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Nonprofiteer
← JOHN D ARCHBOLD MEMORIAL HOSPITAL INC

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 MD

    TRUSTEE

    Total calculated
    $6,896
    From this org
    $0
    From related orgs
    $6,896
    Other
    $0
    Hours/week
    1 + 1 related
  • Lisa K Billups

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Joe Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Samuel J Carnline

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ashley Cason

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Jesse R Warren Do

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Marvin E Dawson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Craig R Wentworth EdD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Deborah Gaskins

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Sina Griffith

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • W Gregory Hamil

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Henry A Stone III

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Nathaniel H Abrams Jr

    TREASURER (T

    Total calculated
    $0
    Hours/week
    1
  • James Trey W Falconer III MD

    TRUSTEE (TER

    Total calculated
    $0
    Hours/week
    1
  • Karen L Bramblett MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Timothy B Daniel MD

    TRUSTEE (TER

    Total calculated
    $0
  • Jami Porter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Nelda Rome

    TRUSTEE (TER

    Total calculated
    $0
    Hours/week
    1
  • Jacquelyn V Santoro

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Gina Shumake Thomason

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Alston 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

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

    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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