2014-05-15T10:06:51-05:00 2013-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD SUITE 1000 ATLANTA GA 30308 990 2012-07-01 205077249 Piedmont Newnan Hospital Inc % Marie Gaffney PIED 6788542470 745 Poplar Road Suite Newnan GA 30265 JOHN MILES 2014-05-15 4048748300 2012 2015-11-30 17:44:51Z Michael Robertson 745 Poplar Road Newnan GA 30265 154735836 false X www.piedmontnewnan.org X 2007 GA 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. 6 3 1215 110 424312 265566 2046257 131574 114678680 144939251 13145 724 1094061 1251902 117832143 146323451 73625 166150 0 0 52351922 59432136 0 0 0 59591399 88965265 112016946 148563551 5815197 -2240100 219433659 345061273 120131895 247569398 99301764 97491875 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 135489239 166150 144939251 PIEDMONT NEWNAN HOSPITAL ("PNH") IS A 136-BED FACILITY LOCATED IN NEWNAN, GEORGIA, AND IS THE SOLE HOSPITAL PROVIDER IN COWETA COUNTY. OVER 300 PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN THE city of Newnan and the Greater Metropolitan Atlanta area, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2013, THE HOSPITAL HAD 6,888 IN-PATIENT ADMISSIONS WITH A TOTAL OF 27,724 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 48,503 AND OUTPATIENT VISITS TOTALED 47,039. SURGICAL SERVICES WERE PROVIDED TO 4,788 PATIENTS. 135489239 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 true true true false true false false false false false false false false false false false false true true false false false true X 0 0 1215 true true true false false false false false false false false false X 6 3 false false false false true true true true true false false false true true true true true true true false GA X Marie Gaffney 6788426007 2727 PACES FERRY RD BLDG 2 STE 70 Atlanta GA 30339 Mr G Michael Bass 55.0 0.0 X X 567628 0 32907 Mr Gregory A Hurst 1.0 54.0 X X 0 3697079 49764 Dr Timothy Baker 1.0 0.0 X 0 0 0 Mr Wm Ronald Duffey 1.0 2.0 X 0 0 0 Dr Truett Jarrard 1.0 0.0 X 0 0 0 Dr Stanley Smith 1.0 39.0 X 0 525536 26506 Mr Charlie Hall 1.0 54.0 X 0 681955 0 Mr Jay D Mitchell 1.0 54.0 X 0 591859 78751 Ms Courtney Reece 55.0 0.0 X 433367 0 16051 Mr Jeffrey Folk 55.0 0.0 X 401721 0 33019 Mr John Miles 30.0 25.0 X 58546 292725 40562 Mr Nathan David Nipper 55.0 0.0 X 318250 0 29814 Ms Virginia Lyles 55.0 0.0 X 207371 9945 Ms Anna Ivory 55.0 0.0 X 200590 0 16825 Ms Pamela Murphy 55.0 0.0 X 159840 0 17809 Ms Alison L Middleton 55.0 0.0 X 159164 0 14510 Mr David Copelan 55.0 0.0 X 149886 0 11335 Ms Cynthia A Finney 55.0 0.0 X 147967 0 9859 Ms Debbie Gramling 0.0 55.0 X 0 153231 14589 2596959 6149756 402246 34 true true false BEK Building Group LLC 10 Cadillac Dr Ste 40 Brentwood TN 37027 Construction Service 36676862 Richardson Technology Systems 70 Crestridge Dr 100 Suwanee GA 30024 Technology Services 1733126 Perkins Will Inc 1382 Peachtree Street NE Atlanta GA 30309 Architect Services 1618660 Georgia Medical Resource Pool 1000 Circle 75 Pkwy Ste 650 Atlanta GA 30339 Staffing Services 1243849 Concordia Anesthesiology 3475 Lenox Rd NE Ste 655 Atlanta GA 30326 Anesthesia Services 798080 26 0 131574 0 131574 Patient Service Revenue 622110 144423315 144423315 0 0 Admin Services 621999 424312 0 424312 0 Other Operating Revenue 621999 91624 91624 0 0 144939251 15235 15235 0 0 210553 210553 0 210553 210553 8176722 8191233 -14511 -14511 -14511 0 0 0 148087 221152 -73065 -73065 Cafeteria Sales 722310 711163 0 0 711163 Wellness Revenue 621999 192195 0 0 192195 Vending 454210 25061 0 0 25061 185995 0 0 185995 1114414 146323451 144514939 424312 1252626 166150 166150 0 0 0 0 0 0 2173109 1912336 260773 0 0 0 48416100 42606168 5809932 0 0 0 0 0 5343177 4701996 641181 0 3499750 3079780 419970 0 82661 0 82661 0 18599 0 18599 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14649583 11845308 2804275 0 564846 557196 7650 0 7554673 7125606 429067 0 1336594 1002445 334149 0 0 0 0 0 4541794 3809287 732507 0 106493 73581 32912 0 0 0 0 0 0 0 0 0 7319396 7319396 0 0 0 0 0 0 10896310 10046514 849796 0 1082898 1082898 0 0 Bad Debt Expense 21719742 21719742 0 0 Medical Supplies & Drugs 18263019 18263019 0 0 Dues 82961 39161 43800 0 Education 34120 25157 8963 0 711576 113499 598077 148563551 135489239 13074312 0 0 5828971 141479 0 0 0 131483 17456553 23965615 0 0 0 0 0 0 1941939 1968691 768597 665162 203258881 24354292 181896806 178904589 0 0 0 0 0 0 0 0 11540793 139284254 219433659 345061273 13705885 11460709 0 0 0 0 0 0 0 0 0 0 379280 367470 0 0 106046730 235741219 120131895 247569398 X 92340477 94323801 6961287 3168074 0 0 99301764 97491875 219433659 345061273 X -2240100 444478 -14267 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16365049 16365049 122417448 4075146 118342302 2005994 498678 1507316 53440683 18133868 35306815 9029707 1646600 7383107 178904589 Due from Related Parties 139284254 139284254 0 Due to Related Parties 235648207 Miscellaneous Other Liabilities 93012 235741219 X ASC 740 FOOTNOTE (FKA FIN 48) SCHEDULE D, PART X, LINE 2 THE COMPANY ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF THE INCOME TAXES TOPIC OF 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 AS OF JUNE 30, 2013. true true X true X true X true true false true true 4082649 0 4082649 0.03220 14208616 12247724 1960892 0.01550 1259273 1259273 0 0.00000 19550538 13506997 6043541 0.04770 20696 0 20696 0.00020 1378198 0 1378198 0.01090 777391 0 777391 0.00610 2176285 0 2176285 0.01720 21726823 13506997 8219826 0.06490 25197 25197 0.00020 4625 4625 29822 29822 0.00020 true 21719742 651592 31909195 35610869 -3701674 X true true 1 1 Piedmont Newnan Hospital Inc

745 Poplar Road Newnan GA 30265

www.piedmontnewnanhospital.org X X X Piedmont Newnan Hospital Inc true X X X X X X X X 13 true false true X X X X X X X X X X X true false true true 200. true 300. true X X X X true true X X X X true false true X false false 1. REQUIRED DESCRIPTIONS SCHEDULE H, PART VI, LINE 1 PUBLIC AVAILABILITY OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A A REPORT ON PIEDMONT NEWNAN HOSPITAL, INC'S ("PNH") COMMUNITY BENEFITS IS FOUND WITHIN PIEDMONT HEALTHCARE, INC'S (PIEDMONT NEWNAN HOSPITAL'S SOLE MEMBER) ANNUAL REPORT, WHICH IS WIDELY DISTRIBUTED TO THE PUBLIC BOTH THROUGH PRINTED COPIES MADE AVAILABLE TO COMMUNITY MEMBERS UPON REQUEST AND THROUGH PUBLICATION ON THE PIEDMONT HEALTHCARE WEBSITE. ADDITIONALLY, THE REPORT WAS MAILED TO PNH AND PIEDMONT HEALTHCARE BOARD MEMBERS, STATE AND LOCAL ELECTED OFFICIALS, AND OTHER KEY STAKEHOLDERS. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7(F) 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 $148,563,551, LESS BAD DEBT EXPENSE OF $21,719,743 FROM FORM 990, PART IX, LINE 24(A). FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 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. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II PIEDMONT NEWNAN HOSPITAL PROVIDED EDUCATION AROUND CERTAIN PUBLIC HEALTH ISSUES (E.G. OBESITY) AND PROVIDED SPECIFIC TOOLS TO HELP ENABLE COMMUNITY GROUPS AND COALITIONS TO BEST ADDRESS THOSE ISSUES. THESE TOOLS INCLUDE GENERAL EDUCATIONAL MATERIALS AS WELL AS INFORMATION SPECIFIC TO THE LOCAL COMMUNITY, SUCH AS SUGGESTIONS FOR ACTIVITIES AND ACTIONS THE COMMUNITY COULD UNDERTAKE TO HELP ITS RESIDENTS BECOME MORE ACTIVE AND EMPOWERED IN THEIR HEALTH. ADDITIONALLY, PNH PROVIDED FOR THE FUNDING OF A PUBLIC HEALTH CONSULTANT WHO WORKED DIRECTLY WITH KEY COMMUNITY MEMBERS AND ELECTED OFFICIALS IN INITIATING SUCH PROJECTS, WHICH INCLUDED A WALKABILITY FEASIBILITY STUDY AND AN OVERALL EVALUATION OF OPPORTUNITIES WITHIN THE COMMUNITY TO BETTER THE OVERALL HEALTH OF ITS RESIDENTS. BAD DEBT EXPENSE CALCULATION AND FOOTNOTE SCHEDULE H, PART III, LINE 4 BASED ON PRIOR EXPERIENCE AND CERTAIN DEMOGRAPHICS AND OTHER INFORMATION OBTAINED DURING ADMISSION, THE ORGANIZATION BELIEVES A PORTION OF THE BAD DEBT EXPENSES AT COST IS ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE. DESPITE ITS BEST EFFORTS TO EDUCATE PATIENTS ABOUT QUALIFYING FOR ITS CHARITY CARE PROGRAM (AS DISCUSSED IN PART IV, QUESTION 3 BELOW), MANY UNINSURED PATIENTS EITHER REFUSE OR FAIL TO COMPLETE A CHARITY CARE APPLICATION OR PROVIDE SUFFICIENT INFORMATION AT THE TIME OF ADMISSION, DURING THEIR STAY, OR AFTER BEING DISCHARGED TO QUALIFY FOR ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. 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 PAYER CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PNH 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. MEDICARE SHORTFALLS AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 THE AMOUNT REPORTED ON PART III, SECTION B, LINE 6 WAS CALCULATED IN ACCORDANCE WITH THE SCHEDULE H INSTRUCTIONS AND UTILIZING THE ORGANIZATION'S 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 PATIENT CARE COSTS THAT ARE ESSENTIAL TO PROVIDING 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. THE ORGANIZATION BELIEVES THAT PIEDMONT NEWNAN HOSPITAL'S 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 THE HOSPITAL OPERATES TO PROMOTE HEALTH IN THE COMMUNITY. ADDITIONALLY, MEDICARE ACCOUNTED FOR 22.09 PERCENT OF PNH'S PATIENT SERVICE REVENUE. PNH'S POLICY IS TO TREAT MEDICARE PATIENTS, REGARDLESS OF THE EXTENT TO WHICH MEDICARE ACTUALLY 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 THE HOSPITAL IN HONOR OF PNH'S 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 THEIR ENROLLMENT IN MEDICARE. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9(B) 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 INDENTIFYING 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. COMMUNITY REPRESENTATION SCHEDULE H, PART V, LINE 3 PIEDMONT NEWNAN HOSPITAL'S MOST RECENT CHNA BEGAN WITH A REVIEW OF PUBLICLY AVAILABLE HEALTH AND SOCIOECONOMIC DATA. THE PRIMARY SOURCES OF THIS DATA INCLUDED THE US CENSUS, US HEALTH AND HUMAN SERVICES' COMMUNITY HEALTH STATUS INDICATORS, COUNTY HEALTH RANKINGS, AND GEORGIA ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS). STAKEHOLDERS WERE CONTINUALLY ENGAGED DURING THIS PROCESS, WITH A PARTICULAR FOCUS ON THOSE GROUPS, ORGANIZATIONS, AND INDIVIDUALS REPRESENTING THE MOST VULNERABLE MEMBERS OF THE HOSPITAL'S COMMUNITY. SPECIFICALLY, PIEDMONT NEWNAN HOSPITAL INTERVIEWED REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, THE FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, THE PHILANTHROPIC COMMUNITY, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS, AND OTHER RELEVANT COMMUNITY STAKEHOLDERS. ADDITIONALLY, IN AUGUST 2012, THE HOSPITAL CONDUCTED A FOCUS GROUP OF LOW-INCOME AND UNINSURED PATIENTS CURRENTLY RECEIVING CARE AT THE COWETA SAMARITAN CLINIC, WHICH PROVIDES HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED COWETA COUNTY RESIDENTS. IN THE THIRD QUARTER OF FISCAL YEAR 13, PIEDMONT NEWNAN HOSPITAL HELD TWO PUBLIC COMMUNITY MEETINGS TO DISCUSS THE HEALTH NEEDS ASSESSMENT AND HOW TO BEST ADDRESS THE IDENTIFIED PRIORITIES. FROM THESE MEETINGS, THE HOSPITAL DEVELOPED ITS IMPLEMENTATION PLAN. PUBLIC AVAILABILITY OF CHNA SCHEDULE H, PART V, LINE 5C IN ADDITION TO MAKING ITS CHNA AVAILABLE ON ITS WEBSITE AND BY REQUEST, PIEDMONT NEWNAN HOSPITAL SENT A COPY TO EACH PARTICIPANT IN THE CHNA (ABOUT 200 PEOPLE), DISTRIBUTED THE ASSESSMENT TO COMMUNITY CENTERS AND OTHER LOCATIONS THAT PRIMARILY SERVE AN UNINSURED POPULATION, SENT A COPY TO LEGISLATIVE AND ELECTED OFFICIALS, AND WIDELY DISTRIBUTED THE ASSESSMENT TO OTHER PIEDMONT HEALTHCARE HOSPITALS. 2. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 DURING FISCAL YEAR 2013, PIEDMONT NEWNAN HOSPITAL CONDUCTED AND RATIFIED A FORMAL NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. THE ASSESSMENT BEGAN WITH A REVIEW OF PUBLICLY AVAILABLE HEALTH AND SOCIOECONOMIC DATA. THE PRIMARY SOURCES OF THIS DATA INCLUDED THE US CENSUS, US HEALTH AND HUMAN SERVICES' COMMUNITY HEALTH STATUS INDICATORS, COUNTY HEALTH RANKINGS, AND GEORGIA ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS). STAKEHOLDERS WERE CONTINUALLY ENGAGED DURING THIS PROCESS, WITH A PARTICULAR FOCUS ON THOSE GROUPS, ORGANIZATIONS, AND INDIVIDUALS REPRESENTING THE MOST VULNERABLE MEMBERS OF THE HOSPITAL'S COMMUNITY. SPECIFICALLY, PIEDMONT NEWNAN HOSPITAL INTERVIEWED REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, THE FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, THE PHILANTHROPIC COMMUNITY, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS, AND OTHER RELEVANT COMMUNITY STAKEHOLDERS. ADDITIONALLY, IN AUGUST 2012, THE HOSPITAL CONDUCTED A FOCUS GROUP OF LOW-INCOME AND UNINSURED PATIENTS CURRENTLY RECEIVING CARE AT THE COWETA SAMARITAN CLINIC, WHICH PROVIDES HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED COWETA COUNTY RESIDENTS. IN THE THIRD QUARTER OF FISCAL YEAR 13, PIEDMONT NEWNAN HOSPITAL HELD TWO PUBLIC COMMUNITY MEETINGS TO DISCUSS THE HEALTH NEEDS ASSESSMENT AND HOW TO BEST ADDRESS THE IDENTIFIED PRIORITIES. FROM THESE MEETINGS, THE HOSPITAL DEVELOPED ITS IMPLEMENTATION PLAN. THE PIEDMONT NEWNAN HOSPITAL BOARD OF DIRECTORS THEN APPROVED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN THROUGH A UNANIMOUS VOTE ON MAY 16, 2013. 3. PATIENT EDUCATION OF ASSISTANCE ELIGIBILITY SCHEDULE H, PART VI, LINE 3 PIEDMONT HEALTHCARE UNDERSTANDS THAT NOT EVERYONE WILL HAVE THE ABILITY TO PAY THEIR HOSPITAL BILL DUE TO THEIR INSURANCE STATUS OR A LIMITED INCOME, AND BECAUSE OF THIS, PIEDMONT NEWNAN HOSPITAL OFFERS FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INFORMATION ABOUT AND CONTACT NUMBERS FOR FINANCIAL ASSISTANCE ARE PROVIDED IN NOTICES INSERTED IN PATIENT BILLS AND POSTED IN EMERGENCY ROOMS, IN THE CONDITIONS OF ADMISSION FORM, AT ADMITTING AND REGISTRATION DEPARTMENTS, AT HOSPITAL BUSINESS OFFICES, AT PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES THE HOSPITAL MAY ELECT, INCLUDING LOCAL LOW-COST CLINICS PRIMARILY TREATING UNINSURED POPULATIONS. PIEDMONT NEWNAN HOSPITAL ALSO PUBLISHES AND WIDELY PUBLICIZES A SUMMARY OF THIS FINANCIAL ASSISTANCE CARE POLICY ON ITS FACILITY WEBSITE, WHICH INCLUDES A LINK TO THE FULL POLICY AND APPLICATION. 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. 4. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 PIEDMONT NEWNAN HOSPITAL IS LOCATED SOUTHWEST OF ATLANTA IN COWETA COUNTY. IN 2010, NEARLY 127,000 PEOPLE LIVED IN COWETA COUNTY. THE COUNTY SEAT IS NEWNAN, AND ALTHOUGH CONSIDERED AN URBAN COUNTY DUE TO ITS POPULATION, OVER HALF THE POPULATION LIVES IN RURAL AREAS OF THE COUNTY. ABOUT ONE IN FIVE ADULTS IN COWETA COUNTY WAS UNINSURED IN 2012, AND OF THOSE INSURED, ABOUT ONE-THIRD RELY ON PUBLIC ASSISTANCE. OF THE PRIVATELY INSURED, AN ESTIMATED ONE-THIRD IS UNDERINSURED. APPROXIMATELY 18 PERCENT OF THE OVERALL ADULT POPULATION HAS REPORTED THEY WERE UNABLE TO SEE A DOCTOR IN 2012 DUE TO COST AND, THAT YEAR, 17 PERCENT REPORTED THEY WERE IN POOR OR FAIR HEALTH, A FIGURE MUCH HIGHER THAN THE NATIONAL BENCHMARK OF 10 PERCENT. ABOUT 10 PERCENT OF COWETA COUNTY'S ADULT RESIDENTS HAVE BEEN DIAGNOSED WITH DIABETES, WHICH IS EQUAL TO GEORGIA'S DIAGNOSIS RATE OF 10 PERCENT. UNHEALTHY BEHAVIORS ARE PREVALENT IN COWETA COUNTY. FOR EXAMPLE, 18 PERCENT OF THE COUNTY'S ADULT POPULATION REPORTS THAT IT SMOKES, WHICH IS A FIGURE LOWER THAN THE STATE AVERAGE OF 19 PERCENT, BUT HIGHER THAN THE NATIONAL AVERAGE OF 14 PERCENT. THE MOTOR VEHICLE CRASH RATE IS ONLY 1 PERCENT HIGHER THAN THE STATE AVERAGE, BUT 4 PERCENT HIGHER THAN THE NATIONAL AVERAGE. APPROXIMATELY 15 PERCENT OF THE COUNTY REPORTS HEAVY AND/OR BINGE DRINKING, A PERCENTAGE NEARLY TWICE THE NATIONAL BENCHMARK OF 8 PERCENT. THE TEEN BIRTH RATE IN COWETA COUNTY IS ALSO HIGH AT 47 BIRTHS PER 1,000 TEENAGED WOMEN, AS COMPARED TO THE NATIONAL AVERAGE OF ONLY 21 BIRTHS PER 1,000 WOMEN. ONE IN FOUR ADULTS IS NOTABLY PHYSICALLY INACTIVE, AND CLOSE TO ONE IN THREE IS CONSIDERED OBESE. ACCESS TO HEALTHY FOODS IS AN ISSUE, AS ABOUT 15 PERCENT OF THE POPULATION DOES NOT LIVE WITHIN CLOSE PROXIMITY OF A GROCERY STORE THAT SELLS FRESH FRUIT AND VEGETABLES. DATA SHOWS THAT CONTRIBUTORS TO THE OBESITY AND INACTIVITY RATES COULD BE INFLUENCED BY THE FACT THAT HALF OF THE RESTAURANTS IN THE AREA SERVE FAST FOOD. IN ADDITION, THERE IS A MARKED LACK OF RECREATIONAL FACILITY ACCESS IN THE AREA, WITH ONLY NINE FACILITIES PER 100,000 RESIDENTS. 5. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 PIEDMONT NEWNAN HOSPITAL ACTIVELY PROMOTES THE HEALTH OF ITS COMMUNITY THROUGH COMMUNITY-BASED HEALTH SCREENINGS; EDUCATIONAL 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, AND 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. FURTHER, IN THE FOURTH QUARTER OF FY13, PIEDMONT NEWNAN HOSPITAL CREATED A COMMUNITY COALITION THAT AIMS TO ADDRESS OBESITY AND OBESITY-RELATED CONDITIONS THROUGH COMMUNITY COLLABORATION, SUSTAINABLE HEALTH PROGRAMS AND EDUCATION, AND POLICY CHANGE. 6. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") SERVING THE HEALTHCARE NEEDS OF NORTH GEORGIA AND, SPECIFICALLY, THE METROPOLITAN ATLANTA AREA. THE SYSTEM EXISTS TO PROVIDE PROGRESSIVE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE TO ALL MEMBERS OF ITS COMMUNITY. COMMUNITY BENEFITS ARE GENERATED THROUGH THE PROVISION OF CHARITY CARE, GOVERNMENT-SPONSORED PROGRAMS (SUCH AS MEDICAID AND MEDICARE), MEDICAL RESEARCH, MEDICAL EDUCATION, COMMUNITY HEALTH IMPROVEMENT SERVICES, DONATIONS TO OTHER NONPROFIT HEALTH CARE PROVIDERS, AND MANY OTHER COMMUNITY SERVICE ACTIVITIES. IN FISCAL YEAR 2013, THE PIEDMONT HEALTHCARE SYSTEM INCLUDED FIVE FULL-SERVICE HOSPITALS, A PHILANTHROPIC FOUNDATION, A CARDIOVASCULAR RESEARCH INSTITUTE, A PHYSICIAN NETWORK, AMBULATORY SURGERY CENTERS, AND OTHER HEALTH CARE PROVIDERS, ALL OF WHICH FALL UNDER THE COMMON CONTROL OF PIEDMONT HEALTHCARE, INC., PIEDMONT NEWNAN HOSPITAL'S SOLE MEMBER. THE SYSTEM'S FIVE HOSPITALS ARE PIEDMONT HOSPITAL, A 488-BED ACUTE TERTIARY CARE FACILITY IN ATLANTA; PIEDMONT FAYETTE HOSPITAL, A 157-BED, ACUTE-CARE COMMUNITY HOSPITAL IN FAYETTEVILLE; PIEDMONT MOUNTAINSIDE HOSPITAL, A 42-BED COMMUNITY HOSPITAL IN JASPER; PIEDMONT NEWNAN HOSPITAL, A 136-BED, ACUTE-CARE COMMUNITY HOSPITAL IN NEWNAN; AND PIEDMONT HENRY HOSPITAL, A 215-BED ACUTE-CARE COMMUNITY HOSPITAL IN STOCKBRIDGE. AS PART OF THE PIEDMONT HEALTHCARE SYSTEM, CERTAIN AFFILIATES MAKE GRANTS AND/OR CONTRIBUTIONS TO OTHER RELATED NONPROFIT AFFILIATES TO HELP FINANCIALLY SUPPORT AND/OR FUND WORTHY COMMUNITY BENEFITS ACTIVITIES. 7. STATE OF FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 PIEDMONT NEWNAN HOSPITAL IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT; HOWEVER THE HOSPITAL IS REQUIRED TO FILE WITH THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH INFORMATION ON ITS INDIGENT AND CHARITY CARE, AS WELL AS ITS MEDICAID AND MEDICARE SHORTFALLS. true NEWNAN COWETA CHAMBER OF COMMERCE 23 BULLSBORO DR NEWNAN GA 30263 580532006 501(c)(6) 11150 SPONSORSHIP WEST GEORGIA TECHNICAL COLLEGE Foundation Inc PO Box 225 Waco GA 30182 581816825 501(c)(3) 60000 CONTRIBUTION UNIVERSITY OF WEST GEORGIA FOUNDATION 1601 MAPLE STREET CARROLLTON GA 30118 586056454 501(c)(3) 85000 Contribution COWETA COUNTY SCHOOL SYSTEM PO BOX 280 NEWNAN GA 30264 586000219 N/A 10000 SPONSORSHIP 3 1 Documentation of Grants SCHEDULE I, PART I, LINE 2 THE PIEDMONT NEWNAN HOSPITAL PUBLIC RELATIONS DEPARTMENT MONITORS THE ISSUANCE OF GRANTS AND ASSISTANCE AND MAINTAINS RECORDS OF ALL GRANTS MADE OR ASSISTANCE PROVIDED. X X true true true true false false false false false false false Ms Courtney Reece 131408 0 0 0 301959 0 6271 0 9780 0 449418 0 0 0 Mr Jeffrey Folk 281663 0 89446 0 30612 0 14452 0 18567 0 434740 0 0 0 Mr John Miles 39314 196569 11400 56997 7832 39159 3763 18817 2997 14985 65306 326527 0 0 Mr Nathan David Nipper 207637 0 67191 0 43422 0 14487 0 15327 0 348064 0 0 0 Ms Anna Ivory 128546 0 42126 0 29918 0 8885 0 7940 0 217415 0 0 0 Ms Pamela Murphy 131577 0 13320 0 14943 0 8330 0 9479 0 177649 0 0 0 Ms Alison L Middleton 135594 0 11490 0 12080 0 8290 0 6220 0 173674 0 0 0 Mr David Copelan 140635 0 9030 0 221 0 1841 0 9494 0 161221 0 0 0 Ms Cynthia A Finney 124153 0 10370 0 13444 0 7616 0 2243 0 157826 0 0 0 Mr G Michael Bass 333155 0 126859 0 107614 0 15000 0 17907 0 600535 0 0 0 Mr Gregory A Hurst 0 684153 0 757434 0 2255492 0 33437 0 16327 0 3746843 0 0 Dr Stanley Smith 0 459757 0 60000 0 5779 0 12083 0 14423 0 552042 0 0 Mr Charlie Hall 0 419345 0 138502 0 124108 0 159774 0 25915 0 867644 0 0 Mr Jay D Mitchell 0 408181 0 134332 0 49346 0 57676 0 21075 0 670610 0 0 Ms Virginia Lyles 140062 17620 49689 5662 4283 217316 0 Ms Debbie Gramling 0 139951 0 9260 0 4020 0 2995 0 11594 0 167820 0 0 OTHER COMPENSATION ITEMS SCHEDULE J, PART I, LINE 1A EXPENSES FOR FIRST-CLASS TRAVEL ARE PAID ON BEHALF OF CERTAIN EXECUTIVES. THESE ITEMS ARE NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE. 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: GREGORY A. HURST CHARLIE HALL G. MICHAEL BASS JAY MITCHELL COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR SCHEDULE J, PART I, LINE 3 THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT NEWNAN 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. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A MS. COURTNEY REECE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $248,942. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B GREGORY A. HURST RECEIVED PAYMENTS TOTALING $2,124,476 FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: CHARLIE HALL JAY MITCHELL JEFFREY FOLK JOHN MILES NATHAN (DAVID) NIPPER INDEPENDENT BOARD MEMBERS FORM 990, PART I, LINE 4 AND PART VI, LINE 1B PIEDMONT NEWNAN HOSPITAL'S ("PNH") BOARD OF DIRECTORS IS COMPRISED OF SIX VOTING MEMBERS, THREE OF WHICH ARE INDEPENDENT BASED UPON IRS GUIDELINES. WHILE PNH'S INDEPENDENT BOARD MEMBERS DO NOT CONSTITUTE A MAJORITY OF THE BOARD OF DIRECTORS, ANY DECISIONS MADE BY THE PNH BOARD MAY BE RESCINDED BY THE BOARD OF DIRECTORS OF PNH'S SOLE MEMBER, PIEDMONT HEALTHCARE, INC. IN ADDITION, PIEDMONT HEALTHCARE APPOINTS THE MEMBERS OF THE PNH BOARD, SETS COMPENSATION FOR PNH'S EXECUTIVES, AND MONITORS PNH'S COMPLIANCE WITH PIEDMONT HEALTHCARE POLICIES AND PROCEDURES. THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS IS COMPRISED OF A MAJORITY OF INDEPENDENT MEMBERS, AND THEREFORE PNH IS EFFECTIVELY GOVERNED BY AN INDEPENDENT BOARD. NUMBER OF FORMS 1099 FILED FORM 990, PART V, LINE 1A ALL CALENDAR YEAR 2012 FORMS 1099 WERE FILED ON BEHALF OF PIEDMONT NEWNAN 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. ORGANIZATION'S SOLE MEMBER FORM 990, PART VI, SECTION A, LINE 6 PIEDMONT HEALTHCARE, INC., (EIN 58-1503902) IS THE SOLE MEMBER OF PIEDMONT NEWNAN HOSPITAL ("PNH"). ELECTION OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF PIEDMONT HEALTHCARE, PIEDMONT NEWNAN HOSPITAL'S SOLE MEMBER, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF PIEDMONT NEWNAN HOSPITAL. DECISIONS OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7B PIEDMONT NEWNAN 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 NEWNAN 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. 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B INFORMATION NEEDED TO PREPARE PIEDMONT NEWNAN HOSPITAL'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PNH'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S TAX COMPLIANCE MANAGER 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S SENIOR VICE PRESIDENT OF COMPLIANCE. 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 NEWNAN 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 SENIOR VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A, 15B COMPENSATION FOR EXECUTIVES OF PIEDMONT NEWNAN HOSPITAL IS SET BY THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE, INC. THE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTORS EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS, 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 HAS BEEN AUTHORIZED BY THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS TO PERFORM THE FOLLOWING FUNCTIONS: -SELECT AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT ("THE CONSULTANT"). THE COMMITTEE CURRENTLY UTILIZES TOWERS WATSON FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. -WORK WITH THE PRESIDENT/CEO TO FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES. THE COMMITTEE MEETS ANNUALLY WITH PIEDMONT HEALTHCARE'S CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW AND APPROVE EXECUTIVE PERFORMANCE OBJECTIVES FOR THE FISCAL YEAR. -ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW THE ACCOMPLISHMENTS OF THE EXECUTIVE PERFORMANCE OBJECTIVES AFTER THE CLOSE OF THE FISCAL YEAR. -ASSESS AND IMPLEMENT POLICIES REGARDING PRESIDENT/CEO PERFORMANCE AND COMPENSATION. THE COMMITTEE HAS DEVELOPED AN EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEWS THE PHILOSOPHY ANNUALLY. THE COMMITTEE SEEKS INPUT AND GUIDANCE FROM THE CONSULTANT TO ENSURE THAT THE PHILOSOPHY IS REASONABLE AND COMPARABLE TO THAT OF SIMILAR ORGANIZATIONS. -APPROVE LONG- AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EXECUTIVE STAFF COMPENSATION PROGRAM AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES AS WELL AS THE CONSULTANT TO REVIEW SALARY ADJUSTMENTS AND INCENTIVE PAY FOR THE CEO, SENIOR EXECUTIVES, AND EXECUTIVES THROUGHOUT THE ORGANIZATION. THE COMMITTEE MEETS WITH THE CONSULTANT ANNUALLY TO RECEIVE INPUT AND RECOMMENDATIONS TO ENSURE THAT SALARY ADJUSTMENTS, INCENTIVES, AND BENEFITS ARE REASONABLE AND COMPARABLE TO THOSE OF LIKE ORGANIZATIONS. -PERFORM ANY TASKS RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS, AND EXECUTIVE BENEFITS. THE COMMITTEE SEEKS INPUT FROM THE CONSULTANT, AS WELL AS EXTERNAL LEGAL ADVISORS, WHEN IT IS NECESSARY TO DEVELOP AND/OR AMEND EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS. DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST AND FINANCIAL DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 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. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE COMPRISED OF BOOK/TAX DIFFERENCES IN THE TIMING OF REVENUE RECOGNITION. 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SEPARATE BOOKS AND RECORDS ARE NOT MAINTAINED FOR THE LLC AND ASSETS AND INCOME CANNOT BE READILY DETERMINED. AS SUCH, COLUMNS (D) AND (E) IN PART I HAVE BEEN LEFT BLANK.