2012-08-15T10:38:44-05:00 2011-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2010-10-01 582179986 Athens Regional Medical Center Inc ATHE 7064757000 1199 Prince Avenue Athens GA 30606 WENDY J COOK 2012-08-14 true 3362753394 2010 2016-02-24 21:20:13Z JAMES G THAW PRESIDENT CEO 1199 PRINCE AVENUE ATHENS GA 30606 364896938 false X www.armc.org X 1987 NC PROVISION OF HEALTHCARE SERVICES 11 10 3501 708 0 0 143000 577809 418163317 360004549 127591 286600 3187435 4027980 421621343 364896938 0 0 0 0 173140714 176661353 7500 0 237643 233222217 181728189 406370431 358389542 15250912 6507396 392019662 389189896 281658793 272321631 110360869 116868265 X 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. false false 50299457 102726600 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. 28283374 199976707 OPERATING ROOM: DURING THE 2011 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 10,356 SCHEDULED AND EMERGENCY SURGERIES. 17484555 148949812 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. 15027972 OTHER NURSING SERVICES 17326646 PHARMACY 9106437 HEART CATH LAB/EP SERVICES 84258918 OTHER 125719973 221787359 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 153 0 true 3501 true false false false false false false false false false false X 11 10 false false false false false false false true true false false true true true true true false true true false GA X WENDY COOK 7064753463 1199 PRINCE AVENUE ATHENS GA 30606 SUSAN B BARRETT 3.0 X 0 0 0 ROBERT E HOYT PHD 3.0 X 0 0 0 ARTHUR D SPURLOCK II 3.0 X 0 0 0 WC BOLTON 3.0 X 0 0 0 JOHN A DREW 3.0 X X 0 990476 48442 B AMREY HARDEN 3.0 X 0 0 0 HENRY L DEWITT MD 3.0 X 0 0 0 RICHARD B RUSSELL JR 3.0 X 0 0 0 MARGARET WAGNER DAHL 3.0 X 0 0 0 LOCH K JOHNSON 3.0 X 0 0 0 JAMES G THAW 3.0 X X 0 0 0 THOMAS KIAS MD 3.0 X 0 0 0 G GRANT TRIBBLE 40.0 X 377354 0 41628 LINDA DELLA TORRE 40.0 X 381271 0 49888 STEPHEN LUCAS MD 40.0 X 417341 0 41429 TIMOTHY PENNING 40.0 X 273696 0 40209 CARRIE CAPPS 40.0 X 287414 0 27462 DALE GREEN 40.0 X 264076 0 28807 KEVIN THIGPEN 40.0 X 245367 0 37431 BERNARD WHEATLEY 40.0 X 278155 0 32430 NORMAN BURKETT JR 40.0 X 249625 0 33661 WENDY COOK 40.0 X 177408 0 30575 PEGGY SUDDRETH 40.0 X 210250 0 24265 CAROL J HOOD 40.0 X 169157 0 30013 LAURA THIGPEN 40.0 X 157227 0 20366 CARL TRINRUD 40.0 X 156488 0 24618 PAUL COLLAR 40.0 X 192576 0 24415 ANTOINETT LOPEZ 40.0 X 168900 0 21005 ANN WILLIAMS 40.0 X 157906 0 20670 CONNIE TIPPETT 40.0 X 151158 0 22704 DON TYSON 40.0 X 149017 0 26744 GARY PHELPS X 357162 0 27930 4821548 990476 654692 20 true true false 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 54 485309 92500 577809 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 153194359 153194359 0 0 360004549 286600 0 0 286600 0 0 0 0 0 0 CAFETERIA SALES 900099 1563126 0 0 1563126 PURCHASE DISCOUNTS/REBATES 900099 1318766 1318766 0 0 PARKING FEES 900099 585030 0 0 585030 561058 561058 0 4027980 364896938 361884373 0 2434756 0 0 0 0 4821549 1658121 3163428 0 0 130570427 99374098 31014553 181776 8910171 3064190 5845981 0 22495631 7736201 14759430 0 9863575 3392063 6471512 0 8776089 3420483 5351717 3889 233645 0 233645 0 168650 0 168650 0 25185 0 25185 0 0 0 18296529 15630529 2666000 0 1180223 46536 1133551 136 4490073 1059608 3403744 26721 785518 209319 576199 0 0 13702712 1663418 12039294 0 557815 271368 283425 3022 0 0 8869139 0 8869139 0 0 27313944 12564414 14749530 2824080 1299077 1525003 0 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 513977 513977 358389542 221787359 136364540 237643 19645745 12587460 76000 2307000 87939633 90261171 4284765 4725132 594846589 322634861 274048169 272211728 6025350 7097405 392019662 389189896 58085719 56269138 226336604 223125892 5907943 4483031 -8671473 -11556430 281658793 272321631 X 110360869 116868265 110360869 116868265 392019662 389189896 6507396 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false true 25185 false false 25185 false DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY PART II-B, LINE 1G A PORTION OF GEORGIA HOSPITAL ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING. 7702124 7702124 337749499 132925486 204824013 0 225709020 185000310 40708710 23685946 4709065 18976881 272211728 0 DUE (FROM) TO RELATED PARTIES -11556430 -11556430 364896938 358389542 6507396 6507396 364896938 364896938 364896938 358389542 358389542 358389542 ASC 740-10 disclosure Schedule D, Part X THE HEALTH SYSTEM APPLIES FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE AS TO WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740-10. true true true X true X true true true false true true 52263 12050270 3910612 8139658 0.02330 43572895 34360153 9212742 0.02630 52263 55623165 38270765 17352400 0.04960 15933 1498728 162383 1336345 0.00380 24926278 20771777 4154501 0.01190 15933 26425006 20934160 5490846 0.01570 68196 82048171 59204925 22843246 0.06530 true 21535466 0 37412133 25665159 11746974 X true true 1 1 ATHENS REGIONAL MEDICAL CENTER

