2015-08-17T14:09:04-05:00 2014-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2013-10-01 582179986 Athens Regional Medical Center Inc % WENDY COOK ATHE 7064757000 1199 PRINCE AVENUE Suite ATHENS GA 30606 WENDY COOK SR VP & CFO 7064753563 2015-08-13 true ALLISON H FRANKLIN P00448640 7064753563 2013 2016-04-25 22:37:26Z CHARLES PECK PRESIDENT CEO 1199 PRINCE AVENUE ATHENS GA 30606 361685221 false X WWW.ATHENSHEALTH.ORG X 1987 NC PROVISION OF HEALTHCARE SERVICES. 11 10 3454 562 0 0 0 365888896 347150612 233338 300169 10769365 14234440 376891599 361685221 0 0 0 0 177943607 178134703 0 0 0 206869373 201423737 384812980 379558440 -7921381 -17873219 383381285 341641539 273779951 249913424 109601334 91728115 X THE MISSION OF ATHENS REGIONAL HEALTH SYSTEM IS TO IMPROVE THE LIVES AND HEALTH OF THOSE WE TOUCH. false false 47285896 0 94712172 INPATIENT ROUTINE SERVICES: ATHENS REGIONAL MEDICAL CENTER INPATIENT ROUTINE SERVICE LINE PROVIDES ACUTE CARE BEDS FOR NORTHEAST GEORGIA. DURING THE 2014 FISCAL YEAR WE HAD 18,512 ADMISSIONS AND 87,040 PATIENT DAYS. 32137274 0 152342789 OPERATING ROOM: DURING THE 2014 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 10,460 SCHEDULED AND EMERGENCY SURGERIES. 16905054 0 111603286 LABORATORY: LABORATORY AND REGIONAL LAB OUTREACH SERVICES AT ATHENS REGIONAL MEDICAL CENTER PERFORMED 1,340,052 BILLABLE TESTS DURING THE 2014 FISCAL YEAR. THE SERVICE LINE CONSISTS OF CHEMISTRY, MICROBIOLOGY, BLOOD BANK AND PHLEBOTOMY. 147255075 0 0 OTHER HEALTH CARE SERVICES 147255075 0 0 243583299 true false false true false false false false false false true false false false true 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 137 0 true 3454 true false false false false false false false false false false X 11 10 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 9.0 X Thomas Kias MD Trustee 3.0 6.0 X W C Bolton Trustee 3.0 9.0 X Charles A Peck TRUSTEE 3.0 52.0 X Phillip L Williams PhD Trustee 3.0 0.0 X Allen R Green Trustee 3.0 6.0 X Henry L Dewitt MD Trustee 3.0 0.0 X Margaret Wagner Dahl Chair 3.0 3.0 X Gene J Mays Sr Trustee 3.0 3.0 X Tracey Worthington Stice Trustee 3.0 3.0 X Samuel K Thomason DMD Trustee 3.0 0.0 X WENDY COOK SECRETARY 3.0 52.0 X 0 453499 18154 JAMES G THAW OFFICER 3.0 52.0 X 0 964571 11591 James Moore MD VP & CMO 40.0 0.0 X 487601 11038 Norman Burkett JR VP, Prof Svcs 40.0 0.0 X 261709 12934 Darrel Lawson Exc. Dir, Revenue Cycle 40.0 0.0 X 194182 7800 Don Tyson Dir, Pharmacy 40.0 0.0 X 172245 11135 Carol J Hood Admin Dir, CLINICAL SVCS 40.0 0.0 X 163898 6681 Carl Trinrud Dir, Human Resources 40.0 0.0 X 158016 10169 Jeff Mosely Dir. Engineering 40.0 0.0 X 169514 7847 Paul Collar Dir, Managed Care 40.0 0.0 X 220180 12492 Timothy Carpenter Dir, Technology infrastructure 40.0 0.0 X 151727 11904 Blake Cannon Medical Physicist 40.0 0.0 X 186149 5907 James Evans Pharmacist 40.0 0.0 X 163580 2620 Diane Todd Dir. Risk Mgmt & Compliance Of 40.0 0.0 X 170236 8295 G GRANT TRIBBLE SR VP OF SYSTEMS OPERATIONS 0.0 0.0 X 0 502675 Carrie Capps Sr.VP & CNO 40.0 0.0 X 296827 4377 Jeneva Hakman VP 40.0 0.0 X 223499 2720 3019363 1920745 145664 104 true true false NAVIGANT CONSULTING 4511 PAYSHERE CIRCLE CHICAGO IL 60674 MGMT CONSULTING 5168942 MEDICAL CENTER ANESTHESIOLOGY PO BOX 7337 ATHENS GA 30604 ANESTHESIOLOGY 2398776 REGIONS INSURANCE OF GA PO BOX 81308 ATHENS GA 30608 INSURANCE BROKERAGE 1786783 HEALTHCARE PERFORMANCE GROUP PO BOX 588 SPRING HILL KS 66083 IT CONSULTING 1457361 GEORGIA EMERGENCY MEDICINE SPECIALI PO BOX 5719 ATHENS GA 30604 PHYSICIAN COVERAGE 1406319 