Piedmont Macon North Hospital Inc.

“Piedmont healthcare, inc., (ein 58-1503902) is the sole member of piedmont macon north hospital ("pmn").”

“The board of piedmont healthcare, piedmont macon north hospital's sole member, appoints the members of the board of directors of piedmont macon north hospital.”

“Piedmont macon north hospital's board policies and decisions must be filed, immediately after adoption, with the secretary of the piedmont healthcare board of directors. Such policies and decisions of the piedmont macon north hospital board of directors are not subject to the approval of or ratification by the piedmont healthcare board, but should the need arise, they may be rescinded by the piedmont healthcare board through a majority vote of its directors.”

“Information needed to prepare piedmont macon north hospital's form 990 is compiled by individuals in the organization's finance department. The information is reviewed by pmnh's controller and vp/cfo. The 990 is then prepared internally by piedmont healthcare, inc.'s tax department and submitted to an external tax preparer for review. Prior to filing, copies of form 990 are provided to the board of directors of piedmont healthcare, inc., the organization's sole member, for board review.”

“Compliance with the organization's conflict of interest policy is monitored and enforced by organization management in coordination with piedmont healthcare's chief compliance officer. All senior leaders, board members, physician employees, nurse practitioners/physician assistants and employees and non-employees engaged in research are required to annually disclose all matters which could potentially constitute a conflict of interest. Matters disclosed under the policy must be reviewed in writing 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 piedmont macon north hospital are provided training on conflict of interest issues, including reporting requirements, at new employee orientation and at least annually thereafter. Noncompliance with the conflict of interest policy must be reported to piedmont healthcare's chief compliance officer for investigation, and remedial steps must be taken as appropriate under the piedmont healthcare disciplinary policies.”

“Compensation for executives of piedmont macon north hospital is set by the board of directors of piedmont healthcare, inc. The piedmont healthcare, inc., board of director's executive performance and compensation committee ("the committee") is composed of at least three members of the phc board of directors, serving terms of three years, and the majority of which are community directors who generally do not have conflicts of interest related to fulfillment of the duties as outlined below. The committee oversees executive performance and compensation on behalf of the phc board, subject to the ultimate authority and oversight of the board. The committee also formulates policies and makes decisions in order to ensure a high level of executive performance. The committee is authorized to act on behalf of the phc board as set out in its charter, and the committee is also charged with providing recommendations and periodic reports to the phc board regarding executive performance and compensation. All decisions and comparability date are documented in the committee meeting minutes. Functions of the committee - assess and implement policies regarding performance, compensation and benefits of the president/ceo and other executives as determined by the committee - select an executive compensation consultant who reports to the committee - annually review the president/ceo succession plan - formulate and implement annual performance objectives for the president/ceo, and review and approve annually recommendations from the president/ceo relating to compensation, performance objectives, and succession plans for evp executives - annually assess president/ceo performance; if necessary, implement action plan with president/ceo input to improve his/her performance; adjust compensation as appropriate; the committee chair shall consult with the phc governance committee chair and the phc board chair and shall coordinate the annual performance review of the phc president/ceo, unless the phc board chair has a real or perceived conflict of interest, in which case the committee chair shall determine the proper review process - review and approve long-term and short-term goals to be used in connection with evp compensation programs as recommended by the president/ceo and validated by the compensation consultant - periodically review compensation, if any, for the phc board chair and all board chairs of the phc subsidiaries - establish other policies and procedures, and perform other tasks, related to executive performance and compensation, including but not limited to, approval of executive employment contracts and benefits - periodically report significant decisions and any additional requested information to the phc board.”

“Please see disclosure for form 990, part vi, line 15a, above.”

“Governing documents, conflict of interest policy, and financial statements are available upon request. These documents should be requested from piedmont healthcare, inc.'s legal counsel.”

“All calendar year 2023 forms 1099 were filed on behalf of piedmont macon north hospital by its sole member, piedmont healthcare, inc. (ein: 58-1503902), pursuant to an agreement with the irs to file all forms 1099 for the piedmont healthcare system on a combined basis.”

“GENERAL CONTRACT LABOR - Total Expense: 1090900, Program Service Expense: 959556, Management and General Expenses: 131344, Fundraising Expenses: 0; PURCHASED/CONTRACT SERVIC - Total Expense: 2958258, Program Service Expense: 2602084, Management and General Expenses: 356174, Fundraising Expenses: 0; OTHER PHYSICIAN SUPPORT - Total Expense: 2846361, Program Service Expense: 2503659, Management and General Expenses: 342702, Fundraising Expenses: 0; SERVICE/MAINTENANCE CONTR - Total Expense: 436868, Program Service Expense: 384269, Management and General Expenses: 52599, Fundraising Expenses: 0;”

“Intercompany transfer - -20178343; change in temporarily restricted funds - 2099; timing differences - 319376;”