FURP.ORG / PUBLIC DATA EXPLORER

PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC (EIN 58-2179986)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349303291
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T13:03:22-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582179986EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Athens Regional Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% WENDY COOKInCareOfName
Name ControlATHENameControl
Phone7064757000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11199 Prince AvenueAddressLine1
Address Line2SuiteAddressLine2
CityAthensCity
StateGAState
ZIP Code30606ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY COOKName
TitleSR. VP & CFOTitle
Phone7064757000Phone
Date Signed2014-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES G THAW PRESIDENT CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts376911731GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.armc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF HEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3434TotalNbrEmployees
Total Nbr Volunteers733TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year366786953ProgramServiceRevenuePriorYear
Program Service Revenue CY365888896ProgramServiceRevenueCY
Investment Income Prior Year401871InvestmentIncomePriorYear
Investment Income Current Year233338InvestmentIncomeCurrentYear
Other Revenue Prior Year1783640OtherRevenuePriorYear
Other Revenue Current Year10769365OtherRevenueCurrentYear
Total Revenue Prior Year368972464TotalRevenuePriorYear
Total Revenue Current Year376891599TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year177070569SalariesEtcPriorYear
Salaries Etc Current Year177943607SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year191247445OtherExpensePriorYear
Other Expenses Current Year206869373OtherExpensesCurrentYear
Total Expenses Prior Year368318014TotalExpensesPriorYear
Total Expenses Current Year384812980TotalExpensesCurrentYear
Revenues Less Expenses Prior Year654450RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7921381RevenuesLessExpensesCY
Total Assets BOY387119914TotalAssetsBOY
Total Assets EOY383381285TotalAssetsEOY
Total Liabilities BOY269597199TotalLiabilitiesBOY
Total Liabilities EOY273779951TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY117522715NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY109601334NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF ATHENS REGIONAL HEALTH SYSTEM IS TO IMPROVE THE LIVES AND HEALTH OF THOSE WE TOUCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense51580911Expense
Revenue111140445Revenue
DescriptionINPATIENT ROUTINE SERVICES: ATHENS REGIONAL MEDICAL CENTER INPATIENT ROUTINE SERVICE LINE PROVIDES ACUTE CARE BEDS FOR NORTHEAST GEORGIA. DURING THE 2013 FISCAL YEAR WE HAD 18,168 ADMISSIONS AND 83,387 PATIENT DAYS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense29633475Expense
Revenue228233390Revenue
DescriptionOPERATING ROOM: DURING THE 2013 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 10,460 SCHEDULED AND EMERGENCY SURGERIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16306145Expense
Revenue163869286Revenue
DescriptionLABORATORY: LABORATORY AND REGIONAL LAB OUTREACH SERVICES AT ATHENS REGIONAL MEDICAL CENTER PERFORMED 1,415,264 BILLABLE TESTS DURING THE 2013 FISCAL YEAR. THE SERVICE LINE CONSISTS OF CHEMISTRY, MICROBIOLOGY, BLOOD BANK AND PHLEBOTOMY.Description

Activity Other ActivityOther (9 entries)

ExpenseExpenseDescriptionDescription
17958905PHARMACY
9816042HEART CATH LAB AND EP SERVICES
8242149EMERGENCY SERVICES
6821342OTHER NURSING SERVICES
6504489CENTRAL SUPPLY
5963589HOSPITALISTS
5383252CARDIOPULMONARY
5097339RECOVERY ROOM
81118515OTHER
FieldValueIRS element (for citing)
Total Of Other Program Service Exp146905622TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev778139231TotalOfOtherProgramServiceRev
Total Program Service Expense244426153TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096151NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3434NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWENDY COOKNamePerson
Telephone Number7064753463TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SUSAN B BARRETT
TRUSTEE3.06.0X
ROBERT E HOYT PHD
TRUSTEE6.09.0X
ARTHUR D SPURLOCK II
TRUSTEE3.00.0X
WC BOLTON
TRUSTEE3.09.0X
PHILLIP L WILLIAMS
TRUSTEE3.00.0X
ALLEN R GREEN
TRUSTEE3.09.0X
B AMREY HARDEN
TRUSTEE3.00.0X
HENRY L DEWITT MD
TRUSTEE3.00.0X
GENE J MAYS SR
TRUSTEE3.03.0X
MARGARET WAGNER DAHL
TRUSTEE3.03.0X
LOCH K JOHNSON
TRUSTEE3.00.0X
TRACEY WORTHINGTON STICE
TRUSTEE3.03.0X
JAMES G THAW
TRUSTEE3.052.0XX091689929062
THOMAS KIAS MD
