2011-05-16T17:46:26-04:00 2010-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2009-07-01 580566213 Piedmont Hospital Inc PIED 4044251303 1968 PEACHTREE ROAD NW ATLANTA GA 303091285 CHARLIE HALL 2011-05-16 4048748300 2009 2016-02-24 21:20:13Z R TIMOTHY STACK 1968 PEACHTREE ROAD NW ATLANTA GA 30309 1054525599 false X WWW.PIEDMONT.ORG X 1905 GA PIEDMONT HOSPITAL PROVIDES INPATIENT BEDS, DIAGNOSIS AND TREATMENT OF PATIENTS, SCIENTIFIC RESEARCH, AND VARIOUS ACTIVITIES TO PROMOTE COMMUNITY HEALTH AND WELL BEING. 12 12 4508 435 5877802 -11265 7705456 7081071 611711411 682293710 -12508327 -12354019 12816905 12930101 619725445 689950863 1002812 865613 0 0 246994705 251374640 0 0 0 308996361 362020449 556993878 614260702 62731567 75690161 984280173 1075778927 627294096 674945883 356986077 400833044 PIEDMONT HOSPITAL PROVIDES INPATIENT BEDS, DIAGNOSIS AND TREATMENT OF PATIENTS, SCIENTIFIC RESEARCH, AND VARIOUS ACTIVITIES TO PROMOTE COMMUNITY HEALTH AND WELL BEING. false false 128291544 0 199412451 Piedmont Hospital Cardiovascular Services had 7,230 inpatient and 48,919 outpatient encounters during the fiscal year ending 6/30/2010, and was named Best in Atlanta for Overall Cardiac Care, Cardiac Surgery and Coronary Intervention by Healthgrades. 38050870 0 49824711 Piedmont Hospital Transplant Services performed a total of 883 Inpatient cases during the fiscal year ending 6/30/2010, and had 11,353 outpatient encounters. 18168730 0 27751446 Piedmont Hospital Orthopedic Services performed a total of 2,186 Inpatient cases during the fiscal year ending 6/30/2010. 284471378 865613 403443309 468982522 true true false true false false false false true true false true false false false false false false false false true true false true true false false false false false false false false false false true false false false false true false false false true 369 0 true 4508 true true true false false false false false false false false 12 12 false false false false true true true true true false false false true true true true true true true false GA X CHARLIE HALL 4044251303 1968 PEACHTREE ROAD NW ATLANTA GA 303091285 Dr William Blincoe 2.0 X 0 21000 0 Mr Robert W Maynard 55.0 X X 653891 0 213235 Dr Carol T Aitcheson 2.0 X 0 0 0 Dr Phillip S Brachman 2.0 X 0 0 0 Dr Letha Yurko Griffin 2.0 X 0 0 0 Mr David G Hanna 2.0 X 0 0 0 Ms Lila Hertz 2.0 X 0 0 0 Dr Louise H Jacobs 2.0 X 0 0 0 Ms Nell Long 2.0 X 0 0 0 Dr Stephan M McCollum 2.0 X 0 0 0 Mr Gregory B Morrison 2.0 X 0 0 0 Dr Jay J Singh 2.0 X 0 0 0 Dr Patrick M Battey 5.0 X X 6000 0 0 Dr Douglas S Stuart 2.0 X 0 0 0 Mr Charlie Hall 2.0 X 0 655751 187707 Ms Debbie W Gramling 2.0 X 0 141861 31501 Ms Connie Whittington 55.0 X 277641 0 29791 Mr Thomas Arnold 55.0 X 305689 0 72093 Mr Wright Alcorn 55.0 X 274691 0 34969 Mr Everett Thompson 55.0 X 299226 0 50799 Dr Miguel Tan 55.0 X 376583 0 52333 Ms Denise Ray 55.0 X 361855 0 32168 2555576 818612 704596 154 false true false SKANSKA USA BUILDING INC 55 Ivan Allen jr Blvd Ste 600 ATLANTA GA 30308 CONSTRUCTION 9250434 RJ GRIFFIN AND COMPANY 800 MOUNT VERNON HIGHWAY ATLANTA GA 30328 CONSTRUCTION 3834962 EMORY LABORATORIES PO BOX 403054 ATLANTA GA 30384 DIALYSIS 2210713 ALLIANCE LAUNDRY AND TEXTILE SERVIC 7990 Second Flags Drive Suite A AUSTELL GA 30168 LAUNDRY SERVICES 1904729 PIEDMONT SURGICAL MANAGEMENT CO LLC 3340 PEACHTREE ROAD NE SUITE 600 ATLANTA GA 30326 SURGICAL MGT 1595453 41 134729 6946342 84428 7081071 HEALTHCARE SERVICES 900099 673665491 673665491 OUTSIDE LAB 621500 5504858 5504858 PARKING 900099 3123361 3123361 682293710 1256315 1256315 0 0 9654190 5638181 4016009 4016009 3643065 372944 344024796 1301425 357434752 1501803 -13409956 -200378 -13610334 -13610334 0 0 0 CAFETERIA 900099 3348623 3348623 FITNESS CENTER 900099 827316 827316 COFFEE CART 900099 119746 119746 4618407 4618407 8914092 689950863 680431917 5877802 -3439927 865613 865613 0 0 0 1029982 1029982 0 202876417 195737267 7139150 12663873 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 389129 false false 389129 false Lobbying Activities Form 990 Part IV # 4 Health care policy is critical to all Americans, and Piedmont Hospital believes that health care providers must participate in forming 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 legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. The Vice President of Government and External Affairs represented the interests of Piedmont Healthcare (EIN 58-1503902), Piedmont Hospital (58-0566213), and related entities before Federal, State, and local elected officials and regulators. 293945492 -5237213 -282776 288991055 347223727 149534 -53718394 -290625 293945492 1.00000 true false 12954104 12954104 455106770 249248061 205858709 0 253268692 184649117 68619575 4358716 4358716 291791104 BENEFICIAL INT IN PERP TRUST 7139018 DUE FROM RELATED PARTIES 100400463 A/R PROFESSIONAL BUILDING 761545 STOP / LOSS GA ADS 146002 ST PAUL LOSS RETENTION 56629 PHI GOODWILL 15173509 PCL CON AND NON-COMPETE 701900 124379066 0 DUE TO RELATED PARTIES 69050926 ACCRUED PENSION COSTS 93514701 SELF INSURANCE RESERVES 18693384 INTEREST SWAPS 23282503 OTHER SERP PAYABLES/DEFERRALS 13424666 217966180 FIN 48 Footnote Schedule D, Part X, Line 2 On July 1, 2007, Piedmont Hospital adopted FIN 48. There were no material uncertain tax positions as of June 30, 2010. true true X true X 125. true X true true false true true 13056070 13056070 0.02230 14839517 10318384 4521133 0.00770 27895587 10318384 17577203 0.03000 1474721 127500 1347221 0.00230 40417 40417 202400 202400 0.00030 4274985 2427972 1847013 0.00320 536982 536982 0.00090 6529505 2555472 3974033 0.00670 34425092 12873856 21551236 0.03670 410591 410591 0.00070 410591 410591 0.00070 true 7849743 392000 215774059 237200879 -21426820 X true true Piedmont Surgical Ma Management services 0.50000 0.50000 Peachtree Orthopedi Orthopedic Surgery 0.15000 0.85000 Digestive Healthcare Endo/GI Surgery 0.14959 0.85041 Piedmont West ASC ambulatory surgery 0.83500 0.16500 Piedmont Hospital Inc

1968 Peachtree Road NW Atlanta GA 30309

X X X Piedmont Healthcare, Inc. (Piedmont Hospital's sole member) prepares a written community benefit report which contains the community benefit report for Piedmont Hospital. This report is made available to the public. 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 7a-7k actual expenses for each community benefit activity are traced and reported using the organization's cost accounting system. The denominator used for the calculation of total expense was the amount on Form 990, Part IX, line 25, column (A) less bad debt expense of $28,021,513. THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE METHOD USED IS THE METHOD USED TO PREPARE THE MEDICARE COST REPORT. The hospital believes that all of the $21.4 million shortfall should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare accounted for 40.7% of hospital revenues. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Caring for Medicare patients fulfills a community need and relieves a government burden as these patients typically have low and/or fixed incomes. Medicare does not provide sufficient reimbursement to cover the cost of providing care for these patients and that shortfall of $21.4 million should be counted as community benefit. Our state requires non-profit hospitals to provide a minimal level of community benefit in order to obtain exemption from state and local taxes. According to our state law, the unreimbursed cost of Medicare is considered to be community benefit - that amount was $21.4 million. Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursements by $21.4 million. Tax exempt hospitals are expected to participate in the Medicare program. For many of the medical services provided by the hospital, Medicare does not provide sufficient reimbursement to cover the cost of providing care to the patients forcing the hospital to use other funds to cover the deficit of $21.4 million. Financial Assistance Policy Purpose: Piedmont Hospitals seek to treat all patients equitably, with dignity, with respect and with compassion. To ensure continued service to all patients, Piedmont Hospitals have a responsibility to seek payment from those patients who have the ability to pay. However, Piedmont Hospitals understand that certain patients may not be able to pay their hospital bills due to unfortunate financial circumstances. Piedmont Hospitals will therefore assist patients who cannot pay for all or part of their care and will balance financial assistance to such patients with the Hospitals' responsibilities to remain viable health care providers for the community. Piedmont Hospitals will provide Indigent Care, Charity Care and Catastrophic Charity Care in keeping with the procedures described below. In order for Piedmont Hospitals to apply these policies and procedures fairly and consistently, patients and their families have a duty to help Piedmont Hospitals qualify them for the appropriate level or type of financial assistance given their specific circumstances. Piedmont Hospitals remain committed to serving the emergency needs of all patients, regardless of ability to pay, as required by law. Definitions: 1. Indigent Care - Indigent care is available when the family incomes of a patient and any Guarantor are both equal to or less than 125% of the current Federal Poverty Guidelines. See attached Financial Assistance Determination Grid. 2. Charity Care - Charity Care is available when the family incomes of a patient and any Guarantor are both in excess of 125% and lower than 250% of the current Federal Poverty Guidelines. See attached Financial Assistance Determination Grid. 3. Catastrophic Charity Care - Catastrophic Charity Care is available when the family income of a patient and/or Guarantor exceeds 125% of the current Federal Poverty Guidelines and, after any payments from third parties, the patient liability exceeds 25% of the family's annual incomes. See attached Financial Assistance Determination Grid. 4. Family Income - The combined income of all adults within the household. 5. Co-payments and deductibles - The amount determined by the patient's insurance policy as being due from the patient and any Guarantor. This amount is normally a required payment due from the patient or Guarantor by contract. 6. Guarantor - Individual other than the patient who is responsible for payment of the patient's bill. 7. Private Liability - Private Liability is the amount owed by the patient and any guarantor after application of all insurance benefits. IF the person is a pure self-pay patient it is the entire balance. 8. Pure Self-Pay - Pure self-pay exists when neither a patient nor any Guarantor has any insurance coverage available and must pay the hospital account from his or her own funds. Eligibility: Indigent, Charity and Catastrophic Charity Care discounts as described above are available to eligible persons receiving emergent and/or urgent treatment but unable to pay for the services. Indigent, Charity and Catastrophic Charity Care discounts do not apply to elective, cosmetic, or non-life threatening procedures. Patients that are insured but will incur a large out-of-pocket balance due will be considered provided they meet the Indigent or Charity guidelines set forth herein. The application must be completed in its entirety and any requested back-up documentation is considered part of the application. An application may be considered valid for up to six months. The patient/guarantor may still be asked to verify income on an application within that six-month time frame. .Eligibility for indigent or charity status must be approved for each spell of illness. If denied eligibility you may re-apply after thirty days or if your status has changed prior to the thirty days. In addition to the manual application, Piedmont Healthcare will use in place of or as a supplement to the hardcopy application the Search America products Payment Advisor and Charity Advisor to identify Indigent and Charity eligible accounts. The Hospital may still need supporting documentation and ask that the paper application be submitted with specific income and/or expense back-up documentation. In any case in which a patient, together with any Guarantor, appears to possess insufficient income or resources to pay any Private Liability, the patient or such Guarantor may request financial assistance consideration based on a determination that they meet the Indigent, Charity, or Catastrophic Charity Care guidelines set forth herein. Determination of the amount of an Indigent, Charity or Catastrophic Charity Care adjustment is based upon an individual review of each case. Piedmont Hospitals will take into account factors such as unavailability of assets, loss of employment, an income level inadequate to meet the charges incurred, subsequent illness or death, family obligations, imprisonment, and other circumstances in determining the percentage (if any) of an account to be adjusted. Financial counselors shall be reasonably available at Piedmont Hospitals to provide financial counseling, which includes providing assistance with the Financial Assistance Application. The Financial Assistance Application must be completed in its entirety and any requested back-up documentation is considered part of the application. If denied eligibility, a person may re-apply after thirty days or at any time upon a change in status. Income Verification: All applicants must provide proof of household income by providing any or all of the following that are applicable: a) Pay stub b) Most current Income Tax Return c) W-2 withholding form d) Unemployment receipts e) Unemployment denial letter f) Government agency letter g) Notarized letter from person(s) attesting to the income status providing financial support of the applicant For the purposes of determining financial eligibility for the Indigent and Charity program, income includes all monies received before taxes from all sources, including but not limited to estate payments, net rental income, alimony, military family allotments, employee pensions or retirement plans, military retirement pay, veteran's payments, self-employment income, royalties, social security payments, railroad retirements, unemployment compensation, regular insurance or annuity payments, interest income, private pensions, workers compensation benefits and employment wages. In the absence of a hard copy application and proof of the income levels, the SearchAmerica Payment Advisor and Charity Advisor will also qualify as proof of income. The Hospital may still need supporting documentation and ask that the paper application be submitted with specific income and/or expense back-up documentation. Income does not include Medicare, Medicaid, Food stamps, heat assistance funds, school lunches or housing assistance, capital gains, employer-paid or union-paid portion of health insurance or other employee fringe benefits, food or housing received in lieu of wages, gifts, loans, need-based assistance from non-profit organizations, child support or foster care payments, compensation for injury or disaster relief assistance. Procedure: 1. Physicians desiring indigent, charity, or catastrophic charity care consideration for a patient can direct these patients to the attention of the hospital's Financial Counselors. The hospital's Financial Counselors are available to speak with these patients prior to, during, or after a patient's admission to the hospital. 2. Patients desiring indigent, charity, or catastrophic charity care assistance will be referred to the hospital's Financial Counselors. This may happen prior to, during, or after a patient's admission. A completed Financial Assistance Application and/or the SearchAmerica application and data will be required for the hospital to make a determination on assistance. 3. Requests for charity care will be evaluated based on the financial guidelines described in this policy. 4. Approved charity consideration will be applicable to the patient's current episode of care with the hospital and those visits in the subsequent six months. 5. Approved charity consideration will be applicable only to the charges of Piedmont Hospital, Piedmont Fayette Hospital, Piedmont Mountainside Hospital and Newnan Hospital. The hospital cannot make any financial arrangements for the charges of any private physician practices and patients will need to make payment arrangements directly with these physician practices. 6. Non-citizens of the US without a permanent visa are not excluded from receiving financial assistance. 7. Emergency Department Admissions - hospital's financial counselors may consider self-pay patients admitted through the hospital's emergency room for charity care. 8. Out Patient Testing areas will have available and pass out Financial Assistance Applications during the registration process to Pure Self-pay (Financial Class 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 WOULD BE ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE QUALIFY FOR CHARITY CARE. DESPITE ALL OF THE EFFORT AND WAYS THE ORGANIZATION EDUCATES PATIENTS ABOUT QUALIFYING FOR ITS CHARITY CARE PROGRAM AS DEMONSTRATED 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. Piedmont Healthcare has partnered with the Georgia State University Public Health Department to assess the healthcare needs of our community. In order to inform and educate patients about their eligibility for assistance under federal state or local government programs or under the hospital's charity care policy, the hospital follows the following procedures: - Registrars review the guidelines - Brochures are available in registration areas that explain payment and financial assistance options - The hospital's website gives the phone number for customer service in patient financial services - Patient financial services representatives explain the policy and provide any forms that need to be completed - All billing statements give information on where to call for financial assistance - All uninsured patients are screened for charity eligibility with an automatic online service (Search America) and for medicaid eligibility using a third party (free of charge to the patient) - Indigent care can be authorized at registration Piedmont Hospital primarily focuses on the community within a 20 mile radius of the hospital address and serves those who are uninsured, underinsured and underserved as well as those in need of health education. Scholarships are given to individuals who are juniors or seniors in an accredited Nursing school. Individuals interested in a scholarship must complete an application before June 1st of the year. Applicants are interviewed by a two person nursing committee and chosen based upon GPA, leadership, financial need, reference letters, and a 500 word essay describing what nursing means to them. Applicants do not need to have any current affiliation with the hospital. However, in order to receive the scholarships, applicants must agree to sign a 1 or 2 year employment contract upon completion of school. Piedmont Hospital is one of four hospitals in the Piedmont Healthcare system. The hospitals in the system promote the health of the communities served by providing care and other services to the uninsured, underinsured and underserved as well as those in need of health education. GA true Mercer University 301 Mercer University Drive Atlanta GA 30341 580566167 501(c)(3) 410591 Nursing education scholarship Alfred and Adele Davis Academy 8105 Roberts Drive Atlanta GA 30350 581970181 501(c)(3) 7500 Charitable/Community Service American Diabetes Association 17 Executive Park Drive NE Suite 11 Atlanta GA 30329 131623888 501(c)(3) 8000 Charitable/Community Service American Heart Association 1101 Norhtchase Parkway Suite 1 Marietta GA 30067 135613797 501(c)(3) 65002 Charitable/Community Service Good Samaritan Heatlh Center 1015 Donald Lee Hollowell Pkwy Atlanta GA 30318 582373395 501(c)(3) 70000 Charitable/Community Service It's The Journey 180 Allen Rd Suite 201 South Atlanta GA 30328 470897591 501(c)(3) 37000 Charitable/Community Service National Kidney Foundation of Georgia 2951 Flowers Road South Suite 211 Atlanta GA 30341 131673104 501(c)(3) 13000 Charitable/Community Service Skyland Trail 1961 North Druid Hills Road Atlanta GA 30329 581489941 501(c)(3) 6000 Charitable/Community Service St Josephs Mercy Foundation 5673 Peachtree Dunwoody Road Suite Atlanta GA 30342 581448522 501(c)(3) 30000 Charitable/Community Service Visiting Nurse Health System 54775 Glenridge Drive Atlanta GA 30328 580566250 501(c)(3) 8500 Charitable/Community Service 10 0 Grants and Scholarships Form 990 Schedule I Federal Grants: Grant funds are monitored in the Grants Management Department. Eligibility, selection criteria and all necessary records are maintained by this Department to ensure compliance with the relevant regulations. Scholarships: Nursing Education Scholarships are given to individuals who are juniors or seniors in an accredited Nursing school. Individuals interested in a scholarship must complete an application before June 1st of the year. Applicants are interviewed by a two person nursing committee and chosen based upon GPA (must be greater than 3.0), leadership, financial need, reference letters (two required), and a 500 word essay describing what nursing means to them. Applicants do not need to have any current affiliation with the hospital. However, in order to receive the scholarships, applicants must agree to sign a 1 or 2 year employment contract upon completion of school. Nursing Administration monitors compliance with the program. Sponsorships: Money is also given to charitable organizations. Organizations that receive money are primarily charitable organizations which promote health care causes. Occasionally, money is given to charitable organizations which are not healthcare organizations. These organizations promote other worthy causes in the surrounding community. The grants are administered in the Public Relations Department. X true true X X X X X false true false false false true true false false Mr Robert W Maynard 492839 0 103724 0 57328 0 204280 0 8955 0 867126 0 0 0 Mr Charlie Hall 0 394037 0 141083 0 120631 0 176917 0 10790 0 843458 0 0 Ms Debbie W Gramling 0 116818 0 23227 0 1816 0 21000 0 10501 0 173362 0 0 Ms Connie Whittington 223313 0 28348 0 25980 0 23588 0 6203 0 307432 0 0 0 Mr Thomas Arnold 257303 0 37196 0 11190 0 60356 0 11737 0 377782 0 0 0 Mr Wright Alcorn 221638 0 31850 0 21203 0 22505 0 12464 0 309660 0 0 0 Mr Everett Thompson 223706 0 31866 0 43654 0 41136 0 9663 0 350025 0 0 0 Dr Miguel Tan 318413 0 57791 0 379 0 45193 0 7140 0 428916 0 0 0 Ms Denise Ray 303202 0 43559 0 15094 0 20817 0 11351 0 394023 0 0 0 Bonuses 990 PART VII Bonuses are accrued and paid on various metrics including Net Earnings versus Budget. First Class Travel Form 990 Schedule J Part I Piedmont Hospital allows First Class travel for certain Senior Executives. These items are not reported on the W-2, however, the company is reimbursed for any personal use. Supplemental Compensation Information Charlie Hall and Robert Maynard participated in a supplemental nonqualified retirement plan, but did not receive current year payments. SEE SCHEDULE O 2009-11-24 378404097 SEE SCHEDULE O false false 378404097 0 0 0 9097 0 0 2009 true false true true false false false false true 0.00000 0.00000 0.00000 true false true false false false false X 6 84428 market value false true false Program Services Form 990 Part III Program Service Accomplishments The top three Piedmont Hospital Service Lines for FY 2010 were Cardiovascular, Transplant, and Orthopedic Services. The remaining Program Service Revenues and expenses consist of other Inpatient and Outpatient Service Lines for the fiscal year ended June 30, 2010. Community Benefit Report - Piedmont Hospital Form 990 PArt III Community Benefit About Piedmont Hospital: A private, not-for-profit organization with over 4,000 employees and a medical staff of over 900 physicians, Piedmont Hospital is a 481-bed acute tertiary care facility located on 26 acres in the North Atlanta community of Buckhead. It offers all major medical, surgical and diagnostic services. Free Skin Cancer Screening Saves Lives Angela Green knew for years that she had a suspicious spot on her lower back. Even when it grew last year from a freckle to a quarter-size lesion that bled, she still ignored it. You see, Green was unemployed and uninsured so she assumed she couldn't afford treatment. "I was watching 'The Dr. Oz Show' and I learned that May was free cancer screening month," Green said, "so I went with a friend to get it checked out." Jodi Ganz, M.D., a dermatologist at Piedmont Hospital, performed the visual examination with proper lighting and a magnifier. "Each year, a group of doctors and I screen as many people as we can-as many as 200 people in May," she said. "We educate them about skin care and distribute free sunscreen. While we hope that no one has melanoma, a few usually do." Dr. Ganz was concerned with that large, deep spot so she arranged for it to be biopsied and diagnosed at no charge. Green had a very thick melanoma which was likely to metastasize. The diagnosis was devastating, made even worse by her financial situation. The highest cure rate for melanoma is surgical intervention so Dr. Ganz referred Green to Scott Davidson, M.D., a surgical oncologist at Piedmont Hospital. "I knew I was at risk since I used tanning beds as a teen and my mom died from ovarian cancer," Green said. "I was determined to do whatever it took to beat this." Dr. Davidson removed the tumor from Green's back and the lymph nodes in her left armpit and both groins to see if it had spread to those lymph nodes. Fortunately, it had not. A tube in her back drained the fluids for three weeks. Because Green qualified as a charity case, the expenses were written off. "Uninsured patients will not always seek medical attention because they fear high medical bills," said Dr. Davidson. "It's very rewarding to see a patient in need and look her in the eyes and let her know we will take care of her." "It's important to know how to be safe in the sun and get regular screenings based on your risk factors, like skin tone, family history, and sun exposure history," said Dr. Ganz. "These free screenings, supported by Piedmont Hospital and the American Academy of Dermatology, are often the first time people think about skin cancer." "I'm feeling fine and will continue to get regular checkups to stay that way," Green said. "I'm so grateful for this program and my life." Making Sense of the Health Insurance Puzzle It can be a nightmare to navigate the As, Bs and Cs of Medicare, Medigap, Medicaid, long-term care insurance and prescription drug assistance programs. Sixty Plus Older Adult Services program specialist Anita Richards helps Piedmont Hospital patients and employees make sense of the health insurance puzzle. Richards is a volunteer of GeorgiaCares, the Georgia State Health Insurance Assistance Program (SHIP) administered by the Georgia Department of Human Services Division of Aging Services. This volunteer-based program provides free, unbiased information and assistance to Medicare beneficiaries and caregivers. Not all plans cover all medications and coverage can change. "We are pretty savvy people and still find the Plan D process to be overwhelming," said Winship Durrett, a retired Piedmont nurse and a contributor to Sixty Plus. Durrett and her husband, Bill, consult with Richards every year regarding their healthcare plan options. "Anita is a God-send. We make a list of all our current medications-brand and generic-and then Anita researches all the available plans and recommends the ones that are most cost-effective. She is so patient and thorough. We don't know what we would do without her." This service helps patients stay compliant with their medication. "As a retired nurse, I know how common and dangerous it is for older adults to stop taking necessary drugs because they cannot afford them," Durrett said. "They need an advocate." "All of this is done with the help of Sixty Plus," said Richards. "Sixty Plus allows me to be that conduit that is needed to connect older adults with programs they may not be aware of." In addition to helping patients choose the right plan, the Medicare insurance assistance program also helps people with Medigap, long-term care insurance, Medicaid and prescription drug assistance information. Another service helps patients better understand how their care is provided and coordinated. "The hospital experience keeps changing and, in many ways, is very different than it was years ago," said Sixty Plus director Nancy Morrison, M.Ed. "We offer informational sessions and materials throughout the community to enhance our consumers' healthcare experience when they visit the emergency department, hospital and their physicians' offices." Sixty Plus Older Adult Services helped more than 5,000 adults and family members in 2010. Cancer Wellness Programs Massage and nutrition are two free core programs at Cancer Wellness at Piedmont Hospital. Chair massages for patients help lower stress and improve immune functioning while reducing pain and anxiety. "Many patients have a difficult time finding a therapist in the community who has knowledge of special issues created by cancer and cancer treatment and may not be comfortable treating them," said Carolyn Helmer, LCSW, manager of Cancer Wellness at Piedmont. "We offer this service for free to anyone in the Atlanta area affected by cancer." Another free Cancer Wellness service is nutrition counseling for cancer survivors during and after treatment to assist with preventing or correcting nutrition deficiencies, minimizing side effects from cancer treatment, improving their ability to tolerate treatment, and bolster their immune system for ongoing recovery. Pink Heals When Lisa Vingerling was diagnosed with advanced breast cancer in 2008 at the age of 30, she received all her treatment at Piedmont Hospital. Recognizing a need for a cancer support group for young women, Vingerling met with Carolyn Helmer at Cancer Wellness and created Pink Heals Foundation, a 501(c)(3) nonprofit organization. "At Cancer Wellness, they have so many great programs like yoga and drumming," said Vingerling. "All free to cancer patients. Who knew that cancer had benefits?" Vingerling continued, "I wanted to do something specifically for women like me. When a woman gets cancer, it's like a sorority you don't want to join but, once you're in it, you might as well make the best of it. We don't focus on cancer and rehash our stories. It's about being whole and healthy and getting on with our lives to that 'new normal.'" Pink Heals features Salsa classes and motivational speakers, and experts on travel, photography and cooking. "We remind women that they have so much life to enjoy." In addition to ongoing support from Piedmont Hospital, Pink Heals events are hosted by Saks Fifth Avenue and Dior. "I've gotten to see the compassionate, generous side of people," she said. Community Benefit Report - Piedmont Hospital Form 990 PArt III Community Benefit Continued Why Pink Heals? "When I was going through chemo," Vingerling explained, "I wanted to cheer myself up so I would walk around in my pajamas and high heels." She said she reserved the name and website address, www.pinkheals.org, even before she knew what she would do with it. Chemoflage Meetings Help Empower Women Going Through Chemotherapy Have you heard the story of the woman who looked in the mirror and saw she only had three strands of hair? She braided it and had a good day. The next day, she only had two strands so she parted it down the middle and had a good day. The next day, she only had one strand so she put it in a ponytail and had a good day. On the fourth day, she had no hair and thought, "Thank goodness I don't have to worry about my hair today!" That's how vibrant breast cancer survivor Cookie Aftergut begins each meeting of Chemoflage, an educational program she established in 2006 for women undergoing chemotherapy. The meetings take place twice a month and alternate between Cancer Wellness at Piedmont and Nordstrom at Perimeter Mall. Healthcare professionals and community volunteers offer advice on combatting the effects of chemotherapy through nutrition, relaxation and visualization techniques, fashion and make-up. The small, intimate setting of the meetings-typically 10 to 15 women per group-encourages the women to bond and share their fears and experiences with others. "When I was going through chemotherapy, there wasn't much information out there. I didn't even know what questions to ask, let alone who to ask," Aftergut said. "There are so many things to consider that many of us learned the hard way. For example, after chemotherapy, I noticed my nose was running and my eyes were watery. Allergy medications didn't help. Then it dawned on me that I had no nose hair and eyelashes and that's why. So, now I share that revelation with others." Then there's the importance of thoroughly washing fruits and vegetables to avoid infections because of a compromised immune system. And that chemobrain-short-term memory loss and difficulty concentrating-is a real issue that usually subsides after treatment is complete. "I tell women to use it as an excuse for why they can't remember someone's name," she said with a laugh. "We advise them not to skip any medication doses, especially anti-nausea drugs; to use child-sized toothbrushes that are gentler on sensitive teeth; and to counter the metallic taste of food by eating with plastic utensils." More than 600 women have attended a Chemoflage program. "We love meeting at Cancer Wellness and appreciate Piedmont's ongoing support," she said. "It's a lovely facility and it gives us an opportunity to introduce women to so many of the other valuable resources there." Like many cancer survivors, Aftergut sees the blessings in her journey. "For 61 years, I existed. Since cancer, I am fully living. It's like, before cancer, I don't think the birds knew where I lived. Now, I take great joy in hearing their sweet songs in my garden. It's an honor to help women who are scared. I've been there and I'm okay, and they'll be okay too." Dinner with Friends at Cancer Wellness Spanish-speaking patients and their families who are affected by blood cancers have a place to call their own at Cancer Wellness at Piedmont Hospital. The Atlanta Hispanic/Latino Family Support Group, known as Cena con Amigos (Dinner with Friends), meets monthly for support, information and connection. Dinner is served since many members travel there from throughout the state. Sponsored by the Georgia Chapter of the Leukemia and Lymphoma Society, Piedmont provides the space, an art therapist and supplies. Nurses, counselors and social workers from around Atlanta volunteer. "There is so much fear, confusion and lack of access to information, care and services within this underserved population," said Rosalinda Ramirez, Ph.D., the patient services manager for the Leukemia and Lymphoma Society and a clinical psychologist. "Many tell me this is the first time they have had someone to talk to." While the adults meet, the young patients, their siblings and children of patients can express their emotions in a safe, creative environment through pediatric art therapy. "We've found that this therapy helps reduce fear and anger and resolve sibling problems," she said. "Many of the young patients are teased and ostracized at school because they look different. Here, they get to meet other children like them and they don't feel so alone." Cynthia Tatis was 18 when she was diagnosed with Hodgkin's Lymphoma. Once in remission a year later, she and her family began attending meetings. "I felt like I was okay, but my parents really needed to speak with other Hispanic parents who had been through this," she said. "My brother, Joshua, also came to show his support. Rosalinda does an amazing job of making us all feel safe and welcome. I was the youngest of the adult patients and the most positive and upbeat. I felt like I gave others hope." She continues to come to meetings where she speaks and also mentors through the First Connection peer-to-peer mentoring program. "It's really cool," she said. "A cancer patient or survivor can request a match through the Leukemia and Lymphoma Society and, if I am chosen, I answer their questions or just hear them out. There's such a roller coaster of emotions, and I reassure them that it will be okay. It feels good to be on the other side of it." Tatis is in college where she is studying to be an interpreter. "My goal is to work for a government organization that educates and supports the Hispanic community," she said. "I know from my experience with Cena con Amigos that the need is great and there is so much good that comes from it." The Mercer Family Therapy Center Provides Low-cost Support Families, couples and individuals in the Atlanta area who can't afford to pay typical therapy fees now have a place to turn. Advanced students from Mercer University School of Medicine's Family Therapy Graduate Program, under the close supervision of the Marriage and Family Therapy faculty, provide low-cost outpatient counseling services to the community. Piedmont contributes operational funding for the Center for Health and Learning, a partnership between Piedmont Healthcare and Mercer University formed in 2005 to create innovative solutions to today's challenging healthcare dilemmas. "The center has been instrumental in helping the Mercer Marriage and Family Therapy program develop relationships within the Piedmont system to benefit patients who wish to access these counseling services on the Piedmont campus," said Sharon Nieb, executive director at the Center for Health and Learning. The Mercer Family Therapy Center addresses a wide range of issues, including abuse, addiction, depression, divorce prevention/recovery, grief and parent-child relationship stress. "Piedmont recognizes the importance of addressing the psycho-social ramifications of illness," said Robyn L. Mowery, Ph.D., LMFT, assistant professor and clinical director of the Marriage and Family Therapy Program. "We help patients and their families cope with the diagnosis and progression of illness, whether it's acute, chronic or terminal." Patients pay as little as $5 a session, based on a sliding scale determined by household income and family size. Marriage and Family Therapy faculty also work in partnership with Piedmont Hospital staff to support their success. For example, members of the faculty consult with Piedmont administration on unit staff issues and provide support, debriefing and training services for Piedmont's clinical staff. "We look forward to another exciting year of collaboration with Piedmont staff and patients," said Steve Livingston, Ph.D., LMFT, program director and associate professor of the Marriage and Family Therapy Program. "This program provides an excellent learning environment for our students and service opportunities for our faculty." Community Benefit Report - Piedmont Hospital Form 990 PArt III Community Benefit Continued The Count Me In Program Employees of the Piedmont Healthcare family know that charity begins at home. They joined forces again in fiscal year 2010 on the Count Me In employee giving campaign. This program raises money to benefit the community, fellow employees and Piedmont patients. With Piedmont Mountainside Hospital and Piedmont Newnan Hospital joining Piedmont Hospital and Piedmont Fayette Hospital in the campaign, employee participants and dollars raised grew by 30 percent. There were 1,568 people who donated $293,070. Contributions are designated to support three resources: United Way; Piedmont Sharing Club, which helps staff whose families need support; and selected direct funds within Piedmont Healthcare. Gregory A. Hurst, executive vice president and chief operating officer of Piedmont Healthcare, served as the chair and worked with the Piedmont Philanthropy team. They recruited more than 100 ambassadors who helped make the campaign a success. "Employee giving at Piedmont Healthcare is a testament to those closest to our organization not only living the Piedmont Promise, but also investing in it," said Hurst. "The generosity of our employees shows they believe in the Piedmont mission and support its success." Community Leader Quote: "Every year, Piedmont Hospital helps us plan and implement a health fair for Latinos in Atlanta. We rely on their flu shots, healthcare supplies and clinical staff to make this event a big success. Their generosity and professionalism is outstanding." Flavia Mercado, M.D., Medical Director of the Department of Multicultural Affairs and the International Medical Center Grady Health System Corporate Sole Member Form 990 Part VI # 6 Piedmont Healthcare is the sole member of Piedmont Hospital. Board Member Elections and Board Decisions Form 990 Part VI # 7A and 7B 7a - The Board of Piedmont Healthcare (Piedmont Hospital's sole member - EIN 58-1503902) appoints the members of the Board of Piedmont Hospital. 7b - Piedmont Hospital Board policies and decisions must be filed, immediately after adoption, with the Secretary of the Piedmont Healthcare Board. Such policies and decisions of the Piedmont Hospital Board are not subject to approval/ratification of the Piedmont Healthcare Board, but should the need arise, may be rescinded by the Piedmont Healthcare Board through a majority vote of its directors. 990 Preparation and Review Form 990 PArt VI # 11A The Piedmont Hospital 990 is prepared and reviewed internally by the Piedmont Healthcare Finance Department. After drafts are completed, the returns are reviewed by our paid preparer, Ernst & Young. Copies of the 990 were provided to the Board of Piedmont Healthcare (parent org EIN 58-1503902)prior to filing. Conflict of Interest Form 990 Part VI # 12c Compliance with the organization's conflict of interest policy is monitored and enforced by organization management in coordination with the Piedmont Healthcare Vice President of Compliance, and General Counsel as requested. Annual disclosures of all matters which could be a potential conflict are required from all senior leaders, board members, physician employees and employees engaged in research. Matters disclosed under the policy must be reviewed in writing by the individual's supervising manager and then by the Piedmont Healthcare Conflict of Interest Committee in order to determine whether a conflict exists and, if so, whether to accept, alter, or remove the conflict. All board members and employees of the Company are trained on the requirements of the conflict of interest policy at orientation and at least annually thereafter. Non-compliance with the conflict of interest policy must be reported to the Vice President of Compliance for investigation and actions as appropriate under Piedmont Healthcare disciplinary policies. Compensation of Executives and Key Employees Form 990 part VI # 15A & 15B The Piedmont Healthcare (PHC) Board Executive Performance and Compensation Committee ("the committee") has been authorized by the PHC Board of Directors to perform the following functions: - Select an external executive compensation consultant ("the consultant"). The committee has utilized the services of Integrated Healthcare Strategies (formerly Clark Consulting) for the past several years. -Work with the President/CEO to formulate and implement annual performance objectives. The committee meets annually with the 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 like organizations. - Approve long-term 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 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 advice, when it is necessary to develop and/or amend executive employment contracts and benefits. The majority of the committee members are community board directors who generally do not have conflicts of interest related to fulfillment of the duties as outlined above. Disclosure of Governing, Conflict of Interest and Financial Documents Form 990 Part VI # 19 Governing documents, Conflict of Interest policy and Financial statements are available upon request. They should be requested from Piedmont Healthcare, Inc's Legal Counsel. Audit Committee Form 990 Part XI # 2c The Audit Committee for the parent organization, Piedmont Healthcare (EIN 58-1503902)is responsible for oversight of the Audit, and selection of the independent auditor. TAX EXEMPT BONDS SCHEDULE K PART I COLUMNS A, B, C & PART IV, LINE 2 ON NOVEMBER 24, 2009, PIEDMONT HEALTHCARE, INC. (PIEDMONT HOSPITAL'S SOLE MEMBER, EIN - 58-1503902) ENTERED INTO A BOND ISSUANCE CONSISTING OF THE FOLLOWING SERIES: ISSUER NAME: DEVELOPMENT AUTHORITY OF FULTON COUNTY (EIN 58-1639487): SERIES 2009A CUSIP # 359900ZX8 ISSUE PRICE $166,454,761 (FIXED RATE) SERIES 2009B CUSIP # 359900ZY6 ISSUE PRICE $70,000,000 (VARIABLE RATE) SERIES 2009C CUSIP # NONE ISSUE PRICE $62,100,000 (FIXED RATE) ISSUER NAME: HOSPITAL AUTHORITY OF FAYETTE COUNTY (EIN 58-2629223): SERIES 2009A CUSIP # 31222TAJ2 ISSUE PRICE $36,204,335 (FIXED RATE) SERIES 2009B CUSIP # 31222TAH6 ISSUE PRICE $36,645,000 (VARIABLE RATE) SERIES 2009C CUSIP # NONE ISSUE PRICE $7,000,000 (FIXED RATE) TAX-EXEMPT BONDS DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN F THE ISSUE WAS USED TO REFUND THE 4/7/1999, 6/14/2001, 4/13/2003, 12/15/2005 AND 12/13/2007 BONDS. ADDITIONALLY, DEVELOPMENT AUTHORITY OF FULTON COUNTY - 2009C AND HOSPITAL AUTHORITY OF FAYETTE COUNTY - 2009C BONDS WERE USED TO REPAY A LINE OF CREDIT (SUN TRUST NOTE) THAT FUNDED CONSTRUCTION AND RENOVATION PROJECTS. 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