PIEDMONT NEWNAN HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PIEDMONT NEWNAN HOSPITAL INC (EIN 20-5077249)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201141369349306854
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:55:28-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 IVAN ALLEN JR BLVD SUITE 1000 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205077249 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Newnan Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PIED | NameControl |
| Phone | 6788542470 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 Hospital Road | AddressLine1 |
| City | Newnan | City |
| State | GA | State |
| ZIP Code | 30263 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | COURTNEY REECE | Name |
| Title | CFO | Title |
| Date Signed | 2011-05-16 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048738400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael Bass | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 Hospital Rd | AddressLine1 |
| City | Newnan | City |
| State | GA | State |
| ZIP Code | 30263 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 118822655 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.piedmontnewnanhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | 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 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 825 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 424312 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 110681 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 174610 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 64279 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 96846321 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 117279415 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -568308 | InvestmentIncomePriorYear |
| Investment Income Current Year | 112705 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1031774 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1227039 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 97484397 | TotalRevenuePriorYear |
| Total Revenue Current Year | 118683438 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 154851 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 62445 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 43594649 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51179854 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 58087834 | OtherExpensePriorYear |
| Other Expenses Current Year | 66228102 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 101837334 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117470401 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4352937 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1213037 | RevenuesLessExpensesCY |
| Total Assets BOY | 70777064 | TotalAssetsBOY |
| Total Assets EOY | 72929258 | TotalAssetsEOY |
| Total Liabilities BOY | 35468310 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36868881 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 35308754 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36060377 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 105198096 | Expense |
| Grants | 0 | Grants |
| Revenue | 117279415 | Revenue |
| Description | PIEDMONT NEWNAN HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. DURING FY 10 WE PROVIDED INPATIENT AND OUTPATIENT CARE TO MANY INDIGENT/CHARITY CASES, AND THOSE CHARGES TOTALED $7,485,858 PIEDMONT NEWNAN HOSPITAL HAD 26,524 PATIENT DAYS DURING THE REPORTING PERIOD(JULY 1, 2009 THROUGH JUNE 30, 2010). THE ADMISSIONS FOR THE PERIOD TOTALLED 6,357. ER VISITS & OUTPATIENT VISITS TOTALLED 78,849. PIEDMONT NEWNAN HOSPITAL IS A 143-BED FACILITY LOCATED IN NEWNAN. THIS IS THE NEWEST MEMBER OF PIEDMONT HEALTHCARE JOINED THE SYSTEM IN MARCH 2007 AND IS THE SOLE HOSPITAL PROVIDER IN COWETA COUNTY. APPROXIMATELY 150 PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS AND SENIORS OF THE COMMUNITY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 0 | Expense |
| Grants | 62445 | Grants |
| Revenue | 0 | Revenue |
| Description | MANY OF PIEDMONT NEWNAN HOSPITAL'S EMPLOYEES REGARD THEIR WORK AS MORE THAN A JOB. THEY SEE IT AS A CALLING. THAT'S WHY THEY INVEST THOUSANDS OF HOURS VOLUNTEERING THROUGHOUT THE COMMUNITY. THESE VOLUNTEER PROGRAMS INCLUDE: MENTORING AT THE COWETA COUNTY SCHOOL SYSTEM, PUBLIC SPEAKING FOR SUPPORT GROUPS AND AT HEALTH FAIRS, FIRST AID INSTRUCTING FOR THE BOYS SCOUTS, AND SINGING AT NURSING HOMES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 105198096 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 69 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 825 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | COURTNEY REECEPIEDMONT NEWNAN | NamePerson |
| Telephone Number | 6788542470 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 HOSPITAL RD | AddressLine1 |
| City | NEWNAN | City |
| State | GA | State |
| ZIP Code | 30263 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Greg Hurst | ||||||||
| Chairman | 5.0 | X | X | 0 | 830362 | 244365 | ||
| G Michael Bass | ||||||||
| Ex-Officio/President/CEO | 40.0 | X | X | 442366 | 0 | 77817 | ||
| Truett Jarrad MD | ||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | |||
