2023-05-12T12:52:29-05:00 2022-06-30 KPMG LLP 500 W 5TH ST STE 800 WINSTON SALEM NC 27101 990 2021-07-01 581501642 Columbus Regional Medical Foundation Inc % MARIE GAFFNEY COLU 7066606103 707 Center Street Columbus GA 31901 MARIE GAFFNEY VP CORPORATE FINANCE 4044251303 2023-05-11 true MARIE GAFFNEY 999009999 SHAWN M HUTCHINSON P01048557 3362753394 2023-05-10 3 2021 2023-04-26 12:10:37Z MR M SCOTT HILL 707 Center Street Columbus GA 31901 5792463 false X www.piedmont.org X 1983 GA TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. 20 15 0 15 0 0 6876785 3732263 0 0 579627 1273551 2347862 550193 9804274 5556007 0 0 0 0 443294 474189 0 0 0 267327 256308 710621 730497 9093653 4825510 29032663 22383651 7494683 7218366 21537980 15165285 TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE. false false 609944 0 380591 The Columbus Regional Medical Foundation Inc.'s most significant activity is to raise philanthropic funds to support The Medical Center, Inc.'s vision to transform healthcare by creating a destination known for the best clinicians and one-of-a-kind healthcare experiences that always put the patient first. The Columbus Regional Medical Foundation engages community philanthropic leaders, donors and businesses to support many areas of The Medical Center, Inc. including but not limited to the expansion and technology of the John B. Amos Cancer Center, the development and expansion of the Bill and Olivia Amos Children's Hospital, the Miracle NICU, Elena Amos Breast Care Center as well as many nursing and staff education and patient assistance funds. The Foundation is a member-hospital of Children's Miracle Network Hospitals (CMNH) whose partners and sponsors raise funds for pediatric programs within The Medical Center, Inc. In addition to community support, the Foundation raises funds through its annual employee giving campaign where gifts may be designated to one of five primary areas of focus. 609944 true true false false false false false false false true true false false false true true false true false false false false false false true false false false false true false false false false false false false false true false false false false true false false false true X 0 0 0 false false false false false false false false false false false false X 20 15 false false false false true true true true true false false false true true true true true false false false GA X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 MR M SCOTT HILL Board Member & CEO CRHS 1.0 54.0 X 0 1242492 133237 Mr Thomas Arnold Treasurer/CFO PHC 1.0 54.0 X 0 1131535 124798 MR SIDNEY KIRSCHNER BOARD MEMBER 1.0 54.0 X 0 1121518 121022 Ms Elizabeth Leddy Secretary/CLO PHC 1.0 54.0 X 0 883982 140202 Mr Michael McAnder FORMER TREASURER/CFO PHC 0.0 0.0 X 0 972687 0 DR KENDALL HANDY Board Member 1.0 54.0 X 0 627976 25709 MR ALLEN HOLLADAY Board Member & CFO CRHS 1.0 54.0 X 0 436684 18586 DR REBECCA REAMY Board Member 1.0 10.0 X 0 106963 15534 MS WANDA AMOS Board Member 1.0 0.0 X 0 0 0 MR PHILIP BADCOCK Board Member 1.0 0.0 X 0 0 0 MR NORM BENNETT Board Member 1.0 0.0 X 0 0 0 DR NICOLE COLE Board Member 1.0 0.0 X 0 0 0 MS STACY FAISON Board Member 1.0 0.0 X 0 0 0 MR REM HOUSER Board Member/VICE CHAIR 1.0 0.0 X 0 0 0 MR DAVID JOHNSON Board Member 1.0 0.0 X 0 0 0 MR GUY SIMS Board Member 1.0 0.0 X 0 0 0 MR ALEX STEPHANOUK Board Member 1.0 0.0 X 0 0 0 MS MELISSA THOMAS Board Member 1.0 0.0 X 0 0 0 MR ROB WARD Board Member/CHAIR 1.0 0.0 X X 0 0 0 MR MATTHEW BARKLEY BOARD MEMBER 1.0 0.0 X 0 0 0 MR JUSTIN ETHERIDGE BOARD MEMBER 1.0 0.0 X 0 0 0 MS MALLORY HARRIS BOARD MEMBER 1.0 0.0 X 0 0 0 MR HAMILTON HILSMAN IV Board Member 1.0 0.0 X 0 0 0 0 6523837 579088 0 true true false NONE 0 610513 17630 3104120 364731 3732263 0 1273551 1273551 0 0 0 0 0 0 406058 610513 236456 169602 169602 0 0 0 0 0 0 FUND TRANSFER 900099 380591 380591 0 0 380591 5556007 380591 0 1443153 0 0 0 0 0 0 474189 393577 80612 0 0 0 16450 16450 0 0 0 0 0 0 20276 20276 105 99 6 0 0 0 5673 3692 1981 0 2395 2020 375 0 0 1500 1410 90 0 BUSINESS EVENTS 193861 193861 0 0 SUBSCRIPTIONS 2654 2654 0 0 TAXES 676 676 0 0 ADMINISTRATIVE EXPENSES 12718 11955 763 0 730497 609944 120553 0 8490495 1150458 0 0 3665414 5519110 0 0 0 0 0 0 0 0 0 0 0 0 62377 6313 55187 56064 16813872 15650324 0 0 0 0 0 0 7695 7695 29032663 22383651 7435170 6875881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59513 342485 7494683 7218366 X 14858643 4056928 6679337 11108357 21537980 15165285 29032663 22383651 X 4825510 -1653920 -929460 -8614825 X false true X true false X 3541742 6801401 8302290 6874861 3714633 29234927 0 0 3541742 6801401 8302290 6874861 3714633 29234927 6287289 22947638 1002456 -211760 501014 579627 1273551 3144888 0 0 32379815 4792447 0.70870 0.67290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11630388 11630388 11630388 11630388 11630388 11630388 11630388 11630388 11630388 11630388 0.00000 0.93000 0.07000 false false 60000 6313 53687 2377 2377 56064 0 INTERCOMPANY PAYABLE 335506 MISC. LIABILITIES 6979 342485 X SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES (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 UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2022 AND 2021. CELEB. CLASSIC 522899 262899 260000 152357 EDUCATION FAIR 214500 166500 48000 0 3 279172 181114 98058 84099 1016571 610513 406058 236456 236456 169602 true true false false false false false true false DR KENDALL HANDY Board Member 0 268845 0 0 0 359131 0 10679 0 15030 0 653685 0 0 MR M SCOTT HILL Board Member & CEO CRHS 0 617248 0 337175 0 288069 0 111308 0 21929 0 1375729 0 93908 MR ALLEN HOLLADAY Board Member & CFO CRHS 0 328410 0 89304 0 18970 0 17400 0 1186 0 455270 0 0 Mr Michael McAnder FORMER TREASURER/CFO PHC 0 0 0 0 0 972687 0 0 0 0 0 972687 0 0 Mr Thomas Arnold Treasurer/CFO PHC 0 589164 0 343028 0 199343 0 111150 0 13648 0 1256333 0 93750 Ms Elizabeth Leddy Secretary/CLO PHC 0 500109 0 317466 0 66407 0 122353 0 17849 0 1024184 0 0 MR SIDNEY KIRSCHNER BOARD MEMBER 0 596359 0 345037 0 180122 0 108409 0 12613 0 1242540 0 91009 SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS MICHAEL MCANDER RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2021 IN THE AMOUNT OF $972,687. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: M. SCOTT HILL $93,908 THOMAS ARNOLD $93,750 SIDNEY KIRSCHNER $91,009 ELIZABETH LEDDY PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A CURRENT YEAR PAYMENT. SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED BONUS PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. X 5 339164 FMV X OTHER MISCELLANEOUS 96 25567 FMV false true true SCHEDULE M, PART I, LINE 32B: THIRD-PARTY ASSISTANCE WITH CONTRIBUTIONS COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. ENGAGES SUNTRUST BANK TO ASSIST WITH THE MANAGEMENT AND SALE OF ITS NON-CASH STOCK GIFTS. FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED ALL CALENDAR YEAR 2021 FORMS 1099 WERE FILED ON BEHALF OF THE COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. BY ITS SOLE MEMBER, PIEDMONT HEALTHCARE, INC. (EIN 58-1503902), PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS. FORM 990, PART VI, SECTION A, LINE 6: ORGANIZATION'S SOLE MEMBER PIEDMONT HEALTHCARE, INC. (EIN: 58-1503902) IS THE SOLE MEMBER OF COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE, COLUMBUS REGIONAL MEDICAL FOUNDATION, INC.'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS OF GOVERNING BODY COLUMBUS REGIONAL MEDICAL FOUNDATION, INC.'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 COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. 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. FORM 990, PART VI, LINE 11B: 990 REVIEW PROCESS INFORMATION NEEDED TO PREPARE THE COLUMBUS REGIONAL MEDICAL FOUNDATION, INC.'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY COLUMBUS REGIONAL MEDICAL FOUNDATION, INC.'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. PRIOR TO FILING, COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC., THE ORGANIZATION'S SOLE MEMBER, FOR BOARD REVIEW. FORM 990, PART VI, LINE 12C: CONFLICT OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. FORM 990, PART VI, LINE 15A: EXECUTIVE COMPENSATION COMPENSATION FOR EXECUTIVES OF COLUMBUS REGIONAL MEDICAL FOUNDATION, INC. IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTOR'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS OF THE PHC BOARD OF DIRECTORS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE OVERSEES EXECUTIVE PERFORMANCE AND COMPENSATION ON BEHALF OF THE PHC BOARD, SUBJECT TO THE ULTIMATE AUTHORITY AND OVERSIGHT OF THE BOARD. THE COMMITTEE ALSO FORMULATES POLICIES AND MAKES DECISIONS IN ORDER TO ENSURE A HIGH LEVEL OF EXECUTIVE PERFORMANCE. THE COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE PHC BOARD AS SET OUT IN ITS CHARTER, AND THE COMMITTEE IS ALSO CHARGED WITH PROVIDING RECOMMENDATIONS AND PERIODIC REPORTS TO THE PHC BOARD REGARDING EXECUTIVE PERFORMANCE AND COMPENSATION. ALL DECISIONS AND COMPARABILITY DATA ARE DOCUMENTED IN THE COMMITTEE MEETING MINUTES. FUNCTIONS OF THE COMMITTEE - ASSESS AND IMPLEMENT POLICIES REGARDING PERFORMANCE, COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AND OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE - SELECT AN EXECUTIVE COMPENSATION CONSULTANT WHO REPORTS TO THE COMMITTEE - ANNUALLY REVIEW THE PRESIDENT/CEO SUCCESSION PLAN - FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES FOR THE PRESIDENT/CEO, AND REVIEW AND APPROVE ANNUALLY RECOMMENDATIONS FROM THE PRESIDENT/CEO RELATING TO COMPENSATION, PERFORMANCE OBJECTIVES, AND SUCCESSION PLANS FOR EVP EXECUTIVES - ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE; IF NECESSARY, IMPLEMENT ACTION PLAN WITH PRESIDENT/CEO INPUT TO IMPROVE HIS/HER PERFORMANCE; ADJUST COMPENSATION AS APPROPRIATE; THE COMMITTEE CHAIR SHALL CONSULT WITH THE PHC GOVERNANCE COMMITTEE CHAIR AND THE PHC BOARD CHAIR AND SHALL COORDINATE THE ANNUAL PERFORMANCE REVIEW OF THE PHC PRESIDENT/CEO, UNLESS THE PHC BOARD CHAIR HAS A REAL OR PERCEIVED CONFLICT OF INTEREST, IN WHICH CASE THE COMMITTEE CHAIR SHALL DETERMINE THE PROPER REVIEW PROCESS - REVIEW AND APPROVE LONG-TERM AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EVP COMPENSATION PROGRAMS AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT - PERIODICALLY REVIEW COMPENSATION, IF ANY, FOR THE PHC BOARD CHAIR AND ALL BOARD CHAIRS OF THE PHC SUBSIDIARIES - ESTABLISH OTHER POLICIES AND PROCEDURES, AND PERFORM OTHER TASKS, RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS - PERIODICALLY REPORT SIGNIFICANT DECISIONS AND ANY ADDITIONAL REQUESTED INFORMATION TO THE PHC BOARD. FORM 990, PART VI, SECTION C, LINE 19: DOCUMENTS AND POLICIES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. FORM 990, PART XI, LINE 9: CHANGES IN NET ASSETS INTERCOMPANY TRANSFER ($9,166,787) CONTRIBUTIONS $ 551,962 ------------------------------------------- TOTAL ($8,614,825) PIEDMONT HEALTHCARE INC 1800 HOWELL MILL RD STE 850 ATLANTA GA 30318 581503902 MANAGEMENT GA 501(c)(3) 12C, III-FI NA false PIEDMONT HOSPITAL Inc 1968 PEACHTREE ROAD NW ATLANTA GA 30309 580566213 HOSPITAL GA 501(c)(3) 3 PHC false FAYETTE COMMUNITY HOSPITAL INC 1255 HIGHWAY 54 WEST FAYETTEVILLE GA 30214 582232328 HOSPITAL GA 501(c)(3) 3 phc false PIEDMONT MOUNTAINSIDE HOSPITAL INC 1266 HIGHWAY 515 SOUTH JASPER GA 30143 352228583 HOSPITAL GA 501(c)(3) 3 phc false PIEDMONT NEWNAN HOSPITAL INC 745 POPLAR ROAD NEWNAN GA 30265 205077249 HOSPITAL GA 501(c)(3) 3 phc false PIEDMONT HEALTHCARE FOUNDATION INC 2001 PEACHTREE ROAD NE SUITE 400 ATLANTA GA 30309 581272768 FUNDRAISING GA 501(c)(3) 12B, II phc false PIEDMONT HENRY HOSPITAL INC 1133 EAGLES LANDING PKWY STOCKBRIDGE GA 30281 582200195 HOSPITAL GA 501(c)(3) 3 PHC false 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