PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC (EIN 58-2179986)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349302001
- Schema version
- 2010v3.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T10:38:44-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 North Greene Street Suite 400 | AddressLine1 |
| City | Greensboro | City |
| State | NC | State |
| ZIP Code | 27401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582179986 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Athens Regional Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ATHE | NameControl |
| Phone | 7064757000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 Prince Avenue | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WENDY J COOK | Name |
| Title | VICE PRESIDENT OF FINANCE | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3362753394 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES G THAW PRESIDENT CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 PRINCE AVENUE | AddressLine1 |
| City | ATHENS | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 364896938 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.armc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF HEALTHCARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3501 | TotalNbrEmployees |
| Total Nbr Volunteers | 708 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 143000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 577809 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 418163317 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 360004549 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 127591 | InvestmentIncomePriorYear |
| Investment Income Current Year | 286600 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3187435 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4027980 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 421621343 | TotalRevenuePriorYear |
| Total Revenue Current Year | 364896938 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 173140714 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 176661353 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 7500 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 237643 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 233222217 | OtherExpensePriorYear |
| Other Expenses Current Year | 181728189 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 406370431 | TotalExpensesPriorYear |
| Total Expenses Current Year | 358389542 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15250912 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6507396 | RevenuesLessExpensesCY |
| Total Assets BOY | 392019662 | TotalAssetsBOY |
| Total Assets EOY | 389189896 | TotalAssetsEOY |
| Total Liabilities BOY | 281658793 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 272321631 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 110360869 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 116868265 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WHILE STRIVING TO BE AN OUTSTANDING HEALTH CARE SYSTEM, THE MISSION OF ATHENS REGIONAL MEDICAL CENTER IS TO PROVIDE ITS PATIENTS, THEIR SPONSORS, ITS MEDICAL STAFF AND THE COMMUNITY QUAILTY PATIENT CARE AND A SCOPE OF SERVICES THAT ARE OF A SUPERIOR VALUE, DELIVERED IN A CARING AND SAFE ATMOSPHERE WITH DIGNITY AND COMPASSION BY COMPETENT PROFESSIONALS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 50299457 | Expense |
| Revenue | 102726600 | Revenue |
| Description | INPATIENT ROUTINE SERVICES: ATHENS REGIONAL MEDICAL CENTER INPATIENT ROUTINE SERVICE LINE PROVIDES ACUTE CARE BEDS FOR NORTHEAST GEORGIA. DURING THE 2011 FISCAL YEAR WE HAD 20,454 ADMISSIONS AND 84,952 PATIENT DAYS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 28283374 | Expense |
| Revenue | 199976707 | Revenue |
| Description | OPERATING ROOM: DURING THE 2011 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 10,356 SCHEDULED AND EMERGENCY SURGERIES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17484555 | Expense |
| Revenue | 148949812 | Revenue |
| Description | LABORATORY: LABORATORY AND REGIONAL LAB OUTREACH SERVICES AT ATHENS REGIONAL MEDICAL CENTER PERFORMED 1,557,689 BILLABLE TESTS DURING THE 2011 FISCAL YEAR. THE SERVICE LINE CONSISTS OF CHEMISTRY, MICROBIOLOGY, BLOOD BANK AND PHLEBOTOMY. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 15027972 | OTHER NURSING SERVICES |
| 17326646 | PHARMACY |
| 9106437 | HEART CATH LAB/EP SERVICES |
| 84258918 | OTHER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 125719973 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 221787359 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 153 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3501 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WENDY COOK | NamePerson |
| Telephone Number | 7064753463 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 PRINCE AVENUE | AddressLine1 |
| City | ATHENS | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| SUSAN B BARRETT | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| ROBERT E HOYT PHD | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| ARTHUR D SPURLOCK II | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| WC BOLTON | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| JOHN A DREW | |||||||||
| TRUSTEE | 3.0 | X | 0 | 990476 | 48442 | X | |||
| B AMREY HARDEN | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| HENRY L DEWITT MD | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| RICHARD B RUSSELL JR | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| MARGARET WAGNER DAHL | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| LOCH K JOHNSON | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| JAMES G THAW | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | X | |||
| THOMAS KIAS MD | |||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||||
| G GRANT TRIBBLE | |||||||||
| VP & CFO | 40.0 | 377354 | 0 | 41628 | X | ||||
| LINDA DELLA TORRE | |||||||||
| VP & COO | 40.0 | 381271 | 0 | 49888 | X | ||||
| STEPHEN LUCAS MD | |||||||||
| VP & CMO | 40.0 | 417341 | 0 | 41429 | X | ||||
| TIMOTHY PENNING | |||||||||
| VP & CIO | 40.0 | 273696 | 0 | 40209 | X | ||||
| CARRIE CAPPS | |||||||||
| VP & CNO | 40.0 | 287414 | 0 | 27462 | X | ||||
| DALE GREEN | |||||||||
| CMIO | 40.0 | 264076 | 0 | 28807 | X | ||||
| KEVIN THIGPEN | |||||||||
| VP, HUMAN RESOURCES | 40.0 | 245367 | 0 | 37431 | X | ||||
| BERNARD WHEATLEY | |||||||||
| VP, OPERATIONS | 40.0 | 278155 | 0 | 32430 | X | ||||
| NORMAN BURKETT JR | |||||||||
| VP, ADMIN | 40.0 | 249625 | 0 | 33661 | X | ||||
| WENDY COOK | |||||||||
| CORPORATE CONTROLLER | 40.0 | 177408 | 0 | 30575 | X | ||||
| PEGGY SUDDRETH | |||||||||
| DIR, PHARMACY | 40.0 | 210250 | 0 | 24265 | X | ||||
| CAROL J HOOD | |||||||||
| ADMIN DIR, CLINICAL SVCS | 40.0 | 169157 | 0 | 30013 | X | ||||
| LAURA THIGPEN | |||||||||
| ADMIN DIR, NSG | 40.0 | 157227 | 0 | 20366 | X | ||||
| CARL TRINRUD | |||||||||
| DIR, HUMAN RESOURCES | 40.0 | 156488 | 0 | 24618 | X | ||||
| PAUL COLLAR | |||||||||
| DIR, MANAGED CARE | 40.0 | 192576 | 0 | 24415 | X | ||||
| ANTOINETT LOPEZ | |||||||||
| DIR, CRITICAL CARE NSG | 40.0 | 168900 | 0 | 21005 | X | ||||
| ANN WILLIAMS | |||||||||
| DIR, SURGICAL SVCS | 40.0 | 157906 | 0 | 20670 | X | ||||
| CONNIE TIPPETT | |||||||||
| NURSING ADMIN SUPERVISOR COORD | 40.0 | 151158 | 0 | 22704 | X | ||||
| DON TYSON | |||||||||
| PHARMACIST | 40.0 | 149017 | 0 | 26744 | X | ||||
| GARY PHELPS | |||||||||
| FORMER COO | 357162 | 0 | 27930 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4821548 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 990476 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 654692 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MEDICAL CENTER ANESTHESIOLOGY OF AT | |||||
| PO BOX 7337 | ATHENS | GA | 30604 | ANESTHESIOLOGY | 4168787 |
| GEORGIA EMERGENCY MEDICAL SPECIALIS | |||||
| PO BOX 5719 | ATHENS | GA | 30604 | PHYSICIAN SERVICES | 2452751 |
| ECLIPSYS SOLUTIONS CORP | |||||
| LOCKBOX 077133 PO BOX 8538-0133 | PHILADELPHIA | PA | 191710133 | SOFTWARE VENDOR | 2096358 |
| MCCARTHY BUILDING COMPANY INC | |||||
| 2859 PACES FERRY ROAD | ATLANTA | GA | 30339 | CONTRACTOR | 5471630 |
| AI INSURANCE GROUP | |||||
| PO BOX 80568 | ATHENS | GA | 30608 | INSURANCE BROKER | 1960050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 54 | NumberOfContractorsGT100K |
| Government Grants | 485309 | GovernmentGrants |
| All Other Contributions | 92500 | AllOtherContributions |
| Total Contributions | 577809 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| OPERATING ROOM | 900099 | 61992779 | 61992779 | 0 | $0 |
| PHARMACY | 900099 | 43115668 | 43115668 | 0 | $0 |
| LABORATORY | 900099 | 46174442 | 46174442 | 0 | $0 |
| ROUTINE SERVICES | 900099 | 31845246 | 31845246 | 0 | $0 |
| CARDIOPULMONARY | 900099 | 23682055 | 23682055 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 153194359 | TotalRevenueColumn |
| Related Or Exempt Function Income | 153194359 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 360004549 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 286600 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $286,600 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| CAFETERIA SALES | 900099 | 1563126 | 0 | 0 | $1,563,126 |
| PURCHASE DISCOUNTS/REBATES | 900099 | 1318766 | 1318766 | 0 | $0 |
| PARKING FEES | 900099 | 585030 | 0 | 0 | $585,030 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 561058 | TotalRevenueColumn |
| Related Or Exempt Function Income | 561058 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4027980 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 364896938 | TotalRevenueColumn |
| Related Or Exempt Function Income | 361884373 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,434,756 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4821549 | Total |
| Program Services | 1658121 | ProgramServices |
| Management And General | 3163428 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130570427 | Total |
| Program Services | 99374098 | ProgramServices |
| Management And General | 31014553 | ManagementAndGeneral |
| Fundraising | 181776 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8910171 | Total |
| Program Services | 3064190 | ProgramServices |
| Management And General | 5845981 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22495631 | Total |
| Program Services | 7736201 | ProgramServices |
| Management And General | 14759430 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9863575 | Total |
| Program Services | 3392063 | ProgramServices |
| Management And General | 6471512 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8776089 | Total |
| Program Services | 3420483 | ProgramServices |
| Management And General | 5351717 | ManagementAndGeneral |
| Fundraising | 3889 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233645 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 233645 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168650 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 168650 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25185 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 25185 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18296529 | Total |
| Program Services | 15630529 | ProgramServices |
| Management And General | 2666000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1180223 | Total |
| Program Services | 46536 | ProgramServices |
| Management And General | 1133551 | ManagementAndGeneral |
| Fundraising | 136 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4490073 | Total |
| Program Services | 1059608 | ProgramServices |
| Management And General | 3403744 | ManagementAndGeneral |
| Fundraising | 26721 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 785518 | Total |
| Program Services | 209319 | ProgramServices |
| Management And General | 576199 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13702712 | Total |
| Program Services | 1663418 | ProgramServices |
| Management And General | 12039294 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 557815 | Total |
| Program Services | 271368 | ProgramServices |
| Management And General | 283425 | ManagementAndGeneral |
| Fundraising | 3022 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8869139 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8869139 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27313944 | Total |
| Program Services | 12564414 | ProgramServices |
| Management And General | 14749530 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2824080 | Total |
| Program Services | 1299077 | ProgramServices |
| Management And General | 1525003 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 64777197 | 64688423 | 88774 | 0 |
| EQUIPMENT RENT AND MAINTENANCE | 15600556 | 5391985 | 10205085 | 3486 |
| FOOD COSTS | 2101636 | 249991 | 1833032 | 18613 |
| INTERCOMPANY TRANSFERS | 10759322 | 0 | 10759322 | 0 |
| BOOKS, DUES, AND SUBSCRIPTIONS | 751899 | 67535 | 684364 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513977 | Total |
| Management And General | 513977 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358389542 | Total |
| Program Services | 221787359 | ProgramServices |
| Management And General | 136364540 | ManagementAndGeneral |
| Fundraising | 237643 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19645745 | BOY |
| EOY | 12587460 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76000 | BOY |
| EOY | 2307000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87939633 | BOY |
| EOY | 90261171 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4284765 | BOY |
