2011-05-16T16:55:28-05:00 2010-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2009-07-01 205077249 Piedmont Newnan Hospital PIED 6788542470 60 Hospital Road Newnan GA 30263 COURTNEY REECE 2011-05-16 4048738400 2009 2016-02-24 21:20:13Z Michael Bass 60 Hospital Rd Newnan GA 30263 118822655 false X www.piedmontnewnanhospital.org X 2007 GA HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT,GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE 6 4 825 100 424312 110681 174610 64279 96846321 117279415 -568308 112705 1031774 1227039 97484397 118683438 154851 62445 0 0 43594649 51179854 0 0 0 58087834 66228102 101837334 117470401 -4352937 1213037 70777064 72929258 35468310 36868881 35308754 36060377 HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT,GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE false false 105198096 0 117279415 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. 0 62445 0 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. 105198096 true true false false false false false false false true false true false false false false false false false false true true false true false false false false false false false false false false false false false true false false false true 69 0 825 true true true false false false false false false false false 6 4 false false false false true true true true true false false false true true true true true true true true true GA X COURTNEY REECEPIEDMONT NEWNAN 6788542470 60 HOSPITAL RD NEWNAN GA 30263 Greg Hurst 5.0 X X 0 830362 244365 G Michael Bass 40.0 X X 442366 0 77817 Truett Jarrad MD 1.0 X 0 0 0 Ron Duffy 1.0 X 0 0 0 Timothy W Baker MD 1.0 X 0 0 0 Stan W Smith 1.0 X 0 0 0 Debbie Gramling 5.0 X 0 141861 31501 Charlie Hall 5.0 X 0 655751 187707 NATHAN NIPPER 40.0 X 211098 0 69556 COURTNEY REECE 40.0 X 237941 0 53083 MARGARET LAWSON 40.0 X 197375 0 40617 VIRGINIA LYLES 40.0 X 182513 0 33564 ANNA IVORY 40.0 X 144846 0 33866 WILLIAM LAM 40.0 X 147847 0 0 Alison L Middleton 40.0 X 142325 0 0 Nancy Mothorpe 40.0 X 138905 0 0 Cynthia AFinney 40.0 X 133568 0 0 1978784 1627974 772076 33 false true false 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 14 15408 48871 64279 PATIENT SERVICE REVENUE 900099 117279415 116855103 424312 117279415 120123 120123 0 0 301969 0 301969 301969 301969 0 7418 -7418 -7418 -7418 0 0 114604 131799 -17196 -17196 CAFETERIA SALES 722100 337786 337786 VENDING 525920 12640 12640 INTEREST ON A/R ACCOUNTS 900099 8819 8819 583021 583021 942266 118683438 116855103 424312 1339744 62445 62445 0 0 0 1496862 1496862 0 42285114 35960552 6324562 1161567 982835 178732 3451182 3394908 56274 2785129 2443717 341412 293214 36488 256726 51635 51635 0 0 0 0 5407654 3288887 2118767 614476 338451 276025 19905725 19157057 748668 450273 450273 0 3640995 3640995 53333 29329 24004 0 0 767624 767624 0 4400079 4400079 127737 127737 BAD DEBT EXPENSE 30334134 30334134 MISCELLANEOUS 17217 17217 DUES 116089 116089 EDUCATION 47917 47917 117470401 105198096 12272305 0 882080 0 2807047 2533297 8752833 10264592 785165 787529 1151060 1093094 73490538 15239792 56336174 58250746 62705 0 70777064 72929258 35061828 36469140 406482 399741 35468310 36868881 X 35308754 36060377 35308754 36060377 70777064 72929258 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 6180000 6180000 0 9598101 2514366 7083735 0 398616 71823 326793 0 16661577 9929641 6731936 0 40652244 2723962 37928282 58250746 FIN 48 Footnote On July 1, 2007, Piedmont Newnan 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 1858657 0 1858657 0.02120 12927489 10980517 1946972 0.02240 14786146 10980517 3805629 0.04360 54431 54431 0.00060 416760 416760 0.00580 56157 56157 0.00060 527348 527348 0.00700 15313494 10980517 4332977 0.05060 true 5668739 283400 35256243 33026980 2229263 X true true Piedmont Newnan Hospital

60 Hospital Rd Newnan GA 30263

X X X 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. 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. 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. 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. THE METHOD USED IS THE METHOD USED TO PREPARE THE MEDICARE COST REPORT. 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. 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 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. 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. GA true 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 2 0 Documentation of Grants The Piedmont Newnan Public Relations Department monitors and keeps documentation of grants on file. X true false X X X X X false true false false false true true false false 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 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. 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. 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 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 GOVERNORS SQUARE 2ND FLOOR BLDG 3 GRAND CAYMAN CJ INVESTMENTS CJ PIEDMONT HC C 0 0 0.00000 false false false false false false false false false false false false false false false false false false