2025-05-15T15:26:03+00:00 2024-06-30 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2023-07-01 580566213 Piedmont Hospital Inc PIED 4044251303 1968 PEACHTREE ROAD NW ATLANTA GA 30309 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2025-05-15 true Whitney B Hebron P01226647 4042223000 2025-05-15 2023 2025-03-06 01:10:19Z DR PATRICK BATTEY 1968 PEACHTREE ROAD NW ATLANTA GA 30309 1686233304 false X WWW.PIEDMONTHOSPITAL.ORG X 1905 GA TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. 15 10 5330 575 4680277 257251 717709 690896 1454768637 1658796248 3741411 2211051 21437153 23644072 1480664910 1685342267 1299 0 0 382177440 429424348 0 0 973003710 1038610558 1355182449 1468034906 125482461 217307361 2228328456 2233352117 913897986 938737837 1314430470 1294614280 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. false false 1304506496 0 1660528553 PIEDMONT HOSPITAL ("PH") IS A 771-BED FACILITY THAT HAS BEEN SERVING THE CITY OF ATLANTA IN FULTON COUNTY, GEORGIA, FOR MORE THAN A CENTURY. OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN THE CITY AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL HAD 29,825 IN-PATIENT ADMISSIONS WITH A TOTAL OF 172,826 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 66,398 AND OUTPATIENT VISITS TOTALED 348,422. SURGICAL SERVICES WERE PROVIDED TO 26,654 PATIENTS. 1304506496 true true false false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false true true false false false true X 0 0 5330 true true true false false false false false false false false false true false X 15 10 false false false false true true true true true false false false true true true true true true true false GA X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 DR PATRICK BATTEY CEO & BOARD MEMBER 53.0 2.0 X X 1477293 0 34226 MS LILA HERTZ BOARD MEMBER/CHAIR 1.0 0 X X 0 0 0 DR ADAM NOWLAN BOARD MEMBER 1.0 0.0 X 0 13638 0 DR BRIAN THOMAS BOARD MEMBER 1.0 0 X 0 0 0 DR CHRISTINE ZURAWSKI BOARD MEMBER 1.0 0 X 0 0 0 DR JOHN DALTON BOARD MEMBER 1.0 0 X 0 0 0 DR RASHAD RICHEY BOARD MEMBER 1.0 0 X 0 0 0 DR ROBERT MILLER BOARD MEMBER 1.0 39.0 X 0 545983 37285 DR XAVIER DURALDE BOARD MEMBER 1.0 20.0 X 11613 28449 0 MR ANDY MCGHEE BOARD MEMBER 1.0 0 X 0 0 0 MR BERT LEVY BOARD MEMBER 1.0 0 X 0 0 0 MR BRETT SAMSKY BOARD MEMBER 1.0 0 X 0 0 0 MR KEVIN BROWN BOARD MEMBER & CEO, PHC 1.0 54.0 X 0 4033957 44832 MR WILLIAM SHAHEEN BOARD MEMBER 1.0 0 X 0 0 0 MS KATHIE MCCLURE BOARD MEMBER 1.0 0 X 0 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 1.0 54.0 X 0 1268098 39510 MS ELIZABETH LEDDY SECRETARY/CLO PHC 1.0 54.0 X 0 1164523 40350 MR JOSHUA ROBERTS COO 55.0 0 X 478849 0 29221 MS SHERYL KLINK CFO 55.0 0 X 633292 0 44832 MR ANDY JAFFAL CMO 40.0 0 X 678221 0 44832 MR JOSEPH SPRINKLE VP IMAGING SVCS SYSTEM 40.0 0 X 292292 0 24685 MS GABRIELLA WHEELER DIR. - TRANSPLANT IMMUNOLOGY 40.0 0 X 319945 0 40008 MS HARRIET WELLS MGR. - REGIONAL PHYSICS 40.0 0 X 314106 0 27808 MS KELLY HULSEY CNO (UNTIL 4/2023) 40.0 0 X 785118 0 21205 4990729 7054648 428794 689 false true false AYA HEALTHCARE INC 5930 CORNERSTONE COURT W SUITE 300 SAN DIEGO CA 92121 HEALTHCARE STAFFING 73763931 BRASFIELD AND GORRIE LLC PO BOX 11407 BIRMINGHAM AL 352460351 CONSTRUCTION 17696727 QUEST DIAGNOSTICS NICHOLS INSTITUTE INC 14225 NEWBROOK DR CHANTILLY VA 20151 LAB SERVICES 1939058 NEOGENOMICS LABORATORIES INC 9490 NEOGENOMICS WAY FORT MYERS FL 33912 LAB SERVICES 1636741 IDOC TELEHEALTH SOLUTIONS 2311 WEST MAIN STREET HOUSTON TX 77098 TELEHEALTH SERVICES 1319490 61 690896 690896 HEALTHCARE SERVICES 621110 1644594207 1644594207 0 0 LAB REVENUE 621500 5861762 3173573 2688189 0 PARKING REVENUE 900099 4723360 0 0 4723360 OTHER OPERATING REVENUE 900099 312077 312077 0 0 GEORGIA STRONG 900099 3304842 3304842 0 0 0 0 0 0 1658796248 3037411 0 1886519 1150892 18487804 0 16241 0 18471563 0 18471563 0 105569 18365994 0 48436 0 874796 0 -826360 -826360 0 0 -826360 CAFETERIA 722210 2490526 0 0 2490526 FITNESS CENTER 713940 949678 0 0 949678 RESEARCH 900099 826020 826020 0 0 906285 906285 0 0 5172509 1685342267 1653117004 4680277 26854090 X 2597753 2447343 150410 0 347545587 327422698 20122889 0 56601915 53324664 3277251 0 22679093 21365973 1313120 0 1697292 0 1697292 0 157419 0 157419 0 163158122 152913951 10244171 0 2840541 2130406 710135 0 59477856 59188212 289644 0 20577569 15433177 5144392 0 27704084 22963103 4740981 0 230120 205073 25047 0 26923456 0 26923456 0 32318747 0 32318747 0 69636238 52227178 17409060 0 9832391 0 9832391 0 MEDICAL SUPPLIES AND DRUGS 378193778 378193778 0 0 BAD DEBT EXPENSE 147425916 147425916 0 0 INTERCOMPANY ALLOCATION 62113545 37268127 24845418 0 GA PROVIDER FEE 16301595 16301595 0 0 20021889 15695302 4326587 0 1468034906 1304506496 163528410 0 32512286 33862067 7310795 4460179 306923509 226751024 0 0 0 0 29886462 33726534 6627279 7395285 1665387453 966343277 721628311 699044176 1078182531 1182836948 7494772 7104272 0 22105555 22054273 15656956 16117359 2228328456 2233352117 122006514 140131489 649945382 640330585 0 0 34886023 34322524 107060067 123953239 913897986 938737837 X 1254593927 1234486730 59836543 60127550 1314430470 1294614280 2228328456 2233352117 X 217307361 -896562 134687 -236361676 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1077347047 103942363 1099514 1180189896 991244442 87030371 927766 1077347047 1117321306 -125227846 849018 991244442 864862318 50000 253045578 636590 1117321306 836464684 50000 28946279 598645 864862318 1.0 0.0 0.0 true false 0 22830298 22830298 0 741548795 316461795 425087000 0 16360395 16261829 98566 0 755937721 603702850 152234871 0 128710244 29916803 98793441 699044176 INTEREST RATE SWAPS 4684503 OTHER DEFERRALS 119268736 123953239 X Schedule D, Part V, Line 4 Intended uses of endowment funds ASSETS LIMITED AS TO USE PRIMARILY INCLUDE ASSETS UNDER INDENTURE AGREEMENTS AND DESIGNATED ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL ACQUISITIONS. THE BOARD RETAINS CONTROL OF DESIGNATED ASSETS AND MAY AT ITS DISCRETION SUBSEQUENTLY USE THESE ASSETS FOR OTHER PURPOSES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2024 AND 2023. true true X true X 300 true X true true false true true 18668519 0 18668519 0.0141 36822156 21325585 15496571 0.0117 36087879 20247492 15840387 0.0120 0 0 91578554 41573077 50005477 0.0379 691153 0 691153 0.0005 7013594 0 7013594 0.0053 1138052 0 1138052 0.0009 1511157 0 1511157 0.0011 602530 0 602530 0.0005 0 0 10956486 0 10956486 0.0083 0 0 102535040 41573077 60961963 0.0462 0 0.0 0 0.0 46992 0 46992 0.0000 0 0.0 0 0.0 0 0.0 2352 0 2352 0.0000 13270 0 13270 0.0000 0 0.0 0 0 62614 0 62614 0.0000 true 7355544 233312101 266076010 -32763909 X true true PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PIEDMONT LLC ORTHOPEDIC SURGERY 0.0015 0.0085 DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER LLC ENDO/GI SURGERY 0.0015 0.0085 1 1 PIEDMONT HOSPITAL INC 1968 PEACHTREE ROAD NW ATLANTA GA 30309 WWW.PIEDMONTHOSPITAL.ORG 060-139 X X X PIEDMONT HOSPITAL INC 1 false false true X X X X X X X X 21 true false false true X https://www.piedmont.org/media/file/2022-11-PAH-Community-Health-Needs-Assessment.pdf X X true 22 true THE BOARD OF DIRECTORS FOR PIEDMONT HOSPITAL APPROVED ITS IMPLEMENTATION STRATEGY FOR THE THREE-YEAR false true X 300.0 300.0 X X true true X X X X true X https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Policy-English.pdf X https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Application-English.pdf X www.piedmont.org/media/file/2020-10-PHC-Financial-Assistance-Plain-Language-Summary-English.pdf X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - PIEDMONT HOSPITAL, INC.. 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 17 STAKEHOLDERS WITHIN THE PIEDMONT ATLANTA 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, Section B, Line 7 Facility , 1 Facility , 1 - PIEDMONT HOSPITAL, INC.. IN ADDITION TO MAKING ITS CHNA AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT 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, Section B, Line 11 Facility , 1 Facility , 1 - PIEDMONT HOSPITAL, INC.. PIEDMONT 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 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 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) PROMOTING HEALTH BEHAVIORS TO REDUCE PREVENTABLE CONDITIONS, DISEASES, AND ADDICTION (4) REDUCING PREVENTABLE INSTANCES OF, AND DEATHS FROM, HEART DISEASE 0 Schedule H, Part I, Line 6a PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT Piedmont regularly reports its community benefit activities to the community in several ways. Each year, Piedmont prepares a systemwide community benefit report that is available to the public through publication on its website. Piedmont also makes its IRS Form 990 Schedule H available on its website and provides copies to anyone upon request. Piedmont also provides information on community benefit programming to local, state, and federal lawmakers through its government affairs office and online at piedmont.org. Schedule H, Part I, Line 7f 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 $1,468,034,906, LESS BAD DEBT EXPENSE OF $147,425,916 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. Hospital and system leadership periodically assesses the adequacy of the allowance for doubtful accounts based on historical write-off experience by payor category. The review results are then used to modify 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 leadership's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Hospital and system leadership periodically assesses the adequacy of the allowance for doubtful accounts based on historical write-off experience by payor category. The review results are then used to modify the provision for bad debts to establish an appropriate allowance for uncollectible receivables. PIEDMONT HOSPITAL 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 in Part III, Line 6, was calculated following Schedule H instructions by utilizing allowable Medicare costs as reported in the Medicare cost report, which Piedmont bases 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 providing quality healthcare for Medicare patients. For example, specific coverage fees to physicians, Medicare C and D costs, and other similar direct patient care expenses are expressly excluded from allowable costs in the Medicare Cost Report. Piedmont believes its Medicare shortfall reported in Part III, Line 7 of Schedule H, should be considered a community benefit as the IRS community benefit standard includes providing 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, are an indication the hospital operates to promote health in the community. Piedmont's policy is to treat Medicare patients regardless of how much Medicare pays for the treatment. For many services, Medicare's reimbursement is less than the cost of the care provided, resulting in shortfalls the hospital will absorb in honor of its commitment to treating 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 9b 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, the Internal Revenue Service requires us to conduct a triennial community health needs assessment (CHNA) following regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, Piedmont hopes to understand local health challenges better, identify health trends in the community, determine gaps in the current health delivery system, and craft a plan to address those gaps and the identified health needs. In FY22, Piedmont conducted its fourth triennial CHNA, and FY24 was the second year of activities outlined in its subsequent Implementation Strategy. The CHNA was led by the Piedmont Healthcare community benefits team and consulting organization Public Goods Group (PGG), with input and direction from Piedmont leadership and Piedmont Healthcare's Department of External Affairs. Process The CHNA defined its community as its home county due to the impact of its tax-exempt status. Property taxes comprise a hospital's largest tax exemption segment, impacting county revenues. Because of this, Piedmont aims to ensure it provides ample benefit to its county and community. Additionally, Piedmont considers patient origin, especially that of lower-income patients who qualify for financial assistance or receive insurance coverage through Medicaid. Piedmont's secondary communities are considered the areas with the highest concentration of patients fitting that criterion, including those from nearby communities. Once Piedmont established its primary and secondary communities, it analyzed available public health data, including resources from the 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 the team internally sourced hospital data. PGG then interviewed key stakeholders with particular expertise or knowledge of the community. Specifically, PGG interviewed representatives of local and regional public health entities, minority populations, faith-based communities, local business owners, philanthropic communities, mental health agencies, elected officials, and individuals representing the community's most vulnerable patients. Piedmont conducted an internal survey system for both clinical and non-clinical employees. Piedmont gathered information on knowledge and understanding of community benefits, current programs, and suggestions for better serving patients and the overall community, regardless of where they receive care. Approximately 1,050 employees spanning the system responded. Additionally, Piedmont conducted a community-based survey that was widely advertised to the community. Once Piedmont gathered qualitative and quantitative data, Piedmont authored the preliminary report, which was vetted and reviewed by hospital and health system leadership. This report identified several key community health needs during the assessment process. The community benefits department recommended priorities with sign-off from hospital and board leadership. Piedmont used the following criteria to establish the priorities: - The number of people affected; - The seriousness of the issue; - Whether the health need particularly affected people living in poverty or reflected health disparities; and, - Availability of community and/or hospital resources to address the need. Piedmont views all priorities through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The chosen priorities reflected a collective agreement on what hospital leadership, staff, and the community felt was most important and within its ability to impact the issue positively. Once leadership approved the priorities, Piedmont authored the CHNA. Piedmont presented its findings and recommendations to the hospital's board of directors for their input and approval. FY22 priorities A key CHNA component is identifying the top health priorities the hospital will address over fiscal years 2023, 2024, and 2025. These priorities will guide the hospital's 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 - Promote healthy behaviors to reduce avoidable conditions, diseases, and addiction - Reduce preventable cases of and deaths from heart disease With each priority, Piedmont will work to achieve more significant health equity by reducing the impact of poverty and other socioeconomic indicators, building health equity into its work, which the hospital demonstrates through its implementation strategies. Hospital leadership and staff then developed the subsequent implementation strategy to address the identified priorities in the FY22 community health needs assessment. The implementation strategy was designed to be executed over three years. It included specific metrics by which hospital staff and the community could evaluate its work and impact. Piedmont developed the implementation strategy by utilizing community feedback from the assessment in partnership with the system community benefits department, system leadership, and the hospital's board of directors. Piedmont included proven and successful interventions and programming, investing further in work with the best chance of creating positive, sustainable change. Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY Piedmont understands that not everyone can pay their hospital bill due to their insurance status or limited income, and because of this, each hospital offers financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices within inpatient bills, and posted notices in key hospital areas. These locations are the emergency room, admitting and registration departments, business office, and patient financial services offices on site. Piedmont also publishes and widely publicizes a plain language summary of this financial assistance care policy and its full policy on its website. Any staff member can refer a patient to the financial assistance department, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. The patient may request financial assistance from a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, Piedmont provides copies of its financial assistance policy to partner clinics and others who work closely with low-income populations. Piedmont helps its partners understand the policy and how it relates to their populations, and it receives feedback on improving its financial assistance programming. Schedule H, Part VI, Line 4 COMMUNITY INFORMATION While Piedmont Atlanta serves patients from Georgia and beyond, we consider our community Fulton County. We do this in recognition of the direct impact of our tax-exempt status on county residents. In Fulton County, an average of 1,061,944 people lived in the 526.75-square-mile area each year from 2018 to 2022. The population density for this area, estimated at 2,016 people per square mile, is the highest in the state, predictably. The county is growing, with a 16 percent increase in total population between 2010 and 2020. Hispanic or Latino populations saw the highest jump at 19 percent. Fulton County is almost entirely urban, and only one percent of the population lived in a rural area in 2020. The average median age of people living within the county each year from 2018 to 2022 was 36, a little younger than state and national averages. About 21 percent of the population were 18 or younger, 12 percent were over 65, and the rest were between 18 and 64. About 13 percent of the population identified as being born outside of the US, and seven percent did not possess US citizenship status. An average of about five percent of county residents were veterans each year from 2018 to 2022, and the majority were between the ages of 35 and 54. About 10 percent of the county population lived with a disability, and most were over the age of 65. An average of about six percent of the county's population, aged 25 and older, had no high school diploma each year from 2018 to 2022, a relevant indicator, as educational attainment is directly tied to positive health outcomes. Black or African American populations were most likely to not hold a high school diploma, at about three times the rate of their white counterparts. Hispanic or Latino populations were twice as likely not to have a high school diploma. On average, between the years 2018 and 2022, 10 percent of the county's population was uninsured. Being uninsured is generally a marker of low income, and the overwhelming majority of those who are uninsured are also within specific ranges of the federal poverty guidelines, meaning these populations are also likely to face myriad other social determinants of health (SDH), like housing and food insecurity. In Fulton County, adults ages 18 to 64 are most likely to be uninsured, reflecting a nationwide trend. From 2018 to 2022, among the 10 percent of the total uninsured county population, 13 percent represented uninsured adults within the 18 to 64 age group. Additionally, nearly 17 percent of the county's population was covered through Medicaid, the state-federal public health insurance program for low-income children and adults. Most of these recipients were low-income children, as 34 percent of all children were enrolled in Medicaid, compared to eight percent of adults ages 18 to 64 and 18 percent of adults 65 and older. From 2018 to 2022, the median household income was $86,267, above the state and national median incomes of $71,355 and $75,149, respectively. Income disparities are evident when broken down by the four dominant races in the community. Of employers in the community, in 2022, the largest sector by number of employees was professional, scientific, and technical services, which employed nearly 168,000 people at an average wage of $118,102. Finance and insurance was the next largest sector, employing about 112,300 people at an average salary of $126,998. Administrative and support, waste management, and remediation services were the third largest sector, employing about 112,100 people at an average wage of $71,385. As of November 2024, of the more than 589,700 people in the labor force, nearly 567,000 were employed, leading to an unemployment rate of about four percent of the county population. This indicator is relevant because unemployment creates financial instability and barriers to access, including insurance coverage, health services, healthy food, and other necessities, contributing to poor health status. In Fulton County, an average of nearly 53,000 households received SNAP benefits from 2018 to 2022, representing 12 percent of the total population. Of all households in Fulton County, one-third were cost-burdened, meaning their housing costs were 30 percent or more of total household income. About 66 percent of these homes were occupied by renters. Approximately 16 percent of households had costs that exceeded 50 percent of the household income, which places the household in significant financial strain, worse than both state and national rates. The county has a food insecurity rate of about 12 percent, as nearly 124,000 community members were unsure how they would access adequate food at some point over the last 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 2022, of the 40,610 food-insecure children in the county, 30 percent were ineligible for public assistance programs. Communities lacking affordable and nutritious food are known as "food deserts." The county has 44 food desert census tracts, meaning about 210,000 people do not have ready access to healthy foods. Low food access means 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, 30 percent of the county's low-income population has low food access, meaning about 272,000 county residents may struggle to access healthy foods. As with other indicators, the bulk of this is within South Fulton, though more northern parts of the county do see this issue. In 2022, 74 percent of adults aged 18 or older saw a doctor for a routine checkup the previous year, a measure that is below the state average. For Medicare recipients, this number increases to 79 percent of adult beneficiaries, which is below both state and national averages. Routine checkups are critical 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. As with most other indicators, race and income play heavily into this. White populations are far more likely to receive preventative care than their Black counterparts (69 percent among Black populations compared to 83 percent among white populations), and those with insurance are also much more likely to go to the doctor for a routine checkup than those without insurance. In 2020, about 53 percent of men and 42 percent of women aged 65 and older were up to date on their core preventative services, including routine cancer screenings, vaccinations, and other age-appropriate services. Both statistics are below state and national averages. Heart disease is the leading cause of age-adjusted death in Fulton County. Between 2018 and 2022, there were approximately 7,100 deaths attributed to heart disease. The age-adjusted death rate was about 133 deaths for every 100,000 people, which is better than both state and national averages and is a rate that has decreased steadily over the last 10 years. There are similar trends with stroke deaths. Between 2018 and 2022, there were more than 2,100 deaths due to stroke, resulting in an age-adjusted death rate of about 39 deaths per every 100,000 people, below the state and national rates of approximately 45 and 48 deaths, respectively. As with heart disease, this rate has decreased steadily over the last 10 years. The hospitalization rates for heart disease and stroke among Medicare recipients have decreased steadily over the last five years, though they are still high. The yearly average rate of hospitalization due to cardiovascular disease between 2019 and 2021 was six hospitalizations per every 1,000 Medicare beneficiaries, which is better than the state and national rates of about 10 and 10, respectively. The hospitalization rate for stroke is lower than state and national rates, at eight hospitalizations per every 1,000 Medicare beneficiaries, versus the state rate of about nine and the national rate of eight. In 2021, 73,918 of the county's adults aged 20 and older had diabetes, equaling nearly nine percent of the county's population, which was lower than the state rate of about 10 percent. Diabetes is a prevalent problem in the US, often indicating an unhealthy lifestyle, and it puts individuals at risk for further health issues. This figure has increased steadily year over year. Schedule H, Part VI, Line 4 COMMUNITY INFORMATION, CONTINUED Chronic kidney disease, also called chronic kidney failure, involves a gradual loss of kidney function. Kidneys filter waste and excess fluids from the blood, which are then removed in the urine. Advanced chronic kidney disease can cause dangerous levels of fluid, electrolytes, and waste to build up in the body. In 2021, approximately three percent of the county's population had a diagnosis of kidney disease, a rate on par with the state and national percentage rates. In 2021, 29 percent of adults 18 and older reported having high cholesterol. Too much cholesterol puts one at risk for heart disease and stroke, two of the leading causes of death within the county. That same year, 34 percent of adults 18 and older had a diagnosis of high blood pressure. High blood pressure can damage the arteries by making them less elastic, which decreases blood and oxygen flow to the heart and leads to heart disease. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH Piedmont actively promotes 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 community as a whole, 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 FY24, Piedmont Hospital provided care to low-income patients at a cost of $34 million. Of that amount, Piedmont provided $18.7 million in direct financial assistance and covered $15.5 million in shortfalls from providing care to patients with Medicaid coverage. Piedmont Hospital also trained future healthcare professionals at a cost of $7 million, which included more than two dozen specialties within the hospital, such as physical therapy and pharmacy technician training. In FY24, Piedmont further built the Empowering You platform to connect community members and patients with resources to address social determinants of health issues. Powered by FindHelp.org, Piedmont clinicians and case managers can search and refer patients to supporting organizations, including referrals to local food banks and housing resources. Piedmont offered numerous proactive community benefit programs meant to boost the health of the community it serves, including the provision of laboratory and diagnostic services to two local charitable clinics - the Grant Park Clinic and the Center for Black Women's Wellness - as well as Federally Qualified Health Center Good Samaritan Health Center Atlanta, at a total cost of $600,000 in FY24. These clinics are vital lifelines for low-income, uninsured adults in the Atlanta area. In support of Piedmont's OB/GYN Clinical Governance Council and Maternal Health Equity Task Force, Piedmont partnered with the City of Atlanta to recognize Black Maternal Health Week. Piedmont partnered with 4Kira4Moms and Helping Mamas to raise awareness of black maternal mortality by participating in the awareness walk and hosting a local baby gear donation drive. Items gathered from the drive were given directly to the communities served. In November 2023, Piedmont Atlanta sponsored the Walk with a Doc program at a cost of over $1,000. The goal of this program was to encourage community members to 'walk and talk' with healthcare professionals and highlight the importance of a healthy lifestyle. Attendees walked with professionals specializing in women's health and breast cancer. Monthly in FY24, Piedmont Atlanta held a new parent support group and support group for parents with babies in our neonatal intensive care unit (NICU) at a cost of over $600. For one hour each month, the parents discuss self-care and resources in the community that might help them with the social worker and each other. In February and May 2024, Piedmont Atlanta hosted blood drives in partnership with the American Red Cross at $3,000. The Red Cross staffs the drive, but Piedmont Atlanta employees donate blood, and the hospital provides the space. In February 2024, donors provided 15 units of blood, and in May 2024, donors provided nine units of blood. In April 2024, Piedmont Atlanta partnered with 4Kira4Moms and Helping Mamas to raise awareness of black maternal mortality by participating in the awareness walk and hosting a local donation drive. Through this effort, Piedmont Atlanta staff collected five boxes of baby and maternal items, which the hospital donated directly to the communities served. On an ongoing basis in FY24, the dietary department at Piedmont Atlanta partnered with Second Helpings Atlanta to donate leftover food (mainly from the patient kitchen) that would have otherwise been thrown out. Piedmont Atlanta donated more than 355 pounds of food in 2024, equaling nearly 300 meals. In FY24, the hospital also provided health professions education to students and residents and training in healthcare. As a Cristo Rey Atlanta Jesuit High School corporate work-study partner, we continued to sponsor students who mainly worked in administrative and medical assistant roles. These students spent five workdays a month at Piedmont Atlanta, and in FY24, we welcomed seven Cristo Rey students, three more than in a typical year. Cristo Rey's mission is to educate young people of limited economic means. In FY24, Piedmont continued the New Parent Support Group. The group was designed to provide extra support during the first few months of parenthood. It was peer-led, but a registered nurse participated to direct the conversation as needed. Cohorts met twice a month for six months, and some cohorts even continued to meet beyond the Piedmont-facilitated group. The Piedmont Women's Heart program is a holistic wellness program that aims to prevent the onset of cardiovascular disease and support those with it through high-caliber education and wellness coaching. We target health, nutrition, stress resilience, and intentional movement. Program highlights include Women's Heart, a free program that relies on philanthropic support to promote equity and access for all women, regardless of where they receive their health care. These programs included weekly yoga and meditation classes, monthly hikes, store tours, and nutrition classes. We continued this program in FY24. Piedmont also continued our Sixty Plus Services, a program of education, support, and consultation for Piedmont patients who are 60 years and older and their caregivers. We support healthy aging, maximizing independence through information on care options and care costs, quality of life through advance care planning, and caregiver support through education and counseling. Sixty Plus is available to all community members, regardless of whether they receive care at Piedmont. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM Piedmont Hospital is 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. The Piedmont 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 specific department of Piedmont Healthcare executes community benefit programming, such as its revenue department, which oversees the financial assistance program. Schedule H, Part VI, Line 7 STATE OF FILING OF COMMUNITY BENEFIT REPORT Piedmont is not required to file a community benefit report; however, Piedmont must file information on its indigent and charity care, as well as its Medicaid and Medicare shortfalls, with the Georgia Department of Community Health. Schedule H, Part V, Section B, Line 16a FAP website - PIEDMONT HOSPITAL, INC.: Line 16a URL: https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Policy-English.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - PIEDMONT HOSPITAL, INC.: Line 16b URL: https://www.piedmont.org/media/file/2024-05-PHC-Financial-Assistance-Application-English.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - PIEDMONT HOSPITAL, INC.: Line 16c URL: www.piedmont.org/media/file/2020-10-PHC-Financial-Assistance-Plain-Language-Summary-English.pdf; X true true true true false false false false false true false DR PATRICK BATTEY CEO & BOARD MEMBER 791328 0 447537 0 238428 0 19800 0 14426 0 1511519 0 120006 0 MR KEVIN BROWN BOARD MEMBER & CEO, PHC 0 1907322 0 1442934 0 683701 0 19800 0 25032 0 4078789 0 462723 DR ROBERT MILLER BOARD MEMBER 0 408635 0 105322 0 32026 0 19800 0 17485 0 583268 0 0 MR THOMAS ARNOLD TREASURER/CFO PHC 0 711656 0 360250 0 196192 0 19800 0 19710 0 1307608 0 107975 MS ELIZABETH LEDDY SECRETARY/CLO PHC 0 612535 0 395529 0 156459 0 19800 0 20550 0 1204873 0 93683 MS SHERYL KLINK CFO 470502 0 134902 0 27888 0 19800 0 25032 0 678124 0 0 0 MR JOSHUA ROBERTS COO 366019 0 101916 0 10914 0 19348 0 9873 0 508070 0 0 0 MS KELLY HULSEY CNO (UNTIL 4/2023) 229369 0 77762 0 477987 0 15165 0 6040 0 806323 0 0 0 MR ANDY JAFFAL CMO 429501 0 123469 0 125251 0 19800 0 25032 0 723053 0 0 0 MS GABRIELLA WHEELER DIR. - TRANSPLANT IMMUNOLOGY 278300 0 32787 0 8858 0 19800 0 20208 0 359953 0 0 0 MS HARRIET WELLS MGR. - REGIONAL PHYSICS 292990 0 16641 0 4475 0 18179 0 9629 0 341914 0 0 0 MR JOSEPH SPRINKLE VP IMAGING SVCS SYSTEM 242436 0 43288 0 6568 0 15030 0 9655 0 316977 0 0 0 Schedule J, Part I, Line 1a Discretionary spending account DR. PATRICK BATTEY, THOMAS ARNOLD, AND ELIZABETH LEDDY RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $12,000, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. KEVIN BROWN RECEIVED A DISCRETIONARY SPENDING AMOUNT TOTALING $37,700. THIS SPENDING ACCOUNT WAS INCLUDED IN THEIR TAXABLE WAGES. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT 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 or change-of-control payment KELLY HULSEY RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2023 IN THE AMOUNT OF $469,133. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: KEVIN BROWN $462,723 PATRICK BATTEY $120,006 THOMAS ARNOLD $107,975 ELIZABETH LEDDY $93,683 Schedule J, Part I, Line 7 Non-fixed payments CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. A DEVELOPMENT AUTHORITY OF FULTON COUNTY 581506878 36005FGE9 2019-11-07 283775000 BUILDING false false false B DEVELOPMENT AUTHORITY OF FULTON COUNTY 582629223 000000000 2014-11-19 64095000 (SEE STATEMENT) false false false C DEVELOPMENT AUTHORITY OF FULTON COUNTY 581506878 3599006J1 2014-11-19 23635000 (SEE STATEMENT) false false false D DEVELOPMENT AUTHORITY OF FULTON COUNTY 582629223 3599008H3 2016-11-16 197555000 CONSTRUCTION false false false A 307712331 307712331 2021 false false false true B 21270000 64095000 64095000 2014 true false true true C 26008208 651 26007557 2014 false false true true D 26805000 216997587 193876754 3348 23117485 2020 true false true true A false true false false 0.01 0.01 true false true B false true true true false 0.01 0.01 false false true C false false true true false 0.01 0.01 false false true D false true true true false 0.01 0.01 true false true A false true false false false false false false true B false false false true true false false false true C false false false true true false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUER NAME: DEVELOPMENT AUTH OF FULTON CO BOND B: PROCEEDS WERE USED TO REFINANCE THE SERIES 2009B BOND THAT WAS ISSUED ON 11/23/2009. BOND C: CONSTRUCTION/PURCHASE OF EQUIPMENT BOND D: A PORTION OF THE PROCEEDS WERE USED TO REFINANCE THE SERIES 2009A BOND THAT WAS ISSUED ON NOVEMBER 24, 2009. Schedule K, Part IV, Line 2c COLUMN B Issuer name: DEVELOPMENT AUTHORITY OF FULTON COUNTY The calculation for computing no rebate due was performed on 11/19/2016 Schedule K, Part IV, Line 2c COLUMN C Issuer name: DEVELOPMENT AUTHORITY OF FULTON COUNTY The calculation for computing no rebate due was performed on 11/19/2016 Schedule K, Part IV, Line 2c COLUMN D Issuer name: DEVELOPMENT AUTHORITY OF FULTON COUNTY The calculation for computing no rebate due was performed on 11/19/2019 MS KELLY HULSEY FAMILY MEMBER OF THOMAS ARNOLD, TREASURER/CFO PHC 785118 ANNUAL COMPENSATION false Form 990, Part V, Line 1a NUMBER OF FORMS 1099 FILED ALL CALENDAR YEAR 2023 FORMS 1099 WERE FILED ON BEHALF OF PIEDMONT 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, Line 6 Classes of members or stockholders PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT HOSPITAL, INC ("PH"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF PIEDMONT HEALTHCARE APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PIEDMONT 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 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, Line 11b Review of form 990 by governing body INFORMATION NEEDED TO PREPARE PIEDMONT HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PIEDMONT HOSPITAL'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, 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 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, Line 15a Process to establish compensation of top management official COMPENSATION FOR EXECUTIVES OF PIEDMONT NEWTON 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 BOARD CHAIR HAS A REAL OR PERCEIVED CONFLICT OF INTEREST, IN WHICH CASE THE COMMITTEE CHAIR SHALL DETERMINE THE PROPER REVIEW PROCESS - REVIEW AND APPROVE LONG-TERM AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EVP COMPENSATION PROGRAMS AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT - PERIODICALLY REVIEW COMPENSATION, IF ANY, FOR THE PHC BOARD CHAIR AND ALL BOARD CHAIRS OF THE PHC SUBSIDIARIES - ESTABLISH OTHER POLICIES AND PROCEDURES, AND PERFORM OTHER TASKS, RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS - PERIODICALLY REPORT SIGNIFICANT DECISIONS AND ANY ADDITIONAL REQUESTED INFORMATION TO THE PHC BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE DISCLOSURE FOR FORM 990, PART VI, LINE 15A, ABOVE. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue AMENITY FEES - Total Revenue: 784484, Related or Exempt Function Revenue: 784484, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; WOMENS SERVICES EDUCATION - Total Revenue: 109125, Related or Exempt Function Revenue: 109125, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; OTHER REVENUE - Total Revenue: 12676, Related or Exempt Function Revenue: 12676, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees GENERAL CONTRACT LABOR - Total Expense: 79148339, Program Service Expense: 74178871, Management and General Expenses: 4969468, Fundraising Expenses: 0; PROFESSIONAL CONTRACT LABOR - Total Expense: 75768914, Program Service Expense: 71011629, Management and General Expenses: 4757285, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 8240869, 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CARTERSVILLE HOSPITAL INC 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE GA 30120 870963633 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT EASTSIDE HOSPITAL INC 1700 MEDICAL WAY SNELLVILLE GA 30078 870982886 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MACON HOSPITAL INC 350 HOSPITAL DR MACON GA 31217 871006981 HOSPITAL GA 501(c)(3) 3 PHC false PIEDMONT MACON NORTH HOSPITAL INC 400 CHARTER BLVD MACON GA 31210 871031034 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 581581103 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY MCDUFFIE COUNTY REG MED CTR 1350 WALTON WAY AUGUSTA GA 30901 454166209 HOSPITAL GA 501(c)(3) 3 PHC false UNIVERSITY HEALTH CARE FOUNDATION INC 2260 WRIGHTSBORO ROAD AUGUSTA GA 30904 581343550 FUNDRAISING GA 501(c)(3) 7 UHS false UNIVERSITY EXTENDED CARE INC 1350 WALTON WAY AUGUSTA GA 30901 581581105 HEALTHCARE GA 501(c)(3) 3 UHS false AUGUSTA RESOURCE CENTER ON AGING INC 1350 WALTON WAY AUGUSTA GA 30901 581728812 HEALTHCARE GA 501(c)(3) 10 PHC false ATHENS REGIONAL SPECIALTY SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 271975001 HEALTHCARE GA 501(c)(3) 3 PARMC false COLISEUM MEDICAL CENTER INC 350 HOSPITAL DR MACON GA 31217 621736983 HOSPITAL GA 501(c)(3) 3 PHC false MACON NORTHSIDE HOSPITAL INC 400 CHARTER BLVD MACON GA 31210 621736985 HOSPITAL GA 501(c)(3) 3 PHC false FIRST CALL PROFESSIONAL SOLUTIONS INC 2727 PACES FERRY RD STE 2-700 ATLANTA GA 30339 993505425 STAFFING GA 501(c)(3) Type I PHC false FIRST CALL STAFFING SOLUTIONS INC 2727 PACES FERRY RD STE 2-700 ATLANTA GA 30339 933887830 STAFFING GA 501(c)(3) Type I PHC false PIEDMONT HEART INSTITUTE INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 263553500 HEALTHCARE GA 501(c)(3) 10 PHC false GA SURG CTR PCHTREE 2061 PEACHTREE RD STE 100 ATL ATLANTA GA 30309 582394271 SURGERY GA NA N/A false false ORTHOATLANTA SURGERY CENTER FAYETTEVILLE 900 CIRCLE 75 PKWY SE STE 1700 ATLANTA GA 30339 202961633 SURGERY GA NA N/A false false ATHENS ASC HOLDINGS LLC 2142 W BROAD ST BLDG 100 STE 100 ATHENS GA 30606 454014891 SURGERY GA NA N/A false false COLUMBUS DIAGNOSTIC IMAGING CTR 116 INTRACOASTAL POINTE DR 300 JUPITER FL 33477 262291768 IMAGING GA NA N/A false false THE SURGERY CENTER LLC 100 FIRST COURT COLUMBUS GA 31909 582520623 SURGERY GA NA N/A false false PIEDMONT ENCOMPASS REHABILITATION HOSPITALS 9001 LIBERTY PKWY BIRMINGHAM AL 35242 853544795 HEALTHCARE DE NA N/A false false COLISEUM SAME DAY SURGERY CTR 340 HOSPITAL DR MACON GA 31217 621805346 SURGERY GA NA N/A false false PIEDMONT MEDICAL CARE CORPORATION 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582092768 HEALTHCARE GA NA C Corporation false THE PIEDMONT CLINIC INC 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582005358 HEALTHCARE GA NA C Corporation false PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30339 260593850 HEALTHCARE GA NA C Corporation false AMSTER MCRAE INSURANCE COMPANY SPC PO BOX 1159 GRAND CAYMAN CJ CJ KY11102 981734069 RELATED INSURANCE CJ NA C Corporation false COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 HEALTHCARE GA NA C Corporation false COLUMBUS HEALTH SERVICES INC PO BOX 790 COLUMBUS GA 31902 581640939 HEALTHCARE GA NA C Corporation false UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 HEALTHCARE GA NA C Corporation false UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC NA C Corporation false false false false false false false false false false true false false false false false true true false false Schedule R, Part I DISREGARDED ENTITIES THE LIMITED LIABILITY COMPANIES LISTED IN SCHEDULE R, PART I, OPERATE AS DEPARTMENTS OF PIEDMONT 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.