JOHN D ARCHBOLD MEMORIAL HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: JOHN D ARCHBOLD MEMORIAL HOSPITAL INC (EIN 58-0566121)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-11
IRS object ID: 201612259349300921
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-11T15:53:50-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	580914992	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31708	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	580566121	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN D ARCHBOLD MEMORIAL	BusinessNameLine1Txt
Business Name Line2	HOSPITAL INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	JOHN	BusinessNameControlTxt
Phone	2292282853	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 1018	AddressLine1Txt
City	THOMASVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317991018	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	J PERRY MUSTIAN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2292282853	PhoneNum
Signature	2016-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACQUELINE G ATKINS	PreparerPersonNm
PTIN	P00861721	PTIN
Phone	2298837878	PhoneNum
Preparation	2016-08-03	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	J PERRY MUSTIAN PRESIDENTCEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 1018	AddressLine1Txt
City	THOMASVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317991018	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$323,948,190	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ARCHBOLD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1923	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	HEALTHCARE SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	121	TotalVolunteersCnt
Total Gross UBI	$998,313	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$41,866	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,657,280	PYContributionsGrantsAmt
CY Contributions Grants	$8,951,237	CYContributionsGrantsAmt
PY Program Service Revenue	$292,282,469	PYProgramServiceRevenueAmt
CY Program Service Revenue	$310,010,448	CYProgramServiceRevenueAmt
PY Investment Income	$1,660,285	PYInvestmentIncomeAmt
CY Investment Income	$1,627,490	CYInvestmentIncomeAmt
PY Other Revenue	$3,622,002	PYOtherRevenueAmt
CY Other Revenue	$2,801,737	CYOtherRevenueAmt
PY Total Revenue	$305,222,036	PYTotalRevenueAmt
CY Total Revenue	$323,390,912	CYTotalRevenueAmt
PY Grants And Similar Paid	$503,862	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$578,106	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$124,783,721	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$119,343,852	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$152,551,358	PYOtherExpensesAmt
CY Other Expenses	$163,590,637	CYOtherExpensesAmt
PY Total Expenses	$277,838,941	PYTotalExpensesAmt
CY Total Expenses	$283,512,595	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,383,095	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,878,317	CYRevenuesLessExpensesAmt
Total Assets BOY	$579,473,377	TotalAssetsBOYAmt
Total Assets EOY	$616,656,098	TotalAssetsEOYAmt
Total Liabilities BOY	$158,785,630	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$155,175,929	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$420,687,747	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$461,480,169	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HEALTHCARE SERVICES	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$192,936,629	ExpenseAmt
Grant	$578,106	GrantAmt
Revenue	$248,334,684	RevenueAmt
Desc	JOHN D. ARCHBOLD MEMORIAL HOSPITAL (JDAMH) IN THOMASVILLE GEORGIA OPERATES WITH 264 LICENSED BEDS; OF WHICH 204 ARE MED/SURG, 40 BEDS ARE DESIGNATED TO A PSYCH UNIT, 20 BEDS ARE REHAB. IN ADDITION, THEY OPERATE A 64 BED SKILLED NURSING FACILITY. JDAMH IS A RURAL REFERRAL CENTER COVERING THOMAS COUNTY AND SURROUNDING COUNTIES IN SOUTHERN GEORGIA AND NORTHERN FLORIDA. 70% OF PATIENTS WERE COVERED BY MEDICARE AND MEDICAID, AND 3.0% OF PATIENT REVENUE WAS PROVIDED AS INDIGENT CARE. IN 2015, JDAMH PROVIDED OVER 21.8 MILLION IN INDIGENT CARE CHARGES. JDAMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION JDAMH PROVIDED APPROXIMATELY 44.1 MILLION IN ADDITIONAL UNCOMPENSATED CARE. THROUGHOUT THE YEAR, JDAMH PRODUCES OR SPONSORS MANY SPECIAL PROGRAMS FOR THE COMMUNITY TO EDUCATE THEM ON IMPORTANT HEALTH NEEDS. JDAMH, INC. ALSO MAINTAINS HOSPITALS IN GRADY COUNTY, BROOKS COUNTY, AND MITCHELL COUNTY, FILING UNDER EIN 58-0566121.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,368,924	ExpenseAmt
Revenue	$24,422,205	RevenueAmt
Desc	GRADY GENERAL HOSPITAL (GGH) IN CAIRO, GEORGIA OPERATES A 60 LICENSED BED ACUTE CARE FACILITY. TEN BEDS CAN BE USED AS SWING BEDS. IT SERVES GRADY COUNTY AND 63% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2015, GGH PROVIDED OVER 1.6 MILLION IN INDIGENT CARE. IN ADDITION, GRADY GENERAL HOSPITAL PROVIDED OVER 7.8 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58-1646537 FILED UNDER EIN 58-0566121.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,712,674	ExpenseAmt
Revenue	$9,155,944	RevenueAmt
Desc	BROOKS COUNTY HOSPITAL OPERATES IN QUITMAN, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS. IT SERVES BROOKS COUNTY AND 73% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2015, OVER 3.5 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, BROOKS COUNTY HOSPITAL PROVIDED OVER 1.4 MILLION IN ADDITIONAL UNCOMPENSATED CARE. EIN 58-6002830 FILED UNDER EIN 58-0566121.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$18,255,254	ExpenseAmt
Revenue	$27,461,664	RevenueAmt
Desc	MITCHELL COUNTY HOSPITAL AND NURSING HOMES OPERATE IN CAMILLA, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS AND 156 NURSING HOME BEDS. IT SERVES MITCHELL COUNTY AND 63% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2015, OVER 5.3 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, MITCHELL COUNTY HOSPITAL PROVIDED OVER 2.7 MILLION ADDITIONAL UNCOMPENSATED CARE. EIN 58-6001207 FILED UNDER EIN 58-0566121.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$18,255,254	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$27,461,664	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$234,273,481	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	208	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHARLES D HIGHTOWER JR	PersonNm
Phone	2292282853	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1018	AddressLine1Txt
City	THOMASVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317991018	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
J PERRY MUSTIAN
PRES/HOSP CE	1.00	48.00	Yes (X)	Yes (X)	$0	$823,165	$18,215
GREGORY H PATTERSON MD
PAST TRUSTEE	1.00	41.00	Yes (X)		$0	$595,363	$42,355
EDWARD L HALL MD
PAST TRUSTEE	1.00	40.00	Yes (X)		$0	$423,274	$46,597
JASON NESMITH
TRUSTEE	1.00		Yes (X)		$0	$244,998	$36,553
JAMES S KARAS MD
TRUSTEE	1.00	1.00	Yes (X)		$58,099	$0	$0
TIMOTHY GRAYSON MD
TRUSTEE	1.00		Yes (X)		$13,600	$0	$0
JOHN B CARICO MD
TRUSTEE	1.00	1.00	Yes (X)		$3,000	$0	$0
PAUL L STEINBERG MD
PAST TRUSTEE	1.00		Yes (X)		$2,232	$0	$0
BRYANT BEADLES
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
NATHANIEL H ABRAMS JR
CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
GREG HAMIL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BENJAMIN WILDS MD
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
HAILE MCCOLLUM
VICE CHAIRMA	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
GARY BONVILLIAN PHD
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
IMOGENE CONYERS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARTA TURNER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
THOMAS J CALLAWAY III
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
WALLACE GOODMAN
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
CHARLES R SANDERS JR MD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
STEPHEN R AVERA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
SUZANNE ANDERSON
TRUSTEE	1.00		Yes (X)		$0	$0	$0
CORDELL BRAGG MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JANET SCHMIDT
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
ALSTON WATT
TRUSTEE	1.00		Yes (X)		$0	$0	$0
CHARLES D HIGHTOWER JR
ASST SEC/ HO	1.00	48.00		Yes (X)	$0	$470,193	$109,944
JIM CARTER
COO	40.00			Yes (X)	$189,315	$0	$30,844
MEL HARTSFIELD MD
VP MEDICAL A	40.00				$370,601	$0	$48,280	Yes (X)
KEN BROOKER
VP CLINICAL	40.00				$248,207	$0	$63,163	Yes (X)
AMY GRIFFIN
VP PATIENT C	40.00				$213,961	$0	$25,597	Yes (X)
LADON TOOLE
VP NETWORK O	40.00				$200,623	$0	$24,001	Yes (X)
JOSH MOORE
VP OPERATION	40.00				$155,693	$0	$12,712	Yes (X)
JULIA WEEKS
PHYSICIAN	40.00				$318,974	$0	$25,569		Yes (X)
DINESH B PATEL MD
PHYSICIAN	40.00				$312,510	$0	$22,647		Yes (X)
STEPHEN RUBENDALL MD
PHYSICIAN	40.00				$284,810	$0	$20,421		Yes (X)
JASON H SMITH
PHYSICIAN	40.00				$263,317	$0	$17,930		Yes (X)
RAMESAN NAIR MD
PHYSICIST	40.00				$257,458	$0	$49,932		Yes (X)
JOHN FISCHER
FORMER COO					$296,574	$0	$3,770			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,188,974	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,556,993	TotReportableCompRltdOrgAmt
Total Other Compensation	$598,530	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RED HILLS RADIOLOGY
714 N DAWSON STREET	THOMASVILLE	GA	317924451	RADIOLOGY SVC	$6,367,318
SOUTHLAND HOSPITALIST GROUP
PO BOX 1276	THOMASVILLE	GA	317991276	HOSPITALIST SVC	$2,846,046
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY RD	ATLANTA	GA	303421503	DIETARY SVCS	$2,721,568
SOUTH GEORGIA EMERGENCY MEDICINE
P O BOX 1913	THOMASVILLE	GA	317991913	ER PHYSICIAN	$2,489,063
SOUTHLAND EMERGENCY MEDICAL
PO BOX 1279	THOMASVILLE	GA	317991279	ER PHYSICIAN	$2,415,058

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,598,200	RelatedOrganizationsAmt
Government Grants	$5,353,037	GovernmentGrantsAmt
Total Contributions	$8,951,237	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	623000	$309,012,135	$309,012,135
LAB SERVICES	621500	$998,313		$998,313

Field	Value	IRS element (for citing)
Total Program Service Revenue	$310,010,448	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,461,437	TotalRevenueColumnAmt
Exclusion	$1,461,437	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,002,324	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$121,173	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$881,151	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$881,151	TotalRevenueColumnAmt
Exclusion	$881,151	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$365,456	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$199,403	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$166,053	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$166,053	TotalRevenueColumnAmt
Exclusion	$166,053	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$397,754	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$236,702	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,052	TotalRevenueColumnAmt
Exclusion	$161,052	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DRUG SALES	621990	$1,220,713	$1,220,713
CAFETERIA SALES	722210	$176,459	$176,459
MEDICAL RECORD TRANSCRIPT FEE	623000	$146,132		$146,132

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,230	TotalRevenueColumnAmt
Related Or Exempt Func Income	$216,230	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,759,534	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$323,390,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$309,374,497	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$998,313	UnrelatedBusinessRevenueAmt
Exclusion	$4,066,865	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$96,000	TotalAmt
Program Services	$96,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$482,106	TotalAmt
Program Services	$482,106	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,659,928	TotalAmt
Program Services	$76,931	ProgramServicesAmt
Management And General	$1,582,997	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$300,344	TotalAmt
Management And General	$300,344	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,398,141	TotalAmt
Program Services	$82,888,110	ProgramServicesAmt
Management And General	$14,510,031	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,203,000	TotalAmt
Program Services	$1,155,220	ProgramServicesAmt
Management And General	$47,780	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,519,908	TotalAmt
Program Services	$9,020,726	ProgramServicesAmt
Management And General	$1,499,182	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,262,531	TotalAmt
Program Services	$7,046,947	ProgramServicesAmt
Management And General	$1,215,584	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$374,573	TotalAmt
Management And General	$374,573	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$89,456	TotalAmt
Management And General	$89,456	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,715,857	TotalAmt
Program Services	$35,653,884	ProgramServicesAmt
Management And General	$8,061,973	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$260,087	TotalAmt
Program Services	$28,760	ProgramServicesAmt
Management And General	$231,327	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,118,250	TotalAmt
Program Services	$28,222,324	ProgramServicesAmt
Management And General	$11,895,926	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,729,959	TotalAmt
Program Services	$1,712,428	ProgramServicesAmt
Management And General	$17,531	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,985,105	TotalAmt
Program Services	$8,848,800	ProgramServicesAmt
Management And General	$1,136,305	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,034,280	TotalAmt
Program Services	$719,654	ProgramServicesAmt
Management And General	$314,626	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$65,057	TotalAmt
Program Services	$65,057	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,924,721	TotalAmt
Program Services	$21,202,088	ProgramServicesAmt
Management And General	$2,722,633	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,089,448	TotalAmt
Program Services	$2,089,448	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES JDAMH	$28,398,197	$28,398,197
PROVIDER FEES	$4,484,481		$4,484,481
REPAIRS & MAINTENANCE JDA	$2,666,125	$2,421,141	$244,984
MEDICAL SUPPLIES GRADY	$1,814,979	$1,814,979

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,840,062	TotalAmt
Program Services	$2,330,681	ProgramServicesAmt
Management And General	$509,381	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$283,512,595	TotalAmt
Program Services	$234,273,481	ProgramServicesAmt
Management And General	$49,239,114	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,402,919	BOYAmt
EOY	$21,868,418	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$50,849,220	BOYAmt
EOY	$51,895,791	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,169,225	BOYAmt
EOY	$3,758,246	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,958,671	BOYAmt
EOY	$3,940,001	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$508,155,181	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$256,546,277	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$255,884,312	BOYAmt
EOY	$251,608,904	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$192,711,702	BOYAmt
EOY	$203,256,539	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$26,572	BOYAmt
EOY	$26,572	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$68,470,756	BOYAmt
EOY	$80,301,627	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$579,473,377	BOYAmt
EOY	$616,656,098	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,757,427	BOYAmt
EOY	$33,898,485	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$828,203	BOYAmt
EOY	$722,444	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$123,200,000	BOYAmt
EOY	$120,555,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$158,785,630	BOYAmt
EOY	$155,175,929	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$417,171,944	BOYAmt
EOY	$458,116,818	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,515,803	BOYAmt
EOY	$3,363,351	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$420,687,747	BOYAmt
EOY	$461,480,169	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$579,473,377	BOYAmt
EOY	$616,656,098	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$39,878,317	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$914,105	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$7,061	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$7,061	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$283,556,122	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$283,563,183	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$10,085	CurrentYearMinus3Amt
Current Year Minus2	$10,308	CurrentYearMinus2Amt
Current Year Minus1	$6,274	CurrentYearMinus1Amt
Current Year	$7,061	CurrentYearAmt
Total	$33,728	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,515,803	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$152,452	InvestmentEarningsOrLossesAmt
End Year Balance	$3,363,351	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,066,204	BeginningYearBalanceAmt
Investment Earnings Or Losses	$449,599	InvestmentEarningsOrLossesAmt
End Year Balance	$3,515,803	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,817,109	BeginningYearBalanceAmt
Investment Earnings Or Losses	$249,095	InvestmentEarningsOrLossesAmt
End Year Balance	$3,066,204	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,446,192	BeginningYearBalanceAmt
Investment Earnings Or Losses	$370,917	InvestmentEarningsOrLossesAmt
End Year Balance	$2,817,109	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,243,517	BeginningYearBalanceAmt
Investment Earnings Or Losses	$202,675	InvestmentEarningsOrLossesAmt
End Year Balance	$2,446,192	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,944,638	OtherCostOrOtherBasisAmt
Book Value	$8,944,638	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,692,861	OtherCostOrOtherBasisAmt
Depreciation	$52,742,547	DepreciationAmt
Book Value	$98,950,314	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,711,722	OtherCostOrOtherBasisAmt
Depreciation	$12,532,283	DepreciationAmt
Book Value	$11,179,439	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$318,733,829	OtherCostOrOtherBasisAmt
Depreciation	$191,271,447	DepreciationAmt
Book Value	$127,462,382	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,072,131	OtherCostOrOtherBasisAmt
Book Value	$5,072,131	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$251,608,904	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$42,764,610
OTHER RECEIVABLES	$14,594,658
DUE FROM SELF INSURANCE TRUST	$11,589,454
DUE FROM MEDICARE/MEDICAID	$4,541,356
PHYSICIAN RECEIVABLES	$2,725,386
DEFERRED BOND ISSUE COST - 2003	$1,809,529
SCHOLARSHIP/TUITION RECEIVABLE	$1,752,486
INTEREST RECEIVABLE	$514,839
EHR RECEIVABLE	$9,309

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$80,301,627	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

ENDOWMENT FUNDS RESTRICTED BY DONORS ARE HELD IN A PERMANENT HEALTHCARE ENDOWMENT FUND WHICH WAS ESTABLISHED TO SUPPORT HEALTH CARE SERVICES.

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 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, 2015 AND 2014 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S 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.)

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	3.250000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,477,938	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,477,938	NetCommunityBenefitExpnsAmt
Total Expense	0.03340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,012,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,356,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$4,344,025	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$621,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$474,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$146,755	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,112,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,831,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,280,668	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$696,905	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$696,905	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,811,043	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,811,043	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,739,061	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,739,061	NetCommunityBenefitExpnsAmt
Total Expense	0.05540	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,267,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,267,109	NetCommunityBenefitExpnsAmt
Total Expense	0.07490	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,379,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,831,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,547,777	NetCommunityBenefitExpnsAmt
Total Expense	0.10880	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$629	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$629	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$506	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$506	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$55,963,097	BadDebtExpenseAmt
Reimbursed By Medicare	$83,542,651	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$87,229,646	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,686,995	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
JOHN D ARCHBOLD MEM HOSP
1	P O BOX 1018	THOMASVILLE	GA	317991018	WWW.ARCHBOLD.ORG	136-91	Yes (X)	Yes (X)	Yes (X)	PSYCH, REHAB, NURSING HOME	A
GRADY GENERAL HOSPITAL
2	1155 FIFTH STREET SE	CAIRO	GA	31728	WWW.ARCHBOLD.ORG	065-413	Yes (X)	Yes (X)	Yes (X)	SWING BED SNF	A
BROOKS COUNTY HOSPITAL
3	903 N COURT ST	QUITMAN	GA	31643	WWW.ARCHBOLD.ORG	014-028	Yes (X)		Yes (X)	RHC; SWING BED SNF	A	Yes (X)
MITCHELL COUNTY HOSPITAL
4	90 STEPHENS ST	CAMILLA	GA	31730	WWW.ARCHBOLD.ORG	101-120	Yes (X)		Yes (X)	NURSING HOME, RHC, SWING BED	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ARCHBOLD.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ARCHBOLD.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	325.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWWARCHBOLDORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWWARCHBOLDORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWWARCHBOLDORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SURVEYS, IN-PERSON AND TELEPHONE INTERVIEWS, COMMUNITY FORUMS AND FOCUS GROUPS.
GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 6A	THE NEEDS ASSESSMENT WAS CONDUCTED FOR JOHN D. ARCHBOLD MEMORIAL HOSPITAL ALONG WITH GRADY GENERAL HOSPITAL, BROOKS COUNTY HOSPITAL AND MITCHELL COUNTY HOSPITAL.
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	THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT THOMAS, GRADY, BROOKS, AND MITCHELL COUNTIES AND THE SURROUNDING COMMUNITIES. THE COMMUNITY IS FORTUNATE TO HAVE A LARGE NUMBER OF HEALTH AND SOCIAL SERVICE AGENCIES WHO WORK INDIVIDUALLY AND COLLECTIVELY TO PROVIDE SERVICES PROGRAMS AND SUPPORT FOR THE COUNTY RESIDENTS. TO THAT END, THE ORGANIZATION WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2013-14 ASSESSMENT BECAUSE: (1) THE ORGANIZATION ADDRESSES THE NEED, BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, (2) OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS AND (3) THE NEED IDENTIFIED IS BEYOND THE SCOPE OF THIS ORGANIZATION.
GROUP A, FACILITY 1, JOHN D. ARCHBOLD MEM HOSP - PART V, LINE 22D	ALL HOSPITALS - 10% OF THE FAMILY LIMIT OF ONE-SLIDING FEE SCHEDULE.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
GLENN-MOR NURSING HOME
10629 U S HIGHWAY 19 S	THOMASVILLE	GA	31792	SKILLED NURSING HOME
JDA PSYCHIATRIC UNIT
P O BOX 1018	THOMASVILLE	GA	31792	PSYCHIATRIC UNIT
JDA REHABILITATION UNIT
P O BOX 1018	THOMASVILLE	GA	31792	REHABILITATION UNIT
DECATUR COUNTY DIALYSIS FACILITY
P O BOX 1018	THOMASVILLE	GA	31792	DIALYSIS FACILITY
MITCHELL COUNTY DIALYSIS FACILITY
P O BOX 1018	THOMASVILLE	GA	31792	DIALYSIS FACILITY
BROOKS COUNTY DIALYSIS FACILITY
P O BOX 1018	THOMASVILLE	GA	31792	DIALYSIS FACILITY
GRADY COUNTY DIALYSIS FACILITY
P O BOX 1018	THOMASVILLE	GA	31792	DIALYSIS FACILITY
SOUTHWEST GA DIALYSIS FACILITY
P O BOX 1018	THOMASVILLE	GA	31792	DIALYSIS FACILITY
BROOKS MEDICAL ASSOCIATES
P O BOX 5000	QUITMAN	GA	31643	RURAL HEALTH CLINIC
MITCHELL CO CONVALESCENT CENTER
90 STEPHENS STREET	CAMILLA	GA	31728	SKILLED NURSING HOME
CAMILLA PEDIATRICS CENTER
P O BOX 360	CAMILLA	GA	31728	RURAL HEALTH CLINIC
MEDICAL GROUP OF MITCHELL COUNTY
P O BOX 360	CAMILLA	GA	31728	RURAL HEALTH CLINIC
ARCHBOLD PELHAM PRIMARY CARE CLINIC
P O BOX 360	CAMILLA	GA	31728	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 283,512,597 ADD: EXPENSES REPORTED IN PART VIII 357,875 DENOMINATOR FOR COLUMN (F) 283,870,472
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	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.
PART II - COMMUNITY BUILDING ACTIVITIES	ECONOMIC AND WORKFORCE DEVELOPMENT THROUGH HEALTH EDUCATION IMPROVES LEVEL OF CARE IN COMMUNITIES SERVED. OPPORTUNITIES TO REALIZE ACCESS TO CARE ARE MADE KNOWN TO SCREENING PARTICIPANTS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	SEE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	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.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	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.
PART VI, LINE 2 - NEEDS ASSESSMENT	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 AND INPUT FROM GROUPS AND THROUGH SURVEYS. 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, SPONSORING COMMUNITY EDUCATION TASK FORCES THAT PROVIDE INPUT AND RESPONDING TO SPECIFIC REQUESTS FROM COMMUNITY MEMBERS. COPIES OF THE 2013-2014 CHNA'S CAN BE FOUND AT THE FOLLOWING WEB ADDRESSES: HTTP://WWW.ARCHBOLD.ORG/UPLOADS/DOCUMENTS/BROOKS-KEYHEALTHISSUES-2013.PDF HTTP://WWW.ARCHBOLD.ORG/UPLOADS/DOCUMENTS/GRADY-KEYHEALTHISSUES-2013.PDF HTTP://WWW.ARCHBOLD.ORG/UPLOADS/DOCUMENTS/MITCHELL-KEYHEALTHISSUES-2013.PDF HTTP:LLWWW.ARCHBOLD.ORG/UPLOADS/DOCUMENTS/THOMAS-KEYHEALTHISSUES-2013.PDF PROGRESS ON CHNA IMPLEMENTATION STRATEGIES 2013-2014: ACCESS TO CARE 2013-2014 IMPLEMENTATION PLAN ODOCUMENT PRIMARY CARE PROVIDER FOR EACH SCREENING PARTICIPANT OPROVIDE CARE OPTIONS FOR PARTICIPANTS WITHOUT PRIMARY CARE PHYSICIAN OATTEMPT TO ENSURE PARTICIPANTS WITH ABNORMAL SCREENS HAVE FOLLOW-UP APPOINTMENTS OPROVIDE INFORMATION ON FINANCIAL ASSISTANCE PROGRESS EACH SCREENING PARTICIPANT WITHOUT PROPER ACCESS TO CARE RECEIVED A PRINTED LIST OF PRIMARY CARE PROVIDERS AND A BROCHURE ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ATTEMPTS TO REACH SCREENING PARTICIPANTS WITH ABNORMAL RESULTS WERE MADE IN WRITING AND BY PHONE. WE ALSO PROVIDED FREE OPPORTUNITIES TO LEARN ABOUT END-OF-LIFE ADVANCE DIRECTIVES, SCREENING RECOMMENDATIONS, AND NON-TRADITIONAL, INTEGRATIVE APPROACHES TO CARE. CANCER, DIABETES, RESPIRATORY DISEASE 2013-2014 IMPLEMENTATION PLAN OFREE SCREENINGS TO DETECT BREAST, CERVICAL, COLON, ORAL PROSTATE AND SKIN CANCER OFREE MONTHLY TOBACCO CESSATION CLASSES OFREE PUBLIC HEALTH TALKS OSUPPORT GROUPS PROGRESS HEALTH TALKS: OPHYSICIAN PANEL ON BREAST CANCER OCERVICAL CANCER OCOLORECTAL CANCER OSKIN CANCER OMAMMOGRAPHY OHOW DIABETES CAN LEAD TO DIGESTIVE DISEASE OCOPD AND ASTHMA SCREENINGS OFFERED INCLUDING SCREEN FOR DISEASE STATE: 2013-14 OCANCER-SPECIFIC, EXCLUDING LUNG CANCER (10) ODIABETES (24) OLUNG-CANCER (48, WEEKLY BASIS) OPULMONARY FUNCTION (2) 2014-15 OCANCER-SPECIFIC, EXCLUDING LUNG CANCER (3) ODIABETES (20) OLUNG-CANCER (48, WEEKLY BASIS) OPULMONARY FUNCTION (1) 2015-16 YTD OCANCER-SPECIFIC, EXCLUDING LUNG CANCER (1) ODIABETES (13) OLUNG-CANCER (36, WEEKLY BASIS) OPULMONARY FUNCTION (1) HEART DISEASE, KIDNEY DISEASE, STROKE 2013-2014 IMPLEMENTATION PLAN OFREE SCREENINGS WITH CARDIOVASCULAR, RENAL AND STROKE RISK FACTOR-SPECIFIC TESTING OFREE PUBLIC HEALTH TALKS PROGRESS HEALTH TALKS: OAPPROACHES TO TREATING KIDNEY DISEASE OCORONARY ARTERY DISEASE OPERIPHERAL ARTERY DISEASE OHEART DISEASE RISK FACTORS, PREVENTION AND OTREATMENT SCREENINGS OFFERED INCLUDING SCREEN FOR DISEASE STATE: 2013-14 OHEART/STROKE (31) OKIDNEY (13) 2014-15 OHEART/STROKE (26) OKIDNEY (2) 2015-16 YTD OHEART/STROKE (20) OKIDNEY (3) TEEN PREGNANCY, SUBSTANCE ABUSE 2013-2014 IMPLEMENTATION PLAN CONTINUE PROVIDING CONSULTATIVE AND EDUCATIONAL SUPPORT TO OUR COMMUNITY PARTNERS AS APPROPRIATE. PROGRESS THE FINANCIAL ASSISTANCE WE'VE TYPICALLY PROVIDED COMMUNITY PARTNERS HAS DECLINED FROM PREVIOUS YEARS, BUT WE'VE PROVIDED ASSISTANCE FINANCIALLY AS WE FELT WAS APPROPRIATE, AND HAVE REMAINED AVAILABLE FOR CONSULTATIVE AND EDUCATIONAL OPPORTUNITIES. OBESITY 2013-2014 IMPLEMENTATION PLAN OEVALUATE A MORE SIGNIFICANT, CONSISTENT AND DIRECT ROLE IN FIGHTING OBESITY OHEALTH TALKS SPECIFICALLY ADDRESSING OBESITY OFREE BREASTFEEDING CLASSES OSTART OVEREATERS ANONYMOUS CLASSES PROGRESS OROLE EVALUATED, FORMS CENTERPIECE OF 2016-2017 CHNA ODECIDED TO HOLD ON OBESITY-SPECIFIC HEALTH TALKS UNTIL WE MOVED FORWARD WITH A MORE COMPREHENSIVE OBESITY-BASED STRATEGY OFREE BREASTFEEDING CLASSES ONGOING OOVEREATERS ANONYMOUS CLASSES LAUNCHED AND STILL AVAILABLE, BUT RARELY USED
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PUBLISHED POLICY, SIGNS AND PAMPHLETS AT ALL REGISTRATION POINTS.
PART VI, LINE 4 - COMMUNITY INFORMATION	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 15,658; 62.2% WHITE/35.4% BLACK; MEDIAN HOUSEHOLD INCOME 31,686; 28.8% LIVING IN POVERTY; 25.2% UNDER 65 UNINSURED. GRADY COUNTY: ESTIMATED POPULATION 25,205; 67.4% WHITE/29.1% BLACK; MEDIAN HOUSEHOLD INCOME 31,653; 26.2% LIVING IN POVERTY; 27.9% UNDER 65 UNINSURED. MITCHELL COUNTY: ESTIMATED POPULATION 22,574; 49.8% WHITE/48.0% BLACK; MEDIAN HOUSEHOLD INCOME 31,101; 32.6% LIVING IN POVERTY; 21% UNDER 65 UNINSURED. THOMAS COUNTY: ESTIMATED POPULATION 45,063; 60.5% WHITE/36.8% BLACK; MEDIAN HOUSEHOLD INCOME 35,515; 24.5% LIVING IN POVERTY; 20.2% UNDER 65 UNINSURED. INFORMATION OBTAINED FROM WWW.CENSUS.GOV
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	IMPROVE HEALTH OUTCOMES IN COMMUNITIES SERVED, ENSURING ACCESS TO CARE TO ALL. USING THE CHNA AS A ROADMAP, WE'VE HELPED INFLUENCE BETTER HEALTH BEHAVIORS AND ACCESS TO CLINICAL CARE. USING THE UNIVERSITY OF WISCONSIN'S ROBERT WOOD JOHNSON RANKINGS, HEALTH OUTCOMES HAVE IMPROVED IN OUR REGION. THE GOVERNING BODIES OF ALL JDAMH'S HOSPITAL FACILITIES ARE PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES OR CONTRACTORS (NOR FAMILY MEMBERS THEREOF) AND WHO REPRESENT A BROAD SPECTRUM OF THE COMMUNITY. THE HOSPITALS' MEDICAL STAFFS ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. SURPLUS FUNDS ARE REINVESTED IN THE FACILITIES AND OPERATIONS.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	ARCHBOLD MEDICAL CENTER, INC. (MEDICAL CENTER) AS THE PARENT CORPORATION HAS SOLE CONTROL OVER ITS NONPROFIT SUBSIDIARIES, JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC., ARCHBOLD HEALTH SERVICES, INC., ARCHBOLD FOUNDATION, INC., ARCHBOLD MEDICAL GROUP, INC. AND SOLE OWNERSHIP OF ITS FOR-PROFIT SUBSIDIARY, ARCHBOLD MEDICAL ENTERPRISES, INC. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. OPERATES JOHN D. ARCHBOLD MEMORIAL HOSPITAL, GRADY GENERAL HOSPITAL, BROOKS COUNTY HOSPITAL, AND MITCHELL COUNTY HOSPITAL AND NURSING HOMES. ARCHBOLD HEALTH SERVICES, INC. PROVIDES FACILITIES AND SUPPORT FOR HOME HEALTH CARE AND AMBULATORY HEALTH CARE SERVICES. ARCHBOLD FOUNDATION, INC. SOLICITS CONTRIBUTIONS AND MANAGES FUNDS FOR THE BENEFIT OF JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. AND ARCHBOLD HEALTH SERVICES, INC. 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
THOMAS UNIVERSITY
1501 MILLPOND ROAD	THOMASVILLE	GA	31792	580644897	501C3	$11,000	MEDICAL TECH ED PROG
THOMAS UNIVERSITY
1501 MILLPOND ROAD	THOMASVILLE	GA	31792	580644897	501C3	$85,000	NURSG LEADERSHIP ED

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHP/TUITION PROG	135	$390,834
MED STUDENT HOUSING	75		$91,272	FMV	HOUSING/UTIL.

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION OFFERS A TUITION/SCHOLARSHIP REIMBURSEMENT PROGRAM FOR QUALIFIED EMPLOYEES 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. CONDITIONS OF ELIGIBILITY: FULL-TIME EMPLOYMENT OF AT LEAST SIX MONTHS WITH SATISFACTORY WORK RECORD AND PERFORMANCE EVALUATION. COMPLETION OF THE RELEVANT EDUCATION PROGRAM REQUIRES THE APPLICANT TO COMMIT TO OBTAIN STATUS AS A FULL-TIME EMPLOYEE EQUAL TO THE AMOUNT OF TIME SPENT IN EDUCATION. FAILURE TO COMPLY WITH THE REQUIREMENTS OF ELIGIBILITY WOULD SUBJECT THE EMPLOYEE TO FULL OR PARTIAL REIMBURSEMENT OF THE FUNDS RECEIVED TO THE ORGANIZATION. FOR REIMBURSEMENT THE EMPLOYEE MUST PROVIDE A COPY OF A RECEIPT SHOWING ACTUAL PAYMENT OF TUITION FEES. APPLICANT MUST MAINTAIN A C OR HIGHER GRADE AND AN OFFICIAL RECORD OF GRADES AND HOURS CREDIT MAILED DIRECTLY TO THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
J PERRY MUSTIAN
PRES/HOSP CEO	$595,361	$215,177	$12,627	-$15,100	$33,315	$841,380
GREGORY H PATTERSON MD
PAST TRUSTEE	$442,963	$110,296	$42,104	$35,820	$6,535	$637,718
EDWARD L HALL MD
PAST TRUSTEE	$407,215	$13,152	$2,907	$40,062	$6,535	$469,871
JASON NESMITH
TRUSTEE	$190,154	$11,809	$43,035	$30,032	$6,521	$281,551
CHARLES D HIGHTOWER JR
ASST SEC/ HOSP CFO	$314,944	$73,807	$81,442	$101,884	$8,060	$580,137
JIM CARTER
COO							$155,915	$32,860	$540	$19,219	$11,625	$220,159
MEL HARTSFIELD MD
VP MEDICAL AFFAIRS							$311,987	$52,020	$6,594	$40,900	$7,380	$418,881
KEN BROOKER
VP CLINICAL SERVICES							$180,355	$39,606	$28,246	$55,886	$7,277	$311,370
AMY GRIFFIN
VP PATIENT CARE							$176,071	$37,080	$810	$16,377	$9,220	$239,558
LADON TOOLE
VP NETWORK OPS							$154,828	$44,880	$915	$13,131	$10,870	$224,624
JOSH MOORE
VP OPERATIONAL SVCS							$130,561	$24,700	$432	$5,662	$7,050	$168,405
JULIA WEEKS
PHYSICIAN							$317,594		$1,380	$20,464	$5,105	$344,543
DINESH B PATEL MD
PHYSICIAN							$174,629	$137,647	$234	$16,200	$6,447	$335,157
STEPHEN RUBENDALL MD
PHYSICIAN							$192,440	$88,711	$3,659	$13,899	$6,522	$305,231
JASON H SMITH
PHYSICIAN							$188,247	$60,911	$14,159	$12,825	$5,105	$281,247
RAMESAN NAIR MD
PHYSICIST							$256,399		$1,059	$42,877	$7,055	$307,390
JOHN FISCHER
FORMER COO							$17,236		$279,338	$318	$3,452	$300,344

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	SOCIAL CLUB DUES ARE PAID BY THE ORGANIZATION ON BEHALF OF SOME 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 3	THE FILING ORGANIZATION RELIES ON THE METHODS USED BY ARCHBOLD MEDICAL CENTER, INC. (AMC), THE SOLE MEMBER, TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY AMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AS WELL AS BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
SCHEDULE J, PAGE 1, PART I, LINE 4	J. PERRY MUSTIAN 0 -56,000 0 CHARLES D. HIGHTOWER, JR. 0 74,584 0 KEN BROOKER 0 25,924 0 JOHN FISCHER 279,338 0 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. THE CURRENT YEAR'S VALUE OF THE SERP DECREASED DUE TO CHANGES IN THE ASSUMPTIONS USED IN THE ACTUARIAL VALUATION OF THE ESTIMATED ACCRUED LIABILITY. 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSP AUTH OF THE CITY OF THOMASVILL
A	581719301	884633AS7	2010-05-11	$85,000,000	BLDG CONSTRUCTION	false	Yes (true)	false
HOSP AUTH OF THE CITY OF THOMASVILL
B	581719301	NONENONEN	2013-06-12	$17,985,000	REFUNDING OF SERIES 2009A CERTIFICATES	false	Yes (true)	false
HOSP AUTH OF THE CITY OF THOMASVILL
C	581719301	NONENONEN	2013-06-12	$22,760,000	REFUNDING OF SERIES 2009B CERTIFICATES	false	Yes (true)	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$1,680,000	$85,000,000	$7,374,851	$10,000,000	$1,437,504	$65,537,920	2012	false	false	Yes (true)	Yes (true)
B		$17,985,000	$17,985,000		$145,000		2013	Yes (true)	false	Yes (true)	Yes (true)	$17,840,000
C	$3,510,000	$22,760,000	$22,760,000		$145,000		2013	Yes (true)	false	Yes (true)	Yes (true)	$22,615,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)	false	false	false	Yes (true)
C	false	false	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CORDELL L BRAGG III MD
BOARD TRUSTEE	$1,678,856	PROFESSIONAL MED SVC	false
TIMOTHY GRAYSON MD
BOARD TRUSTEE	$111,316	RENTAL; PATIENT SVCS	false
THOMAS J CALLAWAY III
BOARD TRUSTEE	$9,262,747	INVESTMENT MANAGER	false
PAUL STEINBERG MD
BOARD TRUSTEE	$1,381,778	MEDICAL SERVICES	false
MARY ANNE BULLARD GRAYSON MD
FAMILY MEMBER	$7,074,651	PROF MED CORP	false
JOHN B CARICO MD
BOARD TRUSTEE	$7,074,651	RADIOLOGY SERVICES	false
GREG HAMIL
BOARD TRUSTEE	$6,792,351	DIRECTOR OF BANK	false
CHARLES R SANDERS JR MD
BOARD TRUSTEE	$224,982	RENTAL; PATIENT SVCS	false
JAMES S KARAS MD
BOARD TRUSTEE	$3,714,455	RENTAL; PATIENT SVCS	false
LAURA C KARAS
FAMILY MEMBER	$66,166	COMPENSATION	false
LINDSEY SCANLAN
FAMILY MEMBER	$40,672	COMPENSATION	false
HAILE MCCOLLUM
BOARD TRUSTEE	$242,173,230	DIRECTOR OF BANK	false
GARY BONVILLIAN
BOARD TRUSTEE	$282,163	TU SCHOLARSHIPS	false
ALSTON WATT
BOARD TRUSTEE	$6,792,351	DIRECTOR OF BANK	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE L, PART IV

LINDSEY SCANLAN 40,672 FAMILY MEMBER COMPENSATION HAILE MCCOLLUM 242,173,230 BOARD TRUSTEE DIRECTOR OF BANK GARY BONVILLIAN 282,163 BOARD TRUSTEE TU SCHOLARSHIPS ALSTON WATT 6,792,351 BOARD TRUSTEE DIRECTOR OF BANK

SCHEDULE L, PART V

JOHN CARICO, MD - PAYMENT TO PROFESSIONAL CORPORATION FOR HOSPITAL-BASED RADIOLOGY SERVICES; TRAUMA READINESS COMPENSATION. THOMAS J. CALLAWAY III - INVESTMENT MANAGER WITH ALLEN, MOONEY & BARNES WHICH MANAGES A PORTION OF THE SERP POOLED ACCOUNT AND SELF INSURANCE TRUST. AMOUNT REFLECTS TOTAL FEES AND BALANCES AT 9/30/15 FOR THE FILING AND ALL RELATED ORGANIZATIONS. MARY ANNE BULLARD GRAYSON, MD, THE SPOUSE OF TIMOTHY GRAYSON, MD, IS COMPENSATED THROUGH HER PROFESSIONAL MEDICAL CORPORATION FOR HOSPITAL-BASED RADIOLOGY SERVICES. TIMOTHY GRAYSON, MD - RENTAL OF PROFESSIONAL OFFICE SPACE; PAYMENTS TO HIS PRACTICE TO TREAT UNINSURED EMERGENCY PATIENTS; HEALTH PLAN PAYMENTS. GREG HAMIL - DIRECTOR WITH COMMERCIAL BANK. AMOUNT REFLECTS TOTAL FEES AND BALANCES AT 9/30/15 FOR THE FILING AND ALL RELATED ORGANIZATIONS. CHARLES R. SANDERS, JR., MD - RENT OF PROPERTY; MEDICAL SERVICES TO PRACTICE; PAYMENTS TO TREAT UNINSURED EMERGENCY PATIENTS. PAUL STEINBERG, MD - PAYMENTS TO PROFESSIONAL CORPORATION FOR CONTRACTED EMERGENCY PHYSICIAN SERVICES; PAYMENTS FOR DIAGNOSTIC MEDICAL SERVICES. JAMES S. KARAS, MD - OUTREACH SERVICES; MEDICAL SERVICES; PAYMENT TO TREAT UNINSURED EMERGENCY PATIENTS; CLAIMS SETTLEMENT GUARANTEE PAYMENTS; MEDICAL STAFF LEADERSHIP COMPENSATION; PROFESSIONAL SERVICES AGREEMENT. LAURA C. KARAS IS THE SPOUSE OF BOARD TRUSTEE, JAMES S. KARAS, MD, AND IS EMPLOYED AND COMPENSATED BY JDAMH. LINDSEY SCANLAN IS THE STEPDAUGHTER OF BOARD TRUSTEE, JAMES S. KARAS, MD, AND IS EMPLOYED AND COMPENSATED BY JDAMH. HAILE MCCOLLUM - DIRECTOR WITH THOMASVILLE NATIONAL BANK. AMOUNT REFLECTS TOTAL FEES AND BALANCES AT 9/30/15 FOR THE FILING AND ALL RELATED ORGANIZATIONS. CORDELL L. BRAGG, III, MD - HOSPITAL BASED ANESTHESIOLOGY SERVICES THROUGH PROFESSIONAL CORPORATION OF WHICH HE IS A PARTNER; STATE TRAUMA CENTER UNCOMPENSATED CARE; PAYMENT TO TREAT UNINSURED EMERGENCY PATIENTS; MEDICAL DIRECTOR; MISCELLANEOUS PATIENT CARE PAYMENTS; INCENTIVE COMPENSATION; MEDICAL STAFF LEADERSHIP COMPENSATION; PROFESSIONAL SERVICES AGREEMENT. GARY BONVILLIAN, A BOARD TRUSTEE, IS THE UNIVERSITY PRESIDENT OF THOMAS UNIVERSITY. THE FILING ORGANIZATION PROVIDES FINANCIAL SUPPORT FOR CERTAIN MEDICAL PROGRAMS AT THE UNIVERSITY. ALSTON WATT - DIRECTOR WITH COMMERCIAL BANK. AMOUNT REFLECTS TOTAL FEES AND BALANCES AT 9/30/15 FOR THE FILING AND ALL RELATED ORGANIZATIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	COMMUNITY TO EDUCATE THEM ON IMPORTANT HEALTH NEEDS. JDAMH, INC. ALSO MAINTAINS HOSPITALS IN GRADY COUNTY, BROOKS COUNTY, AND MITCHELL COUNTY, FILING UNDER EIN 58-0566121.
FORM 990, PAGE 2, PART III, LINE 4D	MITCHELL COUNTY HOSPITAL AND NURSING HOMES OPERATE IN CAMILLA, GEORGIA AS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS AND 156 NURSING HOME BEDS. IT SERVES MITCHELL COUNTY AND 63% OF ITS PATIENTS WERE MEDICARE/MEDICAID. IN 2015, OVER 5.3 MILLION OF INDIGENT CARE WAS PROVIDED TO THE COMMUNITY. IN ADDITION, MITCHELL COUNTY HOSPITAL PROVIDED OVER 2.7 MILLION ADDITIONAL UNCOMPENSATED CARE. EIN 58-6001207 FILED UNDER EIN 58-0566121.
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	THE ORGANIZATION'S CFO PRESENTED THE FORM 990 TO TRUSTEES IN ATTENDANCE DURING THE BOARD MEETING PRIOR TO FILING THE RETURN WITH THE IRS. THE TRUSTEES HAD THE OPPORTUNITY TO ASK QUESTIONS AND MAKE COMMENTS. A COPY OF THE RETURN WAS MADE AVAILABLE TO THOSE BOARD MEMBERS WHO WERE UNABLE TO ATTEND THE MEETING.
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 SIGNS AN ACKNOWLEDGMENT STATEMENT 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 STATUS 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 ARCHBOLD MEDICAL CENTER, INC. 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 15B	ARCHBOLD MEDICAL CENTER'S PRESIDENT ALSO PRESENTS RECOMMENDATIONS FOR ALL SENIOR VICE PRESIDENTS AND HOSPITAL VICE PRESIDENTS AND OTHER KEY EMPLOYEES TO THE COMPENSATION COMMITTEE. IN 2008, INTEGRATED HEALTHCARE SOLUTIONS (IHS) WAS ENGAGED BY THE BOARD TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS REGARDING PLAN DESIGN AND ACTUAL COMPENSATION INCLUDING BENEFITS. IN 2009, IHS PROVIDED UPDATED RECOMMENDATIONS ON COMPENSATION TO THE COMPENSATION COMMITTEE. FOR YEARS 2010-2015, THE BOARD CONTINUED TO UTILIZE IHS TO PERFORM MARKET ANALYSIS, REVIEW EXECUTIVE COMPENSATION, AND MAKE RECOMMENDATIONS.
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 156,321 78,845 0 CONTRACT SERVICES JDAMH 11,506,150 3,874,877 0 CONTRACT SERVICES BROOKS 1,360,004 0 0 CONTRACT SERVICES GRADY 1,440,085 0 0 CONTRACT SERVICES MITCHELL 3,846,702 0 0 OUTSIDE LAB REFERRAL FEES JDA 915,037 0 0 OUTSIDE LAB REFERRAL GRADY 103,075 0 0 OUTSIDE LAB REFERRAL BROOKS 140 0 0 PROFESSIONAL FEES JDAMH 12,519,308 4,108,251 0 PROFESSIONAL FEES GRADY 2,048,454 0 0 PROFESSIONAL FEES BROOKS 766,404 0 0 PROFESSIONAL FEES MITCHELL 992,204 0 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Controlled OrganizationControlledOrganizationInd
ARCHBOLD FOUNDATION INC
PO BOX 620	THOMASVILLE	GA	317990620	581559677	FOUNDATION	GA	501C3	11B	AMC	ARCHBOLD MEDICAL CENTER INC	false
ARCHBOLD HEALTH SERVICES INC
PO BOX 620	THOMASVILLE	GA	317990620	581376434	HEALTHCARE	GA	501C3	9	AMC	ARCHBOLD MEDICAL CENTER INC	false
ARCHBOLD MEDICAL CENTER INC
PO BOX 1018	THOMASVILLE	GA	317991018	581552650	H/C MGMT	GA	501C3	11C	NA		false
ARCHBOLD MEDICAL GROUP INC
P O BOX 620	THOMASVILLE	GA	317990620	262988454	PHYSICIANS	GA	501C3	3	AMC	ARCHBOLD MEDICAL CENTER INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ARCHBOLD MEDICAL ENTERPRISES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 OLD ALBANY ROAD	AddressLine1Txt
City	THOMASVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317924013	ZIPCd

Field	Value	IRS element (for citing)
EIN	581494513	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	GA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd