REGIONAL FIRSTCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
REGIONAL FIRSTCARE INC (EIN 58-2362733)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201222289349301297
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T09:38:49-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582362733EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Regional Firstcare IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREGINameControl
Phone7064757000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameWENDY J COOKName
TitleVICE PRESIDENT OF FINANCETitle
Date Signed2012-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9130021GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.armc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE CORPORATION WAS ORGANIZED TO PROVIDE HEALTHCARE SERVICES, INCLUDING URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees109TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8004900ProgramServiceRevenuePriorYear
Program Service Revenue CY8184553ProgramServiceRevenueCY
Investment Income Prior Year4438InvestmentIncomePriorYear
Investment Income Current Year6763InvestmentIncomeCurrentYear
Other Revenue Prior Year4309OtherRevenuePriorYear
Other Revenue Current Year938705OtherRevenueCurrentYear
Total Revenue Prior Year8013647TotalRevenuePriorYear
Total Revenue Current Year9130021TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6198642SalariesEtcPriorYear
Salaries Etc Current Year6195774SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3129588OtherExpensePriorYear
Other Expenses Current Year2992813OtherExpensesCurrentYear
Total Expenses Prior Year9328230TotalExpensesPriorYear
Total Expenses Current Year9188587TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1314583RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-58566RevenuesLessExpensesCY
Total Assets BOY2675045TotalAssetsBOY
Total Assets EOY2229828TotalAssetsEOY
Total Liabilities BOY1878196TotalLiabilitiesBOY
Total Liabilities EOY1491545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY796849NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY738283NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION WAS ORGANIZED TO PROVIDE HEALTHCARE SERVICES, INCLUDING URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8954787Expense
Revenue8188944Revenue
DescriptionURGENT CARE CENTERS: THE 14 PHYSICIANS OF THE 4 REGIONAL FIRSTCARE FACILITIES LOCATED IN CLARKE, JACKSON, OCONEE, AND BARROW COUNTIES DELIVERED HEALTH CARE TO THE GENERAL PUBLIC BY PROVIDING WALK-IN SERVICES AND RESOURCES TO 83,941 PATIENT VISITS IN 2011. REGIONAL FIRSTCARE PROVIDED $404,606 IN UNCOLLECTED REVENUE (INCLUDING BAD DEBT AND CHARITY CARE) IN 2011.Description
Total Program Service Expense8954787TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees109NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWENDY COOKNamePerson
Telephone Number7064753463TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ALBERT L STONE
TRUSTEE3.0X000
JOHN A DREW
TRUSTEE3.0X099047648442X
PHILIP A SHEFFIELD MD
TRUSTEE3.0X000
RICHARD B RUSSELL JR
TRUSTEE3.0X000X
G MICHAEL SMITH
TRUSTEE3.0X000
BOBBY HEATH
TRUSTEE3.0X000
ASA BOYNTON
TRUSTEE3.0X000
JAMES MILLER MD
TRUSTEE3.0X000
JAMES G THAW
TRUSTEE3.0X000X
RICK BREWER MD
PHYSICIAN40.0341203039300X
BILLY GARDNER MD
PHYSICIAN40.0331519034026X
WAYNE ROSEN MD
PHYSICIAN40.0244964039118X
CECIL PINHOLSTER MD
PHYSICIAN40.0229661012514X
BRIAN FORRESTER MD
PHYSICIAN40.0257491038716X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1404838TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs990476TotalReportableCompFrmRltdOrgs
Total Other Compensation212116TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionURGENT CARE CENTERSDescription
Business Code900099BusinessCode
Total Revenue Column8184553TotalRevenueColumn
Related Or Exempt Function Income8184553RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue8184553TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6763TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,763ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column938705TotalRevenueColumn
Related Or Exempt Function Income938705RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue938705TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9130021TotalRevenueColumn
Related Or Exempt Function Income9123258RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,763ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1404837Total
Program Services1404837ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3506586Total
Program Services3435705ProgramServices
Management And General70881ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total374615Total
Program Services367043ProgramServices
Management And General7572ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total618982Total
Program Services606470ProgramServices
Management And General12512ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total290754Total
Program Services284877ProgramServices
Management And General5877ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total223261Total
Program Services202437ProgramServices
Management And General20824ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7690Total
Program Services0ProgramServices
Management And General7690ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total175138Total
