FAYETTE COMMUNITY HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FAYETTE COMMUNITY HOSPITAL INC (EIN 58-2322328)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202221319349300727
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T11:59:50-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 NE 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582322328 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAYETTE COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARIE GAFFNEY | InCareOfNm |
| Business Name Control | FAYE | BusinessNameControlTxt |
| Phone | 7707197073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE GAFFNEY | PersonNm |
| Person Title | VP CORPORATE FINANCE | PersonTitleTxt |
| Phone | 4702716007 | PhoneNum |
| Signature | 2022-05-10 | 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 | 2022-05-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MR STEPHEN PORTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $553,266,499 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PIEDMONTFAYETTE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2465 | TotalEmployeeCnt |
| Total Volunteers | 325 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $27,420,765 | PYContributionsGrantsAmt |
| CY Contributions Grants | $796,399 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $452,444,328 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $547,507,826 | CYProgramServiceRevenueAmt |
| PY Investment Income | $152,345 | PYInvestmentIncomeAmt |
| CY Investment Income | $65,214 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,845,854 | PYOtherRevenueAmt |
| CY Other Revenue | $4,826,190 | CYOtherRevenueAmt |
| PY Total Revenue | $482,863,292 | PYTotalRevenueAmt |
| CY Total Revenue | $553,195,629 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $85,090 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,550 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $158,699,877 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $164,086,021 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $236,252,154 | PYOtherExpensesAmt |
| CY Other Expenses | $300,428,913 | CYOtherExpensesAmt |
| PY Total Expenses | $395,037,121 | PYTotalExpensesAmt |
| CY Total Expenses | $464,525,484 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $87,826,171 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $88,670,145 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $231,102,292 | TotalAssetsBOYAmt |
| Total Assets EOY | $249,474,622 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $118,991,461 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $95,361,970 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $112,110,831 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,112,652 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $432,424,926 | ExpenseAmt |
| Grant | $10,550 | GrantAmt |
| Revenue | $547,507,826 | RevenueAmt |
| Desc | PIEDMONT FAYETTE HOSPITAL ("PFH") IS A 221-BED FACILITY LOCATED IN FAYETTE COUNTY, GEORGIA. OVER 500 PRIMARY CARE AND SPECIALTY PHYSICIANS COMPRISE THE MEDICAL STAFF AND MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN FAYETTEVILLE AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2021, THE HOSPITAL HAD 17,853 IN-PATIENT ADMISSIONS WITH A TOTAL OF 86,387 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 77,243 AND OUTPATIENT VISITS TOTALED 105,998. SURGICAL SERVICES WERE PROVIDED TO 12,683 PATIENTS. | Desc |
| Total Program Service Expenses | $432,424,926 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2465 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE GAFFNEY | PersonNm |
| Phone | 4702716007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2727 PACES FERRY RD BLDG 2 STE 70 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mr Michael Mandl | |||||||||
| Board Member | 1.0 | 54.0 | Yes (X) | $0 | $1,430,051 | $169,167 | |||
| Dr Patrick Battey MD | |||||||||
| Board Member | 1.0 | 54.0 | Yes (X) | $0 | $1,320,637 | $137,309 | |||
| Mr Michael McAnder | |||||||||
| Treasurer (End 7/20) | 1.0 | 54.0 | $0 | $1,284,929 | $72,127 | Yes (X) | |||
| Ms Elizabeth Leddy | |||||||||
| Secretary | 1.0 | 54.0 | $0 | $843,802 | $126,625 | Yes (X) | |||
| Mr Thomas Arnold | |||||||||
| Treasurer (Eff 7/20) | 1.0 | 54.0 | $0 | $827,550 | $92,917 | Yes (X) | |||
| Mr Stephen D Porter | |||||||||
| Board Member & CEO | 55.0 | 0.0 | Yes (X) | $767,744 | $0 | $98,678 | Yes (X) | ||
| Mr Scott Wolfe | |||||||||
| CFO | 55.0 | 0.0 | $479,452 | $0 | $28,884 | Yes (X) | |||
| Dr Angela Swayne | |||||||||
| CMO | 55.0 | 0.0 | $452,234 | $0 | $33,251 | Yes (X) | |||
| Mr David Nipper | |||||||||
| COO | 55.0 | 0.0 | $401,226 | $0 | $36,805 | Yes (X) | |||
| Ms Merry Heath | |||||||||
| CNO | 55.0 | 0.0 | $271,533 | $0 | $22,186 | Yes (X) | |||
| Ms Rhonda Manos | |||||||||
| Dir Pharmacy | 40.0 | 0.0 | $231,487 | $0 | $17,331 | Yes (X) | |||
| Mr Monsy Jacob | |||||||||
| Medical Physicist | 40.0 | 0.0 | $211,856 | $0 | $22,586 | Yes (X) | |||
| Ms Sandra Biles | |||||||||
| Dir Inpatient Services | 40.0 | 0.0 | $194,079 | $0 | $22,083 | Yes (X) | |||
| Ms Mary Mcfarland | |||||||||
| Sr. Dir. Cardiovasc Svcs | 40.0 | 0.0 | $196,939 | $0 | $18,527 | Yes (X) | |||
| Ms Tonya Pearson | |||||||||
| Clinical Coordinator | 40.0 | 0.0 | $185,235 | $0 | $11,587 | Yes (X) | |||
| Dr Russell Wilson MD | |||||||||
| Board Member | 40.0 | 0.0 | Yes (X) | $59,400 | $0 | $0 | |||
| Dr Dennis Choat MD | |||||||||
| Board Member | 7.0 | 0.0 | Yes (X) | $24,646 | $0 | $0 | |||
| Dr Mironda Williams MD | |||||||||
| Chairman | 7.0 | 0.0 | Yes (X) | $5,175 | $3,675 | $0 | Yes (X) | ||
| Dr Michael Behr MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mr Mark Gray | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Ms Janet Moon | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mr Matthew Ramsey | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Dr Geetha Rao MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mr Robert Reeves | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mr William Scott | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,481,006 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,710,644 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $910,063 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 146 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIED UNIVERSAL SECURITY SERVICES | |||||
| 1551 N TUSTIN AVE | SANTA ANA | CA | 92705 | SECURITY Services | $678,101 |
| Brasfield and Gorrie LLC | |||||
| PO Box 11407 | BIRMINGHAM | AL | 352460351 | Construction | $1,213,805 |
| NEOGENOMICS LABORATORIES INC | |||||
| 12701 Commonwealth Dr | FT MYERS | FL | 33913 | LABORATORY SERVICES | $653,691 |
| MEDICAL SOLUTIONS INC | |||||
| 1010 N 102ND STE 300 | OMAHA | NE | 68114 | NURSING SERVICES | $2,143,975 |
| POWER WELLNESS MANAGEMENT LLC | |||||
| 851 Oak Creek Dr | LOMBARD | IL | 60184 | FITNESS MGMT | $2,479,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $789,039 | GovernmentGrantsAmt |
| All Other Contributions | $7,360 | AllOtherContributionsAmt |
| Total Contributions | $796,399 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $544,254,145 | $544,254,145 |
| FITNESS CENTER REHAB | 621300 | $1,655,647 | $1,655,647 |
| OTHER OPERATING REVENUE | 900099 | $1,598,034 | $1,598,034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $547,507,826 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,214 | TotalRevenueColumnAmt |
| Exclusion | $65,214 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,571,503 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,571,503 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,571,503 | TotalRevenueColumnAmt |
| Exclusion | $3,571,503 | ExclusionAmt |
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 | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $206,230 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $70,870 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,360 | TotalRevenueColumnAmt |
| Exclusion | $135,360 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 722514 | $1,059,011 | $1,059,011 |
| VENDING SALES | 900099 | $60,316 | $60,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,119,327 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $553,195,629 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $547,507,826 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,891,404 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,550 | TotalAmt |
| Program Services | $10,550 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,095 | TotalAmt |
| Program Services | $984,459 | ProgramServicesAmt |
| Management And General | $201,636 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,700,874 | TotalAmt |
| Program Services | $108,481,725 | ProgramServicesAmt |
| Management And General | $22,219,149 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,207,822 | TotalAmt |
| Program Services | $19,262,492 | ProgramServicesAmt |
| Management And General | $3,945,330 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,991,230 | TotalAmt |
| Program Services | $7,462,721 | ProgramServicesAmt |
| Management And General | $1,528,509 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,959 | TotalAmt |
| Management And General | $84,959 | ManagementAndGeneralAmt |
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 | $36,625,265 | TotalAmt |
| Program Services | $36,625,265 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $842,488 | TotalAmt |
| Management And General | $842,488 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,183,145 | TotalAmt |
| Program Services | $23,007,716 | ProgramServicesAmt |
| Management And General | $175,429 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,840,954 | TotalAmt |
| Program Services | $5,490,497 | ProgramServicesAmt |
| Management And General | $350,457 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,035,830 | TotalAmt |
| Program Services | $7,714,397 | ProgramServicesAmt |
| Management And General | $321,433 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,332 | TotalAmt |
| Program Services | $7,376 | ProgramServicesAmt |
| Management And General | $3,956 | ManagementAndGeneralAmt |
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 | $5,273 | TotalAmt |
| Program Services | $4,447 | ProgramServicesAmt |
| Management And General | $826 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,935,119 | TotalAmt |
| Program Services | $7,697,065 | ProgramServicesAmt |
| Management And General | $238,054 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,284,848 | TotalAmt |
| Program Services | $13,284,848 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,453,523 | TotalAmt |
| Program Services | $12,646,312 | ProgramServicesAmt |
| Management And General | $807,211 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,938,061 | TotalAmt |
| Program Services | $3,701,777 | ProgramServicesAmt |
| Management And General | $236,284 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $86,136,075 | $86,136,075 | |
| MEDICAL SUPPLIES | $77,001,720 | $77,001,720 | |
| HOSPITAL TAX | $4,969,735 | $4,969,735 | |
| MISCELLANEOUS | $19,080,586 | $17,935,749 | $1,144,837 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,525,484 | TotalAmt |
| Program Services | $432,424,926 | ProgramServicesAmt |
| Management And General | $32,100,558 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,473 | BOYAmt |
| EOY | $623,509 | 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 | $43,841 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,879,266 | BOYAmt |
| EOY | $61,497,190 | 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 | $6,064,936 | BOYAmt |
| EOY | $6,724,384 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,787,358 | BOYAmt |
| EOY | $2,040,254 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $363,782,676 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $186,261,635 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,676,101 | BOYAmt |
| EOY | $177,521,041 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,115,317 | BOYAmt |
| EOY | $1,068,244 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,102,292 | BOYAmt |
| EOY | $249,474,622 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,675,474 | BOYAmt |
| EOY | $45,361,033 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,347,632 | BOYAmt |
| EOY | $34,402,547 | 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 | $13,030,007 | BOYAmt |
| EOY | $12,564,199 | 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 | $938,348 | BOYAmt |
| EOY | $3,034,191 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,991,461 | BOYAmt |
| EOY | $95,361,970 | 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 | $110,994,191 | BOYAmt |
| EOY | $152,418,411 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,640 | BOYAmt |
| EOY | $1,694,241 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,110,831 | BOYAmt |
| EOY | $154,112,652 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,102,292 | BOYAmt |
| EOY | $249,474,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $88,670,145 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$46,668,324 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,449,265 | OtherCostOrOtherBasisAmt |
| Book Value | $9,449,265 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $173,869,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,079,803 | DepreciationAmt |
| Book Value | $102,790,190 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,824,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,855,491 | DepreciationAmt |
| Book Value | $969,369 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $151,430,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,326,341 | DepreciationAmt |
| Book Value | $40,104,511 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,207,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $24,207,706 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $177,521,041 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS LIABILITIES | Desc |
| Amt | $3,034,191 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,034,191 | 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 THE INCOME TAXES TOPIC OF THE ASC (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, 2021 AND 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,043,955 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,043,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,243,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,077,710 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,520,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $847,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,672,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,807,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,924,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,883,160 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04450 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $258,316 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $258,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,512,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,512,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,771,216 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,771,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,579,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,924,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,654,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,157,324 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $87,000,376 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $78,774,809 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,225,567 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Fayette Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 Highway 54 West | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.piedmontfayette.com | WebsiteAddressTxt |
| State License | 056-550 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Fayette Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART VI | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, LINE 5: COMMUNITY REPRESENTATION | As a part of our process, we interviewed 41 key stakeholders and policy makers that represent public health, low-income populations, uninsured and uninsured persons, minorities, chronic conditions, older adults, and lawmakers. These interviews were conducted for people representing the entire region, including Fayette County. 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. These interviews were conducted for people representing the entire region, including Fayette County. The Piedmont Healthcare board of directors and leadership from all 11 hospitals were actively informed and engaged throughout this process. |
| SCHEDULE H, PART V, SECTION B, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT | WEBSITE https://www.piedmont.org/media/file/PfH-FY19-CHNA-Strategy.pdf |
| SCHEDULE H, PART V, LINE 7D: PUBLIC AVAILABILITY OF CHNA | IN ADDITION TO MAKING ITS CHNA REPORTS AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT FAYETTE HOSPITAL SENT COPIES TO EACH PARTICIPANT IN THE CHNA PROCESS, DISTRIBUTED THE ASSESSMENTS TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT COPIES TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENTS TO OTHER PIEDMONT HEALTHCARE HOSPITALS. SCHEDULE H, PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGIES WEBSITE THE BOARD OF DIRECTORS FOR PIEDMONT FAYETTE HOSPITAL UNANIMOUSLY APPROVED IMPLEMENTATION STRATEGY FOR THE THREE YEAR PERIOD BEGINNING WITH FY20 ON NOVEMBER 13, 2019, WITHIN THE GRACE PERIOD FOLLOWING THE APPROVAL OF THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING LINK IS FOR THE IMPLEMENTATION STRATEGY EFFECTIVE THROUGH JUNE 30, 2022. THE IMPLEMENTATION STRATEGY IS PROVIDED AFTER THE COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FOLLOWING LINK. https://www.piedmont.org/media/file/PFH-FY19-CHNA-Strategy.pdf |
| SCHEDULE H, PART V, LINE 11: ADDRESSING COMMUNITY HEALTH NEEDS | DURING FY16, PIEDMONT FAYETTE HOSPITAL CONDUCTED ITS SECOND CHNA, AGAIN BY ASSESSING PUBLICLY AVAILABLE DATA, INTERVIEWING COMMUNITY MEMBERS AND STAKEHOLDERS, CONDUCTING FOCUS GROUPS OF VULNERABLE POPULATIONS, INTERVIEWING PIEDMONT BOARD MEMBERS, AND SURVEYING PIEDMONT EMPLOYEES. THROUGH THIS PROCESS, PIEDMONT FAYETTE HOSPITAL DETERMINED AND PRIORITIZED THE COMMUNITY HEALTH NEEDS IT WOULD ADDRESS BASED ON THE NUMBER OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED AFFECTED VULNERABLE POPULATIONS, AND THE AVAILABILITY OF COMMUNITY AND HOSPITAL RESOURCES NECESSARY TO ADDRESS THE ISSUE. BASED ON THE CHNA, PIEDMONT FAYETTE HOSPITAL IS CURRENTLY FOCUSING ON: (1) MAINTAINING AND INCREASING ACCESS TO AFFORDABLE CARE FOR LOW- AND NO-INCOME PATIENTS, INCLUDING INCREASED EFFORTS AT ELIMINATING HEALTH DISPARITIES; (2) INCREASING ACCESS TO AND AWARENESS OF CANCER-RELATED PROGRAMMING, INCLUDING LOW-COST MAMMOGRAMS, TO QUALIFYING WOMEN THROUGH PARTNERSHIP PROGRAMS; (3) REDUCING PREVENTABLE READMISSIONS AND EMERGENCY DEPARTMENT RE-ENCOUNTERS, PARTICULARLY AMONG HIGH-RISK PATIENTS, WITH A FOCUS ON CHRONIC DISEASE MANAGEMENT; (4) MAINTAINING AND GROWING EFFORTS AROUND SENIOR HEALTH; AND (5) REDUCING PREVENTABLE INSTANCES OF HEART DISEASE, HYPERTENSION, AND STROKE THROUGH EDUCATIONAL AWARENESS AND PROMOTION OF HEALTHY BEHAVIORS, INCLUDING EFFORTS TO REDUCE TOBACCO USE. PIEDMONT FAYETTE HOSPITAL DEVELOPED THE IMPLEMENTATION STRATEGY TO ADDRESS THESE PRIORITY NEEDS DURING FISCAL YEARS 20-22. The PFH Board of Directors unanimously approved the new CHNA on May 8, 2019. Based on the CHNA, PFH will focus on the following: (1) INCREASE ACCESS TO APPROPRIATE AND AFFORDABLE HEALTH AND MENTAL CARE FOR ALL COMMUNITY MEMBERS, AND ESPECIALLY THOSE WHO ARE UNINSURED AND THOSE WITH LOW INCOMES; (2) REDUCE OPIOID AND RELATED SUBSTANCE ABUSE AND OVERDOSE DEATHS; (3) DECREASE DEATHS FROM ALL CANCERS WITH A FOCUS ON LUNG AND BREAST CANCER; (4) REDUCE PREVENTABLE INSTANCES OF AND DEATHS FROM HEART DISEASE; (5) REDUCE RATES OF OBESITY AND INCREASE ACCESS TO HEALTHY FOODS AND RECREATIONAL ACTIVITIES; (6) REDUCE PREVENTABLE INSTANCES OF DIABETES AND INCREASE ACCESS TO CARE FOR THOSE LIVING WITH THE DISEASE; AND (7) SUPPORT SENIOR HEALTH AND HEALTHY AGING. |
| SCHEDULE H, PART V, LINE 16: FINANCIAL ASSISTANCE POLICY WEBSITES | FINANCIAL ASSISTANCE POLICY - https://www.piedmont.org/media/file/Financial-Assistance-Policy.pdf FINANCIAL ASSISTANCE APPLICATION - https://www.piedmont.org/media/file/Financial-Assistance-Application.pdf FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY - https://www.piedmont.org/media/file/Financial-Assistance-Plain-Language-Su mmary-English.pdf |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI, LINE 1: REQUIRED DESCRIPTIONS | PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A We regularly report to the community our community benefit activities in several ways. Each year, we prepare a systemwide community benefit report that is available to the public through publication on our website. We also make available copies of our IRS Form 990 Schedule H on our website and available to anyone upon request. We also provide information on community benefit programming to local, state, and federal lawmakers through our government affairs office. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7(F) 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 $464,525,484, LESS BAD DEBT EXPENSE OF $86,136,075 FROM FORM 990, PART IX, LINE 24(B). FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 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. BAD DEBT EXPENSE CALCULATION AND FOOTNOTE SCHEDULE H, PART III, LINES 2-4 The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators. Periodically, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of the review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible receivables. THE AMOUNT REPORTED ON PART III, LINE 3, WAS DETERMINED BY TAKING THE AVERAGE ACCEPTANCE RATE FOR ALL CHARITY CARE APPLICATIONS RECEIVED DURING THE YEAR MULTIPLIED BY THE NUMBER OF DENIALS THAT WERE ATTRIBUTABLE TO INSUFFICIENT INFORMATION. THAT TOTAL WAS THEN ADJUSTED DOWNWARD FOR THE ORGANIZATION'S USE OF PRESUMPTIVE ELIGIBILITY WHEN DETERMINING ITS COMMUNITY BENEFITS. BAD DEBT EXPENSE FOOTNOTE FROM CONSOLIDATED, AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PFH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. BAD DEBT METHODOLOGY Schedule H, Part III, Line 4 The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators. Periodically, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of the review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible receivables. MEDICARE SHORTFALLS AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 The amount reported on Part III, Line 6, was calculated in accordance with Schedule H instructions by utilizing our allowable Medicare cost as reported in the Medicare cost report, which is based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to provide quality healthcare for Medicare patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded from allowable cost in the Medicare Cost Report. We believe our Medicare shortfall reported on Part III, Line 7 of Schedule H, should be considered a community benefit as the IRS community benefit standard includes the provision of care to elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health insurance, such as Medicare, is an indication we operate to promote health in the community. Our policy is to treat Medicare patients, regardless of the extent to which Medicare actually pays for the treatment. For many services, Medicare's reimbursement is less than the cost of the care provided, resulting in shortfalls that are to be absorbed by us in honor of our commitment to treat elderly patients. Many of these patients live on a low, fixed income, and would qualify for financial assistance or other means-tested programs, absent from their enrollment in Medicare. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9(B) INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY FINANCIAL COUNSELORS IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. COUNSELORS CONTACT PATIENTS AND THEIR FAMILIES DIRECTLY, EITHER IN PERSON OR BY LETTER, TO ASSIST THE FAMILY IN IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM ("SCHIP"), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. |
| SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT | As a designated 501(c)(3) nonprofit hospital, we are required by the Internal Revenue System to provide to conduct a triennial community health needs assessment (CHNA), in accordance with regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, we hope to better understand local health challenges, identify health trends in our community, determine gaps in the current health delivery system and craft a plan to address those gaps and the identified health needs. In FY19, we conducted our third triennial community health needs assessment (CHNA). FY21 marked Year Two of the subsequent Implementation Strategy. Our CHNA was led by the Piedmont Healthcare community benefits team, with significant input and direction from hospital leadership, including the director of community relations and our hospital Board of Directors, which formed a subcommittee to help determine final priorities. Process The CHNA started first with a definition of our community, of which we determined was our home county, due to the impact of our tax-exempt status. Property taxes make up the largest segment of a hospital's tax exemption which impacts county revenues. Because of this, we aim to ensure that we are providing ample benefit to our county and its residents. Additionally, we take into consideration patient origin, and especially that of our lower-income patients, such as those who qualify for financial assistance or receive insurance coverage through Medicaid. Our secondary communities are considered the areas in which we have the highest concentration of patients fitting that criterion, including ones from nearby communities. Once we established our primary and secondary community, we then conducted an analysis of available public health data. This included resources from: US Census, US Health and Human Services' Community Health Status Indicators, US Department of Agriculture, Economic Research Service, National Center for Education Statistics, Kaiser Family Foundation's State Health Facts, American Heart Association, County Health Rankings and Georgia Online Analytical Statistical Information System (OASIS). All figures within the CHNA were for 2017, unless otherwise noted. Health indicators are estimates provided by County Health Rankings and hospital data were internally sourced. An internal survey was also conducted throughout the healthcare system for both clinical and non-clinical employees. Information was gathered on knowledge and understanding of community benefit and current programs, as well as suggestions for how we can better serve our patients and communities. Nearly 900 employees spanning the system responded. Additionally, we conducted a community-based survey in which local stakeholders were asked their thoughts on unmet community health needs and our role in addressing those needs. These stakeholders included local leaders, nonprofit representatives, elected officials and those with a unique knowledge of the challenges vulnerable populations face. We also evaluated previous community benefit, hospital and community interventions identified in our last CHNA implementation strategies through three lenses: impact, outcomes and sustainability. Interventions and programming considered to have a high score on all three were included in this CHNA and our subsequent strategy. This included our community benefit grants program, our charitable clinic-hospital partnerships and our heart- and stroke-focused community programming. Finally, we conducted direct interviews with 31 state and regional stakeholders and policymakers, with each representing a specific group that tends to be adversely impacted by issues of health equity. These groups included but are not limited to Georgians for a Healthy Future, Georgia Watch, ConsiderHealth, the Community Foundation for Greater Atlanta, the Georgia Charitable Care Network, the Medical Association of Georgia and Healthy Mothers, Healthy Babies. Additionally, we sought and received feedback on our CHNA from public health. Our priorities A key component of the CHNA is to identify the top health priorities we'll address over fiscal years 2020, 2021 and 2022. These priorities will guide our community benefit work. They are, in no order: . Increase access to appropriate and affordable health and mental care for all community members, and especially those who are uninsured and those with low incomes . Decrease deaths from all cancers, with a focus on lung and breast cancers . Reduce instances of and deaths from heart disease . Reduce preventable instances of diabetes and increase access to care for those living with the disease . Reduce rates of obesity and increase access to healthy foods and recreational activities . Reduce opioid-related substance abuse and overdose deaths With each priority, we work to achieve greater health equity by reducing the impact of poverty and other socioeconomic indicators. This means that health equity is built into each priority, and that is demonstrated through our implementation strategies. Several key community health needs emerged during the assessment process. The chosen priorities were recommended by the community benefit department with sign-off from hospital and board leadership. The following criteria were used to establish the priorities: . The number of persons affected; . The seriousness of the issue; . Whether the health need particularly affected persons living in poverty or reflected health disparities; and, . Availability of community and/or hospital resources to address the need. The priorities we chose reflected a collective agreement on what hospital leadership, staff and the community felt was most important and within our ability to positively impact the issue. While the priorities reflect clinical access and certain conditions, all priorities are viewed through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The community health needs assessment was unanimously approved by the hospital board of directors on May 08, 2019. Our implementation strategy was developed in partnership with hospital leadership and community stakeholders to address the identified priorities in our FY19 community health needs assessment. The implementation strategy was designed to be executed over a three-year period and included specific metrics by which we would be able to evaluate our work and its impact. The implementation strategy was developed by utilizing community feedback from the assessment in partnership with the system community benefits department, our leadership, and our board of directors. As mentioned above, we included proven and successful interventions and programming, investing further in work we felt was successful in addressing unmet health needs. The CHNA implementation strategy was board-approved November 13, 2019. |
| SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY | We understand that not everyone can pay their hospital bill due to their insurance status or a limited income, and because of this, we offer financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices in patient bills, within the Conditions of Admission form, and posted notices in key areas of the hospital. These locations are the emergency room, at admitting and registration departments, our business office, and patient financial services office that are located on site. We also publish and widely publicize a plain language summary of this financial assistance care policy on our website, as well as the full policy. Referral of patients for financial assistance may be made by any staff or medical staff member at the hospital, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, we provide copies of our financial assistance policy to our partner clinics and others who work closely with low-income populations. We help our partners understand the policy and how it relates to their populations and receive feedback in ways our financial assistance programming could be improved. Finally, Piedmont Healthcare annually publishes a directory of services and programs for low-income community members, and within this resource guide are extensive directions and advice on how to apply for our patient financial assistance program. Also, in this guide is information on how to apply for certain government assistance programs, resources to help prepare and file tax returns, as well as detailed resources for local sliding scale and free mental, dental and health resources. This guide is widely distributed to the community via hardcopy, is available within our hospitals and is digitally available online. This guide is available in both English and Spanish. |
| SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION | We are in Fayette County, where an average 112,303 people lived in the 194.37 square mile area between 2015 and 2019. The population density for this area, estimated at 577.77 persons per square mile, is greater than the national average population density of 94 people per square mile. Fayette County is 82 percent urban and 18 percent rural. The median age of people living within Fayette County was 43, and 52 percent of the total population reported their gender as female. Twenty-three percent of the population were 18 or younger, 18 percent were over the age of 65 and 59 percent were between ages 18-64. In Fayette County, 12 percent of the population over 18 identify as a veteran and 10 percent of those veterans identified as have a disability. About 4 percent of the population had limited English proficiency, which references the populations aged 5 and older who speak a language other than English at home and speak English less than "very well." Most of those households spoke Spanish. About 10 percent of the population were born outside of the United States and are considered foreign born while 5 percent do not hold US citizen status. This data point does not include individuals who may hold Green Card permissions. Between 2015 and 2019, the median income was $90,145 and the per capita income was $44,060. Six percent of Fayette County lived in poverty between 2015 and 2019. During that same period, 7 percent of children in Fayette County lived in poverty, a figure that has steadily increased over the last ten years. It is significantly lower than the state average of 18.5 percent. Nearly 24 percent of public-school children were eligible for the free or reduced priced lunch program during the 2018-2019 school year, which is lower than the 2014-15 state average of 62 percent. Nineteen percent of the population has, at a minimum, attended some college, 55 percent obtained an associate degree or higher, 21 percent graduated high school only and 5 percent of the population did not graduate high school. The Fayette County graduation rate (ACGR) during 2015-19 was 90 percent. Sixty-three percent of children aged three and four attended preschools. Between 2015 and 2019 there were about 3 percent of young people not enrolled in school and were also unemployed. In Fayette County, between 2015 and 2019 there were 40,258 households and, of those, almost a fifth were renters. Twenty-five percent of households had housing costs that exceeded more than 30 percent of total household income between 2015 and 2019, indicating a cost burdened household more likely to face overall financial difficulty. Forty-two percent of rental households were cost burdened, and 26 percent of owner-occupied households faced those financial challenges. Housing quality of occupied units with one or more substandard condition was 24 percent; 1 percent of households completely lacked kitchen facilities and less than one percent lacked telephone services and plumbing facilities. In Fayette County, 7 percent of county residents were uninsured in 2019. Roughly 5 percent of the population received SNAP benefits. For every 1,000 teen girls aged 15 to 18 in Fayette County, roughly 6 gave birth to a child on average each year between 2013 and 2019. Children born to teens are statistically much more likely to experience adverse health and socioeconomic issues as they grow older. Approximately, 9 percent of all live births were considered low birth weight births. In 2019, there were about 22 recreation and fitness facilities per 100,000 people. There were 101 fast food restaurants in Fayette County in 2019 and there were no communities within the county that were considered a food desert. As of 2019, there were about 18 grocery store establishments per 100,000 people in Fayette County and six retailers per 10,000 people that were SNAP-authorized food stores. Various health behavior indicators showed that 19 percent of adults reported excessive drinking of alcohol and 15 percent binge drinking in the last 30 days. In 2018, about 12 percent of adults were current smokers, which is lower than the national average. There were nearly 18 percent of adults who did not have leisure time for physical activity. Out of every 100,000 people, 229 lived with HIV in 2018. Chlamydia incidence was much lower than both state averages and nearly double national averages in 2018, with 315 infections per 100,000 people. Gonorrhea incidence in 2018 was at 56 infections per 100,000 people. In Fayette County, cancer incidence was at 474 per 100,000 people from 2014 to 2018. Breast cancer had the highest incidence during this period at 140 cases per 100,000 people and 107 new cases annually on average. Prostate cancer followed second highest at 137 cases per 100,000 people and 107 new cases annually. Lung and bronchus cancer had an incidence of 43 cases per 100,000 people and 64 new cases annually. Melanoma of the skin had an incidence of 40 cases per 100,000 people and 56 new cases annually. Lastly, colon and rectum cancer had an incidence of 38 cases per 100,000 people and 54 new cases annually. Chronic condition health indicators for Fayette County showed that 5 percent of Medicare beneficiaries had asthma, 24 percent had diabetes, 26 percent had heart disease and 60 percent had high blood pressure. Eight percent of all adults had a diagnosis of diabetes in 2019. In Fayette County, cancer was the number one cause of both age-adjusted and premature death between 2015 and 2019. Age-adjusted allows communities with different age structures to be compared. Premature death is when death happens before the average age for a given community. Between 2017 and 2017, Fayette County had 1,109 premature deaths and 12,266 years of potential life lost. In 2021, Fayette County reported a total of 13,472 COVID-19 cases and 246 COVID-19 related deaths. In Fayette County, about 44 percent of adults were fully vaccinated and 11 percent of adults were hesitant about receiving the vaccine. The COVID-19 vaccine Coverage index (CVAC) ranks states and counties on barriers to coverage through 28 indicators across 5 themes: historic under vaccination, sociodemographic barriers, resource-constrained health system, healthcare accessibility barriers, and irregular care-seeking behaviors. The CVAC can help contextualize progress to widespread COVID-19 vaccine coverage, identifying underlying community-level factors that could be driving suboptimal rollout to inform precision solutions. Fayette County had a vaccine coverage index of 0.18 as reported by the CDC in 2021. Sources for all statistics in this section: U.S. Census 2017 ACS Demographic and Housing Estimate, University of Wisconsin Population Health Institute, County Health Rankings, 2018, with indicators ranging from 2012 to 2019, and the Georgia Online Analytical Statistical Information System. |
| SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH | We actively promote the health of our community through clinic-hospital partnerships, our community-based health screenings, educational activities, community-building activities, the operation of a 24-hour emergency department available to the entire community, the operation of an emergency room open to all members of the community without regard to ability to pay, a governance board composed of community members, use of surplus revenue for facilities improvement, patient care, and medical training, education, and research, the provision of in-patient 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. We made access to care for patients and their families a priority by allowing them to provide meaningful input in their care through a family advisory council. The Piedmont Fayette Family Advisory Council (PFAC) includes 13 community members from diverse populations. Unfortunately, restrictions of in-person meetings due to the COVID-19 pandemic disrupted the intended meeting schedule, but the group was able to meet once in October 2020. During this meeting, topics covered included hospital updates relating to COVID-19 surges, changes to visitor policies, Patient Health Clips bookmarks on the hospital website, and a tour of the Outpatient Infusion Center (OIC). Ultimately the group created a list of recommendations to be deployed at OIC. As a result of the recommendations stated above, we purchased 12 new infusion chairs, including two bariatric chairs for the new infusion center during the 2022 grand opening. The intention for providing the OIC with new infusion chairs was to create a more welcoming treatment environment and to help reduce stress for infusion therapy patients. Having comfort options optimizes the overall patient experience for those receiving chemotherapy, blood transfusions, antibiotic treatments, hydration therapies, and more. We worked to create access to mental health care through a referral partnership with Riverwoods Behavioral Health System (RBHS) for our mental health screening referrals. The RBHS facility provided more than 1,100 mental health screenings during FY21. We also provided detailed information about community resources for low- and no-income community members through our system community resource guides. During FY21, we distributed 500 guides through our case management department to patients and 150 guides via community relations and other departments to patients and their families. An essential aspect of mental wellbeing includes attending to the spiritual care needs of Our patients. Our Spiritual Care Services provides short-term grief counseling and access to support groups and counselors in the community. COVID-19 negatively impacted Spiritual Care Services, resulting in an end to offering free lunches to faith-based communities. However, the Chaplain team continues to be a resource for patients and families in the hospital and community to connect them with mental health resources that meet their needs. We currently work with Rachel's Gift, including support groups for families suffering infant loss during or shortly after pregnancy once a month via Zoom. Due to our commitment to community collaboration and input, programs such as Fayette FACTOR have resulted in a mental health town hall focused on youth issues during the COVID-19 pandemic. Our executive director of Patient Services serves as Chair of the District 4 Department of Public Health Board. As a result of this leadership and feedback from the hospital, District 4 and McIntosh Trail Community Board will be housed in the same building to increase community members' access to mental health care. In addition to providing access to mental health services, we are an ongoing partner and resource to Drug-Free Fayette (DFF), a community collaborative focused on substance abuse and reducing teen and adult substance abuse across Fayette County. Our executive director of Patient Services currently serves as an advisor to the DFF coalition members. We promoted the October 2020 Drug Take-Back program to our employees and community partners. Drug safes were provided to the Drug-Free Fayette program and distributed at community events. Drug-Free Fayette and AVPRIDE collaborated on a project to communicate the importance of smoking cessation for community members, especially parents of Fayette County students. On-site smoking cessation classes were offered to low-wage employees of Rinnai Corporation. Unfortunately, participation in smoking cessation classes was low due to COVID-19 restrictions, but there are plans for reinstations in 2022. Additional impacts of the COVID-19 pandemic include canceling traditional substance abuse and vaping community meetings. We intend to provide substance abuse education sessions with subject matter expert speakers for the community in FY 22. We also increased awareness of Cancer Wellness to the community via non-profits, faith-based community leaders, and others. We provided 11 media placements promoting cancer prevention, awareness, screenings, and education via online, print, radio, and television platforms. These media placements reflect a lower number than anticipated due to an increased focus on COVID-19 information. Our Spiritual Care Services also promotes Cancer Wellness to patients and faith-based community members in the following ways: . Cancer patients on units, particularly 3E, were provided spiritual care services; . A monthly Cancer Wellness magazine/brochure, including cancer wellness offering support services; . A support group for ovarian cancer survivors in collaboration with its oncology director, Cancer Wellness Coordinator, and community members; . A referral system with Cancer Wellness provided one-to-one meetings. Our Cancer Wellness program and services are available free of charge to all persons and their caregivers affected by cancer regardless of where they receive cancer care, and no referral is necessary. The onset of COVID-19 presented an opportunity for Cancer Wellness to adjust its business model to include safe face-to-face consultations and virtual programming options. As a result of this adjustment, Cancer Wellness has remained open throughout the pandemic. This adjustment resulted in online classes and educational courses while also overcoming transportation barriers that some patients faced before the pandemic. Overall, in FY21, we provided 15 virtual Cancer Wellness programs, 6,846 virtual and in-person encounters, 2,422 unique one-to-one consultations, and 611 social work consultations. Social work appointments include distress screenings, financial assistance, and various support services to address other socio-economic barriers to care. We also worked to reduce barriers to cancer prevention and education for the Hispanic/Latino community. In November 2020, our director of culinary services provided a virtual healthy cooking demonstration to encourage the importance of nutrition to help prevent and manage the disease, including cancer. We provided online distribution for this virtual cooking demonstration to clients of Fayette County non-profit, Real Life Center, which caters to a large Latino community. Additionally, we translated the American Community Survey (ACS) 2019 screening guidelines into Spanish and added these into new patient packets for Spanish-only speaking patients. We included Spanish informational flyers on the brochure rack on the Oncology in-patient floor. The impact of COVID-19 affected plans made to address Latino community outreach. We annually participate in a local church health fair in Fayette that serves the Latino community every spring. The local church canceled this health fair in Spring 2021 due to COVID-19. Before cancellation, we printed Spanish language screening guidelines on a poster and small cards to distribute at the health fair. We plan to attend the 2022 health fair and will offer cancer screening information with the assistance of a bilingual breast health nurse navigator. The nurse navigator will lead a discussion focused on breast health, mammograms, the importance of self-breast exams, and diabetes education. We also worked to decrease cancer-related deaths and increase awareness of certain chronic conditions through outreach made possible by our community-based partnerships. We participated in four community and business events to promote cancer awareness, prevention, screenings, and education, focusing our efforts on companies employing low-wage earners shift workers. Additionally, we provided three physician-led events to patients in the community to promote cancer awareness, screenings, and wellness information. We held a Walk with a Doc event on June 19, 2021, to promote Prostate Cancer awareness and celebrate cancer survivorship. Fourteen community members walked approximately 2.5 mi |
| SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM | We are part of Piedmont Healthcare, a regional not-for-profit organization and the parent company of 16 hospitals, the Piedmont Physicians Group, the Piedmont Heart Institute, the Piedmont Clinic and the Piedmont Healthcare Foundation. Our community relations team works directly with the community. Our system community benefit department oversees the community benefit activities on behalf of all hospitals throughout the system, and this includes conducting the triennial CHNA and subsequent implementation strategy, ensuring the financial assistance policy is communicated to the community, maintaining the community benefit webpage, authoring the community benefit annual report, preparing board materials, developing and executing the community benefit grants program and compiling all community benefit figures. Each hospital and certain departments of Piedmont Healthcare execute community benefit programming, such as our revenue department, which oversees the financial assistance program. |
| SCHEDULE H, PART VI, LINE 7: STATE OF FILING OF COMMUNITY BENEFIT REPORT | We are not required to file a community benefit report, however, we are required to file with the Georgia Department of Community Health information on our indigent and charity care, as well as our Medicaid and Medicare shortfalls. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Patrick Battey MD | ||||||||||||||
| Board Member | $0 | $662,056 | $0 | $459,176 | $0 | $199,405 | $0 | $123,219 | $0 | $14,090 | $0 | $1,457,946 | $0 | $106,119 |
| Mr Michael Mandl | ||||||||||||||
| Board Member | $0 | $778,484 | $0 | $564,842 | $0 | $86,725 | $0 | $156,690 | $0 | $12,477 | $0 | $1,599,218 | $0 | $0 |
| Mr Stephen D Porter | ||||||||||||||
| Board Member & CEO | $425,454 | $0 | $238,850 | $0 | $103,440 | $0 | $81,088 | $0 | $17,590 | $0 | $866,422 | $0 | $0 | $0 |
| Mr Scott Wolfe | ||||||||||||||
| CFO | $325,600 | $0 | $111,764 | $0 | $42,088 | $0 | $17,100 | $0 | $11,784 | $0 | $508,336 | $0 | $0 | $0 |
| Mr David Nipper | ||||||||||||||
| COO | $290,335 | $0 | $101,642 | $0 | $9,249 | $0 | $17,100 | $0 | $19,705 | $0 | $438,031 | $0 | $0 | $0 |
| Ms Merry Heath | ||||||||||||||
| CNO | $198,435 | $0 | $68,228 | $0 | $4,870 | $0 | $14,244 | $0 | $7,942 | $0 | $293,719 | $0 | $0 | $0 |
| Dr Angela Swayne | ||||||||||||||
| CMO | $325,488 | $0 | $110,199 | $0 | $16,547 | $15,236 | $16,800 | $1,215 | $468,685 | $16,800 | $0 | $0 | ||
| Ms Rhonda Manos | ||||||||||||||
| Dir Pharmacy | $199,526 | $0 | $26,958 | $0 | $5,003 | $0 | $10,566 | $0 | $6,765 | $0 | $248,818 | $0 | $0 | $0 |
| Ms Mary Mcfarland | ||||||||||||||
| Sr. Dir. Cardiovasc Svcs | $165,312 | $0 | $28,317 | $0 | $3,310 | $0 | $11,871 | $0 | $6,656 | $0 | $215,466 | $0 | $0 | $0 |
| Ms Tonya Pearson | ||||||||||||||
| Clinical Coordinator | $182,675 | $0 | $1,298 | $0 | $1,262 | $11,038 | $549 | $196,822 | $0 | $0 | $0 | |||
| Mr Monsy Jacob | ||||||||||||||
| Medical Physicist | $207,490 | $0 | $1,298 | $0 | $3,068 | $0 | $5,916 | $0 | $16,670 | $0 | $234,442 | $0 | $0 | $0 |
| Ms Sandra Biles | ||||||||||||||
| Dir Inpatient Services | $166,431 | $0 | $22,977 | $0 | $4,671 | $0 | $11,699 | $0 | $10,384 | $0 | $216,162 | $0 | $0 | $0 |
| Mr Michael McAnder | ||||||||||||||
| Treasurer (End 7/20) | $0 | $357,162 | $0 | $0 | $0 | $927,767 | $0 | $66,931 | $0 | $5,196 | $0 | $1,357,056 | $0 | $498,228 |
| Mr Thomas Arnold | ||||||||||||||
| Treasurer (Eff 7/20) | $0 | $424,857 | $0 | $245,916 | $0 | $156,777 | $0 | $79,670 | $0 | $13,247 | $0 | $920,467 | $0 | $62,570 |
| Ms Elizabeth Leddy | ||||||||||||||
| Secretary | $0 | $459,494 | $0 | $335,067 | $0 | $49,241 | $0 | $109,035 | $0 | $17,590 | $0 | $970,427 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A: OTHER COMPENSATION ITEMS | ELIZABETH LEDDY, THOMAS ARNOLD, STEPHEN PORTER, DR. PATRICK BATTEY AND MICHAEL MANDL RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $12,000, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. MICHAEL MCANDER RECEIVED A DISCRETIONARY SPENDING AMOUNT TOTALING $7,385. THIS SPENDING ACCOUNT WAS INCLUDED IN THEIR TAXABLE WAGES. |
| SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR | THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT FAYETTE HOSPITAL IS SET BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A & 15B FOR ADDITIONAL INFORMATION. |
| SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION | MICHAEL MCANDER RECEIVED A PAYMENT OF $498,228 FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THOMAS ARNOLD RECEIVED A PAYMENT OF $62,570 FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DR. PATRICK BATTEY RECEIVED A PAYMENT OF $106,119 FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: STEPHEN PORTER MICHAEL MANDL ELIZABETH LEDDY |
| SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS | CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED BONUS PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Hospital Authority of Fayette County | ||||||||
| A | 582629223 | 31222TAT0 | 2019-11-07 | $31,380,000 | SEE PART VI | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| B | 582629223 | 31222TAS2 | 2016-11-16 | $47,580,000 | EMERG. DEPT. CONSTRUCTION & EQUIPM | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| C | 582629223 | 000000000 | 2014-11-19 | $30,640,000 | SEE PART VI | false | false | false |
| Hospital Authority of Fayette County | ||||||||
| D | 582629223 | 31222TAL7 | 2014-11-19 | $11,420,000 | EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $35,812,739 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,895,000 | $0 | 2019 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $54,828,175 | $0 | $0 | $0 | $2,286 | $0 | $0 | $54,825,889 | $0 | $0 | 2016 | false | false | Yes (true) | Yes (true) |
| C | $4,985,000 | $0 | $30,640,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,640,000 | $0 | 2014 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $12,640,087 | $0 | $0 | $0 | $1,856 | $0 | $0 | $12,638,231 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.01000 | 0.00000 | 0.01000 | false | false | false | Yes (true) | |
| B | false | Yes (true) | Yes (true) | false | 0.01000 | 0.01000 | Yes (true) | false | false | Yes (true) | Yes (true) | |
| C | false | false | false | false | 0.01000 | 0.01000 | false | false | false | Yes (true) | ||
| D | false | false | false | false | 0.01000 | 0.01000 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH K, PART I, COL F | BOND A - THIS BOND IS REFUNDING THE FAYETTE 2009A BOND ISSUED ON NOVEMBER 24, 2009. BOND C - THIS BOND IS REFUNDING THE FAYETTE 2009B BOND ISSUED ON NOVEMBER 24, 2009. |
| SCH K, PART II, LINE 3 | BOND A - TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT FROM SINKING FUND OF $325,888.90. BOND C - TOTAL PROCEEDS INCLUDES TOTAL INVESTMENT FROM SINKING FUND OF $38,230.92. |
| SCH K, PART IV, LINE 2 | Bond B: The rebate calculation was last performed on November 19, 2019. No rebate due. BOND C: THE REBATE CALCULATION WAS LAST PERFORMED ON 11/19/2019. NO REBATE DUE. Bond D: The rebate calculation was last performed on November 19, 2019. No rebate due. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED | ALL CALENDAR YEAR 2020 FORMS 1099 WERE FILED ON BEHALF OF PIEDMONT FAYETTE HOSPITAL BY ITS SOLE MEMBER, PIEDMONT HEALTHCARE, INC. (EIN 58-1503902), PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS. |
| FORM 990, PART VI, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER | PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT FAYETTE HOSPITAL ("PFH"). |
| FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY | THE BOARD OF PIEDMONT HEALTHCARE, PIEDMONT FAYETTE HOSPITAL'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT FAYETTE HOSPITAL. |
| FORM 990, PART VI, SEC A, LINE 7B: DECISIONS OF GOVERNING BODY | PIEDMONT FAYETTE HOSPITAL'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE PIEDMONT FAYETTE HOSPITAL BOARD OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS | INFORMATION NEEDED TO PREPARE PIEDMONT FAYETTE HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PFH'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DIRECTOR AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. |
| FORM 990, PART VI, SEC B, LINE 12C: conflict of interest policy | COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF PIEDMONT FAYETTE HOSPITAL ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. |
| FORM 990, PART VI, SEC B, LINE 15A, 15B: EXECUTIVE COMPENSATION | COMPENSATION FOR EXECUTIVES OF PIEDMONT FAYETTE HOSPITAL IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTOR'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS OF THE PHC BOARD OF DIRECTORS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE OVERSEES EXECUTIVE PERFORMANCE AND COMPENSATION ON BEHALF OF THE PHC BOARD, SUBJECT TO THE ULTIMATE AUTHORITY AND OVERSIGHT OF THE BOARD. THE COMMITTEE ALSO FORMULATES POLICIES AND MAKES DECISIONS IN ORDER TO ENSURE A HIGH LEVEL OF EXECUTIVE PERFORMANCE. THE COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE PHC BOARD AS SET OUT IN ITS CHARTER, AND THE COMMITTEE IS ALSO CHARGED WITH PROVIDING RECOMMENDATIONS AND PERIODIC REPORTS TO THE PHC BOARD REGARDING EXECUTIVE PERFORMANCE AND COMPENSATION. ALL DECISIONS AND COMPARABILITY DATA ARE DOCUMENTED IN THE COMMITTEE MEETING MINUTES. FUNCTIONS OF THE COMMITTEE - ASSESS AND IMPLEMENT POLICIES REGARDING PERFORMANCE, COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AND OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE - SELECT AN EXECUTIVE COMPENSATION CONSULTANT WHO REPORTS TO THE COMMITTEE - ANNUALLY REVIEW THE PRESIDENT/CEO SUCCESSION PLAN - FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES FOR THE PRESIDENT/CEO, AND REVIEW AND APPROVE ANNUALLY RECOMMENDATIONS FROM THE PRESIDENT/CEO RELATING TO COMPENSATION, PERFORMANCE OBJECTIVES, AND SUCCESSION PLANS FOR EVP EXECUTIVES - ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE; IF NECESSARY, IMPLEMENT ACTION PLAN WITH PRESIDENT/CEO INPUT TO IMPROVE HIS/HER PERFORMANCE; ADJUST COMPENSATION AS APPROPRIATE; THE COMMITTEE CHAIR SHALL CONSULT WITH THE PHC GOVERNANCE COMMITTEE CHAIR AND THE PHC BOARD CHAIR AND SHALL COORDINATE THE ANNUAL PERFORMANCE REVIEW OF THE PHC PRESIDENT/CEO, UNLESS THE PHC 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: RECONCILIATION OF NET ASSETS | CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE COMPRISED OF: CONTRIBUTIONS ($50) BOOK/TAX DIFF $21,675 CHANGES IN TEMP. $577,601 INTERCOMPANY TRANS. ($44,031,531) UNALLOCATED EXPENSES ($3,204,281) CHANGES IN UNRESTR. FUND ($31,738) -------------------- TOTAL ($46,668,324) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAYETTE SURGERY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1255 HIGHWAY 54 WEST | AddressLine1Txt |
| City | Fayetteville | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Surgery | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PFH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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 ROAD SUITE 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 |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | ||||||||||
| 1266 HIGHWAY 515 SOUTH | Jasper | GA | 30143 | 352228583 | Hospital | GA | 501(c)(3) | 3 | PHC | false |
| PIEDMONT HENRY HOSPITAL INC | ||||||||||
| 1133 EAGLES LANDING PKWY | Stockbridge | GA | 30281 | 582200195 | 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 |
| PIEDMONT NEWNAN HOSPITAL INC | ||||||||||
| 745 POPLAR ROAD | Newnan | GA | 30265 | 205077249 | Hospital | GA | 501(c)(3) | 3 | PHC | false |
| PIEDMONT HEALTHCARE FOUNDATION INC | ||||||||||
| 2001 PEACHTREE ROAD NE SUITE 400 | Atlanta | GA | 30309 | 581272768 | FUNDRAISING | GA | 501(c)(3) | 12B, II | PHC | false |
| PIEDMONT 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 | ARMC | false |
| PIEDMONT ATHENS REGIONAL HEALTH RESOURCE | ||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 581930580 | DEVELOPMENT | GA | 501(C)(3) | 12B, II | ARMC | 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 | ARMC | false |
| ATHENS REGIONAL SPECIALTY SERVICES INC | ||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 271975001 | HEALTHCARE | GA | 501(C)(3) | 3 | ARMC | false |
| REGIONAL FIRSTCARE INC | ||||||||||
| 1199 PRINCE AVENUE | ATHENS | GA | 30606 | 582362733 | URGENT CARE | GA | 501(C)(3) | 12B, II | ARMC | false |
| COLUMBUS AMBULATORY HEALTHCARE SERVICES | ||||||||||
| 707 CENTER ST | COLUMBUS | GA | 31901 | 581719867 | AMBULATORY | GA | 501(C)(3) | 3 | CRHS | false |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM INC | ||||||||||
| 707 CENTER ST | COLUMBUS | GA | 31901 | 581719994 | HEALTHCARE | GA | 501(C)(3) | 12B, II | PHC | false |
| COLUMBUS REGIONAL MEDICAL FOUNDATION INC | ||||||||||
| 707 CENTER ST | COLUMBUS | GA | 31901 | 581501642 | FUNDRAISING | GA | 501(C)(3) | 7 | CRHS | false |
| THE MEDICAL CENTER INC | ||||||||||
| 710 CENTER ST | COLUMBUS | GA | 31901 | 581685139 | HOSPITAL | GA | 501(C)(3) | 3 | CRHS | false |
| HUGHSTON HOSPITAL INC | ||||||||||
| 707 CENTER ST | 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 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 |
| COLUMBUS REGIONAL SENIOR LIVING INC | ||||||||||
| 707 CENTER ST | COLUMBUS | GA | 31901 | 582628502 | HEALTHCARE | GA | 501(C)(3) | 12C, III-FI | PHC | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 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 | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEACHTREE ORTHOPAEDIC SURGERY CENTER | ||||||||||||||
| 2001 PEACHTREE RD NE STE 705 | ATLANTA | GA | 30309 | 582562721 | SURGERY | GA | NA | NONE | $0 | $0 | false | $0 | false | 0.00000 |
| DIGESTIVE HEALTHCARE OF GA ENDOSCOPY CTR | ||||||||||||||
| 95 COLLIER RD NW STE 4075 | ATLANTA | GA | 30309 | 582406657 | HEALTHCARE | GA | NA | NONE | $0 | $0 | false | $0 | false | 0.00000 |
| PIED URG CARE WELL | ||||||||||||||
| 3350 RIVERWOOD PKWY STE 1850 | ATLANTA | GA | 30339 | 841916875 | urgent care | GA | NA | NONE | $0 | $0 | false | $0 | false | 0.00000 |
| GEORGIA HEALTH COLLABORATIVE LLC | ||||||||||||||
| 2727 PACES FERRY RD BLDG 2 STE 70 | ATLANTA | GA | 30339 | 461500639 | HEALTHCARE | GA | NA | NONE | $0 | $0 | false | $0 | false | 0.00000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 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 | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CARE CORPORATION | ||||||||||||||||
| 2727 PACES FERRY RD STE 1-1100 | Atlanta | GA | 30339 | 582092768 | Healthcare | GA | phc | C Corp | $0 | $0 | 0.00000 | false | ||||
| THE PIEDMONT CLINIC INC | ||||||||||||||||
| 2727 PACES FERRY RD STE 1-1100 | Atlanta | GA | 30339 | 582005358 | Healthcare | GA | phc | C Corp | $0 | $0 | 0.00000 | false | ||||
| PIEDMONT HEART INSTITUTE PHYSICIANS INC | ||||||||||||||||
| 95 COLLIER ROAD NW STE 2045 | Atlanta | GA | 30309 | 260593850 | Healthcare | GA | NA | C Corp | $0 | $0 | 0.00000 | false | ||||
| AMSTER MCRAE INSURANCE COMPANY | ||||||||||||||||
| 980427603 | Related INSUR | phc | C Corp | $0 | $0 | 0.00000 | false | PO BOX 1159 | Grand Cayman KY | CJ | CJ | |||||
| PIEDMONT WELLSTAR HEALTHPLANS INC | ||||||||||||||||
| 2859 PACES FERRY RD STE 600 | ATLANTA | GA | 30339 | 461922499 | HEALTH INSUR. | GA | phc | C CORP | $0 | $0 | 0.00000 | false | ||||
| COLUMBUS HEALTHCARE RESOURCES | ||||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581717754 | HEALTHCARE | GA | CRHS | C CORP | $0 | $0 | 0.00000 | false | ||||
| Columbus Health Services Inc | ||||||||||||||||
| PO BOX 790 | COLUMBUS | GA | 31902 | 581640939 | HEALTHCARE | GA | CRHS | C CORP | $0 | $0 | 0.00000 | false | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART I, LINE 1: DISREGARDED ENTITIES | FormAndLineReferenceDesc |
| Explanation | THE LIMITED LIABILITY COMPANY LISTED IN SCHEDULE R, PART I, OPERATES AS A DEPARTMENT OF PIEDMONT FAYETTE HOSPITAL AND IS INCORPORATED INTO THE HOSPITAL'S BOOKS AND RECORDS. SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LLC AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK. | ExplanationTxt |