses $23,721,336 · Revenue $37,600,454
-
ARCHBOLD GRADY IN CAIRO, GEORGIA OPERATES A 60 LICENSED BED ACUTE CARE FACILITY. TEN BEDS CAN BE USED AS SWING BEDS. IT SERVES GRADY COUNTY AND 58% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2023, ARCHBOLD GRADY PROVIDED APPROXIMATELY 6.1 MILLION IN INDIGENT CARE. ARCHBOLD GRADY PROVIDED AN ESTIMATED 4.6 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58-1646537 FILED UNDER EIN 58-0566121.
Expenses $10,237,641 · Revenue $30,797,270
-
ARCHBOLD BROOKS OPERATES IN QUITMAN, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS. IT SERVES BROOKS COUNTY AND 58% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2023, AN ESTIMATED 3.0 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, ARCHBOLD BROOKS PROVIDED APPROXIMATELY 2.0 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58- 6002830 FILED UNDER EIN 58-0566121.
Expenses $30,778,429 · Revenue $11,215,205
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 CravenDARCY M CRAVEN
PRESIDENT/CE
- Total calculated
- $1,181,924
- From this org
- $0
- From related orgs
- $1,014,016
- Other
- $167,908
- Hours/week
- 1 + 51 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 + $158,360 related
- Nontaxable benefits
- not reported + $9,548 related
- Filer's total
- not reported + $1,181,924 related
-
Greg HembreeGREG HEMBREE
ASST SEC/SR
- Total calculated
- $888,950
- From this org
- $0
- From related orgs
- $808,862
- Other
- $80,088
- Hours/week
- 1 + 51 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 + $67,580 related
- Nontaxable benefits
- not reported + $12,508 related
- Filer's total
- not reported + $888,950 related
-
Amy GriffinAMY GRIFFIN
VP PATIENT C
- Total calculated
- $699,155
- From this org
- $633,683
- From related orgs
- $0
- Other
- $65,472
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $305,956
- Bonus
- $325,405
- Other
- $2,322
- Deferred
- $58,804
- Nontaxable benefits
- $6,668
- Filer's total
- $699,155
-
Josh D Simmons MDJOSH D SIMMONS MD
TRUSTEE
- Total calculated
- $676,236
- From this org
- $0
- From related orgs
- $654,592
- Other
- $21,644
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $516,272 related
- Bonus
- not reported + $137,780 related
- Other
- not reported + $540 related
- Deferred
- not reported + $12,200 related
- Nontaxable benefits
- not reported + $9,444 related
- Filer's total
- not reported + $676,236 related
-
Jim CarterJIM CARTER
COO
- Total calculated
- $514,809
- From this org
- $443,754
- From related orgs
- $0
- Other
- $71,055
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $348,967
- Bonus
- $93,545
- Other
- $1,242
- Deferred
- $61,507
- Nontaxable benefits
- $9,548
- Filer's total
- $514,809
-
Dinesh B Patel MDDINESH B PATEL MD
PHYSICIAN
- Total calculated
- $510,888
- From this org
- $487,045
- From related orgs
- $0
- Other
- $23,843
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $233,230
- Bonus
- $252,835
- Other
- $980
- Deferred
- $14,399
- Nontaxable benefits
- $9,444
- Filer's total
- $510,888
-
Coy Irvin MDCOY IRVIN MD
VP MEDICAL A
- Total calculated
- $415,697
- From this org
- $391,619
- From related orgs
- $0
- Other
- $24,078
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $244,791
- Bonus
- $23,490
- Other
- $123,338
- Deferred
- $15,665
- Nontaxable benefits
- $8,413
- Filer's total
- $415,697
-
Stephen Rubendall MDSTEPHEN RUBENDALL MD
PHYSICIAN
- Total calculated
- $363,209
- From this org
- $340,491
- From related orgs
- $0
- Other
- $22,718
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $262,645
- Bonus
- $77,575
- Other
- $271
- Deferred
- $13,418
- Nontaxable benefits
- $9,300
- Filer's total
- $363,209
-
Jason Nesmith MDJASON NESMITH MD
TRUSTEE
- Total calculated
- $358,077
- From this org
- $339,521
- From related orgs
- $0
- Other
- $18,556
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- $220,080
- Bonus
- $119,227
- Other
- $214
- Deferred
- $9,112
- Nontaxable benefits
- $9,444
- Filer's total
- $358,077
-
Eugene Sun MDEUGENE SUN MD
PHYSICIAN
- Total calculated
- $352,325
- From this org
- $328,088
- From related orgs
- $0
- Other
- $24,237
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $285,387
- Bonus
- $42,258
- Other
- $443
- Deferred
- $14,793
- Nontaxable benefits
- $9,444
- Filer's total
- $352,325
-
Mark L CattersonMARK L CATTERSON
PHYSICIAN
- Total calculated
- $323,480
- From this org
- $300,723
- From related orgs
- $0
- Other
- $22,757
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $288,129
- Bonus
- $10,646
- Other
- $1,948
- Deferred
- $13,313
- Nontaxable benefits
- $9,444
- Filer's total
- $323,480
-
Chris NewmanCHRIS NEWMAN
VP ANCILLARY
- Total calculated
- $314,732
- From this org
- $283,812
- From related orgs
- $0
- Other
- $30,920
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $231,428
- Bonus
- $51,844
- Other
- $540
- Deferred
- $30,242
- Nontaxable benefits
- $678
- Filer's total
- $314,732
