2026-05-15T10:02:27+00:00 2025-06-30 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2024-07-01 581503902 Piedmont Healthcare Inc PIED 4044251303 271 17TH STREET SUITE 2500 ATLANTA GA 30363 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2026-05-15 true true AMANDA M COON P01754645 4042223000 2026-05-15 2024 2025-03-06 01:10:19Z X MR KEVIN BROWN 271 17TH STREET SUITE 2500 ATLANTA GA 30363 357187606 false X HTTPS://WWW.PIEDMONT.ORG X 1983 GA PIEDMONT HEALTHCARE, INC. ("PHC") IS ORGANIZED TO BENEFIT, MANAGE THE FUNCTIONS OF, AND CARRY OUT THE CHARITABLE PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS. 17 13 5813 13 0 209426 352944 265652743 132602971 82365015 185199576 9833768 38693223 358060952 356848714 622933 0 136156230 135529779 0 0 208144883 248342813 344301113 384495525 13759839 -27646811 4280175050 4817183708 1399901615 1398136895 2880273435 3419046813 PIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS. false false 333540254 622933 169441631 PIEDMONT HEALTHCARE, INC. ("PHC"), IS THE TAX-EXEMPT PARENT OF ITS PUBLICLY SUPPORTED SUBSIDIARIES (LISTED IN SCHEDULE R ATTACHED). PHC PROVIDES CENTRALIZED MANAGEMENT SERVICES TO ITS SUBSIDIARIES, INCLUDING ACCOUNTING, HUMAN RESOURCES, IT, FINANCIAL MANAGEMENT, AND ADVISORY SUPPORT. THESE CENTRALIZED SERVICES RESULT IN GREATER OPERATING EFFICIENCIES AND ALLOW ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES. 333540254 true true false true false false false false false false true false true true true true false true false true true false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true X 2056 0 true 5813 true false true CJ false false false false false false false true false true false X 17 13 false false false false false false false true true false false false true true true true true true true true false false GA X MARIE GAFFNEY 4702716007 271 17TH STREET SUITE 2500 ATLANTA GA 30363 MR KEVIN BROWN BOARD MEMBER & CEO, PHC 47.0 8.0 X X 4379324 0 49250 DR CRAIG WRIGHT BOARD MEMBER/VICE CHAIR 1.0 0 X 6697 0 0 DR DAVID SAILORS BOARD MEMBER 1.0 6.0 X 0 25908 0 DR FREDERICK WILLMS BOARD MEMBER 1.0 0 X 1600 0 0 DR MOIZ MASTER BOARD MEMBER 1.0 39.0 X 0 576771 44345 DR WILLIAM ROUNDTREE BOARD MEMBER 1.0 5.0 X 0 24340 0 MR GARY T JONES BOARD MEMBER 1.0 0 X 0 0 0 MR HUGH HAMILTON BOARD MEMBER 1.0 2.0 X 800 0 0 MR JAMES H HOPKINS BOARD MEMBER 1.0 0 X 0 0 0 MR JOHN SOMERHALDER II BOARD MEMBER 1.0 0 X 0 0 0 MR LEVI HILL IV BOARD MEMBER 1.0 2.0 X 0 0 0 MR MARTIN DAVIS BOARD MEMBER 1.0 0 X 0 0 0 MR SAMUEL BURNEY HAY III BOARD MEMBER 1.0 0 X 0 0 0 MR WARREN STEELE BOARD MEMBER 1.0 5.0 X 0 0 0 MS BONITA DOZIER BOARD MEMBER 1.0 0 X 0 0 0 MS CHERYL LEGETTE BOARD MEMBER 1.0 5.0 X 0 0 0 MS TERESA ROSENBOROUGH BOARD MEMBER 1.0 0 X 0 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 20.0 35.0 X 1471876 0 46787 MS ELIZABETH LEDDY CHIEF LEGAL OFF & SEC. 20.0 35.0 X 1334961 0 44325 DR CHARLES BROWN III PHYSICIAN 32.0 23.0 X 0 1319525 37381 DR LEIGH HAMBY PHC CMO 54.0 1.0 X 1421512 0 41280 MR CHRISTOPHER LLOYD PRESIDENT PIEDMONT CLINIC 54.0 1.0 X 0 1180083 31954 MR MICHAEL MANDL EXEC. VICE PRESIDENT 44.0 11.0 X 2235851 0 36308 MS MICHELLE FISHER PRES. PRIM CARE & RET SVCS 55.0 0.0 X 0 876053 49250 MR DOUWE BERGSMA CHIEF MARKETING OFFICER 54.0 1.0 X 750869 0 37401 MR GEOFFREY BROWN CHIEF INFORMATION OFFICER 55.0 0 X 1073873 0 35872 MR JOHN TILLMAN CHIEF REAL ESTATE OFFICER 55.0 0 X 779663 0 44217 MR JOSEPH COLONNA CHIEF SUPPLY CHAIN OFFICER 55.0 0 X 663179 0 49250 MR KELLY KERNER CHIEF PHILANTHROPY OFFICER 0.0 55.0 X 747476 0 41280 14867681 4002680 588900 1033 false true false AYA HEALTHCARE INC 5930 CORNERSTONE COURT W SUITE 300 SAN DIEGO CA 92121 HEALTHCARE STAFFING 131525490 BRASFIELD AND GORRIE LLC P O BOX 11407 BIRMINGHAM AL 352460351 Construction 86150757 JACKSON AND COKER LOCUMTENENS LLC 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 Healthcare Staffing 21312183 AVANT HEALTHCARE PROFESSIONALS LLC 1211 STATE RD 436 SUITE 227 CASSELBERRY FL 32707 Healthcare Staffing 15995101 AMSOL ANESTHETISTS OF GEORGIA LLC PO BOX 612154 DALLAS TX 752612154 Anesthesia Services 13772728 430 352944 352944 MANAGEMENT SERVICES TO AFFILIATES 561000 46934622 46934622 0 0 COST OF CAPITAL ALLOCATION 900099 85668349 85668349 0 0 0 0 0 0 132602971 185201749 0 0 185201749 9086373 0 0 0 9086373 0 9086373 9086373 0 0 0 336719 0 338892 0 -2173 -2173 0 0 -2173 OTHER OPERATING REVENUE 900099 27752287 27752287 0 0 RESEARCH REVENUE 900099 1854563 0 0 1854563 0 0 0 0 29606850 356848714 169441631 0 187054139 X 622933 622933 11007381 7154798 3852583 0 67108761 43620695 23488066 0 33190244 21573659 11616585 0 18135553 11788109 6347444 0 6087840 3957096 2130744 0 1755110 0 1755110 0 920759 0 920759 0 464016 0 464016 0 576545 576545 0 0 379964 0 379964 0 38678558 38678558 0 0 12716373 12716373 0 0 1256014 1256014 0 0 342501 342501 0 0 35972365 35972365 0 0 515098 515098 0 0 63208348 63208348 0 0 70198836 70198836 0 0 12839487 12839487 0 0 PHO ASSESSMENT 8489918 8489918 0 0 SUBSCRIPTIONS 28921 28921 0 0 0 0 0 0 384495525 333540254 50955271 0 2206320417 2780833047 52201181 -6846280 11014026 5359194 0 0 0 0 95816005 118221294 1008727612 536631687 385958977 472095925 0 184827746 304735112 739378 739378 1343297320 1142046038 4280175050 4817183708 353467345 356058545 43443156 42078350 0 0 1002991114 1000000000 1399901615 1398136895 X 2878134783 3416184809 2138652 2862004 2880273435 3419046813 4280175050 4817183708 X -27646811 90743011 -100350 475777528 X false true true false X X 21 PIEDMONT HOSPITAL INC 580566213 3 true 20672906 0 FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL 582322328 3 true 2781495 0 PIEDMONT MOUNTAINSIDE HOSPITAL INC 352228583 3 true 1176535 0 PIEDMONT NEWNAN HOSPITAL INC 205077249 3 true 6062111 0 PIEDMONT HEART INSTITUTE INC 263553500 7 true 217747 0 PIEDMONT HENRY HOSPITAL INC 582200195 3 true 5700172 0 PIEDMONT NEWTON HOSPITAL INC 582155150 3 true 1036446 0 PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC 582179986 3 false 12909155 0 PIEDMONT ROCKDALE HOSPITAL INC 300999841 3 false 1682455 0 PIEDMONT WALTON HOSPITAL INC 824194264 3 false 686442 0 THE MEDICAL CENTER INC 581685139 3 false 5144110 0 HUGHSTON HOSPITAL INC 331216751 3 false 1793838 0 PIEDMONT CARTERSVILLE HOSPITAL INC 870963633 3 false 3494128 0 PIEDMONT EASTSIDE HOSPITAL INC 870982886 3 false 4420181 0 PIEDMONT MACON HOSPITAL INC 871006981 3 false 1717110 0 PIEDMONT MACON NORTH HOSPITAL INC 871031034 3 false 822752 0 UNIVERSITY HEALTH SERVICES INC 581581103 3 false 10893493 0 UNIVERSITY MCDUFFIE COUNTY REG MED CTR 454166209 3 false 782822 0 UNIVERSITY HEALTH CARE FOUNDATION INC 581343550 7 false 0 0 UNIVERSITY EXTENDED CARE INC 581581105 3 false 0 0 AUGUSTA RESOURCE CENTER ON AGING INC 581728812 9 false 0 0 21 81993898 0 false false false false false false false false false false false false false false false true true false X true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name DURING FISCAL YEARS 2016 THROUGH 2018, PIEDMONT HEALTHCARE PURCHASED THE FOLLOWING ENTITIES: - PIEDMONT NEWTON HOSPITAL, INC. (EIN: 58-2155150, FKA NEWTON MEDICAL CENTER); - PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC. (EIN: 58-2179986, FKA ATHENS REGIONAL MEDICAL CENTER) AND ITS SUBSIDIARIES; - PIEDMONT WALTON HOSPITAL, INC. (EIN: 82-4194264, FKA CLEARVIEW REGIONAL MEDICAL CENTER); - PIEDMONT ROCKDALE HOSPITAL, INC. (EIN: 30-0999841, FKA ROCKDALE MEDICAL CENTER); - THE MEDICAL CENTER, INC. (EIN: 58-1685139) AND ITS SUBSIDIARIES, AND; - HUGHSTON HOSPITAL, INC. (EIN: 33-1216751) AND ITS SUBSIDIARIES. DURING FISCAL YEAR 2021, PIEDMONT HEALTHCARE CREATED FOUR NEW ENTITIES TO ULTIMATELY OPERATE 501(C)(3) HOSPITALS: - PIEDMONT CARTERSVILLE HOSPITAL, INC. (EIN: 87-0963633) - PIEDMONT EASTSIDE HOSPITAL, INC. (EIN: 87-0982886) - PIEDMONT MACON HOSPITAL, INC. (EIN: 87-1006981) - PIEDMONT MACON NORTH HOSPITAL, INC. (EIN: 87-1031034) DURING FISCAL YEAR 2022, PIEDMONT HEALTHCARE PURCHASED THE FOLLOWING ENTITIES: - UNIVERSITY HEALTH SERVICES, INC. (EIN: 58-1581103, DBA PIEDMONT AUGUSTA HOSPITAL) - UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER (EIN: 45-4166209) - UNIVERSITY HEALTH CARE FOUNDATION, INC. (EIN: 58-1343550) - UNIVERSITY EXTENDED CARE, INC. (EIN: 58-1581105) - AUGUSTA RESOURCE CENTER ON AGING, INC. (EIN: 58-1728812) WHILE THE AFOREMENTIONED ORGANIZATIONS ARE NOT EXPLICITLY NAMED AS SUPPORTED ORGANIZATIONS IN PHC'S GOVERNING DOCUMENTS, THEY ARE INCORPORATED INTO THE DOCUMENTS BY VIRTUE OF REFERENCE TO PHC'S EXEMPT PURPOSE OF SUPPORTING ITS TAX-EXEMPT SUBSIDIARIES. AS OF THEIR PURCHASE BY PHC, THE ENTITIES BECAME WHOLLY OWNED SUBSIDIARIES AND SUPPORTED ORGANIZATIONS OF PIEDMONT HEALTHCARE. Schedule A, Part IV, Section E, Line 3a Organization have the power to regularly appoint or elect a PURSUANT TO THE PROVISIONS OF ITS CHARTER AND BYLAWS, THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE APPOINTS ALL OF THE MEMBERS OF THE BOARDS OF DIRECTORS OF EACH OF ITS SUPPORTED SUBSIDIARY ENTITIES. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities THE POLICIES AND DECISIONS OF EACH OF PIEDMONT HEALTHCARE'S SUPPORTED SUBSIDIARY ENTITY BOARDS OF DIRECTORS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE SUBSIDIARY BOARDS OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS. THE PROGRAMS AND ACTIVITIES OF EACH OF PIEDMONT HEALTHCARE'S SUPPORTEDSUBSIDIARY ORGANIZATIONS, INCLUDING SERVICES OFFERED, ANNUAL OPERATING BUDGETS, AND APPOINTMENT AND COMPENSATION OF SENIOR EXECUTIVES, ARE DETERMINED BY OR SUBJECT TO THE REVIEW OF PIEDMONT HEALTHCARE'S EXECUTIVE LEADERSHIP AND BOARD OF DIRECTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 576545 false false 576545 false Schedule C, Part II-B, Line 1g LOBBYING ACTIVITIES HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS, AND PIEDMONT HEALTHCARE BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN SHAPING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE, AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES INCLUDING, WITHOUT LIMITATION, THOSE RELATED TO UNINSURED AND INDIGENT PATIENT NEEDS, AS WELL AS THE IMPORTANCE OF ASSURING THE DELIVERY OF COST-EFFICIENT, QUALITY HEALTH CARE. DURING FISCAL YEAR 2025, PIEDMONT HEALTHCARE ENGAGED A CONTRACT LOBBYIST TO, ALONG WITH PIEDMONT HEALTHCARE'S VICE PRESIDENT OF GOVERNMENT RELATIONS, REPRESENT THE INTERESTS OF THE ORGANIZATION AND ITS SUBSIDIARIES BEFORE FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS AND REGULATORS. LOBBYING EXPENSE REPORTED HEREIN INCLUDES A PORTION OF THE SALARY PROVIDED TO THE VICE PRESIDENT OF GOVERNMENT RELATIONS, AS WELL AS EXPENSES RELATED TO THE ACTIVITIES OF OUTSIDE LOBBYISTS. 0 5730327 5730327 0 32435626 18508310 13927316 0 145389044 30575714 114813330 0 683575218 487547663 196027555 0 141597397 0 141597397 472095925 FAYETTE COMMUNITY HOSPITAL 43679729 C PIED MOUNTAINSIDE HOSPITAL 43407781 C AMSTER-MCRAE INSURANCE COMPANY 120000 C CENTER FOR HEALTH & LEARNING 1425000 C COLUMBUS REG. HEALTH SYS 435820 C BUCKHEAD SURG. CTR. 2612157 C ENCOMPASS REHAB JV 191401624 C M&O ELLIJAY 5025000 C PLANT FUND OTHER 16628001 C 304735112 DUE FROM RELATED PARTIES 55052664 OTHER CURRENT ASSETS 88787227 INVEST ONCOLOGY PARTNERSHIP 12344960 UNAMORTIZED ISSUE COST 4230972 INVESTMENT - OTHER 981630215 1142046038 Federal Income Taxes TAXABLE BOND LIABILITY 1000000000 DUE TO RELATED PARTIES 0 1000000000 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2025 AND 2024. Central America and the Caribbean 0 0 Program Services INSURANCE PREMIUMS 52603537 Central America and the Caribbean 0 0 Investments 206381576 Europe (Including Iceland and Greenland) 0 0 Investments 957435 0 0 0 0 0 0 259942548 0 259942548 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true Healthcare scholarships and award disbursements 249 622933 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH PRIMARILY PROMOTE HEALTH CAUSES. THE GRANTS ARE ADMINISTERED AND MONITORED THROUGH THE ORGANIZATION'S PUBLIC RELATIONS DEPARTMENT. X X X true true X X X X false true false false false false false true false MR KEVIN BROWN BOARD MEMBER & CEO, PHC 2013423 0 1649709 0 716192 0 20700 0 28550 0 4428574 0 486102 0 DR MOIZ MASTER BOARD MEMBER 0 419056 0 137507 0 20208 0 20700 0 23645 0 621116 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 772322 0 459587 0 239967 0 20700 0 26087 0 1518663 0 117341 0 MS ELIZABETH LEDDY CHIEF LEGAL OFF & SEC. 677829 0 468450 0 188682 0 20700 0 23625 0 1379286 0 103525 0 DR CHARLES BROWN III PHYSICIAN 0 706326 0 392902 0 220297 0 20700 0 16681 0 1356906 0 107762 MS MICHELLE FISHER PRES. PRIM CARE & RET SVCS 0 497206 0 251953 0 126894 0 20700 0 28550 0 925303 0 71116 DR LEIGH HAMBY PHC CMO 740222 0 468682 0 212608 0 20700 0 20580 0 1462792 0 112484 0 MR CHRISTOPHER LLOYD PRESIDENT PIEDMONT CLINIC 0 653303 0 332120 0 194660 0 20700 0 11254 0 1212037 0 93744 MR MICHAEL MANDL EXEC. VICE PRESIDENT 1141562 0 784480 0 309809 0 19607 0 16701 0 2272159 0 173366 0 MR DOUWE BERGSMA CHIEF MARKETING OFFICER 458348 0 226381 0 66140 0 20700 0 16701 0 788270 0 0 0 MR GEOFFREY BROWN CHIEF INFORMATION OFFICER 580957 0 320832 0 172084 0 19191 0 16681 0 1109745 0 82719 0 MR JOSEPH COLONNA CHIEF SUPPLY CHAIN OFFICER 488358 0 147030 0 27791 0 20700 0 28550 0 712429 0 0 0 MR KELLY KERNER CHIEF PHILANTHROPY OFFICER 445940 0 246794 0 54742 0 20700 0 20580 0 788756 0 0 0 MR JOHN TILLMAN CHIEF REAL ESTATE OFFICER 469206 0 260108 0 50349 0 20592 0 23625 0 823880 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel THE FOLLOWING INDIVIDUAL WAS PERMITTED (PURSUANT TO THEIR CONTRACTS) TO FLY FIRST-CLASS DURING CALENDAR YEAR 2024. FIRST CLASS TRAVEL IS NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE. KEVIN BROWN Schedule J, Part I, Line 1a Travel for companions CERTAIN EXECUTIVES ARE PERMITTED TO TRAVEL WITH COMPANIONS WHEN IT IS APPROPRIATE FOR THE BUSINESS EVENT AND PURPOSE. TRAVEL FOR COMPANIONS IS REVIEWED ON A CASE BY CASE BASIS AND IS REIMBURSED BY THE EMPLOYEE, PAID ON BEHALF OF THE EMPLOYEE, OR TREATED AS TAXABLE INCOME, AS APPROPRIATE AND IN COMPLIANCE WITH COMPANY POLICY. Schedule J, Part I, Line 1a Discretionary spending account THE FOLLOWING EMPLOYEES RECEIVED DISCRETIONARY SPENDING ACCOUNTS IN FIXED AMOUNTS DETERMINED BY JOB LEVEL. THESE SPENDING ACCOUNTS WERE INCLUDED IN EACH EMPLOYEE'S TAXABLE WAGES: KEVIN BROWN $37,700 MICHAEL MANDL $12,000 THOMAS ARNOLD $12,000 LEIGH HAMBY $12,000 ELIZABETH LEDDY $12,000 CHARLES BROWN $12,000 CHRISTOPHER LLOYD $12,000 GEOFFREY BROWN $12,000 MICHELLE FISHER $12,000 JOHN TILLMAN $12,000 KELLY KERNER $12,000 DOUWE BERGSMA $12,000 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: KEVIN BROWN $486,102 MICHAEL MANDL $173,366 THOMAS ARNOLD $117,341 LEIGH HAMBY $112,484 ELIZABETH LEDDY $103,525 CHARLES BROWN $107,762 CHRISTOPHER LLOYD $93,744 GEOFFREY BROWN $82,719 MICHELLE FISHER $71,116 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: JOHN TILLMAN KELLY KERNER DOUWE BERGSMA Schedule J, Part I, Line 7 Non-fixed payments CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON FIXED PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. Form 990, Part V, Line 1a NUMBER OF FORMS 1099 FILED IN CALENDAR YEAR 2024, PIEDMONT HEALTHCARE, INC., FILED FORMS 1099 ON BEHALF OF ITSELF AND EACH OF ITS SUBSIDIARIES, PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS. Form 990, Part VI, Line 7b DECISIONS OF GOVERNING BODY ALL RESOLUTIONS ADOPTED AND ALL BUSINESS TRANSACTED BY PHC'S BOARD OF DIRECTORS REQUIRES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS PRESENT AT THE TIME OF VOTING, AS LONG AS A QUORUM (MAJORITY OF DIRECTORS CURRENTLY IN OFFICE) IS REPRESENTED AT THE MEETING. Form 990, Part VI, Line 11b Review of form 990 by governing body INFORMATION NEEDED TO PREPARE PIEDMONT HEALTHCARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY PHC'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE'S TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF PIEDMONT HEALTHCARE ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW-EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S SENIOR VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR EXECUTIVES OF PIEDMONT HEALTHCARE IS SET BY ITS BOARD OF DIRECTORS AND BY THE BOARD'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTOR'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS OF THE PHC BOARD OF DIRECTORS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE OVERSEES EXECUTIVE PERFORMANCE AND COMPENSATION ON BEHALF OF THE PHC BOARD, SUBJECT TO THE ULTIMATE AUTHORITY AND OVERSIGHT OF THE BOARD. THE COMMITTEE ALSO FORMULATES POLICIES AND MAKES DECISIONS IN ORDER TO ENSURE A HIGH LEVEL OF EXECUTIVE PERFORMANCE. THE COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE PHC BOARD AS SET OUT IN ITS CHARTER, AND THE COMMITTEE IS ALSO CHARGED WITH PROVIDING RECOMMENDATIONS AND PERIODIC REPORTS TO THE PHC BOARD REGARDING EXECUTIVE PERFORMANCE AND COMPENSATION. ALL DECISIONS AND COMPARABILITY DATA ARE DOCUMENTED IN THE COMMITTEE MEETING MINUTES. FUNCTIONS OF THE COMMITTEE: - ASSESS AND IMPLEMENT POLICIES REGARDING PERFORMANCE, COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AND OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE - SELECT AN EXECUTIVE COMPENSATION CONSULTANT WHO REPORTS TO THE COMMITTEE - ANNUALLY REVIEW THE PRESIDENT/CEO SUCCESSION PLAN - FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES FOR THE PRESIDENT/CEO, AND REVIEW AND APPROVE ANNUALLY RECOMMENDATIONS FROM THE PRESIDENT/CEO RELATING TO COMPENSATION, PERFORMANCE OBJECTIVES, AND SUCCESSION PLANS FOR EVP EXECUTIVES - ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE; IF NECESSARY, IMPLEMENTA CTION PLAN WITH PRESIDENT/CEO INPUT TO IMPROVE HIS/HER PERFORMANCE; ADJUST COMPENSATION AS APPROPRIATE; THE COMMITTEE CHAIR SHALL CONSULT WITH THE PHC GOVERNANCE COMMITTEE CHAIR AND THE PHC BOARD CHAIR AND SHALL COORDINATE THE ANNUAL PERFORMANCE REVIEW OF THE PHC PRESIDENT/CEO, UNLESS THE PHC BOARD CHAIR HAS A REAL OR PERCEIVED CONFLICT OF INTEREST, IN WHICH CASE THE COMMITTEE CHAIR SHALL DETERMINE THE PROPER REVIEW PROCESS - REVIEW AND APPROVE LONG TERM AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EVP COMPENSATION PROGRAMS AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT - PERIODICALLY REVIEW COMPENSATION, IF ANY, FOR THE PHC BOARD CHAIR AND ALL BOARD CHAIRS OF THE PHC SUBSIDIARIES - ESTABLISH OTHER POLICIES AND PROCEDURES, AND PERFORM OTHER TASKS, RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS - PERIODICALLY REPORT SIGNIFICANT DECISIONS AND ANY ADDITIONAL REQUESTED INFORMATION TO THE PHC BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE DISCLOSURE FOR FORM 990, PART VI, LINE 15A, ABOVE. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. Form 990, Part IX, Line 11g Other Fees GENERAL CONTRACT SERVICES - Total Expense: 24491941, Program Service Expense: 24491941, Management and General Expenses: 0, Fundraising Expenses: 0; PROFESSIONAL CONTRACT SERVICES - Total Expense: 91449, Program Service Expense: 91449, Management and General Expenses: 0, Fundraising Expenses: 0; ADMINISTRATIVE SERVICES - Total Expense: 1273351, Program Service Expense: 1273351, Management and General Expenses: 0, Fundraising Expenses: 0; COLLECTION FEES - Total Expense: 11334382, Program Service Expense: 11334382, Management and General Expenses: 0, Fundraising Expenses: 0; DOCUMENT STORAGE SERVICES - Total Expense: 177398, Program Service Expense: 177398, Management and General Expenses: 0, Fundraising Expenses: 0; OUTSIDE LAB SERVICES - Total Expense: 276639, Program Service Expense: 276639, Management and General Expenses: 0, Fundraising Expenses: 0; PRINTING SERVICES - Total Expense: 980834, Program Service Expense: 980834, Management and General Expenses: 0, Fundraising Expenses: 0; TRANSCRIPTIONS - Total Expense: 52564, Program Service Expense: 52564, Management and General Expenses: 0, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances BOOK/TAX DIFFERENCES - 1546379; CHANGE IN EQUITY - 178573; TRANSFER OF LIABILITIES - XXX-XX-XXXX; Total - XXX-XX-XXXX; Form 990, Part VII, Section B Independent Contractor Reporting IN CALENDAR YEAR 2024, PIEDMONT HEALTHCARE, INC., FILED FORMS 1099 ON BEHALF OF ITSELF AND EACH OF ITS SUBSIDIARIES, PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS. MACON HEALTHCARE LLC 2727 PACES FERRY RD STE 1100 ATLANTA GA 30339 HOLDING COMPANY DE 0 0 PHC 2360 Kennesaw Due West Road LLC 171 17th St Ste 2100 Atlanta GA 30363 Holding Company GA 0 0 PHC COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 HEALTHCARE GA 501(c)(3) Type III-FI phc false PIEDMONT HOSPITAL INC 1968 PEACHTREE ROAD NW ATLANTA GA 30309 580566213 HOSPITAL GA 501(c)(3) 3 PHC false FAYETTE COMMUNITY HOSPITAL INC 1255 HIGHWAY 54 WEST FAYETTEVILLE GA 30214 582232328 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MOUNTAINSIDE HOSPITAL INC 1266 HIGHWAY 515 SOUTH JASPER GA 30143 352228583 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT NEWNAN HOSPITAL INC 745 POPLAR ROAD NEWNAN GA 30265 205077249 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT HEALTHCARE FOUNDATION INC 271 17TH ST STE 900 ATLANTA GA 30363 581272768 FUNDRAISING GA 501(c)(3) Type I PHC false PIEDMONT HENRY HOSPITAL INC 1133 EAGLES LANDING PKWY STOCKBRIDGE GA 30281 582200195 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT NEWTON HOSPITAL INC 5126 HOSPITAL DRIVE NE COVINGTON GA 30014 582155150 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT ATHENS REGIONAL FOUNDATION INC 1199 PRINCE AVENUE ATHENS GA 30606 581978389 FUNDRAISING GA 501(c)(3) Type II PARMC false PIEDMONT ATHENS REGIONAL HEALTH RESOURCE 1199 PRINCE AVENUE ATHENS GA 30606 581930580 DEVELOPMENT GA 501(c)(3) Type II PARMC false PIEDMONT ATHENS REGIONAL MEDICAL CENTER 1199 PRINCE AVENUE ATHENS GA 30606 582179986 HOSPITAL GA 501(c)(3) 3 PHC false HUGHSTON HOSPITAL INC 707 CENTER STREET COLUMBUS GA 31901 331216751 HOSPITAL GA 501(c)(3) 3 CRHS false ATHENS REGIONAL PHYSICIAN SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 582332921 HEALTHCARE GA 501(c)(3) Type II PARMC false REGIONAL FIRSTCARE INC 1199 PRINCE AVENUE ATHENS GA 30606 582362733 URGENT CARE GA 501(c)(3) Type II PARMC false THE MEDICAL CENTER INC 707 CENTER STREET COLUMBUS GA 31901 581685139 HOSPITAL GA 501(c)(3) 3 CRHS false COLUMBUS AMBULATORY HEALTHCARE SERVICES 707 CENTER STREET COLUMBUS GA 31901 581719867 AMBULATORY GA 501(c)(3) 3 CRHS false COLUMBUS REGIONAL MEDICAL FOUNDATION INC 707 CENTER STREET COLUMBUS GA 31901 581501642 FUNDRAISING GA 501(c)(3) 7 CRHS false COLUMBUS REGIONAL HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS GA 31901 581719994 MANAGEMENT GA 501(c)(3) Type II PHC false PIEDMONT ROCKDALE HOSPITAL INC 1412 MILSTEAD AVE CONYERS GA 30012 300999841 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT WALTON HOSPITAL INC 2151 WEST SPRING ST MONROE GA 30655 824194264 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT CARTERSVILLE HOSPITAL INC 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE GA 30120 870963633 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT EASTSIDE HOSPITAL INC 1700 MEDICAL WAY SNELLVILLE GA 30078 870982886 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MACON HOSPITAL INC 350 HOSPITAL DR MACON GA 31217 871006981 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MACON NORTH HOSPITAL INC 400 CHARTER BLVD MACON GA 31210 871031034 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 581581103 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY MCDUFFIE COUNTY REG MED CTR 1350 WALTON WAY AUGUSTA GA 30901 454166209 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY HEALTH CARE FOUNDATION INC 2260 WRIGHTSBORO ROAD AUGUSTA GA 30904 581343550 FUNDRAISING GA 501(c)(3) 7 UHS false UNIVERSITY EXTENDED CARE INC 1350 WALTON WAY AUGUSTA GA 30901 581581105 HEALTHCARE GA 501(c)(3) 3 UHS false AUGUSTA RESOURCE CENTER ON AGING INC 1350 WALTON WAY AUGUSTA GA 30901 581728812 HEALTHCARE GA 501(c)(3) 10 PHC false ATHENS REGIONAL SPECIALTY SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 271975001 HEALTHCARE GA 501(c)(3) 3 PARMC false COLISEUM MEDICAL CENTER INC 350 HOSPITAL DR MACON GA 31217 621736983 HOSPITAL GA 501(c)(3) 3 PHC false MACON NORTHSIDE HOSPITAL INC 400 CHARTER BLVD MACON GA 31210 621736985 HOSPITAL GA 501(c)(3) 3 PHC false FIRST CALL PROFESSIONAL SOLUTIONS INC 271 17TH ST STE 2500 ATLANTA GA 30363 993505425 STAFFING GA 501(c)(3) Type I PHC false FIRST CALL STAFFING SOLUTIONS INC 271 17TH ST STE 2500 ATLANTA GA 30363 933887830 STAFFING GA 501(c)(3) Type I PHC false PIEDMONT HEART INSTITUTE INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 263553500 HEALTHCARE GA 501(c)(3) 10 PHC false GA SURG CTR PCHTREE 2061 PEACHTREE RD STE 100 atlanta GA 30309 582394271 SURGERY GA NA N/A false false ORTHOATLANTA SURGERY CENTER FAYETTEVILLE 900 CIRCLE 75 PKWY SE STE 1700 ATLANTA GA 30339 202961633 SURGERY GA NA N/A false false ATHENS ASC HOLDINGS LLC 2142 W BROAD ST BLDG 100 STE 100 ATHENS GA 30606 454014891 SURGERY GA NA N/A false false COLUMBUS DIAGNOSTIC IMAGING CTR 116 INTRACOASTAL POINTE DR 300 JUPITER FL 33477 262291768 IMAGING GA NA N/A false false THE SURGERY CENTER LLC 100 FIRST COURT COLUMBUS GA 31909 582520623 SURGERY GA NA N/A false false PIEDMONT ENCOMPASS REHABILITATION HOSPITALS 9001 LIBERTY PKWY BIRMINGHAM AL 35242 853544795 HEALTHCARE DE NA N/A false false PIEDMONT COMMUNITY IMAGING LLC 4890 Roswell Rd Ste 100 ATLANTA GA 30342 993155917 IMAGING GA NA N/A false false PIEDMONT MEDICAL CARE CORPORATION 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582092768 HEALTHCARE GA PHC C Corporation 1 true THE PIEDMONT CLINIC INC 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582005358 HEALTHCARE GA PHC C Corporation 1 true PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30339 260593850 HEALTHCARE GA PHC C Corporation 1 true AMSTER MCRAE INSURANCE COMPANY SPC PO BOX 1159 GRAND CAYMAN CJ KY11102 981734069 RELATED INSURANCE CJ PHC C Corporation -23218807 298866388 1 true COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 HEALTHCARE GA NA C Corporation false COLUMBUS HEALTH SERVICES INC PO BOX 790 COLUMBUS GA 31902 581640939 HEALTHCARE GA NA C Corporation false UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 HEALTHCARE GA NA C Corporation false UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC NA C Corporation false true false false true true false false false false false false false false false false true false false false PIEDMONT HOSPITAL INC P 8260493 ACTUAL FAYETTE COMMUNITY HOSPITAL INC P 2877092 ACTUAL PIEDMONT MEDICAL CARE CORPORATION A 2917195 ESTIMATE PIEDMONT HEART INSTITUTE PHYSICIANS A 474604 ACTUAL PIEDMONT HOSPITAL INC A 18253076 ESTIMATE PIEDMONT MOUNTAINSIDE HOSPITAL INC P 727487 ACTUAL PIEDMONT NEWNAN HOSPITAL INC P 1961867 ACTUAL PIEDMONT HENRY HOSPITAL INC P 2665887 ACTUAL PIEDMONT NEWTON HOSPITAL INC P 948079 ACTUAL PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC P 4928135 ACTUAL PIEDMONT ROCKDALE HOSPITAL INC P 1408039 ACTUAL PIEDMONT WALTON HOSPITAL INC P 610150 ACTUAL ATHENS REGIONAL PHYSICIAN SVCS INC P 248753 ACTUAL ATHENS REGIONAL SPECIALTY SVCS P 581989 ACTUAL PIEDMONT HEART INSTITUTE INC P 37548 ACTUAL HUGHSTON HOSPITAL P 736874 ACTUAL THE MEDICAL CENTER P 3388680 ACTUAL COLUMBUS AMBULATORY HEALTHCARE SERVICES P 375477 ACTUAL PIEDMONT CLINIC A 86970 ACTUAL PIEDMONT CARTERSVILLE HOSPITAL INC P 1262541 ACTUAL PIEDMONT EASTSIDE HOSPITAL INC P 1882078 ACTUAL PIEDMONT MACON HOSPITAL INC P 1666179 ACTUAL PIEDMONT MACON NORTH HOSPITAL INC P 403638 ACTUAL UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER INC P 173658 ACTUAL UNIVERSITY HEALTH SERVICES INC P 3510710 ACTUAL Schedule R, Part I LINE 1: DISREGARDED ENTITIES THE LIMITED LIABILITY COMPANIES LISTED IN SCHEDULE R, PART I, OPERATE AS DEPARTMENTS OF PIEDMONT HEALTHCARE AND ARE INCORPORATED INTO PIEDMONT HEALTHCARE'S BOOKS AND RECORDS. SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LIMITED LIABILITY COMPANIES AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.