2023-05-12T12:52:30-05:00 2022-06-30 KPMG LLP 500 W 5TH ST STE 800 WINSTON SALEM NC 27101 990 2021-07-01 581272768 PIEDMONT HEALTHCARE FOUNDATION INC % MARIE GAFFNEY PIED 4044251303 2001 PEACHTREE ROAD NE SUITE 400 Atlanta GA 30309 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2023-05-11 true MARIE GAFFNEY 999009999 SHAWN M HUTCHINSON P01048557 3362753394 2023-05-10 3 2021 2023-04-26 12:10:37Z Mr Sidney Kirschner 1800 HOWELL MILL RD STE 850 Atlanta GA 30318 27654936 false X www.piedmont.org X 1976 GA THE PIEDMONT HEALTHCARE FOUNDATION GENERATES AND STEWARDS PIEDMONT HEALTHCARES PHILANTHROPIC SUPPORT TO TRANSFORM IT INTO VALUABLE GIFTS FOR ITS COMMUNITIES. 38 34 0 34 0 0 43961678 23925224 0 0 2051226 3549937 14844 80929 46027748 27556090 0 0 0 0 1211444 1315856 0 0 0 213053 463428 1424497 1779284 44603251 25776806 42458559 39225157 62872975 91308496 -20414416 -52083339 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. false false 1304288 0 0 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 2022, PHF PLAYED AN INTEGRAL ROLE IN THE GENERATION AND MANAGEMENT OF OVER $23.9 MILLION IN GRANTS AND CONTRIBUTIONS FOR ITSELF AND THE ORGANIZATIONS IT SUPPORTS. 1304288 true true false false false false false false false false true false false false true true false true false false false false false false true false false false false true false false false false false false false false true false false false false true false false false true X 0 0 0 false false false false false true true false false false false false false X 38 34 false false false false true true true true true false false false true true true true true false false false GA X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 Mr Thomas Arnold TREASURER/CFO PHC 1.0 54.0 X 0 1131535 124798 Mr Sidney Kirschner CHIEF PHILANTHROPY OFFICER 53.0 2.0 X X 0 1121518 121022 Ms Elizabeth Leddy SECRETARY/CLO PHC 1.0 54.0 X 0 883982 140202 Mr Michael McAnder FORMER TREASURER/CFO PHC 0.0 0.0 X 0 972687 0 Dr Lily Henson Board Member 1.0 54.0 X 0 694405 92059 Dr Mark Cohen Board Member 1.0 54.0 X 0 380300 10551 Ms Vicki Kaiser Board Member 1.0 39.0 X 0 220434 29118 Ms Lillie Axelrod Board Member 1.0 0.0 X 0 0 0 Mr Stephen Berman Board Member 1.0 0.0 X 0 0 0 Ms Sarah Brown Board Member 1.0 0.0 X 0 0 0 Mr Charles W Cary Board Member 1.0 0.0 X 0 0 0 Ms Margaret Chambers Board Member 1.0 0.0 X 0 0 0 Mr Tony Conway Board Member 1.0 0.0 X 0 0 0 Mr Jeremy Ellis Board Member 1.0 0.0 X 0 0 0 Mr Alan Elsas Board Member 1.0 0.0 X 0 0 0 Mr John Ferguson Board Member 1.0 0.0 X 0 0 0 Mr Thomas Lovell Fleetwood Board Member 1.0 0.0 X 0 0 0 Mr Tom Harbin III Board Member 1.0 0.0 X 0 0 0 Mr Thomas H Hawk Board Member 1.0 0.0 X 0 0 0 Ms Emily Levy Heimermann Board Member 1.0 0.0 X 0 0 0 Ms Mona Heyer Board Member 1.0 0.0 X 0 0 0 Mr Christopher Hohlstein Board Member 1.0 0.0 X 0 0 0 Mr John Huntz Board Member 1.0 0.0 X 0 0 0 Mr Lee Katz Board Member 1.0 0.0 X 0 0 0 Ms Jane Lanier Board Member 1.0 0.0 X 0 0 0 Mr Samuel Lorenzo Board Member 1.0 0.0 X 0 0 0 Dr Harry McFarling III Board Member 1.0 0.0 X 0 0 0 Mr Allen Meadors Board Member 1.0 0.0 X 0 0 0 Mr Russell Richards Board Member/CHAIR 1.0 0.0 X X 0 0 0 Ms Sarah Scalia Board Member 1.0 0.0 X 0 0 0 Mr William B Shaheen BOARD MEMBER 1.0 0.0 X 0 0 0 Ms Denise Smith Board Member 1.0 0.0 X 0 0 0 Ms Vicki Turner Board Member 1.0 0.0 X 0 0 0 Mr Michael Wallace Board Member 1.0 0.0 X 0 0 0 Mr Mack Wilbourn Board Member 1.0 0.0 X 0 0 0 MS LAUREN CASTELLUCCI BOARD MEMBER 1.0 0.0 X 0 0 0 MS ROBIN HENSLEY BOARD MEMBER 1.0 0.0 X 0 0 0 MR LUIS IZQUIERDO BOARD MEMBER 1.0 0.0 X 0 0 0 MS LYNETTE MATHIS BOARD MEMBER 1.0 0.0 X 0 0 0 MR CARTER POPE BOARD MEMBER 1.0 0.0 X 0 0 0 MS ALLISON POWELL BOARD MEMBER 1.0 0.0 X 0 0 0 0 5404861 517750 0 true true false NONE 0 266923 31500 22682 23604119 610329 23925224 0 3549937 0 0 3549937 0 0 0 0 0 0 179775 266923 98846 80929 0 80929 0 0 0 0 0 0 0 27556090 0 0 3630866 0 0 0 0 0 0 1070347 846026 224321 0 245509 153787 91722 0 17286 17286 8420 8420 0 0 0 0 24160 24160 16644 16644 346564 217088 129476 0 0 0 95 95 0 0 0 0 7366 7366 0 PROFESSIONAL DUES 10262 10262 0 0 ADMINISTRATIVE EXPENSES 32631 20440 12191 0 1779284 1304288 474996 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 308282 273139 42509 35143 42416050 37629886 0 0 0 0 0 0 0 1560128 42458559 39225157 -21565 -2716 62892337 90958875 2203 2953 0 0 0 0 0 0 0 0 0 0 0 349384 62872975 91308496 X -21169950 -52780377 755534 697038 -20414416 -52083339 42458559 39225157 X 25776806 -8336100 -49109629 X false true X true false X X X 14 PIEDMONT HOSPITAL INC 580566213 3 true 21121763 0 FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL INC 582322328 3 true 146974 0 PIEDMONT MOUNTAINSIDE HOSPITAL INC 352228583 3 true 33841 0 PIEDMONT NEWNAN HOSPITAL INC 205077249 3 true 85207 0 PIEDMONT HENRY HOSPITAL INC 582200195 3 true 170348 0 PIEDMONT HEART INSTITUTE INC 263553500 7 true 710473 0 PIEDMONT NEWTON HOSPITAL INC 582155150 3 true 147240 0 PIEDMONT WALTON HOSPITAL INC 824194264 3 true 11766 0 PIEDMONT ROCKDALE HOSPITAL INC 300999841 3 true 106640 0 PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC 582179986 3 true 1056 0 PIEDMONT CARTERSVILLE HOSPITAL INC 870963633 3 true 1340 0 PIEDMONT EASTSIDE HOSPITAL INC 870982886 3 true 2700 0 PIEDMONT MACON HOSPITAL INC 871006981 3 true 610 0 PIEDMONT MACON NORTH HOSPITAL INC 871031034 3 true 107 0 14 22540065 0 false false false false false false false false false false false false false false false false false SCHEDULE A, PART I, LINE 11G, COLUMN (V): AMOUNT OF SUPPORT DURING FISCAL YEAR 2022, 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. $21,121,763 FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL $146,974 PIEDMONT MOUNTAINSIDE HOSPITAL, INC. $33,841 PIEDMONT NEWNAN HOSPITAL, INC. $85,207 PIEDMONT HENRY HOSPITAL, INC. $170,348 PIEDMONT HEART INSTITUTE, INC. $710,473 PIEDMONT NEWTON HOSPITAL, INC. $147,240 PIEDMONT WALTON HOSPITAL, INC. $11,766 PIEDMONT ROCKDALE HOSPITAL, INC. $106,640 PIEDMONT ATHENS REGIONAL MEDICAL CENTER $1,056 PIEDMONT HEALTHCARE, INC. $861,501 PIEDMONT HEALTHCARE FOUNDATION, INC. $63,299 PIEDMONT CARTERSVILLE HOSPITAL $1,340 PIEDMONT COLUMBUS REGIONAL SYSTEM $791 PIEDMONT EASTSIDE MEDICAL $2,700 PIEDMONT MACON MEDICAL $610 PIEDMONT MACON NORTH $107 TOTAL $23,465,656 FURTHER, DURING FISCAL YEAR 2022, PIEDMONT HEALTHCARE FOUNDATION ALSO PROVIDED DIRECT SUPPORT TO ITS PARENT COMPANY, PIEDMONT HEALTHCARE, INC., IN THE AMOUNT OF $28,164. 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 273987 273139 848 34295 0 34295 35143 0 DUE TO RELATED PARTIES 349384 349384 X SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) 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, 2022 AND 2021. HENRY GOLF TOUR 103490 72665 30825 30945 FAYETTE GOLF 90171 63921 26250 32120 4 253037 130337 122700 35781 446698 266923 179775 98846 98846 80929 true true false false false false false false false Dr Mark Cohen Board Member 0 268141 0 99959 0 12200 0 4040 0 6511 0 390851 0 0 Dr Lily Henson Board Member 0 422510 0 157661 0 114234 0 82276 0 9783 0 786464 0 0 Ms Vicki Kaiser Board Member 0 173830 0 30696 0 15908 0 9424 0 19694 0 249552 0 0 Mr Sidney Kirschner CHIEF PHILANTHROPY OFFICER 0 596359 0 345037 0 180122 0 108409 0 12613 0 1242540 0 91009 Mr Michael McAnder FORMER TREASURER/CFO PHC 0 0 0 0 0 972687 0 0 0 0 0 972687 0 0 Mr Thomas Arnold TREASURER/CFO PHC 0 589164 0 343028 0 199343 0 111150 0 13648 0 1256333 0 93750 Ms Elizabeth Leddy SECRETARY/CLO PHC 0 500109 0 317466 0 66407 0 122353 0 17849 0 1024184 0 0 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 2021 IN THE AMOUNT OF $972,687. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: THOMAS ARNOLD $93,750 SIDNEY KIRSCHNER $91,009 ELIZABETH LEDDY AND DR. LILY HENSON PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. X 5 594329 STOCK PRICE X SOUTHWEST E-PASSES 1 16000 FMV false true true SCHEDULE M, PART I, LINE 32B: THIRD-PARTY ASSISTANCE WITH CONTRIBUTIONS PIEDMONT HEALTHCARE FOUNDATION ENGAGES SUNTRUST BANK TO ASSIST WITH THE MANAGEMENT AND SALE OF ITS NON-CASH STOCK GIFTS. 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 2022 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. $21,121,763 FAYETTE COMMUNITY HOSPITAL DBA PIEDMONT FAYETTE HOSPITAL $146,974 PIEDMONT MOUNTAINSIDE HOSPITAL, INC. $33,841 PIEDMONT NEWNAN HOSPITAL, INC. $85,207 PIEDMONT HENRY HOSPITAL, INC. $170,348 PIEDMONT HEART INSTITUTE, INC. $710,473 PIEDMONT NEWTON HOSPITAL, INC. $147,240 PIEDMONT WALTON HOSPITAL, INC. $11,766 PIEDMONT ROCKDALE HOSPITAL, INC. $106,640 PIEDMONT ATHENS REGIONAL MEDICAL CENTER $1,056 PIEDMONT HEALTHCARE, INC. $861,501 PIEDMONT HEALTHCARE FOUNDATION, INC. $63,299 PIEDMONT CARTERSVILLE HOSPITAL $1,340 PIEDMONT COLUMBUS REGIONAL SYSTEM $791 PIEDMONT EASTSIDE MEDICAL $2,700 PIEDMONT MACON MEDICAL $610 PIEDMONT MACON NORTH $107 TOTAL $23,465,656 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 ($24,006,153) CHANGE IN TEMP. ($ 58,496) INTERCOMPANY TRANSFERS ($25,044,980) --------------------------------------------------- TOTAL ($49,109,629) 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 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