1199 PRINCE AVENUE ATHENS GA 30606

X X X ATHENS REGIONAL MEDICAL CENTER 1 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: NEEDS ASSESSMENT Athens Regional Health System (ARHS), with the leadership of two Masters-level interns from the UGA College of Public Health, conducted a community health needs assessment in 2011-2012. ARHS has a long history of providing quality health care services in partnership with numerous community health and social service organizations, enabling preventative health services and community outreach to be available to individuals in the ARHS service area. AHRS serves the following counties: Athens-Clarke, Oconee, Oglethorpe, Madison, Jackson, Barrow, Walton, Morgan, Greene, Taliaferro, Wilkes, Elbert, Hart, Franklin, Banks, Stephens and Habersham. Methods and Data Sources A. Methods Data collected from: Interviews with 12 ARHS inpatient and outpatient medical specialties. Interviews with representatives from 15 community organizations. Searches in secondary sources such as 5 online databases as well as ARMC inpatient data and ED visit data. B. Secondary data Oasis, County Health Rankings, Ticker, Northeast Georgia Health District, and Georgia State Government. C. Primary data Our Daily Bread, Whatever It Takes, Athens Neighborhood Health Center, Athens Nurses' Clinic, Advantage Behavioral Health System, Children's Healthcare of Atlanta, St. Mary's Health System, Mercy Health Center, AIDS Athens, Athens PBJ, Inter-community Council of Athens Housing Authority, Boys and Girls Club at Garnett Ridge, and Athens Community Council on Aging. The top health needs identified are as follows: Major findings from the interviews and data sources suggest that there are over-arching needs related to poverty, lack of access to health care, especially for the uninsured, and lack of transportation. The most preventable and also manageable diagnoses in the community were identified to be untreated mental illness and substance abuse, heart disease/hypertension, obesity, and diabetes. According to the collected data, the populations most at risk for these health needs within the ARHS service area are the uninsured and the homeless. ASSESSMENT FOR THE REGION SERVED - AN INCREASINGLY ELDERLY POPULATION, AN INCREASING HISPANIC POPULATION, AND DECLINING HEALTH IN THE REGION. THE HOSPITAL HAS RESPONDED TO THESE NEEDS BY ENSURING THAT THE PROGRAMS OFFERED ARE RELEVANT TO THE POPULATION BEING SERVED AND ADEQUATELY MEETING THEIR NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM. WE ALSO PROVIDED PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. PART VI, LINE 4: COMMUNITY INFORMATION 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. PART VI, LINE 5: OTHER INFORMATION THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE AND PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE MANY EDUCATIONAL OUTREACH PROGRAMS OFFERED. THESE PROGRAMS HELP TO EMPOWER THE PATIENTS SERVED WITH THE KNOWLEDGE, TOOLS AND SKILLS TO LIVE A HEALTHIER LIFESTYLE. SOME NOTABLE PROGRAMS ARE: - CPR/AED AND FIRST AID TRAINING - HEALTH FAIRS AND HEALTH INFORMATION PROGRAMS - HEALTH SCREENS - TOBACCO CESSATION - WEIGHT AND STRESS MANAGEMENT PROGRAMS, PUBLIC SCHOOL WALKING PROGRAM - PRENATAL CLASSES/BIRTHING CENTER TOURS - AQUATICS FOR ARTHRITIS CLASSES - OLDER ADULT DRIVER EDUCATION CLASSES - LATINO HEALTH FIESTA - VARIOUS EDUCATIONAL CONFERENCES IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES 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. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT IS FILED IN GEORGIA. X false true X X X X X true true false true true true true false false 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 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. HOSPITAL AUTHORITY 586003375 18069FAV8 2007-01-25 160520372 REVENUE CERTIFICATES ISSUED JA false false 160520372 56605442 1826127 102088803 2011 false true false true false false false false false 0.00000 0.00000 0.00000 true true true false false false true 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. 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