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        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>THE 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>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>1</NumberOfOffices>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>11775626</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>1</SubtotalNumberOfOffices>
      <TotalNumberOfOffices>1</TotalNumberOfOffices>
      <SubtotalAmountSpent>11775626</SubtotalAmountSpent>
      <TotalAmountSpent>11775626</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
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      <TravelForCompanions>X</TravelForCompanions>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
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        <NamePerson>Dr William A Blincoe</NamePerson>
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        <NamePerson>Mr Charlie Hall</NamePerson>
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        <NamePerson>Ms Debbie Gramling</NamePerson>
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        <NamePerson>Dr Patrick M Battey</NamePerson>
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        <NamePerson>Mr Jay Mitchell</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Dr Leigh Hamby</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Mr Stephen Karasick</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Ms Tracy Field</NamePerson>
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        <BonusFilingOrg>71007</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Ms Michele Molden</NamePerson>
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        <NamePerson>Mr Mark Pasquale</NamePerson>
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        <NamePerson>Mr Gregory A Hurst</NamePerson>
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        <BonusFilingOrg>317567</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>FIRST CLASS TRAVEL, SOCIAL CLUB DUES, AND COMPANION TRAVEL</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>FIRST 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.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE 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</Explanation>
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        <Identifier>BONUSES</Identifier>
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        <Explanation>BONUSES ARE PAID ANNUALLY TO CERTAIN EMPLOYEES BASED ON VARIOUS METRICS, INCLUDING NET EARNINGS.</Explanation>
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        <Identifier>NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I LINE 7</ReturnReference>
        <Explanation>R. 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.</Explanation>
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        <NameOfInterestedPerson>
          <NamePerson>Ms Janine Brown</NamePerson>
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        <Relationship>Board Member</Relationship>
        <AmountOfTransaction>489800</AmountOfTransaction>
        <DescriptionOfTransaction>Alston &amp; Bird Legal Fees</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Ms Amy W Medendorp</NamePerson>
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        <Relationship>Board Member</Relationship>
        <AmountOfTransaction>168</AmountOfTransaction>
        <DescriptionOfTransaction>Sun Trust Travel Card Fees</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartV>
        <Identifier>TRANSACTIONS WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, LINE 1</ReturnReference>
        <Explanation>MS. JANINE BROWN IS A PARTNER WITH ALSTON &amp; 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 &amp; 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>
      </Form990ScheduleLPartV>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>RELATIONSHIPS WITH BOARD MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>MR. R. TIMOTHY STACK (PRESIDENT&amp; CEO OF PHC), DR. HARRY MCFARLING (PHC BOARD MEMBER), AND MIKE MCFARLING (DR. MCFARLING'S BROTHER) HAVE JOINT OWNERSHIP IN A RESIDENTIAL INVESTMENT PROPERTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS OF GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>INFORMATION 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>COMPLIANCE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST, AND FINANCIAL DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>CHANGES 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. William A. Blincoe TITLE:Chairman HOURS:39</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Wm. Ronald Duffey TITLE:Board member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. R. Timothy Stack TITLE:President and CEO HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Patrick M Battey TITLE:Board member HOURS:39</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Janine Brown TITLE:Vice Chairman HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Michael D. Garrett TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Jay Singh TITLE:Board member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. James F. Kelley TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Harry M. McFarling TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Ramon Suarez TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Roderick D. Odom, Jr. TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Gregory Morrison TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. David Hanna TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Lila Hertz TITLE:Board member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Frank N. Cole TITLE:Board member HOURS:39</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Amy W. Medendorp TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Charlie Hall TITLE:Treasurer/EVP Chief Financial HOURS:7</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Debbie Gramling TITLE:Secretary HOURS:7</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Jay Mitchell TITLE:Secretary/EVP General Counsel HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Leigh Hamby TITLE:EVP Chief Medical Officer HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Ed Lovern TITLE:EVP Chief Admin Officer HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Michele Molden TITLE:Chief Transformation Officer HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dr. Ronnie Brownsworth TITLE:EVP/CEO OF PIEDMONT CLINIC HOURS:41</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Gregory A. Hurst TITLE:Pres. Finance &amp; Development HOURS:7</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Mendal Bouknight TITLE:VP Philanthropy HOURS:55</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Stephen Karasick TITLE:VP HR &amp; Integration HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Tracy Field TITLE:EVP Compliance HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mr. Mark Pasquale TITLE:VP Information Services HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ms. Anita Day TITLE:VP Community Affairs HOURS:</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>Piedmont Hospital Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1968 Peachtree Road NW</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30309</ZIPCode>
        </AddressUS>
        <EIN>580566213</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAYETTE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1255 Highway 154 West</AddressLine1>
          <City>Fayetteville</City>
          <State>GA</State>
          <ZIPCode>30214</ZIPCode>
        </AddressUS>
        <EIN>582322328</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Piedmont Mountainside Hospital INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1266 Highway 515 South</AddressLine1>
          <City>Jasper</City>
          <State>GA</State>
          <ZIPCode>30143</ZIPCode>
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        <EIN>352228583</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Piedmont Newnan Hospital INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>745 POPLAR ROAD</AddressLine1>
          <City>Newnan</City>
          <State>GA</State>
          <ZIPCode>30265</ZIPCode>
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        <EIN>205077249</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Piedmont HEALTHCARE Foundation INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1968 Peachtree Road NW</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30309</ZIPCode>
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        <EIN>581272768</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Piedmont Heart Institute Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>95 COLLIER ROAD NW STE 2045</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30309</ZIPCode>
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        <EIN>263553500</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PIEDMONT HENRY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1133 EAGLES LANDING PARKWAY</AddressLine1>
          <City>STOCKBRIDGE</City>
          <State>GA</State>
          <ZIPCode>30281</ZIPCode>
        </AddressUS>
        <EIN>582200195</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Medical Center Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1133 EAGLES LANDING PARKWAY</AddressLine1>
          <City>Stockbridge</City>
          <State>GA</State>
          <ZIPCode>30281</ZIPCode>
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        <EIN>581502600</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Development Ventures Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1133 EAGLES LANDING PARKWAY</AddressLine1>
          <City>Stockbridge</City>
          <State>GA</State>
          <ZIPCode>30281</ZIPCode>
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        <EIN>582200734</EIN>
        <PrimaryActivities>Development</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Center for Health and Learning Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 Mercer University Drive</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30341</ZIPCode>
        </AddressUS>
        <EIN>262442849</EIN>
        <PrimaryActivities>Education</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Piedmont Medical Care Corporation</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30339</ZIPCode>
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        <EIN>582092768</EIN>
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        <TypeOfEntity>C-CORP</TypeOfEntity>
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        <ShareOfEOYAssets>100038145</ShareOfEOYAssets>
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          <City>Atlanta</City>
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          <BusinessNameLine1>PHC</BusinessNameLine1>
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          <BusinessNameLine1>PIEDMONT HEART INSTITUTE PHYSICIANS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>95 COLLIER ROAD NW STE 2045</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30309</ZIPCode>
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        <EIN>260593850</EIN>
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          <BusinessNameLine1>PHC</BusinessNameLine1>
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        <TypeOfEntity>C-CORP</TypeOfEntity>
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          <BusinessNameLine1>Amster McRae Insurance Company</BusinessNameLine1>
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          <AddressLine1>Governors Square 2nd Floor Bldg 3</AddressLine1>
          <City>Grand Cayman</City>
          <Country>CJ</Country>
          <PostalCode>KY 1-1102</PostalCode>
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        <PrimaryActivity>Related Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORP</TypeOfEntity>
        <ShareOfTotalIncome>12973774</ShareOfTotalIncome>
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        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PIEDMONT HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>29751346</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FAYETTE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>8459231</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PIEDMONT MEDICAL CARE CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>203631</AmountInvolved>
        <MethodOfAmtDetermination>ESTIMATE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PIEDMONT HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>1798743</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PIEDMONT HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>510342</AmountInvolved>
        <MethodOfAmtDetermination>ESTIMATE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Piedmont Henry Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>61408017</AmountInvolved>
        <MethodOfAmtDetermination>Actual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>