John D Archbold Memorial Hospital Inc.

“Nathaniel abrams, jr haile mccollum trustee trustee business relationship nathaniel abrams, jr henry stone iii trustee trustee business relationship haile mccollum henry stone iii trustee trustee business relationship sina griffith william ellis, md trustee trustee family relationship”

“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.”

“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.”

“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.”

“Management reviews the form 990 as prepared by its external auditor, and then makes a complete copy available electronically to trustees prior to filing the return. If trustees have questions about the return, management is available and accessible to provide applicable explanations to trustees.”

“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 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.”

“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.”

“SEE 15A ABOVE.”

“No documents are or will be made available to the public.”

“John d. Archbold memorial hospital (jdamh) in thomasville georgia operates with 264 licensed beds; of which 226 are med/surg, 18 beds are designated to a psych unit, 20 beds are rehab. In addition, 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. 69% of patients were covered by medicare and medicaid, and 4.0% of patient revenue was provided as indigent care. In 2020, jdamh provided an estimated 33.6 million in indigent care charges. Jdamh treats all patients regardless of their ability to pay. In addition jdamh provided approximately 37.7 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.”

“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 61% of its patients were medicare/medicaid. In 2020, approximately 3.1 million of indigent care was provided to the community. In addition, mitchell county hospital provided an estimated 5.5 million in additional uncompensated care. Ein 58-6001307 filed under ein 58-0566121.”

“Consultant fees jdamh 0 177,443 0 contract services jdamh 18,515,914 1,463,583 0 contract services brooks 334,595 0 0 contract services grady 2,438,288 0 0 contract services mitchell 3,106,340 0 0 outside lab referral fees jda 871,147 0 0 outside lab referral grady 91,928 0 0 outside lab referral brooks 4,370 0 0 professional fees jdamh 14,997,697 2,818,905 0 professional fees grady 2,176,805 0 0 professional fees brooks 866,652 0 0 professional fees mitchell 1,572,585 0 0 total 44,976,321 4,459,931 0”

“Adoption of asu no. 2016-01 -2,315,315 changes in net assets are the result of noncash transactions as detailed above. Recently adopted accounting pronouncements in january 2016, the fasb issued asu no. 2016-01, financial instruments- overall (subtopic825-10): recognition and measurement of financial assets and financial liabilities. The new guidance requires equity investments (except those accounted for under the equity method or those that result in consolidation) to be measured at fair value, with changes in fair value recognized in net income; simplifies the impairment assessment of equity investments without readily determinable fair values; and amends certain disclosure requirements associated with the fair value of financial instruments. The medical center adopted asu no. 2016-01 on october 1, 2019 using the modified retrospective method of transition. Prior to adoption, the medical center classified equity securities with readily determinable fair values as available-for-sale with unrealized gains and losses reflected as a change to net assets. The primary impact of the new guidance is that changes in the fair value of equity investments will be recognized within the performance indicator, excess revenues, rather than below as a change to net assets. The cumulative effect adjustment made on october 1, 2019 was 2,315,315.”

“During fiscal year 2020, federal awards expended exceeded the 750,000 threshold requiring a single audit (previously known as the omb circular a-133 audit). The substantial portion of these federal expenditures related to the funding associated with the "coronavirus aid, relief, and economic security act" (cares act). Typically, the single audit due date would be nine months from the end of the fiscal year being reported on (june 30, 2021). However, the deadline to submit the required single audit has been extended by the office of management and budget (omb) to include an additional six months beyond the original nine-month period (december 31, 2021). As such, jdamh has not undergone the single audit associated with its fiscal year 2020, but arrangements have been made to undergo this single audit and to ensure its completion prior to the extended deadline.”