2016-08-15T14:06:42-05:00 2015-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2014-10-01 271975001 ATHENS REGIONAL SPECIALTY SERVICES % WENDY COOK ATHE 7064757000 1199 PRINCE AVENUE ATHENS GA 30606 WENDY COOK SR VP & CFO 7064757000 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 24858580 false X WWW.ATHENSHEALTH.ORG X 2010 GA TO SERVE AND PROMOTE THE PUBLIC HEALTH OF THE GENERAL POPULATION. 6 5 224 5 0 0 0 12948522 14532442 2047 3263 151914 10322875 13102483 24858580 0 0 0 0 19426450 21388153 0 0 0 3844585 4019216 23271035 25407369 -10168552 -548789 2439351 2921045 12805232 13835715 -10365881 -10914670 X NONE- SEE SCHEDULE O false false 24708915 24855317 SPECIALTY PHYSICIAN PRACTICES: THE 43 SPECIALIST PHYSICIANS OF ATHENS REGIONAL SPECIALTY SERVICES, INC. (ARSS) DELIVERED HEALTH CARE TO THE GENERAL PUBLIC BY PROVIDING SERVICES AND RESOURCES DURING THE COURSE OF 88,551 BILLABLE PATIENT ENCOUNTERS IN THE 17 COUNTY NORTHEAST GEORGIA AREA SERVED BY ATHENS REGIONAL HEALTH SERVICES, INC. IN 2015. DURING THE SAME PERIOD, ARSS INC. PROVIDED $429,376 IN LOW INCOME ASSISTANCE. 24708915 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 29 0 true 224 true 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 7064753462 1199 PRINCE AVENUE ATHENS GA 30606 CHARLES PECK PRESIDENT & CEO 3.0 49.0 X X 0 667001 3076 Philip A Sheffield MD Trustee 3.0 6.0 X 0 0 0 Richard B Russell JR CHAIR 3.0 9.0 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 WENDY J COOK SECRETARY 3.0 49.0 X 0 458870 36774 BENJAMIN HOLLAND Physician 40.0 0.0 X 748665 0 33107 DAVID WOODARD Physician 40.0 0.0 X 801963 0 36034 KHAN PHOLEL Physician 40.0 0.0 X 794763 0 33000 JARED GRIFFIS Physician 40.0 0.0 X 798115 0 31533 PARKER GROW Physician 40.0 0.0 X 798633 0 32148 JAMES G THAW PRESIDENT & CEO 0.0 0.0 X 0 840514 37556 3942139 1966385 243228 56 true true true MAXIM PHYSICIAN RESOURCES 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HOSPITALIST COVERAGE 347809 SYNERGY SURGICALISTS INC 280 W KAGY BLVD STE D 320 BOXEMAN MT 59715 SURGICALIST COVERAGE 326877 MUKESH KUMAR MD LLC 1845 SUGARLOAF CLUB DRIVE DULUTH GA 30097 HOSPITALIST COVERAGE 183411 LOCUM LEADERS INC 925 NORTH POINT PARKWAY STE 425 ALPHARETTA GA 30005 HOSPITALIST COVERAGE 168024 INTEGRITY HEALTHCARE LOCUMS PO BOX 823424 PHILADELPHIA PA 19182 HOSPITALIST COVERAGE 123669 8 0 NET PATIENT SERVICE REVENUE 900099 14532442 14532442 14532442 3263 3263 0 0 0 0 0 0 0 0 0 INTERCOMPANY TRANSFERS 900099 10027075 10027075 MISCELLANEOUS NON-PATIENT INCOME 900099 295800 295800 10322875 24858580 24855317 3263 0 0 0 0 3942139 3942139 0 13534878 13082851 452027 2045290 1976983 68307 1062738 1027246 35492 803108 776286 26822 366315 366315 2309 2309 7772 7772 0 0 0 71908 65849 6059 3000 3000 228203 224691 3512 0 0 1789752 1722970 66782 93504 92334 1170 0 76135 75755 380 0 0 222566 203750 18816 343561 343561 EQUIPMENT RENTAL 24475 23822 653 MEDICAL SUPPLIES 676011 676010 1 DRUGS 69147 69147 RECRUITING 34909 34448 461 9649 1758 7891 25407369 24708915 698454 0 291401 537699 0 0 0 0 1612275 1871153 0 0 0 0 0 0 0 0 2308 61879 2047549 1597235 533367 450314 0 0 0 0 0 0 0 0 0 0 2439351 2921045 2828145 13835715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9977087 0 12805232 13835715 X -10365881 -10914670 0 0 0 0 -10365881 -10914670 2439351 2921045 X -548789 X false true X true false X 0 0 9454 9454 2038095 1587781 450314 450314 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 false 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 PECK PRESIDENT & CEO 0 546098 0 0 0 120903 0 0 0 3076 0 670077 0 0 BENJAMIN HOLLAND Physician 747034 0 0 0 1631 0 7159 0 25948 0 781772 0 0 0 DAVID WOODARD Physician 747034 0 0 0 54929 0 10086 0 25948 0 837997 0 0 0 KHAN PHOLEL Physician 743536 0 0 0 51227 0 7052 0 25948 0 827763 0 0 0 JARED GRIFFIS Physician 745372 0 0 0 52743 0 7085 0 24448 0 829648 0 0 0 PARKER GROW Physician 746284 0 0 0 52349 0 7136 0 25012 0 830781 0 0 0 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 III Line 1 MISSION STATEMENT EXPLANATION ATHENS REGIONAL SPECIALTY SERVICES, INC. (ARSS) WAS INCORPORATED ON FEBRUARY 18, 2010. ARSS WAS FORMED TO SUPPORT THE EFFORTS OF ATHENS REGIONAL MEDICAL CENTER BY STRIVING TO IMPROVE THE HEALTH OF THE GENERAL POPULATION OF THE AREA SERVED BY ENSURING THE AVAILABILITY OF QUALITY SPECIALTY MEDICAL SERVICES. ARSS CURRENTLY EMPLOYS 43 SPECIALIZED PHYSICIANS WITH EXPERTISE IN CARDIOLOGY, OBSTETRICS, PSYCHIATRY, PHYSICAL MEDICINE AND REHABILITATION, PEDIATRICS, HYPERBARIC MEDICINE AND GENERAL AND COLORECTAL SURGERY. ARSS PROVIDES SPECIALTY MEDICAL SERVICES TO THE GENERAL PUBLIC THROUGH ITS EMPLOYEE PHYSICIANS, REGARDLESS OF EACH PATIENT'S ABILITY TO PAY. 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 SPECIALTY SERVICES, INC. HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. ATHENS REGIONAL SPECIALTY SERVICES, 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 SPECIALTY SERVICES, INC.'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS ATHENS REGIONAL SPECIALTY SERVICES, 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 ATHENS REGIONAL SPECIALTY SERVICES, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ATHENS REGIONAL PHYSICIAN SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 582332921 PRIMARY CARE GA 501(C)(3) 11.B NA false ATHENS REGIONAL MEDICAL CENTER INC 1200 PRINCE AVENUE ATHENS GA 30606 582179989 HOSPITAL GA 501(C)(3) 3 NA false HOSPITAL AUTHORITY OF CLARKE COUNTY GA 1201 PRINCE AVENUE ATHENS GA 30606 586003375 HOSPITAL GA 501(C)(3) 3 NA false ATHENS REGIONAL FOUNDATION INC 1202 PRINCE AVENUE ATHENS GA 30606 581978389 FUNDRAISING GA 501(C)(3) 11.B NA false ATHENS REGIONAL HEALTH RESOURCES INC 1203 PRINCE AVENUE ATHENS GA 30606 581930580 HEALTHCARE GA 501(C)(3) 11.B NA false REGIONAL FIRSTCARE INC 1204 PRINCE AVENUE ATHENS GA 30606 582362733 MANAGEMENT GA 501(C)(3) 11.B NA false ATHENS REGIONAL HEALTH SERCIVES INC 1205 PRINCE AVENUE ATHENS GA 30606 581930582 MANAGEMENT GA 501(C)(3) 11.B NA false NONE ATHENS AREA HEALTH PLAN SELECT INC 255 WEST CLAYTON STREET ATHENS GA 306013711 582257670 HEALTH MAINT. GA ARHS C Corp false false false false false false false false false false false false true true true true false false