| EOY | 4725132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 594846589 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 322634861 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 274048169 | BOY |
| EOY | 272211728 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6025350 | BOY |
| EOY | 7097405 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392019662 | BOY |
| EOY | 389189896 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58085719 | BOY |
| EOY | 56269138 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226336604 | BOY |
| EOY | 223125892 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5907943 | BOY |
| EOY | 4483031 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -8671473 | BOY |
| EOY | -11556430 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 281658793 | BOY |
| EOY | 272321631 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110360869 | BOY |
| EOY | 116868265 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110360869 | BOY |
| EOY | 116868265 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392019662 | BOY |
| EOY | 389189896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 6507396 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $25,185 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 25185 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY | Identifier |
| Return Reference | PART II-B, LINE 1G | ReturnReference |
| Explanation | A PORTION OF GEORGIA HOSPITAL ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7702124 | OtherCostOrOtherBasis |
| Book Value | 7702124 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 337749499 | OtherCostOrOtherBasis |
| Depreciation | 132925486 | Depreciation |
| Book Value | 204824013 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 225709020 | OtherCostOrOtherBasis |
| Depreciation | 185000310 | Depreciation |
| Book Value | 40708710 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23685946 | OtherCostOrOtherBasis |
| Depreciation | 4709065 | Depreciation |
| Book Value | 18976881 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 272211728 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE (FROM) TO RELATED PARTIES | Description |
| Amount | -$11,556,430 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | -11556430 | TotalOfAmounts |
| Total Revenue | 364896938 | TotalRevenue |
| Total Expenses | 358389542 | TotalExpenses |
| Excess Or Deficit For Year | 6507396 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 6507396 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 364896938 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 364896938 | RevenueSubtotal |
| Total Revenue Per Form990 | 364896938 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 358389542 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 358389542 | ExpensesSubtotal |
| Total Expenses Per Form990 | 358389542 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740-10 disclosure | Identifier |
| Return Reference | Schedule D, Part X | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 52263 | PersonsServed |
| Total Community Benefit Expense | 12050270 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3910612 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8139658 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02330 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43572895 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34360153 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9212742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02630 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 52263 | PersonsServed |
| Total Community Benefit Expense | 55623165 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38270765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17352400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04960 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15933 | PersonsServed |
| Total Community Benefit Expense | 1498728 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 162383 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1336345 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24926278 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20771777 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4154501 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15933 | PersonsServed |
| Total Community Benefit Expense | 26425006 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20934160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5490846 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01570 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 68196 | PersonsServed |
