2011-08-15T13:40:40-05:00 2010-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2009-10-01 582179986 Athens Regional Medical Center Inc ATHE 7064757000 1199 Prince Avenue Athens GA 30606 GRANT TRIBBLE 2011-08-15 3362753394 2009 2016-02-24 21:20:13Z JOHN A DREW PRESIDENT CEO 1199 PRINCE AVENUE ATHENS GA 30606 421648645 false X www.armc.org X 1987 NC PROVISION OF HEALTHCARE SERVICES 11 9 3397 727 0 0 70000 143000 417932666 418163317 -135435 127591 3229253 3187435 421096484 421621343 0 0 0 0 176700573 173140714 0 7500 335929 230695546 233222217 407396119 406370431 13700365 15250912 386417705 392019662 260079036 281658793 126338669 110360869 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 48214037 30360711 INPATIENT ROUTINE SERVICES: ATHENS REGIONAL MEDICAL CENTER INPATIENT ROUTINE SERVICE LINE PROVIDES ACUTE CARE BEDS FOR NORTHEAST GEORGIA. DURING THE 2010 FISCAL YEAR WE HAD 20,782 ADMISSIONS AND 87,358 PATIENT DAYS. 25014240 58472901 OPERATING ROOM: DURING THE 2010 FISCAL YEAR, THE OPERATING ROOM AT ATHENS REGIONAL MEDICAL CENTER PERFORMED MORE THAN 10,000 SCHEDULED AND EMERGENCY SURGERIES. 18122911 44026607 LABORATORY: LABORATORY AND REGIONAL LAB OUTREACH SERVICES AT ATHENS REGIONAL MEDICAL CENTER PERFORMED 3,458,783 TESTS DURING THE 2010 FISCAL YEAR. THE SERVICE LINE CONSISTS OF CHEMISTRY, MICROBIOLOGY, BLOOD BANK AND PHLEBOTOMY. 210597868 285303098 OTHER 210597868 285303098 301949056 true true false true false false false false false true false true false false false false false false false false true false false true true false false false false false false false true false false false false false false false true false false false true 155 0 true 3397 true false false false false false false false false false 11 9 false false false false false false false true true false false true true true true true false true true false GA X G GRANT TRIBBLE 7064753334 1199 PRINCE AVENUE ATHENS GA 30606 SUSAN B BARNETT 3.0 X 0 0 0 ROBERT E HOYT PHD 3.0 X X 0 0 0 ROBERT D SINYARD JR MD 3.0 X 0 0 0 ARTHUR D SPURLOCK II 3.0 X X 0 0 0 WC BOLTON 3.0 X 0 0 0 JOHN A DREW 3.0 X 0 1133471 49148 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 X 0 0 0 LOCH K JOHNSON 3.0 X 0 0 0 LARRY EMMELHAINZ 40.0 X 477968 0 36189 G GRANT TRIBBLE 40.0 X 398962 0 38322 LINDA DELLA TORRE 40.0 X 398989 0 30547 STEPHEN LUCAS MD 40.0 X 370016 0 39070 TIMOTHY PENNING 40.0 X 308715 0 38543 CARRIE CAPPS 40.0 X 276114 0 18571 DALE GREEN 40.0 X 221452 0 35406 KEVIN THIGPEN 40.0 X 248028 0 36656 BERNARD WHEATLEY 40.0 X 271816 0 34137 NORMAN BURKETT JR 40.0 X 196725 0 30784 PAUL COLLAR 40.0 X 192177 0 24099 WENDY COOK 40.0 X 169462 0 27596 PEGGY SUDDRETH 40.0 X 170699 0 27274 CAROL J HOOD 40.0 X 165991 0 26742 ANTOINETT LOPEZ 40.0 X 168328 0 20426 ANN WILLIAMS 40.0 X 167462 0 16096 LAURA THIGPEN 40.0 X 160783 0 16576 JAMES SHRUM 40.0 X 153788 0 26398 CARL TRINRUD 40.0 X 152888 0 25950 CONNIE TIPPETT 40.0 X 150017 0 25698 ANITA WESTMORELAND 40.0 X 148246 0 23186 GARY ANDERSON 40.0 X 140988 0 24232 DEBORAH GUZMAN 40.0 X 140452 0 22687 RICHARD RIGATTI 40.0 X 136761 0 22598 DON TYSON 40.0 X 138812 0 24007 GARY PHELPS 0.0 X 415335 0 28894 5940974 1133471 769832 26 true true false MEDICAL CENTER ANESTHESIOLOGY OF AT PO BOX 7337 ATHENS GA 30604 ANESTHESIOLOGY 2899645 GEORGIA EMERGENCY MEDICAL SPECIALIS PO BOX 5719 ATHENS GA 30604 PHYSICIAN SERVICES 2455049 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 841270964 LABORATORY TESTING 1570105 MCCARTHY BUILDING COMPANY INC 2859 PACES FERRY ROAD ATLANTA GA 30339 CONTRACTOR 16178079 NICHOLS LAND DEVELOPMENT CO 2500 DANIELS BRIDGE RD BLDG 200 S ATHENS GA 30606 CONTRACTOR 4291857 60 143000 143000 OPERATING ROOM 900099 58472901 58472901 0 0 PHARMACY 900099 44598512 44598512 0 0 LABORATORY 900099 44026607 44026607 0 0 ROUTINE SERVICES 900099 30360711 30360711 0 0 CARDIOPULMONARY 900099 22670927 22670927 0 0 218033659 218033659 0 0 418163317 127591 0 0 127591 0 0 56445 27302 29143 29143 0 0 29143 0 0 0 0 CAFETERIA SALES 900099 1601203 1601203 0 0 PURCHASE DISCOUNTS/REBATES 900099 791900 791900 0 0 PARKING FEES 900099 745348 745348 0 0 19841 19841 0 0 3158292 421621343 421321609 0 156734 0 0 0 0 5014234 2320127 2694107 0 128731489 96445546 32105212 180731 8140768 6099058 2030281 11429 21501047 16108570 5362291 30186 9753176 7307073 2432410 13693 15350424 4939080 10411340 4 704102 704102 190332 190332 0 7500 7500 0 17433265 10793110 6625607 14548 1176397 22004 1154307 86 3137123 1433854 1682045 21224 1488821 976610 512211 0 6958968 3221306 3730703 6959 618057 278564 336799 2694 0 7871 7871 8180946 3786960 4385805 8181 0 25809605 11947266 13836529 25810 2086439 965813 1118540 2086 BAD DEBT 66978496 66978496 0 0 MEDICAL SUPPLIES 64029751 63752954 276797 0 SERVICE CONTRACTS 13196342 4265261 8927743 3338 FOOD COSTS 2078828 248244 1823154 7430 INTERCOMPANY TRANSFERS 1564337 0 1564337 0 2232113 59160 2172923 30 406370431 301949056 104085446 335929 42312375 19645745 595000 76000 79885040 87939633 3728808 4284765 572624843 298576674 253127681 274048169 6768801 6025350 386417705 392019662 53767580 58085719 232034771 226336604 5505406 5907943 -31228721 -8671473 260079036 281658793 X 126338669 110360869 126338669 110360869 386417705 392019662 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false true 150265 false 150265 0 7702124 7702124 0 328550659 120868136 207682523 0 225775586 177708538 48067048 0 10596474 10596474 274048169 0 DUE (FROM) TO RELATED PARTIES -8671473 -8671473 421621343 406370431 15250912 15250912 421648645 421648645 -27302 -27302 421621343 406397733 27302 27302 406370431 406370431 Other Revenue Schedule D, Part XII, Line 4b Rent Expense Reclass: 27,302 Other Expenses Schedule D, Part XIII, Line 2d Rent Expense Reclass: 27,302 ASC 740-10 disclosure Schedule D, Part X On October 1, 2008, the Health System adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740-10, Accounting for Uncertainty in Income Taxes. ASC 740-10 provides guidance on 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 was no impact on the Health System's consolidated financial statements as a result of the adoption of ASC 740-10. true true true X true X true true true false true true 9033 14254751 14254751 0.03510 15943 32102943 32102943 0.09460 24976 46357694 46357694 0.12970 797070 797070 0.00230 797070 797070 0.00230 24976 47154764 47154764 0.13200 true 18760676 87630061 85898010 1732051 true true ATHENS REGIONAL MEDICAL CENTER

1199 PRINCE AVENUE ATHENS GA 30606

X X X NOT APPLICABLE SINCE THE HOSPITAL USES FEDERAL POVERTY GUIDELINES. ATHENS REGIONAL HEALTH SERVICES PREPARES A COMBINED COMMUNITY BENEFIT REPORT. 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. THIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS. THE HOSPITAL EXCLUDED $66,978,496 OF BAD DEBT EXPENSE IN CALCULATING THE PERCENTAGES SHOWN IN COLUMN F. 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 $39,480,000 AND $36,159,000 FOR THE YEARS ENDED SEPTEMBER 30, 2010 AND 2009, RESPECTIVELY. 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. 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. THE COMMUNITY HAS UNDERTAKEN SEVERAL NEEDS ASSESSMENT INITIATIVES RECENTLY AND THE HOSPITAL HAS USED THE INFORMATION OBTAINED FROM THOSE STUDIES TO DIRECT ITS INITIATIVES. A SEPARATE NEEDS ASSESSMENT PREPARED SPECIFICALLY FOR ARMC IS STILL IN PROGRESS AND HAS NOT YET BEEN COMPLETEED. THE HOSPITAL IDENTIFIED THREE KEY TRENDS THROUGH THE LASTEST NEEDS 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. WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM. WE ALSO PROVIDED PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. 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. N/A 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. 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 CORPORATIONS 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, 2010 AND 2009, 28 AND 29 PHYSICIANS RESPECTIVELY WERE EMPLOYED AS PRIMARY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM AND 9 AND 13 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED AS SPECIALTY CARE PHYSICIANS SUPPORTING THE INTEGRATED DELIVERY SYSTEM. SPECIALY SERVICES IS A NEW ENTITY ESTABLISHED FOR THE PURPOSE OF ACQUIRING AND OPERATING SPECIALTY PHYSICIAN PRACTICES. (APPLICATION FOR NOT-FOR-PROFIT STATUS IS PENDING). AS OF SEPTEMBER 30,2010, 8 PHSYCIANS 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, 2010 AND 2009, 14 AND 15 PHYSICIANS, RESPECTIVELY, WERE EMPLOYED BY REGIONAL FIRSTCARE SUPPORTING THE INTEGRATED DELIVERY SYSTEM. HEALTH PLAN SELECT IS A TAXABLE NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION ESTABLISHED FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES TO ITS ENROLLED MEMBERS. HEALTH PLAN SELECT OPERATES UNDER A HEALTH MAINTENANCE ORGANIZATION (HMO) LICENSE FROM AND REGULATED BY THE STATE OF GEORGIA DEPARTMENT INSURANCE. X X X false true X X X X X true true false true true true true false false JOHN A DREW 0 509621 0 182947 0 440903 0 7350 0 41798 0 1182619 0 0 LARRY EMMELHAINZ 213587 0 42058 0 222323 0 7350 0 28839 0 514157 0 0 0 GARY PHELPS 0 0 0 0 415335 0 0 0 28894 0 444229 0 0 0 G GRANT TRIBBLE 290799 0 62397 0 45766 0 7350 0 30972 0 437284 0 0 0 LINDA DELLA TORRE 271003 0 60462 0 67524 0 0 0 30547 0 429536 0 0 0 STEPHEN LUCAS MD 269489 0 56219 0 44308 0 7350 0 31720 0 409086 0 0 0 TIMOTHY PENNING 233891 0 47342 0 27482 0 7350 0 31193 0 347258 0 0 0 CARRIE CAPPS 216449 0 39977 0 19688 0 7350 0 11221 0 294685 0 0 0 KEVIN THIGPEN 189709 0 38920 0 19399 0 6859 0 29797 0 284684 0 0 0 BERNARD WHEATLEY 182526 0 37930 0 51360 0 6683 0 27454 0 305953 0 0 0 DALE GREEN 220867 0 0 0 585 0 6660 0 28746 0 256858 0 0 0 NORMAN BURKETT JR 162353 0 33619 0 753 0 5973 0 24811 0 227509 0 0 0 PAUL COLLAR 165983 0 26054 0 140 0 5381 0 18718 0 216276 0 0 0 WENDY COOK 142454 0 24188 0 2820 0 5294 0 22302 0 197058 0 0 0 PEGGY SUDDRETH 145867 0 24082 0 750 0 5194 0 22080 0 197973 0 0 0 CAROL J HOOD 142989 0 22739 0 263 0 5059 0 21683 0 192733 0 0 0 ANTOINETT LOPEZ 143973 0 22896 0 1459 0 5031 0 15395 0 188754 0 0 0 ANN WILLIAMS 144579 0 22661 0 222 0 5019 0 11077 0 183558 0 0 0 LAURA THIGPEN 137217 0 22182 0 1384 0 4914 0 11662 0 177359 0 0 0 JAMES SHRUM 131385 0 21542 0 861 0 4762 0 21636 0 180186 0 0 0 CARL TRINRUD 136526 0 15756 0 606 0 4648 0 21302 0 178838 0 0 0 CONNIE TIPPETT 133624 0 15582 0 811 0 4600 0 21098 0 175715 0 0 0 ANITA WESTMORELAND 146810 0 0 0 1436 0 4499 0 18687 0 171432 0 0 0 GARY ANDERSON 140842 0 0 0 146 0 4327 0 19905 0 165220 0 0 0 DEBORAH GUZMAN 120963 0 19312 0 177 0 4302 0 18385 0 163139 0 0 0 RICHARD RIGATTI 135648 0 0 0 1113 0 2834 0 19764 0 159359 0 0 0 DON TYSON 138783 0 0 0 29 0 4242 0 19765 0 162819 0 0 0 COMPANION TRAVEL, GROSS-UP PAYMENTS, AND TEMPORARY HOUSING SCHEDULE J, PART I, LINE 1A CARRIE CAPPS RECEIVES TEMPORARY HOUSING - TAXABLE AMOUNT INCLUDED IN COMPENSATION. BOARD OF TRUSTEES ARE PROVIDED COMPANION TRAVEL - TAXABLE AMOUNT INCLUDED IN COMPENSATION. GARY PHELPS RECEIVES GROSS-UP PAYMENTS. 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 RECEIVED A $23,429 SEVERANCE PAYMENT IN 2008. SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN - ATHENS REGIONAL MEDICAL 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. TWO EXECUTIVES HAVE PARTICIPATED IN THE PLAN. 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. 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 ATHENS CARDIOLOGY GROUP PC PARTNER IS A DIRECTOR 270914 CARDIOLOGY SERVICES false MONITORING CONFLICTS OF INTEREST PART VI, SECTION B, LINC 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. BARNETT - 6 ROBERT E. HOYT, PHD - 9 ROBERT D. SINYARD, JR MD - 9 ARTHUR D. SPURLOCK, II - 6 W.C. BOLTON - 3 JOHN A. DREW - 52 RICHARD B. RUSSELL, JR - 9 LEORNARD J. SAPERA - 3 G. GRANT TRIBBLE - 6 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. 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) 11 NA false true false false false false false true false false true true true true false false false false