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 581719994 Columbus Regional Healthcare System 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 9845977 false X WWW.PIEDMONT.ORG X 1986 GA TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. 12 9 131 9 0 0 0 0 384643 359978 3005202 9485999 0 0 3389845 9845977 0 0 0 0 10820590 9770281 0 0 0 3379046 4143482 14199636 13913763 -10809791 -4067786 140523783 282738483 92959250 95836153 47564533 186902330 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 10825193 0 359978 COLUMBUS REGIONAL HEALTHCARE SYSTEM ("CRHS") IS THE TAX EXEMPT PARENT OF ITS PUBLICLY SUPPORTED SUBSIDIARIES (LISTED IN SCHEDULE R ATTACHED). CRHS PROVIDES CENTRALIZED MANAGEMENT SERVICES TO ITS SUBSIDIARIES. THESE CENTRALIZED SERVICES ALLOW ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES IN WEST CENTRAL GEORGIA AND EAST CENTRAL ALABAMA. 10825193 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false true true true false false false true X 0 0 131 true false false false false false false false false false false true false X 12 9 false false false false true true true true true false false true true true true true true true true false GA X MARIE GAFFNEY 4702716007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 X MR MICHAEL MANDL BOARD MEMBER/EVP PHC 1.0 54.0 X 0 1529720 193580 Mr M Scott Hill Board Member & CEO CRHS 40.0 15.0 X X 1242492 0 133237 Mr Thomas Arnold Treasurer/CFO PHC 1.0 54.0 X 0 1131535 124798 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 Todd Jarrell MD Board Member 1.0 54.0 X 668337 0 32923 Mr Christopher Edwards CMO 55.0 0.0 X 572857 0 37846 Mr Allen Holladay CFO 40.0 15.0 X 436684 0 18586 Ms Laura Drew COO Hughston Hospital 20.0 35.0 X 434937 0 12469 Mr Cary Burcham CNO 55.0 0.0 X 401359 0 31873 Ms Aline Lasseter Exec. Dir. - Foundation 55.0 0.0 X 287700 0 29837 MS SHARON MCDANIEL EXEC. DIR. - NURSING 40.0 0.0 X 233823 0 18961 MR JOEL AMES DIR. - COMMUNITY RELATIONS 40.0 0.0 X 161770 0 21222 MS HOLLY SAVILLE EXEC. DIR. - FINANCE 40.0 0.0 X 156596 0 25776 MR RODNEY WALLER DIR. - CONSTRUCTION/FLEET 40.0 0.0 X 130634 0 15368 Ms Karen Smith Corporate Secretary 55.0 0.0 X 83243 0 5411 Mr John Dale Hester Chair 1.0 3.0 X X 0 0 0 Dr Shane Darrah Board Member 1.0 3.0 X 0 0 0 Mr Joey Loudermilk Board Member 1.0 3.0 X 0 0 0 Dr Susan McWhirter MD Board Member 1.0 3.0 X 0 0 0 Dr William Roundtree MD Board Member 1.0 3.0 X 0 0 0 MS REBECCA RUMER Board Member 1.0 3.0 X 0 0 0 MR WARREN STEELE Board Member 1.0 3.0 X 0 0 0 DR BEVERLEY TOWNSEND BOARD MEMBER 1.0 3.0 X 0 0 0 MR TRAVIS WADE BOARD MEMBER 1.0 3.0 X 0 0 0 4810432 4517924 842089 12 true true false HALL BOOTH SMITH SLOVER 191 Peachtree St 2900 ATLANTA GA 30303 LEGAL 391347 IMPERIAL DADE 440 INTERSTATE WEST PKWY STE 200 LITHIA SPRINGS GA 30122 FACILITY MAINTENANCE 361479 MEDICAL SOLUTIONS LLC 1572 HIGHWAY 85 N STE 338 FAYETTEVILLE GA 30214 RECRUITING SERVICES 114040 3 0 PATIENT SERVICE 621110 359978 359978 359978 9485999 9485999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9845977 359978 9485999 0 0 0 0 3810505 3162719 647786 0 4209320 3493736 715584 0 1750456 1452878 297578 0 0 1246614 1246614 0 0 0 0 668237 668237 109675 109675 435688 432391 3297 0 0 243089 233365 9724 9330 6072 3258 0 0 0 0 366525 344534 21991 394069 370425 23644 TAXES 381670 381670 0 0 DUES AND MEMBERSHIPS 87730 87730 0 0 MEDICAL SUPPLIES & DRUGS 38990 38990 0 0 ADMINISTRATIVE EXPENSES 161865 152446 9419 0 13913763 10825193 3088570 0 45975237 11785784 0 0 0 0 0 9277139 0 0 0 0 0 0 0 0 2789 2299 8218092 5531913 3092026 2686179 75260041 240961927 0 0 0 0 0 0 16193690 18025155 140523783 282738483 47770879 45941789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45188371 49894364 92959250 95836153 X 47491198 186883279 73335 19051 47564533 186902330 140523783 282738483 X -4067786 -27225452 170631035 X false true X true false X X 1 THE MEDICAL CENTER INC 581685139 3 false 0 0 1 0 0 false false false false false false false false false false false false false false false true PART IV, SECTION A, LINE 1: THE MEDICAL CENTER, INC., WHILE NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC., SERVES THE SAME CHARITABLE CLASS AS COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. 0 0 1411770 625615 786155 50700 50700 0 6155330 4821769 1333561 600292 33829 566463 2686179 OTHER LONG TERM ASSETS 18025155 18025155 0 DUE TO RELATED PARTIES 49815978 OTHER LIABILITIES 78386 49894364 X FORM SCH D, PART X, LINE 2, ASC 740 FOOTNOTE 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. X true true true true false false false false false true false Mr M Scott Hill Board Member & CEO CRHS 617248 0 337175 0 288069 0 111308 0 21929 0 1375729 0 93908 0 Dr Todd Jarrell MD Board Member 583845 0 0 0 84492 0 17400 0 15523 0 701260 0 0 0 Mr Allen Holladay CFO 328410 0 89304 0 18970 0 17400 0 1186 0 455270 0 0 0 Mr Cary Burcham CNO 295815 0 82375 0 23169 0 17400 0 14473 0 433232 0 0 0 Ms Laura Drew COO Hughston Hospital 323740 0 90328 0 20869 0 0 0 12469 0 447406 0 0 0 Mr Christopher Edwards CMO 428976 0 118653 0 25228 0 17400 0 20446 0 610703 0 0 0 Ms Aline Lasseter Exec. Dir. - Foundation 234335 0 39983 0 13382 0 12242 0 17595 0 317537 0 0 0 MS SHARON MCDANIEL EXEC. DIR. - NURSING 199774 0 31105 0 2944 0 12135 0 6826 0 252784 0 0 0 MR JOEL AMES DIR. - COMMUNITY RELATIONS 143466 0 16345 0 1959 0 9649 0 11573 0 182992 0 0 0 MS HOLLY SAVILLE EXEC. DIR. - FINANCE 137243 0 19353 0 0 0 8816 0 16960 0 182372 0 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 MICHAEL MANDL BOARD MEMBER/EVP PHC 0 874041 0 548422 0 107257 0 180936 0 12644 0 1723300 0 0 SCHEDULE J, PART I, LINE 1A: DISCRETIONARY SPENDING ELIZABETH LEDDY, THOMAS ARNOLD, MICHAEL MANDL, AND M. SCOTT HILL RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $13,385, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. THIS SPENDING ACCOUNT WAS INCLUDED IN THEIR TAXABLE WAGES. SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR THE COMPENSATION FOR THE PRESIDENT/CEO OF COLUMBUS REGIONAL HEALTH SYSTEM 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. 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 ELIZABETH LEDDY AND MICHAEL MANDL PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. 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. A THE MEDICAL CENTER HOSPITAL AUTHORITY 580905094 199124BR8 2019-11-07 69450000 CURRENT REFUNDING false false false B The Medical Center Hospital Authority 580905094 199124BQ0 2019-11-07 83490000 CURRENT REFUNDING false false false A 0 0 87452135 0 0 0 0 0 0 0 87452135 0 2019 true false true true B 0 0 99996808 0 0 0 0 0 0 0 99996808 0 2019 true false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true Part I, Column F THE PROCEEDS OF THE SERIES 2019 BONDS WERE USED TO REDEEM THE PREVIOUSLY OUTSTANDING PHC OBLIGATED GROUP 2018 BRIDGE LOAN USED TO REFINANCE MEDICAL CENTER SERIES 2010 REVENUE ANTICIPATION CERTIFICATES ISSUED ON SEPTEMBER 1, 2010. 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 HEALTHCARE SYSTEM, 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 HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE, COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC.'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. FORM 990 PART VI, SECTION A, LINE 7B: DECISIONS OF GOVERNING BODY COLUMBUS REGIONAL HEALTHCARE SYSTEM, 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 HEALTHCARE SYSTEM, 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 FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY CRHS'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 HEALTHCARE SYSTEM, 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 HEALTHCARE SYSTEM, 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 DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST AND FINANCIAL DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC.'S LEGAL COUNSEL. FORM 990, PART XI, LINE 9: CHANGES IN NET ASSETS INTERCOMPANY TRANSFER $170,631,035 MY HEALTH ALLIANCE LLC 707 CENTER STREET STE 400 COLUMBUS GA 31901 PATIENT SUPPO GA 0 0 CRHS 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 PIEDMONT NEWTON HOSPITAL INC 5126 HOSPITAL DRIVE NE COVINGTON GA 30014 582155150 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT ATHENS REGIONAL FOUNDATION INC 1199 PRINCE AVENUE ATHENS GA 30606 581978389 fundraising GA 501(c)(3) 12B, II PARMC false PIEDMONT ATHENS REGIONAL HEALTH RESOURCE 1199 PRINCE AVENUE athens GA 30606 581930580 development GA 501(c)(3) 12B, II PARMC false PIEDMONT ATHENS REGIONAL MEDICAL CENTER 1199 PRINCE AVENUE ATHENS GA 30606 582179986 Hospital GA 501(c)(3) 3 PHC false ATHENS REGIONAL PHYSICIAN SERVICES INC 1199 PRINCE AVENUE ATHENS GA 30606 582332921 Healthcare GA 501(c)(3) 12B, II PARMC false ATHENS REGIONAL SPECIALTY SERVICES INC 1199 PRINCE AVENUE Athens GA 30606 271975001 Healthcare GA 501(c)(3) 3 PARMC false REGIONAL FIRSTCARE INC 1199 PRINCE AVENUE Athens GA 30606 582362733 Urgent Care GA 501(c)(3) 12B, II PARMC false THE MEDICAL CENTER INC 707 CENTER STREET COLUMBUS GA 31901 581685139 HOSPITAL GA 501(C)(3) 3 CRHS false COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 HEALTHCARE GA 501(C)(3) 12C, III-FI PHC false COLUMBUS REGIONAL MEDICAL FOUNDATIONINC 707 CENTER STREET COLUMBUS GA 31901 581501642 FUNDRAISING GA 501(C)(3) 7 CRHS false HUGHSTON HOSPITAL INC 707 CENTER STREET COLUMBUS GA 31901 331216751 HOSPITAL GA 501(C)(3) 3 CRHS false PIEDMONT ROCKDALE HOSPITAL INC 1412 MILSTEAD AVE CONYERS GA 30012 300999841 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT WALTON HOSPITAL INC 2151 WEST SPRING ST MONROE GA 30655 824194264 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT HEART INSTITUTE INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 263553500 healthcare GA 501(C)(3) 10 PHC false COLUMBUS AMBULATORY HEALTHCARE SERVICES 707 CENTER STREET COLUMBUS GA 31901 581719867 AMBULATORY GA 501(C)(3) 3 CRHS false PIEDMONT CARTERSVILLE HOSPITAL INC 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE GA 30120 870963633 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT EASTSIDE HOSPITAL INC 1700 MEDICAL WAY snellville GA 30078 870982886 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT MACON HOSPITAL INC 350 HOSPITAL DR MACON GA 31217 871006981 HOSPITAL GA 501(C)(3) 3 PHC false PIEDMONT MACON NORTH HOSPITAL INC 400 CHARTER BLVD MACON GA 31210 871031034 HOSPITAL GA 501(C)(3) 3 PHC false UNIVERSITY HEALTH SERVICES INC 1350 WALTON WAY AUGUSTA GA 30901 581581103 HOSPITAL GA 501(C)(3) 3 PHC false UNIVERSITY MCDUFFIE COUNTY REG MED CTR 1350 WALTON WAY AUGUSTA GA 30901 454166209 HOSPITAL GA 501(C)(3) 3 PHC false UNIVERSITY HEALTH CARE FOUNDATION INC 2260 WRIGHTSBORO ROAD AUGUSTA GA 30904 581343550 FUNDRAISING GA 501(C)(3) 7 UHS false UNIVERSITY EXTENDED CARE INC 1350 WALTON WAY AUGUSTA GA 30901 581581105 HEALTHCARE GA 501(C)(3) 3 UHS false GA SURG CTR PCHTREE 2061 PEACHTREE RD STE 100 ATLANTA GA 30309 582394271 SURGERY GA NA NONE 0 0 false 0 false ORTHOATLANTA SURGERY CENTER FAYETTEVILLE 900 CIRCLE 75 PKWY SE STE 1700 ATLANTA GA 30339 202961633 SURGERY GA NA NONE 0 0 false 0 false ATHENS ASC HOLDINGS LLC 2142 W BROAD ST BLDG 100 STE 100 ATHENS GA 30606 454014891 SURGERY GA NA NONE 0 0 false 0 false COLUMBUS DIAGNOSTIC IMAGING CTR 116 INTRACOASTAL POINTE DR 300 JUPITER FL 33477 262291768 IMAGING GA NA NONE 0 0 false 0 false THE SURGERY CTR LLC 100 FIRST COURT COLUMBUS GA 31909 582520623 SURGERY GA NA NONE 0 0 false 0 false PIEDMONT ENCOMPASS REHAB HOSPITALS LLC 9001 LIBERTY PKWY BIRMINGHAM AL 35242 853544795 HEALTHCARE DE NA NONE 0 0 false 0 false COLISEUM SAME DAY SURGERY CTR LP 340 HOSPITAL DR MACON GA 31217 621805346 SURGERY GA NA NONE 0 0 false 0 false PIEDMONT MEDICAL CARE CORPORATION 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582092768 HEALTHCARE GA NA C-CORP 0 0 false THE PIEDMONT CLINIC INC 2727 PACES FERRY ROAD SUITE 1-1100 ATLANTA GA 30339 582005358 HEALTHCARE GA NA C-CORP 0 0 false PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER ROAD NW STE 2045 ATLANTA GA 30309 260593850 HEALTHCARE GA NA C-CORP 0 0 false AMSTER MCRAE INSURANCE COMPANY PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980427603 Related Insurance CJ NA C-CORP 0 0 false COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 HEALTHCARE GA CRHS C-CORP 0 0 false COLUMBUS HEALTH SERVICES INC PO BOX 790 COLUMBUS GA 31902 581640939 HEALTHCARE GA CRHS C-CORP 0 0 false UNIVERSITY HEALTH RESOURCES INC 1350 WALTON WAY AUGUSTA GA 30901 581601372 HEALTHCARE GA NA C-CORP 0 0 false UNIVERSITY HOSPITAL AIKEN INC 1350 WALTON WAY AUGUSTA GA 30901 472713774 HOSPITAL SC NA C-CORP 0 0 false false false false false false false false false false false false false false false false true true false false SCHEDULE R, PART I, LINE 1: DISREGARDED ENTITIES THE LIMITED LIABILITY COMPANY LISTED IN SCHEDULE R, PART I, OPERATES AS A DEPARTMENT OF COLUMBUS REGIONAL HEALTHCARE SYSTEM AND IS INCORPORATED INTO COLUMBUS REGIONAL HEALTHCARE SYSTEM'S BOOKS AND RECORDS. SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LIMITED LIABILITY COMPANY AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.