FAYETTE COMMUNITY HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FAYETTE COMMUNITY HOSPITAL INC (EIN 58-2322328)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202401359349307600
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-14T12:59:26-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 PEACHTREE ST STE 2000 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582322328 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAYETTE COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARIE GAFFNEY | InCareOfNm |
| Business Name Control | FAYE | BusinessNameControlTxt |
| Phone | 7707197073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE GAFFNEY | PersonNm |
| Person Title | VP CORPORATE FINANCE | PersonTitleTxt |
| Phone | 4702716007 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARIE | PersonFirstNm |
| Person Last | GAFFNEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WHITNEY B HEBRON | PreparerPersonNm |
| PTIN | P01226647 | PTIN |
| Phone | 4042223000 | PhoneNum |
| Preparation | 2024-05-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MR STEPHEN PORTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $621,681,680 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PIEDMONTFAYETTE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2629 | TotalEmployeeCnt |
| Total Volunteers | 325 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,013,313 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,087 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $598,556,421 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $614,880,928 | CYProgramServiceRevenueAmt |
| PY Investment Income | $92,902 | PYInvestmentIncomeAmt |
| CY Investment Income | -$32,992 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,695,329 | PYOtherRevenueAmt |
| CY Other Revenue | $6,373,592 | CYOtherRevenueAmt |
| PY Total Revenue | $606,357,965 | PYTotalRevenueAmt |
| CY Total Revenue | $621,239,615 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,645 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,443 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $176,586,513 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,867,013 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $349,746,627 | PYOtherExpensesAmt |
| CY Other Expenses | $343,400,882 | CYOtherExpensesAmt |
| PY Total Expenses | $526,373,785 | PYTotalExpensesAmt |
| CY Total Expenses | $536,308,338 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $79,984,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $84,931,277 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $336,672,736 | TotalAssetsBOYAmt |
| Total Assets EOY | $297,009,423 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $154,576,261 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,986,820 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $182,096,475 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $209,022,603 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $498,908,120 | ExpenseAmt |
| Grant | $40,443 | GrantAmt |
| Revenue | $614,880,928 | RevenueAmt |
| Desc | PIEDMONT FAYETTE HOSPITAL ("PFH") IS A 310-BED FACILITY LOCATED IN FAYETTE COUNTY, GEORGIA. OVER 750 PRIMARY CARE AND SPECIALTY PHYSICIANS COMPRISE THE MEDICAL STAFF AND MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN FAYETTEVILLE AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL HAD 18,683 IN-PATIENT ADMISSIONS WITH A TOTAL OF 91,295 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 90,102 AND OUTPATIENT VISITS TOTALED 122,171. SURGICAL SERVICES WERE PROVIDED TO 13,508 PATIENTS. | Desc |
| Total Program Service Expenses | $498,908,120 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2629 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE GAFFNEY | PersonNm |
| Phone | 4702716007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2727 PACES FERRY RD BLDG 2 STE 70 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mr Michael Mandl | ||||||||||
| Board Member | 1.0 | 54.0 | Yes (X) | $0 | $1,580,598 | $196,054 | ||||
| Ms Elizabeth Leddy | ||||||||||
| Secretary/CLO PHC | 1.0 | 54.0 | $0 | $1,389,485 | $138,711 | Yes (X) | ||||
| Dr Patrick Battey MD | ||||||||||
| Board Member | 1.0 | 54.0 | Yes (X) | $0 | $1,295,924 | $148,096 | ||||
| Mr Thomas Arnold | ||||||||||
| TREASURER/CFO PHC | 1.0 | 54.0 | $0 | $1,173,444 | $130,741 | Yes (X) | ||||
| Mr Stephen D Porter | ||||||||||
| Board Member/Chair/CEO | 55.0 | 0.0 | Yes (X) | $763,523 | $0 | $115,746 | Yes (X) | |||
| Dr Angela Swayne MD | ||||||||||
| CMO | 55.0 | 0.0 | $503,384 | $0 | $14,921 | Yes (X) | ||||
| Mr Scott Wolfe | ||||||||||
| CFO | 55.0 | 0.0 | $482,612 | $0 | $32,034 | Yes (X) | ||||
| Mr David Nipper | ||||||||||
| COO | 55.0 | 0.0 | $374,283 | $0 | $39,253 | Yes (X) | ||||
| Mr Kevin Clark | ||||||||||
| COO (As of 4/23) | 55.0 | 0.0 | $0 | $312,951 | $31,109 | Yes (X) | ||||
| Ms Merry Heath | ||||||||||
| CNO | 55.0 | 0.0 | $292,365 | $0 | $25,626 | Yes (X) | ||||
| Ms Ruby Villafranca | ||||||||||
| Registered Nurse | 40.0 | 0.0 | $263,005 | $0 | $25,516 | Yes (X) | ||||
| Ms Rhonda Manos | ||||||||||
| Dir Pharmacy | 40.0 | 0.0 | $268,472 | $0 | $18,796 | Yes (X) | ||||
| Ms Regina Boston | ||||||||||
| Nursing Admin Supervisor | 40.0 | 0.0 | $249,876 | $0 | $25,398 | Yes (X) | ||||
| Mr Michael McAnder | ||||||||||
| FORMER TREASURER/CFO PHC | 0.0 | 0.0 | $0 | $150,106 | $0 | Yes (X) | ||||
| Dr Matthew Ralsten MD | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $11,100 | $0 | $0 | ||||
| Dr Mironda Williams MD | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $2,925 | $0 | ||||
| Dr Michael Behr MD | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Mark Gray | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Ms Janet Moon | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Matthew Ramsey | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Geetha Rao MD | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Robert Reeves | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr William Scott | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,208,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,905,433 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $942,001 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 229 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS LLC | |||||
| 1010 N 102ND STREET SUITE 300 | OMAHA | NE | 68114 | HEALTHCARE STAFFING | $30,877,185 |
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE CT W STE 300 | SAN DIEGO | CA | 92121 | HEALTHCARE STAFFING | $9,772,999 |
| POWER WELLNESS MANAGEMENT LLC | |||||
| 851 OAK CREEK DR | LOMBARD | IL | 60184 | MEDICAL FITNESS MGMT | $2,564,268 |
| NEOGENOMICS LABORATORIES INC | |||||
| 12701 COMMONWEALTH DR | FT MYERS | FL | 33913 | LABORATORY SERVICES | $974,129 |
| HEALTHCARE WORKFORCE LOGISTICS LLC | |||||
| 2655 NORTHWINDS PKWY | ALPHARETTA | GA | 30009 | HEALTHCARE STAFFING | $902,669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $18,087 | AllOtherContributionsAmt |
| Total Contributions | $18,087 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $611,765,081 | $611,765,081 | $0 | $0 |
| FITNESS CENTER REHAB | 621300 | $3,096,018 | $3,096,018 | $0 | $0 |
| OTHER OPERATING REVENUE | 900099 | $19,829 | $19,829 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $614,880,928 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,083 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,083 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,269,210 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $123,482 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,145,728 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,145,728 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,145,728 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $81,536 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $131,611 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$50,075 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$50,075 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$50,075 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $349,041 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $186,972 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,069 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $162,069 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722514 | $989,556 | $0 | $0 | $989,556 |
| VENDING SALES | 900099 | $76,239 | $0 | $0 | $76,239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,065,795 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $621,239,615 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $614,880,928 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,340,600 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,443 | TotalAmt |
| Program Services | $40,443 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,475,316 | TotalAmt |
| Program Services | $1,224,512 | ProgramServicesAmt |
| Management And General | $250,804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,837,776 | TotalAmt |
| Program Services | $127,685,354 | ProgramServicesAmt |
| Management And General | $26,152,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,720,676 | TotalAmt |
| Program Services | $23,008,160 | ProgramServicesAmt |
| Management And General | $4,712,516 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,833,245 | TotalAmt |
| Program Services | $8,161,594 | ProgramServicesAmt |
| Management And General | $1,671,651 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,790 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $20,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,954,763 | TotalAmt |
| Program Services | $57,954,763 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,464 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $930,464 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,953,631 | TotalAmt |
| Program Services | $23,772,371 | ProgramServicesAmt |
| Management And General | $181,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,136,446 | TotalAmt |
| Program Services | $6,708,259 | ProgramServicesAmt |
| Management And General | $428,187 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,341,321 | TotalAmt |
| Program Services | $8,007,668 | ProgramServicesAmt |
| Management And General | $333,653 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,637 | TotalAmt |
| Program Services | $30,354 | ProgramServicesAmt |
| Management And General | $16,283 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,680 | TotalAmt |
| Program Services | $32,617 | ProgramServicesAmt |
| Management And General | $6,063 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,055,218 | TotalAmt |
| Program Services | $5,873,561 | ProgramServicesAmt |
| Management And General | $181,657 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,630,550 | TotalAmt |
| Program Services | $13,630,550 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,699,667 | TotalAmt |
| Program Services | $13,817,687 | ProgramServicesAmt |
| Management And General | $881,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,542,499 | TotalAmt |
| Program Services | $4,269,949 | ProgramServicesAmt |
| Management And General | $272,550 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $95,022,067 | $95,022,067 | $0 | $0 |
| MEDICAL SUPPLIES | $82,788,467 | $82,788,467 | $0 | $0 |
| HOSPITAL TAX | $5,574,090 | $5,574,090 | $0 | $0 |
| MISCELLANEOUS | $22,665,592 | $21,305,654 | $1,359,938 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,308,338 | TotalAmt |
| Program Services | $498,908,120 | ProgramServicesAmt |
| Management And General | $37,400,218 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,405,909 | BOYAmt |
| EOY | $4,394,237 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,205 | BOYAmt |
| EOY | $56,270 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,529,056 | BOYAmt |
| EOY | $114,211,200 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,401,642 | BOYAmt |
| EOY | $7,577,411 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,961,732 | BOYAmt |
| EOY | $2,221,971 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $379,141,232 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $211,559,920 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,270,342 | BOYAmt |
| EOY | $167,581,312 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,850 | BOYAmt |
| EOY | $967,022 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,672,736 | BOYAmt |
| EOY | $297,009,423 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,476,509 | BOYAmt |
| EOY | $48,348,713 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,440,435 | BOYAmt |
| EOY | $32,460,989 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,659,317 | BOYAmt |
| EOY | $7,177,118 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,576,261 | BOYAmt |
| EOY | $87,986,820 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,336,039 | BOYAmt |
| EOY | $207,423,391 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,760,436 | BOYAmt |
| EOY | $1,599,212 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,096,475 | BOYAmt |
| EOY | $209,022,603 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,672,736 | BOYAmt |
| EOY | $297,009,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $84,931,277 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$58,005,149 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,449,265 | OtherCostOrOtherBasisAmt |
| Book Value | $9,449,265 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $173,245,167 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,102,083 | DepreciationAmt |
| Book Value | $98,143,084 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,824,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,073,638 | DepreciationAmt |
| Book Value | $751,222 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $164,322,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,384,199 | DepreciationAmt |
| Book Value | $31,938,002 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,299,739 | OtherCostOrOtherBasisAmt |
| Book Value | $27,299,739 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $167,581,312 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS LIABILITIES | Desc |
| Amt | $7,177,118 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,177,118 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) | FormAndLineReferenceDesc |
| Explanation | 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, 2023 AND 2022. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,979,824 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,979,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,240,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,023,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,217,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,328,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,194,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,133,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,548,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,218,165 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,330,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,563 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,145,594 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,145,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,910 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $302,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,509,567 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,509,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,058,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,218,165 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,840,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,985 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,985 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,010 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,010 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,995 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,995 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,365,639 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $78,838,822 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,465,489 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,373,333 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Fayette Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.piedmontfayette.com | WebsiteAddressTxt |
| State License | 056-550 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Fayette Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, LINE 5: COMMUNITY REPRESENTATION | AS A PART OF OUR PROCESS, WE INTERVIEWED NEARLY 245 STAKEHOLDERS, POLICY MAKERS AND LAWMAKERS REPRESENTING PUBLIC HEALTH, LOW-INCOME POPULATIONS, MINORITIES, CHRONIC CONDITIONS, OLDER ADULTS, AND OUR COMMUNITIES. THESE INCLUDED 13 STAKEHOLDERS WITHIN THE FAYETTE COMMUNITY, WHO GAVE THEIR PERSPECTIVES ON COMMUNITY HEALTH THROUGH THE LENS OF THEIR ROLE WITHIN THE COMMUNITY. THESE INTERVIEWS WERE CONDUCTED FOR PEOPLE REPRESENTING THE ENTIRE REGION. SPECIFICALLY, WE INTERVIEWED REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, THE PHILANTHROPIC COMMUNITY, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS AND INDIVIDUALS REPRESENTING OUR MOST VULNERABLE PATIENTS. THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS AND LEADERSHIP FROM ALL 19 HOSPITALS WERE ACTIVELY INFORMED AND ENGAGED THROUGHOUT THIS PROCESS. |
| SCHEDULE H, PART V, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT | https://www.piedmont.org/media/file/Community-Benefit-Needs-Assessment-PFH .pdf |
| SCHEDULE H, PART V, LINE 7D: PUBLIC AVAILABILITY OF CHNA | IN ADDITION TO MAKING ITS CHNA REPORTS AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT FAYETTE HOSPITAL SENT COPIES TO EACH PARTICIPANT IN THE CHNA PROCESS, DISTRIBUTED THE ASSESSMENTS TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT COPIES TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENTS TO OTHER PIEDMONT HEALTHCARE HOSPITALS. |
| SCHEDULE H, PART V, LINE 10A: IMPLEMENTATION STRATEGIES WEBSITE | THE BOARD OF DIRECTORS FOR PIEDMONT FAYETTE HOSPITAL APPROVED ITS IMPLEMENTATION STRATEGY FOR THE THREE-YEAR PERIOD BEGINNING WITH FY23 ON SEPTEMBER 14, 2022, WITHIN THE GRACE PERIOD FOLLOWING THE APPROVAL OF THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING LINK IS FOR THE IMPLEMENTATION STRATEGY EFFECTIVE THROUGH JUNE 30, 2025. https://www.piedmont.org/media/file/Community-Benefit-Implementation-Strat egy-PFH.pdf |
| SCHEDULE H, PART V, LINE 11: ADDRESSING COMMUNITY HEALTH NEEDS | PIEDMONT FAYETTE HOSPITAL CONDUCTED ITS FOURTH CHNA DURING FY22, AGAIN BY ASSESSING PUBLICLY AVAILABLE DATA, INTERVIEWING COMMUNITY MEMBERS AND STAKEHOLDERS, CONDUCTING FOCUS GROUPS OF VULNERABLE POPULATIONS, INTERVIEWING PIEDMONT BOARD MEMBERS, AND SURVEYING PIEDMONT EMPLOYEES. THROUGH THIS PROCESS, PIEDMONT FAYETTE HOSPITAL DETERMINED AND PRIORITIZED THE COMMUNITY HEALTH NEEDS IT WOULD ADDRESS BASED ON THE NUMBER OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED AFFECTED VULNERABLE POPULATIONS, AND THE AVAILABILITY OF COMMUNITY AND HOSPITAL RESOURCES NECESSARY TO ADDRESS THE ISSUE. ALL PRIORITIES ARE VIEWED THROUGH THE LENS OF HEALTH DISPARITIES, WITH PARTICULAR ATTENTION PAID TO IMPROVING OUTCOMES FOR THOSE MOST VULNERABLE DUE TO INCOME AND RACE. BASED ON THE CHNA, PIEDMONT FAYETTE HOSPITAL IS CURRENTLY FOCUSING ON: (1) ENSURING AFFORDABLE ACCESS TO HEALTH, MENTAL, AND DENTAL CARE (2) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, CANCER (3) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, HEART DISEASE (4) REDUCING PREVENTABLE INSTANCES OF DIABETES AND ICREASING ACCESS TO CARE FOR THOSE LIVING WITH THE DISEASE (5) REDUCING RATES OF OBESITY AND INCREASING ACCESS TO HEALTHY FOODS AND RECREATIONAL ACTIVITIES |
| SCHEDULE H, PART V, LINE 16: FINANCIAL ASSISTANCE POLICY WEBSITES | FINANCIAL ASSISTANCE POLICY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-POLICY.PDF FINANCIAL ASSISTANCE APPLICATION - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-APPLICATION.PDF FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SU MMARY-ENGLISH.PDF |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI, LINE 1: REQUIRED DESCRIPTIONS | SCHEDULE H, PART I, LINE 6A PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT We regularly report to the community our community benefit activities in several ways. Each year, we prepare a systemwide community benefit report that is available to the public through publication on our website. We also make available our IRS Form 990 Schedule H on our website and provide copies to anyone upon request. We also provide information on community benefit programming to local, state, and federal lawmakers through our government affairs office and online at piedmont.org. |
| SCHEDULE H, PART I, LINE 7(F) | PERCENT OF TOTAL EXPENSE THE DENOMINATOR USED FOR THE CALCULATION OF COLUMN (F), PERCENT OF TOTAL EXPENSE, WAS THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $536,308,338, LESS BAD DEBT EXPENSE OF $95,022,067 FROM FORM 990, PART IX, LINE 24(B). |
| SCHEDULE H, PART I, LINE 7 | FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST A RATIO OF PATIENT CARE COST TO CHARGES, CONSISTENT WITH WORKSHEET 2, WAS USED TO REPORT THE AMOUNTS IN PART I, LINES 7A-7D. FOR AMOUNTS ON LINES 7E-7K, ACTUAL EXPENSES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACED AND REPORTED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. |
| SCHEDULE H, PART III, LINES 2-4 | BAD DEBT EXPENSE CALCULATION AND FOOTNOTE The provision for bad debts is based upon leadership's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators. Periodically, leadership assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of the review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible receivables. THE AMOUNT REPORTED ON PART III, LINE 3, WAS DETERMINED BY TAKING THE AVERAGE ACCEPTANCE RATE FOR ALL CHARITY CARE APPLICATIONS RECEIVED DURING THE YEAR MULTIPLIED BY THE NUMBER OF DENIALS THAT WERE ATTRIBUTABLE TO INSUFFICIENT INFORMATION. THAT TOTAL WAS THEN ADJUSTED DOWNWARD FOR THE ORGANIZATION'S USE OF PRESUMPTIVE ELIGIBILITY WHEN DETERMINING ITS COMMUNITY BENEFITS. BAD DEBT EXPENSE FOOTNOTE FROM CONSOLIDATED, AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PFH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE SHORTFALLS AS COMMUNITY BENEFIT The amount reported on Part III, Line 6, was calculated in accordance with Schedule H instructions by utilizing our allowable Medicare cost as reported in the Medicare cost report, which is based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to provide quality healthcare for Medicare patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded from allowable cost in the Medicare Cost Report. We believe our Medicare shortfall reported on Part III, Line 7 of Schedule H, should be considered a community benefit as the IRS community benefit standard includes the provision of care to elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health insurance, such as Medicare, is an indication we operate to promote health in the community. Our policy is to treat Medicare patients, regardless of the extent to which Medicare pays for the treatment. For many services, Medicare's reimbursement is less than the cost of the care provided, resulting in shortfalls that are to be absorbed by us in honor of our commitment to treat elderly patients. Many of these patients live on a low, fixed income, and would qualify for financial assistance or other means-tested programs, absent from their enrollment in Medicare. |
| SCHEDULE H, PART III, LINE 9(B) | COLLECTION PRACTICES INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY FINANCIAL COUNSELORS IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. COUNSELORS CONTACT PATIENTS AND THEIR FAMILIES DIRECTLY, EITHER IN PERSON OR BY LETTER, TO ASSIST THE FAMILY IN IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM ("SCHIP"), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. |
| SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT | As a designated 501(c)(3) nonprofit hospital, we are required by the Internal Revenue System to conduct a triennial community health needs assessment (CHNA), in accordance with regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, we hope to better understand local health challenges, identify health trends in our community, determine gaps in the current health delivery system and craft a plan to address those gaps and the identified health needs. In FY22, we conducted our fourth triennial CHNA and FY23 was the first year for activities outlined in its subsequent Implementation Strategy. The CHNA was led by the Piedmont Healthcare community benefits team and consulting organization Public Goods Group, with input and direction from Piedmont leadership and Piedmont Healthcare's Department of External Affairs. Process The CHNA started with a definition of our community, which is our home county due to the impact of our tax-exempt status. Property taxes make up the largest segment of a hospital's tax exemption, which impacts county revenues. Because of this, we aim to ensure that we are providing ample benefit to our county and its residents. Additionally, we take into consideration patient origin, especially that of our lower-income patients such as those who qualify for financial assistance or receive insurance coverage through Medicaid. Our secondary communities are considered the areas in which we have the highest concentration of patients fitting that criterion, including ones from nearby communities. Once we established our primary and secondary communities, we then conducted an analysis of available public health data. This included resources from: US Census, US Health and Human Services' Community Health Status Indicators, US Department of Agriculture, Economic Research Service, National Center for Education Statistics, Kaiser Family Foundation's State Health Facts, American Heart Association, County Health Rankings and Georgia Online Analytical Statistical Information System (OASIS). All figures within the CHNA were for 2020, unless otherwise noted. Health indicators are estimates provided by County Health Rankings and hospital data were internally sourced. We then interviewed key stakeholders who have a particular expertise or knowledge of our communities. Specifically, we interviewed representatives of local and regional public health entities, minority populations, faith-based communities, local business owners, the philanthropic community, mental health agencies, elected officials and individuals representing our most vulnerable patients. An internal survey was also conducted throughout the healthcare system for both clinical and non-clinical employees. Information was gathered on knowledge and understanding of community benefit and current programs, as well as suggestions for how we can better serve our patients and communities. Approximately 1,053 employees spanning the system responded. Additionally, we conducted a community-based survey that was widely advertised to the community. Once both qualitative and quantitative data was gathered, we authored the preliminary report, which was then vetted and reviewed by hospital and health system leadership. In this report, we identified several key community health needs that emerged during the assessment process. The chosen priorities were recommended by the community benefit department with sign-off from hospital and board leadership. The following criteria were used to establish the priorities: - The number of persons affected; - The seriousness of the issue; - Whether the health need particularly affected persons living in poverty or reflected health disparities; and, - Availability of community and/or hospital resources to address the need. All priorities are viewed through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The priorities we chose reflected a collective agreement on what hospital leadership, staff and the community felt was most important and within our ability to positively impact the issue. Once priorities were approved by the board of directors, we then authored the CHNA and presented our findings and recommendations to the hospital's board of directors for their input and approval. Our priorities A key component of the CHNA is to identify the top health priorities we will address over fiscal years 2023, 2024, and 2025. These priorities will guide our community benefit work. They are, in no order: - Ensure affordable access to health, mental, and dental care - Reduce preventable instances of and deaths from cancer - Reduce preventable instances of and deaths from heart disease - Reduce preventable instances of diabetes and increase access to care for those living with the disease - Reduce rates of obesity and increase access to healthy foods and recreational activities With each priority, we work to achieve greater health equity by reducing the impact of poverty and other socioeconomic indicators. This means that health equity is built into each priority, which is demonstrated through our implementation strategies. Our subsequent implementation strategy was developed in partnership with hospital leadership and community stakeholders to address the identified priorities in our FY22 community health needs assessment. The implementation strategy was designed to be executed over a three-year period and included specific metrics by which we would be able to evaluate our work and its impact. The implementation strategy was developed by utilizing community feedback from the assessment in partnership with the system community benefits department, our leadership, and our board of directors. We included proven and successful interventions and programming, investing further in work we felt was successful in addressing unmet health needs. |
| SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY | We understand that not everyone can pay their hospital bill due to their insurance status or a limited income, and because of this, we offer financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices in patient bills, and posted notices in key areas of the hospital. These locations are the emergency room, admitting and registration departments, our business office, and patient financial services offices that are located on site. We also publish and widely publicize a plain language summary of this financial assistance care policy on our website, as well as the full policy. Referral of patients for financial assistance may be made by any staff or medical staff member at the hospital, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, we provide copies of our financial assistance policy to our partner clinics and others who work closely with low-income populations. We help our partners in understanding the policy, how it relates to their populations, and receive feedback in ways our financial assistance programming could be improved. |
| SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION | While Piedmont Fayette serves patients throughout Georgia, we consider our community to be Fayette County. We do this in recognition of the direct impact of our tax-exempt status on county residents. In Fayette County, an average of approximately 117,800 people lived in the 195-square-mile area each year from 2017 to 2021. The population density for this area, estimated at nearly 610 people per square mile, is more than the national average population density of 93 people per square mile. Fayette County is mostly urban, as 82 percent were living in an urban setting in 2020. The median age of people living within the county from 2017 to 2021 was 43, a little older than state and national averages. About 23 percent of the population were 17 or younger, 18 percent were over the age of 65, and the rest were between the ages of 18 and 64. Eleven percent of the population identified as being born outside of the US, and five percent did not possess US citizenship status. The Hispanic population within the community is growing and now represents approximately eight percent of the community. An average of about 12 percent of county residents were veterans each year from 2017 to 2021, with the highest concentration living in the ZIP code 30214 (Fayetteville). The majority were over the age of 65. About 11 percent of the county population lived with a disability, and most were over the age of 65. The community is growing, and about 12,600 people moved into Fayette County between 2010 and 2020, representing a 12 percent growth rate. With this growth comes increased diversity, as white populations decreased and those of all other races and ethnicities increased. Specifically, there was a six percent decrease in white populations, a 38 percent increase in Black or African American populations, a 55 percent increase in Asian populations, and a 40 percent increase in Hispanic or Latino populations. Between 2017 and 2021, the median household income was $96,084, which is significantly higher than the state and national median incomes of $65,030 and $69,021, respectively. When broken down by the four dominant races in the community, income disparities are evident. Of employers in the community, the largest sector by number of employees was retail trade, which employed about 8,500 people at an average wage of $25,828 in 2019. Health care and social assistance was the next largest sector, employing 8,300 people at an average wage of $54,790. Accommodation and food services was the third largest sector, employing nearly 6,800 people at an average wage of $22,552. According to the 2017-2021 American Community Survey, of the more than 94,200 working-age adults in the county, approximately 57,400 were part of the labor force, yielding a labor force participation rate of approximately 61 percent. Total unemployment in the county in July 2023 equaled about 1,800 people, or three percent of the civilian non-institutionalized population aged 16 and older. Low food access is defined as living more than one mile (urban) or 10 miles (rural) from the nearest supermarket, supercenter, or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. According to the 2019 Food Access Research Atlas database, 37 percent of the total population in the county have low food access, meaning about 39,100 county residents may struggle to access healthy foods. In 2020, the county had a food insecurity rate of about seven percent, meaning more than 7,300 people had been unsure how they would access adequate food at some point during the year. Unfortunately, many of these community members are ineligible for public assistance via SNAP, WIC (Special Supplemental Nutrition Program for Women, Infants and Children), free or reduced-cost school meals, the Commodity Supplemental Food Program (CSFP), or The Emergency Food Assistance Program (TEFAP). In 2020, of the 1,540 food-insecure children in the county, 24 percent were ineligible for public assistance programs. In 2021, nearly 78 percent of adults aged 18 or older saw a doctor for a routine check-up the previous year, a measure that is higher than both state and national averages. For Medicare recipients, this number jumps to 88 percent of adult beneficiaries, which is also above both state and national averages. Routine check-ups are a critical component to maintaining good health and identifying conditions that can be treated affordably in a community-based setting. Absent that, even simple-to-treat conditions can escalate to deeper issues, eventually requiring more intensive care, later stage diagnoses, or reduced life expectancy. Heart disease is the leading cause of death in Fayette County. Between 2016 and 2020, the age-adjusted death rate was 132 deaths for every 100,000 people, which is better than both state and national averages, and a number that has decreased steadily over the last 10 years. Broken down by ZIP code, we see higher death rates in both 30215 (Fayetteville) and 30238 (Jonesboro), which could indicate higher rates of poverty and uninsurance. We see similar trends with stroke deaths. Between 2016 and 2020, there were nearly 250 deaths due to stroke, resulting in an age-adjusted death rate of 34 deaths per every 100,000 people. This is better than the state and national rates of about 43 and 38 deaths, respectively. Like with heart disease, we see higher rates of stroke death in community members living in ZIP codes 30215 (Fayetteville) and 30238 (Jonesboro). The hospitalization rates for heart disease and stroke among Medicare recipients have been decreasing steadily over the past five years. On average each year from 2017 to 2019, there were approximately nine hospitalizations for cardiovascular disease for every 1,000 Medicare beneficiaries. This rate is lower than both the state and national averages, which were about 12 and 11 hospitalizations per 1,000 beneficiaries, respectively. Furthermore, the hospitalization rate for stroke is also lower than the state average, with eight hospitalizations per 1,000 Medicare beneficiaries, compared to the state average of nine. While heart disease remains the leading cause of death in the county, cancer remains a critical issue within the community. The cancer incidence rate for Fayette County averaged more than 464 cases per 100,000 people annually between 2016 and 2020, resulting in a total of 713 new cases. When broken down by cancer site, the breast cancer incidence rate stood at 145 diagnoses per 100,000 females, which was notably lower than both the state and national averages of 129 and 127, respectively. Additionally, other diagnosed cancer sites either fell below or were on par with state and national averages. In 2019, a total of about 8,150 adults aged 20 and older had diabetes, equaling approximately eight percent of the county's population. This rate is lower than the state average of 10 percent. Diabetes is a prevalent issue in the US, often linked to an unhealthy lifestyle, and it poses risks for various health problems. This figure has fluctuated over the last five years. In 2021, about three percent of the county's population had a diagnosis of kidney disease, a rate on par with state and national percentages. That same year, 34 percent of the county's total population of adults 18 and older reported having high cholesterol. Too much cholesterol puts one at risk for heart disease and stroke, two of the main causes of death within the county. High blood pressure can damage the arteries by making them less elastic, which decreases the flow of blood and oxygen to the heart and leads to heart disease. In 2021, 33 percent of adults 18 and older in Fayette County had a diagnosis of high blood pressure. |
| SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH | We actively promote the health of our community through clinic-hospital partnerships, community-based health screenings, educational activities, community-building activities, the operation of a 24-hour emergency department available to the entire community, the operation of an emergency room open to all members of the community without regard to ability to pay, a governance board composed of community members, use of surplus revenue for facilities improvement, patient care, and medical training, education, and research, the provision of inpatient hospital care for all persons in the community able to pay, including those covered by Medicare and Medicaid, and an open medical staff with privileges available to all qualifying physicians. In FY23, Piedmont Healthcare launched the Empowering You platform to connect community members and patients with resources to address social determinant of health issues. Powered by FindHelp.org, Piedmont clinicians and case managers can search and refer patients to supporting organizations. In FY23, we worked collaboratively and on an ongoing basis with community support groups to provide input on the importance of the mental health within our community. For the first year, as a source of action, the hospital began planning a team to support the National Association for Mental Illness (NAMI). The hospital planning committee worked in collaboration with a local judge and hospital board member to plan fundraising and awareness activities. In addition, Spiritual Care Services (SCS), a continued source for patients and families in the hospital and community to connect with mental health resources that meet their needs, provided short-term grief counseling, and helped connect people to support groups and counselors in the community. SCS extended beyond mental health needs. SCS also served as a resource to surrounding hospices through the provision of training and education regarding chaplain roles and services, as well as provided clinical pastoral education to chaplains upon request. SCS also continued to support nonprofit and support group efforts for families suffering the loss of a baby during pregnancy or shortly after birth. Aiding in the combating of such grief, SCS held once-a-month Zoom support sessions and an annual memorial service at the hospital for all families who lost a child. SCS held intermittent meetings for faith-based community leaders to learn about hospital initiatives and information to communicate with parishioners. Spiritual Care Services also had a presence in the community as a provider of advance directive documents and instruction, with an emphasis on the importance of these documents throughout a person's lifetime, and not just at an end-of-life stage. This work continued through the year, with the SCS office open to help with the completion of forms and steps for Medical Records inclusion. Piedmont Fayette engaged in many community partnerships in FY23. The hospital continued support of the American Red Cross through the donation of space for and participation recurring blood drives, resulting in 63 pints of donated blood. This support came at a cost of $36,000 to the hospital in FY23. In collaboration with other Piedmont hospitals, Piedmont Fayette donated funds for Rachel's Gift Angel Dash. Rachel's Gift provides bereavement services and care for families suffering infant loss. In partnership with Southern Crescent Habitat for Humanity, Piedmont Fayette donated funds for the project, and nine hospital directors and managers completed a day of service working on the build program for a family in Henry County. Piedmont Fayette worked to improve access to care for underserved communities in FY23. Continuing its success of last year, we held a series of Walk with a Doc events, providing monthly opportunities for any community member to walk and talk with Piedmont physicians to discuss health topics, screenings, and healthy lifestyle choices. Piedmont Fayette also provided health and wellness education and resources to the Hispanic community at the annual health fair at Holy Trinity Catholic Church. Reaching out to businesses employing primarily low-wage workers hospital employees participated in health fairs at City of Peachtree City, Fayette County Government, Coweta Fayette EMC and Rinnai Corporation, sharing information on stroke awareness, importance of health screenings, cardiology and diabetes education. We also provided health screenings, consultations, and information at Union City's Back 2 School Bash & Community Health Day. Finally, at a local church, a community relations representative presented the hospital's FY23 Community Health Needs Assessment and hospital priorities to address gaps in community healthcare to the members of North Fayette Community Association and the Rotary Club of Peachtree City. Piedmont Fayette prioritized women's health with diverse programs in FY23. We actively participated in a PTC Moms Health and Wellness Fair and a Hearthside Lafayette GO Red Day, offering resources for women's health and wellness in the local community. Transitioning to virtual platforms, we provided a ZOOM presentation regarding Women's GYN Cancer Awareness, led by Dr. Mitzie-Ann Davis. Piedmont Fayette sponsored the Joseph Sams School Dinner Dance, which brought awareness and educational support for disabled and differently abled children. More than 500 community members were served through this support. We conducted program sessions for Fayette Senior Services, addressing topics such as heart health, navigating medical bills and insurance, advanced directives, diabetes prevention and management, nutrition to prevent disease, orthopedic health, dementia, and fitness walks through Piedmont Wellness Center. This initiative not only provided valuable information but also fostered important socialization for isolated seniors, as Fayette Senior Services facilitated transportation for their attendance. Piedmont Fayette neurologist Dr. Evan Johnson educated members of Fayette Senior Services and SunCity Peachtree residents about Parkinson's disease and movement disorders. Other expert-led presentations included a program on women's issues and breast cancer awareness at multiple senior living facilities in the community, including The Oaks and Hearthside Lafayette, senior living facility. Piedmont Fayette also supported the Parkinson's Foundation Moving Day event, providing education, awareness, and resources for Parkinson's patients and their loved ones. The day was filled with movement, exercise, dance, and boxing. Cancer care and wellness were another primary focus of our community benefit work. Our Spiritual Care Services promoted Cancer Wellness to patients and faith-based community members in several ways. While providing Spiritual Care Services to cancer patients on units, staff members handed out Cancer Wellness information to emphasize all Cancer Wellness offerings and support services. Piedmont Fayette also held a significant number of community-facing cancer awareness events. In June, we sponsored the Harts of Teal 5K Color Run to bring awareness to the risks and signs of ovarian and other GYN cancers, serving 800 community members. The hospital hosted a Zoom-based event featuring hospital pulmonologist Dr. Arvind Ponnambalam, and attendees asked questions on lung cancer and signed up for screenings, if they qualified. This event was promoted heavily throughout the southside area. Dr. Mio Yanigisawa participated in a panel conversation to raise awareness about breast cancer risk factors and the importance of mammograms. Piedmont Fayette's Women's Imaging Department held its annual Ladies' Night event for Fayette County Government employees. This event allowed the employees to get their annual screening mammograms while enjoying a fun and supportive atmosphere. Piedmont Fayette's Oncology and Cancer Wellness team joined 26 other local organizations in volunteering with Clothes Less Traveled. They sorted donations and set the thrift shop up for success. Piedmont Healthcare launched the Empowering You platform to connect community members and patients with resources to address social determinant of health issues. Powered by FindHelp.org, Piedmont clinicians and case managers can search and refer patients to supporting organizations. We work collaboratively and on an ongoing basis with community support groups to give input on the importance of the mental health of our community, including youth and veteran groups. As a source of action, mental health facility partner Riverwoods Behavioral Health System receives referrals for mental health screenings, reporting more than 1,375 mental health screenings in FY23. Our director of case management serves as a member of the district 4 Department of Public Health Board, overseeing and providing guidance regarding mental health issues for the community. We are an ongoing partner and resource to Drug Free Fayette (DFF), a |
| SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM | We are part of Piedmont Healthcare, a regional not-for-profit organization and the parent company of 19 hospitals, the Piedmont Physicians Group, the Piedmont Heart Institute, the Piedmont Clinic and the Piedmont Healthcare Foundation. Our community relations team works directly with the community. Our community benefit department oversees the community benefit activities on behalf of all hospitals throughout the system, and this includes conducting the triennial CHNA and subsequent implementation strategy, ensuring the financial assistance policy is communicated to the community, maintaining the community benefit webpage, authoring the community benefit annual report, preparing board materials, developing and executing the community benefit grants program and compiling all community benefit figures. Each hospital and certain departments of Piedmont Healthcare execute community benefit programming, such as our revenue department, which oversees the financial assistance program. |
| SCHEDULE H, PART VI, LINE 7: STATE OF FILING OF COMMUNITY BENEFIT REPORT | We are not required to file a community benefit report; however, we are required to file with the Georgia Department of Community Health information on our indigent and charity care, as well as our Medicaid and Medicare shortfalls. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLOOM OUR YOUTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MARQUIS DR | AddressLine1Txt |
| City | FAYETTEVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 581740987 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $6,000 | CashGrantAmt |
| Purpose Of Grant | PROGRAM SERVICE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2: MONITORING THE USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | CORPORATE SPONSORSHIPS: MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH PRIMARILY PROMOTE HEALTH CARE CAUSES. THE GRANTS ARE ADMINISTERED AND MONITORED THROUGH THE ORGANIZATION'S PUBLIC RELATIONS DEPARTMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Patrick Battey MD | ||||||||||||||
| Board Member | $0 | $759,546 | $0 | $302,635 | $0 | $233,743 | $0 | $133,414 | $0 | $14,682 | $0 | $1,444,020 | $0 | $115,114 |
| Mr Michael Mandl | ||||||||||||||
| Board Member | $0 | $964,313 | $0 | $515,975 | $0 | $100,310 | $0 | $181,350 | $0 | $14,704 | $0 | $1,776,652 | $0 | $0 |
| Mr Stephen D Porter | ||||||||||||||
| Board Member/Chair/CEO | $482,082 | $0 | $168,409 | $0 | $113,032 | $0 | $93,953 | $0 | $21,793 | $0 | $879,269 | $0 | $0 | $0 |
| Mr Scott Wolfe | ||||||||||||||
| CFO | $359,549 | $0 | $78,514 | $0 | $44,549 | $0 | $18,300 | $0 | $13,734 | $0 | $514,646 | $0 | $0 | $0 |
| Mr David Nipper | ||||||||||||||
| COO | $296,115 | $0 | $71,403 | $0 | $6,765 | $0 | $18,300 | $0 | $20,953 | $0 | $413,536 | $0 | $0 | $0 |
| Ms Merry Heath | ||||||||||||||
| CNO | $233,034 | $0 | $50,902 | $0 | $8,429 | $0 | $16,245 | $0 | $9,381 | $0 | $317,991 | $0 | $0 | $0 |
| Dr Angela Swayne MD | ||||||||||||||
| CMO | $385,006 | $0 | $82,989 | $0 | $35,389 | $0 | $13,705 | $0 | $1,216 | $0 | $518,305 | $0 | $0 | $0 |
| Ms Rhonda Manos | ||||||||||||||
| Dir Pharmacy | $218,835 | $0 | $19,042 | $0 | $30,595 | $0 | $10,971 | $0 | $7,825 | $0 | $287,268 | $0 | $0 | $0 |
| Ms Ruby Villafranca | ||||||||||||||
| Registered Nurse | $86,372 | $0 | $180 | $0 | $176,453 | $0 | $12,405 | $0 | $13,111 | $0 | $288,521 | $0 | $0 | $0 |
| Ms Regina Boston | ||||||||||||||
| Nursing Admin Supervisor | $108,516 | $0 | $868 | $0 | $140,492 | $0 | $14,116 | $0 | $11,282 | $0 | $275,274 | $0 | $0 | $0 |
| Mr Michael McAnder | ||||||||||||||
| FORMER TREASURER/CFO PHC | $0 | $0 | $0 | $0 | $0 | $150,106 | $0 | $0 | $0 | $0 | $0 | $150,106 | $0 | $0 |
| Mr Thomas Arnold | ||||||||||||||
| TREASURER/CFO PHC | $0 | $640,918 | $0 | $356,487 | $0 | $176,039 | $0 | $115,097 | $0 | $15,644 | $0 | $1,304,185 | $0 | $96,797 |
| Ms Elizabeth Leddy | ||||||||||||||
| Secretary/CLO PHC | $0 | $547,780 | $0 | $295,524 | $0 | $546,181 | $0 | $117,950 | $0 | $20,761 | $0 | $1,528,196 | $0 | $490,447 |
| Mr Kevin Clark | ||||||||||||||
| COO (As of 4/23) | $0 | $257,732 | $0 | $31,601 | $0 | $23,618 | $0 | $10,086 | $0 | $21,023 | $0 | $344,060 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A: OTHER COMPENSATION ITEMS | ELIZABETH LEDDY, THOMAS ARNOLD, STEPHEN PORTER, DR. PATRICK BATTEY, AND MICHAEL MANDL RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $12,000, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. THIS SPENDING ACCOUNT WAS INCLUDED IN THEIR TAXABLE WAGES. |
| SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR | THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT FAYETTE HOSPITAL IS SET BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A & 15B FOR ADDITIONAL INFORMATION. |
| SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS | MICHAEL MCANDER RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022 IN THE AMOUNT OF $150,106. |
| SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION | THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: PATRICK BATTEY $115,114 THOMAS ARNOLD $ 96,797 ELIZABETH LEDDY $490,447 MICHAEL MANDL AND STEPHEN PORTER PARTICPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. |
| SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS | CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED BONUS PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Hospital Authority of Fayette County | ||||||||
| A | 582629223 | 31222TAT0 | 2019-11-07 | $31,380,000 | SEE PART VI | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| B | 582629223 | 31222TAS2 | 2016-11-16 | $47,580,000 | EMERG. DEPT. CONSTRUCTION & EQUIPM | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| C | 582629223 | 000000000 | 2014-11-19 | $30,640,000 | SEE PART VI | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| D | 582629223 | 31222TAL7 | 2014-11-19 | $11,420,000 | EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $35,812,739 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,895,000 | $0 | 2019 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $54,828,175 | $0 | $0 | $0 | $2,286 | $0 | $0 | $54,825,889 | $0 | $0 | 2016 | false | false | Yes (true) | Yes (true) |
| C | $4,985,000 | $0 | $30,640,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,640,000 | $0 | 2014 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $12,640,087 | $0 | $0 | $0 | $1,856 | $0 | $0 | $12,638,231 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.01000 | 0.01000 | false | false | false | Yes (true) | |
| B | false | Yes (true) | Yes (true) | false | 0.01000 | 0.01000 | Yes (true) | false | false | Yes (true) | Yes (true) |
| C | false | false | false | false | 0.01000 | 0.01000 | false | false | false | Yes (true) | |
| D | false | false | false | false | 0.01000 | 0.01000 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH K, PART I, COL F | BOND A - THIS BOND IS REFUNDING THE FAYETTE 2009A BOND ISSUED ON NOVEMBER 24, 2009. BOND C - THIS BOND IS REFUNDING THE FAYETTE 2009B BOND ISSUED ON NOVEMBER 24, 2009. |
| SCH K, PART II, LINE 3 | BOND B - TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT FROM SINKING FUND OF $325,888.90. BOND D - TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT FROM SINKING FUND OF $38,230.92. |
| SCH K, PART IV, LINE 2 | Bond B: The rebate calculation was last performed on 11/19/2019. No rebate due. BOND C: THE REBATE CALCULATION WAS LAST PERFORMED ON 11/19/2019. NO REBATE DUE. Bond D: The rebate calculation was last performed on 11/19/2019. No rebate due. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED | ALL CALENDAR YEAR 2022 FORMS 1099 WERE FILED ON BEHALF OF PIEDMONT FAYETTE HOSPITAL BY ITS SOLE MEMBER, PIEDMONT HEALTHCARE, INC. (EIN 58-1503902), 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, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER | PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT FAYETTE HOSPITAL ("PFH"). |
| FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY | THE BOARD OF PIEDMONT HEALTHCARE, PIEDMONT FAYETTE HOSPITAL'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT FAYETTE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS OF GOVERNING BODY | PIEDMONT FAYETTE HOSPITAL'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE PIEDMONT FAYETTE HOSPITAL BOARD 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. |
| FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS | INFORMATION NEEDED TO PREPARE PIEDMONT FAYETTE HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PFH'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DIRECTOR AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. |
| FORM 990, PART VI, SECTION B, 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 FAYETTE HOSPITAL 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 CHIEF COMPLIANCE OFFICER FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. |
| FORM 990, PART VI, SECTION B, LINE 15A, 15B: EXECUTIVE COMPENSATION | COMPENSATION FOR EXECUTIVES OF PIEDMONT FAYETTE HOSPITAL IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTOR'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE 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, IMPLEMENT ACTION 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 BOAR 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, SECTION C, LINE 19: DISCLOSURE OF DOCUMENTS | 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 XI, LINE 9: RECONCILIATION OF NET ASSETS | CONTRIBUTIONS ($ 18,087) CHANGES IN TEMP. ($ 161,223) INTERCOMPANY TRANS. ($50,992,308) UNALLOCATED EXPENSES ($ 6,921,486) CHANGES IN UNRESTR. FUND $ 87,955 ---------------------------------------------- TOTAL ($58,005,149) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:GENERAL CONTRACT SERVICES TOTAL FEES:39342305 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL CONTRACT SERVICES TOTAL FEES:16485463 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES TOTAL FEES:2126995 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| FAYETTE SURGERY CENTER LLC | ||||||||
| 1255 HIGHWAY 54 WEST | Fayetteville | GA | 30214 | Surgery | GA | $0 | $0 | PFH |
| PFH 1267 MOB LLC | ||||||||
| 1255 HIGHWAY 54 WEST | FAYETTEVILLE | GA | 30214 | LAND HOLDING | GA | $0 | $0 | PFH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PIEDMONT HEALTHCARE INC | ||||||||||
| 1800 HOWELL MILL RD STE 850 | ATLANTA | GA | 30318 | 581503902 | MANAGEMENT | GA | 501(c)(3) | 12C, III-FI | NA | false |
| PIEDMONT HOSPITAL Inc | ||||||||||
| 1968 PEACHTREE ROAD NW | ATLANTA | GA | 30309 | 580566213 | HOSPITAL | GA | 501(c)(3) | 3 | PHC | false |
| COLUMBUS REGIONAL SENIOR LIVING INC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | HEALTHCARE | GA | 501(c)(3) | 12C, III-FI | 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 | ||||||||||
| 2001 PEACHTREE ROAD NE SUITE 400 | ATLANTA | GA | 30309 | 581272768 | FUNDRAISING | GA | 501(c)(3) | 12B, II | 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) | 12B, II | PARMC | false |
| PIEDMONT ATHENS REGIONAL HEALTH RESOURCE | ||||||||||
| 1199 PRINCE AVENUE | athens | GA | 30606 | 581930580 | development | GA | 501(c)(3) | 12B, II | PARMC | false |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER | ||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582179986 | Hospital | GA | 501(c)(3) | 3 | PHC | false |
| ATHENS REGIONAL PHYSICIAN SERVICES INC | ||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582332921 | Healthcare | GA | 501(c)(3) | 12B, II | PARMC | false |
| ATHENS REGIONAL SPECIALTY SERVICES INC | ||||||||||
| 1199 PRINCE AVENUE | Athens | GA | 30606 | 271975001 | Healthcare | GA | 501(c)(3) | 3 | PARMC | false |
| REGIONAL FIRSTCARE INC | ||||||||||
| 1199 PRINCE AVENUE | Athens | GA | 30606 | 582362733 | Urgent Care | GA | 501(c)(3) | 12B, II | PARMC | false |
| THE MEDICAL CENTER INC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581685139 | HOSPITAL | GA | 501(C)(3) | 3 | CRHS | false |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719994 | MANAGEMENT | GA | 501(C)(3) | 12B, II | PHC | false |
| COLUMBUS REGIONAL MEDICAL FOUNDATIONINC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581501642 | FUNDRAISING | GA | 501(C)(3) | 7 | CRHS | false |
| HUGHSTON HOSPITAL INC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 331216751 | HOSPITAL | GA | 501(C)(3) | 3 | CRHS | 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 HEART INSTITUTE INC | ||||||||||
| 95 COLLIER ROAD NW STE 2045 | ATLANTA | GA | 30309 | 263553500 | healthcare | GA | 501(C)(3) | 10 | PHC | false |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 581719867 | AMBULATORY | GA | 501(C)(3) | 3 | CRHS | 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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GA SURGICAL CTR ON PEACHTREE | |||||||||||||
| 2061 PEACHTREE RD STE 100 | ATLANTA | GA | 30309 | 582394271 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
| ORTHOATLANTA SURGERY CTR OF FAYETTEVILLE | |||||||||||||
| 900 CIRCLE 75 PKWY SE STE 1700 | ATLANTA | GA | 30339 | 202961633 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
| ATHENS ASC HOLDINGS LLC | |||||||||||||
| 2142 W BROAD ST BLDG 100 STE 100 | ATHENS | GA | 30606 | 454014891 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
| COLUMBUS DIAGNOSTIC IMAGING CTR | |||||||||||||
| 116 INTRACOASTAL POINTE DR 300 | JUPITER | FL | 33477 | 262291768 | IMAGING | GA | NA | NONE | $0 | $0 | false | $0 | false |
| THE SURGERY CTR LLC | |||||||||||||
| 100 FIRST COURT | COLUMBUS | GA | 31909 | 582520623 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
| PIEDMONT ENCOMPASS REHAB HOSPITALS LLC | |||||||||||||
| 9001 LIBERTY PKWY | BIRMINGHAM | AL | 35242 | 853544795 | HEALTHCARE | DE | NA | NONE | $0 | $0 | false | $0 | false |
| COLISEUM SAME DAY SURGERY CTR LP | |||||||||||||
| 340 HOSPITAL DR | MACON | GA | 31217 | 621805346 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CARE CORPORATION | |||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 582092768 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| THE PIEDMONT CLINIC INC | |||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 582005358 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| PIEDMONT HEART INSTITUTE PHYSICIANS INC | |||||||||||||||
| 95 COLLIER ROAD NW STE 2045 | ATLANTA | GA | 30309 | 260593850 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| AMSTER MCRAE INSURANCE COMPANY SPC | |||||||||||||||
| 981734069 | Related Insur | NA | C-CORP | $0 | $0 | false | PO BOX 1159 | Grand Cayman KY | CJ | CJ | |||||
| COLUMBUS HEALTHCARE RESOURCES | |||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581717754 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| COLUMBUS HEALTH SERVICES INC | |||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581640939 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| UNIVERSITY HEALTH RESOURCES INC | |||||||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581601372 | HEALTHCARE | GA | NA | C-CORP | $0 | $0 | false | ||||
| UNIVERSITY HOSPITAL AIKEN INC | |||||||||||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 472713774 | HOSPTIAL | SC | NA | C-CORP | $0 | $0 | false | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART I, LINE 1: DISREGARDED ENTITIES | FormAndLineReferenceDesc |
| Explanation | THE LIMITED LIABILITY COMPANIES LISTED IN SCHEDULE R, PART I, OPERATE AS DEPARTMENTS OF FAYETTE COMMUNITY HOSPITAL AND ARE INCORPORATED INTO THE HOSPITAL'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. | ExplanationTxt |