2016-08-15T14:09:07-05:00 2015-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2014-10-01 582362733 REGIONAL FIRSTCARE INC % WENDY COOK REGI 7064757000 1199 PRINCE AVENUE ATHENS GA 30606 WENDY COOK SR VP & CFO 7064753463 2016-08-15 true SHAWN M HUTCHINSON P01048557 3362753394 2014 2016-12-15 16:53:06Z CHARLES PECK PRESIDENT CEO 1199 PRINCE AVENUE ATHENS GA 30606 12005767 false X WWW.ATHENSHEALTH.ORG X 1998 GA THE CORPORATION WAS ORGANIZED TO PROVIDE HEALTHCARE SERVICES, INCLUDING URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES. 6 5 118 5 0 0 0 9537464 11551660 1522 1739 4469 452368 9543455 12005767 0 0 0 0 6924094 7980119 0 0 0 2748756 2758762 9672850 10738881 -129395 1266886 1789473 8251616 1608984 6804241 180489 1447375 THE CORPORATION WAS ORGANIZED TO PROVIDE HEALTHCARE SERVICES, INCLUDING URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES. false false 9801093 12004028 URGENT CARE CENTERS: THE 13 PHYSICIANS OF THE 4 REGIONAL FIRSTCARE FACILITIES LOCATED IN CLARKE, JACKSON, OCONEE, AND BARROW COUNTIES DELIVERED HEALTH CARE TO THE GENERAL PUBLIC BY PROVIDING WALK-IN SERVICES AND RESOURCES TO 116,302 PATIENT VISITS IN 2015. REGIONAL FIRSTCARE PROVIDED $476,971 IN UNCOLLECTED REVENUE (INCLUDING BAD DEBT AND CHARITY CARE) IN 2015. 9801093 true false false false false false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 12 0 true 118 true false false false false false false false false false false false X 6 5 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 Charles A Peck MD PRESIDENT & CEO 3.0 49.0 X X 0 667001 3076 Philip A Sheffield MD Trustee 3.0 6.0 X 0 0 0 G Michael Smith Trustee 3.0 12.0 X 0 0 0 Robert Heath Trustee 3.0 12.0 X 0 0 0 Asa Boynton Trustee 3.0 6.0 X 0 0 0 Richard B Russell JR Trustee 3.0 9.0 X X 0 0 0 WENDY J COOK SECRETARY 3.0 49.0 X 0 458870 36774 Navin Patel MD Physician 40.0 0.0 X 187931 0 8454 Rick Brewer MD Physician 40.0 0.0 X 466688 0 10062 Jigar Patel MD Physician 40.0 0.0 X 459537 0 13777 Brian Forrester MD Physician 40.0 0.0 X 327448 0 13728 Ryan Arata MD Physician 40.0 0.0 X 562505 0 13748 Cecil Pinholster MD Physician 40.0 0.0 X 361499 0 13357 JAMES G THAW PRESIDENT & CEO 0.0 0.0 X 0 840514 37556 2365608 1966385 150532 15 true true true RAPID7 LLC PO BOX 347377 PITTSBURG PA 15251 IT CONSULTING 100568 1 0 NET PATIENT SERVICE REVENUE 900099 11551660 11551660 11551660 1739 1739 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 8399 8399 INTERCOMPANY TRANSFERS 900099 401469 401469 MEANINGFUL USE REVENUE 900099 42500 42500 452368 12005767 12004028 1739 0 0 0 0 2365608 2177677 187931 0 4477736 4011864 465872 545661 488889 56772 280368 251198 29170 310746 278415 32331 273461 260788 12673 400 400 11785 11785 0 0 0 75412 64795 10617 2797 2797 159102 156582 2520 0 0 1110063 1007320 102743 21233 10598 10635 0 45131 43720 1411 47998 47998 0 216550 209757 6793 110220 110220 MEDICAL SUPPLIES 319121 319121 INTERCOMPANY TRANSFERS 215358 209247 6111 DRUGS 97401 97401 EQUIPMENT RENTAL & MAINTENANCE 45189 45165 24 7541 7541 10738881 9801093 937788 0 0 0 791100 421378 0 0 700157 3085521 0 0 0 0 0 0 0 0 23077 16454 6557491 1829228 275139 4728263 0 0 0 0 0 0 0 0 0 0 1789473 8251616 1207514 1339234 0 0 0 0 0 0 0 