Civic Intelligence

Piedmont Health Services Inc

EIN 56-0952737 • 501(c)3 • Chapel Hill, NC

Profile

To improve the health and well-being of the community by providing high quality, affordable, and comprehensive primary health care.

88 Vilcom Center Drive Ste 110Chapel Hill, NC 27514

www.piedmonthealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

55th percentile

0.40x

Higher debt load relative to assets than 55% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

44th percentile

0.26x

Higher debt load relative to revenue than 44% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Net Margin

66th percentile

5.9%

Higher net margin than 66% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

22nd percentile

$482,551

Higher top officer pay than 22% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

NTEE E • $50M-$100M nonprofits • Source year 2024

Asset Growth

80th percentile

15%

Faster asset growth than 80% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

68th percentile

16%

Faster revenue growth than 68% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$62,228,048

Up $8,101,709 (+15%) from 2023

Liabilities

Up

$24,986,476

Up $7,340,255 (+42%) from 2023

Net Assets

Up

$37,241,572

Up $761,454 (+2.1%) from 2023

Revenue

Up

$94,893,293

Up $12,752,986 (+16%) from 2023

Expenses

Up

$89,336,389

Up $8,893,967 (+11%) from 2023

Net Income

Up

$5,556,904

Up $3,859,019 (+227%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $15,487,776Liabilities 2010: $9,005,050Net Assets 2010: $6,482,7262010Assets 2011: $17,968,480Liabilities 2011: $9,045,563Net Assets 2011: $8,922,9172011Assets 2012: $19,425,567Liabilities 2012: $10,109,131Net Assets 2012: $9,316,4362012Assets 2013: $20,398,721Liabilities 2013: $11,295,581Net Assets 2013: $9,103,1402013Assets 2014: $22,748,012Liabilities 2014: $12,250,053Net Assets 2014: $10,497,9592014Assets 2015: $25,722,590Liabilities 2015: $15,624,650Net Assets 2015: $10,097,9402015Assets 2016: $25,022,031Liabilities 2016: $13,918,564Net Assets 2016: $11,103,4672016Assets 2017: $28,174,019Liabilities 2017: $16,889,606Net Assets 2017: $11,284,4132017Assets 2018: $27,258,684Liabilities 2018: $14,492,161Net Assets 2018: $12,766,5232018Assets 2019: $28,139,939Liabilities 2019: $16,667,014Net Assets 2019: $11,472,9252019Assets 2020: $37,381,073Liabilities 2020: $22,095,739Net Assets 2020: $15,285,3342020Assets 2021: $43,266,941Liabilities 2021: $15,537,103Net Assets 2021: $27,729,8382021Assets 2022: $52,844,017Liabilities 2022: $18,061,754Net Assets 2022: $34,782,2632022Assets 2023: $54,126,339Liabilities 2023: $17,646,221Net Assets 2023: $36,480,1182023Assets 2024: $62,228,048Liabilities 2024: $24,986,476Net Assets 2024: $37,241,5722024

Highlighted filing

2024

Assets$62,228,048
Liabilities$24,986,476
Net Assets$37,241,572

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $26,638,6422010Expenses 2011: $28,802,5312011Expenses 2012: $33,491,8512012Expenses 2013: $35,167,9712013Revenue 2014: $39,655,599Expenses 2014: $38,261,247Net Income 2014: $1,394,3522014Revenue 2015: $43,694,452Expenses 2015: $44,094,005Net Income 2015: -$399,5532015Revenue 2016: $51,765,154Expenses 2016: $50,555,919Net Income 2016: $1,209,2352016Revenue 2017: $60,248,240Expenses 2017: $60,066,674Net Income 2017: $181,5662017Revenue 2018: $62,531,681Expenses 2018: $61,047,997Net Income 2018: $1,483,6842018Revenue 2019: $64,085,808Expenses 2019: $65,381,338Net Income 2019: -$1,295,5302019Revenue 2020: $69,489,704Expenses 2020: $65,675,915Net Income 2020: $3,813,7892020Revenue 2021: $81,083,702Expenses 2021: $68,637,335Net Income 2021: $12,446,3672021Revenue 2022: $80,108,444Expenses 2022: $73,055,644Net Income 2022: $7,052,8002022Revenue 2023: $82,140,307Expenses 2023: $80,442,422Net Income 2023: $1,697,8852023Revenue 2024: $94,893,293Expenses 2024: $89,336,389Net Income 2024: $5,556,9042024

Highlighted filing

2024

Revenue$94,893,293
Expenses$89,336,389
Net Income$5,556,904

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$62.2$25.0$37.2$94.9$89.3$5.56
2023Detailed filing. Detailed filing data is available for this year.$54.1$17.6$36.5$82.1$80.4$1.70
2022Detailed filing. Detailed filing data is available for this year.$52.8$18.1$34.8$80.1$73.1$7.05
2021Detailed filing. Detailed filing data is available for this year.$43.3$15.5$27.7$81.1$68.6$12.4
2020Detailed filing. Detailed filing data is available for this year.$37.4$22.1$15.3$69.5$65.7$3.81
2019Detailed filing. Detailed filing data is available for this year.$28.1$16.7$11.5$64.1$65.4$1.30
2018Detailed filing. Detailed filing data is available for this year.$27.3$14.5$12.8$62.5$61.0$1.48
2017Detailed filing. Detailed filing data is available for this year.$28.2$16.9$11.3$60.2$60.1$0.18
2016Detailed filing. Detailed filing data is available for this year.$25.0$13.9$11.1$51.8$50.6$1.21
2015Detailed filing. Detailed filing data is available for this year.$25.7$15.6$10.1$43.7$44.1$0.40
2014Detailed filing. Detailed filing data is available for this year.$22.7$12.3$10.5$39.7$38.3$1.39
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.4$11.3$9.10$35.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.4$10.1$9.32$33.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.0$9.05$8.92$28.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$9.01$6.48$26.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 3, 2025
Return Version
2024v5.1
Gross Receipts
$94,893,293
Mission and Program Overview

Mission

To improve the health and well-being of the community by providing high quality, affordable, and comprehensive primary health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$16,253,489$34,044,708▲ $17,791,219
Land, Buildings, and Equipment, Net$10,035,222$9,551,646▼ $483,576
Cash and Non-Interest-Bearing Accounts$12,336,049$2,824,251▼ $9,511,798
Accounts Receivable$1,977,603$1,997,187▲ $19,584
Investments in Publicly Traded Securities$1,488,735$1,767,290▲ $278,555
Pledges and Grants Receivable$1,094,708$1,672,676▲ $577,968
Prepaid Expenses and Deferred Charges$915,826$562,287▼ $353,539
Investments Program Related$0$461,917▲ $461,917
Inventories for Sale or Use$291,818$367,066▲ $75,248
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$54,126,339$62,228,048▲ $8,101,709
Other Assets Total$9,732,889$8,979,020▼ $753,869
Liabilities
Other Liabilities$2,439,852$10,231,695▲ $7,791,843
Accounts Payable and Accrued Expenses$10,238,058$10,065,710▼ $172,348
Mortgage Notes Payable Secured by Investment Property$4,953,807$4,640,155▼ $313,652
Deferred Revenue$14,504$48,916▲ $34,412
Total Liabilities$17,646,221$24,986,476▲ $7,340,255
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$35,845,675$36,987,629▲ $1,141,954
Net Assets With Donor Restrictions$634,443$253,943▼ $380,500
Total Net Assets Fund Balance$36,480,118$37,241,572▲ $761,454
Total Liabilities and Net Assets / Fund Balance$54,126,339$62,228,048▲ $8,101,709

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,917,970$16,312,764$22,230,734
Equipment$2,059,390$4,522,485$6,581,875
Land$1,574,286-$1,574,286
Other Assets Org$20,677--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brian ToomeyCEO End 01/24FT$466,353$16,198$482,551
Daniella Jaimes- ColinaCEOFT$299,234$16,851$316,085
Adrian ManchenoCMOPT$287,227$27,828$315,055
Joan EastPhysicianPT$273,084$14,323$287,407
Katrina Mattison-chalweChief Dental OfficerPT$243,223$15,298$258,521
Lydia MasonCFOFT$229,583$14,941$244,524
Linda Siggers-beyLead PhysicianFT$202,887$35,252$238,139
Jill Van HornPhysicianFT$218,417$15,915$234,332
Mary MouwPhysicianFT$220,165$14,030$234,195
Kelly StoutChief Pharmacy OfficerFT$183,603$17,784$201,387

Board Members and Trustees

NameTitle
Leena MehtaBoard Chair
Victoria FreemanBoard Vice Chair
Alejandro GarciaBoard Member
Barbara Jessie BlackBoard Member
Mark CheekBoard Member
Nehemiah StewartBoard Member
Randy StewartBoard Member
Spencer BradyBoard Member
Thomas WatlingtonBoard Member
Zach DeatonBoard Member Beg 09/24
Flor SassaBoard Member End 06/24
Ivan RemnitzBOARD MEMBER End 09/24
Annie BrayboyBOARD SECRETARY End 06/24
George PinkTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$13,722,142
Program Service Revenue
$79,677,410
Investment Income
$1,031,824
Other Revenue
$461,917
All Other Contributions
$271,107
Change in Net Assets
$5,556,904

Audited Revenue Reconciliation

Revenue per Audited Statements
$94,585,926
Revenue Not Reported on Financial Statements
$307,367
Revenue Not Reported on Form 990
$93,608
Other Revenue Adjustments
$307,367
Total Revenue per Audited Statements
$94,679,534
Total Revenue per Form 990
$94,893,293
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$52,711,299
Other Expenses$36,625,090
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,426,496$12,034,279-$40,460,775
Fees for Services Other$14,839,321$1,135,300$0$15,974,621
Other Employee Benefits$2,865,476$2,736,756-$5,602,232
Office Expenses$979,752$2,509,361-$3,489,113
Payroll Taxes$1,576,647$1,505,935-$3,082,582
Pension Plan Contributions$1,028,220$977,888-$2,006,108
Current Officers, Directors, Trustees, and Key Employees$516,442$1,043,160-$1,559,602
Occupancy$375,812$957,965-$1,333,777
Depreciation Depletion$952,948$123,347-$1,076,295
Insurance$126,059$321,330-$447,389
Fees for Services Accounting-$390,189-$390,189
Travel$102,099$260,257-$362,356
Conferences and Meetings$96,368$245,648-$342,016
Interest$244,564$38,157-$282,721
Fees for Services Legal-$260,693-$260,693
Other Expenses$40,441$103,086-$143,527
Total Functional Expenses$61,752,678$27,583,711$0$89,336,389

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$89,336,389
Total Expenses per Form 990$89,336,389
Total Expenses per Audited Statements$89,324,465
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Expenses Not Reported on Form 990$-11,924
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$6,850,214
Estimated Amounts Due to Third Party Payers$3,116,154
Lease Liabilities$265,327
Estimated Self-insurance-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 15A Process to establish compensation of top management official

The organization follows a formal process for determining the compensation of its CEO, Executive Director, and top management officials that includes the following components: Review and Approval by Independent Persons: Compensation is reviewed and approved by the board of directors or a designated compensation committee composed entirely of individuals who have no conflict of interest with respect to the compensation arrangement. Use of Comparability Data: In determining appropriate compensation levels, the approving body relies on comparability data, including compensation surveys, information from IRS Form 990s of similar organizations, and data regarding salaries paid for similar positions within comparable organizations in terms of size, mission, and geographic location. Contemporaneous Substantiation of the Deliberation and Decision: The process is documented contemporaneously, with meeting minutes or other records detailing the decision-making process, including the individuals involved, the comparability data reviewed, and the final decisions made. This process is conducted to ensure that compensation is reasonable, transparent, and compliant with IRS guidelines for tax-exempt organizations.

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.

Filing and Contact Details

Filer

Filer Name
Piedmont Health Services Inc
EIN
56-0952737
Phone
9199338494
Address
88 VILCOM CENTER DRIVE STE 110, CHAPEL HILL, NC 27514

Signing Officer

Name
Marcia Bleil
Title
Director of Finance
Phone
9199338494
Signed
2025-11-03
Discuss with paid preparer
Yes

Organization Details

Formed
1970
Legal Domicile
Nc
Voting Board Members
13
Independent Board Members
13
Employees
754
Volunteers
13

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Krystal K Creach
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

MEDICAL SERVICES - Total Expense: 12059185, Program Service Expense: 12059185, Management and General Expenses: , Fundraising Expenses: ; NON-PATIENT CARE - Total Expense: 762715, Program Service Expense: 762715, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 661199, Program Service Expense: 661199, Management and General Expenses: , Fundraising Expenses: ; PROCESSING COSTS - Total Expense: 351787, Program Service Expense: 99121, Management and General Expenses: 252666, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 432245, Program Service Expense: 121792, Management and General Expenses: 310453, Fundraising Expenses: ; MEAL SERVICES - Total Expense: 444705, Program Service Expense: 444705, Management and General Expenses: , Fundraising Expenses: ; DENTAL SERVICES - Total Expense: 379306, Program Service Expense: 379306, Management and General Expenses: , Fundraising Expenses: ; TRANSPORTATION SERVICES - Total Expense: 139076, Program Service Expense: 39187, Management and General Expenses: 99889, Fundraising Expenses: ; RADIOLOGY SERVICES - Total Expense: 20072, Program Service Expense: 20072, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 36921, Program Service Expense: 36921, Management and General Expenses: , Fundraising Expenses: ; REHAB SERVICES - Total Expense: 29837, Program Service Expense: 29837, Management and General Expenses: , Fundraising Expenses: ; Other Contract Services - Total Expense: 657573, Program Service Expense: 185281, Management and General Expenses: 472292, Fundraising Expenses: ;

Financial Statement Notes

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 - 92634

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Gain on disposal of property and equipment - 11924 grants for acquisition of property and equipment - 295443

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Gain on disposal of property and equipment - -11924

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