TRUSTEE3.06.0X
LEONARD J SAPERA
EX-OFFICIO3.03.0X
SAMUEL K THOMASON DMD
TRUSTEE3.00.0X
G GRANT TRIBBLE
SR VP, SYSTEM OPERATIONS3.043.0X054951020518
BRIAN ULERY
VP & C0O40.00.0X350540014869
GRETCHEN TEGETHOFF
VP & CIO40.00.0X22458407965
CARRIE CAPPS
SR VP & CNO40.00.0X301883014833
JAMES MOORE
VP & CMO40.00.0X370401013124
KEVIN THIGPEN
VP, HUMAN RESOURCES40.00.0291198012656X
NORMAN BURKETT JR
VP, PROF SVCS40.00.0255015012728X
WENDY COOK
VP, FINANCE40.00.0313885015456X
CAROL J HOOD
ADMIN DIR, CLINICAL SVCS40.00.019120909734X
CARL TRINRUD
DIR, HUMAN RESOURCES40.00.017587408500X
DON TYSON
DIR, PHARMACY40.00.0184026010770X
JEFF MOSELY
DIR, ENGINEERING40.00.0188280011095X
PAUL COLLAR
DIR, MANAGED CARE40.00.022125408330X
ANTOINETT LOPEZ
DIR, CRITICAL CARE NSG40.00.017554006865X
DOMINIQUE BENNETT
CORP CONTROLLER40.00.0154307012314X
STACEY MORRIS
DIR, CPV DIAGNOSTICS40.00.0147565010284X
DIANE TODD
DIR, RISK MGMT & COMPL OFFICER40.00.0171019010593X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3716580TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1466409TotalReportableCompFrmRltdOrgs
Total Other Compensation229696TotalOtherCompensation
Number Individuals GT100 K109NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL CENTER ANESTHESIOLOGY OF AT
PO BOX 7337ATHENSGA30604ANESTHESIOLOGY3957843
GEORGIA EMERGENCY MEDICAL SPECIALIS
PO BOX 5719ATHENSGA30604PHYSICIAN SERVICES2135799
AI INSURANCE GROUP
PO BOX 80568ATHENSGA30608INSURANCE BROKER1911177
ATHENS PULMONARY ALLERGY PC
3320 OLD JEFFERSON RD BLDG 200 STEATHENSGA30607MEDICAL DIRECTOR FEE1386945
LAD LOGISTICS INC
PO BOX 749WATKINSVILLEGA30677DISTRIBUTION SERVICE1167919
FieldValueIRS element (for citing)
Number Of Contractors GT100 K104NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OPERATING ROOM9000996516063365160633
LABORATORY9000994678468146784681
PHARMACY9000994149154241491542
ROUTINE SERVICES9000993173059731730597
CARDIOPULMONARY9000992496329024963290

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column155758153TotalRevenueColumn
Related Or Exempt Function Income155758153RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue365888896TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column253470TotalRevenueColumn
Exclusion$253,470ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real505255Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real505255Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column505255TotalRevenueColumn
Exclusion$505,255ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other20132Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-20132Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-20132TotalRevenueColumn
Exclusion-$20,132ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES9000991534258$1,534,258
PURCHASE DISCOUNTS/REBATES90009916564421656442
OTHER INCOME90009970734107073410
FieldValueIRS element (for citing)
Total Other Revenue10264110TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column376891599TotalRevenueColumn
Related Or Exempt Function Income374618748RelatedOrExemptFunctionIncome
Exclusion$2,272,851ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3806042Total
Program Services1794059ProgramServices
Management And General2011983ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total136168275Total
Program Services100355438ProgramServices
Management And General35812837ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9018862Total
Program Services6646863ProgramServices
Management And General2371999ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19222031Total
Program Services14166555ProgramServices
Management And General5055476ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9728397Total
Program Services7169787ProgramServices
Management And General2558610ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7906648Total
Program Services4001768ProgramServices
Management And General3904880ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total383855Total
Management And General383855ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total210258Total
Management And General210258ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total27416Total
Management And General27416ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19123130Total
Program Services15020975ProgramServices
Management And General4102155ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1662074Total
Program Services6047ProgramServices
Management And General1656027ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4576004Total
Program Services2952026ProgramServices
Management And General1623978ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2152727Total
Program Services251794ProgramServices
Management And General1900933ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total14381285Total
Program Services1543475ProgramServices
Management And General12837810ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total531183Total
Program Services293491ProgramServices
Management And General237692ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36036Total
Program Services16890ProgramServices
Management And General19146ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10224465Total
Program Services4805499ProgramServices
Management And General5418966ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24300690Total
Program Services11421324ProgramServices
Management And General12879366ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2269665Total
Program Services1066743ProgramServices
Management And General1202922ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6826515668121899143257
INTERCOMPANY TRANSFERS30545100-33311730878217
EQUIPMENT RENT AND MAINTENANCE15451458424084011210618
FOOD COSTS22034383060751897363

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2618785Total
Program Services577722ProgramServices
Management And General2041063ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total384812980Total
Program Services244426153ProgramServices
Management And General140386827ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26039927BOY
EOY39368499EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6474BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY88815468BOY
EOY83782692EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3993124BOY
EOY6400032EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis612471172LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec365760646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY261136897BOY
EOY246710526EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7128024BOY
EOY7119536EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY387119914BOY
EOY383381285EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY58006463BOY
EOY54716127EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY120448EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY222288140BOY
EOY218708303EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3119610BOY
EOY1708582EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY-13817014BOY
EOY-1473509EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY269597199BOY
EOY273779951EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY117522715BOY
EOY109601334EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY117522715BOY
EOY109601334EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY387119914BOY
EOY383381285EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-7921381ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$27,416DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB27416TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODYIdentifier
Return ReferencePART II-B, LINE 1GReturnReference
ExplanationA PORTION OF GEORGIA HOSPITAL ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8132352OtherCostOrOtherBasis
Book Value8132352BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis350466184OtherCostOrOtherBasis
Depreciation159410557Depreciation
Book Value191055627BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis233843302OtherCostOrOtherBasis
Depreciation204062933Depreciation
Book Value29780369BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20029335OtherCostOrOtherBasis
Depreciation2287157Depreciation
Book Value17742178BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings246710526TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE (FROM) TO RELATED PARTIESDescription
Amount-$1,473,509Amount
FieldValueIRS element (for citing)
Total Of Amounts-1473509TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt376891599TotRevenueEtcAuditedFinclStmt
Revenue Subtotal376891599RevenueSubtotal
Total Revenue Per Form990376891599TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt384812980TotExpensesEtcAuditedFinclStmt
Expenses Subtotal384812980ExpensesSubtotal
Total Expenses Per Form990384812980TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierASC 740-10 disclosureIdentifier
Return ReferenceSchedule D, Part XReturnReference
ExplanationTHE 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense18693541TotalCommunityBenefitExpense
Direct Offsetting Revenue3655790DirectOffsettingRevenue
Net Community Benefit Expense15037751NetCommunityBenefitExpense
Percent Of Total Expense0.03910PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense47073341TotalCommunityBenefitExpense
Direct Offsetting Revenue25989889DirectOffsettingRevenue
Net Community Benefit Expense21083452NetCommunityBenefitExpense
Percent Of Total Expense0.05480PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense65766882TotalCommunityBenefitExpense
Direct Offsetting Revenue29645679DirectOffsettingRevenue
Net Community Benefit Expense36121203NetCommunityBenefitExpense
Percent Of Total Expense0.09390PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1448720TotalCommunityBenefitExpense
Direct Offsetting Revenue41856DirectOffsettingRevenue
Net Community Benefit Expense1406864NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense55975TotalCommunityBenefitExpense
Net Community Benefit Expense55975NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense317983TotalCommunityBenefitExpense
Direct Offsetting Revenue44000DirectOffsettingRevenue
Net Community Benefit Expense273983NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1822678TotalCommunityBenefitExpense
Direct Offsetting Revenue85856DirectOffsettingRevenue
Net Community Benefit Expense1736822NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense67589560TotalCommunityBenefitExpense
Direct Offsetting Revenue29731535DirectOffsettingRevenue
Net Community Benefit Expense37858025NetCommunityBenefitExpense
Percent Of Total Expense0.09840PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$66,639,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare92529000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare110044000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17515000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ATHENS REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ATHENS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent125.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 $66,639,000 AND $67,237,000 FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, 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 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
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.NEEDS ASSESSMENT
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.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
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 APPROXIMATELY 65%). OF THE REMAINING PATIENTS, APPROXIMATELY 20% ARE EITHER SELF-PAY OR UNINSURED WITH THE REMAINING 15% HAVING INSURANCE FROM A THIRD PARTY PROVIDER.COMMUNITY INFORMATION
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.OTHER INFORMATION
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, 2013 AND 2012, 40 AND 29 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, 2013 AND 2012, 19 AND 26 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, 2013 AND 2012, 14 AND 15 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.AFFILIATED HEALTH CARE SYSTEM ROLES
PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT IS FILED IN GEORGIA.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES G THAW
TRUSTEE06197740118127017899802344605616094596100
G GRANT TRIBBLE
SR VP, SYSTEM OPERATIONS0374272056890011834801443406084057002800
BRIAN ULERY
VP & C0O27499704757102797209685051840365409000
GRETCHEN TEGETHOFF
VP & CIO18172802624801660806244017210232549000
CARRIE CAPPS
SR VP & CNO23364704533702289908385064480316716000
KEVIN THIGPEN
VP, HUMAN RESOURCES22254604363602501608102045540303854000
JAMES MOORE
VP & CMO305773032020032608010179029450383525000
NORMAN BURKETT JR
VP, PROF SVCS19781303848601871607112056160267743000
PAUL COLLAR
DIR, MANAGED CARE1878090334450006687016430229584000
WENDY COOK
VP, FINANCE23693604829202865708614068420329341000
CAROL J HOOD
ADMIN DIR, CLINICAL SVCS1601930273610365505824039100200943000
ANTOINETT LOPEZ
DIR, CRITICAL CARE NSG1411970245640977905258016070182405000
DOMINIQUE BENNETT
CORP CONTROLLER1298300244770004879074350166621000
STACEY MORRIS
DIR, CPV DIAGNOSTICS1245310219180111604595056890157849000
CARL TRINRUD
DIR, HUMAN RESOURCES1493520265220005344031560184374000
DON TYSON
DIR, PHARMACY1572000268260005674050960194796000
JEFF MOSELY
DIR, ENGINEERING1601010281790005807052880199375000
DIANE TODD
DIR, RISK MGMT & COMPL OFFICER1444670178500870205290053030181612000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPANION TRAVELSCHEDULE J, PART I, LINE 1ABOARD OF TRUSTEES ARE PROVIDED COMPANION TRAVEL - TAXABLE AMOUNT INCLUDED IN COMPENSATION.
POLICY REGARDING PAYMENT OR REIMBURSEMENTSCHEDULE J, PART I, LINE 1BATHENS REGIONAL MEDICAL CENTER, INC. DOES NOT HAVE A WRITTEN POLICY REGARDING PAYMENTS OR REIMBURESEMENT OF EXPENSES ON LINE 1A. HOWEVER, COMPANION TRAVEL FOR BOARD MEMBERS ATTENDING OVERNIGHT EVENTS WAS APPROVED BY JAMES G. THAW, CEO OF ATHENS REGIONAL HEALTH SERVICES, INC.
SEVERANCE PAYMENT AND NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4A & 4BSEVERANCE - 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. LAURA THIGPEN AND STEPHEN DAVIS RECEIVED $50,278 AND $81,879, RESPECTIVELY, IN SEVERANCE DURING 2013. 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 $ 31,337 GRETCHEN TEGETHOFF $ 18,183 WENDY COOK $ 32,520 BRIAN ULERY $ 30,673 NORMAN BURKETT $ 22,954 KEVIN THIGPEN $ 26,172 LINDA DELLA TORRE $ 8,039 CARRIE CAPPS $ 27,802
CONTINGENT COMPENSATIONSCHEDULE J, PART I, LINE 5 & 6EXECUTIVE 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
The Hospital Authority of Clarke County GA
A58600337518069FAV82007-01-25160520372REVENUE CERTIFICATES 2007falsefalsefalse
The Hospital Authority of Clarke County GA
B586003375181685HN12012-03-2970578040REVENUE CERTIFICATES 2012falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A001605203720056605442182612700102088803002011falsetruefalsetrue
B00705780400069596941981099000002012falsetruefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0falsefalsefalsetrue
Bfalsefalsefalsefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
0
Atruetruefalsefalse0falsefalse
0
Bfalsetruefalsefalse0falsefalsefalsetruefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MONITORING CONFLICTS OF INTERESTPART VI, SECTION B, LINE 12CATHENS 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.
DOCUMENT RETENTION AND DESTRUCTION POLICYPART VI, SECTION B, LINE 14ATHENS REGIONAL HEALTH SYSTEM, INC. HAS NOT ADOPTED A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, THE ORGANIZATION PLANS TO ADOPT A POLICY IN THE FUTURE.
DETERMINING COMPENSATIONPART VI, SECTION B, LINE 15THIS 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.
GOVERNING DOCUMENTSPART VI, SECTION C, LINE 19ATHENS REGIONAL MEDICAL CENTER, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
REVIEWING FORM 990PART VI, SECTION B, LINE 11The completed 990 is reviewed by the Athens Regional Medical Center, Inc. Finance Committee and the Board of Directors prior to filing.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HOSPITAL AUTHORITY OF CLARKE COUNTY GA
1199 PRINCE AVENUEATHENSGA30606586003375HOSPITALGA501(C)(3)3NAfalse
ATHENS REGIONAL FOUNDATION INC
1199 PRINCE AVENUEATHENSGA30606581978389FUNDRAISINGGA501(C)(3)11NAfalse
ATHENS REGIONAL HEALTH RESOURCES INC
1199 PRINCE AVENUEATHENSGA30606581930580DEVELOPMENTGA501(C)(3)11NAfalse
ATHENS REGIONAL PHYSICIAN SERVICES INC
1199 PRINCE AVENUEATHENSGA30606582332921PRIMARY CAREGA501(C)(3)11NAfalse
REGIONAL FIRSTCARE INC
1199 PRINCE AVENUEATHENSGA30606582362733URGENT CAREGA501(C)(3)11nafalse
ATHENS REGIONAL HEALTH SERVICES INC
1199 PRINCE AVENUEATHENSGA30606581930582MANAGEMENTGA501(C)(3)11NAfalse
ATHENS REGIONAL SPECIALTY SERVICES INC
1199 PRINCE AVENUEATHENSGA30606271975001PRIMARY CAREGA501(C)(3)3NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ATHENS AREA HEALTH PLAN SELECT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1295 WEST CLAYTON STREETAddressLine1
CityATHENSCity
StateGAState
ZIP Code306012711ZIPCode
FieldValueIRS element (for citing)
EIN582237670EIN
Primary ActivityHEALTH MAINT.PrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ARHSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg