2016-05-16T14:09:30-05:00 2015-06-30 KPMG LLP 300 NORTH GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2014-07-01 263553500 Piedmont Heart Institute Inc % MARIE GAFFNEY PIED 4046055234 95 Collier Road NW Atlanta GA 30309 TERESA L WILSON VP CORPORATE FINANCE 2016-05-12 SHAWN M HUTCHINSON P01048557 3362753394 2014 2016-08-17 19:52:53Z Mr Sidney Kirschner 95 Collier Road NW Ste 2045 Atlanta GA 30309 9927546 false X www.piedmontheart.org X 2008 GA SEE PART III 3 0 45 1 0 3671624 7694037 2354042 2233509 0 0 0 0 6025666 9927546 0 0 0 0 4471360 5825865 0 0 0 2080456 2347927 6551816 8173792 -526150 1753754 13983211 1345745 19997967 10464562 -6014756 -9118817 PIEDMONT HEART INSTITUTE, INC., WAS FORMED BY PIEDMONT HEALTHCARE, INC., TO ADVANCE CARDIOVASCULAR RESEARCH AND TO PROVIDE EDUCATION AND EXCELLENCE IN CARDIAC TREATMENT AND DISEASE PREVENTION. false false 7761799 0 2233509 PIEDMONT HEART INSTITUTE, INC. ("PHI"), DEVELOPS EDUCATIONAL PROGRAMS FOR PHYSICIANS, EMPLOYERS, AND THE LAY COMMUNITY. THESE PROGRAMS ARE FOCUSED ON THE IDENTIFICATION OF PERSONS AT RISK FOR HEART DISEASE, AS WELL AS ON APPROPRIATE TREATMENT OPTIONS. IN ADDITION, PHI HAS ESTABLISHED A ROBUST RESEARCH PLATFORM AIMED AT ADVANCING THE UNDERSTANDING OF CARDIOVASCULAR DISEASES AND CONDITIONS AND THEIR TREATMENT AND PREVENTION. PHI IS CURRENTLY ENGAGED IN STUDIES OF INNOVATIVE NEW TREATMENT METHODS FOR CARDIOVASCULAR DISEASES SUCH AS ARRHYTHMIA, PERIPHERAL VASCULAR DISEASE, CORONARY ARTERY DISEASE, VALVULAR DISEASE, AND CONGESTIVE HEART FAILURE. 7761799 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 0 0 true 45 true false false false false false false false false false false X 3 0 false false false false true true true true true false false false true true true true true false false false GA X MARIE GAFFNEY 6788426007 2727 PACES FERRY RD BLDG 2 STE 70 ATLANTA GA 30339 Mr Sidney Kirschner President, CEO, and Chairman 15.0 40.0 X X 0 1158484 273104 Mr Charlie Hall Treasurer 2.0 53.0 X X 0 976469 283195 Mr Gregory A Hurst Board Member 1.0 54.0 X 0 1692430 595112 Mr Jay D Mitchell Secretary 1.0 54.0 X 0 739299 229289 Dr Peter Barrett Cardiologist 40.0 0.0 X 550853 0 18872 DR FEDERICO MILLA CARDIO SURGEON 40.0 0.0 X 714739 0 19524 DR RANDOLPH MARTIN CARDIOLOGIST 40.0 0.0 X 249941 0 22750 Ms Sharon Baumberger Financial Analyst 40.0 0.0 X 103308 0 19434 Ms Zhen Qian Director of Oncology Strategy 40.0 0.0 X 101450 0 11118 DR WILLIAM KNOPF FORMER BOARD MEMBER 0.0 0.0 X 0 850000 0 MS DEBBIE GRAMLING FORMER SECRETARY 0.0 0.0 X 0 159779 6170 1720291 5576461 1478568 5 true true false TAILFIN LLC 1246 VIRGINIA AVE NE ATLANTA GA 30306 MARKETING 245047 STRUCTOR GROUP INC 3200 COBB GALLERIA PKWY STE 250 ATLANTA GA 30339 CONSTRUCTION 115019 DAVID ADAMS MD 1150 FIFTH AVE APT 6A NEW YORK NY 10128 Physician Services 108658 3 7694037 7694037 EDUCATION ACTIVITIES 900099 541028 541028 RESEARCH REVENUE 900099 1692481 1692481 2233509 0 0 0 0 0 0 0 0 0 0 0 9927546 2233509 X 0 0 0 0 0 0 5225262 5225262 0 405710 405710 194893 194893 0 0 0 0 0 0 950662 855424 95238 467982 467982 130926 130926 76734 76734 0 106079 106079 45095 45095 0 0 0 316755 316755 126308 126308 51941 51941 DRUGS & MEDICAL SUPPLIES 445 445 BAD DEBT 75000 75000 8173792 7761799 411993 0 1358 1108 0 0 7005 4414 798176 645330 0 0 0 0 0 0 0 0 41154 56736 781887 256148 475759 525739 0 0 0 0 0 0 0 0 12659759 112418 13983211 1345745 341405 475129 0 0 1823359 7226143 0 0 0 0 0 0 0 0 0 0 17833203 2763290 19997967 10464562 X -6373552 -9476929 358786 358002 10 110 -6014756 -9118817 13983211 1345745 X 1753754 -4857815 X false true X true false X 54897 431000 100158 361873 11350 959278 0 0 54897 431000 100158 361873 11350 959278 0 959278 0 0 6958 6958 966236 9654647 0.99280 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 116942 15201 101742 652807 240947 411859 12138 0 12138 525739 DUE FROM RELATED PARTIES 112418 112418 0 DUE TO RELATED PARTIES 2763290 2763290 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. true true false false false false false true false Mr Sidney Kirschner President, CEO, and Chairman 0 518216 0 295174 0 345094 0 259262 0 13842 0 1431588 0 0 Mr Charlie Hall Treasurer 0 450387 0 275624 0 250458 0 268619 0 14576 0 1259664 0 0 Mr Gregory A Hurst Board Member 0 700210 0 399082 0 593138 0 586180 0 8932 0 2287542 0 0 Mr Jay D Mitchell Secretary 0 436573 0 266765 0 35961 0 210888 0 18401 0 968588 0 0 Dr Peter Barrett Cardiologist 545702 0 0 5151 0 2145 0 16727 0 569725 0 0 0 DR WILLIAM KNOPF FORMER BOARD MEMBER 0 0 0 850000 0 0 0 850000 0 0 MS DEBBIE GRAMLING FORMER SECRETARY 0 77032 0 0 82747 0 1699 0 4471 0 165949 0 0 DR FEDERICO MILLA CARDIO SURGEON 612562 0 100000 0 2177 0 10400 0 9124 0 734263 0 0 0 DR RANDOLPH MARTIN CARDIOLOGIST 242423 0 0 7518 0 10000 0 12750 0 272691 0 0 0 SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT HEART INSTITUTE IS SET AND PAID BY THE ENTITY'S PARENT, PIEDMONT HEALTHCARE, INC. PLEASE SEE THE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A & 15B FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A: SUPPLEMENTAL COMPENSATION INFORMATION DEBBIE GRAMLING AND WILLIAM KNOPF RECEIVED SEVERANCE PAYMENTS TOTALING $78,593 AND $850,000, RESPECTIVELY, DURING CALENDAR YEAR 2014. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SIDNEY KIRSCHNER $193,062 CHARLIE HALL $214,686 GREG HURST $549,601 JAY MITCHELL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED BONUS PAYMENTS BASED ON JOB LEVEL AND SEVERAL DIFFERENT PERFORMANCE METRICS. FORM 990, PART I, LINE 4 AND PART VI, LINE 1B: INDEPENDENT BOARD MEMBERS PIEDMONT HEART INSTITUTE'S ("PHI") BOARD OF DIRECTORS IS COMPRISED OF THREE VOTING MEMBERS, NONE OF WHICH ARE INDEPENDENT BASED UPON IRS GUIDELINES. WHILE PHI ITSELF DOES NOT HAVE AN INDEPENDENT BOARD OF DIRECTORS, ANY DECISIONS MADE BY THE PHI BOARD MAY BE RESCINDED BY THE BOARD OF DIRECTORS OF PHI'S SOLE MEMBER, PIEDMONT HEALTHCARE, INC. IN ADDITION, PIEDMONT HEALTHCARE APPOINTS THE MEMBERS OF THE PHI BOARD, SETS COMPENSATION FOR PHI'S EXECUTIVES, AND MONITORS PHI'S COMPLIANCE WITH PIEDMONT HEALTHCARE POLICIES AND PROCEDURES. THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS IS COMPRISED OF A MAJORITY OF INDEPENDENT MEMBERS, AND THEREFORE PHI IS EFFECTIVELY GOVERNED BY AN INDEPENDENT BOARD. FORM 990, PART V, LINE 1A: NUMBER OF FORMS 1099 FILED ALL CALENDAR YEAR 2014 FORMS 1099 WERE FILED ON BEHALF OF PIEDMONT HEART INSTITUTE 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 HEART INSTITUTE, INC. ("PHI"). FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HEALTHCARE APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT HEART INSTITUTE. FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS OF GOVERNING BODY PIEDMONT HEART INSTITUTE'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 HEART INSTITUTE 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 HEART INSTITUTE'S FORM 990 IS COMPILED BY INDIVIDUALS IN PIEDMONT HEALTHCARE, INC.'S FINANCE DEPARTMENT. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX DIRECTOR 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, 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 HEART INSTITUTE 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 HEART INSTITUTE IS SET BY THE BOARD OF DIRECTORS OF ITS SOLE MEMBER, PIEDMONT HEALTHCARE, INC., AND PAID ON BEHALF OF THE ORGANIZATION BY 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 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 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 DOCS 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 IX, LINE 11G: OTHER PURCHASED SERVICES OTHER PURCHASED SERVICES LISTED ON PART IX, LINE 11G INCLUDE THE FOLLOWING: PHYSICIAN SERVICES - $125,556 CONSULTING - $80,567 EDUCATION - $50,418 LAB - $242,936 CONFERENCES & EVENTS - $360,031 RESEARCH - $14,237 MISCELLANEOUS OTHER SERVICES - $76,917 FORM 990, PART XI, LINE 9: RECONCILIATION OF NET ASSETS CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE COMPRISED OF: $37,755 OF ASSETS RELEASED FROM RESTRICTION; $(1,806,200) OF BOOK/TAX DIFFERENCES RELATED TO TIMING OF REVENUE RECOGNITION; AND $(3,089,370) OF INTERCOMPANY TRANSFERS OF LIABILITIES. 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