2015-05-15T12:59:37-05:00 2014-06-30 KPMG LLP 300 NORTH GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2013-07-01 581503902 PIEDMONT HEALTHCARE INC % MARIE GAFFNEY PIED 4044251303 1968 Peachtree Road NW Suite Atlanta GA 303091285 CHARLIE HALL CFO/TREASURER 2015-05-13 SHAWN M HUTCHINSON P01048557 2013 2016-02-25 16:41:14Z Mr Kevin Brown 1968 Peachtree Road NW Atlanta GA 30309 107502209 false X www.piedmont.org X 1983 GA SEE PART III 16 9 1849 9 0 0 321498 307760 98831355 116230525 -3872 -12135416 845307 3090837 99994288 107493706 0 53450 0 0 40631232 56668738 0 0 0 58053205 60966808 98684437 117688996 1309851 -10195290 1628336993 901723700 1663159152 889219462 -34822159 12504238 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. false false 94674093 53450 118393765 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. 94674093 true true false true false false false false false false true false true true true true false true false false true false false false false false false true false true false false false false false false false true false false false false false true true true false false true X 1000 0 true 1849 true false true CJ false false false false false false false false false X 16 9 false false false false false false false true true false false true true true true true true true true false GA X MARIE GAFFNEY 6788426007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 Dr Harry M McFarling III Board Member 2.0 6.0 X 0 69800 0 Ms Amy W Medendorp Board Member 2.0 0.0 X 0 0 0 Mr Charles J Jeff Mills Board Member 2.0 1.0 X 0 0 0 Mr Gregory B Morrison Board Member 2.0 0.0 X 0 0 0 Mr Roderick D Odom Jr Board Member 2.0 0.0 X 0 0 0 Dr Jay J Singh Board Member 2.0 3.0 X 0 48425 0 Dr Ramon A Suarez Board Member 2.0 3.0 X 0 31100 0 Dr Patrick M Battey CHAIRMAN 2.0 38.0 X X 0 675296 16657 Ms Janine Brown Vice Chairman 2.0 0.0 X 0 0 0 Mr Kevin Brown PRESIDENT & CEO 54.0 1.0 X X 1120796 0 189110 Dr William A Blincoe Board Member 2.0 38.0 X 0 780946 25488 Dr Frank N Cole Board Member 2.0 38.0 X 0 260551 24146 Mr Wm Ronald Duffey Board Member 2.0 1.0 X 0 0 0 Mr Michael D Garrett Board Member 2.0 0.0 X 0 0 0 Mr David G Hanna Board Member 2.0 0.0 X 0 0 0 Ms Lila Hertz Board Member 2.0 0.0 X 0 0 0 Mr Charlie Hall CFO/TREASURER 48.0 7.0 X 1256584 0 175391 Mr Jay D Mitchell General Counsel/Secretary 48.0 7.0 X 593701 0 111333 Mr Gregory A Hurst CHIEF OPERATING OFFICER 50.0 5.0 X 1463938 0 498020 Dr Ronnie Brownsworth CEO of Piedmont Clinic & PWHP 15.0 40.0 X 680408 0 119108 Ms Michele Molden Chief Transformation Officer 55.0 0.0 X 611574 0 300296 Dr Leigh Hamby Chief Medical & Quality Office 55.0 0.0 X 687890 0 124443 Mr Edward Lovern CAO FROM 06/30-07/28/2013 15.0 40.0 X 281060 306484 105595 Mr Sidney Kirschner CEO - 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DURING FISCAL YEAR 2014, 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. 820769 820769 9173355 4736160 4437195 5992942 1632275 4360667 182906548 97949989 84956559 9035007 0 9035007 103610197 FAYETTE COMMUNITY HOSPITAL 43679729 C PIED MOUNTAINSIDE HOSPITAL 43407781 C AMSTER-MCRAE INSURANCE COMPANY 120000 C CENTER FOR HEALTH & LEARNING 1425000 C 88632510 DUE FROM RELATED PARTIES 679739882 OTHER CURRENT ASSETS 4574820 DEFERRED DEBT COSTS 102469 TENANT IMPROVEMENT RECEIVABLES 4994272 EQUITY INVESTMENTS 10211257 INVESTMENTS AT COST 3057690 702680390 0 DUE TO RELATED PARTIES 744397739 744397739 X SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE (FKA FIN 48) 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, 2014 AND 2013. Central America and the Caribbean Investments 57276059 Central America and the Caribbean Program Services INSURANCE PREMIUMS 15554533 72830592 72830592 true false true false false false true SUSAN G KOMEN BREAST CANCER FOUNDATION 3525 PIEDMONT RD NE STE 5-215 ATLANTA GA 30305 581959763 501(C)(3) 25000 SPONSORSHIP GRADY HEALTH FOUNDATION 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 582130437 501(C)(3) 7500 WHITE COAT GALA 2 0 SCHEDULE I, PART I, LINE 2 MONITORING THE USE OF GRANT FUNDS 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. X X X X true true X X X X true true false false false false false true false Mr Gregory A Hurst CHIEF OPERATING OFFICER 665778 0 292140 0 506020 0 486484 0 11536 0 1961958 0 464910 0 Mr Charlie Hall CFO/TREASURER 430535 0 165124 0 660925 0 163138 0 12253 0 1431975 0 626778 0 Mr Jay D Mitchell General Counsel/Secretary 417372 0 160152 0 16177 0 95568 0 15765 0 705034 0 0 0 Dr Ronnie Brownsworth CEO of Piedmont Clinic & PWHP 475907 0 182395 0 22106 0 101419 0 17689 0 799516 0 0 0 Ms Michele Molden Chief Transformation Officer 425540 0 163969 0 22065 0 286058 0 14238 0 911870 0 0 0 Dr Leigh Hamby Chief Medical & Quality Office 486188 0 184728 0 16974 0 108608 0 15835 0 812333 0 0 0 Mr Edward Lovern CAO FROM 06/30-07/28/2013 270464 144001 0 156853 10596 5630 94316 0 7375 3904 382751 310388 0 0 DR MATTHEW SCHREIBER FORMER PAH CHIEF MED OFFICER 0 0 0 0 487438 0 0 0 38 0 487476 0 0 0 Mr Sidney Kirschner CEO - Piedmont Heart Institute 504297 0 193806 0 82309 0 107623 0 12127 0 900162 0 0 0 DR JAMES SAMS CMO PIEDMONT CLINIC & PWHP 363474 0 74760 0 26638 0 58400 0 12131 0 535403 0 0 0 Mr Michael Robertson CEO of South Region 427766 0 129008 0 13431 0 90241 0 17736 0 678182 0 0 0 Mr Charles Scott CEO of Piedmont Henry Hospital 379360 0 75426 0 24332 0 75928 0 12418 0 567464 0 0 0 Dr Patrick M Battey CHAIRMAN 0 554729 0 115062 0 5505 0 10200 0 6457 0 691953 0 0 Mr Kevin Brown PRESIDENT & CEO 520289 0 540004 0 60503 0 180200 0 8910 0 1309906 0 0 0 Dr William A Blincoe Board Member 0 730441 0 45000 0 5505 0 10200 0 15288 0 806434 0 0 Dr Frank N Cole Board Member 0 250625 0 500 0 9426 0 9865 0 14281 0 284697 0 0 Ms Debbie Gramling Former Secretary 146311 0 29015 0 16355 0 0 0 12714 0 204395 0 0 0 DR STEVEN LUXENBERG MEDICAL INFORMATION OFFICER 285873 0 51253 0 1791 0 10200 0 3811 0 352928 0 0 0 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 2013. 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: DURING CALENDAR YEAR 2013, PURSUANT TO HIS CONTRACT, KEVIN BROWN WAS PERMITTED TO TAKE TWO TRIPS, NOT TO EXCEED EIGHT DAYS TOTAL, WITH HIS SPOUSE FOR THE PURPOSE OF SECURING A RESIDENCE IN ATLANTA. COVERED EXPENSES INCLUDED AIRFARE, LODGING, CAR RENTAL, AND A PER-DIEM STIPEND FOR MEALS. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: KEVIN BROWN RECEIVED A GROSSED-UP PAYMENT OF $23,303.25 TO COVER $15,531.60 OF TAXABLE MOVING EXPENSES INCURRED DURING CALENDAR YEAR 2013. 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 $22,885 CHARLIE HALL $11,769 JAY MITCHELL $11,769 DR. RONNIE BROWNSWORTH $11,769 MICHELE MOLDEN $11,769 DR. LEIGH HAMBY $11,769 EDWARD LOVERN $11,769 GREGORY HURST $29,923 SIDNEY KIRSCHNER $11,769 MICHAEL ROBERTSON $11,769 CHARLES SCOTT $11,769 DR. JAMES SAMS $11,769 SCHEDULE J, PART I, LINE 4A SUPPLEMENTAL COMPENSATION INFORMATION MATTHEW SCHREIBER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $487,396 DURING CALENDAR YEAR 2013. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL COMPENSATION INFORMATION GREGORY A. HURST AND CHARLIE HALL RECEIVED PAYMENTS TOTALING $464,910 AND $626,778, RESPECTIVELY, FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS. THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: KEVIN BROWN JAY MITCHELL RONNIE BROWNSWORTH MICHELE MOLDEN LEIGH HAMBY EDWARD LOVERN SIDNEY KIRSCHNER MICHAEL ROBERTSON CHARLES SCOTT JAMES SAMS SCHEDULE J, PART I, LINE 7 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. PIEDMONT WELLSTAR HEALTH PLANS RELATED INS PROVIDER 29726362 INSURANCE CLAIMS AND SERVICES false SCHEDULE L, PART IV, LINE 1 TRANSACTIONS WITH INTERESTED PERSONS 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 $29,726,362 REPRESENTS INVOICES PAID TO PIEDMONT WELLSTAR HEALTH PLANS BY PIEDMONT HEALTHCARE DURING FISCAL YEAR 2014 FOR HEALTH INSURANCE CLAIMS AND OTHER SERVICES PROVIDED AT FAIR MARKET VALUE. OF THE TOTAL PAYMENTS, $15,794,311 RELATED TO CLAIMS PAID ON BEHALF OF EMPLOYEES OF PHC AND ITS SUBSIDIARIES, AND $13,932,051 RELATED TO OTHER SERVICES. PAYMENTS WERE MADE ON BEHALF OF PHC AND ITS SUBSIDIARIES. FORM 990, PART V, LINE 1A NUMBER OF FORMS 1099 FILED IN CALENDAR YEAR 2013, 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. THIS COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE PHC BOARD AS SET OUT IN THIS CHARTER, AND THE COMMITTEE IS ALSO CHARGED WITH PROVIDING RECOMMENDATIONS AND PERIODIC REPORTS TO THE PHC BOARD REGARDING EXECUTIVE PERFORMANCE AND COMPENSATION. 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 GOVERNING, CONFLICT OF INTEREST, AND FINANCIAL DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC'S LEGAL COUNSEL. FORM 990, PART XI, LINE 9 CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE PRIMARILY COMPRISED OF A $(27,364,157) INTERCOMPANY TRANSFER OF LIABILITIES TO THE ORGANIZATION FROM ITS SUBSIDIARY PIEDMONT HOSPITAL; $(274,860) OF BOOK/TAX DIFFERENCES RELATED TO REVENUE RECOGNITION; AND A $17,601,851 CHANGE IN EQUITY INVESTMENTS. 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