2019-08-05T12:32:09-05:00 2018-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2017-10-01 581559677 ARCHBOLD FOUNDATION INC ARCH 2292288047 PO BOX 620 THOMASVILLE GA 317990620 VANN MIDDLETON FOUNDATION PRESIDENT 2292282228 2019-08-02 true JACQUELINE G ATKINS P00861721 2298837878 2019-08-01 208.73.87.26 2019-08-05 12:32:09 CD P 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 2017 2019-02-21 02:37:17Z VANN MIDDLETON P O BOX 1018 THOMASVILLE GA 317991018 11070046 false X WWW.ARCHBOLD.ORG/FOUNDATION X 1983 GA ARCHBOLD FOUNDATION IS AN INDEPENDENT, 501(C)(3) SUPPORT FOUNDATION WHOSE SOLE PURPOSE IS TO BUILD AND SUSTAIN A FINANCIAL LEGACY OF SUPPORT OF JOHN D. ARCHBOLD MEMORIAL HOSPITAL AND ARCHBOLD HEALTH SERVICES. 15 8 0 17 0 2116874 2987876 0 2283030 3391354 -39880 -19609 4360024 6359621 2236070 2623333 0 257370 267458 675 357 331542 408917 419157 2903032 3310305 1456992 3049316 97761392 102083300 6286110 6165782 91475282 95917518 ARCHBOLD FOUNDATION IS AN INDEPENDENT, 501(C)(3) SUPPORT FOUNDATION WHOSE SOLE PURPOSE IS TO BUILD AND SUSTAIN A FINANCIAL LEGACY OF SUPPORT OF JOHN D. ARCHBOLD MEMORIAL HOSPITAL AND ARCHBOLD HEALTH SERVICES. false false 2607227 2603333 SUPPORT TO JOHN D. ARCHBOLD MEMORIAL HOSPITAL TO BE USED FOR NURSING SCHOLARSHIPS, THE CONSTRUCTION AND EQUIPPING OF FACILITIES, AND FOR PHARMACEUTICALS FOR INDIGENT CANCER PATIENTS. GRANTS TO AREA DENTISTS HELP TO COVER COSTS FOR TREATMENT OF ELIGIBLE INDIGENT CARE CANCER PATIENTS. AMOUNTS GRANTED TO HEALTHVISIONS SUPPORT COSTS FOR ALL EDUCATIONAL HEALTH INFORMATION. 20000 20000 THIS PROGRAM SUPPORTS WILLIAM HOWARD FLOWERS, JR FOUNDATION SCHOLARSHIPS. 2627227 true true false false false false false false false true true false false false true true false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false X 15 8 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 P O BOX 1018 THOMASVILLE GA 317991018 J PERRY MUSTIAN TRUSTEE/CEO 1.00 50.00 X X 0 862602 -145985 VANN MIDDLETON FOUNDATION P 40.00 X X 247194 0 36898 GINA SHUMAKE PAST TRUSTEE 1.00 1.00 X 0 693 0 JOHN BRINSON VICE CHAIRMA 1.00 X X 0 0 0 GATES KIRKHAM CHAIRMAN 1.00 1.00 X X 0 0 0 TY TURNER SECRETARY/TR 1.00 1.00 X X 0 0 0 BRAD JACKSON TRUSTEE 1.00 1.00 X 0 0 0 MARY ANNE GRAYSON MD TRUSTEE 1.00 X 0 0 0 C MARTIN WOOD III TRUSTEE 1.00 X 0 0 0 MARGARET WETHERBEE TRUSTEE 1.00 X 0 0 0 AUSTIN QUINA MD TRUSTEE 1.00 X 0 0 0 FORTSON RUMBLE TRUSTEE 1.00 X 0 0 0 VANN PARROTT TRUSTEE 1.00 X 0 0 0 MARK SAUSSY TRUSTEE 1.00 X 0 0 0 CRAIG YOKLEY MD TRUSTEE 1.00 X 0 0 0 DEBBIE BEESON TRUSTEE 1.00 X 0 0 0 RANKIN SMITH PAST TRUSTEE 1.00 X 0 0 0 GREG HEMBREE ASST SEC/TRE 1.00 50.00 X 0 437891 64580 247194 1301186 -44507 1 false true false HIRTLE CALLAGHAN & CO P O BOX 318 NEW YORK NY 100080318 INVEST MGRS 245115 1 250106 2737770 