-
Jamie WomackJAMIE WOMACK
VP CRITICAL
- Total calculated
- $293,639
- From this org
- $257,191
- From related orgs
- $0
- Other
- $36,448
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $211,940
- Bonus
- $44,711
- Other
- $540
- Deferred
- $26,955
- Nontaxable benefits
- $9,493
- Filer's total
- $293,639
-
Shane Herrin MDSHANE HERRIN MD
PHYSICIAN
- Total calculated
- $285,936
- From this org
- $263,274
- From related orgs
- $0
- Other
- $22,662
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $256,642
- Bonus
- $6,250
- Other
- $382
- Deferred
- $13,218
- Nontaxable benefits
- $9,444
- Filer's total
- $285,936
-
James BueJAMES BUE
VP FACILITY
- Total calculated
- $268,092
- From this org
- $241,240
- From related orgs
- $0
- Other
- $26,852
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $184,915
- Bonus
- $52,761
- Other
- $3,564
- Deferred
- $26,174
- Nontaxable benefits
- $678
- Filer's total
- $268,092
-
Julie DumasJULIE DUMAS
VP QUALITY
- Total calculated
- $181,959
- From this org
- $159,394
- From related orgs
- $0
- Other
- $22,565
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $126,396
- Bonus
- $32,640
- Other
- $358
- Deferred
- $11,387
- Nontaxable benefits
- $11,178
- Filer's total
- $181,959
-
Kristopher Palmer DoKRISTOPHER PALMER DO
VP MEDICAL A
- Total calculated
- $163,513
- From this org
- $163,513
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- $163,513
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $163,513
-
Daryl Crenshaw MDDARYL CRENSHAW MD
VICE CHAIR
- Total calculated
- $10,200
- From this org
- $0
- From related orgs
- $10,200
- Other
- $0
- Hours/week
- 1 + 1 related
-
Brian Szwarc MDBRIAN SZWARC MD
TRUSTEE
- Total calculated
- $6,896
- From this org
- $0
- From related orgs
- $6,896
- Other
- $0
- Hours/week
- 1 + 1 related
-
Lisa K BillupsLISA K BILLUPS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Joe BrownJOE BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Samuel J CarnlineSAMUEL J CARNLINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Ashley CasonASHLEY CASON
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Jesse R Warren DoJESSE R WARREN DO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Marvin E DawsonMARVIN E DAWSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Craig R Wentworth EdDCRAIG R WENTWORTH EDD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Deborah GaskinsDEBORAH GASKINS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Sina GriffithSINA GRIFFITH
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
W Gregory HamilW GREGORY HAMIL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Henry A Stone IIIHENRY A STONE III
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Nathaniel H Abrams JrNATHANIEL H ABRAMS JR
TREASURER (T
- Total calculated
- $0
- Hours/week
- 1
-
James Trey W Falconer III MDJAMES TREY W FALCONER III MD
TRUSTEE (TER
- Total calculated
- $0
- Hours/week
- 1
-
Karen L Bramblett MDKAREN L BRAMBLETT MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Timothy B Daniel MDTIMOTHY B DANIEL MD
TRUSTEE (TER
- Total calculated
- $0
-
Jami PorterJAMI PORTER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Nelda RomeNELDA ROME
TRUSTEE (TER
- Total calculated
- $0
- Hours/week
- 1
-
Jacquelyn V SantoroJACQUELYN V SANTORO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Gina Shumake ThomasonGINA SHUMAKE THOMASON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Alston P WattALSTON P WATT
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
- 1a · Health or social club dues or initiation fees
- 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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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 4
- DARCY M. CRAVEN 0 146,160 0 GREG HEMBREE 0 52,330 0 AMY GRIFFIN 0 37,454 0 JIM CARTER 0 43,207 0 COY IRVIN, M.D. 123,338 0 0 CHRIS NEWMAN 0 18,719 0 JAMIE WOMACK 0 18,061 0 JAMES BUE 0 15,054 0 JULIE DUMAS 0 6,400 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.
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
-
$85,000
NURSG PROGRAM
-
$11,000
MEDICAL LAB PROG
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.
-
501C3 · FOUNDATION · GA
Directly controlled by AMC ARCHBOLD MEDICAL CENTER INC
-
501C3 · HEALTHCARE · GA
Directly controlled by AMC ARCHBOLD MEDICAL CENTER INC
-
501C3 · H/C MGMT · GA
Directly controlled by NA
-
501C3 · PHYSICIANS · GA
Directly controlled by AMC ARCHBOLD MEDICAL CENTER INC
-
501C3 · MED CLINIC · GA
Directly controlled by AMG
-
501C3 · MED CLINIC · GA
Directly controlled by AMG
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
C CORP · HEALTHCARE · GA · 100% owned · share of income $4,562 · share of assets $182,925 · controlled entity
Directly controlled by JDAMH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 30 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402219349300410
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