PIEDMONT HEALTHCARE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT HEALTHCARE INC (EIN 58-1503902)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-06-01
- IRS object ID
- 201521529349300712
- Schema version
- 2013v4.0
- 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 | 2015-06-01T13:10:09-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 NORTH GREENE STREET SUITE 400 | AddressLine1 |
| City | GREENSBORO | City |
| State | NC | State |
| ZIP Code | 27401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 | 1968 Peachtree Road NW | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 303091285 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLIE HALL | PersonNm |
| Person Title | CFO/TREASURER | PersonTitleTxt |
| Signature | 2015-06-01 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWN M HUTCHINSON | PreparerPersonNm |
| PTIN | P01048557 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | Mr Kevin Brown | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1968 Peachtree Road NW | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 30309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $107,502,209 | 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 | 1849 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $321,498 | PYContributionsGrantsAmt |
| CY Contributions Grants | $307,760 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,831,355 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $116,230,525 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$3,872 | PYInvestmentIncomeAmt |
| CY Investment Income | -$12,135,416 | CYInvestmentIncomeAmt |
| PY Other Revenue | $845,307 | PYOtherRevenueAmt |
| CY Other Revenue | $3,090,837 | CYOtherRevenueAmt |
| PY Total Revenue | $99,994,288 | PYTotalRevenueAmt |
| CY Total Revenue | $107,493,706 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $53,450 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,631,232 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,668,738 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $58,053,205 | PYOtherExpensesAmt |
| CY Other Expenses | $60,966,808 | CYOtherExpensesAmt |
| PY Total Expenses | $98,684,437 | PYTotalExpensesAmt |
| CY Total Expenses | $117,688,996 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,309,851 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,195,290 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,628,336,993 | TotalAssetsBOYAmt |
| Total Assets EOY | $901,723,700 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,663,159,152 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $889,219,462 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$34,822,159 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,504,238 | 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 | $94,674,093 | ExpenseAmt |
| Grant | $53,450 | GrantAmt |
| Revenue | $118,393,765 | 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 | $94,674,093 | 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 | Yes (true) | 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 | false | 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 | false | 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 | 1000 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1849 | 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 |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| 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 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30339 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 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 | 6.0 | Yes (X) | $0 | $69,800 | $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 | 3.0 | Yes (X) | $0 | $48,425 | $0 | ||||
| Dr Ramon A Suarez | ||||||||||
| Board Member | 2.0 | 3.0 | Yes (X) | $0 | $31,100 | $0 | ||||
| Dr Patrick M Battey | ||||||||||
| CHAIRMAN | 2.0 | 38.0 | Yes (X) | $0 | $675,296 | $16,657 | Yes (X) | |||
| Ms Janine Brown | ||||||||||
| Vice Chairman | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mr Kevin Brown | ||||||||||
| PRESIDENT & CEO | 54.0 | 1.0 | Yes (X) | $1,120,796 | $0 | $189,110 | Yes (X) | |||
| Dr William A Blincoe | ||||||||||
| Board Member | 2.0 | 38.0 | Yes (X) | $0 | $780,946 | $25,488 | ||||
| Dr Frank N Cole | ||||||||||
| Board Member | 2.0 | 38.0 | Yes (X) | $0 | $260,551 | $24,146 | ||||
| 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 | 48.0 | 7.0 | $1,256,584 | $0 | $175,391 | Yes (X) | ||||
| Mr Jay D Mitchell | ||||||||||
| General Counsel/Secretary | 48.0 | 7.0 | $593,701 | $0 | $111,333 | Yes (X) | ||||
| Mr Gregory A Hurst | ||||||||||
| CHIEF OPERATING OFFICER | 50.0 | 5.0 | $1,463,938 | $0 | $498,020 | Yes (X) | ||||
| Dr Ronnie Brownsworth | ||||||||||
| CEO of Piedmont Clinic & PWHP | 15.0 | 40.0 | $680,408 | $0 | $119,108 | Yes (X) | ||||
| Ms Michele Molden | ||||||||||
| Chief Transformation Officer | 55.0 | 0.0 | $611,574 | $0 | $300,296 | Yes (X) | ||||
| Dr Leigh Hamby | ||||||||||
| Chief Medical & Quality Office | 55.0 | 0.0 | $687,890 | $0 | $124,443 | Yes (X) | ||||
| Mr Edward Lovern | ||||||||||
| CAO FROM 06/30-07/28/2013 | 15.0 | 40.0 | $281,060 | $306,484 | $105,595 | Yes (X) | ||||
| Mr Sidney Kirschner | ||||||||||
| CEO - Piedmont Heart Institute | 10.0 | 45.0 | $780,412 | $0 | $119,750 | Yes (X) | ||||
| DR JAMES SAMS | ||||||||||
| CMO PIEDMONT CLINIC & PWHP | 0.0 | 55.0 | $464,872 | $0 | $70,531 | Yes (X) | ||||
| Mr Michael Robertson | ||||||||||
| CEO of South Region | 0.0 | 55.0 | $570,205 | $0 | $107,977 | Yes (X) | ||||
| Mr Charles Scott | ||||||||||
| CEO of Piedmont Henry Hospital | 0.0 | 55.0 | $479,118 | $0 | $88,346 | Yes (X) | ||||
| DR STEVEN LUXENBERG | ||||||||||
| MEDICAL INFORMATION OFFICER | 55.0 | 0.0 | $338,917 | $0 | $14,011 | Yes (X) | ||||
| Ms Debbie Gramling | ||||||||||
| Former Secretary | 55.0 | 0.0 | $191,681 | $0 | $12,714 | Yes (X) | ||||
| DR MATTHEW SCHREIBER | ||||||||||
| FORMER PAH CHIEF MED OFFICER | 0.0 | 0.0 | $487,438 | $0 | $38 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,008,594 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,172,602 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,102,954 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 249 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247 | PHILADELPHIA | PA | 197106447 | CONSULTING Services | $7,167,240 |
| EVOLENT HEALTH | |||||
| 3101 WILSON BLVD STE 500 | ARLINGTON | VA | 22201 | CONSULTING SERVICES | $1,422,680 |
| MAXIT HEALTHCARE LLC | |||||
| PO BOX 2589 LOCKBOX KK | FORT WAYNE | IN | 468012589 | CONSULTING SERVICES | $2,942,214 |
| COMPLIANCE POINT INC | |||||
| 4400 RIVER GREEN PARKWAY SUITE 100 | DULUTH | GA | 30096 | Consulting Services | $2,086,203 |
| KING AND SPALDING | |||||
| PO BOX 116133 | ATLANTA | GA | 303686133 | LEGAL SERVICES | $1,483,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 70 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $37,080 | GovernmentGrantsAmt |
| All Other Contributions | $270,680 | AllOtherContributionsAmt |
| Total Contributions | $307,760 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT SERVICES TO AFFILIATES | 561000 | $77,241,912 | $77,241,912 |
| COST OF CAPITAL ALLOCATION | 900099 | $31,555,051 | $31,555,051 |
| MEDICARE/MEDICAID MEANINGFUL USE | 900099 | $7,433,562 | $7,433,562 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $116,230,525 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,126,913 | TotalRevenueColumnAmt |
| Exclusion | -$12,126,913 | 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 | $757,568 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $757,568 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $757,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $446,280 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $311,288 | 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 | $8,503 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,503 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,503 | TotalRevenueColumnAmt |
| Exclusion | -$8,503 | 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 | $616,309 | $616,309 | |
| EPIC IMPLEMENTATION | 900099 | $462,120 | $462,120 | |
| REBATES | 900099 | $357,464 | $357,464 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $897,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $897,376 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,333,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,493,706 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $118,393,765 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$11,207,819 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,450 | TotalAmt |
| Program Services | $53,450 | 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 | $7,175,792 | TotalAmt |
| Program Services | $4,664,265 | ProgramServicesAmt |
| Management And General | $2,511,527 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,348 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $389,348 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,945,378 | TotalAmt |
| Program Services | $29,214,496 | ProgramServicesAmt |
| Management And General | $15,730,882 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,568 | TotalAmt |
| Program Services | $173,269 | ProgramServicesAmt |
| Management And General | $93,299 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,097,578 | TotalAmt |
| Program Services | $713,426 | ProgramServicesAmt |
| Management And General | $384,152 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,794,074 | TotalAmt |
| Program Services | $1,816,148 | ProgramServicesAmt |
| Management And General | $977,926 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,602,845 | TotalAmt |
| Management And General | $1,602,845 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,174 | TotalAmt |
| Management And General | $226,174 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,988 | TotalAmt |
| Management And General | $123,988 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,060 | TotalAmt |
| Program Services | $213,060 | 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 | $974,762 | TotalAmt |
| Management And General | $974,762 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,041,851 | TotalAmt |
| Program Services | $7,041,851 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642,634 | TotalAmt |
| Program Services | $642,634 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,544,503 | TotalAmt |
| Program Services | $2,544,503 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,122,952 | TotalAmt |
| Program Services | $1,122,952 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,010,197 | TotalAmt |
| Program Services | $1,010,197 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,007 | TotalAmt |
| Program Services | $120,007 | 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 | $24,460,569 | TotalAmt |
| Program Services | $24,460,569 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,319,907 | TotalAmt |
| Program Services | $20,319,907 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUBSCRIPTIONS | $156,581 | $156,581 |
| PHO ASSESSMENT | $155,153 | $155,153 |
| MEDICAL EXPENSES | $80,761 | $80,761 |
| MISCELLANEOUS EXPENSES | $170,864 | $170,864 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,688,996 | TotalAmt |
| Program Services | $94,674,093 | ProgramServicesAmt |
| Management And General | $23,014,903 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $65,497 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $6,125,579 | BOYAmt |
| EOY | $6,735,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $207,928,622 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $104,318,425 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,252,102 | BOYAmt |
| EOY | $103,610,197 | 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 | $1,426,261,305 | BOYAmt |
| EOY | $702,680,390 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,628,336,993 | BOYAmt |
| EOY | $901,723,700 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,608,871 | BOYAmt |
| EOY | $143,399,835 | 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 | $30,660 | 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 | $1,600,674 | BOYAmt |
| EOY | $1,391,228 | 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 | $1,626,918,947 | BOYAmt |
| EOY | $744,397,739 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,663,159,152 | BOYAmt |
| EOY | $889,219,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$34,822,159 | BOYAmt |
| EOY | $12,504,238 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | -$34,822,159 | BOYAmt |
| EOY | $12,504,238 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,628,336,993 | BOYAmt |
| EOY | $901,723,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$10,195,290 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $67,426,618 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $132,235 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$10,037,166 | 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 |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (6 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| PIEDMONT HOSPITAL INC | |||||
| 580566213 | 03 | Yes (true) | Yes (true) | Yes (true) | $10,292,300 |
| FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL | |||||
| 582322328 | 03 | Yes (true) | Yes (true) | Yes (true) | $4,742,079 |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC | |||||
| 352228583 | 03 | Yes (true) | Yes (true) | Yes (true) | $1,332,152 |
| PIEDMONT NEWNAN HOSPITAL INC | |||||
| 205077249 | 03 | Yes (true) | Yes (true) | Yes (true) | $7,380,988 |
| PIEDMONT HEART INSTITUTE INC | |||||
| 263553500 | 07 | Yes (true) | Yes (true) | Yes (true) | $0 |
| PIEDMONT HENRY HOSPITAL INC | |||||
| 582200195 | 03 | Yes (true) | Yes (true) | Yes (true) | $7,302,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 6 | SupportedOrganizationsTotalCnt |
| Support Sum | $31,049,756 | SupportSumAmt |
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 | $213,060 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $213,060 | 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) | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES 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 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. | 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 | $9,173,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,736,160 | DepreciationAmt |
| Book Value | $4,437,195 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,992,942 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,632,275 | DepreciationAmt |
| Book Value | $4,360,667 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $182,906,548 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,949,989 | DepreciationAmt |
| Book Value | $84,956,559 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,035,007 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $9,035,007 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $103,610,197 | 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 |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $679,739,882 |
| OTHER CURRENT ASSETS | $4,574,820 |
| DEFERRED DEBT COSTS | $102,469 |
| TENANT IMPROVEMENT RECEIVABLES | $4,994,272 |
| EQUITY INVESTMENTS | $10,211,257 |
| INVESTMENTS AT COST | $3,057,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $702,680,390 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $744,397,739 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $744,397,739 | 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 | FormAndLineReferenceDesc |
| Explanation | 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. | 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 | $57,276,059 | |
| Central America and the Caribbean | Program Services | $15,554,533 | INSURANCE PREMIUMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $72,830,592 | SubtotalSpentAmt |
| Total Spent | $72,830,592 | 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 (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SUSAN G KOMEN BREAST CANCER FOUNDATION | |||||||
| 3525 PIEDMONT RD NE STE 5-215 | ATLANTA | GA | 30305 | 581959763 | 501(C)(3) | $25,000 | SPONSORSHIP |
| GRADY HEALTH FOUNDATION | |||||||
| 80 JESSE HILL JR DRIVE SE | ATLANTA | GA | 30303 | 582130437 | 501(C)(3) | $7,500 | WHITE COAT GALA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | FormAndLineReferenceDesc |
| Explanation | 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. | 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 |
| 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 (18 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 | $665,778 | $0 | $292,140 | $0 | $506,020 | $0 | $486,484 | $0 | $11,536 | $0 | $1,961,958 | $0 | $464,910 | $0 |
| Mr Charlie Hall | ||||||||||||||
| CFO/TREASURER | $430,535 | $0 | $165,124 | $0 | $660,925 | $0 | $163,138 | $0 | $12,253 | $0 | $1,431,975 | $0 | $626,778 | $0 |
| Mr Jay D Mitchell | ||||||||||||||
| General Counsel/Secretary | $417,372 | $0 | $160,152 | $0 | $16,177 | $0 | $95,568 | $0 | $15,765 | $0 | $705,034 | $0 | $0 | $0 |
| Dr Ronnie Brownsworth | ||||||||||||||
| CEO of Piedmont Clinic & PWHP | $475,907 | $0 | $182,395 | $0 | $22,106 | $0 | $101,419 | $0 | $17,689 | $0 | $799,516 | $0 | $0 | $0 |
| Ms Michele Molden | ||||||||||||||
| Chief Transformation Officer | $425,540 | $0 | $163,969 | $0 | $22,065 | $0 | $286,058 | $0 | $14,238 | $0 | $911,870 | $0 | $0 | $0 |
| Dr Leigh Hamby | ||||||||||||||
| Chief Medical & Quality Office | $486,188 | $0 | $184,728 | $0 | $16,974 | $0 | $108,608 | $0 | $15,835 | $0 | $812,333 | $0 | $0 | $0 |
| Mr Edward Lovern | ||||||||||||||
| CAO FROM 06/30-07/28/2013 | $270,464 | $144,001 | $0 | $156,853 | $10,596 | $5,630 | $94,316 | $0 | $7,375 | $3,904 | $382,751 | $310,388 | $0 | $0 |
| DR MATTHEW SCHREIBER | ||||||||||||||
| FORMER PAH CHIEF MED OFFICER | $0 | $0 | $0 | $0 | $487,438 | $0 | $0 | $0 | $38 | $0 | $487,476 | $0 | $0 | $0 |
| Mr Sidney Kirschner | ||||||||||||||
| CEO - Piedmont Heart Institute | $504,297 | $0 | $193,806 | $0 | $82,309 | $0 | $107,623 | $0 | $12,127 | $0 | $900,162 | $0 | $0 | $0 |
| DR JAMES SAMS | ||||||||||||||
| CMO PIEDMONT CLINIC & PWHP | $363,474 | $0 | $74,760 | $0 | $26,638 | $0 | $58,400 | $0 | $12,131 | $0 | $535,403 | $0 | $0 | $0 |
| Mr Michael Robertson | ||||||||||||||
| CEO of South Region | $427,766 | $0 | $129,008 | $0 | $13,431 | $0 | $90,241 | $0 | $17,736 | $0 | $678,182 | $0 | $0 | $0 |
| Mr Charles Scott | ||||||||||||||
| CEO of Piedmont Henry Hospital | $379,360 | $0 | $75,426 | $0 | $24,332 | $0 | $75,928 | $0 | $12,418 | $0 | $567,464 | $0 | $0 | $0 |
| Dr Patrick M Battey | ||||||||||||||
| CHAIRMAN | $0 | $554,729 | $0 | $115,062 | $0 | $5,505 | $0 | $10,200 | $0 | $6,457 | $0 | $691,953 | $0 | $0 |
| Mr Kevin Brown | ||||||||||||||
| PRESIDENT & CEO | $520,289 | $0 | $540,004 | $0 | $60,503 | $0 | $180,200 | $0 | $8,910 | $0 | $1,309,906 | $0 | $0 | $0 |
| Dr William A Blincoe | ||||||||||||||
| Board Member | $0 | $730,441 | $0 | $45,000 | $0 | $5,505 | $0 | $10,200 | $0 | $15,288 | $0 | $806,434 | $0 | $0 |
| Dr Frank N Cole | ||||||||||||||
| Board Member | $0 | $250,625 | $0 | $500 | $0 | $9,426 | $0 | $9,865 | $0 | $14,281 | $0 | $284,697 | $0 | $0 |
| Ms Debbie Gramling | ||||||||||||||
| Former Secretary | $146,311 | $0 | $29,015 | $0 | $16,355 | $0 | $0 | $0 | $12,714 | $0 | $204,395 | $0 | $0 | $0 |
| DR STEVEN LUXENBERG | ||||||||||||||
| MEDICAL INFORMATION OFFICER | $285,873 | $0 | $51,253 | $0 | $1,791 | $0 | $10,200 | $0 | $3,811 | $0 | $352,928 | $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 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PIEDMONT WELLSTAR HEALTH PLANS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | RELATED INS PROVIDER | RelationshipDescriptionTxt |
| Transaction | $29,726,362 | TransactionAmt |
| Transaction | INSURANCE CLAIMS AND SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINE 1 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| AMENDED RETURN | An amended return is being filed soley to attach Form 5471. No other changes have been made to the originally filed Form 990. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | ||||||||||
| 1968 Peachtree Road NW | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Piedmont Medical Care Corporation | ||||||||||||||||||
| 2727 Paces Ferry Road suite 1-1100 | Atlanta | GA | 30339 | 582092768 | Healthcare | GA | PHC | C-CORP | $191,787,368 | $691,196,608 | 1.00000 | Yes (true) | ||||||
| THE PIEDMONT CLINIC INC | ||||||||||||||||||
| 2727 Paces Ferry Road suite 1-1100 | Atlanta | GA | 30339 | 582005358 | Healthcare | GA | PHC | C-CORP | $7,141,461 | $24,731,218 | 1.00000 | Yes (true) | ||||||
| PIEDMONT HEART INSTITUTE PHYSICIANS INC | ||||||||||||||||||
| 95 COLLIER ROAD NW STE 2045 | Atlanta | GA | 30309 | 260593850 | Healthcare | GA | PHC | C-CORP | $81,781,001 | $258,334,472 | 1.00000 | Yes (true) | ||||||
| Amster McRae Insurance Company | ||||||||||||||||||
| 980427603 | Related Insur | PHC | C-CORP | $19,832,606 | $57,276,059 | 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 | $124 | $13,576,665 | 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 | $31,271,287 | ACTUAL |
| FAYETTE COMMUNITY HOSPITAL INC | ||
| P | $10,196,050 | ACTUAL |
| PIEDMONT MEDICAL CARE CORPORATION | ||
| A | $311,288 | ESTIMATE |
| PIEDMONT HOSPITAL INC | ||
| E | $1,391,228 | ACTUAL |
| PIEDMONT HOSPITAL INC | ||
| A | $446,281 | ESTIMATE |
| Piedmont Henry Hospital Inc | ||
| D | $59,381,857 | Actual |