2987876 1886955 1886955 6123674 4619275 1504399 1504399 1504399 71541 250106 91150 -19609 -19609 6359621 3371745 2623333 2623333 254343 2550 35012 216781 8342 83 1168 7091 4773 48 668 4057 25906 259 3627 22020 9700 9700 357 357 287980 287980 154 1 22 131 13207 132 1849 11226 3913 39 548 3326 6584 66 922 5596 11451 115 1603 9733 16641 166 2330 14145 MISCELLANEOUS 36148 361 5061 30726 DUES & SUBSCRIPTIONS 5723 57 801 4865 REPAIRS & MAINTENANCE 1750 17 245 1488 3310305 2627227 351536 331542 1261453 1696017 1919638 3347416 313370 266809 58011 46561 94522290 96993306 97761392 102083300 21847 23028 6264263 6142754 6286110 6165782 X 91475282 95917518 91475282 95917518 97761392 102083300 3049316 1392920 X true X true X true false X X 1 JOHN D ARCHBOLD MEMORIAL HOSPITAL INC 580566121 3 false 2623333 0 1 2623333 0 false false false false false false false false false false false false false false false false PART IV, SECTION A, LINE 1 ARCHBOLD FOUNDATION IS ORGANIZED TO CARRY OUT CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES BY SUPPORTING AND ENCOURAGING HEALTH CARE SERVICES THROUGH PROVIDING FINANCIAL AND FUND RAISING ASSISTANCE AND IN ALL OTHER RELEVANT WAYS. THE SOLE MEMBER OF THE ORGANIZATION IS ARCHBOLD MEDICAL CENTER, INC., THE PARENT COMPANY AND SOLE MEMBER OF OTHER HEALTHCARE ORGANIZATIONS. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. (JDAMH), ALTHOUGH NOT SPECIFICIALLY MENTIONED IN THE GOVERNING DOCUMENTS, IS AND HAS BEEN SUPPORTED BY THE FOUNDATION'S FUNDRAISING ACTIVITIES SINCE ITS FORMATION. JDAMH IS A 501 (C)(3) ENTITY AND WAS ALSO FORMED TO CARRY OUT CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES. PART IV, SECTION C, LINE 1 THE FILING ORGANIZATION SHARES 1 OFFICER WITH VOTING PRIVILEGES, AND 1 OFFICER WITH JDAMH. THE PARENT AND SOLE MEMBER, AMC, HAS THE RIGHT TO ELECT OR REPLACE AND TO REMOVE THE TRUSTEES OF THE GOVERNING BODY OF BOTH ORGANIZATIONS. AS PARENT AND SOLE MEMBER, AMC ALSO HAS THE AUTHORITY OVER BOTH ENTITIES 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. AMC OFFICERS AND BOARD MEMBERS ARE WELL REPRESENTED ON THE BOARDS OF ALL ENTITIES - 6 TRUSTEES SERVE ON THE FOUNDATION'S BOARD, AND 10 ARE SHARED WITH JDAMH. SUPPLEMENTAL INFORMATION PART I, LINE 11G - SERVICES PROVIDED TO SUPPORTED ORGANIZATIONS. THE FILING ENTITY PROVIDES FUNDRAISING SERVICES TO ITS SUPPORTED ORGANIZATIONS. 9631499 9631499 false false 313370 266809 46561 46561 DUE TO RELATED PARTIES 6142754 6142754 X SCHEDULE D, PAGE 2, PART V, LINE 4 ARCHBOLD FOUNDATION, INC. RELEASED TEMPORARILY RESTRICTED CONSTRUCTION FUNDS IN FISCAL YEAR 2014 WHEN THE CONSTRUCTION PROJECT WAS COMPLETED. SCHEDULE D, PAGE 3, PART X EXCERPT FROM CONSOLIDATED PARENT ORGANIZATION AUDITED FINANCIAL STATEMENTS. THE MEDICAL CENTER, WITH THE EXCEPTION OF ARCHBOLD MEDICAL ENTERPRISES, INC., IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX- EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE CONSOLIDATED FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS 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, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTERS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. (THE MEDICAL CENTER REFERS TO ARCHBOLD MEDICAL CENTER, INC., THE PARENT CORPORATION.) GOLF TOURNAMENT 264212 224481 39731 20450 25714 17296 13823 5593 PINK AFFAIR 34250 25625 8625 1 23185 23185 437 7837 321647 250106 71541 20450 25714 17733 13823 13430 91150 -19609 true JOHN D ARCHBOLD MEMORIAL HOSPITAL P O BOX 1018 THOMASVILLE GA 317991018 580566121 3 300000 NURSING SCHOLARSHIPS JOHN D ARCHBOLD MEMORIAL HOSPITAL P O BOX 1018 THOMASVILLE GA 317991018 580566121 3 154001 PATIENT SUPPORT JOHN D ARCHBOLD MEMORIAL HOSPITAL P O BOX 1018 THOMASVILLE GA 317991018 580566121 3 2149332 CAPITAL CONTRIBUTION JOHN D ARCHBOLD MEMORIAL HOSPITAL PO BOX 1018 THOMASVILLE GA 317991018 580566121 3 20000 SCHOLARSHIPS 1 SCHEDULE I, PAGE 1, PART I, LINE 2 ARCHBOLD FOUNDATION IS A SUPPORTING ORGANIZATION FOR JOHN D. ARCHBOLD MEMORIAL HOSPITAL (JDAMH) AND ARCHBOLD HEALTH SERVICES (AHS). THE FOUNDATION ACCEPTS GRANT REQUESTS FROM DEPARTMENTS WITHIN JDAMH AND AHS. THESE GRANT REQUESTS ARE IN THE FORM OF LETTERS, EACH OF WHICH INCLUDE A SPECIFIC GRANT AMOUNT AND A BUDGET AND/OR DESCRIPTION OF PROPOSED SERVICES OR PURCHASES. THE GRANT REQUESTS ARE REVIEWED ANNUALLY PRIOR TO APPROVAL OF THE ANNUAL BUDGET. DEPARTMENTS REPORT THE USE OF FUNDS TO THE FOUNDATION ADMINISTRATION AT THE END OF THE GRANT CYCLE. X X true false X X X X X false true false false false false false false false J PERRY MUSTIAN TRUSTEE/CEO 642611 200027 19964 -159800 13815 716617 VANN MIDDLETON FOUNDATION PRESIDENT 185170 51535 10489 29748 7150 284092 GREG HEMBREE ASST SEC/TREAS/CFO 337542 99188 1161 52200 12380 502471 SCHEDULE J, PAGE 1, PART I, LINE 1A SOCIAL CLUB DUES ARE PAID BY THE ORGANIZATION ON BEHALF OF OFFICERS AND EXECUTIVES OF THE FILING ORGANIZATION. THESE AMOUNTS ARE INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME AND REPORTED ON THEIR W-2. THE ORGANIZATION'S POLICY FOR COMPANION TRAVEL INCLUDES THE REIMBURSEMENT OF REGISTRATION, TRAVEL, AND ENTERTAINMENT EXPENSES FOR GUESTS WHO ACCOMPANY BOARD TRUSTEES TO EITHER OF TWO ANNUAL TRUSTEE CONFERENCES. RECEIPTS MUST BE SUBMITTED PRIOR TO REIMBURSEMENT AND THE AMOUNTS ARE NOT INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME. SCHEDULE J, PAGE 1, PART I, LINE 4 J. PERRY MUSTIAN 0 -176,000 0 VANN MIDDLETON 0 22,285 0 GREG HEMBREE 0 41,400 0 SCHEDULE J, PART III THE IRS RULES & REGULATIONS REQUIRE THAT CERTAIN NON-CURRENT, NON-CASH ITEMS ARE REPORTED IN PART VII OF 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 TWO OF AMC'S TOP EXECUTIVES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH IS ACCRUED BUT UNFUNDED IN AN AMOUNT WHICH, WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME, WILL AFFORD A RETIREMENT INCOME AT A TARGETED PERCENTAGE OF PRE-RETIREMENT COMPENSATION. THE SERP IS A NON-QUALIFIED RETIREMENT PLAN. AMC 457(F) RETIREMENT PLAN CERTAIN EXECUTIVES WHO ARE NOT ELIGIBLE FOR THE SERP MAY BE ELIGIBLE TO PARTICIPATE IN A 457(F) PLAN TO HELP THEM ACCUMULATE FUNDS FOR THEIR LONG TERM FINANCIAL NEEDS. THE ORGANIZATION MAY CONTRIBUTE A PERCENTAGE OF BASE SALARY INTO AN INDIVIDUAL EXECUTIVES ACCOUNT IF THE ORGANIZATION MEETS CERTAIN FINANCIAL TARGETS. THE ORGANIZATION OWNS ANY PLAN ASSETS UNTIL THEY ARE PAID TO THE EMPLOYEE AND ALL FUNDS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. VESTING BEGINS AT AGE 55 WITH FIVE YEARS OF SERVICE AT A RATE OF 90% AND THEN INCREASES TO 100% AT AGE 60. PAYMENTS ARE MADE ANNUALLY UPON VESTING. BONUS AWARDS: OFFICERS AND PHYSICIANS ARE AWARDED BONUSES/INCENTIVES CONTINGENT IN PART ON MEETING MANAGEMENT-BY-OBJECTIVE INCENTIVE PLAN GOALS AND EXCESS OF REVENUE OVER EXPENSES. FORM 990 MISSION: THE FOUNDATION HELPS SERVE THE NEEDS OF SEVERAL CRITICAL PROGRAMS WITHIN THE ARCHBOLD MEDICAL CENTER SYSTEM. THE FOUNDATION IS AN INDEPENDENT, NOT FOR PROFIT CORPORATION GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES. OUR PRIMARY GOAL IS TO MAINTAIN THE DELIVERY OF HIGH QUALITY AND COST EFFECTIVE HEALTHCARE FOR THE CITIZENS OF THE REGION WE SERVE. PRIVATE GIFTS TO THE FOUNDATION HELP FUND INNOVATIVE NEW PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, NEW EQUIPMENT AND TECHNOLOGIES AND OTHER CRITICAL SERVICES THAT ALLOW ARCHBOLD TO REMAIN A LEADING CENTER OF EXCELLENCE FOR HEALTHCARE IN OUR REGION. FORM 990, PAGE 6, PART VI, LINE 2 BRAD JACKSON MARK SAUSSY TRUSTEE TRUSTEE BUSINESS RELATIONSHIP AUSTIN QUINA, M.D. LEE TURNER TRUSTEE TRUSTEE BUSINESS RELATIONSHIP 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. AMC'S CHAIRMAN OF THE BOARD OF TRUSTEES SERVES AS EX-OFFICIO OF THE BOARD OF ARCHBOLD FOUNDATION WITHOUT VOTING RIGHTS. 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 A COPY OF THE FORM 990 IS PROVIDED TO TRUSTEES ELECTRONICALLY THROUGH A SECURE WEBSITE PRIOR TO FILING THE RETURN WITH THE IRS. ADDITIONALLY, AN OVERVIEW OF THE RETURN IS PROVIDED TO TRUSTEES IN ATTENDANCE AT A BOARD MEETING GIVING EACH AN OPPORTUNITY TO ASK QUESTIONS AND MAKE COMMENTS. 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 AUDIT & COMPLIANCE COMMITTEE OF AMC, 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 DOCUMENT 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. 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