2019-05-14T22:37:26-05:00 2018-06-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2017-07-01 581503902 PIEDMONT HEALTHCARE INC % MARIE GAFFNEY PIED 4044251303 1800 Howell Mill Road Suite 850 Atlanta GA 30318 MARIE GAFFNEY VP CORPORATE FINANCE 4044251303 2019-05-14 true WHITNEY E BLAIR P01226647 3362753394 2019-05-14 167.68.102.5 56038220191345000029 2019-05-14 P A44B9C37BFA5EF1264A4312BD3172D9227A45E08 5D7B52A41C2226A5E4849843C7D809138903E6FF 2017 2019-02-21 02:37:17Z Mr Kevin Brown 1800 Howell Mill Rd Ste 850 Atlanta GA 30318 123013765 false X www.piedmont.org X 1983 GA PIEDMONT HEALTHCARE, INC. ("PHC") IS ORGANIZED TO BENEFIT, MANAGE THE FUNCTIONS OF, AND CARRY OUT THE CHARITABLE PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS. 19 11 3427 15 283213 253892 85885 217135 125417908 118433426 154381 2373181 -26880428 1990023 98777746 123013765 146769 947455 0 0 35754996 46788619 0 0 0 63162640 72518148 99064405 120254222 -286659 2759543 715650611 738170199 246357397 665421595 469293214 72748604 PIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS. false false 100210411 947455 122730552 PIEDMONT HEALTHCARE, INC. ("PHC"), IS THE TAX-EXEMPT PARENT OF ITS PUBLICLY SUPPORTED SUBSIDIARIES (LISTED IN SCHEDULE R ATTACHED). PHC PROVIDES CENTRALIZED MANAGEMENT SERVICES TO ITS SUBSIDIARIES, INCLUDING ACCOUNTING, HUMAN RESOURCES, IT, FINANCIAL MANAGEMENT, AND ADVISORY SUPPORT. THESE CENTRALIZED SERVICES RESULT IN GREATER OPERATING EFFICIENCIES AND ALLOW ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES. 100210411 true true false true false false false false false false true false true true true true false true false true true false false false false false false true false true false false false false false false true true false false false false false true true true false false true X 1584 0 true 3427 true true true true CJ false false false false false false false false false false X 19 11 false false false false false false false 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 Kevin Brown PRESIDENT & CEO 53.0 2.0 X X 2033444 0 389020 Mr Tye Darland BOARD MEMBER 2.0 0.0 X 0 0 0 Mr David G Hanna BOARD MEMBER 2.0 0.0 X 0 0 0 Ms Amy W Medendorp BOARD MEMBER 2.0 0.0 X 0 0 0 Mr Charles Jeff Mills BOARD MEMBER 2.0 4.0 X 0 22616 0 Mr Gregory B Morrison BOARD MEMBER 2.0 0.0 X 0 0 0 Dr Todd A Schmidt MD BOARD MEMBER 2.0 4.0 X 0 25200 0 Dr Jay J Singh MD BOARD MEMBER 2.0 6.0 X 39600 0 0 Dr David M Sailors MD BOARD MEMBER 2.0 0.0 X 41200 0 0 Dr Ramon A Suarez MD BOARD MEMBER 2.0 3.0 X 16800 0 0 Ms Cheryl K Legette BOARD MEMBER (EFF 7-1-17) 2.0 0.0 X 0 0 0 Mr John H Somerhalder BOARD MEMBER (EFF 7-1-17) 2.0 0.0 X 0 0 0 Mr James H Hopkins BOARD MEMBER (EFF 7-1-17) 2.0 0.0 X 0 2954 0 Mr Gary T Jones BOARD MEMBER (EFF 7-1-17) 2.0 1.0 X 0 0 0 Mr Samuel Burney Hay BOARD MEMBER (EFF 7-1-17) 2.0 1.0 X 0 0 0 Dr Craig W Wright MD CHAIRMAN (EFF 7-1-17) 2.0 0.0 X X 6947 0 0 Dr Harry M McFarling III MD BOARD MEMBER (END 6-30-18) 2.0 38.0 X 93800 0 0 Ms Lila Hertz BOARD MEMBER (END 6-30-18) 2.0 0.0 X 0 0 0 Dr William A Blincoe MD BOARD MEMBER (END 6-30-18) 2.0 38.0 X 0 922583 27502 Mr Michael McAnder CFO & Treasurer 45.0 10.0 X 1029023 0 124752 Ms Elizabeth Leddy Chief Legal Officer/Secretary 45.0 10.0 X 552329 0 65569 Mr Gregory Hurst COO 49.0 6.0 X 1973761 0 23776 Dr Leigh Hamby MD Chief Medical/Quality Officer 52.0 3.0 X 1495782 0 157027 Dr Ronnie Brownsworth CEO - Piedmont Clinic 0.0 55.0 X 749554 0 65308 Mr Sidney Kirschner Chief Philanthropy Officer 1.0 54.0 X 1135177 0 106853 Ms Michelle Fisher Chief Strategy Officer 53.0 2.0 X 605502 0 96604 Mr John Henson Chief of Oncology 0.0 55.0 X 694905 0 22656 Mr Thomas Arnold VP - Financial Operations 54.0 1.0 X 983977 0 108896 Mr Geoffrey Brown Chief information Officer 55.0 0.0 X 625012 0 92294 Ms Vicki Cansler Chief HR Officer 55.0 0.0 X 614463 0 97864 Mr Matthew Gove Chief Marketing Officer 55.0 0.0 X 880089 0 106607 MR JAY MITCHELL FORMER CHIEF LEGAL OFFICER 0.0 0.0 X 1030379 0 0 14601744 973353 1484728 375 true true false ACCENTURE LLP PO BOX 70629 CHICAGO IL 606730629 CONSULTING Services 5888997 CUMBERLAND GROUP 300 GALLERIA PARKWAY ATLANTA GA 30339 CONSULTING SERVICES 2757803 HOLLIS COBB ASSOCIATES INC 4366 PARK DRIVE NORCROSS GA 30093 BILLING & COLLECTION 3297036 HEALTHCARE FINANCIAL RESOURCES LLC 830 N MEACHAM ROAD SCHAUMBURG IL 60173 REVENUE CYCLE MGT 3179827 KING AND SPALDING PO Box 116133 ATLANTA GA 30368 LEGAL SERVICES 2653060 55 14299 202836 217135 MANAGEMENT SERVICES TO AFFILIATES 561000 81848977 81848977 COST OF CAPITAL ALLOCATION 900099 31687951 31687951 EPIC IMPLEMENTATION 900099 1513164 1513164 OTHER OPERATING REVENUE 900099 3383334 3383334 118433426 2366172 2366172 0 0 817461 817461 0 817461 817461 7009 7009 7009 7009 0 0 0 0 0 0 0 0 0 RESEARCH REVENUE 900099 889349 889349 QUALIFIED TRANSPORT. FRINGE 900099 283213 283213 1172562 123013765 119250887 283213 3262530 X 947455 947455 0 0 0 9980217 6487141 3493076 84463 84463 30742202 20037332 10704870 448 291 157 3229306 2099049 1130257 2751983 1788789 963194 1820277 1820277 1381825 1381825 129161 129161 401764 401764 0 336531 336531 13525832 13525832 1208247 1208247 5020693 5020693 898899 898899 0 1430576 1430576 228302 228302 0 0 21686570 21686570 0 23863723 23863723 0 PHO ASSESSMENT 510840 510840 SUBSCRIPTIONS 74908 74908 120254222 100210411 20043811 0 463214496 319826495 0 0 553993 561656 -335032 1177303 0 0 0 0 0 0 0 0 34881591 38887680 322972181 191859471 117270974 131112710 0 0 0 0 88632510 89069261 0 189378 11432079 157345716 715650611 738170199 219797162 207686879 0 0 798694 11303848 0 307600000 0 0 0 0 0 0 0 0 25761541 138830868 246357397 665421595 X 468919028 72177461 374186 571143 0 0 469293214 72748604 715650611 738170199 X 2759543 63701036 -174745 -462830444 X false true X true false X X 12 PIEDMONT HOSPITAL INC 580566213 3 true 11825570 0 FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL 582322328 3 true 6748657 0 PIEDMONT MOUNTAINSIDE HOSPITAL INC 352228583 3 true 1271317 0 PIEDMONT NEWNAN HOSPITAL INC 205077249 3 true 6653411 0 PIEDMONT HEART INSTITUTE INC 263553500 7 true 0 0 PIEDMONT HENRY HOSPITAL INC 582200195 3 true 7386706 0 PIEDMONT NEWTON HOSPITAL INC 582155150 3 false 1106398 0 PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC 582179986 3 false 0 0 PIEDMONT ROCKDALE HOSPITAL INC 300999841 3 false 0 0 PIEDMONT WALTON HOSPITAL INC 824194264 3 false 0 0 THE MEDICAL CENTER INC 581685139 3 false 0 0 HUGHSTON HOSPITAL INC 331216751 3 false 0 0 12 34992059 false false false false true false false false false false false false false false false true true false X true true SCHEDULE A, PART IV, SECTION A, LINE 1: NOT LISTED IN GOVERNING DOCUMENTS DURING FISCAL YEARS 2016 THROUGH 2018, PIEDMONT HEALTHCARE PURCHASED THE FOLLOWING ENTITIES: PIEDMONT NEWTON HOSPITAL, INC. (EIN: 58-2155150, FKA NEWTON MEDICAL CENTER); PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC. (EIN: 58-2179986, FKA ATHENS REGIONAL MEDICAL CENTER) AND ITS SUBSIDIARIES; PIEDMONT WALTON HOSPITAL, INC. (EIN: 82-4194264, FKA CLEARVIEW REGIONAL MEDICAL CENTER); PIEDMONT ROCKDALE HOSPITAL, INC. (EIN: 30-0999841, FKA ROCKDALE MEDICAL CENTER); THE MEDICAL CENTER, INC. (EIN: 58-1685139) AND ITS SUBSIDIARIES, AND; HUGHSTON HOSPITAL, INC. (EIN: 33-1216751) AND ITS SUBSIDIARIES. WHILE THE AFOREMENTIONED ORGANIZATIONS ARE NOT EXPLICITLY NAMED AS SUPPORTED ORGANIZATIONS IN PHC'S GOVERNING DOCUMENTS, THEY ARE INCORPORATED INTO THE DOCUMENTS BY VIRTUE OF REFERENCE TO PHC'S EXEMPT PURPOSE OF SUPPORTING ITS TAX-EXEMPT SUBSIDIARIES. AS OF THEIR PURCHASE BY PHC, THE ENTITIES BECAME WHOLLY-OWNED SUBSIDIARIES AND SUPPORTED ORGANIZATIONS OF PIEDMONT HEALTHCARE. SCHEDULE A, PART IV, SECTION A, LINE 5A: NEW SUPPORTED ORGANIZATIONS ON JANUARY 31, 2018, PIEDMONT HEALTHCARE FINALIZED THE PURCHASE OF PIEDMONT WALTON HOSPITAL, INC. (EIN: 82-4194264, FKA CLEARVIEW REGIONAL MEDICAL CENTER). AS OF PIEDMONT WALTON'S PURCHASE BY PHC, IT BECAME A WHOLLY-OWNED SUBSIDIARY AND SUPPORTED ORGANIZATION OF PIEDMONT HEALTHCARE. ON AUGUST 30, 2017, PIEDMONT HEALTHCARE FINALIZED THE PURCHASE OF PIEDMONT ROCKDALE HOSPITAL, INC. (EIN: 30-0999841, FKA ROCKDALE MEDICAL CENTER). AS OF PIEDMONT ROCKDALE'S PURCHASE BY PHC, IT BECAME A WHOLLY-OWNED SUBSIDIARY AND SUPPORTED ORGANIZATION OF PIEDMONT HEALTHCARE. ON MARCH 1, 2018, PIEDMONT HEALTHCARE FINALIZED THE PURCHASE OF COLUMBUS REGIONAL HEALTH SYSTEM, INC. (EIN: 58-1719994) AND ITS SUBSIDIARIES, INCLUDING HUGHSTON HOSPITAL, INC. (EIN: 33-1216751) AND THE MEDICAL CENTER, INC (EIN: 58-1685139). AS OF COLUMBUS REGIONAL HEALTH SYSTEM'S PURCHASE BY PHC, IT BECAME A WHOLLY-OWNED SUBSIDIARY AND SUPPORTED ORGANIZATION OF PIEDMONT HEALTHCARE. SCHEDULE A, PART IV, SECTION E, LINE 3A: POWER TO ELECT SUBSIDIARY BOARDS PURSUANT TO THE PROVISIONS OF ITS CHARTER AND BYLAWS, THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE APPOINTS ALL OF THE MEMBERS OF THE BOARDS OF DIRECTORS OF EACH OF ITS SUPPORTED SUBSIDIARY ENTITIES. SCHEDULE A, PART IV, SECTION E, LINE 3B: DIRECTION OVER SUPPORTED ORGS THE POLICIES AND DECISIONS OF EACH OF PIEDMONT HEALTHCARES SUPPORTED SUBSIDIARY ENTITY BOARDS OF DIRECTORS MUST BE FILED, IMMEDIATELY AFTER ADOPTION, WITH THE SECRETARY OF THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS. SUCH POLICIES AND DECISIONS OF THE SUBSIDIARY BOARDS 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. THE PROGRAMS AND ACTIVITIES OF EACH OF PIEDMONT HEALTHCARES SUPPORTED SUBSIDIARY ORGANIZATIONS, INCLUDING SERVICES OFFERED, ANNUAL OPERATING BUDGETS, AND APPOINTMENT AND COMPENSATION OF SENIOR EXECUTIVES, ARE DETERMINED BY OR SUBJECT TO THE REVIEW OF PIEDMONT HEALTHCARES EXECUTIVE LEADERSHIP AND BOARD OF DIRECTORS. false false false false false false 401764 false false 401764 false SCHEDULE C, PART II-B, LINE 1(G): LOBBYING ACTIVITIES HEALTH CARE POLICY IS CRITICAL TO ALL AMERICANS, AND PIEDMONT HEALTHCARE 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. DURING FISCAL YEAR 2018, PIEDMONT HEALTHCARE ENGAGED A CONTRACT LOBBYIST TO, ALONG WITH PIEDMONT HEALTHCARE'S VICE PRESIDENT OF GOVERNMENT RELATIONS, REPRESENT THE INTERESTS OF THE ORGANIZATION AND ITS SUBSIDIARIES BEFORE FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS AND REGULATORS. LOBBYING EXPENSE REPORTED HEREIN INCLUDES A PORTION OF THE SALARY PROVIDED TO THE VICE PRESIDENT OF GOVERNMENT RELATIONS, AS WELL AS EXPENSES RELATED TO THE ACTIVITIES OF OUTSIDE LOBBYISTS. 3934144 3934144 20170899 8900285 11270614 5274714 2045827 3228887 250466222 180913359 69552863 43126202 43126202 131112710 FAYETTE COMMUNITY HOSPITAL 43679729 C PIED MOUNTAINSIDE HOSPITAL 43407781 C AMSTER-MCRAE INSURANCE COMPANY 120000 C CENTER FOR HEALTH & LEARNING 1425000 C COLUMBUS REG. HEALTH SYS. 436751 C 89069261 DUE FROM RELATED PARTIES 144025795 OTHER CURRENT ASSETS 12036189 INVEST ONCOLOGY PARTNERSHIP 1276281 INVEST GA HEALTH COLLABORATIVE 7451 157345716 0 DUE TO RELATED PARTIES 138830868 138830868 X SCHEDULE D, PART X, LINE 2: ASC 740 FOOTNOTE (FKA FIN 48) PHC ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF THE INCOME TAXES TOPIC OF THE 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 UNCERTAIN TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2018 AND 2017. Central America and the Caribbean Investments 63701036 Central America and the Caribbean Program Services Insurance Premiums 20136366 83837402 83837402 true false true false false false true American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(C)(3) 155000 CMTY BENEFIT Atlanta Track 201 Armour Drive Atlanta GA 30324 581367422 501(C)(3) 50000 CMTY BENEFIT American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 501(C)(3) 35000 CMTY BENEFIT March of Dimes 1550 Crystal Dr Arlington VA 22202 131846366 501(C)(3) 29000 CMTY BENEFIT Atlanta Beltline Partnership PO Box 93351 Atlanta GA 30377 562464486 501(C)(3) 25500 CMTY BENEFIT Georgia Transplant Fdn 2201 