| Total Community Benefit Expense | 82048171 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59204925 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22843246 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06530 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $21,535,466 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 37412133 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 25665159 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 11746974 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATHENS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 PRINCE AVENUE | AddressLine1 |
| City | ATHENS | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATHENS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return 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 $25,795,000 AND $39,480,000 FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010, 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. | 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 (APPROXIATEMLY 65%). OF THE REMAINING PATIENTS, APPROXIATELY 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, 2011 AND 2010, 29 AND 29 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED AS PRIMARY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM AND 9 AND 9 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED AS SPECIALTY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM. SPECIALY SERVICES IS A NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF ACQUIRING AND OPERATING SPECIALTY PHYSICIAN PRACTICES. AS OF SEPTEMBER 30,2011 AND 2010, 25 AND 8 PHSYCIANS, 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, 2011 AND 2010, 14 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. | AFFILIATED HEALTH CARE SYSTEM ROLES |
| PART VI, LINE 7: | STATE FILING OF COMMUNITY BENEFIT REPORT IS FILED IN GEORGIA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | true | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN A DREW | |||||||||||||
| 0 | 514522 | 0 | 156479 | 0 | 319475 | 0 | 7350 | 0 | 41092 | 0 | 1038918 | 0 | 0 |
| GARY PHELPS | |||||||||||||
| 0 | 0 | 0 | 0 | 357162 | 0 | 0 | 0 | 27930 | 0 | 385092 | 0 | 0 | 0 |
| G GRANT TRIBBLE | |||||||||||||
| 262918 | 0 | 57699 | 0 | 56737 | 0 | 7350 | 0 | 34278 | 0 | 418982 | 0 | 0 | 0 |
| LINDA DELLA TORRE | |||||||||||||
| 271524 | 0 | 68017 | 0 | 41730 | 0 | 7350 | 0 | 42538 | 0 | 431159 | 0 | 0 | 0 |
| STEPHEN LUCAS MD | |||||||||||||
| 269651 | 0 | 62374 | 0 | 85316 | 0 | 7350 | 0 | 34079 | 0 | 458770 | 0 | 0 | 0 |
| TIMOTHY PENNING | |||||||||||||
| 205941 | 0 | 43311 | 0 | 24444 | 0 | 7350 | 0 | 32859 | 0 | 313905 | 0 | 0 | 0 |
| CARRIE CAPPS | |||||||||||||
| 218421 | 0 | 44186 | 0 | 24807 | 0 | 7350 | 0 | 20112 | 0 | 314876 | 0 | 0 | 0 |
| KEVIN THIGPEN | |||||||||||||
| 188456 | 0 | 38820 | 0 | 18091 | 0 | 6818 | 0 | 30613 | 0 | 282798 | 0 | 0 | 0 |
| BERNARD WHEATLEY | |||||||||||||
| 183040 | 0 | 37788 | 0 | 57327 | 0 | 6625 | 0 | 25805 | 0 | 310585 | 0 | 0 | 0 |
| DALE GREEN | |||||||||||||
| 236031 | 0 | 27743 | 0 | 302 | 0 | 7350 | 0 | 21457 | 0 | 292883 | 0 | 0 | 0 |
| NORMAN BURKETT JR | |||||||||||||
| 158018 | 0 | 34850 | 0 | 56757 | 0 | 6151 | 0 | 27510 | 0 | 283286 | 0 | 0 | 0 |
| PAUL COLLAR | |||||||||||||
| 166136 | 0 | 26440 | 0 | 0 | 0 | 5810 | 0 | 18605 | 0 | 216991 | 0 | 0 | 0 |
| WENDY COOK | |||||||||||||
| 153266 | 0 | 24142 | 0 | 0 | 0 | 5497 | 0 | 25078 | 0 | 207983 | 0 | 0 | 0 |
| PEGGY SUDDRETH | |||||||||||||
| 89143 | 0 | 0 | 0 | 121107 | 0 | 5961 | 0 | 18304 | 0 | 234515 | 0 | 0 | 0 |
| CAROL J HOOD | |||||||||||||
| 145515 | 0 | 23642 | 0 | 0 | 0 | 5202 | 0 | 24811 | 0 | 199170 | 0 | 0 | 0 |
| ANTOINETT LOPEZ | |||||||||||||
| 145827 | 0 | 22941 | 0 | 132 | 0 | 5063 | 0 | 15942 | 0 | 189905 | 0 | 0 | 0 |
| ANN WILLIAMS | |||||||||||||
| 136090 | 0 | 21816 | 0 | 0 | 0 | 4770 | 0 | 15900 | 0 | 178576 | 0 | 0 | 0 |
| LAURA THIGPEN | |||||||||||||
| 135271 | 0 | 21956 | 0 | 0 | 0 | 4808 | 0 | 15558 | 0 | 177593 | 0 | 0 | 0 |
| CARL TRINRUD | |||||||||||||
| 140270 | 0 | 16218 | 0 | 0 | 0 | 4756 | 0 | 19862 | 0 | 181106 | 0 | 0 | 0 |
| CONNIE TIPPETT | |||||||||||||
| 135368 | 0 | 15790 | 0 | 0 | 0 | 4623 | 0 | 18081 | 0 | 173862 | 0 | 0 | 0 |
| DON TYSON | |||||||||||||
| 149017 | 0 | 0 | 0 | 0 | 0 | 4589 | 0 | 22155 | 0 | 175761 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPANION TRAVEL | SCHEDULE J, PART I, LINE 1A | BOARD OF TRUSTEES ARE PROVIDED COMPANION TRAVEL - TAXABLE AMOUNT INCLUDED IN COMPENSATION. |
| POLICY REGARDING PAYMENT OR REIMBURSEMENT | SCHEDULE J, PART I, LINE 1B | ATHENS 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 JOHN A. DREW, CEO OF ATHENS REGIONAL HEALTH SERVICES, INC. |
| SEVERANCE PAYMENT AND NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4A & 4B | 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. GARY PHELPS AND PEGGY SUDDRETH RECEIVED $277,631 AND $132,520 , RESPECTIVELY, IN SEVERANCE DURING 2011. 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: LINDA DELLA TORRE $14,827 BERNARD WHEATLEY $23,650 GRANT TRIBBLE $ 5,459 STEPHEN LUCAS $46,424 NORMAN BURKETT $48,241 |
| CONTINGENT COMPENSATION | SCHEDULE J, PART I, LINE 5 & 6 | 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 586003375 | IssuerEIN |
| CUSIP Number | 18069FAV8 | CUSIPNumber |
| Date Issued | 2007-01-25 | DateIssued |
| Issue Price | 160520372 | IssuePrice |
| Description Of Purpose | REVENUE CERTIFICATES ISSUED JA | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 160520372 | TotalProceeds |
| Refunding Escrow | 56605442 | RefundingEscrow |
| Issuance Costs From Proceeds | 1826127 | IssuanceCostsFromProceeds |
| Capital Expenditures | 102088803 | CapitalExpenditures |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MONITORING CONFLICTS OF INTEREST | PART VI, SECTION B, LINE 12C | 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 MUCH 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 POLICY | PART VI, SECTION B, LINE 14 | ATHENS 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 COMPENSATION | PART VI, SECTION B, LINE 15 | THIS ENTITY DOES NOT DETERMINE COMPENSATION ON A STAND ALONE BASIS. ATHENS REGIONAL HEALTH SERVICES, INC.'S (ARHS) BOARD OF DIRECTORS HAS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. THE COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON OF ATHENS REGIONAL HEALTH SERVICES, INC. (ARHS), ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC), ATHENS REGIONAL PHYSICIAN SERVICES, INC. (ARPS), AND VICE-CHAIRPERSON OF ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC). THE PRACTICES AND PROCESSES ARE DESIGNED TO AVOID ANY CLAIM FOR INTERMEDIATE SANCTIONS AND TO SATISFY THE REQUIREMENTS TO OBTAIN THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS OUTSIDE, INDEPENDENT DATA TO ESTABLISH THE COMPENSATION OF OUR OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS REVIEW AND SET FORTH THE COMPENSATION FOR THE SYSTEM CEO USING THE SAME PROCESS AS THE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AND UTILIZES AN INDEPENDENT CONSULTING FIRM, TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. THE COMPENSATION COMMITTEE MEETS WITH A REPRESENATIVE FROM THE CONSULTING FIRM AND THE HUMAN RESOURCES DEPARTMENT WHEN REVIEWING COMPENSATION FOR THE SENIOR LEADERSHIP GROUP ON A YEARLY BASIS. THE COMPANY PHILOSOPHY IS TO MATCH THE MARKET ON AVERAGE PAY, IDENTIFYING THE MEDIAN. TOTAL CASH COMPENSATION IS GENERALLY TARGETED BY TO BE AT THE MEDIAN OF ARHS'S PEERS. |
| GOVERNING DOCUMENTS | PART VI, SECTION C, LINE 19 | ATHENS REGIONAL MEDICAL CENTER, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS | FORM 990, PART VII, COLUMN B | AVERAGE NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS: SUSAN B. BARRETT - 6 ROBERT E. HOYT, PHD - 9 THOMAS N KIAS, MD - 6 W.C. BOLTON - 6 JOHN A. DREW - 55 RICHARD B. RUSSELL, JR - 9 LEORNARD J. SAPERA - 3 G. GRANT TRIBBLE - 43 JAMES G. THAW - 43 |
| REVIEWING FORM 990 | PART VI, SECTION B, LINE 11 | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF CLARKE COUNTY GA | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 586003375 | HOSPITAL | GA | 501(C)(3) | 3 | NA |
| ATHENS REGIONAL FOUNDATION INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581978389 | FUNDRAISING | GA | 501(C)(3) | 11 | NA |
| ATHENS REGIONAL HEALTH RESOURCES INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581930580 | DEVELOPMENT | GA | 501(C)(3) | 11 | NA |
| ATHENS REGIONAL PHYSICIAN SERVICES INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582332921 | PRIMARY CARE | GA | 501(C)(3) | 11 | NA |
| REGIONAL FIRSTCARE INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582362733 | URGENT CARE | GA | 501(C)(3) | 11 | na |
| ATHENS REGIONAL HEALTH SERVICES INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581930582 | MANAGEMENT | GA | 501(C)(3) | 11 | NA |
| ATHENS REGIONAL SPECIALTY SERVICES INC | |||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 271975001 | PRIMARY CARE | GA | 501(C)(3) | 3 | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |