PIEDMONT HEALTHCARE FOUNDATION INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT HEALTHCARE FOUNDATION INC (EIN 58-1272768)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202441359349307554
- 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 G
- Schedule J
- Schedule M
- 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 | 581272768 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIEDMONT HEALTHCARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARIE GAFFNEY | InCareOfNm |
| Business Name Control | PIED | BusinessNameControlTxt |
| Phone | 4044251303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 PEACHTREE ROAD NE SUITE 400 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30309 | 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 Kelly Kerner | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 HOWELL MILL RD STE 850 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30318 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,323,342 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.piedmont.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE PIEDMONT HEALTHCARE FOUNDATION GENERATES AND STEWARDS PIEDMONT HEALTHCARES PHILANTHROPIC SUPPORT TO TRANSFORM IT INTO VALUABLE GIFTS FOR ITS COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 26 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 23 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,925,224 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,517,165 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,549,937 | PYInvestmentIncomeAmt |
| CY Investment Income | $627,752 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,929 | PYOtherRevenueAmt |
| CY Other Revenue | -$4,801 | CYOtherRevenueAmt |
| PY Total Revenue | $27,556,090 | PYTotalRevenueAmt |
| CY Total Revenue | $11,140,116 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,315,856 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,509,396 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $463,428 | PYOtherExpensesAmt |
| CY Other Expenses | $662,722 | CYOtherExpensesAmt |
| PY Total Expenses | $1,779,284 | PYTotalExpensesAmt |
| CY Total Expenses | $2,172,118 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,776,806 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,967,998 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,225,157 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,617,850 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,308,496 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $877,960 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$52,083,339 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,739,890 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE PIEDMONT HEALTHCARE FOUNDATION PROVIDES THE VOLUNTEER LEADERSHIP THAT ASSURES PIEDMONT HEALTHCARE'S PHILANTHROPIC SUPPORT IS GENERATED, STEWARDED, AND TRANSFORMED INTO VALUABLE GIFTS FOR ITS COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,606,260 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROGRAM SERVICES: REALIZING THAT PIEDMONT HEALTHCARE RELIES UPON THE GENEROSITY AND VISION OF COMMUNITY-MINDED CITIZENS, THE PIEDMONT HEALTHCARE FOUNDATION ("PHF") PROVIDES THE VOLUNTEER LEADERSHIP THAT ASSURES PIEDMONT HEALTHCARE'S PHILANTHROPIC SUPPORT IS GENERATED, STEWARDED AND TRANSFORMED INTO VALUABLE GIFTS MEETING THE IMMEDIATE AND FUTURE HEALTHCARE NEEDS OF THE REGION. DURING FISCAL YEAR 2023, PHF PLAYED AN INTEGRAL ROLE IN THE GENERATION AND MANAGEMENT OF OVER $10.5 MILLION IN GRANTS AND CONTRIBUTIONS FOR ITSELF AND THE ORGANIZATIONS IT SUPPORTS. | Desc |
| Total Program Service Expenses | $1,606,260 | 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 | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 0 | EmployeeCnt |
| 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 26 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Ms Elizabeth Leddy | ||||||||
| SECRETARY/CLO PHC | 1.0 | 54.0 | Yes (X) | $0 | $1,389,485 | $138,711 | ||
| Mr Thomas Arnold | ||||||||
| TREASURER/CFO PHC | 1.0 | 54.0 | Yes (X) | $0 | $1,173,444 | $130,741 | ||
| Mr Sidney Kirschner | ||||||||
| CHIEF PHILANTHROPY OFFICER | 53.0 | 2.0 | Yes (X) | $0 | $1,191,069 | $109,586 | Yes (X) | |
| Dr Lily Henson | ||||||||
| Board Member | 1.0 | 54.0 | $0 | $642,491 | $92,972 | Yes (X) | ||
| Ms Vicki Kaiser | ||||||||
| Board Member | 1.0 | 54.0 | $0 | $290,538 | $38,632 | Yes (X) | ||
| Mr Michael McAnder | ||||||||
| FORMER TREASURER/CFO PHC | 0.0 | 0.0 | $0 | $150,106 | $0 | Yes (X) | ||
| Ms Lillie Axelrod | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Stephen Berman | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Ms Sarah Brown | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Charles W Cary | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Dr Mark Cohen | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Tony Conway | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Jeremy Ellis | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Thomas Lovell Fleetwood | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Thomas H Hawk | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Ms Mona Heyer | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Christopher Hohlstein | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Lee Katz | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Ms Jane Lanier | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Allen Meadors | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Mr Russell Richards | ||||||||
| Board Member/CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Ms Denise Smith | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Ms Vicki Turner | ||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MS LAUREN CASTELLUCCI | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MS ROBIN HENSLEY | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MR LUIS IZQUIERDO | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MS LYNETTE MATHIS | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MR CARTER POPE | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MS ALLISON POWELL | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,837,133 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $510,642 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $452,994 | FundraisingAmt |
| Related Organizations | $31,095 | RelatedOrganizationsAmt |
| Government Grants | $10,670 | GovernmentGrantsAmt |
| All Other Contributions | $10,022,406 | AllOtherContributionsAmt |
| Noncash Contributions | $212,035 | NoncashContributionsAmt |
| Total Contributions | $10,517,165 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $627,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $627,752 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $178,425 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $452,994 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $183,226 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,801 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,801 | ExclusionAmt |
| 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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,140,116 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $622,951 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
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 | $1,213,484 | TotalAmt |
| Program Services | $989,163 | ProgramServicesAmt |
| Management And General | $224,321 | 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 | $295,912 | TotalAmt |
| Program Services | $185,359 | ProgramServicesAmt |
| Management And General | $110,553 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,500 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $97,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,566 | TotalAmt |
| Program Services | $1,566 | ProgramServicesAmt |
| Management And General | $0 | 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 | $170,607 | TotalAmt |
| Program Services | $170,607 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,600 | TotalAmt |
| Program Services | $21,600 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,670 | TotalAmt |
| Program Services | $190,219 | ProgramServicesAmt |
| Management And General | $113,451 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,257 | TotalAmt |
| Program Services | $8,257 | ProgramServicesAmt |
| Management And General | $0 | 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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848 | TotalAmt |
| Program Services | $848 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROFESSIONAL DUES | $5,053 | $5,053 | $0 | $0 |
| ADMINISTRATIVE EXPENSES | $53,621 | $33,588 | $20,033 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,172,118 | TotalAmt |
| Program Services | $1,606,260 | ProgramServicesAmt |
| Management And General | $565,858 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $308,282 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $273,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,143 | BOYAmt |
| EOY | $34,295 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,629,886 | BOYAmt |
| EOY | $40,898,537 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,560,128 | BOYAmt |
| EOY | $685,018 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,225,157 | BOYAmt |
| EOY | $41,617,850 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,716 | BOYAmt |
| EOY | -$240 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,958,875 | BOYAmt |
| EOY | $873,747 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,953 | BOYAmt |
| EOY | $4,453 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $349,384 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,308,496 | BOYAmt |
| EOY | $877,960 | 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 | -$52,780,377 | BOYAmt |
| EOY | $40,102,997 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,038 | BOYAmt |
| EOY | $636,893 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$52,083,339 | BOYAmt |
| EOY | $40,739,890 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,225,157 | BOYAmt |
| EOY | $41,617,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,967,998 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,640,899 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $81,214,332 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 14 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (14 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PIEDMONT HOSPITAL INC | ||||
| 580566213 | 3 | Yes (true) | $7,686,158 | $0 |
| FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL INC | ||||
| 582322328 | 3 | Yes (true) | $193,629 | $0 |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | ||||
| 352228583 | 3 | Yes (true) | $71,205 | $0 |
| PIEDMONT NEWNAN HOSPITAL INC | ||||
| 205077249 | 3 | Yes (true) | $99,257 | $0 |
| PIEDMONT HENRY HOSPITAL INC | ||||
| 582200195 | 3 | Yes (true) | $78,705 | $0 |
| PIEDMONT HEART INSTITUTE INC | ||||
| 263553500 | 7 | Yes (true) | $566,745 | $0 |
| PIEDMONT NEWTON HOSPITAL INC | ||||
| 582155150 | 3 | Yes (true) | $62,095 | $0 |
| PIEDMONT WALTON HOSPITAL INC | ||||
| 824194264 | 3 | Yes (true) | $1,722 | $0 |
| PIEDMONT ROCKDALE HOSPITAL INC | ||||
| 300999841 | 3 | Yes (true) | $3,095 | $0 |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC | ||||
| 582179986 | 3 | Yes (true) | $11,500 | $0 |
| PIEDMONT CARTERSVILLE HOSPITAL INC | ||||
| 870963633 | 3 | Yes (true) | $7,590 | $0 |
| PIEDMONT EASTSIDE HOSPITAL INC | ||||
| 870982886 | 3 | Yes (true) | $81 | $0 |
| PIEDMONT MACON HOSPITAL INC | ||||
| 871006981 | 3 | Yes (true) | $100 | $0 |
| PIEDMONT MACON NORTH HOSPITAL INC | ||||
| 871031034 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 14 | SupportedOrganizationsTotalCnt |
| Support Sum | $8,781,882 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | false | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART I, LINE 11G, COLUMN (V): AMOUNT OF SUPPORT | DURING FISCAL YEAR 2023, IN ADDITION TO PROVIDING ITS SUPPORTED ORGANIZATIONS THE DIRECT SUPPORT LISTED IN SCHEDULE A, PART I, THE PIEDMONT HEALTHCARE FOUNDATION PLAYED AN INTEGRAL ROLE IN GENERATING AND MANAGING THE TOTAL GRANTS AND CONTRIBUTIONS LISTED BELOW FOR ITSELF, ITS PARENT COMPANY, AND ITS SUPPORTED AND RELATED ORGANIZATIONS: PIEDMONT HOSPITAL, INC. $7,686,158 FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL $193,629 PIEDMONT MOUNTAINSIDE HOSPITAL, INC. $71,205 PIEDMONT NEWNAN HOSPITAL, INC. $99,257 PIEDMONT HENRY HOSPITAL, INC. $78,705 PIEDMONT HEART INSTITUTE, INC. $566,745 PIEDMONT NEWTON HOSPITAL, INC. $62,095 PIEDMONT WALTON HOSPITAL, INC. $1,722 PIEDMONT ROCKDALE HOSPITAL, INC. $3,095 PIEDMONT ATHENS REGIONAL MEDICAL CENTER $11,500 PIEDMONT HEALTHCARE, INC. $952,403 PIEDMONT HEALTHCARE FOUNDATION, INC. $50,465 PIEDMONT CARTERSVILLE HOSPITAL $7,590 PIEDMONT COLUMBUS REGIONAL SYSTEM $100 PIEDMONT EASTSIDE MEDICAL $81 PIEDMONT MACON MEDICAL $100 PIEDMONT MACON NORTH $0 TOTAL $9,784,850 FURTHER, DURING FISCAL YEAR 2023, PIEDMONT HEALTHCARE FOUNDATION ALSO PROVIDED DIRECT SUPPORT TO ITS PARENT COMPANY, PIEDMONT HEALTHCARE, INC., IN THE AMOUNT OF $36,774. |
| SCHEDULE A, PART IV, SEC A, LINE 1: ORGS LISTED IN GOVERNING DOCUMENTS | THE SUPPORTED ORGANIZATIONS INCLUDED IN SCHEDULE A, PART I, ARE NOT INDIVIDUALLY LISTED BY NAME IN PIEDMONT HEALTHCARE FOUNDATION'S GOVERNING DOCUMENTS. HOWEVER, THE AMENDED BYLAWS OF THE ORGANIZATION STATE THAT THE FOUNDATION EXISTS "FOR THE BENEFIT OF PIEDMONT HEALTHCARE AND ITS SUBSIDIARY ORGANIZATIONS". EACH OF THE ORGANIZATIONS LISTED IN PART I IS A SUBSIDIARY OF PIEDMONT HEALTHCARE FOUNDATION'S PARENT, PIEDMONT HEALTHCARE, AND IS TAX-EXEMPT UNDER IRC SECTION 501(C)(3). AS SUCH, THE ENTITIES IN PART I ARE CORRECTLY TREATED AS ORGANIZATIONS SUPPORTED BY THE PIEDMONT HEALTHCARE FOUNDATION. |
| SCHEDULE A, PART IV, SECTION C, LINE 1: COMMON CONTROL OF ORGANIZATIONS | WHILE A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE PIEDMONT HEALTHCARE FOUNDATION ARE NOT ALSO DIRECTORS OR TRUSTEES OF ITS SUPPORTED ORGANIZATIONS, THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE FOUNDATION, AND THOSE OF THE ORGANIZATIONS IT SUPPORTS, ARE ALL APPOINTED BY THE ENTITIES' PARENT, PIEDMONT HEALTHCARE ("PHC"). PHC SELECTS FOR ITS SUBSIDIARIES' BOARDS THAT ARE REPRESENTATIVE OF THE COMMUNITY EACH INDIVIDUAL ENTITY SERVES, WHILE ALSO INCLUDING A MIX OF PHYSICIANS AND EXECUTIVES FROM THE OVERALL PIEDMONT HEALTHCARE SYSTEM. IN ADDITION, PIEDMONT HEALTHCARE AND EACH OF ITS SUBSIDIARY ENTITIES SHARE A COMMON SECRETARY (PHC'S CHIEF LEGAL OFFICER) AND TREASURER (PHC'S CHIEF FINANCIAL OFFICER). FURTHER, EACH OF PHC'S SUBSIDIARY ENTITIES' BOARD OF DIRECTORS MUST FILE ALL OF ITS DECISIONS WITH PHC'S BOARD OF DIRECTORS. WHILE THOSE DECISIONS ARE NOT SUBJECT TO RATIFICATION BY THE PHC BOARD, THEY MAY BE RESCINDED BY A MAJORITY VOTE OF THE PIEDMONT HEALTHCARE BOARD. AS SUCH, CONTROL OVER PIEDMONT HEALTHCARE FOUNDATION AND THE ORGANIZATIONS IT SUPPORTS IS VESTED IN THE SAME ORGANIZATION; THE ENTITIES' PARENT COMPANY, PIEDMONT HEALTHCARE. |
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 | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $273,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $273,987 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $34,295 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,295 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $0 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Newnan Soiree | Event1Nm |
| Gross Receipts Event1 | $153,125 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $115,025 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $38,100 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $50,467 | OtherDirectExpensesEvent1Amt |
| Event2 | Fayette Golf | Event2Nm |
| Gross Receipts Event2 | $121,945 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $89,545 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $32,400 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $26,917 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 9 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $346,349 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $238,424 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $107,925 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $105,842 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $621,419 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $442,994 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $178,425 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $183,226 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $183,226 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,801 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 Lily Henson | ||||||||||||||
| Board Member | $0 | $435,927 | $0 | $152,198 | $0 | $54,366 | $0 | $84,541 | $0 | $8,431 | $0 | $735,463 | $0 | $0 |
| Ms Vicki Kaiser | ||||||||||||||
| Board Member | $0 | $228,786 | $0 | $54,661 | $0 | $7,091 | $0 | $17,353 | $0 | $21,279 | $0 | $329,170 | $0 | $0 |
| Mr Sidney Kirschner | ||||||||||||||
| CHIEF PHILANTHROPY OFFICER | $0 | $534,771 | $0 | $336,351 | $0 | $319,947 | $0 | $96,606 | $0 | $12,980 | $0 | $1,300,655 | $0 | $78,306 |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR | THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT HEALTHCARE FOUNDATION IS SET AND PAID BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVES FOR FORM 990, PART VI, SECTION B, LINES 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: SIDNEY KIRSCHNER $ 78,306 THOMAS ARNOLD $ 96,797 ELIZABETH LEDDY $490,447 DR. LILY HENSON PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A CURRENT YEAR PAYMENT. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $211,235 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | OTHER MISCELLANEOUS CONTRIBUTIONS | Desc |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $800 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (true) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, LINE 32B: THIRD-PARTY ASSISTANCE WITH CONTRIBUTIONS | FormAndLineReferenceDesc |
| Explanation | PIEDMONT HEALTHCARE FOUNDATION ENGAGES SUNTRUST BANK TO ASSIST WITH THE MANAGEMENT AND SALE OF ITS NON-CASH STOCK GIFTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINES 5 & 15, PART VII AND PART IX, LINE 7 | EMPLOYEES AND SALARY EXPENSE PIEDMONT HEALTHCARE FOUNDATION, INC., DOES NOT DIRECTLY COMPENSATE ITS EMPLOYEES OR EXECUTIVES. RATHER, EMPLOYEES OF THE ORGANIZATION ARE COMPENSATED BY PHF'S PARENT, PIEDMONT HEALTHCARE, INC. THE ACTUAL SALARY EXPENSE ATTRIBUTED TO THE FOUNDATION'S EMPLOYEES IS THEN ALLOCATED TO PHF BY PIEDMONT HEALTHCARE AND IS REFLECTED HEREIN AS A FUNCTIONAL EXPENSE OF THE ORGANIZATION. |
| FORM 990, PART III, LINE 4A: DESCRIPTION OF PROGRAM SERVICES | DURING FISCAL YEAR 2023 THE PIEDMONT HEALTHCARE FOUNDATION, INC. PLAYED AN INTEGRAL ROLE IN GENERATING THE FOLLOWING GRANTS AND CONTRIBUTIONS FOR ITSELF, ITS PARENT COMPANY, AND THE ORGANIZATIONS IT SUPPORTS: PIEDMONT HOSPITAL, INC. $7,686,158 FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL $193,629 PIEDMONT MOUNTAINSIDE HOSPITAL, INC. $71,205 PIEDMONT NEWNAN HOSPITAL, INC. $99,257 PIEDMONT HENRY HOSPITAL, INC. $78,705 PIEDMONT HEART INSTITUTE, INC. $566,745 PIEDMONT NEWTON HOSPITAL, INC. $62,095 PIEDMONT WALTON HOSPITAL, INC. $1,722 PIEDMONT ROCKDALE HOSPITAL, INC. $3,095 PIEDMONT ATHENS REGIONAL MEDICAL CENTER $11,500 PIEDMONT HEALTHCARE, INC. $952,403 PIEDMONT HEALTHCARE FOUNDATION, INC. $50,465 PIEDMONT CARTERSVILLE HOSPITAL $7,590 PIEDMONT COLUMBUS REGIONAL SYSTEM $100 PIEDMONT EASTSIDE MEDICAL $81 PIEDMONT MACON MEDICAL $100 PIEDMONT MACON NORTH $0 TOTAL $9,784,850 |
| FORM 990, PART VI, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER | PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT HEALTHCARE FOUNDATION, INC. ("PHF"). |
| FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY | THE BOARD OF PIEDMONT HEALTHCARE, PIEDMONT HEALTHCARE FOUNDATION'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS OF GOVERNING BODY | PIEDMONT HEALTHCARE FOUNDATION'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 HEALTHCARE FOUNDATION 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 HEALTHCARE FOUNDATION'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PHF'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DEPARTMENT 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 HEALTHCARE FOUNDATION 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 HEALTHCARE FOUNDATION 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 BOARD CHAIR HAS A REAL OR PERCEIVED CONFLICT OF INTEREST, IN WHICH CASE THE COMMITTEE CHAIR SHALL DETERMINE THE PROPER REVIEW PROCESS - REVIEW AND APPROVE LONG-TERM AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EVP COMPENSATION PROGRAMS AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT - PERIODICALLY REVIEW COMPENSATION, IF ANY, FOR THE PHC BOARD CHAIR AND ALL BOARD CHAIRS OF THE PHC SUBSIDIARIES - ESTABLISH OTHER POLICIES AND PROCEDURES, AND PERFORM OTHER TASKS, RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS - PERIODICALLY REPORT SIGNIFICANT DECISIONS AND ANY ADDITIONAL REQUESTED INFORMATION TO THE PHC BOARD. |
| FORM 990, PART VI, 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: CHANGES IN NET ASSETS | CONTRIBUTIONS TO OTHER ENTITIES ($10,512,364) CHANGE IN TEMP. ($ 60,145) INTERCOMPANY TRANSFERS $91,786,841 --------------------------------------------------- TOTAL $81,214,332 |
Schedule R IRS990ScheduleR
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 |
| FAYETTE COMMUNITY HOSPITAL INC | ||||||||||
| 1255 HIGHWAY 54 WEST | FAYETTEVILLE | GA | 30214 | 582232328 | HOSPITAL | GA | 501(c)(3) | 3 | phc | false |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | ||||||||||
| 1266 HIGHWAY 515 SOUTH | JASPER | GA | 30143 | 352228583 | HOSPITAL | GA | 501(c)(3) | 3 | phc | false |
| PIEDMONT NEWNAN HOSPITAL INC | ||||||||||
| 745 POPLAR ROAD | NEWNAN | GA | 30265 | 205077249 | HOSPITAL | GA | 501(c)(3) | 3 | phc | false |
| COLUMBUS REGIONAL SENIOR LIVING INC | ||||||||||
| 707 CENTER STREET | COLUMBUS | GA | 31901 | 582628502 | HEALTHCARE | GA | 501(c)(3) | 12C, III-FI | 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 SURG CTR PCHTREE | |||||||||||||
| 2061 PEACHTREE RD STE 100 | ATLANTA | GA | 30309 | 582394271 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false |
| ORTHOATLANTA SURGERY CENTER 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 | Foreign PostalForeignAddress/ForeignPostalCd | 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 | CJ | KY 1-1102 | 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 | HOSPITAL | 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 | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| 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 |