59 0 OPERATING ROOM 900099 54391306 54391306 LABORATORY 900099 43081070 43081070 PHARMACY 900099 40192794 40192794 ROUTINE SERVICES 900099 29682403 29682403 CARDIOPULMONARY 900099 22947726 22947726 156855313 156855313 347150612 180177 180177 0 0 907257 907257 0 907257 907257 119992 119992 119992 119992 0 0 0 CAFETERIA SALES 900099 1855410 1855410 PURCHASE DISCOUNTS/REBATES 900099 1507049 1507049 OTHER INCOME 900099 9964724 9964724 13327183 361685221 358622385 3062836 0 0 0 0 3019363 521974 2497389 0 143798841 104028840 39770001 7841666 5672921 2168745 13440693 9723442 3717251 10034140 7259029 2775111 14568244 4509006 10059238 817976 817976 191826 191826 25233 25233 0 0 18634589 11878876 6755713 1926221 2033 1924188 4572895 1802751 2770144 1351078 170791 1180287 0 16583917 3497678 13086239 524943 224330 300613 0 291506 56335 235171 9586850 9586850 0 24362755 11450495 12912260 2389007 63179 2325828 MEDICAL SUPPLIES 81127540 77756700 3370840 INTERCOMPANY TRANSFERS 1148813 1148813 EQUIPMENT RENT AND MAINTENANCE 15235582 2206473 13029109 FOOD COSTS 3332277 357226 2975051 4752485 2401150 2351335 379558440 243583229 135975211 0 0 0 39368499 34678976 0 0 83782692 52293495 0 0 0 0 0 0 6400032 6132720 0 0 612312314 374355570 246710526 237956744 0 0 0 0 0 0 0 0 7119536 10579604 383381285 341641539 54716127 44836982 120448 0 0 0 218708303 219532922 0 0 0 0 1708582 1049817 0 0 -1473509 -15506297 273779951 249913424 X 109601334 91728115 0 0 0 0 109601334 91728115 383381285 341641539 -17873219 X false true X true false X false false false true false false true 25233 false false 25233 false PART II-B, LINE 1G A PORTION OF GEORGIA HOSPITAL ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING. 7997283 7997283 349242151 164697979 184544172 6677544 4835623 1841921 237871986 198320575 39551411 10523350 6501393 4021957 237956744 0 DUE TO (FROM) RELATED PARTIES -15506297 -15506297 X 361685221 361685221 361685221 379558440 379558440 379558440 Schedule D, Part X ASC 740-10 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 28939345 3993394 24945951 0.06570 46595840 31416739 15179739 0.04000 75535185 35410133 40125690 0.10570 1321506 17188 1304318 0.00340 1163032 1163032 0.00310 411946 49000 362946 0.00100 2896484 66188 2830296 0.00750 78431669 35476321 42955986 0.11320 true 90359626 176146367 50201715 125944652 X true true 1 1 ATHENS REGIONAL MEDICAL CENTER 1199 PRINCE AVENUE ATHENS GA 30606 WWW.ATHENSHEALTH.ORG 029-007 X X X ATHENS REGIONAL MEDICAL CENTER 1 true X X X X X X X X 12 true false true X X X X X X true false true true 125. true 125. true X X X X true true X true false X X X X true X false false PART I, LINE 3C: NOT APPLICABLE SINCE THE HOSPITAL USES FEDERAL POVERTY GUIDELINES. PART I, LINE 6A: ATHENS REGIONAL HEALTH SERVICES PREPARES A COMBINED COMMUNITY BENEFIT REPORT. PART I, LINE 7G: THIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS. 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 I, LINE 7. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HEALTH SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY 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 $90,359,626 AND $66,639,000 FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013, RESPECTIVELY. 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 ELIGIBLE FOR MEDICARE. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TO COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OF FINANCIAL ASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. 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 2011-2012. 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. PART VI, LINE 3: WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM. WE ALSO PROVIDED PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. 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. 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. 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, 2014 AND 2013, 37 AND 40 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, 2014 AND 2013, 41 AND 19 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, 2014 AND 2013, 13 AND 14 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. LICENSE FROM AND REGULATED BY THE STATE OF GEORGIA DEPARTMENT INSURANCE. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT IS FILED IN GEORGIA. PART V, LINE 3 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 X false true X X X X X true true false true true true true false false WENDY COOK SECRETARY 0 360294 13972 79233 8480 9674 0 471653 0 0 JAMES G THAW OFFICER 0 365857 598714 7800 3791 0 976162 0 0 G GRANT TRIBBLE SR VP OF SYSTEMS OPERATIONS 0 0 502675 0 502675 0 0 Carrie Capps Sr.VP & CNO 64361 232466 2627 1750 301204 Jeneva Hakman VP 160891 62608 2720 226219 James Moore MD VP & CMO 412006 21480 54115 7060 3978 498639 Norman Burkett JR VP, Prof Svcs 225926 8597 27186 7136 5798 274643 Paul Collar Dir, Managed Care 196061 7842 16277 5882 6610 232672 Darrel Lawson Exc. Dir, Revenue Cycle 186649 7533 5876 1924 201982 Don Tyson Dir, Pharmacy 157248 6290 8707 5337 5798 183380 Carol J Hood Admin Dir, CLINICAL SVCS 157482 6416 2778 3903 170579 Timothy Carpenter Dir, Technology infrastructure 146194 5533 4756 7148 163631 Blake Cannon Medical Physicist 186149 5907 192056 James Evans Pharmacist 126409 37171 2620 166200 Carl Trinrud Dir, Human Resources 151797 6219 4855 5314 168185 Jeff Mosely Dir. Engineering 162906 6608 5155 2692 177361 Diane Todd Dir. Risk Mgmt & Compliance Of 156957 6278 7001 3376 4919 178531 SCHEDULE J, PART I, LINE 1A COMPANION TRAVEL BOARD OF TRUSTEES ARE PROVIDED COMPANION TRAVEL - TAXABLE AMOUNT INCLUDED IN COMPENSATION. SCHEDULE J, PART I, LINE 1B POLICY REGARDING PAYMENT OR REIMBURSEMENT 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. SCHEDULE J, PART I, LINE 4A & 4B SEVERANCE PAYMENT AND NONQUALIFIED RETIREMENT PLAN SEVERANCE - 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. 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: JAMES MOORE $ 51,181 JENEVA HAKMAN $ 21,380 NORMAN BURKETT $ 26,533 A. FRED YOUNG $ 25,051 CARRIE CAPPS $ 11,484 SCHEDULE J, PART I, LINE 5 & 6 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) GROWTH IN MARKET SHARE AND COVERED LIVES (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 181685HN1 2012-03-29 70578040 REVENUE CERTIFICATES 2012 false false false A 0 0 160520372 0 0 56605442 1826127 0 0 102088803 0 0 2011 false true false true B 0 0 70578040 0 0 69596941 981099 0 0 0 0 0 2012 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 PART VI, SECTION B, 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. PART VI, SECTION B, LINE 15 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. PART VI, SECTION C, 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. PART VI, SECTION B, LINE 11 REVIEWING FORM 990 THE COMPLETED 990 IS REVIEWED BY THE ATHENS REGIONAL MEDICAL CENTER, INC. FINANCE COMMITTEE AT THE MEETING IMMEDIATELY FOLLOWING ITS COMPLETION. THE FINANCE COMMITTEE PRESENTS THEIR FINDINGS TO THE BOARD. A COPY OF THE FINALIZED RETURN IS PROVIDED TO THE COMPLETE BOARD PRIOR TO FILING. 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