| Ron Duffy | ||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | |||
| Timothy W Baker MD | ||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | |||
| Stan W Smith | ||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | |||
| Debbie Gramling | ||||||||
| Secretary | 5.0 | X | 0 | 141861 | 31501 | |||
| Charlie Hall | ||||||||
| TREASURER | 5.0 | X | 0 | 655751 | 187707 | |||
| NATHAN NIPPER | ||||||||
| COO | 40.0 | X | 211098 | 0 | 69556 | |||
| COURTNEY REECE | ||||||||
| CFO | 40.0 | X | 237941 | 0 | 53083 | |||
| MARGARET LAWSON | ||||||||
| VP OF NURSING | 40.0 | X | 197375 | 0 | 40617 | |||
| VIRGINIA LYLES | ||||||||
| VP OF HUMAN RESOURCES | 40.0 | 182513 | 0 | 33564 | X | |||
| ANNA IVORY | ||||||||
| VP OF QUALITY | 40.0 | 144846 | 0 | 33866 | X | |||
| WILLIAM LAM | ||||||||
| DIRECTOR OF PHARMACY | 40.0 | 147847 | 0 | 0 | X | |||
| Alison L Middleton | ||||||||
| Nurse Practioner Manager | 40.0 | 142325 | 0 | 0 | X | |||
| Nancy Mothorpe | ||||||||
| Clinical Coordinator | 40.0 | 138905 | 0 | 0 | X | |||
| Cynthia AFinney | ||||||||
| Director of Physical Therapy | 40.0 | 133568 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1978784 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1627974 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 772076 | TotalOtherCompensation |
| Number Individuals GT100 K | 33 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Morrison's Health Care Division | |||||
| PO Box 102289 | ATLANTA | GA | 303682289 | Food Services | 866407 |
| BEK BUILDING GROUP LLC | |||||
| 10 CADILLAC DR SUITE 40 | BRENTWOOD | TN | 37027 | CONSTRUCTION | 2601707 |
| SOUTHERN TRANSCRIPTION SERVICES IN | |||||
| 40 MAGNOLIA FARM ROAD | TAYLORSVILLE | GA | 30178 | TRANSCRIPTION | 672520 |
| Alliance Laundry Textile Services | |||||
| 3120 S Martin Street Suite 100 | EAST POINT | GA | 30344 | Laundry services | 341211 |
| Perkins Will inc | |||||
| 1382 Peachtree Street NE | ATLANTA | GA | 30309 | Architectural | 331559 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Government Grants | 15408 | GovernmentGrants |
| All Other Contributions | 48871 | AllOtherContributions |
| Total Contributions | 64279 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 117279415 | TotalRevenueColumn |
| Related Or Exempt Function Income | 116855103 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 424312 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 117279415 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120123 | TotalRevenueColumn |
| Exclusion | $120,123 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 301969 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 301969 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 301969 | TotalRevenueColumn |
| Exclusion | $301,969 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7418 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7418 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7418 | TotalRevenueColumn |
| Exclusion | -$7,418 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 114604 | GrossSalesOfInventory |
| Cost Of Goods Sold | 131799 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -17196 | TotalRevenueColumn |
| Exclusion | -$17,196 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA SALES | 722100 | 337786 | $337,786 |
| VENDING | 525920 | 12640 | $12,640 |
| INTEREST ON A/R ACCOUNTS | 900099 | 8819 | $8,819 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 583021 | TotalRevenueColumn |
| Exclusion | $583,021 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 942266 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118683438 | TotalRevenueColumn |
| Related Or Exempt Function Income | 116855103 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 424312 | UnrelatedBusinessRevenue |
| Exclusion | $1,339,744 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62445 | Total |
| Program Services | 62445 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1496862 | Total |
| Management And General | 1496862 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42285114 | Total |
| Program Services | 35960552 | ProgramServices |
| Management And General | 6324562 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161567 | Total |
| Program Services | 982835 | ProgramServices |
| Management And General | 178732 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3451182 | Total |
| Program Services | 3394908 | ProgramServices |
| Management And General | 56274 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2785129 | Total |
| Program Services | 2443717 | ProgramServices |
| Management And General | 341412 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293214 | Total |
| Program Services | 36488 | ProgramServices |
| Management And General | 256726 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51635 | Total |
| Program Services | 51635 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5407654 | Total |
| Program Services | 3288887 | ProgramServices |
| Management And General | 2118767 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614476 | Total |
| Program Services | 338451 | ProgramServices |
| Management And General | 276025 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19905725 | Total |
| Program Services | 19157057 | ProgramServices |
| Management And General | 748668 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450273 | Total |
| Management And General | 450273 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3640995 | Total |
| Program Services | 3640995 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53333 | Total |
| Program Services | 29329 | ProgramServices |
| Management And General | 24004 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 767624 | Total |
| Program Services | 767624 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4400079 | Total |
| Program Services | 4400079 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127737 | Total |
| Program Services | 127737 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT EXPENSE | 30334134 | 30334134 |
| MISCELLANEOUS | 17217 | 17217 |
| DUES | 116089 | 116089 |
| EDUCATION | 47917 | 47917 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117470401 | Total |
| Program Services | 105198096 | ProgramServices |
| Management And General | 12272305 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 882080 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2807047 | BOY |
| EOY | 2533297 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8752833 | BOY |
| EOY | 10264592 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 785165 | BOY |
| EOY | 787529 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1151060 | BOY |
| EOY | 1093094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 73490538 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15239792 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56336174 | BOY |
| EOY | 58250746 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62705 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70777064 | BOY |
| EOY | 72929258 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35061828 | BOY |
| EOY | 36469140 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406482 | BOY |
| EOY | 399741 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35468310 | BOY |
| EOY | 36868881 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35308754 | BOY |
| EOY | 36060377 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35308754 | BOY |
| EOY | 36060377 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70777064 | BOY |
| EOY | 72929258 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 6180000 | OtherCostOrOtherBasis |
| Book Value | 6180000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 9598101 | OtherCostOrOtherBasis |
| Depreciation | 2514366 | Depreciation |
| Book Value | 7083735 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 398616 | OtherCostOrOtherBasis |
| Depreciation | 71823 | Depreciation |
| Book Value | 326793 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 16661577 | OtherCostOrOtherBasis |
| Depreciation | 9929641 | Depreciation |
| Book Value | 6731936 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 40652244 | OtherCostOrOtherBasis |
| Depreciation | 2723962 | Depreciation |
| Book Value | 37928282 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 58250746 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 Footnote | Identifier |
| Explanation | On July 1, 2007, Piedmont Newnan Hospital adopted FIN 48. There were no material uncertain tax positions as of June 30, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1858657 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1858657 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12927489 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10980517 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1946972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14786146 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10980517 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3805629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04360 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54431 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 54431 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 416760 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 416760 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56157 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 56157 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 527348 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 527348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00700 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15313494 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10980517 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4332977 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,668,739 | BadDebtExpenseAmount |
| Amount Attributable To | 283400 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 35256243 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33026980 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2229263 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Newnan Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 Hospital Rd | AddressLine1 |
| City | Newnan | City |
| State | GA | State |
| ZIP Code | 30263 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Piedmont Healthcare, Inc. (Piedmont Newnan Hospital's sole member) prepares a written community benefit report which contains the community benefit report for Piedmont Newnan Hospital. This report is made available to the public. | AnnualCommunityBenefitExpln |
| Costing Method Used | A ratio of patient care cost to charges, consitent 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | 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 $30,334,134, or $87,544,344. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 COERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMETN 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 HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDERS ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. AMOUNTS DETERNINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. | BadDebtFootnote |
| Shortfall As Community Benefit | THE METHOD USED IS THE METHOD USED TO PREPARE THE MEDICARE COST REPORT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | SUBJECT: CHARITY CARE POLICY PURPOSE: To provide financial help to patients who demonstrate an inability to pay for medical services incurred. POLICY: Piedmont Newnan Hospital recognizes its responsibility to provide Charity Care to the community. Consistent with the Hospital's long tradition, all Charity Care provided will be subject to the same standards of professional performance and quality as any other health care services provided by the Hospital. DEFINITION: A Charity Care recipient for medical services shall be defined as a person who has an income greater than 125% and less than 250 % of the Federal Poverty Income Guidelines at the time of service. A charity recipient is a person who shows an inability to pay for medical services as opposed to a bad debt as being a person who has the financial means but is unwilling to meet the financial obligations for payment of medical services provided. PROCEDURE: 1. Charity Care shall include services provided to: A. Uninsured patients who do not have the ability to pay based on the established criteria; B. Insured patients whose coverage is inadequate to cover catastrophic situations; C. Emergency patients, because of the hospital's inability to assess a patient's financial condition prior to rendering services; D. Persons whose income is insufficient to pay for basic living costs but not medical care, and also those persons with generally adequate incomes who are suddenly faced with catastrophically large or multiple medical bills. 2. Charity Care eligibility requirements: A. Gross income should fall within established standards for determination of poverty level, considering family size, geographic area, and other pertinent factors. B. Net worth should be considered including all liquid and non-liquid assets owned, less liabilities and claims against assets. C. Employment status should be considered along with future earnings sufficient to meet the obligation within a reasonable period of time. (Once charity, there is no further obligation.) D. Family size should be considered. E. Other financial obligations including living expenses and other items of reasonable and necessary nature should be analyzed. F. The amount(s) and frequency of hospital bill(s) in relation to all of the factors outlined above should be considered. G. All other resources should be applied first, including Medicare and other third-party payor insurance coverage. H. Charity Care provisions will be re-evaluated for determining patient eligibility when the following occurs. 1) Income changes 2) Size of family group changes Charity determination will be established at the time of patient registration, or as soon as possible thereafter, as being charity in full or partial for medical services provided. There may be some instances in which, because of complications unforeseen at the time of admission, the charges incurred by the patient may be considerably greater than anticipated, and the patient is unable to pay the full amount. In such cases, the patient will be reclassified as a charity patient, and the charges attributed to the unforeseen complications considered as charity service. Charity determination may be initiated by Admitting Personnel, Patient Account Representatives, Social Services, or any Business Office staff member, and must be approved by the Business Office Director and/or Chief Financial Officer. | DebtCollectionPolicy |
| General Explanation | 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. | GeneralExplanation |
| Needs Assessment | Piedmont Healthcare has partnered with the Georgia State University Public Health Department to assess the healthcare needs of our community. | NeedsAssessment |
| Patient Education Assistance | 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 | PatientEducationAssistance |
| Community Information | Piedmont Newnan 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. | CommunityInformation |
| Affiliated Health Care System | Piedmont Newnan 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. | AffiliatedHealthCareSystem |
| Reports Filed With States | GA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| NEWNAN COWETA CHAMBER OF COMMERCE | |||||||
| 23 BULLSBORO DR | NEWNAN | GA | 30263 | 131846366 | 501(c)(3) | 6125 | SPONSORSHIP |
| WEST GEORGIA TECHNICAL COLLEGE | |||||||
| 160 MARTIN LUTHER KING JR DRIVE | NEWNAN | GA | 30265 | 581839803 | 501(c)(3) | 10000 | CONTRIBUTION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Documentation of Grants | Identifier |
| Explanation | The Piedmont Newnan Public Relations Department monitors and keeps documentation of grants on file. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | false | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Greg Hurst | |||||||||||||
| 0 | 570128 | 0 | 229058 | 0 | 31176 | 0 | 234709 | 0 | 9656 | 0 | 1074727 | 0 | 0 |
| G Michael Bass | |||||||||||||
| 301073 | 0 | 98219 | 0 | 43074 | 0 | 68647 | 0 | 9170 | 0 | 520183 | 0 | 0 | 0 |
| Debbie Gramling | |||||||||||||
| 0 | 116818 | 0 | 23227 | 0 | 1816 | 0 | 21000 | 0 | 10501 | 0 | 173362 | 0 | 0 |
| Charlie Hall | |||||||||||||
| 0 | 394037 | 0 | 141083 | 0 | 120631 | 0 | 176917 | 0 | 10790 | 0 | 843458 | 0 | 0 |
| NATHAN NIPPER | |||||||||||||
| 170188 | 0 | 37314 | 0 | 3596 | 0 | 48413 | 0 | 21143 | 0 | 280654 | 0 | 0 | 0 |
| COURTNEY REECE | |||||||||||||
| 182457 | 0 | 40424 | 0 | 15060 | 0 | 40799 | 0 | 12284 | 0 | 291024 | 0 | 0 | 0 |
| MARGARET LAWSON | |||||||||||||
| 152454 | 0 | 33816 | 0 | 11105 | 0 | 35875 | 0 | 4742 | 0 | 237992 | 0 | 0 | 0 |
| VIRGINIA LYLES | |||||||||||||
| 141358 | 0 | 30535 | 0 | 10620 | 0 | 31835 | 0 | 1729 | 0 | 216077 | 0 | 0 | 0 |
| ANNA IVORY | |||||||||||||
| 116009 | 0 | 25467 | 0 | 3370 | 0 | 28426 | 0 | 5440 | 0 | 178712 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE J, PART I, LINE 6 | BONUSES | Bonuses are paid on various metrices including net earnings. |
| Social Club Dues | Form 990, Schedule J, #1A | Piedmont Newnan provides social club dues for the CEO. |
| FORM 990, SCHEDULE J, LINE 4B | COMPENSATION | GREG HURST AND CHARLIE HALL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S SOLE MEMBER | FORM 990, PART VI, SECTION A, LINE 6 | PIEDMONT HEALTHCARE, INC. IS THE SOLE MEMBER OF PIEDMONT NEWNAN HOSPITAL. ELECTION OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF PIEDMONT HEALTHCARE (PIEDMONT NEWNAN'S SOLE MEMBER) APPOINTS THE MEMBERS OF THE BOARD OF PIEDMONT NEWNAN HOSPITAL. |
| DECISIONS OF GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7B | PIEDMONT NEWNAN 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 NEWNAN 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. |
| CONFLICT OF INTEREST POLICY | FORM 9990, 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 THE PIEDMONT HEALTHCARE VICE PRESIDENT OF COMPLIANCE. 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 ELIMINATE OR MANAGE 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. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO THE VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION AND REMEDIAL STEPS TAKEN AS APPROPRIATE UNDER PIEDMONT HEALTHCARE DISCIPLINARY POLICIES. |
| EXECUTIVE COMPENSATION | FORM 990, PART VI, SECTION B, LINE 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- 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, SECTION C, LINE 19 | GOVERNING, CONFLICT OF INTEREST AND FINANCIAL DOCUMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC'S LEGAL COUNSEL. |
| 990 REVIEW PROCESS | FORM 990, PART VI, SECTION A, LINE 11 | INFORMATION TO PREPARE THE 990 IS COMPILED BY INDIVIDUALS IN THE FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY THE CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF THE 990 WERE PROVIDED TO THE BOARD OF DIRECTORS OF OUR PARENT COMPANY, PIEDMONT HEALTHCARE, INC. (EIN 58-1503902), PRIOR TO FILING. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| PIEDMONT HEALTHCARE INC | |||||||||
| 2001 PEACHTREE ROAD STE 400 | ATLANTA | GA | 30309 | 581503902 | Management | GA | 501(c)(3) | 11D | NA |
| PIEDMONT HOSPITAL | |||||||||
| 1968 PEACHTREE ROAD NW | ATLANTA | GA | 30309 | 580566213 | HOSPITAL | GA | 501(C)(3) | 3 | PIEDMONT HC |
| PIEDMONT FAYETTE HOSPITAL | |||||||||
| 1255 HIGHWAY 54 WEST | FAYETTEVILLE | GA | 30214 | 582232328 | HOSPITAL | GA | 501(C)(3) | 3 | PIEDMONT HC |
| PIEDMONT MOUNTAINSIDE HOSPITAL | |||||||||
| 1266 HIGHWAY 515 SOUTH | JASPER | GA | 30143 | 353339583 | HOSPITAL | GA | 501(C)(3) | 3 | PIEDMONT HC |
| PIEDMONT HOSPITAL FOUNDATION | |||||||||
| 1968 PEACHTREE ROAD NW | ATLANTA | GA | 30309 | 581272768 | FUNDRAISING | GA | 501(C)(3) | 11D | PIEDMONT HC |
| PIEDMONT HOSPITAL OUTPATIENT SERVICES | |||||||||
| 1968 PEACHTREE ROAD NW | ATLANTA | GA | 30309 | 581692454 | FITNESS | GA | 501(C)(3) | 9 | PIEDMONT HC |
| PIEDMONT HEART INSTITUTE INC | |||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 263553500 | HEALTHCARE | GA | 501(C)(3) | 7 | PIEDMONT HC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CARE CORPORATION | |||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 582092768 | HEALTHCARE | GA | PIEDMONT HC | C | 0 | 0 | 0.00000 | ||||
| PIEDMONT CLINIC | |||||||||||||||
| 2727 PACES FERRY ROAD | ATLANTA | GA | 30339 | 582005358 | HEALTHCARE | GA | PIEDMONT HC | C | 0 | 0 | 0.00000 | ||||
| PIEDMONT HEART INSTITUTE PHYSICIANS | |||||||||||||||
| 2727 PACES FERRY ROAD SUITE 1-1100 | ATLANTA | GA | 30339 | 260593850 | HEALTHCARE | GA | PIEDMONT HC | C | 0 | 0 | 0.00000 | ||||
| AMSTER MCRAE INSURANCE COMPANY | |||||||||||||||
| INVESTMENTS | PIEDMONT HC | C | 0 | 0 | 0.00000 | GOVERNORS SQUARE 2ND FLOOR BLDG 3 | GRAND CAYMAN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |