2024-10-07T13:02:35+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 560952737 PIEDMONT HEALTH SERVICES INC PIED 9199338494 88 VILCOM CENTER DRIVE STE 110 CHAPEL HILL NC 27514 BRIAN TOOMEY CEO 9199338494 2024-10-07 true true KRYSTAL K CREACH P01248198 4178658701 2024-10-07 2023 2024-10-15 13:58:12Z LYDIA F MASON 88 VILCOM CENTER DRIVE STE 110 CHAPEL HILL NC 27514 82142772 false X WWW.PIEDMONTHEALTH.ORG X 1970 NC TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, AFFORDABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE. 14 14 726 17 0 0 20190305 17152884 59804764 64013564 113375 973859 0 0 80108444 82140307 0 0 0 0 45590509 48464154 0 0 0 27465135 31978268 73055644 80442422 7052800 1697885 52844017 54126339 18061754 17646221 34782263 36480118 TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, AFFORDABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE. false false 56488636 0 64013564 AMBULATORY HEALTH CARE SERVICES TO THE GENERAL PUBLIC IN CHAPEL HILL, NC AND SURROUNDING AREAS. DURING 2023, THE ORGANIZATION HAD OVER 118,000 MEDICAL ENCOUNTERS. 56488636 true true false true false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 114 0 true 726 true false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true false false X LYDIA F MASON 9199338494 88 VILCOM CENTER DR STE 110 CHAPEL HILL NC 27514 ANNIE BRAYBOY BOARD SECRETARY 0.8 0.0 X X 0 0 0 GEORGE PINK TREASURER 0.8 0.0 X X 0 0 0 LEENA MEHTA BOARD CHAIR 0.8 0.0 X X 0 0 0 VICTORIA FREEMAN BOARD VICE CHAIR 0.8 0.0 X X 0 0 0 ALEJANDRO GARCIA BOARD MEMBER 0.8 0.0 X 0 0 0 BARBARA JESSIE BLACK BOARD MEMBER 0.8 0.0 X 0 0 0 BERTHE MARIOUNGA BOARD MEMBER END 05/23 0.8 0.0 X 0 0 0 EDNA MARK BOARD MEMBER END 05/23 0.8 0.0 X 0 0 0 FLOR SASSA BOARD MEMBER BEG 02/23 0.8 0.0 X 0 0 0 GLORIA BROWN BOARD MEMBER END 05/23 0.8 0.0 X 0 0 0 IVAN REMNITZ BOARD MEMBER 0.8 0.0 X 0 0 0 MARK CHEEK BOARD MEMBER BEG 08/23 0.8 0.0 X 0 0 0 NEHEMIAH STEWART BOARD MEMBER BEG 10/23 0.8 0.0 X 0 0 0 RANDY STEWART BOARD MEMBER BEG 09/23 0.8 0.0 X 0 0 0 REGINALD TYSON BOARD MEMBER 0.8 0.0 X 0 0 0 SPENCER BRADY BOARD MEMBER BEG 08/23 0.8 0.0 X 0 0 0 THOMAS WATLINGTON BOARD MEMBER 0.8 0.0 X 0 0 0 BRIAN TOOMEY CEO 40.0 0.0 X 270793 0 29002 LYDIA MASON CFO 40.0 0.0 X 223091 0 23245 ADRIAN MANCHENO CMO 16.0 0.0 X 280570 0 27766 BETH ROSENBERG PHYSICIAN 40.0 0.0 X 196357 0 24313 JOAN EAST PHYSICIAN 32.0 0.0 X 242623 0 25928 KATRINA MATTISON-CHALWE DENTAL DIRECTOR 10.0 0.0 X 229058 0 24329 RHONDA KROLL PHYSICIAN 40.0 0.0 X 189332 0 24292 SHARON REILLY MEDICAL DIRECTOR 30.0 0.0 X 224885 0 25238 1856709 0 204113 84 false true false 0 9996 16742422 400466 39562 17152884 NET PATIENT SERVICE REVENUE 621400 34700082 34700082 CAPITATION REVENUE 621400 28782179 28782179 OTHER INCOME 621400 531303 531303 0 0 0 0 64013564 972277 972277 0 0 4047 2465 0 1582 1582 1582 0 0 0 0 0 82140307 64013564 0 973859 X 854467 308336 546131 38280212 27402896 10877316 1451388 875178 576210 5017071 2988652 2028419 2861016 1700232 1160784 372420 372420 338788 338788 255623 255623 12995670 12503540 492130 0 3094028 1107209 1986819 1296157 522310 773847 284613 114690 169923 124860 50315 74545 220544 188479 32065 1701051 685469 1015582 419620 169093 250527 MEDICAL SUPPLIES & DRUGS 5845588 5845588 REPAIRS & MAINTENANCE 4027661 1623018 2404643 LICENSES, DUES, SUBSCRIPTION 738239 297487 440752 RECRUITING & RETENTION 263406 106144 157262 0 0 0 0 80442422 56488636 23953786 0 15359334 12336049 14531709 16253489 1474330 1094708 1014929 1977603 0 0 0 0 349204 291818 400990 915826 29761863 19726641 10335133 10035222 1169054 1488735 0 0 8209334 9732889 52844017 54126339 9796437 10238058 5501 14504 0 0 5240953 4953807 3018863 2439852 18061754 17646221 X 34294032 35845675 488231 634443 34782263 36480118 52844017 54126339 1697885 -30 0 X false true X true true true X 12826119 16590698 21142053 20190305 17152884 87902059 0 0 12826119 16590698 21142053 20190305 17152884 87902059 0 87902059 5272 1169 1311 113375 972277 1093404 0 0 0 0 0 0 0 88995463 287956287 0.9877 0.9985 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS ANNUAL MEMBERSHIP DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IN THE AMOUNT OF $20,000, THE NATIONAL PACE ASSOCIATION IN THE AMOUNT OF $49,000, AND THE NORTH CAROLINA PACE ASSOCIATION IN THE AMOUNT OF $25,000. ALL OF THE ORGANIZATIONS LOBBY ON BEHALF OF MEMBER HEALTH CENTER. HOWEVER, THE AMOUNT OR PERCENTAGE OF DUES EXPENDED BY THE ORGANIZATION FOR LOBBYING ACTIVITIES IS UNKNOWN. 1574286 1574286 22230734 15434118 6796616 5668977 4292523 1376454 287866 287866 10035222 AMOUNTS DUE FROM THIRD PARTIES 6750000 ROU LEASE ASSETS 2189801 OTHER RECEIVABLES 547773 PACE RECEIVABLE 229483 DEPOSITS 15832 9732889 LEASE LIABILITIES 2166852 ESTIMATED SELF-INSURANCE COSTS 273000 2439852 81992483 -30 220710 220680 81771803 368504 368504 82140307 80440840 -1582 -1582 80442422 0 0 80442422 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 220710 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 366922 GAIN ON DISPOSAL OF PROPERTY AND EQUIPMENT - 1582 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 GAIN ON DISPOSAL OF PROPERTY AND EQUIPMENT - -1582 X X X false false false false false false false false false BRIAN TOOMEY CEO 270793 0 0 0 0 0 18949 0 10053 0 299795 0 0 0 LYDIA MASON CFO 223091 0 0 0 0 0 13546 0 9699 0 246336 0 0 0 ADRIAN MANCHENO CMO 280570 0 0 0 0 0 16408 0 11358 0 308336 0 0 0 SHARON REILLY MEDICAL DIRECTOR 224885 0 0 0 0 0 15539 0 9699 0 250123 0 0 0 BETH ROSENBERG PHYSICIAN 196357 0 0 0 0 0 14614 0 9699 0 220670 0 0 0 RHONDA KROLL PHYSICIAN 189332 0 0 0 0 0 14239 0 10053 0 213624 0 0 0 KATRINA MATTISON-CHALWE DENTAL DIRECTOR 229058 0 0 0 0 0 14276 0 10053 0 253387 0 0 0 JOAN EAST PHYSICIAN 242623 0 0 0 0 0 16229 0 9699 0 268551 0 0 0 X 1 39562 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. Form 990, Part VI, Line 15 COMPENSATION DETERMINATION POLICY THE ORGANIZATION ADJUSTS SALARIES AS NEEDED TO REMAIN COMPETITIVE IN THE INDUSTRY AND ITS MARKET. PAY PRACTICE CHANGES AND/OR SALARY GRADE ADJUSTMENTS MUST BE APPROVED BY THE CFO, CEO AND CHRO. ALL PAY PRACTICES AND PAY GRADE ADJUSTMENTS WILL BE REVIEWED BY THE FINANCE COMMITTEE (OR EXECUTIVE COMMITTEE) ANNUALLY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS CHECKED BY THE CFO FOR ADDITION ERRORS AND BALANCED TO THE AUDITED FINANCIAL STATEMENTS BEFORE FILING. BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED VIA EMAIL. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS TRANSACTIONS THAT MAY INVOLVE THE PRIVATE INTEREST OF A DIRECTOR OR EMPLOYEE OF THE CORPORATION. A CONFLICT OF INTEREST TRANSACTION IS A TRANSACTION WITH THE CORPORATION IN WHICH A DIRECTOR OR EMPLOYEE (OR AN IMMEDIATE FAMILY MEMBER) HAS A DIRECT OR INDIRECT INTEREST BEYOND HIS OR HER INTEREST AS A DIRECTOR OR EMPLOYEE OF THE CORPORATION. EACH DIRECTOR, OFFICER AND EMPLOYEE OF THE CORPORATION SHALL HAVE AN AFFIRMATIVE DUTY TO DISCLOSE (EITHER TO THE BOARD OR TO THE CEO) ANY POTENTIAL INTEREST(S) THAT MAY EXIST OR WHICH SUCH INDIVIDUAL REASONABLY BELIEVES MAY EXIST, INCLUDING SUFFICIENT DETAILS ABOUT THE BASIS THERETO. THE CORPORATE COMPLIANCE AREA HAS A HOTLINE NUMBER TO REPORT POSSIBLE COMPLIANCE ISSUES WHICH INCLUDE CONFLICTS OF INTEREST. UPON BECOMING AWARE OF A POTENTIAL CONFLICT OF INTEREST, THE BOARD (OR COMMITTEE THEREOF) SHALL FIRST DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. BEFORE THE BOARD (OR COMMITTEE) MAKES A DETERMINATION WHETHER A CONFLICT OF INTEREST EXISTS, A POTENTIAL CONFLICTED DIRECTOR, OFFICER OR EMPLOYEE SHALL BE GIVEN AN OPPORTUNITY TO DISCLOSE FACTS RELEVANT TO THE DETERMINATION AND TO RESPOND TO ANY REQUESTS FOR ADDITIONAL OR CLARIFYING INFORMATION. AT THE TIME THE BOARD (OR COMMITTEE) DELIBERATES AND VOTES TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS, ANY POTENTIAL CONFLICTED DIRECTOR OR OFFICER SHALL BE EXCUSED FROM OR OTHERWISE SHALL BE ABSENT FROM THAT PORTION OF THE MEETING. IF A DIRECTOR OR OFFICER IS DETERMINED TO HAVE A CONFLICT OF INTEREST IN A TRANSACTION, SUCH INDIVIDUAL SHALL BE EXCUSED FROM OR OTHERWISE SHALL BE ABSENT FROM THAT PORTION OF THE MEETING WHERE THE BOARD DELIBERATES AND VOTES ON SUCH TRANSACTION. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION PROVIDES TO INTERESTED PARTIES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS UPON REQUEST. Form 990, Part IX, Line 11g Other Fees MEDICAL SERVICES - Total Expense: 10207548, Program Service Expense: 10207548, Management and General Expenses: , Fundraising Expenses: ; NON-PATIENT CARE - Total Expense: 662911, Program Service Expense: 662911, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 655687, Program Service Expense: 655687, Management and General Expenses: , Fundraising Expenses: ; PROCESSING COSTS - Total Expense: 373492, Program Service Expense: 196398, Management and General Expenses: 177094, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 292403, Program Service Expense: 100, Management and General Expenses: 292303, Fundraising Expenses: ; MEAL SERVICES - Total Expense: 270029, Program Service Expense: 270029, Management and General Expenses: , Fundraising Expenses: ; DENTAL SERVICES - Total Expense: 262165, Program Service Expense: 262165, Management and General Expenses: , Fundraising Expenses: ; TRANSPORTATION SERVICES - Total Expense: 177167, Program Service Expense: 154434, Management and General Expenses: 22733, Fundraising Expenses: ; RADIOLOGY SERVICES - Total Expense: 40597, Program Service Expense: 40597, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 35269, Program Service Expense: 35269, Management and General Expenses: , Fundraising Expenses: ; REHAB SERVICES - Total Expense: 18402, Program Service Expense: 18402, Management and General Expenses: , Fundraising Expenses: ;