2023-05-12T12:52:30-05:00 2022-06-30 KPMG LLP 500 W 5th St Suite 800 WINSTONSALEM NC 27401 990 2021-07-01 870982886 Piedmont Eastside Hospital Inc % MARIE GAFFNEY PIED 7709790200 1700 MEDICAL WAY SNELLVILLE GA 30078 MARIE GAFFNEY VP CORPORATE FINANCE 4702716007 2023-05-11 true MARIE GAFFNEY 999009999 SHAWN M HUTCHINSON P01048557 3362753394 2023-05-10 3 2021 2023-04-26 12:10:37Z MR TRENT LIND 1700 MEDICAL WAY SNELLVILLE GA 30078 242602699 false X https://www.piedmont.org/ X 2021 GA TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT. 12 10 1319 325 0 0 0 0 0 241785992 0 38632 0 778075 0 242602699 0 0 0 0 0 77423674 0 0 0 0 179420154 0 256843828 0 -14241129 0 359106154 0 78845745 0 280260409 TO 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. false false 227411756 241785992 PIEDMONT EASTSIDE HOSPITAL, INC. IS A 281-BED FACILITY LOCATED IN THE CITY OF SNELLVILLE IN GWINNETT COUNTY, GEORGIA. OVER 500 PRIMARY CARE AND SPECIALTY PHYSICIANS OF THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN SNELLVILLE AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2022, THE HOSPITAL HAD 9,347 IN-PATIENT ADMISSIONS WITH A TOTAL OF 58,188 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 47,785 AND OUTPAITENT VISITS TOTALED 51,432. SURGICAL SERVICES WERE PROVIDED TO 4,593 PATIENTS. 227411756 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 true true false false true false false false false false false false false false false false false true true false false false true X 0 0 1319 true false false false false false false false false false false false false X 12 10 false false false false true true true true true false false false 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 DR CHARLES L BROWN III BOARD MEMBER 1.0 54.0 X 0 1207686 135135 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 RICHARD LIND CEO 55.0 0.0 X X 200666 0 33197 MR STEPHEN HIGGINS CMO 55.0 0.0 X 169335 0 13363 MS TRACEY SMITHSON CNO 55.0 0.0 X 116626 0 8790 MS AMY WHEELER CFO 55.0 0.0 X 109916 0 12050 DR BEN ABRAHAM DO BOARD MEMBER 1.0 0.0 X 0 0 0 MR JIM BROOKS BOARD MEMBER 1.0 0.0 X 0 0 0 DR LYNN CAMPBELL BOARD MEMBER 1.0 0.0 X 0 0 0 MR FRED DAWKINS ESQ BOARD MEMBER 1.0 0.0 X 0 0 0 MR STAN HALL BOARD MEMBER 1.0 0.0 X 0 0 0 DR MICHAEL KISSEL BOARD MEMBER 1.0 0.0 X 0 0 0 MR DENNIS MCGOWAN BOARD MEMBER 1.0 0.0 X 0 0 0 DR MARC UNTERMAN BOARD MEMBER 1.0 0.0 X 0 0 0 MR JASPER WATKINS BOARD MEMBER 1.0 0.0 X 0 0 0 DIANE WHITE PhD BOARD MEMBER, CHAIR 1.0 0.0 X X 0 0 0 596543 3223203 467535 4 false true false AYA HEALTHCARE INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 HEALTHCARE STAFFING 1681046 MEDICAL SOLUTIONS LLC 1572 HIGHWAY 85 N STE 338 FAYETTEVILLE GA 30214 HEALTHCARE STAFFING 110698 2 0 PATIENT SERVICE REVENUE 622110 238882318 238882318 OTHER OPERATING REV 900099 2903674 2903674 241785992 35632 35632 0 0 412622 412622 0 412622 412622 3000 3000 3000 3000 0 0 0 0 0 0 0 0 0 CAFETERIA SALES 722310 365453 365453 365453 242602699 241785992 0 816707 X 0 0 0 0 456065 386469 69596 0 66391415 56260085 10131330 0 5100546 4322203 778343 5475648 4640064 835584 12500 12500 7838 7838 21409 21409 0 0 0 68029338 55335064 12694274 0 47183 39983 7200 7552660 6400124 1152536 178718 151446 27272 0 4480316 3796620 683696 102399 86773 15626 0 0 0 0 4620203 3915160 705043 2246950 2246950 BAD DEBT EXPENSES 53925230 53925230 DRUGS AND MEDICAL SUPPLIES 31058236 31058236 HOSPITAL TAX 6856208 6856208 MISCELLANEOUS EXPENSE 280966 238091 42875 256843828 227411756 29432072 0 0 302390738 0 0 0 0 0 -166121294 0 0 0 0 0 0 0 4796715 0 2494070 143559893 2810890 0 140749003 0 0 0 0 0 0 0 0 0 74796922 0 359106154 0 38067949 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40777796 0 78845745 X 0 280257617 0 2792 0 280260409 0 359106154 X -14241129 294501538 X false true X true false X 10145000 10145000 97793000 1205753 96587247 26543386 1333994 25209392 9078507 271143 8807364 140749003 GOODWILL 74809922 SECURITY DEPOSIT -13000 74796922 0 DUE TO RELATED PARTIES 40735296 OTHER LIABILITIES 42500 40777796 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. true true X true X 300. true X true true false true true 2739041 2739041 0.01350 6271748 6241173 30575 0.00010 5591849 1719282 3872567 0.01910 14602638 7960455 6642183 0.03270 139612 139612 0.00070 648065 648065 0.00320 787677 787677 0.00390 15390315 7960455 7429860 0.03660 5536 5536 5536 5536 true 7966520 25322916 29034228 -3711312 X true true 1 1 PIEDMONT EASTSIDE HOSPITAL INC 1700 MEDICAL WAY SNELLVILLE GA 30078 HTTPS://WWW.PIEDMONT.ORG/ 067-569 X X X PIEDMONT EASTSIDE MEDICAL CENTER 1 true true true X X X X X X X X 21 true false false true X SEE PART V, SECTION C X X true 22 true SEE PART V, SECTION C false true X 300. 300. X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINES 1 AND 2: NEW HOSPITAL ENTITY Piedmont Eastside Hospital, Inc. ("PEM") was created as a new entity on May 24, 2021 and is the 501(c)(3) tax-exempt parent of Eastside Medical Center LLC, a disregarded entity, which was acquired from HCA Healthcare, a for-profit company. Piedmont filed the PEM Form 1023 application for recognition of exemption under Section 501(c)(3) of the Internal Revenue Code on July 27, 2021, and received its IRS Determination Letter reflecting PEM's status as a 501(c)(3) organization with public charity status 170(b)(1)(A)(iii) on March 21, 2022. The IRS 501(c)(3) status per the Determination Letter is retroactive with an effective date of exemption of May 24, 2021. SCHEDULE H, PART V, SECTION B, LINE 5: COMMUNITY REPRESENTATION AS A PART OF OUR PROCESS, WE INTERVIEWED NEARLY 245 STAKEHOLDERS, POLICY MAKERS AND LAWMAKERS REPRESENTING PUBLIC HEALTH, LOW-INCOME POPULATIONS, MINORITIES, CHRONIC CONDITIONS, OLDER ADULTS, AND OUR COMMUNITIES. THESE INCLUDED 7 STAKEHOLDERS WITHIN THE PIEDMONT EASTSIDE COMMUNITY, WHO GAVE THEIR PERSPECTIVES ON COMMUNITY HEALTH THROUGH THE LENS OF THEIR ROLE WITHIN THE COMMUNITY. THESE INTERVIEWS WERE CONDUCTED FOR PEOPLE REPRESENTING THE ENTIRE REGION. SPECIFICALLY, WE INTERVIEWED REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, THE PHILANTHROPIC COMMUNITY, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS AND INDIVIDUALS REPRESENTING OUR MOST VULNERABLE PATIENTS. THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS AND LEADERSHIP FROM ALL 19 HOSPITALS WERE ACTIVELY INFORMED AND ENGAGED THROUGHOUT THIS PROCESS. SCHEDULE H, PART V, SECTION B, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT https://www.piedmont.org/media/file/Community-Benefit-Needs-Assessment-PEH .pdf SCHEDULE H, PART V, LINE 7D: PUBLIC AVAILABILITY OF CHNA IN ADDITION TO MAKING ITS CHNA REPORTS AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT EASTSIDE MEDICAL CENTER SENT COPIES TO EACH PARTICIPANT IN THE CHNA PROCESS, DISTRIBUTED THE ASSESSMENTS TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT COPIES TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENTS TO OTHER PIEDMONT HEALTHCARE HOSPITALS. SCHEDULE H, PART V, LINE 10A: IMPLEMENTATION STRATEGIES WEBSITE THE BOARD OF DIRECTORS FOR PIEDMONT EASTSIDE MEDICAL CENTER APPROVED ITS IMPLEMENTATION STRATEGY FOR THE THREE-YEAR PERIOD BEGINNING WITH FY23 ON AUGUST 25, 2022, WITHIN THE GRACE PERIOD FOLLOWING THE APPROVAL OF THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING LINK IS FOR THE IMPLEMENTATION STRATEGY EFFECTIVE THROUGH JUNE 30, 2025. https://www.piedmont.org/media/file/Community-Benefit-Implementation-Strat egy-PEH.pdf SCHEDULE H, PART V, LINE 11: ADDRESSING COMMUNITY HEALTH NEEDS DURING FY22, PIEDMONT EASTSIDE MEDICAL CENTER CONDUCTED ITS FOURTH CHNA, AGAIN BY ASSESSING PUBLICLY AVAILABLE DATA, INTERVIEWING COMMUNITY MEMBERS AND STAKEHOLDERS, CONDUCTING FOCUS GROUPS OF VULNERABLE POPULATIONS, INTERVIEWING PIEDMONT BOARD MEMBERS, AND SURVEYING PIEDMONT EMPLOYEES. THROUGH THIS PROCESS, PIEDMONT EASTSIDE MEDICAL CENTER DETERMINED AND PRIORITIZED THE COMMUNITY HEALTH NEEDS IT WOULD ADDRESS BASED ON THE NUMBER OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED AFFECTED VULNERABLE POPULATIONS, AND THE AVAILABILITY OF COMMUNITY AND HOSPITAL RESOURCES NECESSARY TO ADDRESS THE ISSUE. ALL PRIORITIES ARE VIEWED THROUGH THE LENS OF HEALTH DISPARITIES, WITH PARTICULAR ATTENTION PAID TO IMPROVING OUTCOMES FOR THOSE MOST VULNERABLE DUE TO INCOME AND RACE. BASED ON THE CHNA, PIEDMONT EASTSIDE MEDICAL CENTER IS CURRENTLY FOCUSING ON: (1) ENSURING AFFORDABLE ACCESS TO HEALTH, MENTAL, AND DENTAL CARE (2) PROMOTING HEALTHY BEHAVIORS TO REDUCE PREVENTABLE CONDITIONS AND DISEASES SCHEDULE H, PART V, LINE 16: FINANCIAL ASSISTANCE POLICY WEBSITES FINANCIAL ASSISTANCE POLICY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-POLICY.PDF FINANCIAL ASSISTANCE APPLICATION - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-APPLICATION.PDF FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY - HTTPS://WWW.PIEDMONT.ORG/MEDIA/FILE/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SU MMARY-ENGLISH.PDF 3 Piedmont Eastside Medical Center Imaging 1700 Medical Way Snellville GA 30078 Breast Imaging Center; Lung Cancer Screenings Piedmont Eastside Inpatient Rehab Unit 2160 Fountain Drive Snellville GA 30078 Inpatient Rehab Piedmont Eastside Outpatient Rehab 1600 Medical Way Suite 100 Snellville GA 30078 Outpatient Rehab SCHEDULE H, PART VI, LINE 1: REQUIRED DESCRIPTIONS SCHEDULE H, PART I, LINE 6A PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT WE REGULARLY REPORT TO THE COMMUNITY OUR COMMUNITY BENEFIT ACTIVITIES IN SEVERAL WAYS. EACH YEAR, WE PREPARE A SYSTEMWIDE COMMUNITY BENEFIT REPORT THAT IS AVAILABLE TO THE PUBLIC THROUGH PUBLICATION ON OUR WEBSITE. WE ALSO MAKE AVAILABLE OUR IRS FORM 990 SCHEDULE H ON OUR WEBSITE AND PROVIDE COPIES TO ANYONE UPON REQUEST. WE ALSO PROVIDE INFORMATION ON COMMUNITY BENEFIT PROGRAMMING TO LOCAL, STATE, AND FEDERAL LAWMAKERS THROUGH OUR GOVERNMENT AFFAIRS OFFICE AND ONLINE AT PIEDMONT.ORG. SCHEDULE H, PART I, LINE 7(F) PERCENT OF TOTAL EXPENSE 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 $256,843,828, LESS BAD DEBT EXPENSE OF $53,925,230 FROM FORM 990, PART IX, LINE 24(A). SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST 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. SCHEDULE H, PART III, LINES 2-4 BAD DEBT EXPENSE CALCULATION AND FOOTNOTE THE PROVISION FOR BAD DEBTS IS BASED UPON LEADERSHIP'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY, LEADERSHIP ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY. THE RESULTS OF THE REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. 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. THAT TOTAL WAS THEN ADJUSTED DOWNWARD FOR THE ORGANIZATION'S USE OF PRESUMPTIVE ELIGIBILITY WHEN DETERMINING ITS COMMUNITY BENEFITS. 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 PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PEH 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. SCHEDULE H, PART III, LINE 8 MEDICARE SHORTFALLS AS COMMUNITY BENEFIT THE AMOUNT REPORTED ON PART III, LINE 6, WAS CALCULATED IN ACCORDANCE WITH SCHEDULE H INSTRUCTIONS BY UTILIZING OUR 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 PATIENTS CARE COSTS THAT ARE ESSENTIAL TO PROVIDE 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. WE BELIEVE OUR MEDICARE SHORTFALL REPORTED ON PART III, LINE 7 OF SCHEDULE H, SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO ELDERLY AND MEDICARE PATIENTS. IRS REVENUE RULING 69-545 PROVIDES, IN PART, THAT HOSPITALS SERVING PATIENTS WITH GOVERNMENTAL HEALTH INSURANCE, SUCH AS MEDICARE, IS AN INDICATION WE OPERATE TO PROMOTE HEALTH IN THE COMMUNITY. OUR POLICY IS TO TREAT MEDICARE PATIENTS, REGARDLESS OF THE EXTENT TO WHICH MEDICARE PAYS FOR THE TREATMENT. FOR MANY SERVICES, MEDICARE'S REIMBURSEMENT IS LESS THAN THE COST OF THE CARE PROVIDED, RESULTING IN SHORTFALLS THAT ARE TO BE ABSORBED BY US IN HONOR OF OUR COMMITMENT TO TREAT ELDERLY PATIENTS. MANY OF THESE PATIENTS LIVE ON A LOW, FIXED INCOME, AND WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER MEANS-TESTED PROGRAMS, ABSENT FROM THEIR ENROLLMENT IN MEDICARE. SCHEDULE H, PART III, LINE 9(B) COLLECTION PRACTICES 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 IDENTIFYING 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. SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT As a designated 501(c)(3) nonprofit hospital, we are required by the Internal Revenue System to conduct a triennial community health needs assessment (CHNA), in accordance with regulations put forth by the IRS following the 2010 Patient Protection and Affordable Care Act (ACA). Through this assessment, we hope to better understand local health challenges, identify health trends in our community, determine gaps in the current health delivery system and craft a plan to address those gaps and the identified health needs. In FY22, we conducted our fourth triennial CHNA. FY22 also marked the third year of our FY19 Implementation Strategy. The CHNA was led by the Piedmont Healthcare community benefits team and consulting organization Public Goods Group, with input and direction from Piedmont leadership and Piedmont Healthcare's Department of External Affairs. Process The CHNA started with a definition of our community, which is our home county due to the impact of our tax-exempt status. Property taxes make up the largest segment of a hospital's tax exemption, which impacts county revenues. Because of this, we aim to ensure that we are providing ample benefit to our county and its residents. Additionally, we take into consideration patient origin, especially that of our lower-income patients such as those who qualify for financial assistance or receive insurance coverage through Medicaid. Our secondary communities are considered the areas in which we have the highest concentration of patients fitting that criterion, including ones from nearby communities. Once we established our primary and secondary communities, we then conducted an analysis of available public health data. This included resources from: US Census, US Health and Human Services' Community Health Status Indicators, US Department of Agriculture, Economic Research Service, National Center for Education Statistics, Kaiser Family Foundation's State Health Facts, American Heart Association, County Health Rankings and Georgia Online Analytical Statistical Information System (OASIS). All figures within the CHNA were for 2017, unless otherwise noted. Health indicators are estimates provided by County Health Rankings and hospital data were internally sourced. We then interviewed key stakeholders who have a particular expertise or knowledge of our communities. Specifically, we interviewed representatives of local and regional public health entities, minority populations, faith-based communities, local business owners, the philanthropic community, mental health agencies, elected officials and individuals representing our most vulnerable patients. An internal survey was also conducted throughout the healthcare system for both clinical and non-clinical employees. Information was gathered on knowledge and understanding of community benefit and current programs, as well as suggestions for how we can better serve our patients and communities. Approximately 1,053 employees spanning the system responded. Additionally, we conducted a community-based survey that was widely advertised to the community. Once both qualitative and quantitative data was gathered, we authored the preliminary report, which was then vetted and reviewed by hospital and health system leadership. In this report, we identified several key community health needs that emerged during the assessment process. The chosen priorities were recommended by the community benefit department with sign-off from hospital and board leadership. The following criteria were used to establish the priorities: - The number of persons affected; - The seriousness of the issue; - Whether the health need particularly affected persons living in poverty or reflected health disparities; and, - Availability of community and/or hospital resources to address the need. All priorities are viewed through the lens of health disparities, with particular attention paid to improving outcomes for those most vulnerable due to income and race. The priorities we chose reflected a collective agreement on what hospital leadership, staff and the community felt was most important and within our ability to positively impact the issue. Once priorities were approved by the board of directors, we then authored the CHNA and presented our findings and recommendations to the hospital's board of directors for their input and approval. Our priorities A key component of the CHNA is to identify the top health priorities we will address over fiscal years 2023, 2024 and 2025. These priorities will guide our community benefit work. They are, in no order: - Ensure affordable access to health, mental, and dental care - Promote healthy behaviors to reduce preventable conditions and diseases With each priority, we work to achieve greater health equity by reducing the impact of poverty and other socioeconomic indicators. This means that health equity is built into each priority, which is demonstrated through our implementation strategies. Our subsequent implementation strategy was developed in partnership with hospital leadership and community stakeholders to address the identified priorities in our FY22 community health needs assessment. The implementation strategy was designed to be executed over a three-year period and included specific metrics by which we would be able to evaluate our work and its impact. The implementation strategy was developed by utilizing community feedback from the assessment in partnership with the system community benefits department, our leadership, and our board of directors. We included proven and successful interventions and programming, investing further in work we felt was successful in addressing unmet health needs. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY We understand that not everyone can pay their hospital bill due to their insurance status or a limited income, and because of this, we offer financial assistance to qualifying patients. Notification about financial assistance includes, but is not limited to, a dedicated contact number, notices in patient bills, and posted notices in key areas of the hospital. These locations are the emergency room, admitting and registration departments, our business office, and patient financial services offices that are located on site. We also publish and widely publicize a plain language summary of this financial assistance care policy on our website, as well as the full policy. Referral of patients for financial assistance may be made by any staff or medical staff member at the hospital, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for financial assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. Additionally, we provide copies of our financial assistance policy to our partner clinics and others who work closely with low-income populations. We help our partners in understanding the policy, how it relates to their populations, and receive feedback in ways our financial assistance programming could be improved. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION While Piedmont Eastside serves patients from a multi-county area, for purposes of this CHNA, we consider our community to be Gwinnett County. We do this in recognition of the direct impact of our tax-exempt status on county residents. In Gwinnett County, 926,414 people lived in the 430.76 square mile area in 2020. The population density for this area, estimated at 2,151 persons per square mile, is much greater than the state average population density of 181 people per square mile and the national average population density of 92 persons per square mile. The ZIP code with the highest concentration of people was 30044, where 10 percent of the county's population called home. Gwinnett is almost entirely urban, as 99.51 percent live within an urban setting. Gwinnett County is growing, having seen a 19 percent increase in total population between 2010 and 2020. Young adults are moving to the area, with a migration rate of 38 percent between 2010 and 2020. About 6 percent of the population were veterans in 2020, and most were 65 or older. Seven percent of the population - about 65,250 people - lived with a disability. Most of that population were between the ages of 18 and 64. About three-quarters of the population drove alone to work in 2019, and 16 percent of those drove more than an hour each way. Both are figures likely impacted by COVID-19. About 27 percent of the population were 17 or younger, 10 percent were over the age of 65, and the remaining population were between the ages of 18-64. Between 2015 and 2019, about 36 percent of all Gwinnett County residents were white, 27 percent were black or African American, 12 percent were Asian, and 21 percent were Hispanic/Latino. A quarter of the population identified as being born outside of the US and 13 percent of the county's population does not have citizenship status. Between 2015 and 2019, the median household income was $72,787, which is higher than state and national levels, which are $58,700 and $62,843, respectively. When broken down by the four dominant races in the community, income disparities are evident. Of employers in the community, the largest sector by employment size is retail trade, which employed 61,1944 community members at an average annual wage of $35,252 in 2019, according to the US Department of Commerce. Waste management was the second largest sector, with 53,250 people employed at an average annual wage of $29,252. Construction was the third largest sector, with 47,993 people employed at an average annual wage of $38,443. According to the 2015-2019 American Community Survey, 484,306 people in the community were part of the labor force, and only 14,810 -- about 3 percent -- were unemployed as of March 2022. This figure has steadily decreased since last year, when in January 2021, 3.5 percent of the labor force was unemployed. When looking back further, the rate is twice that of the unemployment rate in 2012. In 2020, 14 percent of the county's population lived at or below the Federal Poverty Level (FPL), and 37 percent lived at 200 percent of the FPL. In 2022, the FPL placed a family of four as having a total household income of $27,750. Even when living at twice the FPL, families are likely unable to afford many of life's basics. In Gwinnett County, like most of the state, minorities are more likely to live in poverty. For example, in 2020, 15 percent of Hispanic/Latino populations and 10 percent of blacks were living at or below poverty, as compared to 8 percent of whites. Of the 300,000 total occupied households in Gwinnett County in 2020, about 96,000 -- 32 percent -- of the population live in cost burdened households, in which housing costs are 30 percent or more of total household income. Nearly 15 percent of households had costs that exceeded 50 percent of the household income, which places the household in significant financial strain. In Gwinnett County, in 2019, 18 of the county's 113 census tracts were food deserts, as shown in the map to the right. About 116,000 people lived within these census tracts. These tracts almost directly correspond with census tracts demonstrating retailers who are authorized to take SNAP benefits. In Gwinnett, like in most of the state, those retailers tend to be convenience and discount stores that carry limited, if any, healthy foods. Increasingly, discount stores like Dollar General do have some sort of produce section, but that is inconsistent among communities. Low food access is defined as living more than 0.5 mile from the nearest supermarket, supercenter, or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. According to the 2021 Food Access Research Atlas database, nearly 39 percent of the total population in the county have low food access, meaning about 312,922 county residents may struggle to access healthy foods. This is higher than the state rate of 30.89 percent. In 2019, about 76 percent of adults aged 18 or older saw a doctor for a routine check-up the previous year, a measure that is likely over-reported and is lower than both state and national averages. For Medicare recipients, this number jumps to 83 percent of adult beneficiaries, which is above both state and national averages. Heart disease is a leading cause of death for both women and men in Gwinnett County. Between 2016 and 2020, the age-adjusted death rate was 123.4 deaths for every 100,000 people, which is lower than the state and national averages of 178.0 and 164.8 heart-related deaths per 100,000 people, respectively. In 2020, 4.8 percent of adults had a diagnosis with heart disease. Between 2016 and 2020, there were 1,171 deaths due to stroke, representing an age-adjusted death rate of 36 deaths per every 100,000 people. Men are more likely to die from stroke than women, as are black populations. The cardiovascular disease hospitalization rate in 2018 was 8.7 hospitalizations per every 1,000 Medicare beneficiaries, which is lower than the state and national rates of 12.2 and 11.8, respectively. The hospitalization rate for stroke is also below state and national rates, with 7.9 hospitalizations per every 1,000 Medicare beneficiaries, as compared to the state rate of 9.3 and the national rate of 8.4. These hospitalization rates for heart disease and stroke among Medicare recipients have remained relatively steady over the last five years. Although heart disease leads in county deaths, cancer remains a critical issue within the community. The cancer incidence rate for Gwinnett County each year, on average between 2014 and 2018, was 452.8 diagnoses per every 100,000, which equates to an average 3,624 new cases each year. When comparing to state and national average, though, Gwinnett County fares worse when it comes to certain screenings. For example, only 28 percent of female Medicare beneficiaries had a recent mammogram in 2019, which is lower than both state and national averages. When looking at all adults, that figure jumped to 78 percent, which is slightly higher than the state rate. Rates of pap smear tests, though, are lower than state and national rates, with about 83 percent of females 21 to 65 having had a pap smear within the previous three years, when surveyed in 2019. Colorectal screenings are also lower than state and national rates, with only 63 percent of adults having had a colorectal cancer screening at some point in their lives. In 2019, 9.5 percent of county adults aged 20 and older had diabetes, a figure slightly lower than the state rate of 9.8 percent. Diabetes is a prevalent problem in the US, often indicating an unhealthy lifestyle and puts individuals at risk for further health issues. This figure has steadily grown over the years. Among the Medicare population, about 26 percent of beneficiaries have diabetes. In 2019, 2.7 percent of the county's population had a diagnosis of kidney disease, a rate lower than state and national percentages of 3.22 percent and 3.1 percent, respectively. In 2019, 31.2 percent of adults 18 and older reported having high cholesterol of the total population. Too much cholesterol puts you at risk for heart disease and stroke, two of the main causes of death within the county. In 2019, 32 percent of adults 18 and older had a diagnosis of high blood pressure. High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH We actively promote the health of our community through clinic-hospital partnerships; community-based health screenings; educational activities; community building activities; the operation of a 24-hour emergency department available to the entire community; the operation of an emergency room open to all members of the community without regard to ability to pay; a governance board composed of community members; use of surplus revenue for facilities improvement, patient care, medical training, education, and research; the provision of inpatient hospital care for all persons in the community able to pay, including those covered by Medicare and Medicaid; and an open medical staff with privileges available to all qualifying physicians. Please note that Piedmont Eastside became a nonprofit organization in August 2021 and therefore did not have a robust community benefit plan in place due to its previous status as a for-profit hospital. In FY22, we conducted several community-facing activities to support cardiovascular health. These included partnering with the Walton County EMS and Gwinnett County Fire to conduct multiple Lunch 'n Learns on heart health. We also provided free blood pressure checks at the Alexander Park Heart Health Walk. Each month, we provided space at no cost for instructors to teach about breastfeeding and how to prepare for a baby's arrival with other expectant moms in the community. The class, which is hosted twice each month, covers ways breastfeeding is beneficial to mom and baby, baby-led feeding, and maintaining milk supply. These classes are held in partnership with health departments throughout Gwinnett, Newton, and Rockdale counties. SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM We are part of Piedmont Healthcare, a regional not-for-profit organization and the parent company of 19 hospitals, the Piedmont Physicians Group, the Piedmont Heart Institute, the Piedmont Clinic and the Piedmont Healthcare Foundation. Our community relations team works directly with the community. Our community benefit department oversees the community benefit activities on behalf of all hospitals throughout the system, and this includes conducting the triennial CHNA and subsequent implementation strategy, ensuring the financial assistance policy is communicated to the community, maintaining the community benefit webpage, authoring the community benefit annual report, preparing board materials, developing and executing the community benefit grants program and compiling all community benefit figures. Each hospital and certain departments of Piedmont Healthcare execute community benefit programming, such as our revenue department, which oversees the financial assistance program. SCHEDULE H, PART VI, LINE 7: STATE OF FILING OF COMMUNITY BENEFIT REPORT We are not required to file a community benefit report; however, we are required to file with the Georgia Department of Community Health information on our indigent and charity care, as well as our Medicaid and Medicare shortfalls. X true true false true false false false false false true false MR STEPHEN HIGGINS CMO 140489 0 21121 0 7725 0 5963 0 7400 0 182698 0 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 RICHARD LIND CEO 151686 0 36533 0 12447 0 23333 0 9864 0 233863 0 0 0 DR CHARLES L BROWN III BOARD MEMBER 0 626901 0 375917 0 204868 0 113172 0 21963 0 1342821 0 0 Schedule J, Part I, Line 1A: Other Compensation Items Elizabeth Leddy, Thomas Arnold, and Charles Brown received a discretionary spending account totaling $13,385, a fixed amount determined by their job level. Trent Lind received a discretionary spending account totaling $6,000. 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 Piedmont Eastside 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. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION THOMAS ARNOLD RECEIVED A PAYMENT OF $93,750 FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. Charles Brown received a payment of $95,772 from his supplemental executive retirement plan. THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: -ELIZABETH LEDDY -TRENT LIND 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. FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED All calendar year 2021 Forms 1099 were filed on behalf of Piedmont Eastside Hospital 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 PIEDMONT EASTSIDE HOSPITAL ("PEH"). FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE, PIEDMONT EASTIDE HOSPITAL'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT EASTIDE HOSPITAL. FORM 990, PART VI, SEC A, LINE 7B: DECISIONS OF GOVERNING BODY PIEDMONT EASTSIDE 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 EASTSIDE 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. FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS INFORMATION NEEDED TO PREPARE PIEDMONT EASTSIDE HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PEH'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, SEC B, 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 PIEDMONT EASTSIDE HOSPITAL 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, SEC B, LINE 15A, 15B: Executive Compensation Compensation for executives of Piedmont Eastside Hospital 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 date 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: DISCLOSURE OF 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: RECONCILIATION OF NET ASSETS CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE COMPRISED OF: INTERCOMPANY TRANSFER OF LIABILITIES $294,498,748 CHANGE IN UNRESTRICTED FUNDS $2,792 --------------------------- TOTAL $294,501,538 FORM 990 PART IX LINE 11G DESCRIPTION:GENERAL CONTRACT LABOR TOTAL FEES:37111383 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE/CONTRACT SERVICES TOTAL FEES:20219512 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICE CONTRACT TOTAL FEES:9600 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PHYSICIAN SUPPORT TOTAL FEES:9865618 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE/MAINTENANCE CONTRACTS TOTAL FEES:794469 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROFESSIONAL SERVIC TOTAL FEES:28756 EASTSIDE MEDICAL CENTER LLC 1700 MEDICAL WAY SNELLVILLE GA 30078 582433432 HEALTHCARE GA 0 0 PEH INC EHCA EASTSIDE OCCUPATIONAL MED CENTER 1700 MEDICAL WAY SNELLVILLE GA 30078 582526232 HEALTHCARE GA 0 0 EMC LLC PIEDMONT HEALTHCARE INC 1800 HOWELL MILL RD STE 850 ATLANTA GA 30318 581503902 HC 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 RD NE STE 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 HEALTHCARE SYSTEM INC 707 CENTER STREET COLUMBUS GA 31901 581719994 MANAGEMENT GA 501(C)(3) 12B, II 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 COLUMBUS REGIONAL SENIOR LIVING INC 707 CENTER STREET COLUMBUS GA 31901 582628502 HEALTHCARE GA 501(C)(3) 12C, III-FI PHC false PIEDMONT CARTERSVILLE HOSPITAL INC 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE GA 30120 870963633 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 PHC 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 COLUMBUS HEALTHCARE RESOURCES PO BOX 790 COLUMBUS GA 31902 581717754 Healthcare GA NA C CORP 0 0 false Columbus Health Services Inc PO BOX 790 COLUMBUS GA 31902 581640939 Healthcare GA NA C CORP 0 0 false Amster McRae Insurance Company PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980427603 RELATED INSUR CJ NA C CORP 0 0 false UNIVERSITY HEALTH RESOURCES INC PO BOX 790 COLUMBUS GA 31901 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 true true false false SCHEDULE R, PART I, LINE 1: DISREGARDED ENTITIES THE LIMITED LIABILITY COMPANIES LISTED IN SCHEDULE R, PART I, OPERATE AS DEPARTMENTS OF PIEDMONT EASTSIDE HOSPITAL AND ARE INCORPORATED INTO THE HOSPITAL'S BOOKS AND RECORDS. SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LIMITED LIABILITY COMPANIES AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.