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Nonprofiteer
← PIEDMONT HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by PIEDMONT HEALTH SERVICES INC.

Totals

Total revenue
$80,108,444
Total expenses
$73,055,644
Contributions and grants received
$20,190,305
Grants paid
$0
Program service revenue
$59,804,764
Investment income
$113,375
Other revenue
$0
Total assets, end of year
$52,844,017
Total liabilities, end of year
$18,061,754
Net assets or fund balances, end of year
$34,782,263
Program services expenses (Part IX)
$51,477,292
Management and general expenses
$21,578,352
Fundraising expenses
$0
Program service expenses (Part III)
$51,477,292

Program services were 70.5% 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.

  • 1a · Federated campaigns

    $8,000

  • 1e · Government grants (contributions)

    $19,854,052

  • 1f · All other contributions, gifts and grants

    $328,253

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $32,205,102 · related or exempt $32,205,102

  • 2b · Program service revenue: CAPITATION REVENUE

    total $26,989,986 · related or exempt $26,989,986

  • 2c · Program service revenue: OTHER INCOME

    total $609,676 · related or exempt $609,676

  • 3 · Investment income

    total $113,375 · excluded $113,375

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

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 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

  • 11e · Other revenue, total

    $0

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 $851,764 · program services $283,270 · management and general $568,494

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $35,706,265 · program services $25,467,290 · management and general $10,238,975

  • 8 · Pension plan contributions

    total $1,812,965 · program services $939,324 · management and general $873,641

  • 9 · Other employee benefits

    total $4,336,811 · program services $2,231,648 · management and general $2,105,163

  • 10 · Payroll taxes

    total $2,882,704 · program services $1,480,145 · management and general $1,402,559

  • 11a · Fees: management

    total $324,873 · management and general $324,873

  • 11b · Fees: legal

    total $138,032 · management and general $138,032

  • 11c · Fees: accounting

    total $202,120 · management and general $202,120

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $11,975,957 · program services $11,757,428 · management and general $218,529

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $6,044,039 · program services $2,380,458 · management and general $3,663,581

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $1,263,553 · program services $686,929 · management and general $576,624

  • 17 · Travel

    total $244,569 · program services $126,203 · management and general $118,366

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $59,510 · program services $39,431 · management and general $20,079

  • 20 · Interest

    total $237,428 · program services $210,954 · management and general $26,474

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $1,545,728 · program services $1,364,871 · management and general $180,857

  • 23 · Insurance

    total $373,681 · management and general $373,681

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $4,413,319 · program services $4,413,319

  • 24b · Other expenses: LICENSES, DUES, SUBSCRIPTIONS

    total $528,350 · program services $95,982 · management and general $432,368

  • 24c · Other expenses: RECRUITING & RETENTION

    total $113,976 · program services $40 · management and general $113,936

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $15,271,107 · end of year $15,359,334

  • 2 · Savings and temporary cash investments

    beginning of year $9,030,952 · end of year $14,531,709

  • 3 · Pledges and grants receivable

    beginning of year $539,992 · end of year $1,474,330

  • 4 · Accounts receivable

    beginning of year $1,307,467 · end of year $1,014,929

  • 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 $596,893 · end of year $349,204

  • 9 · Prepaid expenses and deferred charges

    beginning of year $278,298 · end of year $400,990

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

    $29,502,896

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

    $19,167,763

  • 10c · Land, buildings and equipment, net

    beginning of year $9,529,229 · end of year $10,335,133

  • 11 · Investments: publicly traded securities

    beginning of year $1,389,550 · end of year $1,169,054

  • 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 $5,323,453 · end of year $8,209,334

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,595,830 · end of year $9,796,437

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $5,501

  • 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 $5,583,822 · end of year $5,240,953

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $357,451 · end of year $3,018,863

  • 27 · Net assets without donor restrictions

    beginning of year $26,974,267 · end of year $34,294,032

  • 28 · Net assets with donor restrictions

    beginning of year $755,571 · end of year $488,231

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, AFFORDABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE.

  • AMBULATORY HEALTH CARE SERVICES TO THE GENERAL PUBLIC IN CHAPEL HILL, NC AND SURROUNDING AREAS. DURING 2022, THE ORGANIZATION HAD OVER 111,000 MEDICAL ENCOUNTERS.

    Expenses $51,477,292 · Revenue $59,804,764

As filed on the 2022 return.

Listed in Part VII

  • BRIAN TOOMEY

    CEO

    Total calculated
    $330,909
    From this org
    $303,320
    From related orgs
    $0
    Other
    $27,589
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,320
    Bonus
    $0
    Other
    $0
    Deferred
    $18,199
    Nontaxable benefits
    $9,390
    Filer's total
    $330,909
  • JOAN EAST

    CMO

    Total calculated
    $283,270
    From this org
    $258,377
    From related orgs
    $0
    Other
    $24,893
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $258,377
    Bonus
    $0
    Other
    $0
    Deferred
    $15,503
    Nontaxable benefits
    $9,390
    Filer's total
    $283,270
  • SHARON REILLY

    MEDICAL DIRECTOR

    Total calculated
    $272,626
    From this org
    $248,336
    From related orgs
    $0
    Other
    $24,290
    Hours/week
    30

    Schedule J breakdown matched by us

    Base
    $248,336
    Bonus
    $0
    Other
    $0
    Deferred
    $14,900
    Nontaxable benefits
    $9,390
    Filer's total
    $272,626
  • FAREEDAT OLUYADI

    PHYSICIAN

    Total calculated
    $255,449
    From this org
    $232,131
    From related orgs
    $0
    Other
    $23,318
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,131
    Bonus
    $0
    Other
    $0
    Deferred
    $13,928
    Nontaxable benefits
    $9,390
    Filer's total
    $255,449
  • RHONDA KROLL

    PHYSICIAN

    Total calculated
    $253,466
    From this org
    $230,260
    From related orgs
    $0
    Other
    $23,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $230,260
    Bonus
    $0
    Other
    $0
    Deferred
    $13,816
    Nontaxable benefits
    $9,390
    Filer's total
    $253,466
  • KATRINA MATTISON-CHALWE

    DENTAL DIRECTOR

    Total calculated
    $251,213
    From this org
    $228,135
    From related orgs
    $0
    Other
    $23,078
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $228,135
    Bonus
    $0
    Other
    $0
    Deferred
    $13,688
    Nontaxable benefits
    $9,390
    Filer's total
    $251,213
  • ADRIAN MANCHENO

    PHYSICIAN

    Total calculated
    $247,158
    From this org
    $224,309
    From related orgs
    $0
    Other
    $22,849
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,309
    Bonus
    $0
    Other
    $0
    Deferred
    $13,459
    Nontaxable benefits
    $9,390
    Filer's total
    $247,158
  • LYDIA MASON

    CFO

    Total calculated
    $237,585
    From this org
    $215,632
    From related orgs
    $0
    Other
    $21,953
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,632
    Bonus
    $0
    Other
    $0
    Deferred
    $12,938
    Nontaxable benefits
    $9,015
    Filer's total
    $237,585
  • ANNIE BRAYBOY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • BARBARA JESSIE BLACK

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • BERTHE MAIROUNGA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • CAMILLE BERRY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • EDNA MARKS

    BOARD VICE-CHAIR

    Total calculated
    $0
    Hours/week
    0.75
  • GEORGE PINK

    TREASURER

    Total calculated
    $0
    Hours/week
    0.75
  • GLORIA BROWN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • IVAN REMNITZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • LEENA MEHTA

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.75
  • MARIELA HERNANDEZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • REGINALD TYSON

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.75
  • VIRGINIA DICKIE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • VICTORIA FREEMAN

    BOARD MEMBER BEG 02/22

    Total calculated
    $0
    Hours/week
    0.75

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

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2023
IRS schema version
2022v5.0
Source object
202302799349301340

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