MACY DR ROSWELL GA 30076 582075193 501(C)(3) 25000 CMTY BENEFIT Atlanta Bicycle Coalition 889 Wylie St SE Atlanta GA 30316 581996013 501(C)(3) 13000 CMTY BENEFIT Community Farmers Market 659 Auburn Ave Ne Atlanta GA 30312 275262520 501(C)(3) 10000 CMTY BENEFIT Southeastern Brain Tumor Foundation PO BOX 42271 Atlanta GA 30311 582166144 501(C)(3) 10000 CMTY BENEFIT It's the Journey 270 Carpenter Drive Atlanta GA 30328 470897591 501(C)(3) 10000 CMTY BENEFIT Girls on the Run 1904 Monroe Drive Atlanta GA 30324 582568271 501(C)(3) 10000 CMTY BENEFIT National Center for Civil & Human Rights 250 Williams Street Suite 2322 Atlanta GA 30303 260813637 501(C)(3) 10000 CMTY BENEFIT Mercy Care Foundation 5134 Peachtree Road Chamblee GA 30341 581448522 501(C)(3) 10000 CMTY BENEFIT Peachtree Road Farmers Market 2744 PEACHTREE ROAD Atlanta GA 30305 15000 CMTY BENEFIT Fayette Senior Services 4 Center Dr Fayetteville GA 30214 581364158 501(C)(3) 15000 CMTY BENEFIT Hands of Hope Clinic 1010 HOSPITAL DRIVE Stockbridge GA 30281 421591970 501(C)(3) 15000 CMTY BENEFIT Healing Bridge Clinic 215 Willow Bend Rd Peachtree City GA 30269 263555799 501(C)(3) 15000 CMTY BENEFIT Coweta Samaritan Clinic PO BOX 963 Newnan GA 30264 800518912 501(C)(3) 15000 CMTY BENEFIT Willing Helpers Medical 8111 BROWN BRIDGE RD Covington GA 30014 562602392 501(C)(3) 15000 CMTY BENEFIT Grady White Coat 80 JESSE HILL JUNIOR DRIVE SE Atlanta GA 30303 262037695 501(C)(3) 7500 CMTY BENEFIT Mercy Health Center 700 Oglethorpe Ave Athens GA 30606 582603523 501(C)(3) 15000 CMTY BENEFIT Newton County Community Partnership PO Box 445 Covington GA 30015 581838997 501(C)(3) 15000 CMTY BENEFIT Athens Community Council on Aging 135 Hoyt Street Athens GA 30601 580977680 501(C)(3) 7500 CMTY BENEFIT Meals on Wheels Coweta PO Box 73437 Newnan GA 30271 581274374 501(C)(3) 6760 CMTY BENEFIT Atlanta Charity Clays 780 JOHNSON FERRY RD Atlanta GA 30342 472835630 501(C)(3) 6000 CMTY BENEFIT Georgia Chapter American College of Cardiology 4850 GOLDEN PARKWAY Buford GA 30518 581989233 501(C)(3) 5500 CMTY BENEFIT Children's Voice 8700 Hospital Dr Douglasville GA 30134 582488628 501(C)(3) 5212 CMTY BENEFIT 26 1 SCHEDULE I, PART I, LINE 2: MONITORING THE USE OF GRANT FUNDS MONEY IS GIVEN TO CHARITABLE ORGANIZATIONS WHICH PRIMARILY PROMOTE HEALTH CARE CAUSES. THE GRANTS ARE ADMINISTERED AND MONITORED THROUGH THE ORGANIZATION'S PUBLIC RELATIONS DEPARTMENT. X X X true true X X X X true true false false false false false true false Mr Kevin Brown PRESIDENT & CEO 1071546 0 831267 0 130631 0 372452 0 16568 0 2422464 0 Dr William A Blincoe MD BOARD MEMBER (END 6-30-18) 0 659973 0 207456 0 55154 0 15900 0 11602 0 950085 Mr Michael McAnder CFO & Treasurer 581223 0 379072 0 68728 0 117128 0 7624 0 1153775 0 Ms Elizabeth Leddy Chief Legal Officer/Secretary 344306 0 90667 0 117356 0 53125 0 12444 0 617898 0 Mr Gregory Hurst COO 764368 0 491328 0 718065 0 15900 0 7876 0 1997537 0 Dr Leigh Hamby MD Chief Medical/Quality Officer 559110 0 364416 0 572256 0 140459 0 16568 0 1652809 0 516049 Dr Ronnie Brownsworth CEO - Piedmont Clinic 279125 0 0 0 470429 0 55749 0 9559 0 814862 0 420608 Mr Sidney Kirschner Chief Philanthropy Officer 518545 0 337341 0 279291 0 94964 0 11889 0 1242030 0 79064 Mr John Henson Chief of Oncology 498179 0 163750 0 32976 0 15900 0 6756 0 717561 0 Mr Thomas Arnold VP - Financial Operations 404960 0 214316 0 364701 0 97469 0 11427 0 1092873 0 324654 Mr Geoffrey Brown Chief information Officer 379516 0 202212 0 43284 0 80210 0 12084 0 717306 0 Ms Vicki Cansler Chief HR Officer 378522 0 195320 0 40621 0 89988 0 7876 0 712327 0 Mr Matthew Gove Chief Marketing Officer 367365 0 191949 0 320775 0 90039 0 16568 0 986696 0 290669 Ms Michelle Fisher Chief Strategy Officer 376970 0 197699 0 30833 0 80046 0 16558 0 702106 0 MR JAY MITCHELL FORMER CHIEF LEGAL OFFICER 0 0 0 0 1030379 0 0 0 0 0 1030379 0 SCHEDULE J, PART I, LINE 1A: OTHER COMPENSATION ITEMS FIRST-CLASS TRAVEL: THE FOLLOWING INDIVIDUALS WERE PERMITTED (PURSUANT TO THEIR CONTRACTS) TO FLY FIRST-CLASS DURING CALENDAR YEAR 2017. FIRST-CLASS TRAVEL IS NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE. KEVIN BROWN GREGORY HURST TRAVEL FOR COMPANIONS: CERTAIN EXECUTIVES ARE PERMITTED TO TRAVEL WITH COMPANIONS WHEN IT IS APPROPRIATE FOR THE BUSINESS EVENT AND PURPOSE. TRAVEL FOR COMPANIONS IS REVIEWED ON A CASE BY CASE BASIS AND IS REIMBURSED BY THE EMPLOYEE, PAID ON BEHALF OF THE EMPLOYEE, OR TREATED AS TAXABLE INCOME, AS APPROPRIATE AND IN COMPLIANCE WITH COMPANY POLICY. DISCRETIONARY SPENDING ACCOUNTS: THE FOLLOWING EMPLOYEES RECEIVED DISCRETIONARY SPENDING ACCOUNTS IN FIXED AMOUNTS DETERMINED BY JOB LEVEL. THESE SPENDING ACCOUNTS WERE INCLUDED IN EACH EMPLOYEE'S TAXABLE WAGES: KEVIN BROWN $36,429 DR. RONNIE BROWNSWORTH $6,692 VICKI CANSLER $12,000 THOMAS ARNOLD $12,000 MATTHEW GOVE $12,000 DR. LEIGH HAMBY $12,000 GEOFFREY BROWN $12,000 GREGORY HURST $31,700 SIDNEY KIRSCHNER $12,000 MICHAEL MCANDER $12,000 ELIZABETH LEDDY $10,154 THOMAS WORTHY $30,000 MICHELLE FISHER $12,000 SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS JAY MITCHELL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2017 IN THE AMOUNT OF $1,030,379. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: THOMAS ARNOLD $324,654 DR. RONNIE BROWNSWORTH $420,608 MATTHEW GOVE $290,669 DR. LEIGH HAMBY $516,049 SIDNEY KIRSCHNER $79,064 THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: KEVIN BROWN VICKI CANSLER MICHAEL MCANDER GEOFFREY BROWN DR. WILLIAM BLINCOE JOHN HENSON MICHELLE FISHER 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. PIEDMONT WELLSTAR HEALTH PLANS RELATED INS PROVIDER 40079 INSURANCE CLAIMS AND SERVICES false PATRICK BATTEY FAMILY MEMBER OF TRUSTEE 84463 EMPLOYMENT false SCHEDULE L, PART IV, LINE 1: TRANSACTIONS WITH INTERESTED PERSONS DR. RONNIE BROWNSWORTH IS A KEY EMPLOYEE (CEO OF THE PIEDMONT CLINIC) FOR PHC AND IS ALSO THE FORMER PRESIDENT & CEO OF PIEDMONT WELLSTAR HEALTH PLANS, A RELATED ORGANIZATION. THE AMOUNT OF $40,079 REPRESENTS INVOICES PAID TO PIEDMONT WELLSTAR HEALTH PLANS BY PIEDMONT HEALTHCARE DURING FISCAL YEAR 2018 FOR HEALTH INSURANCE CLAIMS AND OTHER SERVICES PROVIDED AT FAIR MARKET VALUE. PAYMENTS WERE MADE ON BEHALF OF PHC AND ITS SUBSIDIARIES. PATRICK BATTEY IS THE FORMER CHAIRMAN OF THE PHC BOARD AND CURRENT PRESIDENT AND CEO OF PIEDMONT HOSPITAL, A SUBSIDIARY OF PIEDMONT HEALTHCARE. HIS SON, PATRICK BATTEY, JR., IS EMPLOYED BY PHC. THE AMOUNT OF $84,463 REPRESENTS WAGES PAID AT FAIR MARKET VALUE TO PATRICK BATTEY, JR., DURING FISCAL YEAR 2018. FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED IN CALENDAR YEAR 2017, PIEDMONT HEALTHCARE, INC., FILED FORMS 1099 ON BEHALF OF ITSELF AND EACH OF ITS SUBSIDIARIES, 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 7B: DECISIONS OF GOVERNING BODY ALL RESOLUTIONS ADOPTED AND ALL BUSINESS TRANSACTED BY PHC'S BOARD OF DIRECTORS REQUIRES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS PRESENT AT THE TIME OF VOTING, AS LONG AS A QUORUM (MAJORITY OF DIRECTORS CURRENTLY IN OFFICE) IS REPRESENTED AT THE MEETING. FORM 990, PART VI, SECTION B, LINE 11B: 990 REVIEW PROCESS INFORMATION NEEDED TO PREPARE PIEDMONT HEALTHCARES FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATIONS FINANCE DEPARTMENT AND REVIEWED BY PHCS CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARES TAX DEPARTMENT AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE FOR REVIEW PRIOR TO FILING. 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 HEALTHCARE 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 SENIOR VICE PRESIDENT OF COMPLIANCE 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 HEALTHCARE IS SET BY ITS BOARD OF DIRECTORS AND BY THE BOARD'S EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE. 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 EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("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: 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: CONTRIBUTIONS ($14,299) BOOK/TAX DIFFERENCES $89,875 CHANGE IN EQUITY $22,890,271 TRANSFER OF LIABILITIES ($485,796,291) ------------------------- TOTAL ($462,830,444) FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:2093856 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:539455 FORM 990 PART IX LINE 11G DESCRIPTION:DOCUMENT STORAGE TOTAL FEES:54098 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LAB SERVICES TOTAL FEES:38123 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION TOTAL FEES:65838 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE TOTAL FEES:5021811 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SUPPORT TOTAL FEES:23793 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS SERVICES TOTAL FEES:5688858 Piedmont Hospital Inc 1968 Peachtree Road NW Atlanta GA 30309 580566213 Hospital GA 501(c)(3) 3 PHC true FAYETTE 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