2017-08-15T13:10:46-05:00 2016-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2015-10-01 582179986 Athens Regional Medical Center % WENDY COOK ATHE 7064757000 1199 PRINCE AVENUE ATHENS GA 30606 WENDY COOK SR VP & CFO 7064753463 2017-08-14 true ALLISON H FRANKLIN CPA P00448640 3362753394 2017-08-09 2015 2021-01-29 14:40:06Z CHARLES PECK PRESIDENT CEO 1199 PRINCE AVENUE ATHENS GA 30606 421529774 false X WWW.PIEDMONT.ORG X 1987 NC PROVISION OF HEALTHCARE SERVICES. 12 11 3332 587 0 1327080 450371 392866406 407798730 200386 510764 10631581 12769909 405025453 421529774 0 0 0 0 176741447 187725534 0 0 0 221231335 242198579 397972782 429924113 7052671 -8394339 344320637 357277791 245539851 266891344 98780786 90386447 X THE MISSION OF ATHENS REGIONAL HEALTH SYSTEM IS TO IMPROVE THE LIVES AND HEALTH OF THOSE WE TOUCH. false false 17493335 44725122 LABORATORY: ATHENS REGIONAL MEDICAL CENTER LABORATORY SERVICE LINE PROVIDES LABORATORY AS WELL AS PATHOLOGY TESTING FOR THE NORTHEAST GEORGIA AREA. DURING THE 2016 FISCAL YEAR THE LABORATORY PROCESSED OVER 1.4 MILLION BILLABLE CPT CODES. 40561058 66832267 OPERATING ROOM: DURING THE 2016 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 9,623 SCHEDULED AND EMERGENCY SURGERIES. 22081687 45895414 PHARMACY: PHARMACY SERVICES AT ATHENS REGIONAL MEDICAL CENTER DISPENSED OVER $5.5 MILLON PRESCRIPTIONS DURING THE 2016 FISCAL YEAR. 201623947 260128359 OTHER HEALTHCARE SERVICES 201623947 260128359 281760027 true false false true false false false false false false true false false false false true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 151 0 true 3332 true false false false false false false false false false false X 12 11 false false false false false false false true true false false true true true true true true true true false GA X WENDY COOK 7064753463 1199 PRINCE AVENUE ATHENS GA 30606 Robert E Hoyt PHD Chair 6.0 6.0 X 0 0 0 Thomas Kias MD Trustee 3.0 3.0 X 0 0 0 W C Bolton Trustee 3.0 3.0 X 0 0 0 Charles A Peck President / CEO 3.0 52.0 X X 467652 723261 41202 Phillip L Williams PhD Trustee 3.0 0.0 X 0 0 0 Allen R Green Trustee 3.0 3.0 X 0 0 0 Henry L Dewitt MD Trustee 3.0 0.0 X 0 0 0 Charles L Ogburn MD Trustee 3.0 0.0 X 0 0 0 Gene J Mays Sr Trustee 3.0 3.0 X 0 0 0 Tracey Worthington Stice Trustee 3.0 3.0 X 0 0 0 Samuel K Thomason DMD Vice Chair 3.0 0.0 X 0 0 0 Jonathan Woody MD Trustee 3.0 3.0 X 0 0 0 Wendy Cook Secretary 3.0 52.0 X 175350 428341 59930 Lori Giles VP & CNO 40.0 0.0 X 318707 0 44538 Geoffrey Cole MD VP, Ancillary Svcs 40.0 0.0 X 415988 0 28767 Norman Burkett JR VP, Prof Svcs 40.0 0.0 X 354917 0 31649 Diane Todd VP Corp - Compliance & Ops 40.0 0.0 X 311171 0 28425 James Appiah-Pippim MD Faculty 40.0 0.0 X 337797 0 17811 Robert Finch VP Human Resources 40.0 0.0 X 124431 226279 21501 Tammy Gilland VP Foundation 40.0 0.0 X 270024 0 9140 Louis Duhe VP and CIO 40.0 0.0 X 169284 132158 38471 Jody Corry VP In House Legal 40.0 0.0 X 128301 255064 16650 Robert Sinyard Jr MD VP Medical Affairs 40.0 0.0 X 511856 0 72121 Paul Collar Dir, Managed Care 40.0 0.0 X 271361 0 30341 Darrel Lawson Exc. Dir, Revenue Cycle 40.0 0.0 X 270333 0 23368 Don Tyson Dir, Pharmacy 40.0 0.0 X 224833 0 23767 Marie DiFrancesco Director Application Services 40.0 0.0 X 212824 0 20260 Catherine Apaloo Faculty Program Director 40.0 0.0 X 319785 0 34019 James G Thaw FORMER OFFICER 0.0 0.0 X 0 405745 60861 James Moore MD FORMER OFFICER 40.0 0.0 X 209532 0 19636 5094146 2170848 622457 166 true true false MEDICAL CENTER ANESTHESIOLOGY PO BOX 7337 ATHENS GA 30604 ANESTHESIA PROVIDER 3839406 GEORGIA EMERGENCY MEDICINE SPECIALI PO BOX 5719 ATHENS GA 30604 PHYSICIAN COVERAGE 2340673 NAVIGANT CONSULTING 4511 PAYSHERE CIRCLE CHICAGO IL 60674 MGMT CONSULTANTS 1887252 ATHENS PULMONARY ALLERGY PC 3320 OLD JEFFERSON RD BLDG 200 ST ATHENS GA 30607 MED. DIR. & PROF FEE 1769520 REGIONS INSURANCE OF GA PO BOX 81308 ATHENS GA 30608 INSURANCE BROKER 1673100 85 450371 450371 OPERATING ROOM 900099 66832266 66832266 LABORATORY 900099 44725122 44725122 PHARMACY 900099 45895414 45895414 ROUTINE SERVICES 900099 38600573 38600573 CARDIOPULMONARY 900099 25036644 25036644 186708711 186708711 407798730 238934 238934 0 0 1182955 1182955 0 1182955 1182955 271830 271830 271830 271830 0 0 0 CAFETERIA SALES 900099 1804522 1804522 PURCHASE DISCOUNTS/REBATES 900099 2071751 2071751 OTHER INCOME 900099 7710681 7710681 11586954 421529774 417581162 3498241 0 0 0 0 4884614 1152748 3731866 209532 209532 147240162 113037466 34202696 9360174 7185881 2174293 15445309 11857489 3587820 10585743 8126761 2458982 15808999 3098991 12710008 1894201 1894201 218825 218825 0 0 0 27585784 17710272 9875512 1621066 2626 1618440 4413536 2142420 2271116 827624 94431 733193 0 12092177 5683323 6408854 344174 83030 261144 0 60971 52955 8016 8815287 5994395 2820892 0 23985944 16310442 7675502 2847660 1936409 911251 MEDICAL SUPPLIES 86601215 82621415 3979800 INTERCOMPANY TRANSFERS 29284816 -380652 29665468 EQUIPMENT RENT AND MAINTENANCE 20660503 4015335 16645168 FOOD COSTS 3310116 365311 2944805 1825681 668979 1156702 429924113 281760027 148164086 0 0 0 37174553 50300169 0 0 50735491 54321501 0 0 0 0 0 0 7607670 7121046 6264417 6386161 640979569 415740746 229481031 225238823 0 0 0 0 0 0 0 0 13057475 13910091 344320637 357277791 35873190 62132934 0 0 0 0 209666661 204758410 0 0 0 0 0 0 0 0 0 0 245539851 266891344 X 98780786 90386447 0 0 0 0 98780786 90386447 344320637 357277791 -8394339 X false true X true false X false false false true false false true 25832 false false 25832 false Form Sch C Part II-B Line 1g DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY A PORTION OF GEORGIA HOSPITAL ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING. 8078345 8078345 352297285 188466914 163830371 6848483 5400479 1448004 257978279 217023741 40954538 15777177 4849612 10927565 225238823 0 0 X Form Sch D Part X Line 2 ASC 740 DISCLOSURE THE HEALTH SYSTEM APPLIES FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE AS TO WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740-10. true true true X true X true true true false true true 17192873 17192873 0.04000 22471 49484295 34411282 15073013 0.03510 22471 66677168 34411282 32265886 0.07510 3375 23879 1530977 43778 1487199 0.00350 31 4291 1803224 281749 1521475 0.00350 20 1053109 44000 1009109 0.00230 3426 28170 4387310 369527 4017783 0.00930 3426 50641 71064478 34780809 36283669 0.08440 true 38180405 333488274 89641648 243846626 X true true NONE 1 1 ATHENS REGIONAL MEDICAL CENTER 1199 PRINCE AVENUE ATHENS GA 30606 WWW.PIEDMONT.ORG 029-007 X X X ATHENS REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X 15 true false false true X WWW.PIEDMONT.ORG X true 15 true WWW.PIEDMONT.ORG false false true X 125. 125. X X true true X X X true X WWW.PIEDMONT.ORG X WWW.PIEDMONT.ORG X WWW.PIEDMONT.ORG X X X X true X false X X X X true X false false Sch H, Part V, SECTION B, Line 5 ATHENS REGIONAL HEALTH SYSTEM CONSULTED THE FOLLOWING ENTITIES WHEN CONDUCTING ITS MOST RECENT CHNA: ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM WISCONSIN COUNTY HEALTH RANKINGS TICKER-NATIONAL RESEARCH CORPORATION THE STATE OF GEORGIA DEPARTMENT OF PUBLIC HEALTH NORTHEAST GEORGIA HEALTH DISTRICT ATHENS REGIONAL MEDICAL CENTER OUR DAILY BREAD WHATEVER IT TAKES INITIATIVE ATHENS NEIGHBORHOOD HEALTH ATHENS NURSES CLINIC ADVANTAGE BEHAVIORAL HEALTH SYSTEM CHILDREN'S HEALTHCARE OF ATLANTA HEALTH PLAN SELECT ST. MARY'S HEALTH SYSTEM MERCY HEALTH CENTER AIDS ATHENS ATHENS PBJ INTER-COMMUNITY COUNCIL WITH ATHENS HOUSING AUTHORITY BOYS AND GIRLS CLUN AT GARNETT RIDGE ATHENS COMMUNITY COUNCIL ON AGING Sch H, Part V, SECTION B, Line 6A ATHENS REGIONAL HEALTH SYSTEM CONDUCTED A JOINT 2015 CHNA WITH ST. MARY'S HEALTHCARE SYSTEM. Sch H Part I Line 3c NOT APPLICABLE SINCE THE HOSPITAL USES FEDERAL POVERTY GUIDELINES. Sch H Part I Line 6a ATHENS REGIONAL HEALTH SERVICES PREPARES A COMBINED COMMUNITY BENEFIT REPORT. Sch H Part I Line 7G THIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS. Sch H Part I Line 7 ATHENS REGIONAL MEDICAL CENTER IS IN THE PROCESS OF DEVELOPING AND IMPLEMENTING A COSTING SYSTEM. HOWEVER, CURRENTLY, A COST TO CHARGE RATIO WAS USED TO CALCULATE THE AMOUNTS SHOWN IN PART 1, LINE 7. Sch H Part III Line 4 THE HEALTH SYSTEM PROVIDES CARE FREE OF CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WITH QUALIFYING FINANCIAL NEED UNDER ITS FINANCIAL ASSISTANCE -I.E. CHARITY CARE - POLICY. BECAUSE THE HEALTH SYSTEM DOES NOT PURSUE COLLECTION OF CHARGES DETERMINED TO QUALIFY AS CHARITY CARE, THESE CHARGES ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HEALTH SYSTEM'S CHARITY CARE POLICY WAS APPROXIMATELY $58,384,324 AND $66,038,000 FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. SCH H PART III LINE 8 ANY SHORTFALL IS NOT REPORTED IN LINE 7 COMMUNITY BENEFIT. TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT, THE COST-TO-CHARGE RATIO IS APPLIED TO GROSS PATIENT REVENUE ASSOCIATED WITH THE SERVICES PERFORMED FOR PATIENTS WHO ARE ELIGABLE FOR MEDICARE. SCH H PART III LINE 9B THE HOSPITAL'S COLLECTION POLICIES CONTAIN PROVISIONS FOR NOT UNDERTAKING COLLECTION ACTIONS AGAINST PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE - I.E., CHARITY CARE. AS SUCH, THE HOSPITAL WORKS EXPEDITIOUSLY TO DETERMINE WHEN PATIENT ARE ELIGABLE FOR FINANCIAL ASSISTANCE, AND THEREFORE SHOULD NOT BE PURSUED FOR PAYMENT. SCH H PART V LINE 9B SCH H PART VI LINE 2 ATHENS REGIONAL HEALTH SYSTEM (ARHS), WITH THE LEADERSHIP OF TWO MASTERS-LEVEL INTERNS FROM THE UGA COLLEGE OF PUBLIC HEALTH, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2014-2015. ARHS HAS A LONG HISTORY OF PROVIDING QUALITY HEALTH CARE SERVICES IN PARTNERSHIP WITH NUMEROUS COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS, ENABLING PREVENTATIVE HEALTH SERVICES AND COMMUNITY OUTREACH TO BE AVAILABLE TO INDIVIDUALS IN THE ARHS SERVICE AREA. AHRS SERVES THE FOLLOWING COUNTIES: ATHENS-CLARKE, OCONEE, OGLETHORPE, MADISON, JACKSON, BARROW, WALTON, MORGAN, GREENE, TALIAFERRO, WILKES, ELBERT, HART, FRANKLIN, BANKS, STEPHENS AND HABERSHAM. METHODS AND DATA SOURCES A. METHODS DATA COLLECTED FROM: INTERVIEWS WITH 12 ARHS INPATIENT AND OUTPATIENT MEDICAL SPECIALTIES. INTERVIEWS WITH REPRESENTATIVES FROM 15 COMMUNITY ORGANIZATIONS. SEARCHES IN SECONDARY SOURCES SUCH AS 5 ONLINE DATABASES AS WELL AS ARMC INPATIENT DATA AND ED VISIT DATA. B. SECONDARY DATA OASIS, COUNTY HEALTH RANKINGS, TICKER, NORTHEAST GEORGIA HEALTH DISTRICT, AND GEORGIA STATE GOVERNMENT. C. PRIMARY DATA OUR DAILY BREAD, WHATEVER IT TAKES, ATHENS NEIGHBORHOOD HEALTH CENTER, ATHENS NURSES' CLINIC, ADVANTAGE BEHAVIORAL HEALTH SYSTEM, CHILDREN'S HEALTHCARE OF ATLANTA, ST. MARY'S HEALTH SYSTEM, MERCY HEALTH CENTER, AIDS ATHENS, ATHENS PBJ, INTER-COMMUNITY COUNCIL OF ATHENS HOUSING AUTHORITY, BOYS AND GIRLS CLUB AT GARNETT RIDGE, AND ATHENS COMMUNITY COUNCIL ON AGING. THE TOP HEALTH NEEDS IDENTIFIED ARE AS FOLLOWS: MAJOR FINDINGS FROM THE INTERVIEWS AND DATA SOURCES SUGGEST THAT THERE ARE OVER-ARCHING NEEDS RELATED TO POVERTY, LACK OF ACCESS TO HEALTH CARE, ESPECIALLY FOR THE UNINSURED, AND LACK OF TRANSPORTATION. THE MOST PREVENTABLE AND ALSO MANAGEABLE DIAGNOSES IN THE COMMUNITY WERE IDENTIFIED TO BE UNTREATED MENTAL ILLNESS AND SUBSTANCE ABUSE, HEART DISEASE/HYPERTENSION, OBESITY, AND DIABETES. ACCORDING TO THE COLLECTED DATA, THE POPULATIONS MOST AT RISK FOR THESE HEALTH NEEDS WITHIN THE ARHS SERVICE AREA ARE THE UNINSURED AND THE HOMELESS. ASSESSMENT FOR THE REGION SERVED - AN INCREASINGLY ELDERLY POPULATION, AN INCREASING HISPANIC POPULATION, AND DECLINING HEALTH IN THE REGION. THE HOSPITAL HAS RESPONDED TO THESE NEEDS BY ENSURING THAT THE PROGRAMS OFFERED ARE RELEVANT TO THE POPULATION BEING SERVED AND ADEQUATELY MEETING THEIR NEEDS. SCH H PART VI LINE 3 THE HEALTH SYSTEM PROVIDES A WRITTEN PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE - I.E., CHARITY - POLICY TO PATIENTS AT THE TIME OF REGISTRATION. THE HEALTH SYSTEM ALSO ADDS A CONSPICUOUS WRITTEN NOTICE TO ALL PATIENT STATEMENTS; POSTS NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN REGISTRATION WAITING AREAS, AND PROVIDES A LINK TO THE HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY ON OUR WEBSITE. PATIENTS ARE ALSO VERBALLY INFORMED OF OUR CHARITY CARE POLICY DURING FINANCIAL COUNSELING. A COPY OF THE HEALTH SYSTEM'S CHARITY CARE POLICY IS PROVIDED TO PATIENTS IF REQUESTED. SCH H PART VI LINE 4 THE HOSPITAL SERVES A 17-COUNTY GEOGRAPHIC AREA IN NORTHEAST GEORGIA, INCLUDING ATHENS-CLARKE, OCONEE, OGLETHORPE, MADISON, JACKSON, BARROW, WALTON, MORGAN, GREENE, TALIAFERRO, WILKES, ELBERT, HART, FRANKLIN, BANKS, STEPHENS, AND HABERSHAM. THE COMMUNITY POPULATION RECEIVING SERVICES IS PRIMARILY MEDICARE AND MEDICAID PATIENTS (APPROXIMATEMLY 65%). OF THE REMAINING PATIENTS, APPROXIMATELY 20% ARE EITHER SELF-PAY OR UNINSURED WITH THE REMAINING 15% HAVING INSURANCE FROM A THIRD PARTY PROVIDER. SCH H PART VI LINE 5 THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE AND PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE MANY EDUCATIONAL OUTREACH PROGRAMS OFFERED. THESE PROGRAMS HELP TO EMPOWER THE PATIENTS SERVED WITH THE KNOWLEDGE, TOOLS AND SKILLS TO LIVE A HEALTHIER LIFESTYLE. SOME NOTABLE PROGRAMS ARE: - CPR/AED AND FIRST AID TRAINING - HEALTH FAIRS AND HEALTH INFORMATION PROGRAMS - HEALTH SCREENS - TOBACCO CESSATION - WEIGHT AND STRESS MANAGEMENT PROGRAMS, PUBLIC SCHOOL WALKING PROGRAM - PRENATAL CLASSES/BIRTHING CENTER TOURS - AQUATICS FOR ARTHRITIS CLASSES - OLDER ADULT DRIVER EDUCATION CLASSES - LATINO HEALTH FIESTA - VARIOUS EDUCATIONAL CONFERENCES IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF. SCH H PART VI LINE 6 ATHENS REGIONAL HEALTH SERVICES, INC. AND SUBSIDARIES (THE HEALTH SYSTEM) IS A MULTIDIMENSIONAL PROVIDER OF HEALTHCARE SERVICES WITH CORPORATE HEADQUATERS LOCATED IN ATHENS, GEORGIA. ATHENS REGIONAL HEALTH SERVICES, INC. (ARHS, INC.) IS A NOT-FOR-PROFIT CORPORATION ESTABLISHED AS A HOLDING COMPANY FOR ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC, INC. OR THE HOSPITAL); ATHENS REGIONAL FOUNDATION, INC. (THE FOUNDATION); ATHENS REGIONAL HEALTH RESOURCES, INC. (HEALTH RESOURCES); ATHENS REGIONAL HEALTH VENTURES, INC. (HEALTH VENTURES); ATHENS REGIONAL PHYSICIAN SERVICES, INC. (PHYSICIAN SERVICES); ATHENS REGIONAL SPECIALTY SERVICES, INC. (SPECIALTY SERVICES); REGIONAL FIRSTCARE, INC. (REGIONAL FIRSTCARE); AND ATHENS AREA HEALTH PLAN SELECT, INC. (HEALTH PLAN SELECT). ARMC, INC. LOCATED IN ATHENS, GEORGIA IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPTIAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHEAST GEORGIA AND PROVIDES A HOME CARE NURSING SERVICE TO PATIENTS RESIDING IN THE FIVE GEORGIA COUNTIES OF CLARKE, OCONEE, MADISON, BARROW, AND JACKSON. THE FOUNDATION IS NOT-FOR PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF ASSISTING THE OTHER HEALTH SYSTEM SUBSIDARIES IN FUND-RAISING AND RELATED MANAGEMENT, MAKING GRANTS, AND SOLICITING GIFTS. HEALTH RESOURCES IS A NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF PROVIDING OUTPATIENT MEDICAL CARE AND HEALTH SRVICES OUTSIDE THE ATHENS-CLARKE COUNTY, GEORGIA AREA. HEALTH VENTURES IS A FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF PROCURING RESOURCES NECESSARY TO EXPAND SERVICES PROVIDED BY THE HEALTH SYSTEM. PHYSICIAN SERVICES IS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF ACQUIRING AND OPERATING PHYSICIAN PRACTICES. AS OF SEPTEMBER 30, 2016 AND 2015, 40 AND 37 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED AS PRIMARY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM. SPECIALTY SERVICES IS A NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF ACQUIRING AND OPERATING SPECIALTY PHYSICIAN PRACTICES. AS OF SEPTEMBER 30, 2016 AND 2015, 59 AND 43 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED AS SPECIALTY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM. REGIONAL FIRSTCARE IS A NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF ACQUIRING AND OPERATING URGENT CARE CENTERS AND DEVELOPING WORKERS' COMPENSATION/OCCUPATIONAL MEDICINE PROGRAMS. AS OF SEPTEMBER 30, 2016 AND 2015, 14 AND 13 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED BY REGIONAL FIRSTCARE SUPPORTING THE INTEGRATED DELIVERY SYSTEM. HEALTH PLAN SELECT IS A TAXABLE NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION ESTABLISHED FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES TO ITS ENROLLED MEMBERS. HEALTH PLAN SELECT OPERATES UNDER A HEALTH MAINTENANCE ORGANIZATION (HMO) LICENSE FROM AND REGULATED BY THE STATE OF GEORGIA DEPARTMENT INSURANCE. SCH H PART VI LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT IS FILED IN GEORGIA. X X false true X X X X X true true false true false true false false false Wendy Cook Secretary 99344 283840 66419 50648 9587 93853 50342 0 7744 1844 233436 430185 0 0 Charles A Peck President / CEO 201656 576160 246197 72303 19799 74798 3864 33054 824 3460 472340 759775 0 0 James G Thaw FORMER OFFICER 0 0 0 0 0 405745 0 59595 0 1266 0 466606 0 0 Lori Giles VP & CNO 232489 0 65684 0 20534 0 36001 0 8537 0 363245 0 0 0 Geoffrey Cole MD VP, Ancillary Svcs 308837 0 72332 0 34819 0 25569 0 3198 0 444755 0 0 0 James Moore MD FORMER OFFICER 0 0 0 0 209532 0 18355 0 1281 0 229168 0 0 0 Norman Burkett JR VP, Prof Svcs 266544 0 64216 0 24157 0 24761 0 6888 0 386566 0 0 0 Paul Collar Dir, Managed Care 214503 0 50363 0 6495 0 22583 0 7758 0 301702 0 0 0 Darrel Lawson Exc. Dir, Revenue Cycle 220801 0 49532 0 0 0 21367 0 2001 0 293701 0 0 0 Don Tyson Dir, Pharmacy 178087 0 41837 0 4909 0 17054 0 6713 0 248600 0 0 0 Diane Todd VP Corp - Compliance & Ops 213926 0 53617 0 43628 0 22442 0 5983 0 339596 0 0 0 James Appiah-Pippim MD Faculty 336938 0 0 0 859 0 17811 0 0 0 355608 0 0 0 Robert Finch VP Human Resources 65962 175272 38588 20542 19881 30465 1414 15266 846 3975 126691 245520 0 0 Tammy Gilland VP Foundation 197316 0 51945 0 20763 0 7478 0 1662 0 279164 0 0 0 Marie DiFrancesco Director Application Services 166854 0 38309 0 7661 0 16093 0 4167 0 233084 0 0 0 Catherine Apaloo Faculty Program Director 289785 0 30000 0 0 0 26631 0 7388 0 353804 0 0 0 Louis Duhe VP and CIO 108146 112695 61138 0 0 19463 12306 24503 590 1072 182180 157733 0 0 Jody Corry VP In House Legal 76731 203886 44888 16304 6682 34874 3320 7395 1141 4794 132762 267253 0 0 Robert Sinyard Jr MD VP Medical Affairs 427853 0 32028 0 51975 0 65606 0 6515 0 583977 0 0 0 Form Sch J Part I Line 1a COMPANION TRAVEL AND CLUB DUES BOARD TRUSTEES ARE PROVIDED COMPANION TRAVEL - TAXABLE AMOUNT INCLUDED IN COMPENSATION. OFFICERS ARE PROVIDED SOCIAL CLUB DUES - TAXABLE AMOUNT INCLUDED IN COMPENSATION. Form Sch J Part I Line 1b ATHENS REGIONAL MEDICAL CENTER, INC. DOES NOT HAVE A WRITTEN POLICY REGARDING PAYMENTS OR REIMBURSEMENT OF EXPENSES ON LINE 1A. HOWEVER, COMPANION TRAVEL FOR BOARD MEMBERS ATTENDING OVERNIGHT EVENTS WAS APPROVED BY CHARLES PECK, CEO OF ATHENS REGIONAL HEALTH SERVICES, INC. Form Sch J Part I Line 4a SEVERANCE PAYMENT CERTAIN OFFICERS HAVE WRITTEN SEVERANCE AGREEMENTS WITH THE EMPLOYER. THIS SEVERANCE AGREEMENT TYPICALLY PROVIDES THAT IN THE EVENT OF INVOLUNTARY TERMINATION THE OFFICER WILL CONTINUE TO RECEIVE THE OFFICER'S BASE COMPENSATION FOR A PERIOD OF 24 MONTHS FOLLOWING THE OFFICER'S DATE OF TERMINATION. THE OFFICER IS ALSO ENTITLED AS ADDITIONAL SEVERANCE ANY OTHER BENEFITS TO WHICH HE WOULD HAVE BEEN ENTITLED HAD THE EXECUTIVE REMAINED AN EMPLOYEE. THE VALUE OF THE OTHER BENEFITS ARE MADE AVAILABLE TO THE OFFICER IN ACTUAL BENEFITS OR EQUIVALENT VALUE TO THE EXTENT PERMITTED IN LAW AND BY UNDERLYING CONTRACTS THAT MAY SUPPORT SUCH BENEFITS. JAMES MOORE RECEIVED SEVERANCE PAYMENT TOTALING $229,168 AND JAMES THAW RECEIVED SEVERANCE PAYMENTS TOTALING $466,606. Form Sch J Part I Line 4b SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN ATHENS REGIONAL HEALTH SYSTEMS HAS A 457(F) PLAN WHEREBY EMPLOYER CONTRIBUTIONS ARE DEPOSITED INTO THE PLAN SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE IF THE EXECUTIVE FAILS TO COMPLETE FIVE YEARS-OF-SERVICE. ALL EMPLOYER CONTRIBUTIONS (DEFERRALS) WERE MADE PRIOR TO 2006. EACH EXECUTIVE HAS BEEN TAXED ON THE DEPOSIT INTO THE 457(F) PLAN, AS THEY HAVE REACHED THEIR SERVICE COMPLETION DATE. THE FOLLOWING AMOUNTS RESULT FROM PARTICIPATING IN A NONQUALIFIED RETIREMENT PLAN: ROBERT SINYARD $33,009 GEOFFREY COLE $710 Form Sch J Part I Line 5a & 6A CONTINGENT COMPENSATION EXECUTIVE AND LEADERSHIP POSITIONS ARE ELIGIBLE TO PARTICAPTE IN A VARIABLE PAY PLAN. GROSS REVENUES AND NET EARNINGS ARE VARIABLE PAY PLAN FACTORS. THIS PLAN PROVIDES INCENTIVES BASED ON SYSTEM PERFORMANCE. THE RESULTS ARE BASED ON THE ACCOMPLISHMENT OF SPECIFIC STRATEGIC OBJECTIVES INVOLVING (1) SUSTAINED AND IMPROVED FINANCIAL PERFORMANCE AND EFFICIENCY (2) employee satisfaction and retention (3) IMPROVED CUSTOMER SATISFACTION INCLUDING MEMBERS, PHYSICIANS, PATIENTS, AND EMPLOYEES (4) MAINTENANCE AND IMPROVEMENT IN QUALITY AND CLINICAL OUTCOMES. THE PERFORMANCE SCORECARD IS DETERMINED ANNUALLY AND APPROVED BY THE BENEFITS AND COMPENSATION COMMITTEE OF THE BOARD. THE PLAN WILL BE DISALLOWED BASED ON LOSS OF THE JOINT COMMISSION ACCREDITATION OR A VIOLATION OF THE BOND COVENANTS. A THE HOSPITAL AUTHORITY OF CLARKE COUNTY GA 586003375 18069FAV8 2007-01-25 160520372 REVENUE CERTIFICATES 2007 false false false B THE HOSPITAL AUTHORITY OF CLARKE COUNTY GA 586003375 181635HN1 2012-03-29 70578040 REVENUE CERTIFICATES 2012 false false false A 0 0 160520372 0 0 56605442 1826127 0 0 102088803 0 0 false true false true B 0 0 70578040 0 0 69596941 981099 0 0 0 0 0 false true false true A false false false false 0 false false false true B false false false false 0 false false false true A true true false 0 false 0 false false B false false true false true false 0 false 0 false false A false B false Form 990 Part VI Line 11a REVIEWING FORM 990 THE COMPLETED 990 IS DISTRIBUTED VIA UNITED STATES MAIL AND EMAIL TO THE ATHENS REGIONAL HEALTH SERVICES, INC. FINANCE COMMITTEE AND THE COMPLETE BOARD FOLLOWING ITS COMPLETION. Form 990 Part VI Line 12c MONITORING CONFLICTS OF INTEREST ATHENS REGIONAL MEDICAL CENTER, INC. HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. ATHENS REGIONAL MEDICAL CENTER, INC. IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT ATHENS REGIONAL MEDICAL CENTER, INC.'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS ATHENS REGIONAL MEDICAL CENTER, INC.'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. DECLARED CONFLICTS ARE REVIEWED WITH THE INDIVIDUAL. IT REMAINS THE DECLARERS RESPONSIBILITY TO NOTIFY OF A CONFLICT AS DISCUSSIONS ARISE AND TO RECUSE THEMSELVES DURING THE DECISION MAKING PROCESS. Form 990 Part VI Line 15a DETERMINING COMPENSATION THIS ENTITY DOES NOT DETERMINE COMPENSATION ON A STAND ALONE BASIS. ATHENS REGIONAL HEALTH SERVICES, INC.'S (ARHS) BOARD OF DIRECTORS HAS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. THE COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON OF ATHENS REGIONAL HEALTH SERVICES, INC. (ARHS), ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC), ATHENS REGIONAL PHYSICIAN SERVICES, INC. (ARPS), AND VICE-CHAIRPERSON OF ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC). THE PRACTICES AND PROCESSES ARE DESIGNED TO AVOID ANY CLAIM FOR INTERMEDIATE SANCTIONS AND TO SATISFY THE REQUIREMENTS TO OBTAIN THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS OUTSIDE, INDEPENDENT DATA TO ESTABLISH THE COMPENSATION OF OUR OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS REVIEW AND SET FORTH THE COMPENSATION FOR THE SYSTEM CEO USING THE SAME PROCESS AS THE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AND UTILIZES AN INDEPENDENT CONSULTING FIRM, TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. THE COMPENSATION COMMITTEE MEETS WITH A REPRESENATIVE FROM THE CONSULTING FIRM AND THE HUMAN RESOURCES DEPARTMENT WHEN REVIEWING COMPENSATION FOR THE SENIOR LEADERSHIP GROUP ON A YEARLY BASIS. THE COMPANY PHILOSOPHY IS TO MATCH THE MARKET ON AVERAGE PAY, IDENTIFYING THE MEDIAN. TOTAL CASH COMPENSATION IS GENERALLY TARGETED BY TO BE AT THE MEDIAN OF ARHS'S PEERS. FORM 990 PART VI LINE 19 GOVERNING DOCUMENTS ATHENS REGIONAL MEDICAL CENTER, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ATHENS REGIONAL FOUNDATION INC 1199 PRINCE AVENUE ATHENS GA 30606 581978389 FUNDRAISING GA 501(C)(3) 11.B NA false HOSPITAL AUTHORITY OF CLARK COUNTY GA 1299 PRINCE AVENUE ATHENS GA 30606 586003375 HOSPITAL GA 501(C)(3) 3 NA false ATHENS REGIONAL HEALTH RESOURCES INC 1299 PRINCE AVENUE ATHENS GA 30606 581930580 DEVELOPMENT GA 501(C)(3) 11.B NA false ATHENS REGIONAL PHYSICIANS SERVICES INC 1299 PRINCE AVENUE ATHENS GA 30606 582332921 PRIMARY CARE GA 501(C)(3) 11.B NA false REGIONAL FIRSTCARE INC 1299 PRINCE AVENUE ATHENS GA 30606 582362733 URGENT CARE GA 501(C)(3) 11.B NA false ATHENS REGIONAL HEALTH SERVICES INC 1299 PRINCE AVENUE ATHENS GA 30606 581930582 MANAGEMENT GA 501(C)(3) 11.B NA false ATHENS REGIONAL SPECIALTY SERVICES INC 1299 PRINCE AVENUE ATHENS GA 30606 271975001 PRIMARY CARE GA 501(C)(3) 3 NA false ATHENS AREA HEALTH PLAN SELECT INC 295 WEST CLAYTON STREET ATHENS GA 306012711 567237670 HEATH MAINT. GA ARHS C Corp false false false false false false false true false false true true true true true true false false