2016-05-16T10:28:04-05:00 2015-06-30 KPMG LLP 300 NORTH GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2014-07-01 581503902 PIEDMONT HEALTHCARE INC % MARIE GAFFNEY PIED 4044251303 1800 Howell Mill Road Suite 850 Atlanta GA 30318 TERESA L WILSON VP CORPORATE FINANCE 3362753394 2016-05-12 SHAWN M HUTCHINSON P01048557 3362753394 2014 2016-12-15 16:53:06Z X Mr Kevin Brown 1800 Howell Mill Rd Ste 850 Atlanta GA 30318 92580797 false X www.piedmont.org X 1983 GA SEE PART III 16 9 1979 10 0 0 307760 172460 116230525 107503117 -12135416 -21223964 3090837 6101755 107493706 92553368 53450 191293 0 0 56668738 45675173 0 0 0 60966808 67974532 117688996 113840998 -10195290 -21287630 901723700 663759132 889219462 219321822 12504238 444437310 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 93910620 191293 112586599 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. 93910620 true true false true false false false false false false true false true false true true false true false false true false false false false false false true true true false false false false false false true true false false false false false true true true false false true X 915 0 true 1979 true false true CJ false false false false false false false false false X 16 9 false false false false false false false true true false false true true true true true true true true false GA X MARIE GAFFNEY 6788426007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 Dr Harry M McFarling III Board Member 2.0 8.0 X 0 95300 0 Ms Amy W Medendorp Board Member 2.0 0.0 X 0 0 0 Mr Charles J Jeff Mills Board Member 2.0 1.0 X 0 0 0 Mr Gregory B Morrison Board Member 2.0 0.0 X 0 0 0 Mr Roderick D Odom Jr Board Member 2.0 0.0 X 0 0 0 Dr Jay J Singh Board Member 2.0 2.0 X 0 36900 0 Dr Ramon A Suarez Board Member 2.0 3.0 X 0 30300 0 Dr Patrick M Battey CHAIRMAN 2.0 38.0 X X 0 406122 25553 Ms Janine Brown Chairman 2.0 0.0 X X 0 0 0 Mr Kevin Brown PRESIDENT & CEO 54.0 1.0 X X 1823927 0 482590 Dr William A Blincoe Board Member 2.0 38.0 X 0 733460 23343 Dr Frank N Cole Board Member 2.0 38.0 X 0 569479 34534 Mr Wm Ronald Duffey Board Member 2.0 1.0 X 0 0 0 Mr Michael D Garrett 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 Lila Hertz Board Member 2.0 0.0 X 0 0 0 Mr Charlie Hall CFO/TREASURER 47.0 8.0 X 976469 0 283195 Mr Jay D Mitchell Chief Legal Officer/Secretary 48.0 7.0 X 739299 0 229289 Mr Gregory A Hurst CHIEF OPERATING OFFICER 49.0 6.0 X 1692430 0 595112 Dr Ronnie Brownsworth CEO of Piedmont Clinic & PWHP 15.0 40.0 X 1060977 0 264631 Ms Michele Molden Chief Transformation Officer 54.0 1.0 X 2216434 0 56555 Dr Leigh Hamby Chief Medical & Quality Office 55.0 0.0 X 885836 0 262467 Mr Sidney Kirschner CEO - Piedmont Heart Institute 10.0 45.0 X 1158484 0 273104 DR JAMES SAMS CMO PIEDMONT CLINIC & PWHP 54.0 1.0 X 524810 0 163194 Mr Michael Robertson CEO of South Region 0.0 55.0 X 721764 0 219775 Ms Vicki Cansler Chief HR Officer 55.0 0.0 X 513448 0 112569 Mr Mark Guza Chief Compliance Officer 55.0 0.0 X 448208 0 95052 Ms Debbie Gramling Former Secretary 0.0 0.0 X 159779 0 6170 Mr Edward Lovern Former CAO 0.0 55.0 X 0 583355 215691 12921865 2454916 3342824 271 true true false DELOITTE CONSULTING LLP PO BOX 7247 PHILADELPHIA PA 197106447 CONSULTING Services 13335364 NOVIA STRATEGIES 13029 Danilson Street POWAY CA 92064 CONSULTING SERVICES 4266201 TAILFIN LLC 1246 Virginia Avenue NE ATLANTA GA 30306 MARKETING SERVICES 2379368 ROI-ARC LLC 1920 Greenspring Drive Suite 200 TIMONIUM MD 21093 AR CONVERSION 1837263 CHAMBERLAIN EDMONDS ASSOCIATES PO BOX 572490 MURRAY UT 841572490 REVENUE CYCLE CONSUL 1663856 73 172460 172460 MANAGEMENT SERVICES TO AFFILIATES 561000 68859778 68859778 COST OF CAPITAL ALLOCATION 900099 31873303 31873303 MEDICARE/MEDICAID MEANINGFUL USE 900099 4275949 4275949 MEDICARE DSH PAYMENTS 900099 2494087 2494087 107503117 -21196535 -21196535 0 0 775128 775128 0 775128 394172 380956 0 27429 -27429 -27429 -27429 0 0 0 RESEARCH REVENUE 900099 637317 637317 EPIC IMPLEMENTATION 900099 2498850 2498850 MISCELLANEOUS REVENUE 900099 2190460 2190460 5326627 92553368 112586599 -20205691 171343 171343 19950 19950 0 0 8976394 5834656 3141738 0 31713894 20614031 11099863 0 2596134 1687487 908647 2388751 1552688 836063 2648054 2648054 325572 325572 88358 88358 179217 179217 0 882083 882083 9148322 9148322 3578661 3578661 3077506 3077506 1271634 1271634 0 1326159 1326159 120917 120917 0 0 25432924 25432924 0 19359430 19359430 0 SUBSCRIPTIONS 71802 71802 PHO ASSESSMENT 217938 217938 MEDICAL EXPENSES 75894 75894 MISCELLANEOUS EXPENSES 170061 170061 113840998 93910620 19930378 0 0 432979633 0 0 65497 306581 0 3057928 0 0 0 0 0 0 0 0 6735106 10563599 226230099 123080830 103610197 103149269 0 0 0 0 88632510 88632510 0 0 702680390 25069612 901723700 663759132 143399835 216922455 0 0 30660 0 0 0 0 0 0 0 1391228 1165522 0 0 744397739 1233845 889219462 219321822 X 12504238 444277961 0 159349 0 0 12504238 444437310 901723700 663759132 X -21287630 521207 3118369 449581126 X false true X true false X X 6 PIEDMONT HOSPITAL INC 580566213 3 true 10238714 0 FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL 582322328 3 true 4885296 0 PIEDMONT MOUNTAINSIDE HOSPITAL INC 352228583 3 true 1408687 0 PIEDMONT NEWNAN HOSPITAL INC 205077249 3 true 7538030 0 PIEDMONT HEART INSTITUTE INC 263553500 3 true 0 0 PIEDMONT HENRY HOSPITAL INC 582200195 3 true 7250873 0 6 31321600 true false false false false false false false false false false false false false false true true false X true true SCHEDULE A, 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, SECTION E, LINE 3B: DIRECTION OVER SUBSIDIARY ORGANIZATIONS THE POLICIES AND DECISIONS OF EACH OF PIEDMONT HEALTHCARE'S 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 HEALTHCARE'S 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 HEALTHCARE'S EXECUTIVE LEADERSHIP AND BOARD OF DIRECTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 179217 false false 179217 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 2015, PIEDMONT HEALTHCARE ENGAGED A CONTRACT LOBBYIST TO REPRESENT THE INTERESTS OF THE ORGANIZATION AND ITS SUBSIDIARIES BEFORE FEDERAL, STATE, AND LOCAL ELECTED OFFICIALS AND REGULATORS. 820769 820769 9477066 5686110 3790956 6052692 1544468 4508224 197160534 115850252 81310282 12719038 0 12719038 103149269 FAYETTE COMMUNITY HOSPITAL 43679729 C PIED MOUNTAINSIDE HOSPITAL 43407781 C AMSTER-MCRAE INSURANCE COMPANY 120000 C CENTER FOR HEALTH & LEARNING 1425000 C 88632510 0 DUE TO RELATED PARTIES 1233845 1233845 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 TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2015 AND 2014. Central America and the Caribbean Investments 52959283 Central America and the Caribbean Program Services Insurance Premiums 15820649 68779932 68779932 true false true false false false true AMERICAN CANCER SOCIETY 301 KELLY DRIVE SUITE 3 PEACHTREE CITY GA 30269 580566250 501(c)(3) 27500 Sponsorship GRADY HEALTH FOUNDATION 191 PEACHTREE STREET SUITE 820 ATLANTA GA 30303 582130437 501(C)(3) 7500 sponsorship GEORGIA AQUARIUM 225 BAKER STREET ATLANTA GA 30313 582574918 501(c)(3) 9500 SPONSORSHIP MARCH OF DIMES 1652 CHURCH STREET DECATUR GA 30333 582130437 501(c)(3) 21749 SPONSORSHIP 4 0 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. SUPPORT TO INDIVIDUALS CONSISTS OF SCHOLARSHIPS AND THE REIMBURSEMENT OF QUALIFIED TUITION EXPENSES. A REQUEST FOR TUITION REIMBURSEMENT SHOULD BE APPROVED BY THE DEPARTMENT DIRECTOR AND SUBMITTED ON THE APPROPRIATE FORM TO THE HUMAN RESOURCES DEPARTMENT PRIOR TO THE BEGINNING OF EACH QUARTER OR SEMESTER COURSE OR PROGRAM. THE REQUEST MUST BE SUBMITTED AT LEAST TWO WEEKS BEFORE THE COURSE BEGINS TO BE CONSIDERED FOR REIMBURSEMENT. APPLICATIONS FOR REIMBURSEMENT MAY BE OBTAINED IN THE HUMAN RESOURCES DEPARTMENT. THE HUMAN RESOURCES DEPARTMENT WILL THEN APPROVE OR DISAPPROVE THE REQUEST. IF THERE IS A QUESTION CONCERNING THE JOB RELATEDNESS OF A COURSE, THE DIRECTOR OF HUMAN RESOURCES WILL CONSULT THE EDUCATION DIRECTOR AND THE INDIVIDUAL APPLICANT'S DEPARTMENT DIRECTOR. TOGETHER THEY WILL MAKE A RECOMMENDATION. THE DIRECTOR OF HUMAN RESOURCES WILL HAVE RESPONSIBILITY FOR ASSURING THAT THE TUITION REIMBURSEMENT REQUEST MEETS THE STANDARDS SET FORTH IN THE ORGANIZATION'S TUITION REIMBURSEMENT POLICY STATEMENT. IF THE EMPLOYEE DISAGREES WITH THE DIRECTOR OF HUMAN RESOURCES' EVALUATION, THE EMPLOYEE MAY TAKE THE REQUEST TO HIS/HER ADMINISTRATIVE REPRESENTATIVE. FINAL APPROVAL FOR ELIGIBILITY OF TUITION REIMBURSEMENT RESTS WITH ADMINISTRATION. X X X X X true true X X X X true true false false false false false true false Mr Gregory A Hurst CHIEF OPERATING OFFICER 700210 0 399082 0 593138 0 586180 0 8932 0 2287542 0 0 0 Mr Charlie Hall CFO/TREASURER 450387 0 275624 0 250458 0 268619 0 14576 0 1259664 0 0 0 Mr Jay D Mitchell Chief Legal Officer/Secretary 436573 0 266765 0 35961 0 210888 0 18401 0 968588 0 0 0 Dr Ronnie Brownsworth CEO of Piedmont Clinic & PWHP 486950 0 337859 0 236168 0 246100 0 18531 0 1325608 0 0 0 Ms Michele Molden Chief Transformation Officer 421086 0 265874 0 1529474 0 41788 0 14767 0 2272989 0 0 0 Dr Leigh Hamby Chief Medical & Quality Office 522395 0 320450 0 42991 0 245786 0 16681 0 1148303 0 0 0 Mr Edward Lovern Former CAO 0 424915 0 123901 0 34539 0 203956 0 11735 0 799046 0 0 Mr Sidney Kirschner CEO - Piedmont Heart Institute 518216 0 295174 0 345094 0 259262 0 13842 0 1431588 0 0 0 DR JAMES SAMS CMO PIEDMONT CLINIC & PWHP 304965 0 179200 0 40645 0 150448 0 12746 0 688004 0 0 0 Mr Michael Robertson CEO of South Region 438387 0 250903 0 32474 0 201113 0 18662 0 941539 0 0 0 Ms Vicki Cansler Chief HR Officer 326003 0 158688 0 28757 0 103691 0 8878 0 626017 0 0 0 Dr Patrick M Battey CHAIRMAN 0 398559 0 0 7563 0 10400 0 15153 0 431675 0 0 Mr Kevin Brown PRESIDENT & CEO 882533 0 605115 0 336279 0 463928 0 18662 0 2306517 0 0 0 Dr William A Blincoe Board Member 0 680501 0 45000 0 7959 0 10400 0 12943 0 756803 0 0 Dr Frank N Cole Board Member 0 558427 0 0 0 11052 0 10400 0 24134 0 604013 0 0 Mr Mark Guza Chief Compliance Officer 221399 0 110376 0 116433 0 86061 0 8991 0 543260 0 0 0 Ms Debbie Gramling Former Secretary 77032 0 0 82747 0 1699 0 4471 0 165949 0 0 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 2014. 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. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: KEVIN BROWN RECEIVED A GROSSED-UP PAYMENT OF $176,956.35 TO COVER THE $90,000 INITIATION FEE FOR THE CAPITAL CITY CLUB. HEALTH OR SOCIAL CLUB DUES: PHC EXECUTIVES NOW PAY FOR HEALTH OR SOCIAL CLUB DUES OUT OF THEIR UNREIMBURSED EXPENSE ACCOUNTS (UEA), WITH THE EXCEPTION OF KEVIN BROWN. THE $90,000 INITIATION FEE FOR THE CAPITAL CITY CLUB WAS PAID BY PHC ON BEHALF OF KEVIN BROWN. THE PAYMENT WAS INCLUDED IN KEVIN BROWN'S TAXABLE INCOME AND WAS GROSSED-UP TO COVER THE RELATED TAX LIABILITY. 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 $34,327 CHARLIE HALL $11,769 JAY MITCHELL $11,769 DR. RONNIE BROWNSWORTH $11,769 MICHELE MOLDEN $11,308 DR. LEIGH HAMBY $11,769 VICKI CANSLER $11,769 GREGORY HURST $30,937 SIDNEY KIRSCHNER $11,769 MICHAEL ROBERTSON $11,769 MARK GUZA $11,769 DR. JAMES SAMS $9,923 SCHEDULE J, PART I, LINE 4A: SUPPLEMENTAL COMPENSATION INFORMATION DEBBIE GRAMLING RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $78,593 DURING CALENDAR YEAR 2014. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SIDNEY KIRSCHNER $193,062 CHARLIE HALL $214,686 GREG HURST $549,601 DR. RONNIE BROWNSWORTH $161,681 MICHELE MOLDEN $1,500,284 MARK GUZA $79,781 THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: KEVIN BROWN JAY MITCHELL LEIGH HAMBY MICHAEL ROBERTSON JAMES SAMS VICKI CANSLER 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 19123745 INSURANCE CLAIMS AND SERVICES false PATRICK BATTEY JR FAMILY OF BOARD MEMBER 43844 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 PRESIDENT & CEO OF PIEDMONT WELLSTAR HEALTH PLANS, A RELATED ORGANIZATION. THE AMOUNT OF $19,123,745 REPRESENTS INVOICES PAID TO PIEDMONT WELLSTAR HEALTH PLANS BY PIEDMONT HEALTHCARE DURING FISCAL YEAR 2015 FOR HEALTH INSURANCE CLAIMS AND OTHER SERVICES PROVIDED AT FAIR MARKET VALUE. PAYMENTS WERE MADE ON BEHALF OF PHC AND ITS SUBSIDIARIES. PATRICK BATTEY WAS THE CHAIRMAN OF THE PHC BOARD DURING FY15 AND HIS SON, PATRICK BATTEY, JR., IS EMPLOYED BY PHC. THE AMOUNT OF $43,844 REPRESENTS WAGES PAID TO PATRICK BATTEY, JR. DURING FISCAL YEAR 2015. FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED IN CALENDAR YEAR 2014, 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 HEALTHCARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY PHC'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE'S TAX DIRECTOR 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, SECTION 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, SECTION 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. FUNCTIONS - 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 PRIMARILY COMPRISED OF A $437,264,446 INTERCOMPANY TRANSFER OF LIABILITIES TO THE ORGANIZATION FROM ITS SUBSIDIARY ORGANIZATIONS; $324,840 OF BOOK/TAX DIFFERENCES RELATED TO REVENUE RECOGNITION; AND AN $11,991,840 CHANGE IN EQUITY INVESTMENTS. Piedmont Hospital Inc 1968 Peachtree Road NW Atlanta GA 30309 580566213 Hospital GA 501(c)(3) 3 PHC true FAYETTE COMMUNITY HOSPITAL INC 1255 Highway 154 West Fayetteville GA 30214 582322328 Hospital GA 501(c)(3) 3 PHC true Piedmont Mountainside Hospital INC 1266 Highway 515 South Jasper GA 30143 352228583 Hospital GA 501(c)(3) 3 PHC true Piedmont Newnan Hospital INC 745 POPLAR ROAD Newnan GA 30265 205077249 Hospital GA 501(c)(3) 3 PHC true Piedmont HEALTHCARE Foundation INC 2001 PEACHTREE ROAD NE SUITE 400 Atlanta GA 30309 581272768 Fundraising GA 501(c)(3) 11 B PHC true Piedmont Heart Institute Inc 95 COLLIER ROAD NW STE 2045 Atlanta GA 30309 263553500 Healthcare GA 501(c)(3) 7 PHC true PIEDMONT HENRY HOSPITAL INC 1133 EAGLES LANDING PARKWAY STOCKBRIDGE GA 30281 582200195 HOSPITAL GA 501(c)(3) 3 PHC true Henry Development Ventures Inc 1133 EAGLES LANDING PARKWAY Stockbridge GA 30281 582200734 RE Holding GA 501(c)(2) N/A PHH false Center for Health and Learning Inc 3001 Mercer University Drive Atlanta GA 30341 262442849 Education GA 501(c)(3) 11 A NA false HENRY RADIATION ONCOLOGY CENTER LLC 275 PROFESSIONAL COURT SUITE A STOCKBRIDGE GA 30281 582200195 HEALTHCARE GA NA N/A 0 0 0 0.00000 PEACHTREE ORTHOPAEDIC SURGERY CENTER 2001 PEACHTREE ROAD NE STE 705 ATLANTA GA 30309 582562721 SURGERY GA NA N/A 0 0 0 0.00000 DIGESTIVE HEALTHCARE OF GA ENDOSCOPY CTR 582406657 HEALTHCARE GA NA N/A 0 0 0 0.00000 Piedmont Medical Care Corporation 2727 Paces Ferry Road suite 1-1100 Atlanta GA 30339 582092768 Healthcare GA PHC C-CORP 189254584 58999091 1.00000 true THE PIEDMONT CLINIC INC 2727 Paces Ferry Road suite 1-1100 Atlanta GA 30339 582005358 Healthcare GA PHC C-CORP 7223015 11388012 1.00000 true PIEDMONT HEART INSTITUTE PHYSICIANS INC 95 COLLIER ROAD NW STE 2045 Atlanta GA 30309 260593850 Healthcare GA PHC C-CORP 86864001 28312979 1.00000 true Amster McRae Insurance Company PO BOX 1159 Grand Cayman Grand Cayman CJ KY 1-1102 980427603 Related Insurance CJ PHC C-CORP 16410778 5959283 1.00000 true PIEDMONT WELLSTAR HEALTHPLANS INC 2859 PACES FERRY RD STE 600 ATLANTA GA 30339 461922499 HEALTH INSURAnce GA NA C-CORP 34985746 19433940 0.50000 false true false false true true false false false false false true false false false true true false false PIEDMONT HOSPITAL INC P 27110095 ACTUAL FAYETTE COMMUNITY HOSPITAL INC P 8889797 ACTUAL PIEDMONT MEDICAL CARE CORPORATION A 380956 ESTIMATE PIEDMONT HOSPITAL INC E 1165522 ACTUAL PIEDMONT HOSPITAL INC A 394171 ESTIMATE Piedmont Henry Hospital Inc D 60311405 Actual