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ATHENS REGIONAL PHYSICIAN SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ATHENS REGIONAL PHYSICIAN SERVICES INC (EIN 58-2332921)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201122279349302922
Schema version
2009v1.7
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)
Timestamp2011-08-15T13:40:40-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582332921EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Athens Regional Physician Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlATHENameControl
Phone7064757000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGrant TribbleName
TitleVP & CFOTitle
Date Signed2011-08-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN A DREW PRESIDENT CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11199 PRINCE AVENUEAddressLine1
CityATHENSCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15664130GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.armc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO SERVE AND PROMOTE THE PUBLIC HEALTH OF THE GENERAL POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees203TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18392599ProgramServiceRevenuePriorYear
Program Service Revenue CY15639561ProgramServiceRevenueCY
Investment Income Prior Year18496InvestmentIncomePriorYear
Investment Income Current Year8937InvestmentIncomeCurrentYear
Other Revenue Prior Year16734OtherRevenuePriorYear
Other Revenue Current Year11680OtherRevenueCurrentYear
Total Revenue Prior Year18427829TotalRevenuePriorYear
Total Revenue Current Year15660178TotalRevenueCurrentYear
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 Year16498737SalariesEtcPriorYear
Salaries Etc Current Year15291826SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8107436OtherExpensePriorYear
Other Expenses Current Year7891451OtherExpensesCurrentYear
Total Expenses Prior Year24606173TotalExpensesPriorYear
Total Expenses Current Year23183277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6178344RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7523099RevenuesLessExpensesCY
Total Assets BOY3818992TotalAssetsBOY
Total Assets EOY3076196TotalAssetsEOY
Total Liabilities BOY22316840TotalLiabilitiesBOY
Total Liabilities EOY9439771TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-18497848NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6363575NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION WAS ORGANIZED TO BE OPERATED, AND AT ALL TIMES SHALL BE OPERATED, TO SERVE AND PROMOTE THE PUBLIC HEALTH OF THE GENERAL POPULATION, IN CONJUNCTION WITH ATHENS REGIONAL MEDICAL CENTER, INC. AND ATHENS REGIONAL HEALTH SERVICES, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16170046Expense
Revenue13357436Revenue
DescriptionPRIMARY CARE PRACTICES: THE 29 PRIMARY CARE PHYSICIANS OF ATHENS REGIONAL PHYSICIAN SERVICES (ARPS) DELIVERED HEALTH CARE TO THE GENERAL PUBLIC BY PROVIDING SERVICES AND RESOURCES FOR 152,299 PATIENT VISITS FROM THE 17 COUNTY NORTHEAST GEORGIA AREA SERVED BY ATHENS REGIONAL IN 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4826588Expense
Revenue2031572Revenue
DescriptionSPECIALTY PHYSICIAN PRACTICES: THE 9 SPECIALIST PHYSICIANS OF ATHENS REGIONAL SPECIALTY SERVICES (ARSS) DELIVERED HEALTH CARE TO THE GENERAL PUBLIC BY PROVIDING SERVICES AND RESOURCES DURING THE COURSE OF 47,110 BILLABLE PATIENT ENCOUNTERS IN THE 17 COUNTY NORTHEAST GEORGIA AREA SERVED BY ATHENS REGIONAL IN 2010. DURING THE SAME PERIOD, ARSS PROVIDED OVER $42,604 IN LOW INCOME ASSISTANCE AND $314,829 IN UNCOMPENSATED CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense20996634TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees203NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
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 PersonG GRANT TRIBBLENamePerson
Telephone Number7064753458TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (13 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
TRUSTEE3.0X0113347149148
PHILIP A SHEFFIELD MD
TRUSTEE3.0X000
RICHARD B RUSSELL JR
TRUSTEE / CHAIR3.0X000X
G MICHAEL SMITH
TRUSTEE3.0X000
BOBBY HEATH
TRUSTEE3.0X000
ASA BOYNTON
TRUSTEE3.0X000
W LARRY WEBB
SECRETARY3.0062942036898X
MELANIE H SCOTT MD
PHYSICIAN40.0446925011596X
VANDANA SETIA MD
PHYSICIAN40.0444878026746X
RAJIV K SETIA MD
PHYSICIAN40.0428773036898X
JOEL P COOK MD
PHYSICIAN40.0405648037392X
HENRY G GARRARD MD
PHYSICIAN40.0368702037392X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2094926TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1762891TotalReportableCompFrmRltdOrgs
Total Other Compensation236070TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOCUMTENENS COM LLC
PO BOX 405547ATLANTAGA30384LOCUM PHYSI COVERAGE592130
GE MEDICAL SYSTEMS INC
PO BOX 277475ATLANTAGA30384SOFTWARE & SUPPORT237257
STAFF CARE INC
PO BOX 281923ATLANTAGA30384LOCUM PHYSI COVERAGE102813
WOMENS HEALTHCARE ASSOCIATES
1000 HAWTHORNE AVENUE SUITE GATHENSGA30660LOCUM PHYSI COVERAGE151375
ECLIPSYS CORPORATION
LOCK BOX 077133 PO BOX 8538-0133PHILADEPHIAPA19171SOFTWARE & SUPPORT388892
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions0AllOtherContributions
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIMARY CARE9000991346742713467427
SPECIALTY CARE90009921721342172134
FieldValueIRS element (for citing)
Total Program Service Revenue15639561TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8977TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,977ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3913Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3952Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-39Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-40TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$40ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MEDICAL RECORD FEE90009910246102460$0
NSF CLIENT CHARGES900099247024700$0
VENDING COMMISSION9000997637630$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-1799TotalRevenueColumn
Related Or Exempt Function Income-1799RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11680TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15660178TotalRevenueColumn
Related Or Exempt Function Income15651241RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,937ExclusionAmount

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)
Total0Total
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11922368Total
Program Services10953035ProgramServices
Management And General969333ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1282414Total
Program Services1090884ProgramServices
Management And General191530ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1431655Total
Program Services1217836ProgramServices
Management And General213819ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total655389Total
Program Services557506ProgramServices
Management And General97883ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total265821Total
Program Services112404ProgramServices
Management And General153417ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29651Total
Program Services23049ProgramServices
Management And General6602ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26026Total
Program Services0ProgramServices
Management And General26026ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1422940Total
Program Services1422401ProgramServices
Management And General539ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6304Total
Program Services3289ProgramServices
Management And General3015ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total237185Total
Program Services211936ProgramServices
Management And General25249ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total62803Total
Program Services0ProgramServices
Management And General62803ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1858140Total
Program Services1626272ProgramServices
Management And General231868ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total13536Total
Program Services7553ProgramServices
Management And General5983ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total89333Total
Program Services89333ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total316927Total
Program Services177074ProgramServices
Management And General139853ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total394630Total
Program Services394630ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DRUGS1577410157741000
EQUIP, RENT, MAINT & CONTRACTS549245495546536990
INTERCOMPANY TRANSFERS42400542400500
MEDICAL SUPPLIES28216328111510480
BAD DEBT25296825296800

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total82364Total
Program Services78388ProgramServices
Management And General3976ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23183277Total
Program Services20996634ProgramServices
Management And General2186643ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY479609BOY
EOY440122EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1949527BOY
EOY1394666EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY327077BOY
EOY287363EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3244964LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2311711LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1052296BOY
EOY933253EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10483BOY
EOY20792EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3818992BOY
EOY3076196EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2659467BOY
EOY2729141EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19657373BOY
EOY6710630EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22316840BOY
EOY9439771EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-18497848BOY
EOY-6363575EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-18497848BOY
EOY-6363575EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3818992BOY
EOY3076196EOY
FieldValueIRS element (for citing)
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
Written IRS DeterminationXWrittenIRSDetermination
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$23,183,278Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts23183278SumOfAmounts

Schedule D IRS990ScheduleD

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis564968OtherCostOrOtherBasis
Depreciation443150Depreciation
Book Value121818BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2679996OtherCostOrOtherBasis
Depreciation1868561Depreciation
Book Value811435BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings933253TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$6,710,630Amount
FieldValueIRS element (for citing)
Total Of Amounts6710630TotalOfAmounts
Total Revenue15660178TotalRevenue
Total Expenses23183277TotalExpenses
Excess Or Deficit For Year-7523099ExcessOrDeficitForYear
Excess Or Deficit Per FS-7523099ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15660178TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15660178RevenueSubtotal
Total Revenue Per Form99015660178TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23183277TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23183277ExpensesSubtotal
Total Expenses Per Form99023183277TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740-10 DISCLOSUREIdentifier
Return ReferenceASC 740-10 DISCLOSUREReturnReference
ExplanationON 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.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 (7 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
050962101829470440903073500417980118261900
MELANIE H SCOTT MD
446523000402000115960458521000
VANDANA SETIA MD
42220300022675073500193960471624000
RAJIV K SETIA MD
40632500022448073500295480465671000
JOEL P COOK MD
3993230006325073500300420443040000
HENRY G GARRARD MD
3656320003070073500300420406094000
W LARRY WEBB
03132060116834019938007350029548066631800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCONTINGENT COMPENSATIONIdentifier
Return ReferenceFORM 990, SCHEDULE J, PART 1, QUESTION 5 AND 6ReturnReference
ExplanationEXECUTIVE AND LEADERSHIP POSITIONS ARE ELIGIBLE TO PARTICIPATE 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 JCAHO ACCREDITATION OR A VIOLATION OF THE BOND COVENANTS. PHYSICIANS RECEIVE A BASE SALARY PLUS AN INCENTIVE WHICH IS CALCULATED AS A PERCENTAGE OF NET PRODUCTION. NET PRODUCTION IS BASED ON A PERCENTAGE OF COLLECTIONS ATTRIBUTABLE TO PROFESSIONAL SERVICES RENDERED BY THE PHYSICIAN. THE CALCULATION OF NET PRODUCTION IS SUBJECT ALWAYS TO COMPLIANCE WITH ALL APPLICABLE FEDERAL AND STATE LAWS.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 Transaction10140AmountOfTransaction
Description Of TransactionARMC PAID FOR SERVICES RENDDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MONITORING CONFLICTS OF INTERESTPART VI, SECTION B, LINE 12CATHENS REGIONAL PHYSICIAN SERVICES, INC. HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. ATHENS REGIONAL PHYSICIAN SERVICES, 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 PHYSICIAN SERVICES, INC.'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS ATHENS REGIONAL PHYSICIAN SERVICES, INC.'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. DECLARED CONFLICTS ARE REVIEWED WITH THE INDIVIDUAL. IT REMAINS THE DECLARERS RESPONSIBILITY TO NOTIFY OF A CONFLICT AS DISCUSSIONS ARISE AND TO RECUSE THEMSELVES DURING THE DECISION MAKING PROCESS.
DOCUMENT RETENTION AND DESTRUCTION POLICYPART VI, SECTION B, LINE 14ATHENS REGIONAL PHYSICIAN SERVICES, INC. HAS NOT ADOPTED A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, THE ORGANIZATION PLANS TO ADOPT A POLICY IN THE FUTURE.
DETERMINING COMPENSATIONPART VI, SECTION B, LINE 15THIS ENTITY DOES NOT DETERMINE COMPENSATION ON A STAND ALONE BASIS. ATHENS REGIONAL HEALTH SERVICES, INC.'S (ARHS) BOARD OF DIRECTORS HAS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. THE COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON OF ATHENS REGIONAL HEALTH SERVICES, INC. (ARHS), ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC), ATHENS REGIONAL PHYSICIAN SERVICES, INC. (ARPS), AND VICE-CHAIRPERSON OF ATHENS REGIONAL MEDICAL CENTER, INC. (ARMC). THE PRACTICES AND PROCESSES ARE DESIGNED TO AVOID ANY CLAIM FOR INTERMEDIATE SANCTIONS AND TO SATISFY THE REQUIREMENTS TO OBTAIN THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS OUTSIDE, INDEPENDENT DATA TO ESTABLISH THE COMPENSATION OF OUR OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS REVIEW AND SET FORTH THE COMPENSATION FOR THE SYSTEM CEO USING THE SAME PROCESS AS THE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AND UTILIZES AN INDEPENDENT CONSULTING FIRM, TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. THE COMPENSATION COMMITTEE MEETS WITH A REPRESENATIVE FROM THE CONSULTING FIRM AND THE HUMAN RESOURCES DEPARTMENT WHEN REVIEWING COMPENSATION FOR THE SENIOR LEADERSHIP GROUP ON A YEARLY BASIS. THE COMPANY PHILOSOPHY IS TO MATCH THE MARKET ON AVERAGE PAY, IDENTIFYING THE MEDIAN. TOTAL CASH COMPENSATION IS GENERALLY TARGETED BY TO BE AT THE MEDIAN OF ARHS'S PEERS.
GOVERNING DOCUMENTSPART VI, SECTION C, LINE 19ATHENS REGIONAL PHYSICIAN SERVICES, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
AUDITED FINANCIAL STATEMENTSPART IV, QUESTION 12AATHENS REGIONAL HEALTH SERVICES, INC.'S AND SUBSIDIARIES FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT.
NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONSFORM 990, PART VII, COLUMN BAVERAGE NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS: ALBERT L. STONE JR - 6 PHILIP A. SHEFFIELD MD - 9 JOHN A. DREW - 52 W. LARRY WEBB - 43
REVIEWING FORM 990PART VI, SECTION B, LINE 11THE COMPLETED 990 IS REVIEWED BY THE ATHENS REGIONAL HEALTH SERVICES, 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.
OVERSIGHT OF AUDIT, REVIEW, & COMPILATION OF FINANCIAL STATEMENTSPART XI, QUESTION 2CWHILE ATHENS REGIONAL PHYSICIAN SERVICES, INC. DOES NOT HAVE A SEPARATE COMMITTEE; THE ATHENS REGIONAL MEDICAL CENTER BOARD SELECTS THE FINANCE COMMITTEE, WHO THEN SELECTS THE EXTERNAL AUDITORS AND APPROVES THE ANNUAL AUDIT RESULTS.

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)7NA
HOSPITAL AUTHORITY OF CLARKE COUNTY GA
1199 PRINCE AVENUEATHENSGA30606586003375HOSPITALGA501(C)(3)7NA
ATHENS REGIONAL FOUNDATION INC
1199 PRINCE AVENUEATHENSGA30606581978389FUNDRAISINGGA501(C)(3)11NA
ATHENS REGIONAL HEALTH RESOURCES INC
1199 PRINCE AVENUEATHENSGA30606581930580HEALTHCAREGA501(C)(3)11NA
REGIONAL FIRSTCARE INC
1199 PRINCE AVENUEATHENSGA30606582362733MANAGEMENTGA501(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 OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg