PIEDMONT HEALTHCARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT HEALTHCARE INC (EIN 58-1503902)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349303842
- Schema version
- 2014v6.0
- Note
- A later return for the same period supersedes this one.
- 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 C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T10:28:04-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 300 NORTH GREENE STREET SUITE 400 | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581503902 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIEDMONT HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARIE GAFFNEY | InCareOfNm |
| Business Name Control | PIED | BusinessNameControlTxt |
| Phone | 4044251303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 Howell Mill Road Suite 850 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30318 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA L WILSON | PersonNm |
| Person Title | VP CORPORATE FINANCE | PersonTitleTxt |
| Phone | 3362753394 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWN M HUTCHINSON | PreparerPersonNm |
| PTIN | P01048557 | PTIN |
| Phone | 3362753394 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Mr Kevin Brown | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 Howell Mill Rd Ste 850 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30318 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $92,580,797 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.piedmont.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | SEE PART III | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1979 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $307,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $172,460 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $116,230,525 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $107,503,117 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$12,135,416 | PYInvestmentIncomeAmt |
| CY Investment Income | -$21,223,964 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,090,837 | PYOtherRevenueAmt |
| CY Other Revenue | $6,101,755 | CYOtherRevenueAmt |
| PY Total Revenue | $107,493,706 | PYTotalRevenueAmt |
| CY Total Revenue | $92,553,368 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $53,450 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $191,293 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,668,738 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,675,173 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $60,966,808 | PYOtherExpensesAmt |
| CY Other Expenses | $67,974,532 | CYOtherExpensesAmt |
| PY Total Expenses | $117,688,996 | PYTotalExpensesAmt |
| CY Total Expenses | $113,840,998 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$10,195,290 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$21,287,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $901,723,700 | TotalAssetsBOYAmt |
| Total Assets EOY | $663,759,132 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $889,219,462 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $219,321,822 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,504,238 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $444,437,310 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $93,910,620 | ExpenseAmt |
| Grant | $191,293 | GrantAmt |
| Revenue | $112,586,599 | RevenueAmt |
| Desc | PIEDMONT HEALTHCARE, INC. ("PHC"), IS THE TAX-EXEMPT PARENT OF ITS PUBLICLY SUPPORTED SUBSIDIARIES (LISTED IN SCHEDULE R ATTACHED). PHC PROVIDES CENTRALIZED MANAGEMENT SERVICES TO ITS SUBSIDIARIES, INCLUDING ACCOUNTING, HUMAN RESOURCES, IT, FINANCIAL MANAGEMENT, AND ADVISORY SUPPORT. THESE CENTRALIZED SERVICES RESULT IN GREATER OPERATING EFFICIENCIES AND ALLOW ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES. | Desc |
| Total Program Service Expenses | $93,910,620 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | 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 | Yes (true) | 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 | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| 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 | 915 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1979 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Yes (true) | 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 | 6788426007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2727 PACES FERRY RD BLDG 2 STE 70 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30339 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Dr Harry M McFarling III | ||||||||||
| Board Member | 2.0 | 8.0 | Yes (X) | $0 | $95,300 | $0 | ||||
| Ms Amy W Medendorp | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Charles J Jeff Mills | ||||||||||
| Board Member | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Gregory B Morrison | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Roderick D Odom Jr | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Jay J Singh | ||||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $36,900 | $0 | ||||
| Dr Ramon A Suarez | ||||||||||
| Board Member | 2.0 | 3.0 | Yes (X) | $0 | $30,300 | $0 | ||||
| Dr Patrick M Battey | ||||||||||
| CHAIRMAN | 2.0 | 38.0 | Yes (X) | $0 | $406,122 | $25,553 | Yes (X) | |||
| Ms Janine Brown | ||||||||||
| Chairman | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Mr Kevin Brown | ||||||||||
| PRESIDENT & CEO | 54.0 | 1.0 | Yes (X) | $1,823,927 | $0 | $482,590 | Yes (X) | |||
| Dr William A Blincoe | ||||||||||
| Board Member | 2.0 | 38.0 | Yes (X) | $0 | $733,460 | $23,343 | ||||
| Dr Frank N Cole | ||||||||||
| Board Member | 2.0 | 38.0 | Yes (X) | $0 | $569,479 | $34,534 | ||||
| Mr Wm Ronald Duffey | ||||||||||
| Board Member | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Michael D Garrett | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr David G Hanna | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Ms Lila Hertz | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Charlie Hall | ||||||||||
| CFO/TREASURER | 47.0 | 8.0 | $976,469 | $0 | $283,195 | Yes (X) | ||||
| Mr Jay D Mitchell | ||||||||||
| Chief Legal Officer/Secretary | 48.0 | 7.0 | $739,299 | $0 | $229,289 | Yes (X) | ||||
| Mr Gregory A Hurst | ||||||||||
| CHIEF OPERATING OFFICER | 49.0 | 6.0 | $1,692,430 | $0 | $595,112 | Yes (X) | ||||
| Dr Ronnie Brownsworth | ||||||||||
| CEO of Piedmont Clinic & PWHP | 15.0 | 40.0 | $1,060,977 | $0 | $264,631 | Yes (X) | ||||
| Ms Michele Molden | ||||||||||
| Chief Transformation Officer | 54.0 | 1.0 | $2,216,434 | $0 | $56,555 | Yes (X) | ||||
| Dr Leigh Hamby | ||||||||||
| Chief Medical & Quality Office | 55.0 | 0.0 | $885,836 | $0 | $262,467 | Yes (X) | ||||
| Mr Sidney Kirschner | ||||||||||
| CEO - Piedmont Heart Institute | 10.0 | 45.0 | $1,158,484 | $0 | $273,104 | Yes (X) | ||||
| DR JAMES SAMS | ||||||||||
| CMO PIEDMONT CLINIC & PWHP | 54.0 | 1.0 | $524,810 | $0 | $163,194 | Yes (X) | ||||
| Mr Michael Robertson | ||||||||||
| CEO of South Region | 0.0 | 55.0 | $721,764 | $0 | $219,775 | Yes (X) | ||||
| Ms Vicki Cansler | ||||||||||
| Chief HR Officer | 55.0 | 0.0 | $513,448 | $0 | $112,569 | Yes (X) | ||||
| Mr Mark Guza | ||||||||||
| Chief Compliance Officer | 55.0 | 0.0 | $448,208 | $0 | $95,052 | Yes (X) | ||||
| Ms Debbie Gramling | ||||||||||
| Former Secretary | 0.0 | 0.0 | $159,779 | $0 | $6,170 | Yes (X) | ||||
| Mr Edward Lovern | ||||||||||
| Former CAO | 0.0 | 55.0 | $0 | $583,355 | $215,691 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,921,865 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,454,916 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,342,824 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 271 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247 | PHILADELPHIA | PA | 197106447 | CONSULTING Services | $13,335,364 |
| NOVIA STRATEGIES | |||||
| 13029 Danilson Street | POWAY | CA | 92064 | CONSULTING SERVICES | $4,266,201 |
| TAILFIN LLC | |||||
| 1246 Virginia Avenue NE | ATLANTA | GA | 30306 | MARKETING SERVICES | $2,379,368 |
| ROI-ARC LLC | |||||
| 1920 Greenspring Drive Suite 200 | TIMONIUM | MD | 21093 | AR CONVERSION | $1,837,263 |
| CHAMBERLAIN EDMONDS ASSOCIATES | |||||
| PO BOX 572490 | MURRAY | UT | 841572490 | REVENUE CYCLE CONSUL | $1,663,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $172,460 | AllOtherContributionsAmt |
| Total Contributions | $172,460 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT SERVICES TO AFFILIATES | 561000 | $68,859,778 | $68,859,778 |
| COST OF CAPITAL ALLOCATION | 900099 | $31,873,303 | $31,873,303 |
| MEDICARE/MEDICAID MEANINGFUL USE | 900099 | $4,275,949 | $4,275,949 |
| MEDICARE DSH PAYMENTS | 900099 | $2,494,087 | $2,494,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $107,503,117 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,196,535 | TotalRevenueColumnAmt |
| Exclusion | -$21,196,535 | 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 | $775,128 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $775,128 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $775,128 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,172 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $380,956 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,429 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$27,429 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,429 | TotalRevenueColumnAmt |
| Exclusion | -$27,429 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| RESEARCH REVENUE | 900099 | $637,317 | $637,317 | |
| EPIC IMPLEMENTATION | 900099 | $2,498,850 | $2,498,850 | |
| MISCELLANEOUS REVENUE | 900099 | $2,190,460 | $2,190,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,326,627 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,553,368 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $112,586,599 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$20,205,691 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,343 | TotalAmt |
| Program Services | $171,343 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,950 | TotalAmt |
| Program Services | $19,950 | ProgramServicesAmt |
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 | $8,976,394 | TotalAmt |
| Program Services | $5,834,656 | ProgramServicesAmt |
| Management And General | $3,141,738 | ManagementAndGeneralAmt |
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 | $31,713,894 | TotalAmt |
| Program Services | $20,614,031 | ProgramServicesAmt |
| Management And General | $11,099,863 | 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 | $2,596,134 | TotalAmt |
| Program Services | $1,687,487 | ProgramServicesAmt |
| Management And General | $908,647 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,388,751 | TotalAmt |
| Program Services | $1,552,688 | ProgramServicesAmt |
| Management And General | $836,063 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,648,054 | TotalAmt |
| Management And General | $2,648,054 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,572 | TotalAmt |
| Management And General | $325,572 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,358 | TotalAmt |
| Management And General | $88,358 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,217 | TotalAmt |
| Program Services | $179,217 | ProgramServicesAmt |
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 | $882,083 | TotalAmt |
| Management And General | $882,083 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,148,322 | TotalAmt |
| Program Services | $9,148,322 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,578,661 | TotalAmt |
| Program Services | $3,578,661 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,077,506 | TotalAmt |
| Program Services | $3,077,506 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,271,634 | TotalAmt |
| Program Services | $1,271,634 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326,159 | TotalAmt |
| Program Services | $1,326,159 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,917 | TotalAmt |
| Program Services | $120,917 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,432,924 | TotalAmt |
| Program Services | $25,432,924 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,359,430 | TotalAmt |
| Program Services | $19,359,430 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUBSCRIPTIONS | $71,802 | $71,802 |
| PHO ASSESSMENT | $217,938 | $217,938 |
| MEDICAL EXPENSES | $75,894 | $75,894 |
| MISCELLANEOUS EXPENSES | $170,061 | $170,061 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,840,998 | TotalAmt |
| Program Services | $93,910,620 | ProgramServicesAmt |
| Management And General | $19,930,378 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $432,979,633 | 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 | $65,497 | BOYAmt |
| EOY | $306,581 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,057,928 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,735,106 | BOYAmt |
| EOY | $10,563,599 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $226,230,099 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $123,080,830 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,610,197 | BOYAmt |
| EOY | $103,149,269 | 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 | $88,632,510 | BOYAmt |
| EOY | $88,632,510 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,680,390 | BOYAmt |
| EOY | $25,069,612 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $901,723,700 | BOYAmt |
| EOY | $663,759,132 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,399,835 | BOYAmt |
| EOY | $216,922,455 | 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 | $30,660 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,391,228 | BOYAmt |
| EOY | $1,165,522 | 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 | $744,397,739 | BOYAmt |
| EOY | $1,233,845 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $889,219,462 | BOYAmt |
| EOY | $219,321,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,504,238 | BOYAmt |
| EOY | $444,277,961 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $159,349 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,504,238 | BOYAmt |
| EOY | $444,437,310 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $901,723,700 | BOYAmt |
| EOY | $663,759,132 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$21,287,630 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $521,207 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $3,118,369 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $449,581,126 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 6 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (6 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PIEDMONT HOSPITAL INC | ||||
| 580566213 | 3 | Yes (true) | $10,238,714 | $0 |
| FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL | ||||
| 582322328 | 3 | Yes (true) | $4,885,296 | $0 |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | ||||
| 352228583 | 3 | Yes (true) | $1,408,687 | $0 |
| PIEDMONT NEWNAN HOSPITAL INC | ||||
| 205077249 | 3 | Yes (true) | $7,538,030 | $0 |
| PIEDMONT HEART INSTITUTE INC | ||||
| 263553500 | 3 | Yes (true) | $0 | $0 |
| PIEDMONT HENRY HOSPITAL INC | ||||
| 582200195 | 3 | Yes (true) | $7,250,873 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 6 | SupportedOrganizationsTotalCnt |
| Support Sum | $31,321,600 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, SECTION E, LINE 3A: POWER TO ELECT SUBSIDIARY BOARDS | PURSUANT TO THE PROVISIONS OF ITS CHARTER AND BYLAWS, THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE APPOINTS ALL OF THE MEMBERS OF THE BOARDS OF DIRECTORS OF EACH OF ITS SUPPORTED SUBSIDIARY ENTITIES. |
| SCHEDULE A, SECTION E, LINE 3B: DIRECTION OVER SUBSIDIARY ORGANIZATIONS | THE POLICIES AND DECISIONS OF EACH OF PIEDMONT HEALTHCARE'S SUPPORTED SUBSIDIARY ENTITY BOARDS OF DIRECTORS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE SUBSIDIARY BOARDS 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. THE PROGRAMS AND ACTIVITIES OF EACH OF PIEDMONT HEALTHCARE'S SUPPORTED SUBSIDIARY ORGANIZATIONS, INCLUDING SERVICES OFFERED, ANNUAL OPERATING BUDGETS, AND APPOINTMENT AND COMPENSATION OF SENIOR EXECUTIVES, ARE DETERMINED BY OR SUBJECT TO THE REVIEW OF PIEDMONT HEALTHCARE'S EXECUTIVE LEADERSHIP AND BOARD OF DIRECTORS. |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $179,217 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $179,217 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1(G): LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS, AND PIEDMONT HEALTHCARE BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN SHAPING HEALTH CARE POLICY BY INTERACTING WITH NATIONAL, STATE, AND LOCAL REPRESENTATIVES AND THEIR STAFF MEMBERS TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICIES INCLUDING, WITHOUT LIMITATION, THOSE RELATED TO UNINSURED AND INDIGENT PATIENT NEEDS, AS WELL AS THE IMPORTANCE OF ASSURING THE DELIVERY OF COST-EFFICIENT, QUALITY HEALTH CARE. DURING FISCAL YEAR 2015, PIEDMONT HEALTHCARE ENGAGED A CONTRACT LOBBYIST TO REPRESENT THE INTERESTS OF THE ORGANIZATION AND ITS SUBSIDIARIES BEFORE FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS AND REGULATORS. | ExplanationTxt |
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 | $820,769 | OtherCostOrOtherBasisAmt |
| Book Value | $820,769 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,477,066 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,686,110 | DepreciationAmt |
| Book Value | $3,790,956 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,052,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,544,468 | DepreciationAmt |
| Book Value | $4,508,224 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $197,160,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $115,850,252 | DepreciationAmt |
| Book Value | $81,310,282 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,719,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $12,719,038 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $103,149,269 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| FAYETTE COMMUNITY HOSPITAL | $43,679,729 | C |
| PIED MOUNTAINSIDE HOSPITAL | $43,407,781 | C |
| AMSTER-MCRAE INSURANCE COMPANY | $120,000 | C |
| CENTER FOR HEALTH & LEARNING | $1,425,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $88,632,510 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $1,233,845 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,233,845 | 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 TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2015 AND 2014. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|
| Central America and the Caribbean | Investments | $52,959,283 | |
| Central America and the Caribbean | Program Services | $15,820,649 | Insurance Premiums |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $68,779,932 | SubtotalSpentAmt |
| Total Spent | $68,779,932 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 301 KELLY DRIVE SUITE 3 | PEACHTREE CITY | GA | 30269 | 580566250 | 501(c)(3) | $27,500 | Sponsorship |
| GRADY HEALTH FOUNDATION | |||||||
| 191 PEACHTREE STREET SUITE 820 | ATLANTA | GA | 30303 | 582130437 | 501(C)(3) | $7,500 | sponsorship |
| GEORGIA AQUARIUM | |||||||
| 225 BAKER STREET | ATLANTA | GA | 30313 | 582574918 | 501(c)(3) | $9,500 | SPONSORSHIP |
| MARCH OF DIMES | |||||||
| 1652 CHURCH STREET | DECATUR | GA | 30333 | 582130437 | 501(c)(3) | $21,749 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2: MONITORING THE USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH PRIMARILY PROMOTE HEALTH CARE CAUSES. THE GRANTS ARE ADMINISTERED AND MONITORED THROUGH THE ORGANIZATION'S PUBLIC RELATIONS DEPARTMENT. SUPPORT TO INDIVIDUALS CONSISTS OF SCHOLARSHIPS AND THE REIMBURSEMENT OF QUALIFIED TUITION EXPENSES. A REQUEST FOR TUITION REIMBURSEMENT SHOULD BE APPROVED BY THE DEPARTMENT DIRECTOR AND SUBMITTED ON THE APPROPRIATE FORM TO THE HUMAN RESOURCES DEPARTMENT PRIOR TO THE BEGINNING OF EACH QUARTER OR SEMESTER COURSE OR PROGRAM. THE REQUEST MUST BE SUBMITTED AT LEAST TWO WEEKS BEFORE THE COURSE BEGINS TO BE CONSIDERED FOR REIMBURSEMENT. APPLICATIONS FOR REIMBURSEMENT MAY BE OBTAINED IN THE HUMAN RESOURCES DEPARTMENT. THE HUMAN RESOURCES DEPARTMENT WILL THEN APPROVE OR DISAPPROVE THE REQUEST. IF THERE IS A QUESTION CONCERNING THE JOB RELATEDNESS OF A COURSE, THE DIRECTOR OF HUMAN RESOURCES WILL CONSULT THE EDUCATION DIRECTOR AND THE INDIVIDUAL APPLICANT'S DEPARTMENT DIRECTOR. TOGETHER THEY WILL MAKE A RECOMMENDATION. THE DIRECTOR OF HUMAN RESOURCES WILL HAVE RESPONSIBILITY FOR ASSURING THAT THE TUITION REIMBURSEMENT REQUEST MEETS THE STANDARDS SET FORTH IN THE ORGANIZATION'S TUITION REIMBURSEMENT POLICY STATEMENT. IF THE EMPLOYEE DISAGREES WITH THE DIRECTOR OF HUMAN RESOURCES' EVALUATION, THE EMPLOYEE MAY TAKE THE REQUEST TO HIS/HER ADMINISTRATIVE REPRESENTATIVE. FINAL APPROVAL FOR ELIGIBILITY OF TUITION REIMBURSEMENT RESTS WITH ADMINISTRATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mr Gregory A Hurst | ||||||||||||||
| CHIEF OPERATING OFFICER | $700,210 | $0 | $399,082 | $0 | $593,138 | $0 | $586,180 | $0 | $8,932 | $0 | $2,287,542 | $0 | $0 | $0 |
| Mr Charlie Hall | ||||||||||||||
| CFO/TREASURER | $450,387 | $0 | $275,624 | $0 | $250,458 | $0 | $268,619 | $0 | $14,576 | $0 | $1,259,664 | $0 | $0 | $0 |
| Mr Jay D Mitchell | ||||||||||||||
| Chief Legal Officer/Secretary | $436,573 | $0 | $266,765 | $0 | $35,961 | $0 | $210,888 | $0 | $18,401 | $0 | $968,588 | $0 | $0 | $0 |
| Dr Ronnie Brownsworth | ||||||||||||||
| CEO of Piedmont Clinic & PWHP | $486,950 | $0 | $337,859 | $0 | $236,168 | $0 | $246,100 | $0 | $18,531 | $0 | $1,325,608 | $0 | $0 | $0 |
| Ms Michele Molden | ||||||||||||||
| Chief Transformation Officer | $421,086 | $0 | $265,874 | $0 | $1,529,474 | $0 | $41,788 | $0 | $14,767 | $0 | $2,272,989 | $0 | $0 | $0 |
| Dr Leigh Hamby | ||||||||||||||
| Chief Medical & Quality Office | $522,395 | $0 | $320,450 | $0 | $42,991 | $0 | $245,786 | $0 | $16,681 | $0 | $1,148,303 | $0 | $0 | $0 |
| Mr Edward Lovern | ||||||||||||||
| Former CAO | $0 | $424,915 | $0 | $123,901 | $0 | $34,539 | $0 | $203,956 | $0 | $11,735 | $0 | $799,046 | $0 | $0 |
| Mr Sidney Kirschner | ||||||||||||||
| CEO - Piedmont Heart Institute | $518,216 | $0 | $295,174 | $0 | $345,094 | $0 | $259,262 | $0 | $13,842 | $0 | $1,431,588 | $0 | $0 | $0 |
| DR JAMES SAMS | ||||||||||||||
| CMO PIEDMONT CLINIC & PWHP | $304,965 | $0 | $179,200 | $0 | $40,645 | $0 | $150,448 | $0 | $12,746 | $0 | $688,004 | $0 | $0 | $0 |
| Mr Michael Robertson | ||||||||||||||
| CEO of South Region | $438,387 | $0 | $250,903 | $0 | $32,474 | $0 | $201,113 | $0 | $18,662 | $0 | $941,539 | $0 | $0 | $0 |
| Ms Vicki Cansler | ||||||||||||||
| Chief HR Officer | $326,003 | $0 | $158,688 | $0 | $28,757 | $0 | $103,691 | $0 | $8,878 | $0 | $626,017 | $0 | $0 | $0 |
| Dr Patrick M Battey | ||||||||||||||
| CHAIRMAN | $0 | $398,559 | $0 | $0 | $7,563 | $0 | $10,400 | $0 | $15,153 | $0 | $431,675 | $0 | $0 | |
| Mr Kevin Brown | ||||||||||||||
| PRESIDENT & CEO | $882,533 | $0 | $605,115 | $0 | $336,279 | $0 | $463,928 | $0 | $18,662 | $0 | $2,306,517 | $0 | $0 | $0 |
| Dr William A Blincoe | ||||||||||||||
| Board Member | $0 | $680,501 | $0 | $45,000 | $0 | $7,959 | $0 | $10,400 | $0 | $12,943 | $0 | $756,803 | $0 | $0 |
| Dr Frank N Cole | ||||||||||||||
| Board Member | $0 | $558,427 | $0 | $0 | $0 | $11,052 | $0 | $10,400 | $0 | $24,134 | $0 | $604,013 | $0 | $0 |
| Mr Mark Guza | ||||||||||||||
| Chief Compliance Officer | $221,399 | $0 | $110,376 | $0 | $116,433 | $0 | $86,061 | $0 | $8,991 | $0 | $543,260 | $0 | $0 | $0 |
| Ms Debbie Gramling | ||||||||||||||
| Former Secretary | $77,032 | $0 | $0 | $82,747 | $0 | $1,699 | $0 | $4,471 | $0 | $165,949 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A: OTHER COMPENSATION ITEMS | FIRST-CLASS TRAVEL: THE FOLLOWING INDIVIDUALS WERE PERMITTED (PURSUANT TO THEIR CONTRACTS) TO FLY FIRST-CLASS DURING CALENDAR YEAR 2014. FIRST-CLASS TRAVEL IS NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE. KEVIN BROWN GREGORY HURST TRAVEL FOR COMPANIONS: CERTAIN EXECUTIVES ARE PERMITTED TO TRAVEL WITH COMPANIONS WHEN IT IS APPROPRIATE FOR THE BUSINESS EVENT AND PURPOSE. TRAVEL FOR COMPANIONS IS REVIEWED ON A CASE BY CASE BASIS AND IS REIMBURSED BY THE EMPLOYEE, PAID ON BEHALF OF THE EMPLOYEE, OR TREATED AS TAXABLE INCOME, AS APPROPRIATE AND IN COMPLIANCE WITH COMPANY POLICY. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: KEVIN BROWN RECEIVED A GROSSED-UP PAYMENT OF $176,956.35 TO COVER THE $90,000 INITIATION FEE FOR THE CAPITAL CITY CLUB. HEALTH OR SOCIAL CLUB DUES: PHC EXECUTIVES NOW PAY FOR HEALTH OR SOCIAL CLUB DUES OUT OF THEIR UNREIMBURSED EXPENSE ACCOUNTS (UEA), WITH THE EXCEPTION OF KEVIN BROWN. THE $90,000 INITIATION FEE FOR THE CAPITAL CITY CLUB WAS PAID BY PHC ON BEHALF OF KEVIN BROWN. THE PAYMENT WAS INCLUDED IN KEVIN BROWN'S TAXABLE INCOME AND WAS GROSSED-UP TO COVER THE RELATED TAX LIABILITY. DISCRETIONARY SPENDING ACCOUNTS: THE FOLLOWING EMPLOYEES RECEIVED DISCRETIONARY SPENDING ACCOUNTS IN FIXED AMOUNTS DETERMINED BY JOB LEVEL. THESE SPENDING ACCOUNTS WERE INCLUDED IN EACH EMPLOYEE'S TAXABLE WAGES: KEVIN BROWN $34,327 CHARLIE HALL $11,769 JAY MITCHELL $11,769 DR. RONNIE BROWNSWORTH $11,769 MICHELE MOLDEN $11,308 DR. LEIGH HAMBY $11,769 VICKI CANSLER $11,769 GREGORY HURST $30,937 SIDNEY KIRSCHNER $11,769 MICHAEL ROBERTSON $11,769 MARK GUZA $11,769 DR. JAMES SAMS $9,923 |
| SCHEDULE J, PART I, LINE 4A: SUPPLEMENTAL COMPENSATION INFORMATION | DEBBIE GRAMLING RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $78,593 DURING CALENDAR YEAR 2014. |
| SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION | THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SIDNEY KIRSCHNER $193,062 CHARLIE HALL $214,686 GREG HURST $549,601 DR. RONNIE BROWNSWORTH $161,681 MICHELE MOLDEN $1,500,284 MARK GUZA $79,781 THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: KEVIN BROWN JAY MITCHELL LEIGH HAMBY MICHAEL ROBERTSON JAMES SAMS VICKI CANSLER |
| 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PIEDMONT WELLSTAR HEALTH PLANS | |||
| RELATED INS PROVIDER | $19,123,745 | INSURANCE CLAIMS AND SERVICES | false |
| PATRICK BATTEY JR | |||
| FAMILY OF BOARD MEMBER | $43,844 | EMPLOYMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINE 1: TRANSACTIONS WITH INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | DR. RONNIE BROWNSWORTH IS A KEY EMPLOYEE (CEO OF THE PIEDMONT CLINIC) FOR PHC AND IS ALSO THE PRESIDENT & CEO OF PIEDMONT WELLSTAR HEALTH PLANS, A RELATED ORGANIZATION. THE AMOUNT OF $19,123,745 REPRESENTS INVOICES PAID TO PIEDMONT WELLSTAR HEALTH PLANS BY PIEDMONT HEALTHCARE DURING FISCAL YEAR 2015 FOR HEALTH INSURANCE CLAIMS AND OTHER SERVICES PROVIDED AT FAIR MARKET VALUE. PAYMENTS WERE MADE ON BEHALF OF PHC AND ITS SUBSIDIARIES. PATRICK BATTEY WAS THE CHAIRMAN OF THE PHC BOARD DURING FY15 AND HIS SON, PATRICK BATTEY, JR., IS EMPLOYED BY PHC. THE AMOUNT OF $43,844 REPRESENTS WAGES PAID TO PATRICK BATTEY, JR. DURING FISCAL YEAR 2015. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED | IN CALENDAR YEAR 2014, PIEDMONT HEALTHCARE, INC. FILED FORMS 1099 ON BEHALF OF ITSELF AND EACH OF ITS SUBSIDIARIES, 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 7B: DECISIONS OF GOVERNING BODY | ALL RESOLUTIONS ADOPTED AND ALL BUSINESS TRANSACTED BY PHC'S BOARD OF DIRECTORS REQUIRES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS PRESENT AT THE TIME OF VOTING, AS LONG AS A QUORUM (MAJORITY OF DIRECTORS CURRENTLY IN OFFICE) IS REPRESENTED AT THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS | INFORMATION NEEDED TO PREPARE PIEDMONT HEALTHCARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY PHC'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE'S TAX DIRECTOR AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C: CONFLICT OF INTEREST POLICY | COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF PIEDMONT HEALTHCARE 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 SENIOR VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B: EXECUTIVE COMPENSATION | COMPENSATION FOR EXECUTIVES OF PIEDMONT HEALTHCARE IS SET BY ITS BOARD OF DIRECTORS AND BY THE BOARD'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE. 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 EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("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. FUNCTIONS - 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 PRIMARILY COMPRISED OF A $437,264,446 INTERCOMPANY TRANSFER OF LIABILITIES TO THE ORGANIZATION FROM ITS SUBSIDIARY ORGANIZATIONS; $324,840 OF BOOK/TAX DIFFERENCES RELATED TO REVENUE RECOGNITION; AND AN $11,991,840 CHANGE IN EQUITY INVESTMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 Hospital Inc | ||||||||||
| 1968 Peachtree Road NW | Atlanta | GA | 30309 | 580566213 | Hospital | GA | 501(c)(3) | 3 | PHC | Yes (true) |
| FAYETTE COMMUNITY HOSPITAL INC | ||||||||||
| 1255 Highway 154 West | Fayetteville | GA | 30214 | 582322328 | Hospital | GA | 501(c)(3) | 3 | PHC | Yes (true) |
| Piedmont Mountainside Hospital INC | ||||||||||
| 1266 Highway 515 South | Jasper | GA | 30143 | 352228583 | Hospital | GA | 501(c)(3) | 3 | PHC | Yes (true) |
| Piedmont Newnan Hospital INC | ||||||||||
| 745 POPLAR ROAD | Newnan | GA | 30265 | 205077249 | Hospital | GA | 501(c)(3) | 3 | PHC | Yes (true) |
| Piedmont HEALTHCARE Foundation INC | ||||||||||
| 2001 PEACHTREE ROAD NE SUITE 400 | Atlanta | GA | 30309 | 581272768 | Fundraising | GA | 501(c)(3) | 11 B | PHC | Yes (true) |
| Piedmont Heart Institute Inc | ||||||||||
| 95 COLLIER ROAD NW STE 2045 | Atlanta | GA | 30309 | 263553500 | Healthcare | GA | 501(c)(3) | 7 | PHC | Yes (true) |
| PIEDMONT HENRY HOSPITAL INC | ||||||||||
| 1133 EAGLES LANDING PARKWAY | STOCKBRIDGE | GA | 30281 | 582200195 | HOSPITAL | GA | 501(c)(3) | 3 | PHC | Yes (true) |
| Henry Development Ventures Inc | ||||||||||
| 1133 EAGLES LANDING PARKWAY | Stockbridge | GA | 30281 | 582200734 | RE Holding | GA | 501(c)(2) | N/A | PHH | false |
| Center for Health and Learning Inc | ||||||||||
| 3001 Mercer University Drive | Atlanta | GA | 30341 | 262442849 | Education | GA | 501(c)(3) | 11 A | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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 | UBI Code VUBICodeVAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY RADIATION ONCOLOGY CENTER LLC | ||||||||||||
| 275 PROFESSIONAL COURT SUITE A | STOCKBRIDGE | GA | 30281 | 582200195 | HEALTHCARE | GA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| PEACHTREE ORTHOPAEDIC SURGERY CENTER | ||||||||||||
| 2001 PEACHTREE ROAD NE STE 705 | ATLANTA | GA | 30309 | 582562721 | SURGERY | GA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DIGESTIVE HEALTHCARE OF GA ENDOSCOPY CTR | ||||||||||||
| 582406657 | HEALTHCARE | GA | NA | N/A | $0 | $0 | $0 | 0.00000 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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 | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Piedmont Medical Care Corporation | ||||||||||||||||||
| 2727 Paces Ferry Road suite 1-1100 | Atlanta | GA | 30339 | 582092768 | Healthcare | GA | PHC | C-CORP | $189,254,584 | $58,999,091 | 1.00000 | Yes (true) | ||||||
| THE PIEDMONT CLINIC INC | ||||||||||||||||||
| 2727 Paces Ferry Road suite 1-1100 | Atlanta | GA | 30339 | 582005358 | Healthcare | GA | PHC | C-CORP | $7,223,015 | $11,388,012 | 1.00000 | Yes (true) | ||||||
| PIEDMONT HEART INSTITUTE PHYSICIANS INC | ||||||||||||||||||
| 95 COLLIER ROAD NW STE 2045 | Atlanta | GA | 30309 | 260593850 | Healthcare | GA | PHC | C-CORP | $86,864,001 | $28,312,979 | 1.00000 | Yes (true) | ||||||
| Amster McRae Insurance Company | ||||||||||||||||||
| 980427603 | Related Insurance | PHC | C-CORP | $16,410,778 | $5,959,283 | 1.00000 | Yes (true) | PO BOX 1159 | Grand Cayman | Grand Cayman | CJ | KY 1-1102 | CJ | |||||
| PIEDMONT WELLSTAR HEALTHPLANS INC | ||||||||||||||||||
| 2859 PACES FERRY RD STE 600 | ATLANTA | GA | 30339 | 461922499 | HEALTH INSURAnce | GA | NA | C-CORP | $34,985,746 | $19,433,940 | 0.50000 | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | 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 | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PIEDMONT HOSPITAL INC | ||
| P | $27,110,095 | ACTUAL |
| FAYETTE COMMUNITY HOSPITAL INC | ||
| P | $8,889,797 | ACTUAL |
| PIEDMONT MEDICAL CARE CORPORATION | ||
| A | $380,956 | ESTIMATE |
| PIEDMONT HOSPITAL INC | ||
| E | $1,165,522 | ACTUAL |
| PIEDMONT HOSPITAL INC | ||
| A | $394,171 | ESTIMATE |
| Piedmont Henry Hospital Inc | ||
| D | $60,311,405 | Actual |