Program Services120421ProgramServices
Management And General54717ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total49335Total
Program Services39836ProgramServices
Management And General9499ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total152072Total
Program Services152072ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4260Total
Program Services1521ProgramServices
Management And General2739ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total871404Total
Program Services870809ProgramServices
Management And General595ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total20160Total
Program Services20079ProgramServices
Management And General81ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49477Total
Program Services49477ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total436969Total
Program Services436969ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total146523Total
Program Services105710ProgramServices
Management And General40813ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES32483232483200
INTERCOMPANY TRANSFERS24822724822700
DRUGS14284214284200
EQUIP RENT, SERVICE & MAINT.12025312025300
BOOKS, DUES, & SUBSCRIPTIONS203702037000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9188587Total
Program Services8954787ProgramServices
Management And General233800ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY840465BOY
EOY588280EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY841535BOY
EOY936973EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1928449LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1223874LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY819236BOY
EOY704575EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173809BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2675045BOY
EOY2229828EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY943881BOY
EOY719940EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY934315BOY
EOY771605EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1878196BOY
EOY1491545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY796849BOY
EOY738283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY796849BOY
EOY738283EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2675045BOY
EOY2229828EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-58566ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ATHENS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN582179986EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1743117OtherCostOrOtherBasis
Depreciation1105221Depreciation
Book Value637896BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis185332OtherCostOrOtherBasis
Depreciation118653Depreciation
Book Value66679BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings704575TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$771,605Amount
FieldValueIRS element (for citing)
Total Of Amounts771605TotalOfAmounts
Total Revenue9130021TotalRevenue
Total Expenses9188587TotalExpenses
Excess Or Deficit For Year-58566ExcessOrDeficitForYear
Excess Or Deficit Per FS-58566ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9130021TotRevenueEtcAuditedFinclStmt
Revenue Subtotal9130021RevenueSubtotal
Total Revenue Per Form9909130021TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9188587TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9188587ExpensesSubtotal
Total Expenses Per Form9909188587TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740-10 DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHE HEALTH SYSTEM APPLIES FASB ACCOUNTING STANDARD CODIFICATION (ASC) 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE AS TO WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740-10.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN A DREW
051452201564790319475073500410920103891800
RICK BREWER MD
158977000182226073500319500380503000
BILLY GARDNER MD
150982000180537073500266760365545000
WAYNE ROSEN MD
144763000100201072160319020284082000
CECIL PINHOLSTER MD
15443900075222000125140242175000
BRIAN FORRESTER MD
20321700054274073500313660296207000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCONTINGENT COMPENSATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 5 & 6ReturnReference
ExplanationEXECUTIVE AND LEADERSHIP POSITIONS ARE ELIGIBLE TO PARTICIPATIE IN A VARIABLE PAY PLAN. 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 TJC ACCREDITATION OR A VIOLATION OF THE BOND COVENANTS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPHILIP A SHEFFIELD MD PCNamePerson
FieldValueIRS element (for citing)
RelationshipPHYSICIAN IS A DIRECTORRelationship
Amount Of Transaction11000AmountOfTransaction
Description Of TransactionARMC PAID FOR SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MONITORING CONFLICTS OF INTERESTPART VI, SECTION B, LINE 12CREGIONAL FIRSTCARE, INC. HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. REGIONAL FIRSTCARE, INC. IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT REGIONAL FIRSTCARE, INC.'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS REGIONAL FIRSTCARE, INC.'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. DECLARED CONFLICTS ARE REVIEWED WITH THE INDIVIDUAL. IT REMAINS THE DECLARERS RESPONSIBLITY TO NOTIFY OF A CONFLICT AS DISCUSSIONS ARISE AND TO RECUSE THEMSELVES DURING THE DECISION MAKING PROCESS.
DOCUMENT RETENTION AND DESTRUCTION POLICYPART VI, SECTION B, LINE 14REGIONAL FIRSTCARE, INC. HAS NOT ADOPTED A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, THE ORGANIZATION PLANS TO ADOPT A POLICY IN THE FUTURE.
DETERMINING COMPENSATIONPART VI, SECTION B, LINE 15THIS ENTITY DOES NOT DETERMINE COMPENSATION ON A STAND ALONE BASIS. ATHENS REGIONAL HEALTH SERVICES, INC.'S (ARHS) BOARD OF DIRECTORS HAS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. THE COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON OF ATHENS REGIONAL HEALTH SERVICES, INC. (ARHS), ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC), ATHENS REGIONAL PHYSICIAN SERVICES, INC. (ARPS), AND VICE-CHAIRPERSON OF ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC). THE PRACTICES AND PROCESSES ARE DESIGNED TO AVOID ANY CLAIM FOR INTERMEDIATE SANCTIONS AND TO SATISFY THE REQUIREMENTS TO OBTAIN THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS OUTSIDE, INDEPENDENT DATA TO ESTABLISH THE COMPENSATION OF OUR OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS REVIEW AND SET FORTH THE COMPENSATION FOR THE SYSTEM CEO USING THE SAME PROCESS AS THE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AND UTILIZES AN INDEPENDENT CONSULTING FIRM, TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. THE COMPENSATION COMMITTEE MEETS WITH A REPRESENATIVE FROM THE CONSULTING FIRM AND THE HUMAN RESOURCES DEPARTMENT WHEN REVIEWING COMPENSATION FOR THE SENIOR LEADERSHIP GROUP ON A YEARLY BASIS. THE COMPANY PHILOSOPHY IS TO MATCH THE MARKET ON AVERAGE PAY, IDENTIFYING THE MEDIAN. TOTAL CASH COMPENSATION IS GENERALLY TARGETED BY TO BE AT THE MEDIAN OF ARHS'S PEERS.
GOVERNING DOCUMENTSPART VI, SECTION C, LINE 19REGIONAL FIRSTCARE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONSFORM 990, PART VII, COLUMN BAVERAGE NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS: JOHN A DREW - 55 PHILIP A SHEFFIELD MD - 9 RICHARD B RUSSELL, JR - 6 G MICHAEL SMITH - 9 BOBBY HEATH - 9 ASA BOYNTON - 6 ALBERT L. STONE - 6
REVIEWING FORM 990PART VI, SECTION B, LINE 11THE COMPLETED 990 IS REVIEWED BY THE REGIONAL FIRSTCARE, 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ATHENS REGIONAL MEDICAL CENTER INC
1199 PRINCE AVENUEATHENSGA30606582179986HOSPITALGA501(c)(3)3NA
HOSPITAL AUTHORITY OF CLARKE COUNTRY GA
1199 PRINCE AVENUEATHENSGA30606586003375HOSPITALGA501(c)(3)3NA
ATHENS REGIONAL FOUNDATION INC
1199 PRINCE AVENUEATHENSGA30606581978389FUNDRAISINGGA501(c)(3)11NA
ATHENS REGIONAL HEALTH RESOURCES INC
1199 PRINCE AVENUEATHENSGA30606581930580HEALTHCAREGA501(c)(3)11NA
ATHENS REGIONAL PHYSICIAN SERVICES INC
1199 PRINCE AVENUEATHENSGA30606582332921PRIMARY CAREGA501(c)(3)11NA
ATHENS REGIONAL HEALTH SERVICES INC
1199 PRINCE AVENUEATHENSGA30606581930582MANAGEMENTGA501(c)(3)11NA
ATHENS REGIONAL SPECIALTY SERVICES INC
1199 PRINCE AVENUEATHENSGA30606271975001PRIMARY CAREGA501(c)(3)3NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.