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PIEDMONT HEALTHCARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT HEALTHCARE INC (EIN 58-1503902)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349306830
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T16:04:11-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD STE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581503902EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Piedmont Healthcare IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARIE GAFFNEYInCareOfName
Name ControlPIEDNameControl
Phone4044251303Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11968 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code303091285ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLIE HALLName
TitleEVP/CFOTitle
Date Signed2013-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDr Patrick M BatteyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11968 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70024387GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PIEDMONT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees859TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year75964ContributionsGrantsPriorYear
Contributions Grants Current Year66261ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46511340ProgramServiceRevenuePriorYear
Program Service Revenue CY68959308ProgramServiceRevenueCY
Investment Income Prior Year-332213InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year1133672OtherRevenuePriorYear
Other Revenue Current Year998818OtherRevenueCurrentYear
Total Revenue Prior Year47388763TotalRevenuePriorYear
Total Revenue Current Year70024387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24446855SalariesEtcPriorYear
Salaries Etc Current Year22806269SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20021912OtherExpensePriorYear
Other Expenses Current Year67556397OtherExpensesCurrentYear
Total Expenses Prior Year44468767TotalExpensesPriorYear
Total Expenses Current Year90362666TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2919996RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-20338279RevenuesLessExpensesCY
Total Assets BOY290394775TotalAssetsBOY
Total Assets EOY1085066831TotalAssetsEOY
Total Liabilities BOY370269258TotalLiabilitiesBOY
Total Liabilities EOY1253216980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-79874483NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-168150149NetAssetsOrFundBalancesEOY
Mission DescriptionPIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense67577961Expense
Revenue69666730Revenue
DescriptionPIEDMONT 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 ALLOWING ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES.Description
Total Program Service Expense67577961TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096178NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees859NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARIE GAFFNEYNamePerson
Telephone Number6788426007TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12727 PACES FERRY RD BUILDING 2 STAddressLine1
CityATLANTACity
StateGAState
ZIP Code30339ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Dr William A Blincoe
Chairman1.0XX062698844553
Mr Wm Ronald Duffey
Board member1.0X000
Mr R Timothy Stack
President and CEO54.0XX19741480118408
Dr Patrick M Battey
Board member1.0X044735735786
Ms Janine Brown
Vice Chairman1.0X000
Mr Michael D Garrett
Board member1.0X000
Mr Jay Singh
Board member1.0X000
Mr James F Kelley
Board member1.0X000
Dr Harry M McFarling
Board member1.0X000
Dr Ramon Suarez
Board member1.0X000
Mr Roderick D Odom Jr
Board member1.0X000
Mr Gregory Morrison
Board member1.0X000
Mr David Hanna
Board member1.0X000
Ms Lila Hertz
Board member1.0X000
Dr Frank N Cole
Board member1.0X067201547945
Ms Amy W Medendorp
Board Member1.0X000
Mr Charlie Hall
Treasurer/EVP Chief Financial48.0X678646088941
Ms Debbie Gramling
Secretary48.0X161197034899
Mr Jay Mitchell
Secretary/EVP General Counsel55.0X543763079848
Dr Leigh Hamby
EVP Chief Medical Officer55.0549828079536X
Mr Ed Lovern
EVP Chief Admin Officer55.0459069054000X
Ms Michele Molden
Chief Transformation Officer55.04888895963383581X
Dr Ronnie Brownsworth
EVP/CEO OF PIEDMONT CLINIC14.0555192062779X
Mr Gregory A Hurst
Pres. Finance & Development48.013250680106373X
Mr Mendal Bouknight
VP Philanthropy0.0383768062303X
Mr Stephen Karasick
VP HR & Integration55.0387444010111X
Ms Tracy Field
EVP Compliance55.0471315052487X
Mr Mark Pasquale
VP Information Services55.0352332061381X
Ms Anita Day
VP Community Affairs55.0337423056078X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8668082TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1805993TotalReportableCompFrmRltdOrgs
Total Other Compensation1079009TotalOtherCompensation
Number Individuals GT100 K124NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICEWATERHOUSECOOPERS
PO BOX 932011ATLANTAGA31193CONSULTING Services4505534
KING AND SPALDING
PO BOX 116163ATLANTAGA30369LEGAL SERVICES2347279
Deloitte Consulting LLP
PO Box 7247PHILADELPHIAPA197106447CONSULTING SERVICES1995743
Xtend Consulting LLC
1825 Barrett Lakes Blvd 250KENNESAWGA30144Consulting Services1871612
Navigant Consulting Inc
4511 Payshpere CircleCHICAGOIL60674Consulting Services895131
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
Government Grants61261GovernmentGrants
All Other Contributions5000AllOtherContributions
Total Contributions66261TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COST OF CAPITAL ALLOCATION9000992106533321065333
MANAGEMENT SERVICES TO AFFILIATES5610003821057738210577
SETTLEMENTS90009985473988547398
MEDICAID MEANINGFUL USE FUNDS90009911360001136000
FieldValueIRS element (for citing)
Total Program Service Revenue68959308TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real713973Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real713973Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column713973TotalRevenueColumn
Related Or Exempt Function Income510342RelatedOrExemptFunctionIncome
Exclusion$203,631ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESEARCH REVENUE87765$87,765
FEES REVENUE9008090080
OTHER MISCELLANEOUS REVENUE107000107000
FieldValueIRS element (for citing)
Total Other Revenue284845TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column70024387TotalRevenueColumn
Related Or Exempt Function Income69666730RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$291,396ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9247485Total
Program Services6010866ProgramServices
Management And General3236619ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2867172Total
Program Services1863662ProgramServices
Management And General1003510ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5812842Total
Program Services3778347ProgramServices
Management And General2034495ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2239905Total
Program Services1455938ProgramServices
Management And General783967ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2638865Total
Program Services1715262ProgramServices
Management And General923603ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11953268Total
Management And General11953268ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2262828Total
Management And General2262828ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total366848Total
Management And General366848ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total219567Total
Management And General219567ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11982776Total
Program Services11982776ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1356045Total
Program Services1356045ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13545279Total
Program Services13545279ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total185541Total
Program Services185541ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3187432Total
Program Services3187432ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total669826Total
Program Services669826ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total10970998Total
Program Services10970998ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8763117Total
Program Services8763117ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total522015Total
Program Services522015ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL EXPENSES5005250052
PHO ASSESSMENT12344771234477
MISCELLANEOUS EXPENSES286328286328

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total90362666Total
Program Services67577961ProgramServices
Management And General22784705ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY88429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY3697482EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis136669855LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec71354037LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30249270BOY
EOY65315818EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY88632510EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY260145505BOY
EOY927332592EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY290394775BOY
EOY1085066831EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15260638BOY
EOY93848643EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY30660EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1978831BOY
EOY1798743EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY353029789BOY
EOY1157538934EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370269258BOY
EOY1253216980EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-79874483BOY
EOY-168150149EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-79874483BOY
EOY-168150149EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY290394775BOY
EOY1085066831EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-20338279ReconcilationRevenueExpenses
Reconcilation Other Changes-67937387ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PIEDMONT HOSPITAL INC
58056621303truetruetrue$12,811,272
FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL
58232232803truetruetrue$5,519,557
PIEDMONT MOUNTAINSIDE HOSPITAL INC
35222858303truetruetrue$1,117,120
PIEDMONT NEWNAN HOSPITAL INC
20507724903falsetruetrue$868,716
PIEDMONT HEART INSTITUTE INC
26355350003falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts20316665SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions21257507Contributions
End Of Year Balance21257507EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus3 YearsCurrentYearMinus3Years
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis820769OtherCostOrOtherBasis
Book Value820769BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7087635OtherCostOrOtherBasis
Depreciation4860624Depreciation
Book Value2227011BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5487439OtherCostOrOtherBasis
Depreciation153405Depreciation
Book Value5334034BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis99095304OtherCostOrOtherBasis
Depreciation66340009Depreciation
Book Value32755295BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24178709OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value24178709BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65315818TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value88632510BookValue
FieldValueIRS element (for citing)
Total Of Book Value Securities88632510TotalOfBookValueSecurities

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT FAYETTE COMM HOSP0
INVEST PIED MOUNTAINSIDE HOSP0
INVEST AMSTER-MCRAE INS CO0
INVESTMENT CTR FOR HLTH LRNG0
DUE FROM RELATED PARTIES916668614
OTHER CURRENT ASSETS3632534
DEFERRED DEBT COSTS102469
TENANT IMPROVEMENT RECEIVABLES6928975
FieldValueIRS element (for citing)
Total Book Value Other Assets927332592TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$1,157,537,892
OTHER LIABILITIES$1,042
FieldValueIRS element (for citing)
Total Of Amounts1157538934TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740 FOOTNOTE (FKA FIN 48)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHE COMPANY ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF THE INCOME TAXES TOPIC OF 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 AS OF JUNE 30, 2012.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures11775626TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Total Number Of Offices1TotalNumberOfOffices
Subtotal Amount Spent11775626SubtotalAmountSpent
Total Amount Spent11775626TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr William A Blincoe
06038210194050376203180001275306715410
Mr R Timothy Stack
8792700838838025604001029390154690209255600
Mr Charlie Hall
4167120850460176888075776013165076758700
Ms Debbie Gramling
12632003097203905023779011120019609600
Dr Patrick M Battey
0410223049910321430304030538304831430
Mr Mendal Bouknight
254087049863079818050052012251044607100
Mr Jay Mitchell
397828081079064856064926014922062361100
Dr Leigh Hamby
433446084371032011065702013834062936400
Mr Ed Lovern
36604607357201945104441509585051306900
Mr Stephen Karasick
32252405831906601069309418039755500
Ms Tracy Field
349964071007050344040364012123052380200
Ms Michele Molden
3469945963388625053270070777012804057247059633
Dr Frank N Cole
066873705000277803098401696107199600
Dr Ronnie Brownsworth
438903085970030319047665015114061797100
Mr Mark Pasquale
284771055305012256048177013204041371300
Ms Anita Day
252857042440042126042613013465039350100
Mr Gregory A Hurst
634214031756703732870958760104970143144100

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST CLASS TRAVEL, SOCIAL CLUB DUES, AND COMPANION TRAVELSCHEDULE J, PART I, LINE 1AFIRST CLASS TRAVEL IS ALLOWED FOR CERTAIN SENIOR EXECUTIVES. SOCIAL CLUB DUES ARE PAID ON BEHALF OF R. TIMOTHY STACK, MENDAL BOUKNIGHT, AND GREGORY A. HURST AND ARE INCLUDED IN THEIR TAXABLE INCOME. IN ADDITION, TRAVEL WAS PROVIDED FOR THE SPOUSE OF MR. R. TIMOTHY STACK, CHIEF EXECUTIVE OFFICER OF PIEDMONT HEALTHCARE. COMPANION TRAVEL EXPENSES FOR THE YEAR TOTALED $330 AND WERE INCLUDED IN MR. STACK'S TAXABLE INCOME.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE PAYMENTS IN CY2011: RONNIE BROWNSWORTH; CHARLIE HALL; GREGORY HURST; MICHELE MOLDEN; R. TIMOTHY STACK
BONUSESFORM 990, PART VII AND SCHEDULE J, PART I LINE 6A & 6BBONUSES ARE PAID ANNUALLY TO CERTAIN EMPLOYEES BASED ON VARIOUS METRICS, INCLUDING NET EARNINGS.
NON-FIXED PAYMENTSSCHEDULE J, PART I LINE 7R. TIMOTHY STACK AND GREGORY HURST PARTICIPATED IN A SUSTAINED EXCELLENCE AWARD PROGRAM ("SEAP"), WHICH IS A LONG-TERM INCENTIVE PROGRAM THAT INCLUDES A DEFERRAL OF A PORTION OF THE PARTICIPANT'S ANNUAL BONUS, A MATCHING CONTRIBUTION FROM THE ORGANIZATION, AND INTEREST EARNED ON THE AMOUNTS HELD IN THE ACCOUNT. DURING FY2012, MR. STACK RECEIVED PAYMENTS FROM HIS SEAP ACCOUNT TOTALING $562,972, AND MR. HURST RECEIVED PAYMENTS TOTALING $194,699.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Ms Janine Brown
Board Member489800Alston & Bird Legal Feesfalse
Ms Amy W Medendorp
Board Member168Sun Trust Travel Card Feesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE 1ReturnReference
ExplanationMS. JANINE BROWN IS A PARTNER WITH ALSTON & BIRD LLP, AND A BOARD MEMBER OF PIEDMONT HEALTHCARE. THE AMOUNT OF $489,800 REPRESENTS INVOICES PAID BY PIEDMONT HEALTHCARE FOR LEGAL SERVICES PROVIDED BY ALSTON & BIRD AT FAIR MARKET VALUE. MS. AMY W. MEDENDORP IS A KEY EMPLOYEE OF SUNTRUST BANK AND A BOARD MEMBER OF PIEDMONT HEALTHCARE. THE AMOUNT PAID TO SUNTRUST OF $168 REPRESENTS THE FAIR MARKET VALUE OF VISA TRAVEL CARD EXPENSES PAID TO THE BANK DURING THE YEAR. IN ADDITION TO THE LISTED TRAVEL CARD FEES, PIEDMONT HEALTHCARE'S RELATED AND SUBSIDIARY ENTITIES ALSO ENGAGED IN TRANSACTIONS WITH SUNTRUST THAT EXCEED $100,000 IN THE AGGREGATE, THE MOST SIGNIFICANT OF WHICH RELATED TO FEES INCURRED IN RELATION TO TAX-EXEMPT BOND FINANCING. MS. MEDENDORP, HOWEVER, DOES NOT SERVE ON THE BOARDS OF DIRECTORS FOR ANY OF THESE RELATED OR SUBSIDIARY ENTITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (36 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATIONSHIPS WITH BOARD MEMBERSFORM 990, PART VI, SECTION A, LINE 2MR. R. TIMOTHY STACK (PRESIDENT& CEO OF PHC), DR. HARRY MCFARLING (PHC BOARD MEMBER), AND MIKE MCFARLING (DR. MCFARLING'S BROTHER) HAVE JOINT OWNERSHIP IN A RESIDENTIAL INVESTMENT PROPERTY.
DECISIONS OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7BALL 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.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BINFORMATION NEEDED TO PREPARE PIEDMONT HEALTHCARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS THEN REVIEWED BY PHC'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE'S TAX COMPLIANCE MANAGER AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE PRIOR TO FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S VICE PRESIDENT OF COMPLIANCE. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, AND 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 REPORTING INDIVIDUAL'S SUPERVISING MANAGER AND THEN 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 THE REQUIREMENTS OF THE CONFLICT OF INTEREST POLICY AT NEW-EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE ORGANIZATION'S DISCIPLINARY POLICIES.
EXECUTIVE COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A & 15BTHE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTORS EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE HAS BEEN AUTHORIZED BY THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS TO PERFORM THE FOLLOWING FUNCTIONS: -SELECT AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT ("THE CONSULTANT"). THE COMMITTEE CURRENTLY UTILIZES TOWERS WATSON FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. -WORK WITH THE PRESIDENT/CEO TO FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES. THE COMMITTEE MEETS ANNUALLY WITH PIEDMONT HEALTHCARE'S CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW AND APPROVE EXECUTIVE PERFORMANCE OBJECTIVES FOR THE FISCAL YEAR. -ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW THE ACCOMPLISHMENTS OF THE EXECUTIVE PERFORMANCE OBJECTIVES AFTER THE CLOSE OF THE FISCAL YEAR. -ASSESS AND IMPLEMENT POLICIES REGARDING PRESIDENT/CEO PERFORMANCE AND COMPENSATION. THE COMMITTEE HAS DEVELOPED AN EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEWS THE PHILOSOPHY ANNUALLY. THE COMMITTEE SEEKS INPUT AND GUIDANCE FROM THE CONSULTANT TO ENSURE THAT THE PHILOSOPHY IS REASONABLE AND COMPARABLE TO THAT OF SIMILAR ORGANIZATIONS. -APPROVE LONG- AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EXECUTIVE STAFF COMPENSATION PROGRAM AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES AS WELL AS THE CONSULTANT TO REVIEW SALARY ADJUSTMENTS AND INCENTIVE PAY FOR THE CEO, SENIOR EXECUTIVES, AND EXECUTIVES THROUGHOUT THE ORGANIZATION. THE COMMITTEE MEETS WITH THE CONSULTANT ANNUALLY TO RECEIVE INPUT AND RECOMMENDATIONS TO ENSURE THAT SALARY ADJUSTMENTS, INCENTIVES, AND BENEFITS ARE REASONABLE AND COMPARABLE TO THOSE OF LIKE ORGANIZATIONS. -PERFORM ANY TASKS RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS, AND EXECUTIVE BENEFITS. THE COMMITTEE SEEKS INPUT FROM THE CONSULTANT, AS WELL AS EXTERNAL LEGAL ADVISORS, WHEN IT IS NECESSARY TO DEVELOP AND/OR AMEND EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS.
DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST, AND FINANCIAL DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC'S LEGAL COUNSEL.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 5 ARE PRIMARILY COMPRISED OF INTERCOMPANY TRANSFERS OF ASSETS BETWEEN THE ORGANIZATION AND ITS SUBSIDIARIES. OTHER CHANGES RESULTED FROM DIFFERENCES BETWEEN BOOK AND TAX INCOME.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. William A. Blincoe TITLE:Chairman HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Wm. Ronald Duffey TITLE:Board member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. R. Timothy Stack TITLE:President and CEO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Patrick M Battey TITLE:Board member HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Janine Brown TITLE:Vice Chairman HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Michael D. Garrett TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Jay Singh TITLE:Board member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. James F. Kelley TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Harry M. McFarling TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Ramon Suarez TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Roderick D. Odom, Jr. TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Gregory Morrison TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. David Hanna TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Lila Hertz TITLE:Board member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Frank N. Cole TITLE:Board member HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Amy W. Medendorp TITLE:Board Member HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Charlie Hall TITLE:Treasurer/EVP Chief Financial HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Debbie Gramling TITLE:Secretary HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Jay Mitchell TITLE:Secretary/EVP General Counsel HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Leigh Hamby TITLE:EVP Chief Medical Officer HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Ed Lovern TITLE:EVP Chief Admin Officer HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Michele Molden TITLE:Chief Transformation Officer HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Ronnie Brownsworth TITLE:EVP/CEO OF PIEDMONT CLINIC HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Gregory A. Hurst TITLE:Pres. Finance & Development HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Mendal Bouknight TITLE:VP Philanthropy HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Stephen Karasick TITLE:VP HR & Integration HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Tracy Field TITLE:EVP Compliance HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Mark Pasquale TITLE:VP Information Services HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Anita Day TITLE:VP Community Affairs HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Piedmont Hospital Inc
1968 Peachtree Road NWAtlantaGA30309580566213HospitalGA501(C)(3)3PHCtrue
FAYETTE COMMUNITY HOSPITAL INC
1255 Highway 154 WestFayettevilleGA30214582322328HospitalGA501(C)(3)3PHCtrue
Piedmont Mountainside Hospital INC
1266 Highway 515 SouthJasperGA30143352228583HospitalGA501(C)(3)3PHCtrue
Piedmont Newnan Hospital INC
745 POPLAR ROADNewnanGA30265205077249HospitalGA501(C)(3)3PHCtrue
Piedmont HEALTHCARE Foundation INC
1968 Peachtree Road NWAtlantaGA30309581272768FundraisingGA501(C)(3)11 DPHCtrue
Piedmont Heart Institute Inc
95 COLLIER ROAD NW STE 2045AtlantaGA30309263553500HealthcareGA501(C)(3)7PHCtrue
PIEDMONT HENRY HOSPITAL INC
1133 EAGLES LANDING PARKWAYSTOCKBRIDGEGA30281582200195HOSPITALGA501(C)(3)3PHCtrue
Henry Medical Center Foundation Inc
1133 EAGLES LANDING PARKWAYStockbridgeGA30281581502600FundraisingGA501(C)(3)11 DNAfalse
Henry Development Ventures Inc
1133 EAGLES LANDING PARKWAYStockbridgeGA30281582200734DevelopmentGA501(C)(2)N/APHHfalse
Center for Health and Learning Inc
3001 Mercer University DriveAtlantaGA30341262442849EducationGA501(c)(3)11 ANAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Piedmont Medical Care Corporation
2727 Paces Ferry Road suite 1-1100AtlantaGA30339582092768HealthcareGAPHCC-CORP1593639511000381451.00000
THE PIEDMONT CLINIC INC
2727 Paces Ferry Road suite 1-1100AtlantaGA30339582005358HealthcareGAPHCC-CORP4689417117139111.00000
PIEDMONT HEART INSTITUTE PHYSICIANS INC
95 COLLIER ROAD NW STE 2045AtlantaGA30309260593850HealthcareGAPHCC-CORP71759438423393431.00000
Amster McRae Insurance Company
Related InsurancePHCC-CORP12973774485596081.00000Governors Square 2nd Floor Bldg 3Grand CaymanCJKY 1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PIEDMONT HOSPITAL INC
P29751346ACTUAL
FAYETTE COMMUNITY HOSPITAL INC
P8459231ACTUAL
PIEDMONT MEDICAL CARE CORPORATION
A203631ESTIMATE
PIEDMONT HOSPITAL INC
E1798743ACTUAL
PIEDMONT HOSPITAL INC
A510342ESTIMATE
Piedmont Henry Hospital Inc
D61408017Actual