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Nonprofiteer
← PIEDMONT MACON NORTH HOSPITAL INC

Form 990 for tax year 2022

Filed by PIEDMONT MACON NORTH HOSPITAL INC.

Totals

Total revenue
$82,661,746
Total expenses
$85,274,035
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$81,903,787
Investment income
-$2,155
Other revenue
$760,114
Total assets, end of year
$73,610,254
Total liabilities, end of year
$6,999,645
Net assets or fund balances, end of year
$66,610,609
Program services expenses (Part IX)
$78,674,714
Management and general expenses
$6,599,321
Fundraising expenses
$0
Program service expenses (Part III)
$78,674,714

Program services were 92.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $81,881,102 · related or exempt $81,881,102 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $22,685 · related or exempt $22,685 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $628,762

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $628,762 · personal property $0

  • 6d · Net rental income or loss

    total $628,762 · related or exempt $0 · unrelated business $0 · excluded $628,762

  • 7a · Gross sales of assets other than inventory

    other assets $0

  • 7b · Less cost or other basis and sales expenses

    other assets $2,155

  • 7c · Gain or loss

    other assets -$2,155

  • 7d · Net gain or loss

    total -$2,155 · related or exempt $0 · unrelated business $0 · excluded -$2,155

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: CAFETERIA SALES

    total $131,352 · related or exempt $0 · unrelated business $0 · excluded $131,352

  • 11e · Other revenue, total

    $131,352

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $15,158,575 · program services $13,333,483 · management and general $1,825,092 · fundraising $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $3,602,282 · program services $3,168,567 · management and general $433,715 · fundraising $0

  • 10 · Payroll taxes

    total $1,001,370 · program services $880,805 · management and general $120,565 · fundraising $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $12,180,518 · program services $10,713,983 · management and general $1,466,535 · fundraising $0

  • 12 · Advertising and promotion

    total $153,610 · program services $135,115 · management and general $18,495 · fundraising $0

  • 13 · Office expenses

    total $3,016,689 · program services $2,653,480 · management and general $363,209 · fundraising $0

  • 14 · Information technology

    total $984,457 · program services $865,928 · management and general $118,529 · fundraising $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $4,840,678 · program services $4,257,860 · management and general $582,818 · fundraising $0

  • 17 · Travel

    total $2,290 · program services $2,014 · management and general $276 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $505,971 · program services $0 · management and general $505,971 · fundraising $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $2,261,071 · program services $1,988,838 · management and general $272,233 · fundraising $0

  • 23 · Insurance

    total $564,190 · program services $0 · management and general $564,190 · fundraising $0

  • 24a · Other expenses: BAD DEBT EXPENSES

    total $22,682,878 · program services $22,682,878 · management and general $0 · fundraising $0

  • 24b · Other expenses: DRUGS & MEDICAL SUPPLIES

    total $14,274,122 · program services $14,274,122 · management and general $0 · fundraising $0

  • 24c · Other expenses: HOSPITAL TAX

    total $1,323,630 · program services $1,323,630 · management and general $0 · fundraising $0

  • 24d · Other expenses: MISCELLANEOUS

    total $2,721,704 · program services $2,394,011 · management and general $327,693 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $78,997,844 · end of year $47,423,532

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year -$2,864,346 · end of year -$9,190,587

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,458,144 · end of year $2,250,656

  • 9 · Prepaid expenses and deferred charges

    beginning of year $58,529 · end of year $76,493

  • 10a · Land, buildings and equipment: cost or other basis

    $32,120,101

  • 10b · Land, buildings and equipment: accumulated depreciation

    $4,605,629

  • 10c · Land, buildings and equipment, net

    beginning of year $28,644,445 · end of year $27,514,472

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $5,684,127 · end of year $5,535,688

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,164,319 · end of year $6,831,343

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,286,298 · end of year $168,302

  • 27 · Net assets without donor restrictions

    beginning of year $91,528,051 · end of year $66,609,543

  • 28 · Net assets with donor restrictions

    beginning of year $75 · end of year $1,066

Mission and programs · 2022

Mission

TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY EXCEPTIONAL PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT.

  • PIEDMONT MACON NORTH HOSPITAL, INC. IS A 103-BED FACILITY LOCATED IN THE CITY OF MACON IN BIBB COUNTY, GEORGIA. OUR PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN MACON AND THE SURROUNDING MIDDLE GEORGIA MARKET, REGARDLESS OF ANY INDIVIUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL HAD 2,048 IN-PATIENT ADMISSIONS WITH A TOTAL OF 5,768 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 41,194 AND OUTPAITENT VISITS TOTALED 8,188. SURGICAL SERVICES WERE PROVIDED TO 1,997 PATIENTS.

    Expenses $78,674,714 · Revenue $81,903,787

As filed on the 2022 return.

Listed in Part VII

  • Ms Elizabeth Leddy

    Secretary/CLO PHC

    Total calculated
    $1,528,196
    From this org
    $0
    From related orgs
    $1,389,485
    Other
    $138,711
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $547,780 related
    Bonus
    $0 + $295,524 related
    Other
    $0 + $546,181 related
    Deferred
    $0 + $117,950 related
    Nontaxable benefits
    $0 + $20,761 related
    Filer's total
    $0 + $1,528,196 related
  • Mr Thomas Arnold

    Treasurer/CFO PHC

    Total calculated
    $1,304,185
    From this org
    $0
    From related orgs
    $1,173,444
    Other
    $130,741
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $640,918 related
    Bonus
    $0 + $356,487 related
    Other
    $0 + $176,039 related
    Deferred
    $0 + $115,097 related
    Nontaxable benefits
    $0 + $15,644 related
    Filer's total
    $0 + $1,304,185 related
  • Mr Stephen Daugherty

    CEO

    Total calculated
    $922,616
    From this org
    $0
    From related orgs
    $824,400
    Other
    $98,216
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $454,218 related
    Bonus
    $0 + $172,960 related
    Other
    $0 + $197,222 related
    Deferred
    $0 + $83,789 related
    Nontaxable benefits
    $0 + $14,427 related
    Filer's total
    $0 + $922,616 related
  • Mr Stephen D Porter

    Board Member

    Total calculated
    $879,269
    From this org
    $0
    From related orgs
    $763,523
    Other
    $115,746
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $482,082 related
    Bonus
    $0 + $168,409 related
    Other
    $0 + $113,032 related
    Deferred
    $0 + $93,953 related
    Nontaxable benefits
    $0 + $21,793 related
    Filer's total
    $0 + $879,269 related
  • Mr Scott Strong

    COO

    Total calculated
    $422,454
    From this org
    $0
    From related orgs
    $379,896
    Other
    $42,558
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $288,016 related
    Bonus
    $0 + $69,325 related
    Other
    $0 + $22,555 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $24,258 related
    Filer's total
    $0 + $422,454 related
  • Dr Cesar Figueroa

    BOARD MEMBER, VICE CHAIR

    Total calculated
    $406,844
    From this org
    $0
    From related orgs
    $381,196
    Other
    $25,648
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $262,826 related
    Bonus
    $0
    Other
    $0 + $118,370 related
    Deferred
    $0 + $11,138 related
    Nontaxable benefits
    $0 + $14,510 related
    Filer's total
    $0 + $406,844 related
  • Ms Alisha Neal

    CFO

    Total calculated
    $360,988
    From this org
    $0
    From related orgs
    $336,232
    Other
    $24,756
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $268,632 related
    Bonus
    $0 + $65,272 related
    Other
    $0 + $2,328 related
    Deferred
    $0 + $5,283 related
    Nontaxable benefits
    $0 + $19,473 related
    Filer's total
    $0 + $360,988 related
  • Mr Rusty Merritt

    ED FLOW COORDINATOR

    Total calculated
    $189,537
    From this org
    $157,076
    From related orgs
    $0
    Other
    $32,461
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $79,761
    Bonus
    $240
    Other
    $77,075
    Deferred
    $9,793
    Nontaxable benefits
    $22,668
    Filer's total
    $189,537
  • Mr Scott Biscan

    ED FLOW COORDINATOR

    Total calculated
    $175,696
    From this org
    $147,749
    From related orgs
    $0
    Other
    $27,947
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $79,519
    Bonus
    $240
    Other
    $67,990
    Deferred
    $9,125
    Nontaxable benefits
    $18,822
    Filer's total
    $175,696
  • Ms Clara Malone

    MANAGER - PHARMACY OPS

    Total calculated
    $170,901
    From this org
    $154,846
    From related orgs
    $0
    Other
    $16,055
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,161
    Bonus
    $7,020
    Other
    $17,665
    Deferred
    $8,764
    Nontaxable benefits
    $7,291
    Filer's total
    $170,901
  • Mr Michael Crutchfield

    PHARMACIST

    Total calculated
    $170,068
    From this org
    $147,751
    From related orgs
    $0
    Other
    $22,317
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,178
    Bonus
    $240
    Other
    $10,333
    Deferred
    $9,012
    Nontaxable benefits
    $13,305
    Filer's total
    $170,068
  • Ms Gidget Farley

    OCCUPATIONAL THERAPIST

    Total calculated
    $162,112
    From this org
    $152,952
    From related orgs
    $0
    Other
    $9,160
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $111,117
    Bonus
    $120
    Other
    $41,715
    Deferred
    $9,160
    Nontaxable benefits
    $0
    Filer's total
    $162,112
  • Dr Joseph Burnette

    BOARD MEMBER

    Total calculated
    $36,000
    From this org
    $36,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related
  • Dr George Arimah

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Jeff Battcher

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Grant Greenwood

    BOARD MEMBER, CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ms Mallory Jones

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Todd Jones

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr Garry Simons

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ms Tara Underwood

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 1A: OTHER COMPENSATION ITEMS
Elizabeth Leddy, Thomas Arnold, Stephen Porter, and Stephen Daugherty received a discretionary spending account totaling $12,000, a fixed amount determined by their job level. This spending account was included in their taxable wages.
SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR
The compensation for the President/CEO of Piedmont Macon North Hospital is set by the entity's parent, Piedmont Healthcare, Inc. Please see the Schedule O narrative for Form 990, Part VI, Section B, Line 15a & 15b for additional information.
SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIRMENT PLANS: THOMAS ARNOLD $ 96,797 ELIZABETH LEDDY $490,447 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: STEPHEN DAUGHERTY STEPHEN PORTER
SCHEDULE J, PART I, LINE 7: NON-FIXED PAYMENTS
Certain employees participated in an "annual incentive plan" under which they received non-fixed bonus payments based on job level and several different performance metrics.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • GA SURG CTR PCHTREE

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • ORTHOATLANTA SURGERY CENTER FAYETTEVILLE

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • ATHENS ASC HOLDINGS LLC

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLUMBUS DIAGNOSTIC IMAGING CTR

    NONE · IMAGING · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • THE SURGERY CTR LLC

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • PIEDMONT ENCOMPASS REHAB HOSPITALS LLC

    NONE · HEALTHCARE · DE · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLISEUM SAME DAY SURGERY CTR LP

    NONE · SURGERY · GA · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Piedmont Medical Care Corporation

    C CORP · Healthcare · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • THE PIEDMONT CLINIC INC

    C CORP · Healthcare · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • PIEDMONT HEART INSTITUTE PHYSICIANS INC

    C CORP · Healthcare · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • COLUMBUS HEALTHCARE RESOURCES

    C CORP · Healthcare · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • Columbus Health Services Inc

    C CORP · Healthcare · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • Amster McRae Insurance Company SPC

    C CORP · RELATED INSUR · CJ · share of income $0 · share of assets $0

    Directly controlled by NA

  • UNIVERSITY HEALTH RESOURCES INC

    C-CORP · HEALTHCARE · GA · share of income $0 · share of assets $0

    Directly controlled by NA

  • UNIVERSITY HOSPITAL AIKEN INC

    C-CORP · HOSPITAL · SC · share of income $0 · share of assets $0

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202411359349307556

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