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PIEDMONT HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT HEALTHCARE INC (EIN 58-0566213)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349307480
Schema version
2010v3.7
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)
Timestamp2012-05-15T17:19:36-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLCBusinessNameLine1

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580566213EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Piedmont Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
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
TitleCFOTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonR TIMOTHY STACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11968 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Gross Receipts940236146GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PIEDMONT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees4925TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI7343892TotalGrossUBI
Net Unrelated Business Txbl Income-3771819NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7081071ContributionsGrantsPriorYear
Contributions Grants Current Year6093577ContributionsGrantsCurrentYear
Program Service Revenue Prior Year682293710ProgramServiceRevenuePriorYear
Program Service Revenue CY706531500ProgramServiceRevenueCY
Investment Income Prior Year-12354019InvestmentIncomePriorYear
Investment Income Current Year20014761InvestmentIncomeCurrentYear
Other Revenue Prior Year12930101OtherRevenuePriorYear
Other Revenue Current Year11724574OtherRevenueCurrentYear
Total Revenue Prior Year689950863TotalRevenuePriorYear
Total Revenue Current Year744364412TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year865613GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY367486GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year251374640SalariesEtcPriorYear
Salaries Etc Current Year255649503SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year362020449OtherExpensePriorYear
Other Expenses Current Year405541941OtherExpensesCurrentYear
Total Expenses Prior Year614260702TotalExpensesPriorYear
Total Expenses Current Year661558930TotalExpensesCurrentYear
Revenues Less Expenses Prior Year75690161RevenuesLessExpensesPriorYear
Revenues Less Expenses CY82805482RevenuesLessExpensesCY
Total Assets BOY1075778927TotalAssetsBOY
Total Assets EOY1401215248TotalAssetsEOY
Total Liabilities BOY674945883TotalLiabilitiesBOY
Total Liabilities EOY833929688TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY400833044NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY567285560NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense105750831Expense
Grants0Grants
Revenue150876148Revenue
DescriptionPIEDMONT HOSPITAL CARDIOVASCULAR SERVICES HAD 15,825 INPATIENT AND 48,919 OUTPATIENT ENCOUNTERS DURING THE FISCAL YEAR ENDING 6/30/2011, AND RECEIVED CERTIFICATION BY THE JOINT COMMISSION FOR CONGESTIVE HEART FAILURE AND LEFT VENTRICULAR ASSIST DEVICE FOR DESTINATION THERAPY. FOR THE SECOND YEAR IN A ROW, PIEDMONT HOSPITAL WAS NAMED BEST IN ATLANTA FOR OVERALL CARDIAC CARE, CARDIAC SURGERY AND CORONARY INTERVENTION BY HEALTHGRADES, AND EARNED THE DISTINCTION OF "AMERICA'S 100 BEST". IN ADDITION, THE HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S "GOLD" AWARD FOR GUIDELINE DRIVEN CARE, AND HEALTHGRADES' "DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE".Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense40124475Expense
Grants0Grants
Revenue52236790Revenue
DescriptionPIEDMONT HOSPITAL TRANSPLANT SERVICES PERFORMED A TOTAL OF 958 INPATIENT CASES DURING THE FISCAL YEAR ENDING 6/30/2011, AND HAD 13,136 OUTPATIENT ENCOUNTERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense21327728Expense
Grants0Grants
Revenue37890078Revenue
DescriptionPiedmont Hospital Orthopedic Services performed a total of 2,332 Inpatient cases during the fiscal year ending 6/30/2011.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp341116252TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt367486TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev469982405TotalOfOtherProgramServiceRev
Total Program Service Expense508319286TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
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 ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096399NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4925NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLIE HALLNamePerson
Telephone Number4044251303TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11968 PEACHTREE ROAD NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code303091285ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Dr William Blincoe
Board member1.0X059449943187
Dr Carol T Aitcheson
Board member1.0X000
Dr Letha Yurko Griffin
Board member1.0X000
Mr David G Hanna
Board member1.0X000
Mr Gary T Jones
Board member1.0X000
Dr Louise H Jacobs
Board member1.0X000
Ms Nell Long
Board member1.0X000
Dr Bryant Wilson
Board member1.0X000
Mr Gregory B Morrison
Board member1.0X000
Dr Jay J Singh
Board member1.0X000
Dr Patrick M Battey
Chairman2.0X045517034430
Dr Hewitt W Matthews
Board member1.0X000
Mr Charlie Hall
Treasurer2.0061082183119X
Ms Debbie W Gramling
Secretary2.0014881132636X
Mr Leslie A Donahue
President and CEO55.0298237021378X
Ms Denise Ray
VP Chief Operating Officer55.0403446037018X
Ms Connie Whittington
Chief Nursing Officer55.0274808029402X
Mr Thomas Arnold
VP Chief Financial Officer55.0353369060257X
Mr Wright Alcorn
VP Patient Services55.0299943034640X
Mr Everett Thompson
VP Facility Services55.0320669052843X
Dr Matthew Schreiber
VP and Chief Medical Officer55.0430559074146X
Mr Robert W Maynard
Former President & CEO0.0156279301103639X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3943824TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1809301TotalReportableCompFrmRltdOrgs
Total Other Compensation1606695TotalOtherCompensation
Number Individuals GT100 K187NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
SKANSKA USA BUILDING INC
55 Ivan Allen jr Blvd Ste 600ATLANTAGA30308CONSTRUCTION3311027
EMORY MEDICAL LABORATORIES
PO BOX 403054ATLANTAGA30384DIALYSIS2208534
ALLIANCE LAUNDRY AND TEXTILE SERVIC
7990 Second Flags Drive Suite AAUSTELLGA30168LAUNDRY SERVICES2318775
DELOITTE CONSULTING LLP
PO BOX 7247 6447PHILADELPHIAPA19170CONSULTING SERVICES2310907
SPECIALTY LABS INC
FILE 51048LOS ANGELESCA90074LAB SERVICES1772487
FieldValueIRS element (for citing)
Number Of Contractors GT100 K42NumberOfContractorsGT100K
Government Grants156926GovernmentGrants
All Other Contributions5936651AllOtherContributions
Total Contributions6093577TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HEALTHCARE SERVICES622110696659025696659025
OUTSIDE LAB62150069709486970948
PARKING90009929015272901527
FieldValueIRS element (for citing)
Total Program Service Revenue706531500TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1103449TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,103,449ExclusionAmount

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)
Real10455901Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real5629036Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4826865Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4826865TotalRevenueColumn
Related Or Exempt Function Income4453921RelatedOrExemptFunctionIncome
Unrelated Business Revenue372944UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities209043228Securities
Other110782Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities190132155Securities
Other110543Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18911073Securities
Other239Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column18911312TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$18,911,312ExclusionAmount

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)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222103200957$3,200,957
FITNESS CENTER713940847692$847,692
COFFEE CART900099128143$128,143

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2720917TotalRevenueColumn
Exclusion$2,720,917ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6897709TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column744364412TotalRevenueColumn
Related Or Exempt Function Income704014473RelatedOrExemptFunctionIncome
Unrelated Business Revenue7343892UnrelatedBusinessRevenue
Exclusion$26,912,470ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total305334Total
Program Services305334ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total62152Total
Program Services62152ProgramServices

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)
Total805272Total
Management And General805272ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total208769540Total
Program Services197430882ProgramServices
Management And General11338658ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12599138Total
Program Services11869648ProgramServices
Management And General729490ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17348964Total
Program Services16344459ProgramServices
Management And General1004505ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16126589Total
Program Services15192859ProgramServices
Management And General933730ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11039660Total
Management And General11039660ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1885414Total
Management And General1885414ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17605636Total
Program Services16500235ProgramServices
Management And General1105401ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4074866Total
Management And General4074866ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total166185946Total
Program Services165376656ProgramServices
Management And General809290ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15808930Total
Management And General15808930ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23068693Total
Program Services19120963ProgramServices
Management And General3947730ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total137994Total
Program Services122974ProgramServices
Management And General15020ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total230942Total
Program Services207528ProgramServices
Management And General23414ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7297275Total
Management And General7297275ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total20606998Total
Management And General20606998ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36763506Total
Management And General36763506ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5925102Total
Management And General5925102ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE4608701646087016
COLLECTIONS EXPENSE72254457225445
LAB FEES43210924321092
GEORGIA PROVIDER FEE81520438152043
MISCELLANEOUS2912538329125383

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total661558930Total
Program Services508319286ProgramServices
Management And General153239644ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY157682865BOY
EOY185994924EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1804000BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3047314BOY
EOY2359701EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY110492319BOY
EOY110959425EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2145946BOY
EOY2707966EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11477694BOY
EOY12063445EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6475836BOY
EOY5125822EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis728933247LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec452929961LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY291791104BOY
EOY276003286EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY361183527BOY
EOY434864453EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5299256BOY
EOY2652597EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY15417924EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY124379066BOY
EOY353065705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1075778927BOY
EOY1401215248EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54466559BOY
EOY50586054EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY374820006BOY
EOY466922801EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY27693138BOY
EOY28460499EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY217966180BOY
EOY287960334EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY674945883BOY
EOY833929688EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY364820689BOY
EOY530441527EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14410528BOY
EOY14096222EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21601827BOY
EOY22747811EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY400833044BOY
EOY567285560EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1075778927BOY
EOY1401215248EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses82805482ReconcilationRevenueExpenses
Reconcilation Other Changes83647034ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$408,111DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB408111TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivitiesIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(G)ReturnReference
ExplanationHEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS, AND PIEDMONT HOSPITAL 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. PIEDMONT HEALTHCARE'S VICE PRESIDENT OF GOVERNMENT AND EXTERNAL AFFAIRS REPRESENTED THE INTERESTS OF PIEDMONT HEALTHCARE (EIN 58-1503902), PIEDMONT HOSPITAL (58-0566213), AND RELATED ENTITIES BEFORE FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS AND REGULATORS.Explanation

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 Balance343861628BeginningOfYearBalance
Investment Earnings Or Losses18073893InvestmentEarningsOrLosses
Administrative Expenses-361479AdministrativeExpenses
End Of Year Balance362297000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance293945492BeginningOfYearBalance
Investment Earnings Or Losses49633360InvestmentEarningsOrLosses
Administrative Expenses-282776AdministrativeExpenses
End Of Year Balance343861628EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance347223727BeginningOfYearBalance
Contributions149534Contributions
Investment Earnings Or Losses-53718394InvestmentEarningsOrLosses
Administrative Expenses-290625AdministrativeExpenses
End Of Year Balance293945492EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12990987OtherCostOrOtherBasis
Book Value12990987BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis462020636OtherCostOrOtherBasis
Depreciation267910680Depreciation
Book Value194109956BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis252617537OtherCostOrOtherBasis
Depreciation185019281Depreciation
Book Value67598156BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1304087OtherCostOrOtherBasis
Book Value1304087BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings276003186TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INT IN PERP TRUST8301497
DUE FROM RELATED PARTIES296060387
A/R PROFESSIONAL BUILDING604217
STOP / LOSS GA ADS146002
PCL CON AND NON-COMPETE701900
CASH HELD BY TRUSTEE41479503
UNAMORTIZED LOAN DISCOUNT5772199
FieldValueIRS element (for citing)
Total Book Value Other Assets353065705TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$196,585,502
ACCRUED PENSION COSTS$42,422,607
SELF INSURANCE RESERVES$19,755,362
INTEREST SWAPS$18,494,536
SERP PAYABLE$4,993,118
OTHER DEFERRALS$5,709,209
FieldValueIRS element (for citing)
Total Of Amounts287960334TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740 FOOTNOTE (FKA FIN 48)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationOn July 1, 2007, Piedmont Hospital adopted ASC 740 (FKA FIN 48). 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, 2011.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense11887020TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11887020NetCommunityBenefitExpense
Percent Of Total Expense0.01930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18605568TotalCommunityBenefitExpense
Direct Offsetting Revenue13239591DirectOffsettingRevenue
Net Community Benefit Expense5365977NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense30492588TotalCommunityBenefitExpense
Direct Offsetting Revenue13239591DirectOffsettingRevenue
Net Community Benefit Expense17252997NetCommunityBenefitExpense
Percent Of Total Expense0.02800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1383025TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1383025NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5000NetCommunityBenefitExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense3133492TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3133492NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense507592TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense507592NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5029109TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5029109NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense35521697TotalCommunityBenefitExpense
Direct Offsetting Revenue13239591DirectOffsettingRevenue
Net Community Benefit Expense22282106NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,627,961BadDebtExpenseAmount
Amount Attributable To631398AmountAttributableTo
Amount Reimbursed By Medicare210568679AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare228060502CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17491823MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Peachtree Orthopedi
Orthopedic Surgery0.150000.85000
Digestive Healthcare
Endo/GI Surgery0.149590.85041
Piedmont West ASC
ambulatory surgery0.835000.16500
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Piedmont Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11968 Peachtree Road NWAddressLine1
CityAtlantaCity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Piedmont Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1. REQUIRED DESCRIPTIONSSCHEDULE H, PART VI, LINE 1: REQUIRED DESCRIPTIONSPUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A PIEDMONT HEALTHCARE, INC. (PIEDMONT HOSPITAL'S SOLE MEMBER) PREPARES A WRITTEN COMMUNITY BENEFIT REPORT WHICH CONTAINS THE COMMUNITY BENEFIT REPORT FOR PIEDMONT HOSPITAL. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7(F) THE DENOMINATOR USED FOR THE CALCULATION OF COLUMN (F), PERCENT OF TOTAL EXPENSE, WAS THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $661,558,930, LESS BAD DEBT EXPENSE OF $46,087,016 FROM FORM 990, PART IX, LINE 24(A). FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 A RATIO OF PATIENT CARE COST TO CHARGES, CONSISTENT WITH WORKSHEET 2, WAS USED TO REPORT THE AMOUNTS IN PART I, LINES 7A-7D. FOR AMOUNTS ON LINES 7E-7K, ACTUAL EXPENSES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACED AND REPORTED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. BAD DEBT EXPENSE CALCULATION AND FOOTNOTE SCHEDULE H, PART III, LINE 4 BASED ON PRIOR EXPERIENCE AND CERTAIN DEMOGRAPHICS AND OTHER INFORMATION OBTAINED DURING ADMISSION, THE ORGANIZATION BELIEVES A PORTION OF THE BAD DEBT EXPENSES AT COST IS ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE. DESPITE ITS BEST EFFORTS TO EDUCATE PATIENTS ABOUT QUALIFYING FOR ITS CHARITY CARE PROGRAM (AS DISCUSSED IN PART VI, QUESTION 3 BELOW), MANY UNINSURED PATIENTS EITHER REFUSE OR FAIL TO COMPLETE A CHARITY CARE APPLICATION OR PROVIDE SUFFICIENT INFORMATION AT THE TIME OF ADMISSION, DURING THEIR STAY, OR AFTER BEING DISCHARGED TO QUALIFY FOR ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THE AMOUNT REPORTED ON PART III, LINE 3, WAS DETERMINED BY TAKING THE AVERAGE ACCEPTANCE RATE FOR ALL CHARITY CARE APPLICATIONS RECEIVED DURING THE YEAR MULTIPLIED BY THE NUMBER OF DENIALS THAT WERE ATTRIBUTABLE TO INSUFFICIENT INFORMATION. BAD DEBT EXPENSE FOOTNOTE FROM CONSOLIDATED, AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. MEDICARE SHORTFALLS AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 THE AMOUNT REPORTED ON PART III, SECTION B, LINE 6 WAS CALCULATED IN ACCORDANCE WITH THE SCHEDULE H INSTRUCTIONS AND UTILIZING THE ORGANIZATION'S ALLOWABLE MEDICARE COST AS REPORTED IN THE MEDICARE COST REPORT, WHICH IS BASED ON A COST TO CHARGE RATIO. HOWEVER, THE ALLOWABLE COSTS IN THE MEDICARE COST REPORT DO NOT REFLECT THE ACTUAL COST OF PROVIDING CARE TO PATIENTS SINCE THE MEDICARE COST REPORT EXCLUDES MANY DIRECT PATIENT CARE COSTS THAT ARE ESSENTIAL TO PROVIDING QUALITY HEALTHCARE FOR MEDICARE PATIENTS. FOR EXAMPLE, CERTAIN COVERAGE FEES TO PHYSICIANS, COST OF MEDICARE C AND D, AND OTHER SIMILAR DIRECT PATIENT CARE EXPENSES ARE SPECIFICALLY EXCLUDED FROM ALLOWABLE COST IN THE MEDICARE COST REPORT. THE ORGANIZATION BELIEVES THAT THE ENTIRE $17,491,823 OF MEDICARE SHORTFALL REPORTED ON LINE 7 OF SCHEDULE H, PART III SHOULD BE CONSIDERED COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: FIRST, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. IRS REVENUE RULING 69-545 PROVIDES, IN PART, THAT HOSPITALS SERVING PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING, FOR EXAMPLE, MEDICARE, IS AN INDICATION THAT THE HOSPITAL OPERATES FOR THE PROMOTION OF HEALTH IN THE COMMUNITY. SECOND, DURING FISCAL YEAR 2011, MEDICARE ACCOUNTED FOR 30.2 PERCENT OF PH'S PATIENT SERVICE REVENUE. PIEDMONT HOSPITAL'S POLICY IS TO TREAT MEDICARE PATIENTS REGARDLESS OF THE EXTENT TO WHICH MEDICARE ACTUALLY COVERS THE COSTS OF THAT TREATMENT. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THE PATIENTS. RESULTING MEDICARE SHORTFALLS MUST BE ABSORBED BY PIEDMONT HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY MEDICARE PATIENTS IN THE METROPOLITAN ATLANTA COMMUNITY. FURTHER, IT IS EXPECTED THAT REIMBURSEMENT UNDER THE MEDICARE PROGRAM WILL CONTINUE TO DECLINE AND THEREFORE MAY FURTHER LIMIT ACCESS TO CARE FOR ELDERLY PATIENTS DUE TO THE ANTICIPATED REDUCTION OF PARTICIPATION IN THE MEDICARE PROGRAM BY HEALTHCARE PROVIDERS IN THE COMMUNITY. AS A RESULT, NONPROFIT HOSPITALS AND/OR COUNTY HOSPITAL DISTRICTS WILL LIKELY BEAR THE MAJORITY OF THE FINANCIAL BURDEN OF TREATING MEDICARE PATIENTS. THIRD, PIEDMONT HOSPITAL RELIEVES A FINANCIAL BURDEN ON THE FEDERAL AND STATE GOVERNMENTS TO PAY FOR ALL OF THE SERVICES PROVIDED TO MEDICARE PATIENTS. FOURTH, THE STATE OF GEORGIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMAL LEVEL OF COMMUNITY BENEFIT IN ORDER TO OBTAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO GEORGIA STATE LAW, THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT. FIFTH, MANY OF THE MEDICARE PARTICIPANTS HAVE LOW, FIXED INCOMES AND THEREFORE WOULD QUALIFY FOR CHARITY CARE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS, ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9(B) INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY FINANCIAL COUNSELORS IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. COUNSELORS CONTACT PATIENTS AND THEIR FAMILIES DIRECTLY, EITHER IN PERSON OR BY LETTER, TO ASSIST THE FAMILY IN INDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM ("SCHIP"), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
2. NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENTPIEDMONT HEALTHCARE HAS PARTNERED WITH THE GEORGIA STATE UNIVERSITY PUBLIC HEALTH DEPARTMENT TO ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY. IN MARCH 2010, PIEDMONT HEALTHCARE PARTNERED WITH THE GEORGIA STATE UNIVERSITY INSTITUTE OF PUBLIC HEALTH AS TO FORMALLY ASSESS THE HEALTHCARE NEEDS OF THE METROPOLITAN ATLANTA COMMUNITY THROUGH THE USE OF PRIMARY AND SECONDARY DATA AND STAKEHOLDER INPUT TO ESTABLISH COMMUNITY NEED WITH A FOCUS ON THE FOLLOWING AREAS: POPULATION DEMOGRAPHIC PROFILE; HEALTH BURDENS; COMMUNITY-BASED HEALTH CARE AND SOCIAL SERVICE ASSETS AND NEEDS; COMMUNITY MEMBERS AND PIEDMONT STAFF PERCEPTIONS; AND, EMERGENCY DEPARTMENT USE TRENDS. THE INFORMATION WAS THEN USED TO DESIGN AND EXECUTE A SYSTEMATIC APPROACH TO PHC'S COMMUNITY BENEFITS PROGRAMMING AS TO BETTER ADDRESS THE HEALTH NEEDS THAT WERE IDENTIFIED, WITH A PARTICULAR FOCUS ON THE MORE VULNERABLE MEMBERS OF THE COMMUNITY. PHC USED THE COMMUNITY HEALTH NEEDS ASSESSMENT AS ITS BENCHMARK IN ESTABLISHING STANDARDS FOR PROGRAMMATIC EFFECTIVENESS, WHICH ARE REGULARLY REVIEWED AND EVALUATED.
3. PATIENT EDUCATION OF ASSISTANCE ELIGIBILITYSCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ASSISTANCE ELIGIBILITYIN ORDER TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S CHARITY CARE POLICY, THE HOSPITAL FOLLOWS THE FOLLOWING PROCEDURES: - REGISTRARS REVIEW PROGRAM GUIDELINES WITH PATIENTS; - BROCHURES THAT EXPLAIN PAYMENT AND FINANCIAL ASSISTANCE OPTIONS ARE AVAILABLE IN REGISTRATION AREAS; - THE HOSPITAL'S WEBSITE AND ALL BILLING STATEMENTS PROVIDE CONTACT INFORMATION FOR PATIENT FINANCIAL SERVICES; - PATIENT FINANCIAL SERVICES REPRESENTATIVES EXPLAIN THE PERTINENT POLICY TO THE PATIENT AND PROVIDE ANY FORMS THAT NEED TO BE COMPLETED BY THE PATIENT; - ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY ELIGIBILITY WITH AN AUTOMATIC ONLINE SERVICE (SEARCH AMERICA), AND FOR MEDICAID ELIGIBILITY USING A THIRD PARTY (BOTH SERVICES ARE FREE OF CHARGE TO THE PATIENT); - INDIGENT CARE CAN BE AUTHORIZED AT REGISTRATION.
4. COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATIONPIEDMONT HOSPITAL PRIMARILY FOCUSES ON THE COMMUNITY WITHIN A 20 MILE RADIUS OF THE HOSPITAL ADDRESS AND SERVES THOSE WHO ARE UNINSURED, UNDERINSURED, AND UNDERSERVED, AS WELL AS THOSE IN NEED OF HEALTH EDUCATION.
5. PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHPIEDMONT HEALTHCARE WORKS WITH COMMUNITY PARTNERS THAT COMBINE EDUCATION AND SUPPORT TO PROMOTE HEALTHY LIFESTYLES TO MEMBERS OF THE COMMUNITY. THROUGH ONE SUCH PROGRAM, HEALTHMPOWERS, PHC PROVIDES NUTRITION AND FITNESS MATERIALS TO STUDENTS AND TEACHERS AT GARDEN HILLS ELEMENTARY SCHOOL IN ATLANTA, AS WELL AS TRAINING FOR THE TEACHERS TO INCORPORATE INTO REGULAR CURRICULUM. HEALTHMPOWERS, SPECIALIZES IN THE DEVELOPMENT OF THE MATERIALS AND MONITORS THE PROGRESS OF THE TEACHERS AND STUDENTS OVER THE ENTIRE SCHOOL YEAR. WITH NO EXTRA WORK ON THE SCHOOL'S PART, STUDENTS LEARN WAYS TO INCORPORATE FRUITS AND VEGETABLES INTO THEIR DIETS, AS WELL THE IMPORTANCE OF EXERCISING EACH DAY. THE STUDENTS ARE THEN ABLE TO SHARE THIS KNOWLEDGE WITH THEIR PARENTS AND ENCOURAGE THEM TO DEVELOP HEALTHIER LIFESTYLES. ADDITIONAL PROGRAMS OFFERED TO THE COMMUNITY INCLUDE WOMEN, MEN, AND FAMILY-FOCUSED HEALTH EXPOS, AS WELL AS MINORITY COMMUNITY FAIRS, WHERE PARTICIPANTS RECEIVE FREE HEALTH SCREENINGS AND CAN ATTEND EDUCATIONAL SEMINARS. A LONG-STANDING PROGRAM WITH MEDSHARE INTERNATIONAL OFFERS MEDICAL EQUIPMENT AND SUPPLIES TO VULNERABLE AREAS, NATIONWIDE AND WORLDWIDE, WHICH PIEDMONT HOSPITALS ARE ABLE TO DONATE RATHER THAN WASTE WHEN THEY ARE CONSIDERED TO NOT BE IN OPTIMAL CONDITION OR HAVE EXPIRED.
6. AFFILIATED HEALTH CARE SYSTEMSCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") SERVING THE HEALTHCARE NEEDS OF NORTH GEORGIA AND, SPECIFICALLY, THE METROPOLITAN ATLANTA AREA. THE SYSTEM EXISTS TO PROVIDE PROGRESSIVE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE TO ALL MEMBERS OF ITS COMMUNITY. COMMUNITY BENEFITS ARE GENERATED THROUGH THE PROVISION OF CHARITY CARE, GOVERNMENT-SPONSORED PROGRAMS (SUCH AS MEDICAID AND MEDICARE), MEDICAL RESEARCH, MEDICAL EDUCATION, COMMUNITY HEALTH IMPROVEMENT SERVICES, DONATIONS TO OTHER NONPROFIT HEALTH CARE PROVIDERS, AND MANY OTHER COMMUNITY SERVICE ACTIVITIES. IN FISCAL YEAR 2011, THE PIEDMONT HEALTHCARE SYSTEM INCLUDED FOUR FULL-SERVICE HOSPITALS, A PHILANTHROPIC FOUNDATION, A CARDIOVASCULAR RESEARCH INSTITUTE, A PHYSICIAN NETWORK, AMBULATORY SURGERY CENTERS, AND OTHER HEALTH CARE PROVIDERS, ALL OF WHICH FALL UNDER THE COMMON CONTROL OF PIEDMONT HEALTHCARE, INC., PIEDMONT HOSPITAL'S SOLE MEMBER. AS PART OF THE PIEDMONT HEALTHCARE SYSTEM, CERTAIN AFFILIATES MAKE GRANTS AND/OR CONTRIBUTIONS TO OTHER RELATED NONPROFIT AFFILIATES TO HELP FINANCIALLY SUPPORT AND/OR FUND WORTHY COMMUNITY BENEFITS ACTIVITIES.
7. STATE OF FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7: STATE OF FILING OF COMMUNITY BENEFIT REPORTPIEDMONT HEALTHCARE, INC., FILES THE COMMUNITY BENEFIT REPORT FOR ITS HEALTHCARE SYSTEM IN THE STATE OF GEORGIA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Diabetes Association
225 PEACHTREE STREET NEAtlantaGA30303131623888501(c)(3)6550CHARITABLE EVENT SPONSORSHIP
American Heart Association
PO BOX 4002900DES MOINESIA50340135613797501(c)(3)17000Charitable/Community Service
Good Samaritan Heatlh Center
1015 Donald Lee Hollowell PkwyAtlantaGA30318582373395501(c)(3)55500Charitable/Community Service
ARTHRITIS FOUNDATION
2970 PEACHTREE ROAD NWAtlantaGA30305586011830501(c)(3)10000"CRYSTAL BALL" EVENT SPONSORSHIP
Skyland Trail
1961 North Druid Hills RoadAtlantaGA30329581489941501(c)(3)6000"BENEFITS OF LAUGHTER" EVENT SPONSORSHIP
HENRY MEDICAL CENTER FOUNDATION
1133 EAGLES LANDING PARKWAYSTOCKBRIDGEGA30281581502600501(c)(3)15000CHARITABLE GOLF TOURNAMENT SPONSORSHIP
HENRYS HUFFIN FOR STUFFIN INC
5136 HERON BAY BLVDLOCUS GROVEGA30248581025691501(C)(3)5510THANKSGIVING 5K EVENT SPONSORSHIP
METRO SOUTH GOLF CHARITIES INC
100 EAGLES LANDING WAYSTOCKBRIDGEGA30281582144566501(C)(3)7500CHARITABLE GOLF TOURNAMENT SPONSORSHIP
NATIONAL MARFAN FOUNDATION
22 MANHASSET AVENUEPORT WASHINGTONNY11050521265361501(C)(3)10000"HEARTWORKS ATLANTA" EVENT SPONSORSHIP
SUSAN G KOMEN FOR THE CURE
4840 ROSWELL ROAD BLDG D STE 100ATLANTAGA30342751835298501(C)(3)11000"RACE FOR THE CURE" SPONSORSHIP
THE LEUKEMIA & LYMPHOMA SOCIETY
3715 NORTHSIDE PARKWAY BLDG 400 SATLANTAGA30327135644916501(C)(3)25000"LIGHT THE NIGHT" EVENT SPONSORSHIP
WOMENETICS
99 W Paces Ferry Rd NW Suite 200ATLANTAGA30305270362469501(C)(3)9700GLOBAL WOMEN'S PROGRAM SPONSORSHIP
YMCA OF METRO ATLANTA
100 EDGEWOOD AVE NE STE 1100ALTANTAGA30303580566253501(C)(3)6000CHARITABLE GOLF TOURNAMENT SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNursing education scholarshipTypeOfGrant
Number Of Recipients5NumberOfRecipients
Amount Of Cash Grant62152AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationSCHOLARSHIPS: NURSING EDUCATION SCHOLARSHIPS ARE GIVEN TO INDIVIDUALS WHO ARE JUNIORS OR SENIORS IN AN ACCREDITED NURSING SCHOOL. INDIVIDUALS INTERESTED IN A SCHOLARSHIP MUST COMPLETE AN APPLICATION BEFORE JUNE 1ST OF THE YEAR. APPLICANTS ARE INTERVIEWED BY A TWO PERSON NURSING COMMITTEE AND CHOSEN BASED UPON GPA (MUST BE GREATER THAN 3.0), LEADERSHIP, FINANCIAL NEED, REFERENCE LETTERS (TWO REQUIRED), AND A 500 WORD ESSAY DESCRIBING WHAT NURSING MEANS TO THEM. APPLICANTS DO NOT NEED TO HAVE ANY CURRENT AFFILIATION WITH THE HOSPITAL. HOWEVER, IN ORDER TO RECEIVE THE SCHOLARSHIPS, APPLICANTS MUST AGREE TO SIGN A 1 OR 2 YEAR EMPLOYMENT CONTRACT UPON COMPLETION OF SCHOOL. NURSING ADMINISTRATION MONITORS COMPLIANCE WITH THE PROGRAM. SPONSORSHIPS: MONEY IS ALSO GIVEN TO CHARITABLE ORGANIZATIONS. ORGANIZATIONS THAT RECEIVE MONEY ARE PRIMARILY CHARITABLE ORGANIZATIONS WHICH PROMOTE HEALTH CARE CAUSES. OCCASIONALLY, MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH ARE NOT HEALTHCARE ORGANIZATIONS. THESE ORGANIZATIONS PROMOTE OTHER WORTHY CAUSES IN THE SURROUNDING COMMUNITY. THE GRANTS ARE ADMINISTERED IN THE PUBLIC RELATIONS DEPARTMENT. FEDERAL GRANTS: GRANT FUNDS ARE MONITORED IN THE GRANTS MANAGEMENT DEPARTMENT. ELIGIBILITY, SELECTION CRITERIA AND ALL NECESSARY RECORDS ARE MAINTAINED BY THIS DEPARTMENT TO ENSURE COMPLIANCE WITH THE RELEVANT REGULATIONS. SCHOLARSHIPS: NURSING EDUCATION SCHOLARSHIPS ARE GIVEN TO INDIVIDUALS WHO ARE JUNIORS OR SENIORS IN AN ACCREDITED NURSING SCHOOL. INDIVIDUALS INTERESTED IN A SCHOLARSHIP MUST COMPLETE AN APPLICATION BEFORE JUNE 1ST OF THE YEAR. APPLICANTS ARE INTERVIEWED BY A TWO PERSON NURSING COMMITTEE AND CHOSEN BASED UPON GPA (MUST BE GREATER THAN 3.0), LEADERSHIP, FINANCIAL NEED, REFERENCE LETTERS (TWO REQUIRED), AND A 500 WORD ESSAY DESCRIBING WHAT NURSING MEANS TO THEM. APPLICANTS DO NOT NEED TO HAVE ANY CURRENT AFFILIATION WITH THE HOSPITAL. HOWEVER, IN ORDER TO RECEIVE THE SCHOLARSHIPS, APPLICANTS MUST AGREE TO SIGN A 1 OR 2 YEAR EMPLOYMENT CONTRACT UPON COMPLETION OF SCHOOL. NURSING ADMINISTRATION MONITORS COMPLIANCE WITH THE PROGRAM. SPONSORSHIPS: MONEY IS ALSO GIVEN TO CHARITABLE ORGANIZATIONS. ORGANIZATIONS THAT RECEIVE MONEY ARE PRIMARILY CHARITABLE ORGANIZATIONS WHICH PROMOTE HEALTH CARE CAUSES. OCCASIONALLY, MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH ARE NOT HEALTHCARE ORGANIZATIONS. THESE ORGANIZATIONS PROMOTE OTHER WORTHY CAUSES IN THE SURROUNDING COMMUNITY. THE GRANTS ARE ADMINISTERED IN THE PUBLIC RELATIONS DEPARTMENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 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 Blincoe
055998703075003762031800011387063768600
Mr Robert W Maynard
341902016373001057161010975990604002666432000
Mr Charlie Hall
0407719015697504612707320109918069394000
Ms Debbie W Gramling
012039602480203613022132010504018144700
Ms Connie Whittington
211736045177017895023874055280304210000
Mr Thomas Arnold
2706080587150240460476090126480413626000
Mr Wright Alcorn
2233190497920268320232910113490334583000
Mr Everett Thompson
2285910498180422600423560104870373512000
Dr Matthew Schreiber
349098075275061860620780120680504705000
Dr Patrick M Battey
04071100497304308702641508015048960000
Ms Denise Ray
3198480687570148410260100110080440464000
Mr Leslie A Donahue
228358040000029879017767036110319615000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST CLASS TRAVELSCHEDULE J, PART I, LINE 1AEXPENSES FOR FIRST CLASS TRAVEL ARE PAID ON BEHALF OF CERTAIN EXECUTIVES. THESE ITEMS ARE NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE.
COMPENSATION OF THE CEO/EXECUTIVE DIRECTORSCHEDULE J, PART I, LINE 3THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT HOSPITAL IS SET BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A & 15B FOR ADDITIONAL INFORMATION.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINES 4A & 4BWRIGHT ALCORN TERMINATED ON DECEMBER 31, 2010, AND RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION IN 2011IN THE AMOUNT OF $277,804. CHARLIE HALL, LESLIE DONAHUE, MATTHEW SCHREIBER, AND THOMAS ARNOLD PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. ROBERT MAYNARD, FORMER PRESIDENT & CEO, RECEIVED A PAYMENT FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN THE AMOUNT OF $1,027,869.
BONUSESFORM 990, PART VII AND SCHEDULE J, PART I LINES 6A & 6BBONUSES ARE PAID ANNUALLY TO CERTAIN EMPLOYEES BASED ON VARIOUS METRICS, INCLUDING NET EARNINGS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DEVELOPMENT AUTHORITY OF FULTON COUNTY
581639487359900ZX82009-11-24248554761SEE PART V - SUPPLEMENTAL INFOfalsefalsefalse
HOSPITAL AUTHORITY OF FAYETTE COUNTY
58262922331222TAJ22009-11-2479849335SEE PART V - SUPPLEMENTAL INFOfalsefalsefalse
COWETA COUNTY DEVELOPMENT AUTHORITY
581057672223658PW92010-10-2799459357CONSTRUCT AND EQUIP A NEW HOSPITALfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
29400000299999726000721200029999251402009truefalsetruetrue
825000007840437100018850007840248602009truefalsetruetrue
009945935700000057902721041479502falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruefalsetrue0.000000.000000.00000true
falsetruetruefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DEVELOPMENT AUTHORITY OF FULTON COUNTY BONDS ISSUED 11/24/2009SCHEDULE K, PART I, LINE AON NOVEMBER 24, 2009, PIEDMONT HEALTHCARE, INC., (PIEDMONT HOSPITAL'S SOLE MEMBER, EIN: 58-1503902) ENTERED INTO A BOND ISSUANCE AGREEMENT WITH THE DEVELOPMENT AUTHORITY OF FULTON COUNTY CONSISTING OF THE FOLLOWING SERIES: SERIES 2009A; CUSIP # 359900ZX8; ISSUE PRICE $166,454,761 (FIXED RATE) SERIES 2009B; CUSIP # 359900ZY6; ISSUE PRICE $70,000,000 (VARIABLE RATE) SERIES 2009C; CUSIP # NONE; ISSUE PRICE $62,100,000 (FIXED RATE) THE ISSUE WAS USED TO REFUND BONDS ISSUED ON 04/07/1999, 06/14/2001, 04/13/2003, 12/15/2005, AND 12/13/2007. THE 2009C BONDS WERE USED TO REPAY A LINE OF CREDIT (SUN TRUST NOTE) THAT FUNDED CONSTRUCTION AND RENOVATION PROJECTS.
HOSPITAL AUTHORITY OF FAYETTE COUNTY BONDS ISSUED 11/24/2009SCHEDULE K, PART 1, LINE BON NOVEMBER 24, 2009, PIEDMONT HEALTHCARE, INC., (PIEDMONT HOSPITAL'S SOLE MEMBER, EIN: 58-1503902) ENTERED INTO A BOND ISSUANCE AGREEMENT WITH THE HOSPITAL AUTHORITY OF FAYETTE COUNTY CONSISTING OF THE FOLLOWING SERIES: SERIES 2009A; CUSIP # 31222TAJ2; ISSUE PRICE $36,204,335 (FIXED RATE) SERIES 2009B; CUSIP # 31222TAH6; ISSUE PRICE $36,645,000 (VARIABLE RATE) SERIES 2009C; CUSIP # NONE; ISSUE PRICE $7,000,000 (FIXED RATE) THE ISSUE WAS USED TO REFUND BONDS ISSUED ON 04/07/1999, 06/14/2001, 04/13/2003, 12/15/2005, AND 12/13/2007. THE 2009C BONDS WERE USED TO REPAY A LINE OF CREDIT (SUN TRUST NOTE) THAT FUNDED CONSTRUCTION AND RENOVATION PROJECTS.
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, LINE 3, COLUMNS A & BTHE 2009 BOND ISSUES LISTED IN COLUMNS A & B OF PART I ARE COMBINED ON THE FORM 8038 FILED BY PIEDMONT. HOWEVER, FOR PURPOSES OF SCHEDULE K REPORTING, PIEDMONT HAS BROKEN OUT THE BOND ISSUES BASED ON THE AUTHORITY (I.E. FAYETTE OR FULTON) THAT ISSUED THE BONDS. CONSEQUENTLY, THE REPORTING IN COLUMNS A & B WILL NOT TIE TO THE FORM 8038 FILED WITH THE IRS AT THE TIME OF ISSUANCE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Program ServicesFORM 990, PART III, LINE 4DThe top three Piedmont Hospital ("PH") Service Lines for FY 2011 were Cardiovascular, Transplant, and Orthopedic Services. The remaining Program Service Revenues and expenses consist of other Inpatient and Outpatient Service Lines for the fiscal year ended June 30, 2011.
ORGANIZATION'S SOLE MEMBERFORM 990, PART VI, SECTION A, LINE 6PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT HOSPITAL, INC ("PH").
ELECTION OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF PIEDMONT HEALTHCARE APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT HOSPITAL.
DECISIONS OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7BPIEDMONT HOSPITAL'S BOARD POLICIES AND DECISIONS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE PIEDMONT HOSPITAL BOARD OF DIRECTORS ARE NOT SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HEALTHCARE BOARD, BUT SHOULD THE NEED ARISE, THEY MAY BE RESCINDED BY THE PIEDMONT HEALTHCARE BOARD THROUGH A MAJORITY VOTE OF ITS DIRECTORS.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BINFORMATION NEEDED TO PREPARE PIEDMONT HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PH'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'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, INC., 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 HOSPITAL 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 PIEDMONT HEALTHCARE DISCIPLINARY POLICIES.
EXECUTIVE COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION FOR EXECUTIVES OF PIEDMONT HOSPITAL IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. 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 HAS UTILIZED THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES (FORMERLY CLARK CONSULTING) FOR THE PAST SEVERAL YEARS. -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.
JOINT VENTURE ARRANGEMENTSFORM 990, PART VI, LINE 16BPIEDMONT HOSPITAL, INC. CURRENTLY DOES NOT HAVE A WRITTEN POLICY IN PLACE PERTAINING SPECIFICALLY TO THE EVALUATION OF JOINT VENTURE ARRANGEMENTS. HOWEVER, IT HAS ALWAYS BEEN, AND REMAINS, PIEDMONT HOSPITAL'S PRACTICE TO CAREFULLY CONSIDER EACH POTENTIAL JOINT VENTURE IN LIGHT OF THE HOSPITAL'S EXEMPT STATUS, AND TO DECLINE PARTICIPATION IN ANY OPPORTUNITY THAT POSES A THREAT TO THAT STATUS. FURTHER, PIEDMONT HOSPITAL, THROUGH ITS PARENT ORGANIZATION PIEDMONT HEALTHCARE, INC., IS CURRENTLY IN THE PROCESS OF DRAFTING A WRITTEN POLICY OUTLINING ITS HISTORIC PRACTICE OF CAREFULLY CONSIDERING PARTNERSHIPS AND JOINT VENTURES.
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 UNREALIZED INVESTMENT INCOME (APPROXIMATELY $55.1 MILLION), ADJUSTMENT OF THE INTEREST RATE SWAPS TO MARKET VALUE (APPROXIMATELY $7 MILLION) AND PENSION LIABILITY TRUE UP (APPROXIMATELY $42.2 MILLION) WHICH ARE RECORDED FOR GAAP REPORTING PURPOSES BUT ARE NOT INCLUDED IN TAXABLE INCOME. THESE AMOUNTS ARE OFFSET BY TRANSFERS BETWEEN THE ORGANIZATION AND ITS PARENT OR OTHER RELATED ORGANIZATIONS OF APPROXIMATELY $15.1 MILLION AND RESTRICTED CONTRIBUTIONS OF APPROXIMATELY $6 MILLION WHICH ARE EXCLUDED FROM INCOME.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. William Blincoe TITLE:Board member HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Patrick M. Battey TITLE:Chairman HOURS:53
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mr. Charlie Hall TITLE:Treasurer HOURS:53
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ms. Debbie W. Gramling TITLE:Secretary HOURS:53

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Piedmont Healthcare INC
1968 Peactree Road NWAtlantaGA30309581503902HC ManagementGA501(C)(3)11 III-OTHNA
FAYETTE COMMUNITY HOSPITAL INC
1255 HIGHWAY 154 WESTFAYETTEVILLEGA30214582232328HOSPITALGA501(C)(3)3PHC
PIEDMONT MOUNTAINSIDE HOSPITAL INC
1266 HIGHWAY 515 SOUTHJASPERGA30143352228583HOSPITALGA501(C)(3)3PHC
PIEDMONT NEWNAN HOSPITAL INC
745 POPLAR ROADNEWNANGA30265205077249HOSPITALGA501(C)(3)3PHC
PIEDMONT HEALTHCARE FOUNDATION INC
1968 PEACHTREE ROAD NWATLANTAGA30309581272768FUNDRAISINGGA501(C)(3)11 III-0THPHC
PIEDMONT HEART INSTITUTE INC
95 COLLIER ROAD NW STE 2045ATLANTAGA30309263553500HEALTHCAREGA501(C)(3)7PHC

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Piedmont Surgical Management Company
c/o Gates Moore 3340 Peachtree RoadAtlantaGA30326205109540Management SvcsGANARELATED3229620false$0false0.00000
Peachtree Orthopedic Surgery Center
2001 Peachtree Road NE Suite 705AtlantaGA30309582562721Orthopedic SurgryGANARELATED563816579553false$0false0.15000
Digestive Healthcare of Georgia
95 Collier Road NW suite 4075AtlantaGA303091721582406657Endo / GI surGANARELATED356170235982false$0false0.14959

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
PIEDMONT WEST AMBULATORY SURGERY CENTER
1800 Howell Mill Rd Ste 200AtlantaGA30318264422348ambulatory suRGGANAC-CORP-249197151828120.83500
PIEDMONT MEDICAL CARE CORPORATION
2727 PACES FERRY RD SUITE 1-1100ATLANTAGA30339582092768HEALTHCAREGANAC-CORP000.00000
THE PIEDMONT CLINIC INC
2727 PACES FERRY ROAD SUITE 1-1100ATLANTAGA30339582005358HEALTHCAREGANAC-CORP000.00000
PIEDMONT HEART INSTITUTE PHYSICIANS INC
95 COLLIER ROAD NW STE 2045ATLANTAGA30309260593850HEALTHCAREGANAC-CORP000.00000
AMSTER MCRAE INSURANCE COMPANY
INSURANCENAC-CORP000.00000CJ
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 OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PIEDMONT WEST AMBULATORY SURGERY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved5555840AmountInvolved