0 0 0 401470 5465007 0 0 0 0 1608984 6804241 X 180489 1447375 0 0 0 0 180489 1447375 1789473 8251616 1266886 X false true X true false X X 1 ATHENS REGIONAL MEDICAL CENTER 582179986 3 true 0 0 1 true false false false false false false false false false false false false false false true 216575 152678 63897 50270 26559 23711 1839944 1649991 189953 4450702 4450702 4728263 0 0 X Form Sch D Part X Line 2 ASC 740-10 DISCLOSURE THE HEALTH SYSTEM APPLIES FASB ACCOUNTING STANDARD 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. X X X X X true false false false false false false true false JAMES G THAW PRESIDENT & CEO 0 0 0 0 0 840514 0 0 0 37556 0 878070 0 0 WENDY J COOK SECRETARY 0 361052 0 0 0 97818 0 7950 0 28824 0 495644 0 0 Charles A Peck MD PRESIDENT & CEO 0 546098 0 0 0 120903 0 0 0 3076 0 670077 0 0 Rick Brewer MD Physician 203361 0 239967 0 23360 0 7950 0 2112 0 476750 0 0 0 Jigar Patel MD Physician 287590 0 154394 0 17553 0 7950 0 5827 0 473314 0 0 0 Brian Forrester MD Physician 196296 0 128371 0 2781 0 7950 0 5778 0 341176 0 0 0 Ryan Arata MD Physician 297078 0 244137 0 21290 0 7950 0 5798 0 576253 0 0 0 Cecil Pinholster MD Physician 188776 0 165270 0 7453 0 7950 5407 0 374856 0 0 0 Navin Patel MD Physician 185887 0 2044 0 0 0 0 0 8454 0 196385 0 0 0 Form Sch J Part I Line 7 CONTINGENT COMPENSATION EXECUTIVE AND LEADERSHIP POSITIONS ARE ELIGIBLE TO PARTICIPATE IN A VARIABLE PAY PLAN. 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 TJC ACCREDITATION OR A VIOLATION OF THE BOND COVENANTS. 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 THAW RECEIVED SEVERANCE PAYMENTS TOTALING $878,070. 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 REGIONAL FIRSTCARE, INC. HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. REGIONAL FIRSTCARE, INC. IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT REGIONAL FIRSTCARE, INC.'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS REGIONAL FIRSTCARE, 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 REPRESENTATIVE 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 REGIONAL FIRSTCARE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ATHENS REGIONAL MEDICAL CENTER INC 1199 PRINCE AVENUE ATHENS GA 30606 582179986 HOSPITAL GA 501(C)(3) 3 NA false HOSPITAL AUTHORITY OF CLARKE COUNTY GA 1199 PRINCE AVENUE ATHENS GA 30606 586003375 HOSPITAL GA 501(C)(3) 3 NA false ATHENS REGIONAL FOUNDATION INC 1199 PRINCE AVENUE ATHENS GA 30606 581978389 FUNDRAISING GA 501(C)(3) 11.B NA false ATHENS REGIONAL HEALTH RESOURCES INC 1199 PRINCE AVENUE ATHENS GA 30606 581930580 HEALTHCARE GA 501(C)(3) 11.B NA false ATHENS REGIONAL PHYSICIAN SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 582332921 PRIMARY CARE GA 501(C)(3) 11.B NA false ATHENS REGIONAL HEALTH SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 581930582 MANAGEMENT GA 501(C)(3) 11.B NA false ATHENS REGIONAL SPECIALTY SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 271975001 PRIMARY CARE GA 501(C)(3) 3 NA false NONE ATHENS AREA HEALTH PLAN SELECT INC 295 WEST CLAYTON STREET ATHENS GA 30601 582237670 HEALTH MAINT. GA ARHS C Corp false false false false false false false false false false false false true true true true false false